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JURNAL KEBIDANAN KESTRA (JKK)
Published by Institut Kesehatan Medistra Lubuk Pakam
ISSN : -     EISSN : 26550822     DOI : -
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Jurnal Kebidanan Kestra (JKK) terbit dua kali setahun, yakni periode Mei-Oktober, dan November- April tiap tahunnya. Jurnal ini memberikan ruang bagi akademisi, peneliti dan pengguna hasil penelitian dan pengabdian untuk mendiseminasikan, menginformasikan, mendiskusikan dan menggunakan hasil penelitian dan pengabdian sebagai upaya meningkatkan kualitas kebijakan di bidang kebidanan yang berbasis ilmiah dan dapat dipertanggung jawabkan. Jurnal ini menyajikan hasil penelitian, pengabdian masyarakat serta artikel ilmiah di bidang kebidanan.
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Articles 231 Documents
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The Role of Social Media on Adolescent Behavior in Accessing Pornographic Content Ni Kadek Ayu Dwi Utami Ds; Srititin Agustina, Komang; Ni Rai Sintya Agustini; Lina Darmayanti Bainuan
JURNAL KEBIDANAN KESTRA (JKK) Vol. 7 No. 2 (2025): Jurnal Kebidanan Kestra (JKK)
Publisher : Fakultas Kebidanan Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkk.v7i2.2569

Abstract

The development of the era followed by an increase in technological sophistication has resulted in easy access to information through various media including social media. Teenagers as one of the most active groups of people using technology are highly exposed to the influence of social media. This phenomenon has both positive and negative impacts on the behavior and mindset of adolescents, especially in accessing pornographic content. This study aims to look at the relationship between social media exposure and adolescent behavior in accessing pornographic content. This study used a cross-sectional analytic research approach with a total sample size of 76 samples. The sampling method used was probability proportional to size. The data source in this study is primary data obtained directly from adolescents through filling out questionnaires. Adolescents who easily access information media and have consumed pornography amounted to 48.7%, while adolescents who have difficulty accessing information media and have consumed pornography amounted to 83.8%, with a p value of 0.001. There is a relationship between information media access and pornography consumption. Despite the government's efforts to restrict pornographic content, this does not prevent teenagers from consuming pornographic content. They look for other alternatives in the form of media to access the content as stated by the teenagers in this study. Teenagers admitted that pornographic content is mostly accessed through websites, social media, whatsapp groups and telegrams. They access pornographic videos and photos more than pornographic stories/comics or porn games.
Evaluation Of Emergency Neonatal Obstetric Services (PONED) On The Degree Of Mother's Health In The Work Area Of The State Dolok Public Health Center, Silou District, Kahean, Simalungun Regency, In 2023 Pasaribu, Kristin Natalia; Novita Br Ginting Munthe
JURNAL KEBIDANAN KESTRA (JKK) Vol. 7 No. 2 (2025): Jurnal Kebidanan Kestra (JKK)
Publisher : Fakultas Kebidanan Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkk.v7i2.2589

Abstract

Background: Mortality rates over time can describe the state and development of public health. Maternal Mortality Rate is one of the important indicators in determining the public health. Improving the health status of mothers and children (KIA) is still one of the main priorities in health development in Indonesia, due to the still high Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR) in Indonesia.Objectives: to evaluate Basic Emergency Obstetric Neonatal Services (PONED) on Maternal Health Levels in the working area of ??the Dolok State Health Center, Silou Kahean District, Simalungun Regency in 2023.Research method: qualitative method with a qualitative descriptive approach that does not provide treatment to research subjects with the aim of obtaining a detailed picture of the subjects and using an in-depth interview method with informants that begins with observation and is accompanied by documentation to obtain research data.Results: The informant said that the supporting health equipment for PONED was available but not yet complete, while the equipment at the Dolok Public Health Center was mostly available and there were several equipment that did not function properly. The availability of human resources and facilities was good, but it required more attention for virgins in terms of function.Conclusion: The number of those who understand PONED at the Dolok Public Health Center is still lacking, the facilities and infrastructure at the PONED health center are quite adequate, and the implementation of obstetric and neonatal emergencies, PONED health workers are not on duty for 24 hours. Training and efforts to fulfill the needs of medical devices await realization.
The Relationship of the Incident of Obesity and Early Providing MPASI to Babies at the Juli Puskemas Juli District, Bireuen District Intan Mandira; Debi Novita Siregar; Gracetika Jeny Chlaudya Simanjuntak; Ika Lestari Siregar; Julia; Imtihani
JURNAL KEBIDANAN KESTRA (JKK) Vol. 7 No. 2 (2025): Jurnal Kebidanan Kestra (JKK)
Publisher : Fakultas Kebidanan Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkk.v7i2.2629

Abstract

Childhood obesity is defined as excessive accumulation of body fat, which can trigger various diseases. Exclusive breastfeeding is very important to prevent babies from gaining weight too quickly. The purpose of this study was to determine the relationship between obesity and early complementary feeding in infants. This study used an analytical approach with a cross-sectional study type. The sample in this study were respondents who met the established criteria. Sampling in this study used accidental sampling, with a sample of 42 respondents. The results showed that the majority of respondents were aged > 18 - 24 months, namely 14 respondents (33.33%) and were male, namely 25 respondents (59.52%). The majority of infants' weight was in the normal category, namely 41 respondents (97.62%). The majority of early complementary feeding was not given, namely 22 respondents (52.35%). Statistical analysis using Chi-square test obtained a value of ? (0.300) > ? (0.05), so there was no significant relationship between the provision of early complementary foods and the incidence of obesity in infants. The conclusion of this study is that there is no relationship between the incidence of obesity and the provision of early complementary foods. By increasing the knowledge of mothers about complementary foods through cooperation between educators and health institutions, it is expected to improve the nutritional quality of infants and support their optimal growth and development
Factors Affecting Implementation Early Initiation of Breastfeeding Sri Wahyuni Hutabarat; Feedia Mona Saragih; Thaharatun Zuhra; Syarifah Aini Lidia; Sri Rahayu; Sri Herni Harmoni
JURNAL KEBIDANAN KESTRA (JKK) Vol. 7 No. 2 (2025): Jurnal Kebidanan Kestra (JKK)
Publisher : Fakultas Kebidanan Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkk.v7i2.2630

Abstract

Early breastfeeding initiation (EBI) is the stage of breastfeeding that begins immediately after birth, where the baby is placed in skin contact with the mother. This process lasts for at least one hour. This process brings various benefits, both for the baby and the mother. However, the implementation of Early Breastfeeding Initiation (EBI) is often caused by various factors, both from within the mother and from the surrounding environment. The following study aims to identify factors that can influence the implementation of IMD at Butar Community Health Centre. The type of research conducted is descriptive analytics through a cross-sectional design. The population in the following study includes all mothers who received delivery services at Butar Community Health Centre during the period July to November, with a total of 128 people. A total of 103 respondents were selected as samples using the Slovin formula technique. Data analysis was carried out univariately and bivariately by applying the chi-square test. The study results showed a p-value of 0.000<0.05, which proves that there is no significant correlation between husband support and the implementation of Early Breastfeeding Initiation (EBI). In addition, a p-value of 0.900 > 0.05 also indicates that there is no significant correlation between community trust and the implementation of EBF. It is hoped that this research will motivate all health workers and health service providers to better understand the EBF protocol in accordance with WHO and Ministry of Health standards. Furthermore, it is hoped that the officers will be able to encourage mothers to immediately carry out EBF after receiving delivery assistance.
The Influence of Prenatal Classes on Anxiety in Primigravida Mothers Saragih, Astri Ulina; Yessy Arisman; Ulfa Khomania Aulia; Risky Yulanda
JURNAL KEBIDANAN KESTRA (JKK) Vol. 7 No. 2 (2025): Jurnal Kebidanan Kestra (JKK)
Publisher : Fakultas Kebidanan Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkk.v7i2.2659

Abstract

Psychological conditions such as anxiety in pregnant women can have a significant impact on the health of the mother and fetus. One of the methods that can be used to minimize this level of anxiety is by providing education through Prenatal class activities. This study aims to evaluate the effect of participation in Prenatal classes on the level of anxiety in mothers with their first pregnancy. The method used in this study is quantitative with a quasi-experimental design using a non-equivalent control group design. The population in this study included all mothers with their first pregnancy in the Lubuk Pakam Health Center working area, totaling 46 people, with a sample size of 30 people selected by purposive sampling. Data analysis was carried out using the Wilcoxon test with a significance level of 0.05. The test results stated that in the experimental group the p-value was 0.000, while in the control group it was 0.041. Based on these results, it can be concluded that involvement in the pregnant mother class has an impact on reducing the level of anxiety in mothers with their first pregnancy in the area.
Relationship between the Utilization of Maternal and Child Health Books and Compliance with Antenatal Care (ANC) Visits in Pregnant Women at the Tanjung Tiram Batu Bara Health Center Nurianti, Irma; Akrom, Nur Azlina
JURNAL KEBIDANAN KESTRA (JKK) Vol. 7 No. 2 (2025): Jurnal Kebidanan Kestra (JKK)
Publisher : Fakultas Kebidanan Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkk.v7i2.2664

Abstract

and child health. The KIA book is useful in providing information and guidance for mothers and children. In addition, the KIA book plays a role in monitoring fetal development during pregnancy, so that more effective referrals can be obtained. ANC examination is an examination carried out during pregnancy to ensure the health of the mother and fetus. The aim is to detect early potential dangers that may occur to the mother and fetus and to improve the physical and mental health of pregnant women. The examination is processed periodically with a minimum of six times during pregnancy. The type of research uses a quantitative research design in the form of an observational analytical survey through a cross-sectional approach which aims to identify the Relationship between the Utilization of the KIA Book and Compliance with ANC Visits of Pregnant Women. The number of samples was 32 pregnant women in the third trimester who were determined by total sampling. The results prove that most respondents do not utilize the KIA book so that they are less compliant in making ANC visits. In addition, the p value of 0.011 means that there is a close relationship between the utilization of the KIA book and the compliance of pregnant women in attending ANC visits. It is necessary to increase the interest of pregnant women to always use the KIA book correctly so that they will routinely comply with attending ANC visits and can improve the health of mothers and babies.
Literature Review: Aplying Warm Compressed For Breast Engorgement Shoulhuna, Ziadati; Yulizawati; Hardisman; Rauza Sukma Rita; Henni Fitria
JURNAL KEBIDANAN KESTRA (JKK) Vol. 7 No. 2 (2025): Jurnal Kebidanan Kestra (JKK)
Publisher : Fakultas Kebidanan Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkk.v7i2.2680

Abstract

Breast engorgement is a condition in which the breasts become overly filled with milk, causing swelling, hardness, and pain. The prevalence of breast engorgement Indonesia in 2021 was 37.12%, which was the highest in ASEAN. The condition can be alleviated through non-pharmacological methods, such as warm compresses, which have no side effects. The study aimed to determine the application of warm compresses in managing breast engorgement. This study used a literature review with a scoping review approach. The study was conducted from November 2024 to February 2025. Data were collected from various digital databases, including PubMed Central, ScienceDirect, DOAJ, SINTA, Google Scholar, and Portal Garuda published from 2020 to 2024. Thematic analysis was used to interpret the data. Relevant articles was selected based on inclusion and exclusion criteria, and processed using the PRISMA-ScR flow diagram. 12 articles were identified for analysis.12 articles were analized by thematic analysis. The application of warm compresses 5 between 30 minutes in 3 days significantly reduces breast engorgement. Warm compress therapy offers several benefits, including reducing breast pain and swelling, promoting vasodilation, enhancing milk production, facilitating smoother milk flow, stimulating the let-down reflex, and improving breast emptying.
Association Between Maternal Anemia and the Incidence of Postpartum Hemorrhage: A Study at Dr. H. Koesnadi General Hospital, Bondowoso Indriyani Aslina, Wiwit; Amalia, Silviatul
JURNAL KEBIDANAN KESTRA (JKK) Vol. 7 No. 2 (2025): Jurnal Kebidanan Kestra (JKK)
Publisher : Fakultas Kebidanan Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkk.v7i2.2688

Abstract

Postpartum hemorrhage (PPH) constitutes a critical obstetric emergency arising subsequent to either vaginal birth or cesarean delivery. Its defining characteristic is a quantifiable blood loss surpassing a volume of 500 milliliters. PPH underscores its significance as a major factor influencing both the prevalence of maternal illness and the rates of maternal death in Indonesia and globally. This study aimed to examine the effect of anemia in pregnant women on the PPH incidence at dr. H. Koesnadi General Hospital, Bondowoso, in 2018. The design used a retrospective study with a cross-sectional. The population consisted of 57 postpartum mothers, with 46 respondents as samples determined using Slovin's formula. Probability sampling technique was employed, specifically simple random sampling. Data acquisition was conducted utilizing a standardized checklist, and subsequent statistical analysis involved the application of the Chi-Square test, executed via SPSS version 25. The analysis yielded a statistically significant result, with a p-value of 0.001 (p<0.05), leading to the rejection of the null hypothesis. Consequently, the findings indicate a significant association between the presence of anemia and the PPH occurrence. In anemic pregnant women, reduced oxygen supply leads to fatigue and inadequate uterine muscle contractions, resulting in postpartum hemorrhage.
The Effect of Breastcare on the Smoothness of Breast Milk in Postpartum Mothers Ladyvia, Fiyola
JURNAL KEBIDANAN KESTRA (JKK) Vol. 7 No. 2 (2025): Jurnal Kebidanan Kestra (JKK)
Publisher : Fakultas Kebidanan Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkk.v7i2.2732

Abstract

Breast Care is one method that can be used to overcome problems in the breastfeeding process, especially during the postpartum period, so that the process of releasing breast milk can run smoothly. Side effects that arise due to the use of drugs containing chemicals, a simple and efficient care solution is needed. Health services highlight the importance of providing quality and effective care, which can also be done independently. This study applies a pre-experimental design with a one-group pretest-posttest design approach. The study was conducted at PMB E in January 2025, involving 15 breastfeeding postpartum mothers selected using the total sampling method. Measurement of pain levels was carried out using the Numeric Rating Scale (NRS), while breast engorgement was assessed using the Six Point Engorgement Scale (SPES), both before and after the intervention was given. The results of this study indicate that breastcare interventions are effective in reducing breast engorgement and pain intensity in postpartum mothers. The average breast engorgement decreased from 2.46 to 1.32 after the intervention, with a decrease of 1.14. Meanwhile, the average pain intensity decreased from 3.88 to 2.34 after the intervention, with a decrease of 1.54. The results of the Wilcoxon statistical test showed that there was a significant effect of breast care on the smoothness of breast milk in postpartum mothers, with a p value = 0.000 (? <0.05). Therefore, breast care can be used as an effective alternative therapy to increase the smoothness of breast milk in postpartum mothers.
The Relationship Between Postpartum Mothers' Knowledge About Breast Care and Smooth Breast Milk Flow at The Millennium Clinic Sri Putriani Sinaga; Dinar Manalu; Sunengsih; Lely Masnita; Nova SJ
JURNAL KEBIDANAN KESTRA (JKK) Vol. 7 No. 2 (2025): Jurnal Kebidanan Kestra (JKK)
Publisher : Fakultas Kebidanan Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkk.v7i2.2733

Abstract

The smooth provision of breast milk (ASI) during the postpartum period is still a challenge that needs special attention, one of which is influenced by the level of knowledge of mothers about breast care. This study aims to analyze the relationship between the level of knowledge of postpartum mothers about breast care and the smoothness of breastfeeding at the Millenium Clinic in 2024. This study used an analytical survey design with a cross-sectional approach. The population in this study were all postpartum mothers who visited the Millenium Clinic as many as 31 people (N = 31). The total population technique was used so that the entire population was used as a sample. The results showed that most postpartum mothers (19 respondents, 61.3%) had a low level of knowledge, while 7 respondents (22.6%) had a sufficient level of knowledge, and only 5 respondents (16.1%) had good knowledge. In addition, the majority of postpartum mothers (21 respondents, 67.7%) experienced poor breastfeeding, while 10 respondents (32.3%) reported smooth breastfeeding. The results of statistical analysis with a 95% confidence level showed a significant relationship between the level of knowledge of postpartum mothers about breast care and the smoothness of breast milk production (p < 0.001). It can be concluded that increasing postpartum mothers' knowledge about breast care is closely related to the smoothness of breast milk production. Therefore, it is recommended for health workers to develop comprehensive health promotion and education programs regarding breast care, especially for postpartum mothers in their respective work areas.

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