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JKM (Jurnal Kebidanan Malahayati)
Published by Universitas Malahayati
ISSN : 24768944     EISSN : 2579726X     DOI : 10.33024
Core Subject : Health,
Health Professions
Jurnal Kebidanan Malahayati menyediakan platform untuk mempublikasikan bidang kebidanan dan jurnal juga berusaha untuk memajukan kualitas penelitian dengan memperkenalkan atau menguraikan metode baru di bidang kesehatan kebidanan untuk publikasi termasuk kebidanan dan ilmu kesehatan inti. Jurnal ini berisi naskah tentang Ilmu Kesehatan yang meliputi: asuhan Kebidanan, Gizi, Psikologi, kebidanan komunitas, kesehatan Reproduksi, Kesehatan Lansia, Kesehatan Masyarakat
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 971 Documents
 89   90   91   92   93 
The Relation Of Delivery Type With The Incident Of Hyperbilirubinemia On Newborn Infant Handayani, Maryamah Eka Prapti; Kurniati, Citra Hadi
JKM (Jurnal Kebidanan Malahayati) Vol 10, No 3 (2024): Volume 10,No.3 Maret 2024
Publisher : Program Studi Kebidanan Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkm.v10i3.14387

Abstract

Latar Belakang: Salah satu faktor maternal yang menyebabkan hiperbilirubinemia yaitu jenis persalinan. Persalinan merupakan proses pengeluaran janin yang dapat hidup di luar kandungan melalui jalan lahir atau perut. Jenis persalinan terdiri dari persalinan patologis dan persalinan normal. Beberapa hari kehidupan di usia 0-28 hari yang mengalami perubahan besar dari dalam rahim ke luar rahim disebut bayi baru lahir. Peningkatan kadar bilirubin pada bayi baru lahir >5 mg/dl akan menyebabkan hiperbilirubinemia.Tujuan: Mengetahui hubungan jenis persalinan dengan kejadian hiperbilirubinemia pada bayi baru lahir di RSIA Bunda Arif Purwokerto.Metode: Penelitian ini merupakan penelitian survei analitik dengan pendekatan retrospektif. Teknik pengambilan sampel purposive sampling dengan jumlah sampel 89 bayi baru lahir dengan hiperbilirubinemia. Instrumen penelitian menggunakan lembar cheklist. Analisis data menggunakan uji korelasi lambda dan uji chi square.Hasil: Hasil penelitian menunjukkan jenis persalinan pada bayi baru lahir di RSIA Bunda Arif Purwokerto sebanyak 52,8% mengalami persalinan patologis. Kejadian hiperbilirubinemia pada bayi baru lahir di RSIA Bunda Arif Purwokerto sebanyak 36% mengalami hiperbilirubinemia dalam kategori derajat V. Ada hubungan persalinan patologis terhadap kejadian hiperbilirubinemia pada bayi baru lahir di RSIA Bunda Arif Purwokerto dengan kekuatan sedang nilai p-value sebesar 0.0001 (p-value < α) dan lambda (λ) 0.576.Kesimpulan: Jenis persalinan memiliki hubungan yang sedang dengan kejadian hiperbilirubinemia pada bayi baru lahir. Kata Kunci: Jenis Persalinan, Hiperbilirubinemia, Bayi Baru Lahir ABSTRACT Background: One of the maternal factors that cause hyperbilirubinemia is the type of delivery. Labor is the process of expelling a fetus that can live outside the womb through the birth canal or stomach. The type of delivery consisted of pathological delivery and normal delivery. A few days of life at the age of 0-28 days that undergo major changes from inside the womb to outside the womb are called newborns. Increased bilirubin levels in newborns > 5 mg/dl will cause hyperbilirubinemia.Objective: To determine the relationship between type of delivery and the incidence of hyperbilirubinemia in newborns at RSIA Bunda Arif Purwokerto. Methods: This study is an analytic survey study with a retrospective approach. The sampling technique was purposive sampling with a total of 89 newborns with hyperbilirubinemia. The research instrument used a checklist sheet. Data analysis using lambda correlation test and chi square test. Results: The results showed that 52.8% of newborns at RSIA Bunda Arif Purwokerto experienced pathological delivery. The incidence of hyperbilirubinemia in newborns at RSIA Bunda Arif Purwokerto was 36% experiencing hyperbilirubinemia in the grade V category. There is a relationship between pathological delivery and the incidence of hyperbilirubinemia in newborns at RSIA Bunda Arif Purwokerto with a moderate strength p-value of 0.0001 (p-value < ) and lambda (λ) 0.576. Conclusion: Type of delivery has a moderate relationship with the incidence of hyperbilirubinemia in newborns. Keywords: Type of Delivery, Hyperbilirubinemia, Newborn
Knowledge, Community Behavior, And Environmental Factors In Relation To The Incidence Of Dengue Hemorrhagic Fever Putri, Devita Febriani; Triwahyuni, Tusy; Rahmadhany, Tommy Dias; Nusri, T Marwan
JKM (Jurnal Kebidanan Malahayati) Vol 10, No 1 (2024): Volume 10, No 1 Januari 2024
Publisher : Program Studi Kebidanan Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkm.v10i1.6676

Abstract

Latar Belakang :   Demam Berdarah Dengue (DBD) merupakan salah satu penyakit tular vektor yang terkenal di Indonesia dengan tingkat endemisitas yang tinggi. Strategi dengan metode berbasis pemberdayaan serta melibatkan masyarakat secara berkelanjutan, merupakan cara efektif untuk mengendalikan DBD. Pemahaman masyarakat tentang kejadian DBD, perilaku cara menanganinya dan pencegahan kontak dengan vektor DBD serta faktor lingkungan antara lain perilaku menggantung pakaian, ketersediaan tutup pada kontainer, serta ketersediaan kawat kassa memberikan pengaruh signifikan dalam pengendalian DBD.  Hasil pre survey awal di Puskesmas Panongan Kabupaten Tangerang didapatkan informasi masih terbatasnya masyarakat lokal memahami faktor – faktor tersebut.Tujuan : Mengetahui pengaruh pengetahuan, perilaku (memakai lotion anti nyamuk, memakai kelambu) dan faktor lingkungan ( Menggantung pakaian, ketersediaan kawat kassa, dan Ketersediaan tutup kontainer) terhadap kejadian DBD di wilayah kerja Puskesmas Panongan,Kabupaten Tangerang, Banten.Metode :  Jenis penelitian adalah penelitian kuantitatif obsevasional dengan rancangan penelitian cross sectional.   Jumlah   sampel penelitian  80 responden penelitian  dengan pengambilan sampel menggunakan cluster sampling, yang terdiri dari dua kelompok desa yaitu Desa Mekar Bakti dan Desa Ciakar. Instrumen penelitian menggunakan kuisioner dan lembar observasi.Hasil penelitian :  Karakteristik responden penelitian, dari 80 orang, mayoritas responden berjenis kelamin perempuan sebanyak 54 orang (67,5%), berusia 21- 30 tahun sebanyak 32 orang (40%), memiliki pekerjaan sebagai pegawai swasta 44 orang (55%), dengan lulusan SMA sebanyak 52 orang (62%). Responden yang memiliki pengetahuan baik tentang DBD di wilayah Puskesmas Panongan Kabupaten Tangerang sebanyak 59 orang (73,75%), perilaku baik memakai lotion anti nyamuk sebanyak 41 orang (51.3%), perilaku pemakaian kelambu baik sebanyak 51 orang (63.8%), perilaku baik menggantung pakaian sebanyak  51 orang (65%).  Hasil observasi menyatakan 55 orang responden (68.8%) memiliki rumah dalam kondisi baik dengan tersedianya kawat kassa dan 67 orang (83.8%) memiliki tutup pada kontainer pada setiap rumahnya. Kesimpulan :  Diketahui distribusi kejadian DBD di wilayah Puskesmas Panongan sebanyak 65 kasus (81,25%). Perilaku menggantung pakaian berhubungan dengan kejadian DBD  di wilayah Puskesmas Panongan Tangerang dengan nilai p value = 0,035 dan nilai OR sebesar 3,632, sedangkan pengetahuan, perilaku memakai lotion anti nyamuk, perilaku memakai kelambu, serta faktor lingkungan ketersedian kawat kassa dan tutup kontainer pada rumah warga, tidak memiliki hubungan yang bermakna dengan kejadian DBD.Saran :  Penyuluhan dan upaya promotif dari instansi kesehatan pemerintah lebih ditingkatkan dan diperjelas dalam metode penyampaian serta meninjau kembali upaya penanggulangan dan pemberantasan DBD pada peningkatan peran masyarakat melalui kegiatan pemberdayaan. Bagi masyarakat, Gerakan PSN lebih ditingkatkan lagi dengan kerja bakti membersihkan lingkungan sekitar guna memutus rantai penularan DBD. Kata kunci :  Demam Berdarah Dengue, Pengetahuan, Faktor Lingkungan, Perilaku Masyarakat ABSTRACT    Background: Dengue Hemorrhagic Fever (DHF) stands out as a prominent vector-borne disease in Indonesia, characterized by a high level of endemicity. A strategy grounded in empowerment and continuous community involvement proves to be an effective approach for the control of dengue fever. Public comprehension of the prevalence of dengue fever, the adoption of appropriate behaviors to manage it, and the prevention of contact with dengue vectors, as well as environmental factors such as hanging clothes, the availability of lids on containers, and the availability of wire mesh wield a substantial impact on the control measures for dengue fever. The findings of pre-survey conducted at Puskesmas Panongan in Tangerang, limited understanding of these factors among local communities.Purpose: The purpose of research to ascertain the impact of knowledge, behavior, and environmental factors on the incidence of dengue fever within the working area of Puskesmas Panongan in Tangerang, Banten.Methods: The research conducted adopted a quantitative observational with the research design was cross-sectional. The total research sample was 80 respondents with the sampling technique used was cluster sampling which included two groups of villages, namely Mekar Bakti Village and Ciakar Village. The research instrument used a questionnaire and observation sheet.Results: Characteristics of research respondents, it is evident that out of the total sample of 80 respondents within the working area of Puskesmas Panongan in Tangerang, Banten, 54 respondents or 67.5% are females, and 32 respondents fall within the age range of 21-30 years (40%). Among those, 44 respondents (55%) are employed as private employees, and 52 respondents (62%) have high school degrees. Notably, 59 respondents (73.75%) demonstrated good knowledge about dengue fever, 41 respondents (51.3%) demonstrated good behavior in using anti-mosquito lotion, 51 respondents (63.8%) demonstrated good behavior in using mosquito nets, and 51 respondents (65%) demonstrated good behavior in hanging clothes. The observational findings further revealed that 55 respondents (68.8%) resided in houses with wire mesh, indicating good living conditions, and 67 respondents (83.8%) had lids on containers within their houses.Conclusion: Based on the study results, it is evident that the distribution of dengue fever cases in the woking area of Puskesmas Panongan is 65 cases (81.25%). The behavior in hanging clothes is found to be related to the incidence of dengue fever within the working area of Puskesmas Panongan in Tangerang, Banten with a p value = 0.035 and an OR value of 3.632. However, knowledge, the behavior of using anti-mosquito lotion, the behavior of using mosquito nets, as well as environmental factors such as the availability of wire mesh and container lids in residents' houses, did not exhibit a significant relationship with the incidence of dengue fever.Suggestion : Counseling and promotional efforts from government health agencies should be improved in delivery methods. Further clarity is needed in reviewing efforts to control and eradicate dengue fever, emphasizing the importance of increasing the community's role through empowerment activities. For the community, the PSN Movement is strengthened by engaging in community service to clean the surrounding environment, aiming to break the chain of dengue transmissio Keywords: Dengue Hemorrhagic Fever, Knowledge, Environmental Factors, Community Behavior.  
Implementation of total quality management (TQM) to reduce patient complaints in hospitals: literature review Habibah, Zahrotul; Hidayat, Dimas Firman; Veranita, Mira; Saragih, Godfriend EY; Flindy, Samuel; Bidani, Gusti Ayu Sri
JKM (Jurnal Kebidanan Malahayati) Vol 10, No 7 (2024): Volume 10,No.7 Juli 2024
Publisher : Program Studi Kebidanan Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkm.v10i7.16118

Abstract

ABSTRAK : IMPLEMENTASI TOTAL QUALITY MANAGEMENT (TQM) UNTUK MENGURANGI KELUHAN PASIEN DI RUMAH SAKIT: LITERATURE REVIEW   Latar Belakang : Kualitas pelayanan kesehatan di rumah sakit sangat berpengaruh terhadap kepuasan pasien, yang semakin meningkat dengan ekspektasi masyarakat modern. Total Quality Management (TQM) adalah pendekatan sistematis yang diterapkan untuk meningkatkan kualitas secara menyeluruh di berbagai sektor, termasuk kesehatan. Implementasi TQM melibatkan seluruh anggota organisasi rumah sakit dengan fokus pada peningkatan proses, produk, dan layanan kepada pasien. Penurunan komplain pasien menjadi indikator penting keberhasilan TQM, dengan upaya seperti perbaikan proses pendaftaran dan peningkatan komunikasi staf medis-pasien berpotensi mengurangi keluhan.Tujuan: untuk melakukan tinjauan literatur tentang implementasi Total Quality Management (TQM) di rumah sakit dan menganalisis dampaknya terhadap penurunan komplain pasien.Metode : Penelitian ini menggunakan metode literature review untuk mengeksplorasi pengaruh implementasi Total Quality Management (TQM) terhadap komplain di rumah sakit.Hasil : Hasil penelitian menunjukkan bahwa implementasi Total Quality Management (TQM) di rumah sakit secara signifikan mengurangi jumlah komplain pasien. Berbagai strategi TQM seperti perbaikan proses pendaftaran, peningkatan kecepatan dan akurasi diagnosis, serta pelatihan staf dalam keterampilan komunikasi telah terbukti efektif. Studi juga menyoroti pentingnya evaluasi dan analisis komplain pasien sebagai sarana untuk terus memperbaiki kualitas pelayanan kesehatan dan meningkatkan kepuasan pasien secara keseluruhan. Kesimpulan : Implementasi Total Quality Management (TQM) di rumah sakit terbukti efektif dalam menurunkan komplain pasien dan meningkatkan kepuasan pelanggan. Pentingnya keterlibatan seluruh anggota organisasi, fokus pada kepuasan pelanggan, dan peningkatan kualitas layanan secara berkelanjutan membentuk lingkungan pelayanan yang lebih responsif terhadap kebutuhan pasien..Saran : meningkatkan implementasi TQM meliputi komitmen manajemen yang kuat, pelatihan staf, evaluasi rutin, dan budaya inovasi untuk memastikan kualitas layanan yang optimal. Kata kunci : Total Quality Management (TQM), komplain, rumah sakit, kepuasan pasien. ABSTRACT Background. The quality of healthcare services in hospitals significantly influences patient satisfaction, which is increasingly heightened by modern societal expectations. Total Quality Management (TQM) is a systematic approach applied to enhance overall quality across various sectors, including healthcare. TQM implementation involves engaging all hospital organizational members with a focus on improving processes, products, and patient services. Reduction in patient complaints serves as a crucial indicator of TQM success, with efforts such as improving registration processes and enhancing communication between medical staff and patients potentially reducing grievances.Objective: To conduct a literature review on the implementation of Total Quality Management (TQM) in hospitals and analyze its impact on reducing patient complaints.Methods: This study employed a literature review method to explore the influence of Total Quality Management (TQM) implementation on complaints in hospitals.Results: Findings indicate that TQM implementation in hospitals significantly reduces the number of patient complaints. Various TQM strategies such as improving registration processes, enhancing speed and accuracy of diagnoses, and training staff in communication skills have proven effective. The studies also underscore the importance of evaluating and analyzing patient complaints as a means to continually improve healthcare service quality and enhance overall patient satisfaction.Conclusion: Implementation of Total Quality Management (TQM) in hospitals has proven effective in reducing patient complaints and enhancing customer satisfaction. The importance of engaging all organizational members, focusing on customer satisfaction, and continuously improving service quality shapes a healthcare environment more responsive to patient needs.Suggestion: Enhancing TQM implementation includes strong management commitment, regular staff training, routine evaluations, and fostering an innovative culture to ensure optimal service quality. Keywords: Total Quality Management (TQM), complaints, hospitals, patient satisfaction.
The Effect Of Moringa Leaf Compresses On Breastfeeding Dam Pain In Post Partum Mothers Minarsih, Revi; Ermasari, Anissa; Rachmawati, Fijri; Yuviska, Ika Ate
JKM (Jurnal Kebidanan Malahayati) Vol 10, No 5 (2024): Volume 10,No.5 Mei 2024
Publisher : Program Studi Kebidanan Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkm.v10i5.12509

Abstract

Latar Belakang  Di Indonesia angka kejadian bendungan ASI terbanyak terjadi pada ibu-ibu bekerja sebanyak 24,8% dari ibu menyusui (Departemen Kesehatan RI, 2022). Di Provinsi Lampung, dari data Survei Demografi Tahun 2022 di dapatkan ibu nifas yang mengalami bendungan ASI sebanyak 23.870 orang dari 91.398 orang ibu nifas (Survei Demografi Lampung 2022).Tujuan penelitian untuk mengetahui pengaruh kompres daun kelor terhadap nyeri bendungan asi pada ibu post partum di Wilayah Kerja Puskesmas Wanna Melinting Lampung Timur Tahun 2023.Metode  jenis penelitian kuantitatif. Dalam penelitian ini menggunakan desain penelitian metode pre Eksperimental dengan pendekatan one group pretest-posttest design. Populasi dalam penelitian ini adalah ibu nifas dengan masalah bendungan pada bayudara sebanyak 64 ibu  di Desa Tanjung Aji Kec. Melinting Lampung Timur Tahun 2023. Penelitian ini dilakukan dari bulan Feberuari hingga Juli tahun 2023, dan dilakukan terhadap 35 ibu postpartum, dengan diberikan kompres daun kelor untuk membantu menurunkan intensitas nyeri pada bendungan asi. Analisa data menggunakan uji univariat dan bivariat dengan uji statistika wicoxon. Hasil Rata-rata skala nyeri terhadap bendungan asi sebelum kompres daun kelor pada ibu post partum di Desa Tanjung Aji Kec. Melinting Lampung Timur Tahun 2023 sebesar 7.23 dan nilai standar deviatioan 0.598. Rata-rata skala nyeri terhadap bendungan asi sesudah kompres daun kelor sebesar 3.94 dan nilai standar deviatioan 0.873.Kesimpulan hasil nilai P value 0,000 yang bermakna Ha diterima dan Ho ditolah yang artinya terdapat pengaruh kompres daun kelor terhadap nyeri bendungan asi pada ibu post partum di Wilayah Kerja Puskesmas Wanna Melinting Lampung Timur Tahun 2023. Saran respoden mampu menerapkan terapi berupa kompres dengan daun kelor dalam membantu dalam menurunkan nyeri pada payudara  pada payudara sehingga dapat meningkatkan kualitas menyusui pada bayi, dan bagi PKM mampu memberikan edukasi mengenai penatalaksanaan nyeri bendungan asi dengan kompres daun kelor. Kata kunci : bendungan asi, daun kelor, nyeri ABSTRACT Background In Indonesia, the highest incidence of ASI dams occurs in working mothers, as much as 24.8% of breastfeeding mothers (RI Ministry of Health, 2022). In Lampung Province, from the 2022 Demographic Survey data, 23,870 of 91,398 postpartum mothers experienced breast milk retention (Lampung Demographic Survey 2022). The aim of this study was to determine the effect of Moringa leaf compresses on breast milk dam pain in post partum mothers in the Work Area of the Wanna Melinting Health Center, East Lampung, in 2023.In this study the authors used a type of quantitative research. In this study, the research design used the pre-experimental method with the one group pretest-posttest design approach. The population in this study were postpartum mothers with dam problems in their newborns as many as 64 mothers in Tanjung Aji Village, Kec. Melinting East Lampung in 2023. This research was conducted from February to July 2023, and was carried out on 35 postpartum mothers, by being given Moringa leaf compresses to help reduce the intensity of pain in breast milk. Data analysis used univariate and bivariate tests with the Wicoxon statistical test.The average pain scale for breast milk before compressing Moringa leaves in post partum mothers in Tanjung Aji Village, Kec. Melinting East Lampung in 2023 is 7.23 and the standard deviation value is 0.598. The average pain scale for breast milk after compressing Moringa leaves was 3.94 and the standard deviation value was 0.873. The conclusion of the results is a P value of 0.000 which means that Ha is accepted and Ho is rejected, which means that there is an effect of Moringa leaf compresses on breast milk dam pain in post partum mothers in the Work Area of the Wanna Melinting Health Center, East Lampung in 2023. By conducting this research, it is hoped that respondents will be able to apply therapy in the form of compresses with Moringa leaves in helping to reduce breast pain in the breast so that it can improve the quality of breastfeeding in infants, and for PKM it is able to provide education regarding the management of breast milk dam pain by compressing Moringa leaves. Keywords: breast milk dam, Moringa leaves, pain 
Description Of Hemoglobin Levels In Pregnant Women With Covid-19 Based On Characteristics Indra, Rosalinda Agnestya; Neneng Martini, Neneng Martini; Mandiri, Ariyati; Pramatirta, Akhmad Yogi
JKM (Jurnal Kebidanan Malahayati) Vol 10, No 3 (2024): Volume 10,No.3 Maret 2024
Publisher : Program Studi Kebidanan Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkm.v10i3.13410

Abstract

Latar Belakang: Coronavirus merupakan penyakit menular yang disebabkan oleh virus SARS-CoV-2. Pada tahun 2021 kasus coronavirus di Indonesia mencapai 4.251.945 jiwa. Pada periode April 2020 – Desember 2021, di RSHS terdapat 269 ibu hamil yang terinfeksi coronavirus. Ibu hamil termasuk salah satu kelompok orang yang rentan terkena virus ini. Selain rentan terkena coronavirus ibu hamil juga rentan terkena anemia.Tujuan: Penelitian ini bertujuan untuk melihat gambaran kadar hemoglobin pada ibu hamil dengan COVID-19 di RSHS Bandung periode April 2020 – Desember 2021.Metode: Metode penelititan ini adalah deskriptif dengan desain cross-sectional dengan pendekatan kuantitatif dengan menggunakan data sekunder yang diambil dari rekam medik RSHS Bandung pada periode April 2020 - Desember 2021. Teknik pengambilan sampel menggunakan total sampling. Besar sampel yang diambil dalam penelitian sebanyak 269 data ibu hamil. Analisis data menggunakan tabel distribusi frekuensi dan cross-tabulation.Hasil: Hasil penelitian ini didapatkan bahwa 46% ibu hamil dengan COVID-19 mengalami anemia. Ibu hamil yang mengalami anemia berdasarkan usia paling banyak <20 tahun sebesar 29% dengan anemia sedang, kemudian untuk usia kehamilan terbanyak yaitu trimester I sebesar 33% dengana anemia berat, selanjutnya untuk paritas terbanyak yaitu grandemultipara sebesar 43% dengan anemia sedang.Kesimpulan: Adanya perubahan imunologis dan hematologis pada masa kehamilan, hal ini menyebabkan ibu hamil lebih berisiko terhadap terinfeksi COVID-19 dan anemia, sehingga menyebabkan ibu hamil masuk ke dalam populasi yang berisiko.Saran: Diperlukan penelitian yang lebih mendalam mengenai kadar Hb ibu hamil sebelum dan sesudah terpapar COVID-19 pada tahun yang sama di tempat yang berbeda. Kata kunci: Covid-19, Ibu hamil, Kadar Hemoglobin. ABSTRACT Background: Coronavirus is an infectious disease caused by the SARS-CoV-2 virus. In 2021 coronavirus cases in Indonesia reached 4,251,945 people. In the period April 2020 - December 2021, at RSHS there were 269 pregnant women who were infected with the coronavirus. Pregnant women are one of the groups of people who are vulnerable to this virus. Apart from being susceptible to coronavirus, pregnant women are also susceptible to anemia.Purpose: This study aims to see an overview of hemoglobin levels in pregnant women with COVID-19 at the Bandung Hospital for the period April 2020 – December 2021.Method: This research method is descriptive with a cross-sectional design with a quantitative approach using secondary data taken from the medical records of RSHS Bandung in the period April 2020 - December 2021. The sampling technique uses total sampling. The sample size taken in this study was 269 data from pregnant women. Data analysis used frequency distribution tables and cross-tabulations.Results: The results of this study found that 46% of pregnant women with COVID-19 experienced anemia. Pregnant women who experienced anemia based on age <20 years at most were 29% with moderate anemia, then for the most gestational age, namely the first trimester, 33% with severe anemia, then for the most parity, namely grandemultipara, 43% with moderate anemia.Conclusion: There are immunological and haematological changes during pregnancy, this causes pregnant women to be more at risk of being infected with COVID-19 and anemia, thus causing pregnant women to enter the at-risk population.Suggestions: For future researchers, more in-depth research is needed regarding the Hb levels of pregnant women before and after being exposed to COVID-19 in the same year in different places. Keywords: COVID-19, Pregnant women, Hemoglobin Levels 
Complementary Back Massage Care (Oxytocin Massage) To Facilitate Breast Milk Extraction Mundari, Risa; Andesta, Nadia Fitri; Fitria, Rahmah
JKM (Jurnal Kebidanan Malahayati) Vol 10, No 5 (2024): Volume 10,No.5 Mei 2024
Publisher : Program Studi Kebidanan Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkm.v10i5.15082

Abstract

ABSTRAK : PENERAPAN ASUHAN KOMPLEMENTER BACK MASSAGE (PIJAT OKSITOSIN) UNTUK MELANCARKAN PENGELUARAN ASI Latar Belakang: Produksi ASI yang teratur adalah faktor kunci dalam proses terwujudnya pemberian ASI Eksklusif di Indonesia. Tetapi, beberapa ibu menghadapi masalah produksi ASI. Penyebab aliran ASI tidak teratur adalah karena kurangnya rangsangan. Oleh karena itu, hormon prolaktin dan oksitosin memiliki peran untuk prpduksi ASI yang baik dan diperlukan upaya alternatif berupa pijat oksitosin.Tujuan: Studi kasus ini memiliki tujuan guna memberi asuhan kebidanan komplementer pada ibu Nifas dengan melakukan  pijat oksitosin untuk mempelancar pengeluaran ASI  di PMB “RA” Bandar Lampung.Metode: Desain penelitian mempergunakan desain deskriptif memakai pendekatan studi kasus. Penelitian dilaksanakan tanggal 17- 24 Maret 2023. Subjek penelitian merupakan Ny. L berumur 27 tahun. Alat ukur yang dipakai adalah format pengkajian. Subyek dilakukan pemijatan 1-2 kali dalam sehari selama 1 minggu. Penelitian mempergunakan data primer. Subjek kasus sudah dimintai informed consent guna mengikuti penelitian.Hasil: Hasil studi kasus ini pada hari 0-3 ASI belum banyak keluar sehingga dilakukan pijat oksitosin, kelancaran ASI terjadi setelah hari ke 3 pijat oksitosin yaitu hari ke-7 dan hari ke-10 ASI sudah banyak keluar, payudara terasa penuh dan terkadang merembes jika tidak disusui secara bergantian.Kesimpulan: Kesimpulan penelitian bahwa penerapan asuhan komplementer back massage (pijat oksitosin) dapat meningkatkan kelancaran pengeluaran ASI.Saran: Saran penelitian adalah perlu diterapkan asuhan komplementer yang salah satunya adalah back massage untuk mengatasi permasalahan pada masa nifas seperti kelancaran pengeluaran ASI. Hasil ini juga dapat dijadikan dasar untuk melakukan penelitian selanjutnya dengan metode yang berbeda. Kata Kunci : ASI, masa nifas, pijat oksitosin ABSTRACT Background: Regular breast milk production is a key factor in the process of achieving exclusive breastfeeding in Indonesia. However, some mothers face breast milk production problems. The cause of irregular milk flow is due to lack of stimulation. Therefore, the hormones oxytocin and prolactin play a role in good breast milk production and alternative efforts are needed in the form of oxytocin massage.Purpose: This case study aims to provide midwifery care to postpartum women to perform oxytocin massage at PMB "RA" Bandar Lampung.Methods: The research design uses a descriptive design with a case study approach. This research was conducted from 17-24 March 2023. The research subject was Mrs. L is 27 years old. The instrument used is the assessment format. Subjects received massage 1-2 times a day for 1 week. This research uses primary data. Case subjects have been asked for informed consent to take part in the research.Results: The results of this case study were that on days 0-3, not much breast milk had come out, so an oxytocin massage was carried out. The flow of breast milk occurred after the 3rd day of oxytocin massage, namely day 7 and day 10. A lot of breast milk had come out, the breasts felt full and sometimes leaked if not alternately breastfed.Conclusion: In conclusion that implementing complementary back massage (oxytocin massage) can increase the smooth flow of breast milk.Suggestion: The research suggestion is that it is necessary to apply complementary care, one of which is back massage to overcome problems during the postpartum period such as the smooth release of breast milk. These results can also be used as a basis for conducting further research with different methods. Keywords : Back Massage, Breastmilk, Postpartum
Effectiveness Of Education Through Social Media To Improve Nutritional Knowledge And Behavior On Pregnant Women As A Step To Prevent Stunting : A Literature Review Hanifah, Rofi'atul; Budihastuti, Uki Retno; Lestari, Anik
JKM (Jurnal Kebidanan Malahayati) Vol 10, No 2 (2024): Volume 10,No.2 Februari 2024
Publisher : Program Studi Kebidanan Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkm.v10i2.14176

Abstract

Latar Belakang: Kejadian balita stunting (pendek) adalah salah satu permasalahan gizi kronik yang penyebabnya  meliputi banyak faktor, salah satunya gizi ibu saat kehamilan. Masa kehidupan anak sejak janin di dalam kandungan ibu sampai lahir dan berusia dua tahun (1000 HPK) adalah masa-masa genting pertumbuhan dan perkembangan anak yang optimal Kurangnya pengetahuan mengenai diet selama kehamilan menjadi hambatan utama bagi ibu hamil untuk memiliki praktik diet yang baik. Pengetahuan, sikap gizi, dan pola makan pada ibu hamil diupayakan dapat diubah melalui pendekatan secara sistematis dan terus-menerus terhadap ibu hamil. Salah satu cara yang akan digunakan untuk meningkatkan pengetahuan dan praktik gizi ibu hamil adalah edukasi dengan menggunakan media sosialTujuan: Mengetahui pengaruh pemberian edukasi gizi melalui media sosial terhadap pengetahuan dan perilaku ibu hamil sebagai langkah pencegahan stuntingMetode: Article review dibuat dengan menggunakan metode telaah pustaka. Artikel yang digunakan didapat dari mesin pencarian jurnal yang dilakukan di EBSCO, ProQuest, Science Direct dan PubMed dalam kurun waktu 10 tahun terakhirHasil: Dari beberapa penelitian yang sudah dilakukan, didapatkan bahwa pemberian edukasi pada ibu hamil melalui media sosial memiliki pengaruh yang bermakna dalam peningkatan pengetahuan dan perilaku ibu hamil sebagai langkah pencegahan stuntingKesimpulan: Terdapat perbedaan pengetahuan dan perilaku ibu hamil mengenai pencegahan stunting sebelum dan sesudah pemberian edukasi gizi melalui media sosial Kata Kunci : Perilaku; Pengetahuan; Nutrisi; Hamil; Media Sosial ABSTRACT Background: Stunted toddlers are a chronic nutritional problem that stems from many factors, including the mother's nutrition during pregnancy. The period of a child's life from the fetus in the mother's womb until birth and two years old (1000 HPK) is a critical period for optimal child growth and development. Lack of knowledge about diet during pregnancy is the main obstacle for pregnant women to have good dietary practices. The knowledge, nutritional attitudes, and eating patterns of pregnant women must be changed through a systematic and continuous approach to pregnant women. Providing nutrition education using social media is an example of a method that can be used to increase nutritional knowledge and behavior of pregnant women.Objective: To determine the effect of providing nutrition education through social media on the knowledge and behavior of pregnant women as a step to prevent stunting.Method: Article review was created using the literature review method. The articles used were obtained from journal search engines carried out on EBSCO, ProQuest, Science Direct and PubMed within the last 10 years.Results: From several studies that have been conducted, it was found that providing education to pregnant women through social media has an influence in increasing the knowledge and behavior of pregnant women as a step to prevent stunting.Conclusion: There are some improvement in the knowledge and behavior of pregnant women regarding stunting prevention before and after being given nutrition education through social media Keywords: behavior; knowledge; nutrition; pregnant; social media
Effect Of Soy Milk Consumption On Breast Milk Flow Among Breastfeeding Mothers Monica, Ica Fitria; Widiyanti, Septi; Ridwan, M.
JKM (Jurnal Kebidanan Malahayati) Vol 10, No 9 (2024): Volume 10 No.9 September 2024
Publisher : Program Studi Kebidanan Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkm.v10i9.17528

Abstract

Background: Breastfeeding is the process by which a mother nurtures and supports her child after childbirth. Factors that may hinder exclusive breastfeeding include engorged breasts, babies with short tongues, and insufficient breast milk supply. According to the 2023 Metro City Health Profile, out of 11 urban villages, the lowest breastfeeding coverage is in Karangrejo, at 50.3%. Failure to breastfeed can be caused by the mother's nutritional status before pregnancy, during pregnancy, and while breastfeeding. Mothers who do not breastfeed are at risk of developing various diseases or health problems, such as diabetes, overweight and obesity, breast cancer, uterine cancer, hypertension, and heart disease.Aim: The aim is to determine the effect of soy milk on the breast milk flow among breastfeeding mothers in the working area of Karangrejo Community Health Center.Methods: This is a quantitative research study with a pre-experimental research design, specifically a one-group pretest-posttest design. The total population in this study consists of 92 breastfeeding mothers with babies aged 0-6 months. The sample size is 38 respondents who were selected using purposive sampling technique and the Wilcoxon test was used for analysis.Results: Prior to the intervention, all respondents (100%) reported having difficulties with their breast milk flow. Following the intervention, 89.5% of respondents (34 individuals) reported an improvement in their breastfeeding experience, while 10.5% (4 individuals) did not experience this improvement. The Wilcoxon test indicated a p-value of 0.000.Conclusion: The study found that the consumption of soy milk has a positive effect on the smoothness of breast milk flow in breastfeeding mothers. It is recommended to provide information about the benefits of consuming soy milk for the smoothness of breast milk flow.Recommendation: Encourage mothers to consume soy milk to improve the smoothness of their breast milk flow.Keywords: Breast milk flow smoothness, soy milk 
The Relationship Between Husband’s Perception And Interest In Using Condoms As Contraception Pigome, Rosina; Wahyuni, Candra
JKM (Jurnal Kebidanan Malahayati) Vol 10, No 6 (2024): Volume 10,No.6 Juni 2024
Publisher : Program Studi Kebidanan Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkm.v10i6.15473

Abstract

Latar Belakang : Penggunaan kondom sebagai metode kontrasepsi memiliki peran penting dalam perencanaan keluarga dan kesehatan reproduksi. Memahami persepsi suami tentang penggunaan kondom dan minat mereka dalam menggunakan kondom sangat penting dalam mempromosikan praktik perencanaan keluarga yang efektif.Tujuan : Mengeksplorasi hubungan antara persepsi suami dan minat mereka dalam menggunakan kondom sebagai kontrasepsi di Puskesmas Pembantu Kaliharapan, Kabupaten Nabire, Papua Tengah.Metode : Penelitian analitik observasional dengan pendekatan penelitian cross-sectional. Populasi pada penelitian ini yaitu seluruh suami yang menggunakan alat kontrasepsi kondom di Puskesmas Pembantu Kaliharapan Kabupaten Nabire Papua Tengah. Sampel pada penelitian ini yaitu 30 responden yang telah memenuhi kriteria secara purposive sampling. Analisis data pada penelitian ini yaitu uji statistik Chi-Square menggunakan software SPSS.Hasil : Penelitian ini menunjukkan bahwa mayoritas responden berusia antara 20 hingga 35 tahun dengan pendidikan menengah, dan cenderung menggunakan kondom secara teratur. Persepsi terhadap kondom terbagi merata antara positif dan negatif, namun mayoritas suami menunjukkan minat yang positif terhadap penggunaan kondom. Hasil analisis bivariat didapatkan nilai p-value sebesar 0,003, yang lebih kecil dari tingkat signifikansi yang umumnya digunakan (0,05).Kesimpulan : Adanya hubungan yang signifikan antara persepsi suami terhadap minat menggunakan kondom di Puskesmas Pembantu Kaliharapan Nabire.Saran : Temuan dari penelitian ini diharapkan dapat memberikan wawasan tentang faktor-faktor yang memengaruhi minat suami dalam menggunakan kondom sebagai kontrasepsi. Dan dapat digunakan untuk meningkatkan kesadaran dan mempromosikan penggunaan kondom untuk praktik perencanaan keluarga yang efektif dan kesehatan reproduksi di masyarakat. Kata Kunci : Minat, Penggunaan Kondom, Persepsi Suami ABSTRACT Background: The use of condoms as a contraceptive method plays a crucial role in family planning and reproductive health. Understanding husbands' perceptions of condom use and their interest in using condoms is vital in promoting effective family planning practices.Purpose: To explore the relationship between husbands' perceptions and their interest in using condoms as contraception at the Kaliharapan Sub-District Health Center, Nabire District, Central Papua.Methods: An observational analytical study with a cross-sectional research approach was conducted. The population consisted of all husbands using condoms as a contraceptive method at the Kaliharapan Sub-District Health Center, Nabire District, Central Papua. The sample comprised 30 respondents who met the criteria through purposive sampling. Data analysis employed Chi-Square statistical tests using SPSS software.Results: The research findings indicate that the majority of respondents were aged between 20 and 35 years old, with a secondary education level, and tended to use condoms regularly. Perceptions of condoms were evenly divided between positive and negative, but most husbands showed a positive interest in condom use. Bivariate analysis revealed a p-value of 0.003, which is smaller than the commonly used significance level (0.05).Conclusion: There is a significant relationship between husbands' perceptions and their interest in using condoms at the Kaliharapan Sub-District Health Center, Nabire.Suggestions: The findings of this study are expected to provide insights into the factors influencing husbands' interest in using condoms as contraception. It can be utilized to enhance awareness and promote condom use for effective family planning practices and reproductive health in the community. Keywords: Condom Use, Husbands' Perceptions, Interest
The Effect Of Lavender Aromatherapy On Reducing The Frequency Of Emesis Gravidarum In First Trimester Pregnant Women Samosir, Kristiani; Astriana, Astriana; Parina, Febriyantina; Susilawati, Susilawati
JKM (Jurnal Kebidanan Malahayati) Vol 10, No 1 (2024): Volume 10, No 1 Januari 2024
Publisher : Program Studi Kebidanan Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkm.v10i1.11951

Abstract

Latar Belakang: Mual dan muntah (emesis gravidarum) merupakan salah satu tanda awal dan gejala kehamilan yang umum terjadi pada ibu hamil pada awal kehamilan trimester pertama. Emesis gravidarum pada ibu hamil dapat menimbulkan berbagai dampak, salah satunya adalah penurunan nafsu makan yang mengakibatkan janin akan kekurangan nutrisi dan cairan yang dibutuhkan oleh tubuh, hal tersebut dapat menyebabkaan berat badan lahir rendah dan terganggunya proses tumbuh kembang.Tujuan: Tujuan penelitian untuk mengetahui  pengaruh pemberian aromaterapi lavender dalam mengurangi frekuensi emesis gravidarum pada ibu hamil trimester pertama di Wilayah Kerja Puskemas Pakuan Aji Lampung Timur Tahun 2023.Metode: Jenis penelitian kuantitatif dengan rancangan pre-experimental dengan desain one group pretest-posttest. Penelitian ini dilakukan di Wilayah Kerja Puskemas Pakuan Aji Lampung Timur, dengan 30 sampel menggunakan accidental sampling. Pengumpulan data menggunakan skor PUQE-24 dan analisis data menggunakan paired sample T-test.Hasil: Nilai rata-rata emesis gravidarum sebelum diberikan aromaterapi lavender 11,87 (SD 1,137) dan sesudah pemberian aromaterapi lavender 6,73 (SD 0,980). Sesudah pemberian aromaterapi lavender, responden mengalami penurunan mual muntah dari sedang menjadi ringan. Nilai beda rata-rata sebelum dan sesudah diberikan aromaterapi lavender 5,133 (SD 1,167).Kesimpulan: Nilai pvalue 0,000<0,05 artinya ada pengaruh pemberian aromaterapi lavender dalam mengurangi frekuensi emesis gravidarum pada ibu hamil trimester pertama di Wilayah Kerja Puskemas Pakuan Aji Lampung Timur Tahun 2023.Saran: Dengan hasil penelitian ini diharapkan dapat memberikan edukasi dan sosialisasi kepada ibu hamil dalam mengatasi emesis gravidarum dengan teknik pengobatan non-farmakologi yaitu dengan aromaterapi lavender Kata kunci: Emesis Gravidarum, Aromaterapi Lavender, Kehamilan Trimester Pertama ABSTRACT Background: Nausea and vomiting (emesis gravidarum), is one of the early signs and symptoms of pregnancy that commonly occurs in pregnant women in the early first trimester of pregnancy. Emesis gravidarum in pregnant women can cause various effects, one of which is a decrease in appetite which results. The impact on the fetus is that the fetus will lack the nutrients and fluids needed by the body, this can cause low birth weight, disrupt the process of growth and development.Purpose: The aim of the study was to determine the effect administration of lavender aromatherapy in reducing the frequency of emesis gravidarum in first trimester pregnant women in the Working Area of the Pakuan Aji Commuunity Health Center, East Lampung in 2023.Methods: This type of quantitative research use pre-experimental with the one group pretest-posttest design. This research was conducted in the Working Area of the Pakuan Aji Public Health Center, East Lampung, with 30 respondents using accidental sampling. Data collection using the PUQE-24 score and data analysis using paired sample t-test.Results: The mean score of emesis gravidarum before being given aromatherapy was 11.87 (SD 1.137) and after was 6.73 (SD 0.980). There was a difference from moderate to mild emesis gravidarum. The mean difference before and after administration of lavender aromatherapy was 5.133 (SD 1.167).Conclusion: The p-value of 0.000<0.05 means that there was an effect administration of lavender aromatherapy in reducing the frequency of emesis gravidarum in first trimester of pregnant women in the Working Area of the Pakuan Aji Public Health Center, East Lampung in 2023.Suggestions: By doing this research expected to be able to provide education and outreach to pregnant women in dealing with emesis gravidarum with non-pharmacological treatment techniques, namely lavender aromatherapy. Keywords: Emesis Gravidarum, Lavender Aromatherapy, First Trimester of Pregnancy 

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