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Faktor Pertumbuhan dan Perkembangan Anak : Studi Kuantitatif: Child Growth and Development Factors: Quantitative Study Enny Fitriahadi; Lailatuz Zaidah; Arif Kurniawan
Indonesian Journal of Midwifery (IJM) Vol. 7 No. 2 (2024): September 2024
Publisher : Universitas Ngudi waluyo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35473/ijm.v7i2.2144

The growth and development of children in Indonesia still needs serious attention, the rate of growth and development delays is still quite high, around 5-10% experiencing general developmental delays. Two out of 1000 babies have motor development disorders and 3 to 6 out of 1000 babies also have hearing loss and one in 100 children have less intelligence than speech delays. It is estimated that the number of children will continue to increase, therefore health services must be improved. The purpose of this study was to determine the relationship between LBW history and parental education with the growth and development of children during the pandemic at the Surakarta PNTC growth and development clinic. The research method uses quantitative descriptive with an explanatory approach, the respondents of this research are 30 respondents. The results of the study based on bivariate analysis found that the history of LBW had a p-value of 0.00 <0.05 and parental education with a p-value of 0.01 <0.05, which means that there is a relationship between the history of LBW and parental education with growth and development. children during a pandemic. It is hoped that the contribution of the research to the role of parents is very important in providing stimulation to children every day, because parents become good teachers at home. Abstrak Pertumbuhan dan perkembangan anak di Indonesia masih perlu mendapatkan perhatian serius, angka keterlambatan pertumbuhan dan perkembangan masih cukup tinggi sekitar 5-10% mengalami keterlambatan perkembangan umum. Dua dari 1000 bayi mengalami gangguan perkembangan motorik dan 3 sampai 6 dari 1000 bayi juga mengalami gangguan pendengaran serta satu dari 100 anak mempunya kecerdasan kurang keterlambatan berbicara dengan populasi anak di Indonesia menunjukan sekitar 33% dari total populasi yaitu sekitar 83 juta dan setiap tahunnya jumlah populasi anak diperkirakan akan terus meningkat, maka dari itulah pelayanan kesehatan harus ditingkatkan. Tujuan penelitian ini mengetahui hubungan BBL dan pendidikan orang tua dengan pertumbuhan dan perkembangan anak selama masa pandemi di klinik tumbuh kembang PNTC Surakarta. Metode penelitian menggunakan deskriptif kuantitatif dengan pendekatan cross sectional, responden dari pelitian ini ada 30 responden. Hasil penelitian berdasarkan analisis bivariat didapatkan bahwa berat badan lahir mempunyai p-value 0,00<0,05 dan pendidikan orang tua dengan p-value 0,01<0,05 yang artinya ada hubungan antara berat badan lahir dan pendidikan orang tua dengan pertumbuhan dan perkembangan anak di masa pandemi. Kontribusi dalam penelitian diharapkan peran orang tua sangat penting dalam memberikan stimulasi kepada anak setiap harinya, karena orang tua menjadi guru yang baik saat di rumah.

Efektivitas Posisi Bersalin terhadap Lama Kala II Persalinan: Effect of Maternity Position on the Length of Second Stage of Labor Hardjanti, Triana Sri; Suparmi; Sunarto
Indonesian Journal of Midwifery (IJM) Vol. 7 No. 2 (2024): September 2024
Publisher : Universitas Ngudi waluyo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35473/ijm.v7i2.2493

The position of the mother during the birthing process can be freely changed or modified according to the wishes of the birthing mother. The birthing mother therefore receives fewer opportunities for labor and delivery in the preferred position, assuming the supine one as the standard due to easier monitoring of fetal well-being, administration of intravenous therapy, locus-regional anesthesia, and performance of medical procedures, perineal support, and birth assistance. Effects of different maternal positions during labor on maternal and neonatal outcomes. The purpose of this study was to analyze the effect of maternity positions on the length of the second stage of labor in the city of Semarang. This research was conducted at Midwife Independent Practice (PMB): Eka Setyowati, Sudiyah Proborini, Amelia & Sukateni. The type of research is Quasy-Experimental with a Post-Test Only with Control Group design. The population in this study were all birthing mothers with term pregnancies. The sampling technique is by using the accidental sampling technique. The research sample was 40 respondents. Data distribution analysis used Shapiro-Wilk, simple linear regression to determine the effect of birth position on the length of the second stage of labor, and multiple linear regression to determine the effect of maternity position on the length of the second stage of labor which was controlled by the age of the birthing mother. The results of the research show that for every 1 year increase in a pregnant woman's age, the length of the second stage will accelerate by 0.8 hours faster. Mothers who gave birth in the lateral position experienced the second stage of labor 1.8 hours faster than mothers who gave birth in the lithotomy position. Acceleration of the second stage of labor in pregnant women in the lateral position was not significant (B= -1.8, 95%CI: -13.4-9.7, p = 0.751). The effectiveness of the lateral position in accelerating the length of the second stage of labor is 0.03%. It is hoped that the results of this study will give birthing mothers the awareness to always pay attention to the condition of their bodies, so that all prospective pregnant women can plan for pregnancy at a productive age (20–35 years), because within this age range the reproductive organs work optimally. The mother should choose a position as comfortable as possible, namely the position that is more or the most effective in accelerating the progress of the second stage of labor. Abstrak Posisi ibu selama proses persalinan bisa bebas diubah atau dimodifikasi sesuai dengan keinginan ibu melahirkan. Ibu melahirkan menerima lebih sedikit kesempatan untuk persalinan dan melahirkan dalam posisi yang disukai, dengan asumsi yang telentang sebagai standar karena lebih mudah pemantauan kesejahteraan janin, pemberian terapi intravena, anestesi lokus-regional, dan kinerja prosedur medis, dukungan perineum, dan bantuan kelahiran. Efek dari posisi ibu yang berbeda selama persalinan pada hasil ibu dan neonatal. Tujuan dari penelitian ini yaitu untuk menganalisis efektifitas posisi bersalin terhadap lama kala II persalinan di kota Semarang. Penelitian ini dilakukan di Praktik Mandiri Bidan (PMB): Eka Setyowati, Sudiyah Proborini, Amelia & Sukateni. Jenis penelitian ini Quasy-Eksperimental dengan rancangan Post-Test Only with Control Group. Populasi penelitian Populasi pada penelitian ini yaitu semua ibu bersalin dengan kehamilan aterm. Teknik pengambilan sampel yaitu dengan menggunakan tehnik accidental sampling. Sampel penelitian 40 responden. Analisis distribusi data menggunakan Saphiro-Wilk, Regresi linier sederhana untuk mengetahui efek posisi bersalin terhadap lama kala II persalinan, dan Regresi linier ganda untuk mengetahui efek posisi bersalin terhadap lama kala II persalinan yang terkontrol oleh usia ibu bersalin. Hasil penelitian menunjukkan bahwa setiap kenaikan umur ibu hamil 1 tahun akan terjadi percepatan lama kala 2 sebesar 0.8 jam lebih cepat. Ibu bersalin dengan posisi lateral mengalami kala II persalinan 1.8 jam lebih cepat dibandingkan dengan ibu bersalin dengan posisi Lithotomi. Percepatan kala II persalinan pada ibu hamil dengan posisi lateral tidak signifikan (B= -1.8, 95%CI: -13,4-9.7, p = 0.751). Efektifitas posisi lateral dalam mempercepat lama kala II persalinan sebesar 0.03%.

Potensi Herbal Indonesia sebagai Pengurang Mual Muntah pada Kehamilan: Scoping Review: Potential of Indonesian Herbs as Reducing Nausea Vomiting in Pregnancy: Scoping Review Pratiwi, Tan Mike; Noviyati Rahardjo Putri
Indonesian Journal of Midwifery (IJM) Vol. 7 No. 2 (2024): September 2024
Publisher : Universitas Ngudi waluyo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35473/ijm.v7i2.2502

As many as 50 - 80% of pregnant women experience nausea and vomiting as a result of hormonal changes during pregnancy. Nausea and vomiting can affect psychosocial conditions and affect the life functions of pregnant women such as fatigue, lack of energy, lack of interest and pleasure, irritability, lack of preparation for childbirth, reduce work productivity, reduce quality of child care, reduce quality of life and increase anxiety. On the other side, the abundance of herbal plants available in Indonesia has the potential to overcome nausea and vomiting in pregnancy. This study aims to analyze various scientific literacy related to herbal plants in Indonesia that can be given to reduce nausea and vomiting in pregnancy. This research method is a scoping review. Data is accessed from various database sources; Google Scholar, PubMed, Science Direct in the period 2013 to 2023. The main topic search keywords are; herbal, aromatherapy, nausea and vomiting in pregnancy. The results of this study concluded that herbal plants available in Indonesia have potential as non-pharmacological drugs to treat nausea and vomiting. Herbs that have been proven effective in reducing nausea and vomiting are ginger (Zingiber officinale), lemon (Citrus Lemon), lavender (Lavandula angustifolia), and mint (Mentha Piperita). Abstrak Sebanyak 50 - 80% ibu hamil mengalami mual dan muntah akibat perubahan hormonal selama kehamilan. Mual dan muntah dapat mempengaruhi kondisi psikososial dan mempengaruhi fungsi hidup ibu hamil seperti kelelahan, kurang tenaga, kurang minat dan kesenangan, mudah tersinggung, kurang persiapan persalinan, menurunkan produktivitas kerja, menurunkan kualitas pengasuhan anak, menurunkan kualitas pengasuhan. hidup dan meningkatkan kecemasan. Di sisi lain, banyaknya tanaman herbal yang tersedia di Indonesia berpotensi untuk mengatasi mual muntah pada kehamilan. Penelitian ini bertujuan untuk menganalisis berbagai literasi ilmiah terkait tumbuhan herbal di Indonesia yang dapat diberikan untuk mengurangi mual muntah pada kehamilan. Metode penelitian ini adalah scoping review. Data diakses dari berbagai sumber database; Google Scholar, PubMed, Science Direct pada periode 2013 hingga 2023. Kata kunci pencarian topik utama adalah; herbal, aromaterapi, mual dan muntah pada kehamilan. Hasil penelitian ini menyimpulkan bahwa tanaman herbal yang tersedia di Indonesia berpotensi sebagai obat nonfarmakologi untuk mengatasi mual muntah. Herbal yang telah terbukti efektif untuk mengurangi rasa mual dan muntah adalah jahe (Zingiber officinale), lemon (Citrus Lemon), lavender (Lavandula angustifolia), dan mint (Mentha Piperita).

Pendidikan dan Pekerjaan Ibu Merupakan Faktor yang Berpengaruh Langsung terhadap Praktik Pemberian Makanan pada Anak (PMBA): Mother's Education and Work Are Factors That Have a Direct Influence on The Practice of Child Feeding (PMBA) Isfaizah; Ari Widyaningsih; Moneca Diah Listiyaningsih
Indonesian Journal of Midwifery (IJM) Vol. 7 No. 2 (2024): September 2024
Publisher : Universitas Ngudi waluyo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35473/ijm.v7i2.2676

Complementary feeding practices can cause malnutrition which contributes to the incidence of child malnutrition. Many factors influence complementary feeding (CF) practices, including biological factors, socio-economic status, and local culture. This research aims to analyze the influence of bio-socioeconomic status and culture on Complementary Feeding (CF) practices in Semarang Regency. The research design is observational analytic with a cross-sectional approach. The population is all mothers who have toddlers aged 12-60 months in West Ungaran District, totaling 776 toddlers. The sampling technique used was accidental sampling with a sample size of 198 respondents. The independent variables are the mother's age, child care provider, number of children, mother's education, mother's occupation, child's gender, child order, and culture while the dependent variable is child feeding practices (IYCF) which are measured using the Complementary Feeding Practice Questionnaire (CFPQ), while the independent variable uses a questionnaire whose validity and reliability have been tested. The data analysis that will be used is univariate analysis, bivariate analysis and multivariate analysis with logistic regression. The results of the bivariate analysis showed that the age of the mother, child caregiver, number of children, order of children, gender of the child and culture were not significant to CF practices. Multivariate analysis with logistic regression shows that maternal education and maternal employment influence CF practices, where mothers with higher education tend to provide better CF practices by 2.77 than mothers with low education. Working mothers also tend to increase CF practices better by 2.17 compared to mothers who do not work. It is best for health workers and educational institutions to work together to increase the accessibility of information about good CF practices for children. Abstrak Praktik pemberian makan yang kurang tepat dapat menyebabkan malnutrisi yang berkontribusi dalam kejadian gizi buruk anak. Banyak faktor yang mempengaruhi praktik Pemberian Makan Bagi Anak (PMBA) diantaranya faktor biologis, sosial ekonomi status dan budaya setempat. Penelitian ini bertujuan untuk menganalisis pengaruh bio-sosial ekonomi status dan budaya dengan praktik Pemberian Makan Bagi Anak (PMBA) di Kabupaten Semarang. Desain penelitian adalah analitik observasional dengan pendekatan cross-sectional. Populasi adalah seluruh ibu yang memiliki balita usia 12-60 bulan di Kecamatan Ungaran Barat sebanyak 776 balita. Teknik pengambilan sampel yang digunakan adalah accidental sampling dengan jumlah sampel sebesar 198 responden. Variabel independen adalah umur ibu, pengasuh anak, jumlah anak, pendidikan ibu, pekerjaan ibu, jenis kelamin anak, urutan anak dan budaya sedangkan variabel dependennya adalah praktik pemberian makan bagi anak (PMBA) yang diukur dengan menggunakan Complementary Feeding Practice Questionare (CFPQ), sedangkan variabel independen menggunakan kuesioner yang telah teruji validitas dan reliabilitasnya. Analisis data yang akan digunakan adalah analisis univariat, analisis bivariat dan analisis multivariat dengan regresi logistic. Hasil analisis bivariat diperoleh umur ibu, pengasuh anak, jumlah anak, urutan anak, jenis kelamin anak dan budaya tidak signifikan dengan praktik PMBA. Analisis multivariat dengan regresi logistik menunjukkan bahwa pendidikan ibu dan pekerjaan ibu berpengaruh terhadap praktik PMBA, di mana ibu dengan pendidikan tinggi cenderung memberikan PMBA yang lebih baik sebesar 2,77 dibandingkan ibu berpendidikan rendah. Ibu yang bekerja juga cenderung meningkatkan praktik PMBA yang lebih baik sebesar 2,17 dibandingkan ibu yang tidak bekerja. Sebaiknya tenaga kesehatan dan instansi pendidikan bersinergi dalam meningkatkan keterjangkauan informasi tentang praktik PMBA yang baik bagi anak.

Kajian Naratif: Kesehatan Kardiovaskuler pada Masa Menopause: Narative Review: Cardiovascular Health During Menopause Jatmiko Susilo; Sari, Kartika; Rini Susanti; Siti Haryani; Ana Puji Astuti
Indonesian Journal of Midwifery (IJM) Vol. 7 No. 2 (2024): September 2024
Publisher : Universitas Ngudi waluyo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35473/ijm.v7i2.3190

Menopause (MP) is associated with a significant increase in blood pressure, body mass index (BMI), obesity, and body fat distribution. At this time, women have a higher risk of cardiovascular disease (PKV) than men according to their age due to reduced levels of endogenous estrogen. This article aims to examine the role of estrogen during MP in relation to the risk of cardiovascular disorders and estrogen replacement therapy. Articles were obtained from PubMed, and ScienceDirect articles, using the keywords “estrogen and MP”; “estrogen and lipid metabolism”, “estrogen and cardiovascular”, and “menopausal hormone therapy”. The final set includes 82 academic articles published from 1998-2024. Estrogens produce increased lipid metabolism, have effects on biomarkers of vascular activity by activating vasodilator pathways and inhibiting vasoconstrictor pathways mediated by the sympathetic nervous system and angiotensin. Estrogen plays an important role in regulating the cardiovascular system. From the perspective of oxidative stress provides a strategy for the treatment of cardiovascular disease in postmenopausal women. Abstrak Menopause (MP) dikaitkan dengan peningkatan signifikan tekanan darah, indeks massa tubuh (IMB), obesitas, dan distribusi lemak tubuh, pada masa ini perempuan memiliki resiko penyakit kardiovaskuler (PKV) lebih tinggi dibanding laki-laki sesuai usianya akibat berkurangnya kadar estrogen endogen. Artikel ini bertujuan untuk mengkaji peran estrogen pada masa MP dalam hubungannya dengan resiko gangguan kardiovaskuler serta terapi sulih estrogen. Artikkel-artikel diperoleh dari PubMed, dan ScienceDirect, menggunakan kata kunci “estrogen dan MP”; “estrogen dan metabolism lipid”, “estrogen dan kardiovaskuler”, “terapi hormon MP”. Set terakhir mencakup 82 artikel akademis tahun terbit 1998-2024. Estrogen meningkatkan metabolisme lipid, memiliiki efek pada biomarker aktivitas pembuluh darah dengan mengaktivasi jalur vasodilator dan menghambat jalur vasokonstriktor yang dimediasi oleh sistem saraf simpatis dan angiotensin. Estrogen berperan penting dalam pengaturan sistem kardiovaskuler. Dari perspektif stres oksidatif memberikan strategi untuk pengobatan penyakit kardiovaskular pada wanita MP.

Mean Artery Pressure (MAP) dan Aktivitas Fisik pada Kehamilan : Mean Arterial Pressure (MAP) and Physical Activity in Pregnancy Sekarini, Ni Nyoman Ayu Desy; Pratiwi, Putu Irma; Sulyastini, Ni Komang; Kurniawati, Yuni; Ida Ayu Kade Trisna Dwiyanti
Indonesian Journal of Midwifery (IJM) Vol. 7 No. 2 (2024): September 2024
Publisher : Universitas Ngudi waluyo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35473/ijm.v7i2.3358

Hypertension in pregnancy, including preeclampsia and eclampsia, is a leading cause of maternal mortality in Indonesia. This condition can be prevented through early detection, such as routine measurement of Mean Arterial Pressure (MAP) during prenatal check-ups. Daily physical activity, including household chores, is one of the factors that can influence MAP values. This study aimed to analyze the relationship between physical activity and MAP in pregnant women. A quantitative approach with an analytical design and cross-sectional method was employed. The sample consisted of 332 pregnant women in their first, second, and third trimesters who underwent prenatal examinations at 36 independent midwifery practices in Buleleng Regency, selected through Cluster Random Sampling. Primary data were collected on physical activity over one week using the Pregnancy Physical Activity Questionnaire (PPAQ), while MAP was calculated through blood pressure measurements. The analysis using the Chi-square test yielded a p-value of 0.018 (p < 0.05), indicating a significant relationship between physical activity and MAP. The majority of respondents (87.7%) had normal MAP (<90 mmHg), and 88.3% demonstrated good levels of physical activity. Physical activity was shown to play a crucial role in preventing pregnancy-related hypertension. Therefore, pregnant women are encouraged to engage in regular physical activity to reduce the risk of complications during and after pregnancy. Abstrak Hipertensi dalam kehamilan, termasuk preeklamsia dan eklamsia, merupakan salah satu penyebab utama Angka Kematian Ibu (AKI) di Indonesia. Kondisi ini dapat dicegah melalui deteksi dini, seperti pengukuran Mean Artery Pressure (MAP) secara rutin selama pemeriksaan kehamilan. Aktivitas fisik harian, termasuk kegiatan rumah tangga, menjadi salah satu faktor yang memengaruhi nilai MAP. Penelitian ini bertujuan menganalisis hubungan antara aktivitas fisik dan MAP pada ibu hamil. Penelitian ini menggunakan metode kuantitatif dengan desain analitik dan pendekatan cross-sectional. Sampel terdiri dari 332 ibu hamil trimester I, II, dan III yang melakukan pemeriksaan di 36 Praktek Mandiri Bidan (PMB) di Kabupaten Buleleng, dengan teknik Cluster Random Sampling. Data primer diperoleh dari pengukuran aktivitas fisik selama 1 minggu menggunakan instrumen Pregnancy Physical Activity Questionnaire (PPAQ), serta pengukuran MAP melalui penghitungan tekanan darah. Analisis menggunakan uji Chi-square menunjukkan p-value 0,018 (p < 0,05), yang mengindikasikan adanya hubungan signifikan antara aktivitas fisik dan MAP. Sebagian besar responden (87,7%) memiliki MAP normal (<90 mmHg) dan 88,3% menunjukkan tingkat aktivitas fisik yang baik. Aktivitas fisik terbukti berperan dalam pencegahan hipertensi pada kehamilan, sehingga ibu hamil disarankan untuk tetap melakukan aktivitas fisik secara rutin guna mengurangi risiko komplikasi selama dan setelah kehamilan.

Pengaruh Intervensi Konseling Feeding Rules dan Massage Eating Difficulties dalam Mengatasi Kesulitan Makan Balita di Kelurahan Cangkiran Mijen Semarang: The Effect of Feeding Rules Counselling and Eating Difficulty Massage to Overcome Eating Problems in Toddlers in Cangkiran Mijen, Semarang Putri Deyya, Tiaradita; Qomariyah; Maya Cobalt Angio
Indonesian Journal of Midwifery (IJM) Vol. 7 No. 2 (2024): September 2024
Publisher : Universitas Ngudi waluyo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35473/ijm.v7i2.3441

Toddlers aged 1-5 years are a group that is vulnerable to nutritional problems. During this period, they experience very rapid growth and development. Toddlers usually have difficulty eating because of the increasing activities such as playing and running. While in toddlers, there is a process of growth and development that requires adequate nutrition. Efforts to overcome eating difficulties can be done with basic rules for feeding with Feeding Rules and pharmacological efforts with Massage Eating Difficulties. The purpose of the study was to determine the effect of counseling on feeding rules and massage eating difficulties on overcoming eating difficulties in toddlers. The research design used Experimental research with a One group Pre-Test and Post-test design approach model. The population of this study were toddlers aged 1-5 years who experienced weight gain in Cangkiran Mijen Village, Semarang. The sampling technique used Purposive Sampling and the number of samples obtained was 45 toddlers. The statistical test used was Mc Nemar from the results obtained p value = <0.001, then Ha was accepted, meaning that there was an Effect of Counseling on Feeding Rules and Massage Eating Difficulties on eating difficulties in toddlers in Cangkiran Mijen Village, Semarang. It is hoped that this research can be applied by health services including midwives as one of the complementary actions or interventions that can be carried out in providing midwifery care to toddlers in overcoming eating difficulties in toddlers. Abstrak Anak balita yang berusia 1-5 tahun merupakan kelompok yang rawan terhadap masalah gizi, Pada masa ini mengalami pertumbuhan dan perkembangan yang sangat pesat. Balita biasanya menjadi sulit makan karena semakin bertambahnya aktivitas seperti bermain dan berlari. Sedangkan pada balita terjadi proses pertumbuhan dan perkembangan yang membutuhkan kecukupan nutrisi. Upaya untuk mengatasi kesulitan makan dapat dilakukan dengan aturan dasar pemberian makan dengan Feeding Rules dan upaya farmakologi dengan Massage Eating Difficulties. Tujuan penelitian ntuk mengetahui Pengaruh konseling feeding rules dan massage eating difficulties terhadap mengatasi kesulitan makan pada balita. Rancangan penelitian menggunakan penelitian Experimental dengan model pendekatan One group Pre-Test and Post-test design. Populasi dari penelitian ini adalah balita berusia 1-5 tahun yang mengalami berat badan tidak naik di Kelurahan Cangkiran Mijen Semarang. Teknik pengambilan sample dengan Purposive Sampling dan didapatkan jumlah sampel sebesar 45 balita. Uji statistic yang digunakan adalah Mc Nemar dari hasil didapatkan nilai p value = <0,001, maka Ha diterima, artinya ada Pengaruh Konseling Feeding Rules dan Massage Eating Difficulties terhadap kesulitan makan pada balita di Kelurahan Cangkiran Mijen Semarang. Diharapkan penelitian ini dapat diaplikasikan oleh pelayanan Kesehatan termasuk Bidan sebagai salah satu Tindakan atau intervensi komplementer yang dapat dilakukan dalam memberikan asuhan kebidanan pada anak balita dalam mengatasi kesulitan makan pada anak balita.

Implementasi Program Deteksi Dini Kanker Servik Melalui Pemeriksaan IVA : Implementation of the Early Detection Program for Cervical Cancer Through IVA Examination Afriyani, Luvi Dian; Sita Salsha Bellatika
Indonesian Journal of Midwifery (IJM) Vol. 7 No. 2 (2024): September 2024
Publisher : Universitas Ngudi waluyo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35473/ijm.v7i2.3449

Bulu Health Center is one of the health centers that provide IVA examination services in Temanggung Regency. In 2023, the coverage of screening for early detection of cervical cancer through IVA examination is around 4.8%, still below the examination coverage target of 50%. This study uses a qualitative method with a descriptive design. Data collection was carried out using in-depth interviews based on purposive sampling criteria. This study consisted of 10 informants with 1 triangulation informant and 9 main informants.The results of the study showed that the implementation of the cervical cancer early detection program through IVA examination at the Bulu Health Center still had several obstacles in the input component, such as insufficient number of implementing staff, the implementation of the program using passive methods, and the unavailability of a separate IVA kit. In the process component, it has been implemented in accordance with the Indonesian Minister of Health Regulation Number 29 of 2017 concerning Amendments to the Minister of Health Regulation Number 34 of 2015 concerning the Control of Breast and Neck Cancer. Meanwhile, in the output component, even though the implementation of the program has gone well, some people still consider it taboo about IVA examinations. Health Center makes a special strategy to screen for breast cancer and cervical cancer because this cancer is a preventable disease, so routine screening is needed to detect cancer early. Abstrak Puskesmas Bulu merupakan salah satu Puskesmas yang menyediakan layanan pemeriksaan IVA di Kabupaten Temanggung. Pada tahun 2023, cakupan skrining deteksi dini kanker servik melalui pemeriksaan IVA yaitu sekitar 4,8%, masih dibawah target cakupan pemeriksaan yaitu 50%. Penelitian ini bertujuan untuk mengetahui implementasi program deteksi dini kanker servik melalui pemeriksaan Inspeksi Visual Asam Asetat (IVA) di Puskesmas Bulu. Penelitian ini menggunakan metode kualitatif dengan rancangan deskriptif. Pengumpulan data dilakukan dengan menggunakan wawancara mendalam berdasarkan kriteria purposive sampling. Penelitian ini terdiri dari 10 informan dengan 1 informan triangulasi dan 9 informan utama. Hasil penelitian menunjukkan bahwa implementasi program deteksi dini kanker servik melalui pemeriksaan IVA di Puskesmas Bulu masih memiliki beberapa kendala dalam komponen input, seperti jumlah tenaga pelaksana belum mencukupi, pelaksanaan program menggunakan metode pasif, serta belum tersedianya IVA kit tersendiri. Dalam komponen proses, telah dilaksanakan sesuai dengan Permenkes RI Nomor 29 Tahun 2017 Tentang Perubahan Atas Permenkes Nomor 34 Tahun 2015 Tentang Penanggulangan Kanker Payudara dan Kanker Leher. Sementara dalam komponen output, meskipun implementasi program sudah berjalan baik, sebagian masyarakat masih menganggap tabu tentang pemeriksaan IVA. Puskesmas membuat strategi khusus untuk melakukan skrining kanker leher rahim karena kanker ini merupakan penyakit yang dapat dicegah maka diperlukan skrining rutin untuk mendeteksi kanker secara dini.

Pemahaman Akseptor Tentang Baby Booming dan Tingkat Pengetahuan Tentang Program KB pada Masa Pandemi Covid-19: Acceptors' Understanding of Baby Booming and Level of Knowledge of Family Planning Programs During the Covid-19 Pandemic Widyawati, Sigit Ambar; Kustiyono; Sofiyanti, Ida; Najib
Indonesian Journal of Midwifery (IJM) Vol. 7 No. 2 (2024): September 2024
Publisher : Universitas Ngudi waluyo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35473/ijm.v7i2.3481

Baby boom or soaring pregnancy rates including unwanted pregnancies (KTD). This is related to the Corona Virus Disease-19 (Covid-19) pandemic which has caused a decrease in the number of family planning (KB) services nationally. Family Planning according to the World Health Organization (WHO) is an action that helps individuals or married couples to avoid unwanted births, get the desired birth, regulate birth intervals, control the time of birth in relation to the age of the husband and wife, determine the number of children in the family. Long-term family planning services are an effective method of preventing pregnancy, but direct contact is required which is disrupted due to physical distancing efforts. To determine the acceptor's understanding of the baby boom and the level of knowledge about the KB program during the Covid-19 Pandemic. This research method uses a survey technique with a questionnaire given to selected acceptors in Semarang Regency. The number of respondents was 50 people. Results: It was found that 35 respondents (70%) had good knowledge about the definition of baby booming, efforts to prevent baby booming (74%), good knowledge of NKKBS (78%), and a good level of knowledge about the KB program (76%). Abstrak Baby booming atau angka kehamilan yang melonjak termasuk terjadinya kehamilan tidak diinginkan (KTD). Hal ini berkaitan dengan adanya pandemi Corona Virus Disease-19 (Covid-19) yang menyebabkan penurunan jumlah pelayanan keluarga berencana (KB) secara nasional. Keluarga Berencana menurut World Health Organisation (WHO) adalah tindakan yang membantu individu atau pasangan suami istri untuk menghindari kelahiran yang tidak diinginkan, mendapatkan kelahiran yang diinginkan, mengatur interval kelahiran, mengontrol waktu saat kelahiran dalam hubungan dengan umur suami dan istri, menentukan jumlah anak dalam keluarga. Pelayanan KB jangka panjang merupakan metode efektif pencegahan kehamilan, namun diperlukan adanya kontak langsung yang terganggu karena adanya upaya physical distancing. Mengetahui pemahaman akseptor tentang baby booming dan tingkat pengetahuan tentang program KB Pada Masa Pandemi Covid-19. Metode penelitian ini menggunakan teknik survei dengan kuesioner yang diberikan kepada akseptor terpilih di Kabupaten Semarang. Jumlah responden sebanyak 50 orang. Didapatkan sebanyak 35 responden (70%) memiliki pengetahuan baik tentang pengertian baby booming, upaya pencegahan baby booming (74%), pengetahuan yang baik NKKBS (78%), dan tingkat pengetahuan yang baik tentang program KB (76%).

Efektifitas Hypnoprenatal untuk Mengurangi Kecemasan pada Ibu Hamil: The Effectiveness of Hypnoprenatal to Reduce Anxiety in Pregnant Women Widayati; Wahyu Kristiningrum
Indonesian Journal of Midwifery (IJM) Vol. 7 No. 2 (2024): September 2024
Publisher : Universitas Ngudi waluyo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35473/ijm.v7i2.3490

Pregnancy is a physical thing experienced by women. However, there are also pregnant women who experience psychological disorders during pregnancy. The preliminary study conducted found pregnant women who experienced anxiety disorders. This anxiety disorder can later interfere with the development of the fetus that will be born. This study included pseudo-experimental research with a One Group Pre-test and Post-test approach. The population of pregnant women in Pasekan Ambarawa Village amounted to 43 pregnant women, while the respondents were pregnant women who experienced anxiety who came to pregnant classes totaling 16 pregnant women. The research data were analyzed using paired simple t-test. The results obtained that the p value is 0.000, Ho is rejected, which means that there is a difference in anxiety in pregnant women before and after hypnoprenatal so that hypnoprenatal is effective for reducing anxiety in pregnant women. Abstrak Kehamilan merupakan hal fisilogis yang dialami oleh wanita. Akan tetapi ditemukan juga ibu hamil yang mengalami gangguan psikologis pada masa kehamilan. Studi pendahuluan yang dilakukan ditemukan ibu hamil yang mengalami gangguan kecemasan. Gangguan kecemasan ini nantinya dapat mengganggu perkembangan janin yang akan dilahirkannya. Penelitian ini termasuk penelitian eksperimen semu dengan pendekatan One Group Pre-test dan Post-test. Populasinya ibu hamil yang berada di Desa Pasekan Ambarawa yang berjumlah 43 ibu hamil, sedangkan yang menjadi responden adalah ibu hamil yang mengalami kecemasan yang datang di kelas hamil berjumlah 16 ibu hamil. Data penelitian di analisis menggunakan paired simpel t-test. Hasil yang diperoleh bahwa nilai p 0,000, Ho ditolak, yang berarti bahwa ada perbedaan kecemasan pada ibu hamil sebelum dan sesudah dilakukan hypnoprenatal sehingga hypnoprenatal efektif untuk menurunkan kecemasan pada ibu hamil.

Home Page

OAI Link

Editorial Team

Contact

Reviewer

Google Scholar

Contact Name
Eko Nur Hermansyah

Contact Email
ekonurhermansyah@unw.ac.id

Phone
+6287747996725

Journal Mail Official
ijm.bidanunw@gmail.com

Editorial Address
Jl. Diponegoro no 186 Gedanganak - Ungaran Timur, Kab. Semarang Jawa Tengah

Location
Kab. semarang,

Jawa tengah

INDONESIA

Abstract

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Home Page

OAI Link

Editorial Team

Contact

Reviewer

Google Scholar

Contact Name Eko Nur Hermansyah

Contact Email ekonurhermansyah@unw.ac.id

Phone +6287747996725

Journal Mail Official ijm.bidanunw@gmail.com

Editorial Address Jl. Diponegoro no 186 Gedanganak - Ungaran Timur, Kab. Semarang Jawa Tengah

Location Kab. semarang, Jawa tengah INDONESIA

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Contact Name
Eko Nur Hermansyah

Contact Email
ekonurhermansyah@unw.ac.id

Phone
+6287747996725

Journal Mail Official
ijm.bidanunw@gmail.com

Editorial Address
Jl. Diponegoro no 186 Gedanganak - Ungaran Timur, Kab. Semarang Jawa Tengah

Location
Kab. semarang,

Jawa tengah

INDONESIA