Jurnal Kebidanan
JURNAL KEBIDANAN is a national midwifery journal that publishes scientific works for midwives, nurses, academic parties, and practitioners. Types of articles in Journal Kebidanan include: Original research articles ; Reviews; Clinical case; Research letters; Letters to the editor. Welcomes and invites midwifery manuscripts with the scope: Pregnancy Birth Postpartum periodic Newborn and children Adolescence Family Planning Climacteric Midwifery Community Education in midwifery Holistic and complementary therapy in midwifery Health reproductive
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Identification of The Puerperium Infection Characteristics
Susilawati Susilawati;
Kasron Kasron
JURNAL KEBIDANAN Vol 9, No 2 (2019): Oktober 2019
Publisher : Politeknik Kesehatan Kementerian Kesehatan Semarang
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DOI: 10.31983/jkb.v9i2.5302
The puerperium can caused puerperium infections. The puerperium infection can cause maternal death and increase the MMR rate. The research aims to determine the characteristics of puerperal infections in Cilacap Hospital at 2016-2018. The research was conducted in Cilacap Hospital, with a retrospective descriptive approach using medical records. Total sampling used when in the period of 2016-2018, were had 35 respondents Data analysis using univariate of the characteristic. The results showed that the age of patients who experienced puerperal infection averaged at age 29.8 years, average Hb levels of 10.8 mg / dl, mostly high school 62.9%, all respondents were housewives, the financing used was almost entirely BPJS 85.7%, where 60% BPJS-PBI, and 25.7% BPJS-non PBI, almost all SC 71.4%, most gave birth to the first child 51.4%, during pregnancy none of the respondents experienced a history of pregnancy complications 57.1%, and identification of puerperal infections in the most respondents was post SC operation infection 34.3%. Need further research on supporting interventions to overcome the signs of puerperal infection symptoms.
Occupational Factors with Toddler Nutrition Status
Rizka Esty Safriana;
Endah Mulyani;
Aidha Rachmawati
JURNAL KEBIDANAN Vol 9, No 2 (2019): Oktober 2019
Publisher : Politeknik Kesehatan Kementerian Kesehatan Semarang
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DOI: 10.31983/jkb.v9i2.4095
Toddler is one of the groups prone to malnutrition because it can cause death. Parents, especially mothers, play a role in fulfilling the nutritional status of toddlers. The purpose of this study was to determine the relationship of maternal employment with the nutritional status of toodler in Tebul Timur Village, Pegantenan District, Pamekasan Regency. The design of this research was observational analytic method with cross sectional approach. Population 251 mothers and toodlers. The sampling technique uses simple random sampling. The sample used was 154 mothers and toodlers. The majority of maternal employment are 93 people (60.4%) and almost all toddlers have good nutritional status as many as 130 children (84.4%). Based on the Lambda test results, the p value (0.018) α (0.05) means that statistically there is a relationship between maternal employment and the nutritional status of toodler in Tebul-Timur Village, Pegantenan District Pamekasan.
Personal Hygiene and Early Mobilization with Perineum Wound Healing
Aidha Rachmawati;
Diah Jerita Eka Sari;
Nourma Yunita
JURNAL KEBIDANAN Vol 9, No 2 (2019): Oktober 2019
Publisher : Politeknik Kesehatan Kementerian Kesehatan Semarang
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DOI: 10.31983/jkb.v9i2.4366
Postpartum mothers who have perineal wounds are susceptible to infection because they are not clean and will affect the length of healing of the perineum. Early mobilization is a policy to quickly guide postpartum mothers out of their beds and walk and can smooth blood flow so as to accelerate the healing of perineal wounds. Perineal wounds due to rupture or laceration are areas that are not easy to keep clean and dry. If healing of wounds is not handled properly it will cause imperfect rupture wound healing. Perineal rupture is a birth canal injury that occurs at the time of the baby's birth, either using or not using a tool. The aim was to determine the relationship of personal hygiene and early mobilization with healing of perineal wounds on postpartum 7th day mothers in Pasanggar Pamekasan Village. Method Analytic, cross-sectional, purposive sampling, population of 38 postpartum mothers, 34 samples of postpartum mothers.The results of the study good day-to-day personal hygiene of postpartum mothers (67.6%), good early mobilization (61.8%), good perineal wound healing (58.8%), good personal hygiene, good perineal wound healing (87 %), early mobilization of good perineal wound healing is good (76.2%). Rank Spearman test, personal hygiene with perineal wound healing p = 0,000 α 0,05 and mobilization with wound healing p = 0,002 α 0,05 means that there is a significant relationship. Conclusion there is a relationship between personal hygiene and early mobilization with healing of perineal wounds in postpartum mothers on the 7th day.
Water Kinetic Treatment as Standard Post Partum Care to Overcome Delayed on Set Muscle Sorness (DOMS)
Bambang Trisnowiyanto;
Runjati Runjati;
Emy Suryani
JURNAL KEBIDANAN Vol 9, No 2 (2019): Oktober 2019
Publisher : Politeknik Kesehatan Kementerian Kesehatan Semarang
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DOI: 10.31983/jkb.v9i2.5240
The process of labor through which the mother gives rise to the muscles due to the process of contraction, pain, and straining at the time of labor. Labor process cause muscle tension. Tension in the muscles that causes pain that requires the mother's help after delivery. Delayed onset muscle soreness DOMS is discomfort and pain in the muscles that result in a decrease in muscle strength, decreased joint motion (LGS) and damage to muscle tissue. The purpose of this study was to determine the effect of giving Water Kinetic Treatment to the reduction of DOMS in gastrocnemius muscle. This study was a two-group pre and post-test design that aims to find out how much influence the Water Kinetic Treatment has on reducing DOMS in normal postpartum, Water Kinetic Treatment is given 12 hours after normal parturition. Respondents were selected from the first postpartum gravida maternal patient with no complications after the normal parturition at salatiga Hospital which were for each group 6 mothers. Mothers wa given treatment for 4 days. Data were analyzed using paired t-test and independent t-test. Provision of Water Kinetic Treatment 12 hours after normal parturition did not affect the reduction in DOMS before and after the intervention (p 0.05), but there was a significant influence between the group given water kinetic treatment therapy and the group that was not given to decrease DOMS (p 0.05). There was a significant effect on the group given water kinetic treatment compared to the group not treated for a decrease in pain scale and increased muscle strength for 4 days of treatment.
Early Breastfeeding Initiation of Postpartum Hemorrhage Events
Ike Putri Setyatama;
Ika Esti Anggraeni
JURNAL KEBIDANAN Vol 9, No 2 (2019): Oktober 2019
Publisher : Politeknik Kesehatan Kementerian Kesehatan Semarang
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DOI: 10.31983/jkb.v9i2.4332
Hemorrhage was the main cause of maternal mortality in Tegal, 2017. Based on the survey at Puskesmas Slawi in January-December 2018, 30 women gave birth and experienced postpartum hemorrhage. Early breastfeeding helps to reduce hemorrhage and shrink uterus after birth. The research analyzed the effect of Early Initiation of Breastfeeding towards postpartum hemorrhage at Puskesmas Slawi. The population was 215 women who gave birth at Puskesmas Slawi in January-December 2018 with 140 samples. The research design applied case control study. Based on Chi Square with α = 0.05, p value was 0.048. It means that there was a relationship in both variables. As the result of logistic regression test, Sig. value was 0.029 stating that there was an effect of those variables. OR value was 2.495 meaning that mothers who performed early initiation of breastfeeding were 2.5 times lower risk at postpartum hemorrhage than those who did not act early initiation of breastfeeding. Asymp. Sig (2-Sided) was 0.032 describing that it represented population.Thus, there were a relationship and an effect of Early Initiation of Breastfeeding towards postpartum hemorrhage at Puskesmas Slawi.
Distribution of Preeclampsia Risk Factors in Pregnant Woman with Mild Preeclampsia in Banyumas District
Diki Retno Yuliani;
Suharyo Hadisaputro;
Sri Achadi Nugraheni
JURNAL KEBIDANAN Vol 9, No 2 (2019): Oktober 2019
Publisher : Politeknik Kesehatan Kementerian Kesehatan Semarang
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DOI: 10.31983/jkb.v9i2.5162
Preeclampsia became the dominant cause of maternal death in Banyumas district in 2018, as an effort to prevent preeclampsia is by carrying out early detection of preeclampsia risk factors. The purpose of this study was to know the description of preeclampsia risk factors in Banyumas District. The research design was quantitative descriptive research. The sample was 32 pregnant women with mild preeclampsia with cluster sampling technique. Data collection using questionnaires by filling in through interviews and data analysis using frequency distribution. The results showed the three most risk factors were interbirth interval 10 years (46.9%), history of preeclampsia/hypertension (43.7%), and obesity (28.1%). While the three least risk factors were twin pregnancies (3.1%), a history of diabetes mellitus (6.3%), and a family history of preeclampsia (9.4%). The majority of respondents had preeclampsia risk factors (90.6%), the highest number were 2 risk factors (43.8%), and 9.4% did not have risk factor. The conclusion of this study was that the majority of respondents have risk factors for preeclampsia, so the identification of preeclampsia risk factors is still relevant to be used as an effort to prevent preeclampsia.
Factors of using Long-Term Contraception Methods in Reproductive Age Women: Age, Parity, and Husband Support
Susanti Susanti;
Mika Tri Kumalaswandari
JURNAL KEBIDANAN Vol 9, No 2 (2019): Oktober 2019
Publisher : Politeknik Kesehatan Kementerian Kesehatan Semarang
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DOI: 10.31983/jkb.v9i2.5230
Maternal mortality (MMR) in Cilacap Regency is still high and receives special attention from the District Health Office. One cause of maternal death is 4 Too (too young, too old, too close and too often). Family Planning as one of the government's efforts to reduce MMR. One of the efforts to reduce the use of contraception and the most effective is the Long Term Contraception Method, which has only reached 30%, this is still less than the target so it is necessary to identify family planning participants for the Long Term Contraception Method. The purpose of this study was to determine the relationship of age, parity and husband's support by selecting the Long-Term Contraception Method in the Central Cilacap Health Center. 1. The study design used descriptive analytic with the cross sectional approach, the research sample was taken using purposive sampling method, as many as 99 mothers. Data were analyzed using chi-square test with a significance level of 95% and (0.05). The results of this study indicated age variables (p = 0.398), parity (p = 0.0340, husband's support (p = 0.536), the conclusion of this study was parity related while husband's age and support are not related to the choice of the Long-Term Contraception Method.
Analysis Factors The Fulfillment of Health Rights in Children with Disability
Endang Susilowati;
Noveri Aisyaroh;
Sri Wahyuni
JURNAL KEBIDANAN Vol 9, No 2 (2019): Oktober 2019
Publisher : Politeknik Kesehatan Kementerian Kesehatan Semarang
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DOI: 10.31983/jkb.v9i2.4092
Most people with disabilities in Indonesia live in conditions that are vulnerable, underdeveloped, and / or poor because there are still restrictions, obstacles, difficulties, and the reduction or elimination of the rights of persons with disabilities. This research was conducted at YPAC Semarang. This study aims to determine the factors that influence the fulfillment of health rights for children with disabilities. The type of crossectional research with bivariate analysis using chi-square and multivariate analysis using logistic regression. The research instrument used a questionnaire given to parents of children with disabilities. The results showed that there was a relationship between the age of the mother during pregnancy (P-value 0.008) and the fulfillment of health rights for children with disabilities. There is a relationship between the work of the mother (p-value 0.002) and the fulfillment of health rights for children with disabilities. The most influential factor after multivariate analysis using logistic regression was obtained which most influenced the fulfillment of health rights for children with disabilities was maternal employment (p-value 0,018, Exp (B) 14,593 (CI 1,596-133,433). The work of mothers who are mostly housewives greatly influences the fulfillment of health rights for children with disabilities.
The Effect of Experience Extension on The Activity of Calculating Fetal Movement Third Trimester of Primiparaous
I Gusti Ayu Putu Sri Wahyuni;
Fitra Arsy Nur Cory'ah
JURNAL KEBIDANAN Vol 9, No 2 (2019): Oktober 2019
Publisher : Politeknik Kesehatan Kementerian Kesehatan Semarang
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DOI: 10.31983/jkb.v9i2.4819
Based on research by the World Health Organization (WHO), around the world there are 10,000,000 infant deaths per year in Indonesia, among ASEAN countries, is the country with the highest perinatal mortality rate, meaning that the ability to provide health services still requires improvements that are comprehensive and of higher quality. Integrated ANC services are also related to effective counseling activities in an effort to improve maternal knowledge about pregnancy care, especially the activity of calculating gesture). The purpose of this study is to determine the effect of experimental counseling fetal motion in third-trimester primigravida. The design in this study was pregnant post nonequivalent control group test. The study was conducted in Meninting Community Health Center, West Lombok Regency. The population of this study was the third trimester of pregnant women, namely 80 people. The sample of this study was 34 people. Test statistics using the Mann Whitney test and Fisher's Exact Test with confidence levels specified α = 0.05 and 95% confidence intervals. The results of the study with the Mann Whitney test P = 0,000 means that there is a significant difference between knowledge about calculating fetal motion in the case group compared to the control group and the Fisher's Exact Test P = 0,000 shows there is an influence of experimental counseling on the activity of calculating fetal movement. The recommendations of this study are to examine the effectiveness of calculating fetal motion for fetal distress.
The Current Use Contraception in Indonesia
Nina Indriyawati;
Kun Aristiati Susiloretni;
Najib Najib
JURNAL KEBIDANAN Vol 9, No 2 (2019): Oktober 2019
Publisher : Politeknik Kesehatan Kementerian Kesehatan Semarang
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DOI: 10.31983/jkb.v9i2.5309
In this report married couple tend to use modern contraception rather than traditional. The objective of the research was to describe the contraceptives methods of family planning among marriage couple. Methods was used nationally representative data from the Indonesian Demographic Health Survey (IDHS) 2017. This was cross-sectional household survey data, designed to be representative at the national, rural-urban, and provincial level. There were 47,963 households respondents targeted, from 33 provinces and 497 districts/cities. The data were selected from all households with currently married women age 15-49 years. The descriptive analyze was used in this research. Results showed 53.95% of married women were currently using the modern methods of contraception and 6.64% traditional method while 39.42% were not using any method. Among women they prefer to using pill, implants, injections, and IUD than sterilization 11.62%, 5.02%, 4.18%, 4.17% and 3.74% respectively. Additionally, among men prefer used Male condom (2.33%) rather than Male sterilization (0.14%). In conclusion the unmet need of contraception is reducing and people are moving towards modern contraception instead of permanent methods, which in turn accelerates the improvement in women’s health.