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Nurdalifah Nurdalifah

Jurnal Sains dan Kesehatan (JUSIKA) 2020 Universitas Muhamadiyah Manado

Indonesia is a developing country with a high population increase. The increasing population situation makes it difficult to improve and equalize people's welfare. The higher the population growth, the greater the efforts made to maintain people's welfare. One strategy to reduce the birth rate is through the use of contraception. However, there are several factors that influence the choice of contraception, including level of knowledge, age, birth spacing and parity and postpartum counseling. So this research aims to explain the analysis of factors that influence the choice of type of contraception in couples of childbearing age at Batara Siang Regional Hospital. Research Design: The type of research is quantitative descriptive correlation with a cross sectional design. The population in this study was all family planning acceptors at Batara Siang Regional Hospital in April 2020. The research sample was 47 couples of childbearing age at Batara Siang Regional Hospital using an accidental sampling technique. The results of the research show that the p value obtained from the Wald test for the age variable is 0.039, which means there is a relationship between age in choosing a contraceptive method. This relationship is statistically significant (OR= 11.139; p = 0.039), the education variable shows that the p value obtained from the Wald test for the education variable is 0.014, which means there is a relationship between education and the choice of long-term contraceptive methods. Conclusion: There is a significant influence between age and education and the choice of type of contraception in couples of childbearing age at Batara Siang Regional Hospital.   

Eva Silviana; Umu Qonitun; PS Dwi Kurnia; Faridatul F Lilia

Jurnal Pengabdian kepada Masyarakat Wahana Usada (WUJ) 2020 Sekolah Tinggi Ilmu Kesehatan KESDAM IX/Udayana

Background: The 15th Midwifery Service Standard states that the Midwife provide services during the postpartum period through home visits. Most Midwives Private Practices (BPS) in the Tuban area have made at least 3 home visits times during the puerperium. In the care of newborns, almost 80% of postpartum mothers do not bathe the baby herself but the midwife bathes her until the umbilical cord falls off with the reason that the mother has not dared to bathe her baby for fear of the umbilical cord still wet, the baby is still too small and the mother's lack of knowledge in bathe the baby. The purpose of doing this community service is so that postpartum mothers understand how to care for newborns and are able to independently bathe the baby and care for the umbilical cord properly. Method: In This community service uses a pre-experimental type (Static-group comparison designs). The population of all postpartum mothers is 33 people. Taking sample by consecutive sampling. The sample size is 24 people, namely 12 people the treatment group and 12 people in the control group. The test used is Test MC Nemar has a Chi Square distribution (c 2 ). Result: The results obtained a change that significant difference between before and after being given health education in the group treatment, namely c2 count (4.50) is greater than table c2 (3.481) then HI is rejected,which shows that there is an influence between the provision of education, how early neonate bathing and how to care for the umbilical cord in postpartum mothers. Conclusion: The attitude of the postpartum mother in bathing the baby and caring for the umbilical cord can be affected by providing health education. Midwives are expected in postpartum visits too teach postpartum mothers about how to bathe babies and care for the umbilical cord. 

M.Kep, Yuni Astuti; Tuti Anggarawati; Arifa Nur Khasanah; Dwi Riyanti

JURNAL KEPERAWATAN SISTHANA 2020 SEKOLAH TINGGI ILMU KESEHATAN KESDAM IV DIPONEGORO

Breastfeeding is an activity that can bring happiness to mothers. Breastfeeding benefits by helping the mother from the delivery process, making the uterus contract quickly and prevent bleeding. Postpartum often have problems in the process of breastfeeding, especially mothers with caesarean section. Post SC delay in breastfeeding is caused by a lack of knowledge about how to breastfeed because the mother does not have adequate knowledge, the mother does not understand how to breastfeed properly, the benefits of breastfeeding and also the impact if the mother does not breastfeed her baby. One of the efforts to increase knowledge about breastfeeding is by providing health education. Giving information to post partum SC is very important in the success of mothers in providing exclusive breastfeeding. The purpose of knowing the effect of health education on breastfeeding techniques is correct in post partum SC. The research design will be conducted using pre-experimental (One group pre-posttest design) and sample selection using purposive sampling. The results of the influence of health education on breastfeeding techniques to increase knowledge of postpartum SC mothers with a p value of 0.001

Ade Yuni Andreani; Himatul Khoeroh

Jurnal Fisioterapi dan Ilmu Kesehatan Sisthana (JUFDIKES) 2020 Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Based on data from the Indonesian Ministry of Health, the number of MMR in 2020 reached 4,627 people. This number increased by 10.25% compared to 2019 of 4,197 people. The number of infant deaths in 2019 was 26,000 cases and increased by almost 40% to 44,000 cases in 2020. The Bumiayu Health Center, one of the auspices of the Brebes Regency in Central Java, contributed 2 cases of AKI and 5 cases of IMR in 2020. by conducting comprehensive midwifery care with a continuity of care approach which is carried out starting from the mother during pregnancy to family planning. Researchers implemented comprehensive midwifery care for pregnant women, childbirth, newborns, postpartum, and family planning using Varney and SOAP documentation. The research method used is descriptive qualitative with a case study approach. Data collection uses interviews, observations, physical examinations, supporting examinations, documentation studies, and literature studies, as well as medical record documentation studies, the main informant is Mrs. W with 2 additional informants namely 1 coordinating midwife and 1 patient's family and 1 triangulation informant namely the head section of the brebes district health office. Based on the results of pregnancy, childbirth, newborns, postpartum, and family planning, there are problems in pregnancy, namely at 30+3 weeks of gestation with an Hb level of 10.4 g/dl in the category of mild anemia. There is no gap between theory and practice. From the results of the study, it can be concluded that comprehensive care for Mrs. W 25 years of gestation, psychological postpartum, physiological delivery, and physiological BBL. There is no gap between theory and practice.

Vidiya Arum Miftachul Jannah; Yuni Astuti

JURNAL KEPERAWATAN SISTHANA 2019 SEKOLAH TINGGI ILMU KESEHATAN KESDAM IV DIPONEGORO

Breast milk is the best food for babies, because breast milk contains nutrients and all the nutrients with the amount and composition needed by the baby. one of the obstacles in the process of lactation on the first day is the mother does not produce enough breast milk or the baby does not want to suck so that the mother does not want to breastfeed the baby. Way that can be done to increase milk production is by doing the technique  marmet. This case study aims to illustrate the increased production breast milk in post partum mothers after nursing with marine techniques in hospitals Bougenville Room TK III 04.06.02 Bhakti Wira Tamtama Semarang. The type of this research is descriptive by using case study approach method. Subjects in this study were two patients with postpartum mother with criteria of primiparous mother, postpartum mother who breastfeeding, mother who is willing to be respoden, babies performed nursing. The analysis was measured based on an observed sheet of fluid milk production. the results of case studies show an increase in milk production from a score of 12 categories not smooth to score 19 categories smoothly on subject I and score 13 categories not smooth to score 20 categories smoothly on subject II. Recommendations need to be consistent nurses in taking action marmet techniques to increase milk production in primipara mother.

Reni Rahayu; Munaaya Fitriyya

JURNAL KEPERAWATAN SISTHANA 2019 SEKOLAH TINGGI ILMU KESEHATAN KESDAM IV DIPONEGORO

Perdarahan postpartum menjadi penyebab utama 40% kematian ibu di Indonesia terutama atonia uteri dan ruptur perineum. Tujuan studi kasus ini meresume asuhan kebidanan ibu bersalin primigravida dengan senam hamil terhadap pencegahan ruptur perineum dan mengidentifikasi efektivitas senam hamil terhadap ruptur perineum pada ibu bersalin primigravida. Metode penelitian studi kasus ini menggunakan metode observasional deskriptif  yang dilakukan di Puskesmas Kebakkramat I pada bulan Maret sampai April 2016 pada ibu bersalin primigravida dengan senam hamil melalui teknik pengumpulan  data primer dan sekunder dengan format asuhan kebidanan pada ibu bersalin dengan 7 langkah varney dan melaksanakan latihan senam hamil sesuai dengan SOP serta nama inisial dan surat persetujuan. Hasil penelitian didapatkan responden yang mengikuti senam hamil sejak usia kehamilan 28 minggu dengan frekuensi dan ketepatan pelaksanaan mampu mengurangi resiko terjadinya ruptur perineum sampai dengan derajat IV bersamaan dengan pelaksanaan persalinan yang aman dan nyaman. Kesimpulan senam hamil cukup efektif untuk mengurangi resiko terjadinya ruptur perineum pada ibu bersalin primigravida.