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Gambaran Tingkat Kecemasan dan Kadar Hormon Kortisol Ibu Nifas: Anxiety and Cortisol Levels among Postpartum Mother's Ni Putu Dian Ayu Anggraeni; Baiq Eka Putri Saudia
Jurnal Bidan Cerdas Vol. 3 No. 2 (2021)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jbc.v3i2.420

Introduction: Physical, social, mental, and psychological issues are common in the first few days after giving birth. According to some research, postpartum depression symptoms are linked to high cortisol levels. Postpartum psychological stress causes higher cortisol levels. Objective: The aim of this study was to look at postpartum mother's anxiety and cortisol levels. Methods: An Analytical Survey with a Cross-Sectional Approach is used in this analysis. With simple random sampling, there were 38 samples that met the inclusion criteria. Data was collected using the PSAS questionnaire for anxiety and an ELISA test for cortisol levels. Univariate and Pearson correlation test is used in the data analysis. Results: The majority of postpartum mothers reported mild anxiety in the first 24 hours after childbirth, with an average cortisol level of 10.034ng/ml 47.4%. The average level of the puerperal hormone cortisol in primiparous women was 14.60ng/ml higher than in multiparous women 7.42 ng/dl. Conclusion: With a p-value of 0.017, there was a substantial difference in cortisol levels between primiparous and multiparous postpartum mothers. With a p-value <0.001, there was a close connection between anxiety scores and cortisol levels. Future studies would need to focus on making it easier for postpartum mothers to feel less anxious.

Pengaruh Aromaterapi Lemon terhadap Emesis Gravidarum Trimester I Aida Fitria; Ade Ayu Prawita; Sari Yana
Jurnal Bidan Cerdas Vol. 3 No. 3 (2021)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jbc.v3i3.445

Introduction: Emesis gravidarum or nausea, vomiting, which often occurs in the first trimester of pregnancy, if left untreated, will cause problems for pregnant women and the fetus. Handling of emesis gravidarum can be done with pharmacological and non-pharmacological treatments such as lemon aromatherapy. According to Riskesdas Jambi province in 2018, complications experienced by pregnant women amounted to 14.36% of them experienced nausea and vomiting. Objective: To determine the effect of lemon aromatherapy on emesis gravidarum in pregnant women in the first trimester at the Rosita Village Midwife Clinic, Pasar Monday, Jambi Province in 2020. Method: The research was pre-experimental design approach in the form of one group pre-test and post-test. The study population was 20 people. The sample were taken by using a purposive sampling technique amounted to 15 respondents, the statistical test used was the depnden t test. Result: The data obtained the pre-test mean of 10,20 and SD of 1.486, while the post-test of mean of 4,80 SD of 1.234. From the results of the statistical test, namely the paired t-test with a confidence level of 95%, it is known that the p-value=0.000. Conclusion: There is frequency reduction in first trimester emesis gravidarum by giving lemon aromatherapy Lemon Aromatherapy in Trimester I Pregnant Women.

Efektivitas Pemberian Tablet Fe dan Jus Tomat terhadap Peningkatan Kadar Hb pada Ibu Hamil Mayang Wulan; Sri Juliani; Nuriah Arma; Mila Syari
Jurnal Bidan Cerdas Vol. 3 No. 3 (2021)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jbc.v3i3.449

Introduction: Pregnant women are anemic. No one has ever consumed tomato juice during pregnancy because they do not know the benefits of tomato juice. There has never been any counseling regarding the handling of increased Hb levels using tomato juice. The aim this research is to determine the effectiveness of giving Fe tablets and tomato juice to increase hemoglobin levels in pregnant women in the working area of the West Delitua Sub-district Health Center. Methods: Quasi experiment one group design with pre and post-design. The total population is 30 respondents, and the sample using purposive sampling is as many as 20 respondents. The data used are primary and secondary. Data analysis using univariate and bivariate using non-parametric with Wilcoxon test. Results: A total of 20 pregnant women (100%) experienced mild anemia before giving Fe tablets and tomato juice, and after being given Fe tablets and tomato juice, 15 people (75%) experienced mild anemia from the Wilcoxon test that has carried out, it knows that Asym.Sig, (2-tailed) is 0.000. Conclusion: There is an effect of giving fe tablets and tomato juice on increasing hemoglobin levels in pregnant women in the Work Area of the West Delitua Sub-district Health Center. I hope that pregnant women will increase their knowledge about the benefits of foods containing vitamin C, especially tomatoes, which are beneficial for anemia and can maintain health, especially during pregnancy.

Hubungan Usia, Tingkat Pengetahuan, dan Riwayat Penggunaan Alat Kontrasepsi dengan Pemilihan Alat Kontrasepsi pada Penderita HIV/AIDS Susanti Susanti; Sujianti Sujianti; Yogi Andhi Lestari
Jurnal Bidan Cerdas Vol. 3 No. 3 (2021)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jbc.v3i3.458

Introduction: In couples, one of whom is diagnosed with HIV, generally the partner is emphasized not to have unprotected sex. This includes the selection of contraceptive methods for women with HIV/AIDS to achieve their reproductive goals. Objective: to analyze the relationship between age, education level, and history of contraceptive use with the choice of contraceptive method in women with HIV/AIDS. Methods: This study uses a descriptive correlative design using Fisher test analysis with a total sample of 20 people who meet the criteria. Results: the relationship between age and current contraceptive use with a p value of 0.241, a history of contraceptive use and current contraceptive use with a p value of 1.00, and the level of knowledge with current contraceptive use with a p value of 0.122. Conclusion: there is no relationship between age, history of contraceptive use, level of knowledge, and current use of contraceptives with p value > 0.005.

Pengaruh Terapi Akupresur terhadap Tingkat Kecemasan pada Ibu Hamil Trimester III Ita Novianti; Asrianti Safitri Muchtar
Jurnal Bidan Cerdas Vol. 3 No. 3 (2021)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jbc.v3i3.467

Introduction: The prevalence of pregnancy anxiety is around 14-54%, highest in the first and third trimesters. Acupressure attracts attention as a non-pharmacological therapy for natural relaxation. The research aims to determine the effect of acupressure therapy on anxiety levels. Method: This study was conducted at the Health Centers of Tamalanrea Jaya and Antang, the study used a quasi-experimental design with the pre and post test approach in the intervention group and the control group. The total of research subjects 40 trimester III pregnant mothers who had experience anxiety. The intervention group (21 samples) with acupressure therapy and the control group (19 samples) with placebo therapy. Measuring anxiety using the Hamilton Anxiety Rating Scale (HARS). Result: in the intervention group, the mean of anxiety before the intervention was 26.6 and after the intervention was 22.3 (p value <0.001), while in the control group it was 26.1 before and 25.1 after the intervention (p value = 0.072). The mean reduction in pregnancy anxiety level in the intervention group was more significant than the control group. Conclusion: Acupressure therapy has a significant effect on decreasing anxiety levels in pregnant mothers in the intervention group (p<0.001) and acupressure therapy can be used as one of the effective non-pharmacological methods to reduce symptoms of anxiety in pregnancy.

Dukungan Keluarga dan Petugas Kesehatan Berhubungan dengan Pemberian ASI Eksklusif Monika Eksadela; Muhammad Syukri; Adelina Fitri
Jurnal Bidan Cerdas Vol. 3 No. 3 (2021)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jbc.v3i3.468

Background: The coverage of exclusive breastfeeding in Hiang Health Center Working Area in 2019 was 49.1%. Purpose: This study aimed to determine the relationship between family and health worker support with exclusive breastfeeding at the Hiang Health Center, Kerinci Regency Methods: This study used a cross-sectional design with a sample of 165 people. Samples were taken using proportional random sampling technique. The samples taken were mothers who had children aged 6-23 months with the mother's condition physically healthy, able to read, write and speak Indonesian, did not suffer from serious diseases that harm the baby when breastfeeding, such as HIV, Active TB, and Hepatitis. Data collection was carried out from April to May 2021 with the interview method using a structured questionnaire. Data processing was carried out univariate and bivariate using chi-square test. Results: The proportion of children who did not get exclusive breastfeeding was 45.5%. Bivariate analysis showed that family support (p=0.004 OR= 1.68 95%CI 1.2-2.3), and support from health workers (p=0.000 OR=2.42 95% CI 1.73 - 3.37) were associated with exclusive breastfeeding. Conclusion: Family and the health workers support were associated with exclusive breastfeeding.

Pengaruh Pijat Oksitosin dan Totok Payudara terhadap Pengeluaran Asi pada Ibu Nifas: The Effects of Oxytocin Massage and Breast Acupressure on the Expenditure of Breast Milk among Postpartum Widya Pani; Sri Restu Tempali
Jurnal Bidan Cerdas Vol. 4 No. 1 (2022)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jbc.v4i1.421

Introduction: Breast milk is a good source of nutrients. Breast milk is given to babies from birth for six months, without adding and/or replacing with other foods or drinks. Breast milk contains colostrum which is rich in antibodies because it contains protein for the immune system and high amounts of germ killer so that exclusive breastfeeding can reduce the risk of death in infants. Purpose This study aims to determine the effect of oxytocin massage and breast acupuncture on the release of breast milk in postpartum mothers in the postpartum room at Donggala and Sigi Regency Hospitals. Method Type This research is a type of pre-experimental research with a one shot case study research design. The sample was determined using the Sample Proportion Estimation Formula with a result of 15. The sample was divided into two groups, so that the total number of samples was 30 samples, namely 15 for the Oxytocin Massage group and 15 for Full-blooded Breasts. Sampling was carried out using the Consecutive Sampling technique. Every postpartum mother who met the inclusion criteria were normal postpartum mothers with a history of 37-42 weeks of pregnancy, normal postpartum mothers without complications, second and third day postpartum mothers. Results Nonpatrametric test results Bivariate analysis using t-test with a sample of 30 postpartum mothers, it was found that 30 respondents all experienced breast milk expulsion after a full-blooded breast intervention. The p-value = 0.000 which means it is smaller than = 0.05 (0.000 < 0.05) that there is an effect of Oxytocin massage and full-blooded breasts on breastfeeding mothers in postpartum. The conclusion is that there is an effect of oxytocin massage and breast acupuncture on milk production at Kabelota Donggala Hospital and Torabelo Sigi Hospital Conclusion: There is an effect of oxytocin massage and breast acupuncture on the release of postpartum mother's milk in the working area of Kabelota Donggala Hospital and Torabelo Sigi Hospital. ABSTRAK Pendahuluan: ASI merupakan sumber nutrizi yang baik. ASI diberikan kepada bayi sejak dilahirkan selama enam bulan, tanpa menambahkan dan/atau mengganti dengan makanan atau minuman lain. ASI mengandung kolostrum yang kaya akan antibodi karena mengandung protein untuk daya tahan tubuh dan pembunuh kuman dalam jumlah tinggi sehingga pemberian ASI eksklusif dapat mengurangi risiko kematian pada bayi. Tujuan: Penelitian ini bertujuan untuk mengetahui pengaruh pijat oksitosin dan totok payudara terhadap pengeluaran ASI pada ibu nifas Di Ruangan Nifas Rumah Sakit Kabupaten Donggala Dan Kabupaten Sigi. Metode: Jenis Penelitian ini merupakan jenis penelitian pre eksperimental dengan rancangan penelitian one shot case study. Sampel di tentukan menggunakan Rumus Estimasi Proporsi sampel dengan hasil 15. Sampel dibagi menjadi dua kelompok, sehingga total jumlah sampel adalah 30 sampel yaitu 15 untuk kelompok Pijat Oksitosin dan 15 untuk Totok Payudara. Pengambilan sampel dilakukan menggunakan teknik Consecutive Sampling. Setiap ibu postpartum yang memenuhi kriteria inklusi yaitu Ibu postpartum normal dengan riwayat kehamilan 37-42 minggu, Ibu postpartum normal tanpa penyulit, Ibu postpartum hari kedua dan ketiga. Hasil: Hasil uji Nonpatrametric Test analisis bivariat menggunakan uji t dengan jumlah sampel 30 responden ibu nifas diperoleh hasil 30 responden semua mengalami pengeluaran ASI setelah dilakukan intervensi totok payudara. Nila p-value=0,000 yang berarti lebih kecil dari α = 0,05 (0,000 < 0,05) bahwa ada pengaruh Pijat Oksitosi dan totok payudara terhadap pengeluaran ASI pada ibu nifas. Kesimpulan ada pengaruh pijat oksitosin dan totok payudara terhadap pengeluaran ASI Di RS Kabelota Donggala Dan RS Torabelo Sigi. Kesimpulan: Ada pengaruh pijat oksitosin dan totok payudara terhadap pengeluaran ASI ibu nifas di wilayah kerja Rumah Sakit Kabelota Donggala dan Rumah Sakit Torabelo Sigi.

Pemanfaatan Fasilitas Kesehatan dan Biaya Pengeluaran bagi Akseptor KB dalam Mendapatkan Layanan Kontrasepsi di Jawa Barat: Utilization of Health Facilities and Expenditures for Family Planning Acceptors in Getting Contraceptive Services in West Java Atriany Nilam Sari; Ari Indra Susanti; Noormarina Indraswari
Jurnal Bidan Cerdas Vol. 4 No. 1 (2022)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jbc.v4i1.578

Introduction: The family planning program is a promotive and preventive service, including counseling and the use of non-long-term contraceptive methods and long-term contraceptive methods (MKJP). However, there is a decrease in the use of Intrauterine Contraceptive Devices caused by health service factors, namely procedures, health workers, costs, and infrastructure related to the selection of contraceptives. Purpose: This study describe the utilization of health facilities and the costs of spent by family planning acceptors in obtaining contraceptive services in West Java. Methods: This study used secondary data from the 2019 SKAP data with 5,430 modern family planning acceptors. Results: Most respondents, who used sterilization, IUDs, implants, and injections, received the services from private midwives (54.54%) and village midwives (24.25%). Meanwhile, for users of contraceptive pills and male condoms, the majority of respondents received these contraceptives from pharmacies/drug stores (64.9%). For non-MKJP users, 95.92% of them without insurance coverage. While 76,52% MKJP users also used the services without being covered by insurance. Conclusion: Utilization of health facilities with the cost of birth control services borne by BPJS or Jamkesda is still very low. Thus, promote health related to the use of MKJP and the use of BPJS need to be improved. ABSTRAK Pendahuluan: Program KB merupakan pelayanan promotif dan preventif, mencakup konseling dan penggunaan kontrasepsi non Metode Kontrasepsi Jangka Panjang (Non MKJP) dan Metode Kontrasepsi Jangka Panjang (MKJP). Terdapat penurunan pemakaian Alat Kontrasepsi Dalam Rahim (AKDR) disebabkan oleh prosedur, petugas, biaya, dan sarana prasarana yang berhubungan pemilihan alat kontrasepsi. Tujuan: Penelitian ini bertujuan untuk mengetahui pemanfaatan fasilitas kesehatan dan biaya pengeluaran bagi akseptor KB dalam mendapatkan layanan kontrasepsi di Jawa Barat. Metode: Penelitian ini menggunakan pendekatan potong lintang dengan data sekunder dari data Survei Kuesioner Akuntabilitas Penelitian (SKAP) tahun 2019. Subjek penelitiannya adalah akseptor KB modern sebanyak 5.430 orang. Hasil: Pengguna alat/metode KB, (IUD, implan, dan suntik) paling banyak mendapatkan pelayanan KB dari praktik bidan swasta (54,54%) dan bidan desa (24,25%). Sedangkan untuk pengguna pil KB dan kondom pria paling banyak mendapatkan alat KB tersebut dari apotik/toko obat (64,9%). Pada bukan pengguna MKJP, sebanyak 95,92% tidak menggunakan asuransi dalam mendapatkan pelayanan KB. Sedangkan pengguna MKJP 76,52% responden juga tidak menggunakan asuransi. Simpulan: Pemanfaatan fasilitas kesehatan dengan biaya pelayanan KB yang ditanggung BPJS atau Jamkesda masih sangat rendah. Dengan demikian, upaya promosi kesehatan terkait penggunaan layanan MKJP dan pemanfaatan BPJS perlu ditingkatkan.

Hubungan Status Gizi dengan Usia Menarche : Relationship between Nutritional Status and Age of Menarche Enggar Enggar; Ni Putu Suastuti; Ni Made Rosiyana
Jurnal Bidan Cerdas Vol. 4 No. 1 (2022)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jbc.v4i1.596

Introduction: Early menarche age is associated with an increase in body mass index. Nutrient intake also affects the sexual maturity of adolescent girls. Adolescent girls who get early menarche tend to have more weight and height than those who have not. The purpose of this study was to determine the relationship between nutritional status and age of menarche at SMP Negeri 6 Palu. Methods: This study uses a cross sectional approach, a sample of 45 people from March to July 2020 using purposive sampling technique, measuring nutritional status using BMI and data analysis using chi square. The results showed that there was no relationship between nutritional status and age at menarche, p-value 0.542. The age at which menarche occurs is not affected by either being thin, normal or obese. It is advisable for young women to eat a balanced diet to maintain a healthy nutritional status during menarche. Inadequate nutrition will interfere not only with growth and organ function, but also reproductive function, especially menstrual disorders. ABSTRAK Pendahuluan: Cepatnya usia Menarche dikaitkan dengan meningkatnya Indeks Masa Tubuh. Asupan zat gizi juga mempengaruhi kematangan seksual remaja putri. Remaja putri yang mendapatkan Menarche dini cenderung memiliki berat badan dan tinggi badan yang lebih dibandingkan dengan yang belum Menarche. Tujuan penelitian ini untuk mengetahui hubungan status gizi dengan usia Menarche di SMP Negeri 6 Palu. Metode: Penelitian ini menggunakan pendekatan cross sectional, sampel 45 orang pada bulan Maret sampai Juli 2020 menggunakan teknik purposive sampling, pengukuran status gizi menggunakan IMT dan analisis data menggunakan chi square. Hasil penelitian didaptkan bahwa tidak ada hubungan antara status gizi dengan usia menarche p-value 0,542. usia menarche terjadi tidak dipengaruhi baik dari kurus, normal atau gemuknya seseorang. Sebaiknya remaja putri mengonsumsi makanan dengan gizi seimbang untuk menjaga status gizi yang sehat selama menarche. Gizi yang tidak adekuat akan mengganggu tidak hanya pertumbuhan dan fungsi organ tubuh, tetapi juga fungsi reproduksi terutama gangguan mentrusi.

Hubungan Riwayat Penyakit Infeksi Dengan Kejadian Stunting Pada Balita Umur 24-59 Bulan Di Wilayah Kerja Puskesmas Marawola Kabupaten Sigi: History of Infectious Diseases with Stunting Incidence among Toddlers Age 24-59 Months at the Marawola Health Center, Sigi Regency Arie Maineny; Olkamien Jesdika Longulo; Nur Endang
Jurnal Bidan Cerdas Vol. 4 No. 1 (2022)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jbc.v4i1.758

Introduction: Stunting is a lack of nutrients due to insufficient nutrient accumulation. In 2019, the prevalence of stunting in Sigi Regency was 18.0%, with 3,542 cases (24.6%). Marawola Public Health Center is one of 19 Puskesmas in Sigi Regency, with a stunting prevalence of 28.05% in 2019 and 28.22% in 2020. Objectives: The purpose of this study was to determine whether there is a relationship between a history of infectious disease and the incidence of stunting in children aged 24-59 months in the operational area of the Marawola Health Center, Sigi Regency. Methods: Case-control design with analytical survey method and retrospective approach. The population in this study were all children under five from the Marawola Health Center, Sigi Regency, with an age range of 24 to 59 months. This research technique uses purposive sampling by taking a sample of 41 cases and 41 controls. This research includes univariate and biavariate analysis, as well as chi square test. Results: Statistical tests showed a p-value of 0.000 and an OR of 0.111 between a history of infectious diarrheal disease and the incidence of stunting, as well as a p-value of 0.023 and an OR of 5.484 between a history of ARI infection and the incidence of stunting. Conclusion: The incidence of stunting in children aged 24-59 months is associated with a history of infectious diarrheal diseases and ARI infections. Implementation of the program in the form of stunting prevention education, prevention of infectious diarrheal diseases, and prevention of ARI. ABSTRAK Pendahuluan: Stunting adalah kekurangan zat gizi akibat akumulasi gizi yang tidak mencukupi. Pada tahun 2019, prevalensi stunting di Kabupaten Sigi sebesar 18,0 %, dengan 3.542 kasus (24,6 %). Puskesmas Marawola merupakan salah satu dari 19 Puskesmas Kabupaten Sigi, dengan prevalensi stunting sebesar 28,05 % pada tahun 2019 dan 28,22 % pada tahun 2020. Tujuan: Tujuan penelitian ini adalah untuk melihat adakah hubungan riwayat penyakit menular dengan kejadian stunting pada anak usia 24-59 bulan di wilayah operasional Puskesmas Marawola Kabupaten Sigi. Metode: Desain kasus kontrol dengan metode survei analitik dan pendekatan retrospektif. Populasi dalam penelitian ini semua balita dari Puskesmas Marawola Kabupaten Sigi, dengan rentang usia 24 sampai 59 bulan. Teknik Penelitian ini menggunakan purposive sampling dengan mengambil sampel 41 kasus dan 41 kontrol. Penelitian ini meliputi analisis univariat dan biavariat, serta uji chi square. Hasil: Uji statistik menunjukkan hubungan p-value 0,000 dan OR 0,111 antara riwayat penyakit diare menular dengan kejadian stunting, serta hubungan p-value 0,023 dan OR 5,484 antara riwayat infeksi ISPA dengan kejadian stunting. Kesimpulan: Kejadian stunting pada anak usia 24-59 bulan berhubungan dengan riwayat penyakit diare menular dan infeksi ISPA. Implementasi program berupa edukasi pencegahan stunting, pencegahan penyakit diare menular, dan pencegahan ISPA.

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Kadar Ramadhan

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Kadar Ramadhan

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jbc@jurnal.poltekkespalu.ac.id

Editorial Address
Poltekkes Kemenkes Palu, Jurusan Kebidanan D.a Jl. Thalua Konchi No.19 Mamboro, Palu Utara.

Location
Kota palu,

Sulawesi tengah

INDONESIA

Abstract

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Home Page

OAI Link

Editorial Team

Contact

Reviewer

Google Scholar

Contact Name Kadar Ramadhan

Contact Email kadarlaure@gmail.com

Phone Kadar Ramadhan

Journal Mail Official jbc@jurnal.poltekkespalu.ac.id

Editorial Address Poltekkes Kemenkes Palu, Jurusan Kebidanan D.a Jl. Thalua Konchi No.19 Mamboro, Palu Utara.

Location Kota palu, Sulawesi tengah INDONESIA

Abstract

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Abstract

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Contact Name
Kadar Ramadhan

Contact Email
kadarlaure@gmail.com

Phone
Kadar Ramadhan

Journal Mail Official
jbc@jurnal.poltekkespalu.ac.id

Editorial Address
Poltekkes Kemenkes Palu, Jurusan Kebidanan D.a Jl. Thalua Konchi No.19 Mamboro, Palu Utara.

Location
Kota palu,

Sulawesi tengah

INDONESIA