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Titin Patimah; Nanik Yuliwati

International Journal of Medicine and Health 2023 Lembaga Pengembangan Kinerja Dosen

Background : Early Initiation of Breastfeeding (IMD) is the process of placing a newborn on the mother's chest or stomach so that the baby can naturally find its own source of breast milk or breast milk and start breastfeeding. The baby will get immunity. IMD is beneficial for mothers because it can help speed up the postpartum recovery process Research purposes : To find out the relationship between parity, type of delivery and the age of the mother to the provision of early breastfeeding initiation (IMD) at the Lemahduhur Health Center in 2022 Research methods : The type of research used in this research is quantitative with a cross sectional research design. The population in this study is168 mothers giving birth. The sample in this study were 63 mothers giving birth using the accidental sampling technique. Bivariate analysis using the chi-square test. Research result : The distribution of the frequency of parity descriptions of mothers giving birth at the Lemahduhur Health Center in 2022 is partly 1-4 times as many as 45 people (71.4%). The distribution of the frequency of descriptions of the types of maternal deliveries at the Lemahduhur Health Center in 2022 is mostly normal, with 41 people (65.1%). The frequency distribution of the description of the age of mothers giving birth at the Lemahduhur Health Center in 2022 is mostly 20-40 years, with 36 people (57.1%). The distribution of the frequency of giving Early Breastfeeding Initiation (IMD) at the Lemahduhur Health Center in 2022 is mostly yes, as many as 42 people (66.7%). Conclusion : Can be concluded thatthere isthe relationship between parity, type of delivery and the age of the mother to the provision of early breastfeeding initiation (IMD) at the Lemahduhur Health Center in 2022.

Wa Ode Sitti Fidia Husuni; Andi Sri Hastuti Handayani Usman; Nuraisyah Bahar

International Journal of Medicine and Health 2022 Lembaga Pengembangan Kinerja Dosen

Premature rupture of membranes (PROM) is defined as the rupture of the membranes before the time of delivery at aterm pregnancy. The research used a quantitative study and an analytical survey with a Cross Sectional approach. The independent variable was parity and maternal age, while the dependent variable was premature rupture of membranes. This study used secondary data from 2019 to 2020. The population of this study were all 379 mothers giving birth in the VK room at the Muna Barat Hospital, and the sample in this study was 36 respondents who experienced PROM. The sample collection technique used a simple random sampling technique. This analysis used a contingency coefficient with an error rate (α = 0.05). The results showed that at term pregnancy there were 66% of mothers who experienced PROM in the age group < 20 years and > 35 years and at term pregnancy there were 71% experiencing PROM in the primipara and grandemultipara groups. From the results of statistical analysis were using SPSS, it was found that the P value < 0.05 for the age and parity groups, where these results indicated there is a relationship between maternal age (< 20 and > 35 years) and maternal parity (primipara and grade multipara) with the incidence of PROM. It is hoped that midwives as health service providers for pregnant, maternity and postpartum women can further enhance their role in providing counseling to women, both adolescents and women of childbearing age, about a safe reproductive age for pregnancy and childbirth.  

Umi Kalsum; Dwi Ghita

International Journal of Medicine and Health 2022 Lembaga Pengembangan Kinerja Dosen

Childbirth is a series of processes that end with the expulsion of the products of conception by the mother. The World Health Organization (WHO) estimates that there are more than 585,000 maternal deaths caused by complications of pregnancy and childbirth worldwide every year. Of the many who go through labor, not all of them experience tearing of the birth canal or perineal rupture. 1 in 4 women who experience perineum intact during labor. Due to the birth process, the perineum is widened by 170% from the transverse position (side to side) and 40-6-% in the vertical position (front to back) during the crowing process, so that there is a greater risk of perineal rupture. In Indonesia, out of a total of 1951 vaginal births, 1465 or 75% experienced perineal rupture, 158 or 8% received perineal sutures due to episiotomy and 566 or 29% experienced spontaneous tears. The purpose of this study was to determine the relationship between the technique of straining in childbirth and the incidence of perineal rupture at the Kapasa Health Center The research method used was an analytic survey, using the Cross Sectional Study approach, which is a form of observational (non-experimental) study to find the relationship between the independent variable and the dependent variable by taking momentary measurements in the research conducted by analyzing the relationship between knowledge of Maternity Straining Techniques and Events Perineal Rupture at the Kapasa Health Center. The results showed that the level of knowledge was not good with the incidence of perineal rupture as many as 11 respondents (52.3%) and knowledge.

Esther Siringo-ringo

Jurnal Riset Rumpun Ilmu Kesehatan 2022 Pusat riset dan Inovasi Nasional

Postpartum blues or often called baby blues or maternity blues is a mild psychological disorder that occurs temporarily, namely 2 days to 2 weeks after giving birth, which is characterized by anxiety, easy panic, fatigue, often blaming yourself and feeling unable to take care of the baby. This research aims to determine the relationship between husband's support, family support and adjustment to the new role as a mother with the incidence of postpartum blues in the working area of ​​the Sigompul Community Health Center, Lintong Nihuta District, Humbang Hsundutan Regency in 2023. Quantitative research with a cross-sectional design, was conducted in the working area of ​​the Community Health Center Sigompul Kec. Lintong Nihuta Kab. Humbang Hasundutan from January to May 2023. The respondents for this research were 80 people. Sampling was carried out using proportional sampling technique. The research instrument used was a questionnaire. Univariate and bivariate analysis used chi square (p<0.05).

Ika Damayanti Sipayung; Ridesman Ridesman; Riska Susanti Pasaribu; Lasria Yolivia Aruan; Esra S.M Tambunan

Jurnal Riset Rumpun Ilmu Kesehatan 2022 Pusat riset dan Inovasi Nasional

The aim of the study was to find out the description of the knowledge of mothers about premature rupture of membranes at RSIA Artha Mahinrus Medan in 2022.Background: One of the causes of high maternal morbidity and mortality is caused by premature rupture of membranes. Premature rupture of membranes is the rupture of the membranes before there are signs of labor and wait one hour before the start of labor. The incidence of premature rupture of membranes is close to 10% of all deliveries (Manuaba, 2013). Purpose: This study aims to describe or describe the knowledge of mothers about premature rupture of membranes. Methods: The type of research used was descriptive with a cross-sectional approach, the population in the study There were 87 mothers giving birth with a sample of 53 respondents. The sample technique used was accidental sampling, the analysis used was univariate analysis. Results: The study concluded that the high knowledge of birth mothers is strongly influenced by education and experience. Where from 68 respondents with higher education who have good knowledge as many as 18 respondents (72.0%). Experienced birth mothers who had good knowledge were 23 respondents (60.5%). Conclusion: Knowledge of mothers about premature rupture of membranes during pregnancy is greatly supported by education and experience. Therefore it is suggested that all parties improve services, especially in providing information about the importance of preventing premature rupture of membranes.

Apipah Apipah; Mariyani Mariyani

International Journal of Medicine and Health 2022 Lembaga Pengembangan Kinerja Dosen

Background: The low level of breastfeeding in the first hour after birth and exclusive breastfeeding resulted in stunted growth of the baby, especially the weight and length of the baby. The government's first step in an effort to improve the health status of infants is to implement early initiation of breastfeeding (IMD). The results of a preliminary study on 4 infants who experienced an increase in body weight of 150-250 grams were previously carried out by IMD. Objective: Knowing the effectiveness of the IMD implementation on infant weight gain at the Kolelet Health Center Lebak Banten in 2022. Methodology: This research is quasi-experimental research with one-group pretest-posttest design method. The sample in this study were babies born at the Kolelet Health Center Lebak Banten in June 2022 as many as 30 respondents with a total sampling technique. The data were analyzed using the Paired sample t-test before the normality test was carried out. Results: The results of the univariate analysis showed that the baby's weight before the IMD was done on average = 2,965.00 grams and after the IMD was done the average = 3,333.67 grams so that an average difference was found of 368.67 grams. The results of the bivariate analysis showed that there was an effectiveness of the IMD implementation on the baby's weight gain with p = 0.000. Conclusions and Suggestions: The implementation of IMD is effective in increasing the baby's weight. Maternity mothers and their families are expected to increase their knowledge about the importance of IMD in order to increase their awareness in carrying out IMD to their babies and make mothers motivated to continue giving their breast milk without additional food so that the growth and development of babies can grow optimally and mothers avoid postpartum hemorrhage.

Hajratul Azward

Jurnal Sains dan Kesehatan (JUSIKA) 2021 Universitas Muhamadiyah Manado

The causes of maternal death were bleeding (28%), infection (11%), eclampsia (24%), and obstructed or prolonged labor (5%). One of the causes of bleeding as a cause of AKI is perineal rupture. Perineal rupture is influenced by several factors, including: Maternal factors include maternal age, parity, pregnancy spacing, inappropriate delivery methods. Compliance with menstrual guidance is very necessary for the success of the birthing process to prevent perineal rupture. The aim of this study was to determine the relationship between maternal compliance with counseling and perineal rupture at Batara Siang Regional Hospital. The method used was analytical observational with a cross sectional approach, the sampling technique was purposive sampling with a total sample of 32 mothers giving birth. Results: There is a significant relationship between compliance with gentle guidance and the incidence of perineal rupture in mothers giving birth, seen from the results of non-parametric statistical analysis using the Spearman rank test and using SPSS 16 to obtain a significance or sign value. (2-failed) of 0.001.

Miftahul Jannah

Jurnal Rumpun Ilmu Kesehatan 2021 Pusat Riset dan Inovasi Nasional

Pregnancy is a physiological and natural condition that occurs in women. There are various complaints experienced by pregnant women during their pregnancy, one of the most common complaints is dizziness. Objective: LTA provides comprehensive midwifery care to pregnant, maternity, postpartum, BBL, neonate and family planning women using a midwifery management approach for Mrs "P" who complained of dizziness. Method: Care in this LTA is through interviews, observation and care management. The subject in this care is Mrs "S" at the Pratama Riyyan Kabanjahe Clinic. Results: results of comprehensive midwifery care for Mrs "S" during pregnancy in the second trimester and third trimester with dizziness, in normal labor, spontaneously without complications, in the postpartum period with normal puerperium, in BBL with BBLN, in patients. The care that mothers receive for family planning counseling is to inform the mother about normal vital signs and her current condition, provide health education about family planning effectiveness, side effects, and how to use it and explain to the mother how to space her pregnancies or to space her pregnancies. After midwifery care was provided to Mrs. S, the results of the evaluation showed that the mother was healthier and able to carry out daily activities. Based on the results of the questionnaire from assessing maternal knowledge about childbirth, it was found to be ADEQUATE with 70% results from 20 questions.