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COVID-19 : Journal of Health, Medical Records and Pharmacy
Published by Cv. Devi Tara Innovations
ISSN : -     EISSN : 30324033     DOI : -
Core Subject : Health, Science,
Chemistry Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health
COVID-19 : Journal of Health, Medical Records and Pharmacy is a journal covering the fields of health, Medical Records and Pharmacy with Scope: Health Health Policy and Management, Midwifery, Nursing, Public Health, Critical Care and Intesive Care Medicine, Health Information Technology, Medical Informatics, Occupational Health and Safety, Health Law Medical Record Health Information Management, Health Information System, Health Information Technology, Classification and Codefication of Diagnostic Related Health Problems and Prosedure, Health Quality Information Management. Pharmacy Clinical Pharmacy, Pharmaceutical Chemistry, Pharmaceutics, Community Pharmacy, Pharmacognosy, Phytochemistry, Biology of Pharmacy, Pharmacology, Pharmacy Technology and Pharmaceutics, Clinical Pharmacy and Community, Medicine.
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 45 Documents
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The Effectiveness Of Oketani Massage On The Prevention Of Breast Milk Dams In Postpartum Mothers In The Working Area Of Tanjung Leidong Health Center, North Labuhan Batu Regency Sari, Dewi; Simamora , Lasria
COVID-19 : Journal of Health, Medical Records and Pharmacy Vol. 1 No. 01 (2023): COVID-19 : Journal of Health, Medical Records and Pharmacy
Publisher : CV. Devitara

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Abstract

Data from the Central Bureau of Statistics in 2018, the percentage of infants aged less than 6 months who get exclusive breastfeeding in Indonesia is 44.36%, this is a decrease compared to 2017 which is 55.96%. Likewise, based on provincial data, North Sumatra province amounted to 33.33%, and decreased compared to 2017, which was 49.83% (Central Statistics Agency. 2018). Nationally, the coverage of babies receiving exclusive breastfeeding in 2020 was 66.06%. This figure has exceeded the 2020 strategic plan target of 40%. The purpose of this study was to determine the effectiveness of Oketani massage on the prevention of breast milk dams in postpartum mothers in the working area of Tanjung Leidong Health Center, North Labuhan Batu Regency. This study used a quasi-experimental method with a Posttest only with control group design, where the study was divided into 2 groups, namely the intervention group and the control group. The research will be conducted May – July 2022. The population in the study was Mrs. Nifas on the first day in the Tanjung Leidong health center work area which amounted to 26 people for the April-July 2022 period, where the author divided the sample into two groups, 13 people as an intervention group and 13 people into a control group. The data analysis used is the Paired T-Test Sample Test, which is to determine the difference in treatment in two samples / treatment groups with the condition that the data is normally distributed. At the limit of the meaning of statistical calculations p < α= 0.05. The results of the Paired t-test analysis obtained p-value = 0.021 showed that oketani massage in postpartum mothers was effective in preventing breast milk dams. It is hoped that the results of this study can be used as one of the complementary therapies in the prevention of breast milk dams.
Analysis Of The Incidence Of Stunting In Toddlers In Terms Of Basic Immunization Status, Exclusive Breastfeeding History And History Of Infectious Diseases In The Sigompul Health Center Work Area Siahaan, Maria; Hutasoit, Renni; Simamora, Lasria
COVID-19 : Journal of Health, Medical Records and Pharmacy Vol. 1 No. 01 (2023): COVID-19 : Journal of Health, Medical Records and Pharmacy
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Abstract

Stunting or short is one of the indicators of chronic nutritional status that describes stunted growth due to long-term malnutrition. Riskesdas data in 2018 shows the prevalence of stunting toddlers in Indonesia is 30.8%. Conditions in Indonesia based on data from the 2019 Study of Nutritional Status of Toddlers in Indonesia (SSGBI) are still relatively high, where the prevalence of stunting is 27.67%, this figure shows that stunting in Indonesia is still higher than the prevalence in Southeast Asia of 24.7%. This study is an observational analytical study research using a retrospective case control study design. The research was conducted in the Working Area of the Sigompul Health Center, Humbang Hasundutan Regency, from April - July 2022. The sample size in this study was 18 people and a control sample was taken with a ratio of 1: 1, namely 18 people. So the sample size was 36 people. The sampling technique in this study is Consecutive sampling. The results showed that basic immunization status was associated with stunting with a p value of 0.002<0.05; history of exclusive breastfeeding related to stunting with a p value of 0.007<0.05 ; while History of infectious diseases is not related to stunting with a p value of 0.658>0.05. It is expected for health workers in the Sigompul puskesmas work area to promote socialization and counseling about exclusive breastfeeding as well as basic immunization programs.
Internal Factors Related To The Selection Of Maternity Places For Maternity Mothers At UPTD Puskesmas Aramo, Aramo District, South Nias Regency Ndruru, Nyaman; Ridesman, Ridesman; Pasaribu, Riska Susanti
COVID-19 : Journal of Health, Medical Records and Pharmacy Vol. 1 No. 01 (2023): COVID-19 : Journal of Health, Medical Records and Pharmacy
Publisher : CV. Devitara

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Abstract

The coverage of maternity assistance by health workers with midwifery competence in 2018 tends to increase, namely in 2017 it reached 86.38%, and in 2014 the coverage of maternity assistance by health workers in Indonesia has reached 96.88%. However, the increasing coverage of birth attendants by health workers in Indonesia has not been matched by an increase in childbirth in health care facilities. The purpose of this study was to analyze internal factors related to the selection of delivery sites for maternity mothers in the working area of Aramo Health Center, Aramo District, South Nias Regency. This research is an analytical survey with a cross sectional design using secondary and primary data. The research was conducted in the working area of Aramo Health Center, Aramo District, South Nias Regency. The population in this study was 311 pregnant women. The sample in this study was 76 third trimester pregnant women using simple random sampling with the slovin formula. Data analysis was performed univariately, bivariately using chi-square. The results showed the selection of a place of delivery at home as many as 44 (57.9%) respondents and the selection of a place of delivery in a health facility as many as 32 (42.1%) respondents, there was a significant relationship between factors (education, work, parity, knowledge, husband/family support and distance) with value (0.001), all of which had a significant relationship with the choice of place of delivery. The conclusion of this study is that all factors related to the choice of place of delivery in III trimester pregnant women have a relationship. Advice is expected to health workers to be able to provide more information to maternity mothers that the importance of giving birth in a health facility.
The Effect Of Early Mobilization On The Decrease In Fundus Uteri Height Of Postpartum Mothers At UPTD Bawomataluo Health Center Nehe, Stilistika; Sembiring, Ninsah Mandala Putri
COVID-19 : Journal of Health, Medical Records and Pharmacy Vol. 1 No. 01 (2023): COVID-19 : Journal of Health, Medical Records and Pharmacy
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Abstract

In postpartum mothers, uterine involution is a very important process because mothers need special care, assistance and supervision in order to recover health as before pregnancy. If TFU is above normal then this indicates bleeding in the uterus, this is very dangerous if the blood comes out profusely then the mother loses a lot of blood so that there can be shock until death. Early mobilization can speed up the process of lowering TFU, improve blood circulation and prevent the risk of thrombophlebitis. This type of research is a Quasi Experiment study which aims to determine the effect of early mobilization on reducing fundus uteri (TFU) height in Post Partum Mothers at UPTD Bawomataluo Health Center in 2022. The results of the Wilcoxon Signed Rank Test pre-test and post-test data fundus uteri high value with a Z value of 6,780 and a p-value of 0.001 where the p-value is smaller than 0.05 (0.000<0.05), so we can conclude that Ha is accepted and Ho is rejected, which means that there is a difference between the height of the fundus uteri pre-test and post-test early mobilization Mrs. Post Partum. In conclusion, there is an effect of early mobilization on reducing fundus uteri (TFU) height in Post Partum Mothers at UPTD Bawomataluo Health Center. Based on the results of research conducted on the Effect of Early Mobilization on Decreasing the Fundus Uteri Height of Post Partum Mothers at UPTD Bawomataluo Health Center. The fundus uteri (TFU) high value of the pre-test for early mobilization is in the range of 10 cm – 14 cm with the majority of 14 cm, while in the pots-test for early mobilization is in the range of 9 cm – 14 cm with the majority of 12 cm. It is expected that health workers provide education and communication to improve the importance of early mobilization of postpartum mothers.
The Relationship Of Maternity Companion Support To The Anxiety Of Maternity Mothers Facing The Primigravida Delivery Process At The Barusjahe Health Center, Karo Regency Br Tarigan, Suasana; Ridesman, Ridesman; Pasaribu, Riska Susanti
COVID-19 : Journal of Health, Medical Records and Pharmacy Vol. 1 No. 01 (2023): COVID-19 : Journal of Health, Medical Records and Pharmacy
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Abstract

Childbirth is a normal physiological occurrence in life. Anxiety is an unpleasant emotional state characterized by fear as well as stressful physical symptoms. The impact of anxiety that is not treated seriously will affect the physical and psychological both mother and fetus. Mothers who experience stress and anxiety will experience an increase in the release of stress hormones, causing disruption of blood flow in the uterus and resulting in weak uterine muscle contractions. This event causes a longer labor process (long partus) and the risk of sectio caesaria as much as 54.8%. While the risk to the baby can cause premature birth, giving birth to babies with low birth weight (BBLR), emergency (fetal distress) and in the long term related to behavioral and emotional disorders of the child. The type of research is quantitative analytic with a cross sectional approach. The research was conducted in the working area of the Barus Jahe Health Center, Karo Regency, carried out in March-June 2023. The study population was all maternity mothers in the working area of the Barus Jahe Health Center totaling 45 people. The sampling technique used is Consecutive Sampling. The data analysis used was univariate analysis and bivariate analysis, the analysis used was Chi Square statistical test (X2) with α = 0.05. The results showed that there were 16 (35.5%) respondents who experienced normal levels of anxiety, 8 (17.8%), respondents experienced mild levels of anxiety, 7 (15.5%) respondents experienced moderate levels of anxiety and 14 (31.1%) respondents experienced severe levels of anxiety. The results of the Chi Square test with continuity correction obtained a P value of 0.001 (<0.05), meaning that there is a relationship between childbirth companion support for the anxiety of maternity mothers facing the primigravida delivery process at the Barus Jahe Health Center, Karo Regency. The results of statistical tests can be concluded that there is an effect of childbirth companion support on the anxiety of maternity mothers facing the primigravida labor process at the Barus Jahe Health Center, Karo Regency with a Chi Square value by looking at continuity correction, obtained a P value of 0.001 (<0.05). It is expected that health workers provide education and communication to increase the understanding of childbirth companions in providing psychological support during childbirth.
Physical and Psychological Preparation in Preparing for Childbirth Ritonga, Fitriana; Sebayang, Welina; T. Bolon, Christina Magdalena; Nisa, Khairun
COVID-19 : Journal of Health, Medical Records and Pharmacy Vol. 1 No. 01 (2023): COVID-19 : Journal of Health, Medical Records and Pharmacy
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Abstract

The health status of a country can be determined by high or low maternal mortality rates and newborn mortality rates. Maternal Mortality Rate (MMR) is an indicator of the success of a country's health services. Every day more than 850 women die due to complications during pregnancy and childbirth. There are several things that mothers and families must prepare for when facing childbirth. Physical and psychological preparation is one of the many preparations that mothers must pay attention to. The aim of this research is to determine the mother's physical and psychological preparation in preparing for childbirth. Research method: This type of research is qualitative descriptive research. Data is collected through interviews which will then be observed and grouped according to research themes and sub-themes. The research was conducted in the Labuhanbilik city area with the research implementation period starting from 21 September 2023 to 6 January 2024. The research results consisted of 2 themes, namely 1)the experience of physical preparation that the mother does in preparing for childbirth, 2) the experience of psychological preparation that the mother does in preparing for childbirth. Each theme has sub themes.Conclusion: Mothers who have experienced childbirth say they have made various preparations for the upcoming birth, such as taking leisurely walks, eating nutritious food, carrying out pregnancy checks, and getting support from their husbands and family.
The Influence Of Pregnancy Exercise On Normal Delivery Of Primiparous Mothers In 2023 Hutabarat, Eva Nirwana Natalia; Ujung, Riance Mardiana; Simamora, Debora Lestari
COVID-19 : Journal of Health, Medical Records and Pharmacy Vol. 1 No. 01 (2023): COVID-19 : Journal of Health, Medical Records and Pharmacy
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Abstract

Pregnancy is a natural process that occurs in that the changes that occur in women during normal pregnancy are physiological in nature. The aim is to determine the effect of pregnancy exercise on the smooth delivery process of primiparous mothers at the BPM Suci Rahmadani Clinic. This research is a cross sectional study using an observational approach. The results of the study showed that of the 50% who participated in pregnancy exercise, 35.4% had normal deliveries, 14.6% had abnormal births. Of the 50% of mothers who did not participate in pregnancy exercise, 11.5% had normal deliveries and 38.5% had abnormal births. Based on the Odds Ratio (OR) value of 8.169, this means that mothers who do not exercise during pregnancy have a risk of abnormal labor of 8.169 times compared to mothers who exercise during pregnancy. It is recommended for mothers to take part in pregnancy exercise at least once a week so that the benefits of pregnancy exercise can be felt to the maximum. It is hoped that the Suci Rahmadani BPM Clinic will make pregnancy exercise one of the pregnancy care program policies, so that pregnant women can feel the benefits of the exercise. well.
Obstetric Care For Primigravida Mothers With Antepartum Depression Before Delivery At Pratama Siti Kholijah Clinic Jl. Marelan I, Terjun, Kec. Medan Marelan Fauza, Rahmawani; Rambe, Nova Linda
COVID-19 : Journal of Health, Medical Records and Pharmacy Vol. 1 No. 01 (2023): COVID-19 : Journal of Health, Medical Records and Pharmacy
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Abstract

Antepartum depression or stress is a complication of pregnancy risks and negative experiences in a woman's life. According to a systematic review, the incidence of mental health disorders such as depression and anxiety disorders in mothers in developing countries was recorded to have an average of 15.6% during pregnancy and 19.8% after delivery. A study showed the prevalence of antepartum depression, amounting to 26.6%. Depression during pregnancy has been shown to produce unwanted perinatal eg preterm delivery, low birth weight, preeclampsia, low Apgar scores at 1 and 5 minutes. The adrenal cortex secretes cortisol in response to ACTH, diurnal rhythms, and stress. Guided imagery relaxation techniques using soothing words and sounds; directs the user to imagine a psychological or physiological state in a relaxed manner. Researchers provide comprehensive midwifery care for pregnant women, maternity, postpartum, BBL, neonates and family planning using a midwifery management approach to Mrs "I" with Antepartum Depression. Care in this study by observation, evaluation, counseling. The subject of this care is Mrs “I” with Antepartum Depression at Siti Kholijah Primary Clinic. Comprehensive midwifery care for Mrs. "I" during the third trimester of pregnancy with antepartum depression before delivery, in normal labor and spontaneous delivery, during the postpartum period with normal postpartum, BBL with BBLN, neonates with normal neonates, and being an acceptor for condom. This research activity is about the management of antepartum depression in primigravida women before delivery. Researchers conducted observations, evaluation, and counseling to mothers. Observations and evaluations were carried out by knowing and assessing emotional conditions, levels of fatigue, and support for mothers. The mother's hydration status also needs to be considered and if possible, the mother can be asked to eat even in small portions so that she can gather energy for delivery.
Factors Related To Maternal Behavior In Exclusive Breastfeeding At The Tiga Panah Health Center, Karo Regency In 2023 Br Tarigan, Helpina; Damanik, Lisa Putri Utami; Br. Ginting, Nurleni; br Pinem, Srilina
COVID-19 : Journal of Health, Medical Records and Pharmacy Vol. 1 No. 01 (2023): COVID-19 : Journal of Health, Medical Records and Pharmacy
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Abstract

Breast milk is the ideal nutrition for babies which contains nutrients that best suit the baby's needs and contains a set of protective substances to fight disease. The first two years of a child's life are critical, as optimal nutrition during this period decreases morbidity and mortality, reduces the risk of chronic disease, and promotes better overall development. Therefore, optimal breastfeeding, namely when children are 0-23 months old, is very important because it can save the lives of more than 820,000 children under 5 years of age every year. The percentage of exclusive breastfeeding for babies aged 0-6 months is 71.58% in 2021. This type of research is quantitative with a cross sectional approach. The research was conducted in the working area of ​​the Tiga Panah Community Health Center, Karo Regency, carried out in early 2023. The research population was all mothers who had babies aged 0-6 months in the working area of ​​the Tiga Panah Community Health Center totaling 50 people. The sampling technique used was purposive sampling. The data analysis used was univariate analysis and bivariate analysis, the analysis used was the Chi Square (X2) statistical test with α = 0.05. The results showed that 14 respondents (33.4%) were aged 20-35 years. Based on high school education, 21 respondents (50%). and most respondents did not work as many as 25 respondents (59.5%). The behavior of mothers who did not breastfeed exclusively was 9 responses (21.5%), almost half of the respondents had insufficient knowledge about breastfeeding, 14 respondents (33.4%). It was still found that (14.3%) pregnant women had readiness in the not ready category in terms of the efforts made to support successful breastfeeding efforts during pregnancy. The results of the Chi Square test with continuity correction obtained a P value of 0.003 (<0.05), meaning that there is a relationship between support from health workers and exclusive breastfeeding behavior at the Tiga Panah Community Health Center, Karo Regency. The results of statistical tests can be concluded that there is an influence of support from health workers on the behavior of exclusive breastfeeding at the Tiga Panah Community Health Center, Karo Regency with a Chi Square value by looking at the continuity correction, a P value of 0.003 (<0.05). It is hoped that health workers will provide education and communication to increase understanding of exclusive breastfeeding.
The Relationship Between Effective Communication of Midwives and the Level of Satisfaction of Ante Natal Care Services for Pregnant Women at the Nurhayani Midwife Practice, Kec. People's Village District. South Labuhan Batu, North Sumatra in 2023 Hasibuan, Ilda Aliani; Damanik, Lisa Putri Utami; Wahyuni, Retno
COVID-19 : Journal of Health, Medical Records and Pharmacy Vol. 1 No. 01 (2023): COVID-19 : Journal of Health, Medical Records and Pharmacy
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Abstract

One of the goals of the SDGs is a healthy and prosperous life with the achievement of improving health services towards universal health coverage, especially strengthening basic health services (Primary Health Care) (Ministry of National Development Planning/Bappenas, 2020). Antenatal care is a way to detect early high-risk pregnancy and childbirth and can reduce maternal mortality and monitor the condition of the fetus (Hardiani, 2018). This type of research is quantitative with a cross-sectional approach. The research was conducted in the Nurhayani Midwife Practice Area, Kec. People's Village District. South Labuhan Batu, North Sumatra in 2023. The research population was 30 people from Balimbingan Hospital, Simalungun Regency in 2023. The sampling technique used was the simple total sampling technique. The data analysis used is univariate analysis and bivariate analysis, the analysis used is the Chi Square (X2) statistical test with α = 0.05. The final results of this research are different from research conducted by Anisa (2019) regarding "Communication Relationships between Midwives and "Satisfaction Level of Pregnant Women in Receiving ANC Services at the Sei Jingah Community Health Center, North Banjarmasin". From the research results, the majority of midwives' communication with pregnant women was very good, amounting to 28 people (93.4%), 21 people (70.00%) said they were very satisfied and the results of statistical analysis using the Spearman rank test showed no significant relationship between midwife communication and The level of satisfaction of pregnant women in receiving ANC services at the Sei Jingah Community Health Center, Banjarmasin in 2015 was p= 0.358. There is a relationship between midwife communication and the level of satisfaction with ANC services in getting services at the Nurhayani Midwife Practice. The results of research using the Chi-Square test obtained a value of p= 0. .00 < 0.05 which means there is a relationship between midwife communication and the quality of antenatal care services and satisfaction of pregnant women.

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