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The postpartum period is a crisis for mothers due to various changes that occur physically, psychologically, and in family structures that require an adaptation or adjustment process. From the records of the Jepara District Health Office in 2021, data obtained from 127 of 392 maternity mothers (32.4%) experienced postpartum blues symptoms between the ages of 17 and 19. This study aimed to determine the relationship of adolescent postpartum mothers to the incidence of postpartum blues in the District of Nalumsari Jepara. This study used an analytical design with a cross-sectional approach. The population in this study were teenage mothers who gave birth in July 2022 at the Nalumsari Health Center Jepara. The sample is 35 respondents utilizing total sampling. The research instrument used the EPDS questionnaire and was analyzed using the Chi-Square statistical test. The results showed that (1) most of the respondents, as many as 20 people (57.1%), were in their late teens (16-19). (2) The incidence of Postpartum Blues in postpartum mothers who did not experience postpartum blues was 14 people (40%), mild postpartum blues were nine people (25.7%), and severe postpartum blues were 12 people (34.3%). (3) the results of the bivariate analysis showed that there was no relationship between postpartum teenage mothers and the incidence of postpartum blues in the District of Nalumsari Jepara (p-value 0.254 > 0.05). The result showed that age was not the main factor in the incidence of postpartum blues; however, it was caused by other factors such as social, psychological, and emotional factors. In addition, a person's maturity level cannot be determined merely by age. It is suggested that mothers who will undergo childbirth should enrich their knowledge about postpartum period psychological adaptation and factors influencing the incidence of postpartum blues by carrying out activities during antenatal care so that there is preparation to undergo the delivery process until postpartum care and baby care appropriately.   Keywords: Teenage postpartum mother, Postpartum Blues Occurrence

Breastfeeding is the process of giving milk to babies or small children with breast milk (ASI) from the mother's breasts. Every effort is made to help mothers achieve success in breastfeeding their babies, which is called lactation management (Sutanto, 2018). Giving formula milk is not recommended for babies aged 0-6 months, because it can increase the risk of illness and even death in babies. UNCIEF states that giving formula milk can increase by 25 times the incidence of death in babies early in life compared to babies who are given exclusive breast milk.               This study used an analytical research design with a cross-sectional study approach, the population in the study was 50 people using Consecutive Sampling sampling, all subjects who came and met the selection criteria, and were included in the study until the required number of subjects was met. The data analysis used is chi square. The results of statistical tests using the Chi Square test obtained a result of 0.004. These results are smaller than the P value (0.05) or 0.004<0.05, meaning that there is a significant relationship between maternal knowledge and formula milk feeding, so the hypothesis in this study can be accepted. The results of statistical tests using the Chi Square test obtained a result of 0.003. These results are smaller than the P value (0.05) or 0.003<0.05, meaning that there is a significant relationship between maternal education and formula milk feeding, so the hypothesis in this study can be accepted. The results of statistical tests using the Chi Square test obtained a result of 0.005. These results are smaller than the P value (0.05) or 0.005 < 0.05, meaning that there is a significant relationship between mother's work and giving formula milk, so the hypothesis in this study can be accepted.       The conclusion is that there is a relationship between maternal education and the provision of formula milk at the Tanoh Alas health center. It is hoped that this research can be used to provide appropriate steps or strategies to encourage the public and health workers to provide exclusive breastfeeding, by minimizing the factors that influence early provision of formula milk.  

Injectable contraception is a way to prevent pregnancy by means of hormonal injections. This type of hormonal contraceptive injection in Indonesia is being used more and more because it works effectively, is practical to use, is relatively cheap and safe. This study aims to determine the relationship between the use of 3-month injection birth control and weight gain in women of childbearing age at the Maga Health Center in Mandailing Natal Regency in 2022. This type of research is an analytical survey with a cross-sectional approach. The population is all pregnant women who are at the Maga Health Center, Mandailing Natal Regency in 2022, with a total of 36 pregnant women. The number of samples used was 52 people obtained by using purposive sampling technique. Data analysis technique using chi square. the results obtained in this study were from 52 respondents, there was a relationship between the knowledge variable and weight gain with a value of p = 0.001, there was a relationship between the variable length of use and weight gain with a value of p = 0.002, there was a relationship between the age variable and weight gain body with a value of p = 0.002, there is a relationship between the education variable and weight gain with a value of p = 0.003 and there is a relationship between the work variable and weight gain with a value of p = 0.001. there is a relationship between knowledge variables and weight gain, there is a relationship between variables of length of use and weight gain, there is a relationship between age variables and weight gain, there is a relationship between education variables and weight gain and there is a relationship between work variables and weight gain . It is suggested to the puskesmas to increase the mother's knowledge to increase counseling related to the use of injecting contraception.

Human immunodeficiency virus (HIV) is an infectious disease caused by infection with the human immunodeficiency virus that attacks the immune system. The infection causes a decrease in the defense of the immune system which then makes the body more vulnerable to various other diseases. This study aims to determine the factors that influence pregnant women in examining HIV/AIDS at the Maga Health Center in 2022. This type of research is an analytic survey with a cross-sectional approach. The population is all pregnant women who are at the Maga Health Center in 2022, a total of 50 pregnant women. The number of samples used was 50 people obtained by using total sampling technique. Data analysis technique using chi square. The results obtained in this study were from 50 respondents, there was a relationship between the variable knowledge of pregnant women and VCT participation with a p value = 0.025, there was a relationship between the attitudes of pregnant women and VCT participation with a p value = 0.015. Conclusion: there is a relationship between the variable knowledge of pregnant women and VCT participation, there is a relationship between the variable attitudes of pregnant women and VCT participation. It is suggested to the puskesmas to increase the knowledge of pregnant women to increase counseling related to VCT examinations.

Background: According to WHO data, in Southeast Asia in 2015 the HIV rate reached 5.1 million patients with 77,000 pregnant women living with HIV, and 19,000 new cases of pediatric HIV infection have been found. This is a number that can be considered fantastic compared to other regions. Meanwhile for syphilis, the incidence rate has shown an increase of 0.32% in the Southeast Asian region. The number of patients shows up to 167,000 cases of syphilis in pregnant women. It had a disastrous impact by producing 65,800 adverse outcomes including early fetal death. For Hepatitis B, Southeast Asia bears 15% of the total number of Hepatitis B patients worldwide with a total of 39 million people. Prevention activities have been carried out by the Ministry of Health of the Republic of Indonesia by holding a program called Triple Elimination in accordance with WHO recommendations (2017). The activity was in the form of carrying out tests for HIV, Hepatitis B and Syphilis (triple Elimination) during Antenatal Care (ANC) for Pregnant. Research Objectives: to find out the factors that influence the triple elimination examination in pregnant women at the Sarageni Health Center, Lebak Regency in 2022. Research Methods: quantitative with cross sectional research design. The sample in this study was 65 pregnant women in the Sarageni Health Center area in November 2022 (Purposive Sampling). Data were collected using a questionnaire given to respondents then processed and analyzed univariate and bivariate and tested with the Chi Square test. The results of the study: the prevalence that affects the compliance of pregnant women Age p-value 0.006 <0.05 Education p-value 0.000 <0.05 Socio-economic p-value 1.000 >0.05 and Husband support p-value 0.000 <0.05.

 Pregnant women are listed as one of the vulnerable groups at risk of infection with Covid-19, and the current pandemic conditions have made pregnant women anxious. The objective of this research was to describe the anxiety and causes of anxiety in pregnant women at the Umban Sari Health Center during the Covid-19 pandemic. Method: The research method used was simple descriptive. This research was carried out in the work area of Umban Sari Health Center, with a total sample of 80 pregnant women obtained using a purposive sampling technique. The Perinatal Anxiety Screening Scale questionnaire was used as a measuring tool, univariate analysis was used. Results: The majority of respondents (42.5%). The cause of anxiety was that 60.8% of respondents were concerned about conctracting Covid-19 from other patients who checked their pregnancies, 53.8% were concerned about childbirth with few visitors, and 68.8% were concerned about not receiving the expected service, the cause of anxiety was that 28.8%  experienced mild anxiety at non high risk ages, 30% in multigravida pregnancies, and 17.5% in the second trimester, reported mild anxiety. Conclusion: Pregnant women’s anxiety is mild anxiety, which health service, age, gravida and gestational age was the causes of anxiety.  

Immunization is an action that provides immunity to individuals so that when exposed to a disease they will only experience mild illness or no pain. Immunizations are carried out mainly in children. Immunizations carried out on children are basic immunization and advanced immunization. Due to the COVID-19 pandemic, immunization cannot run properly. This study aims to find out about the achievements of basic and follow-up immunizations between before, during, and the transition period of the COVID-19 pandemic in the Cempaka Putih sub-district. Research Methods: This research is an observational descriptive study in the work area of the Cempaka Putih District Health Center. The research sample in this study was a history of basic and follow-up immunizations from children living in the working area of the Cempaka Putih District Health Center. The results showed that the achievement of basic immunization and children under two in 2019 (before the COVID-19 pandemic) reached the target, then in 2020 (pandemic COVID-19) the achievement of basic immunization and children under two did not meet the target. In 2021 (COVID-19 pandemic) the achievement of basic and under-five immunizations reached the target, then in 2022 (COVID-19 transition period) the achievement of basic and under-five immunizations was achieved.    

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.

Management of labor pain is an attempt to reduce MMR. Labor pain must be treated in an effective way because if the pain is accompanied by a stress reaction, it will have harmful side effects for the mother and also the fetus. The midwife at the Ngesrep Health Center has never used birth balls as an intervention to treat inpartu mothers. The purpose of this study was to determine the effect of using a birth ball on reducing labor pain in the active phase of the 1st stage. This type of research is a quasi-experimental design with one group pretest posttest design. The population in this study were all mothers with an estimated day of birth in July to August 2022 who will give birth at the Ngesrep Health Center Semarang. The sampling technique was purposive sampling and the number of samples was 31 people. Data collection tools used in this study include Standard Operating Procedures (SOP), Birth Ball Techniques, Numerical Rating Scale (NRS), Observation Sheets and birth balls with a diameter of 55 cm or 65 cm. Data analysis was carried out using the paired sample t test. The results of the study obtained a t value of 9.613 which means that every 1 time birth ball intervention with 4 movements for 30 minutes makes the primigravida have the potential to be 9.613 times to be able to reduce labor pain in the active phase of the 1st stage. The p-value is 0.000 <0.05, so the hypothesis (H0) is rejected and (Ha) is accepted, so it can be concluded that there is an effect of using birth balls on reducing labor pain in the active phase of the 1st stage of labor in primigravida at Ngesrep Health Center Semarang. For health services, it is expected that the use of birth balls can be used as an alternative to reduce labor pain in the active phase of the 1st stage of primigravida.

TT ​​immunization is the provision of immunity through TT absorbent vaccine containing purified tetanus toxoid to provide active immunity against tetanus.. Objective : To determine the relationship between Age, Knowledge, Family Support with completeness of TT immunization for pregnant women in the working area of ​​Madello Public Health Center, Barru City in 2022. Methods : This study uses cross sectional method. The population in this study were all pregnant women who visited the Puskesmas. The sampling technique is purposive sampling. Data was processed using SPSS and analyzed by univariate and bivariate with chi-square statistical test and presented in the form of a frequency distribution table. The results of the study: Shows that there is is a relationship between family support and completeness of immunization where the p value = 0.01, this means that the p value < (0.05) because the p value is less than 0.05. Conclusion: There is a relationship between Age, Knowledge, and Family Support with the completeness of TT immunization in the working area of ​​the Madello Health Center, Barru City in 2022. 

Objective: Over-retained tooth is condition when the primary tooth as retainer of the permanent tooth not exfoliate promptly, while permanent tooth has been erupted. The oral health problems in Makassar  reported anomalies of tooth development and eruption were in the second place with 8.897 cases in 2018. Mangasa  Public Health Center (PHC) possessed the highest number of over-retained tooth cases which becomes their primary problem in this category. Children's oral and dental health particularly over-retained tooth is largely determined by the awareness of their mothers’ behaviour and knowledge. The purpose of this study was to determine the correlation between mothers’ knowledge towards dentition and over-retained tooth during mixed dentition case on children aged 7-11 years in Mangasa PHC area. Method: This study was analytical observation research with cross sectional design. There were 106 samples of children aged 7-11 years together with their mothers in Mangasa PHC obtained by using simple random sampling. Data were collected through questionnaire and children's oral examination. Data were analyzed by the ChiSquare test. The results of this study showed that 54.7% of children in Mangasa PHC area had over-retained tooth. The high level of mother's knowledge about dentition was 55.7% Result: The results of the analysis between the mother's knowledge of dentition and over-retained tooth obtained value of p = 0,0001. Conlusion: There was a significant correlation between mothers knowledge of dentition and occurrence of over-retained tooth among children aged 7-11 years in Mangasa PHC area.

Family support is assistance that can be given to other families in the form of goods, services, information, and advice which makes the recipient of support feel loved and appreciated. In this case, family support will bring a sense of joy, security, satisfaction, and comfort that makes pregnant women feel emotionally supported which will affect their mental well-being. Objective: This study aims to determine the relationship between family support and anxiety in Primigravida pregnant women in the third trimester in the work area of  the Simeulue Tengah Health Center UPTD, Simeulue Regency. Method: This research method is an analytical survey with a cross-sectional approach with a sample size of 36 respondents using the total sampling technique. The study began on December 16-20, 2022. Results: Family support is in the sufficient category with 16 respondents (44.4%) and the level of anxiety in Primigravida pregnant women in the third trimester is in the moderate and severe categories, each with 12 respondents (33.3%). Conclusion: Based on the results of the study, it was found that there was a relationship between family support and anxiety levels in Primigravida pregnant women in the third trimester at the UPTD Simeulue Tengah Health Center, Simeulue Regency with a p-value = 0.043. Suggestion: It is hoped that medical personnel at the Health Center can provide counseling to families who have pregnant women.

The elderly are an age group that is vulnerable to nutrient digestion due to physiological, psychological, and social changes. This study aims to determine the nutritional status of the elderly in Krueng Bekah Village in the Pante Ceureumen Health Center work area. The method used is quantitative descriptive with a total sampling technique. Data collection was carried out by interviewing and anthropometric measurements. The results of this study showed that 68% of the elderly experienced malnutrition, 13% normal nutrition, and 19% overnutrition. The conclusion of this study is that the elderly mostly have poor nutritional status. The research suggestion is that the health center conducts anthropometric measurements and records the health status of the elderly comprehensively on the Healthy Menu Card for the elderly and counseling with nutrition experts regarding the health of the elderly to overcome these problems.

Malaria is still a public health problem in Indonesia because of its high morbidity and mortality rates, especially in areas outside Java and Bali. In transmigration areas where there is a mixture of people from endemic and non-endemic areas of malaria, cases or epidemics still frequently occur which cause many deaths. Data from the Tebo District Health Office for January-July 2014 were 519 people out of a population of 328,564 people (0.16%) with an AMI of 1.6. The highest incidence of malaria was in the Mengupeh Health Center, Tengah Ilir District, with 75 people out of a population of 11,820 people (0.63%) with an AMI of 6.34. The purpose of this study was to find out the description and relationship between malaria prevention efforts in the Working Area of ​​the Mengupeh Health Center, Tengah Ilir District, Tebo Regency in 2015. This research is a quantitative study with a cross sectional research design. In this study, the sample was the community in the Working Area of ​​the Mengupeh Health Center, Tengah Ilir District, Tebo Regency, with a sample size of 96 people. The results showed that of the 96 respondents, 57 (59.4%) respondents had poor motivation, 59 (61.5%) respondents had a bad environment, respondents had poor malaria prevention efforts. The results of the analysis showed that there was a relationship between motivation and a p value of 0.007 (p <0.05), environment with a p value of 0.009 (p <0.05) on malaria prevention efforts in the Working Area of ​​the Mengupeh Health Center, Tengah Ilir District, Tebo Regency. Advises the public to be active in seeking information about prevention of malaria in order to reduce the incidence of malaria. At the same time actively maintaining the cleanliness of the home environment and their respective settlements.    

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.

Background. Anemia during pregnancy is still a major problem in the world today because it is one of the causes of maternal death or also known as "Potentional Danger To Mother And Child". The high incidence of anemia in pregnant women is multifactorial, from a pure deficiency of iron, folate, B12, the level of knowledge and attitudes of pregnant women about the incidence of anemia. Objective. To determine the relationship between the knowledge and attitudes of pregnant women towards the incidence of anemia at the Mamboro Health Center Research methods. The type of research used is quantitative research with a Cross Sectional Study approach. The sample is 20 people with the sampling technique using the feeder formula. Research result. The results of the study with 20 respondents having good knowledge were 1 respondent (5.0%) with anemia, 8 respondents (40.0%) good knowledge not anemia and as many as 11 respondents (55.0%) lacking knowledge with anemia, Based on data analysis with Fisher's test Relationship between knowledge and The incidence of Anemia obtained p value = .000 <0.05 and the relationship between Attitude and Anemia Incidence with Fisher's test obtained p value = 0.004 <0.05 with the results of a positive attitude study of 1 respondent (5.0%) with anemia, 6 respondents (30.0%) attitude positive without anemia. And as many as 11 respondents (55.0%) have a negative attitude with anemia. 2 respondents (10.0%) had a negative attitude with no anemia. Conclusion. there is a relationship between knowledge and the incidence of anemia and there is a relationship between the attitudes of pregnant women and the incidence of anemia.

The main problems that often occur in people with Diabetes Mellitus (DM) are stress and an increase in blood sugar. Uncontrolled stress for a long time can lead to an increase in blood sugar levels, which can lead to various complications. One of the physical activities that can be done with relaxation is Progressive Muscle Relaxation (PMR) is an intervention that can be done in people with diabetes. The purpose of the study was to determine the effect of Progressive Muscle Relaxation (PMR) on increasing stress and blood sugar levels. The research design used a quasi-experimental approach with a pre-post-test control group design approach. The sample consisted of 36 respondents who were divided into 18 intervention groups and 18 control groups. The group was given a therapeutic intervention for 1 week with a duration of 2 times a day, namely in the morning and afternoon for 10-15 minutes. The instruments used are a glucometer, blood sugar level observation sheet, and Diabetes Distress Scale (DDS) questionnaire. Data analysis used the Wilcoxon test and Paired t-test to see pair data. Then for the research group, the data used the Man-Whitney Test. The results showed that there was a significant effect on decreasing blood pressure (p=0.013) and that there was an effect on decreasing blood sugar levels (p=0.034). Conclusion: Progressive Muscle Relaxation (PMR) affects reducing stress and blood sugar levels in Type 2 DM patients.

Elderly background is defined as someone who is already 60 years old and above. Posyandu Lansia is an activity in community health services and family health services in a certain community-driven area where they can get health services. This study aims to determine the implementation of posyandu for the elderly  during the Covid-19 period  at the Putri Ayu Health Center, Jambi City. Method: this research method  is  qualitative.  Data collection  was carried out by in-depth interviews of  12 informants,  selection of informants by purposive sampling.  Result: The posyandu for the elderly in the work area of  the putri ayu  health center is not constrained by facilities and infrastructure. The Health Office provides an support in the form of facilities and infrastructure.   Operational costs  have been assigned to the  elderly Posyandu so that it  can run  well.  When Covid 19 occurred, all posyandu activities  of  the elderly stopped.  Conclusion:  Elderly people cannot be done during the Covid-19 pandemic due to the outbreak  and  the government's policy   of limiting activities during the Covid-19 period.

The Mranggen III Health Center is one of the government agencies in the technical implementing unit of the Demak District health office. Patient registration services and administrative payments at the Mranggen III Health Center are still conventional, causing long queues. In addition, the process of processing data to become information cannot be accessed directly by the leadership because there are no computerized and multi-user or client-server applications. Based on these problems, a Puskesmas administration information system design was made that could suit the needs. Making an information system using the programming language Microsoft Visual Basic 6.0 and SQL Server 2000 as a multiuser-based database. With the design of the development of an administrative information system for the Mranggen III Health Center, it is hoped that it will be able to handle the problems that exist in the Mranggen III Health Center, namely being able to speed up service to patients and by using a multiuser-based information system. Leaders and several staff can access it simultaneously and quickly.

Until now, knowledge about COVID-19 infection in relation to pregnancy and the fetus is still limited and there have been no recommendations issued by WHO specifically for the treatment of pregnant women with Covid 19. Objective: Relationship between the level of understanding and compliance of pregnant women regarding the importance of ANC examinations with Implementing the Covid-19 Health Protocol in the Rumbia Pueskesmas Work Area, Rumbia District, Jeneponto Regency. The type of research used is a cross sectional study. The sample was 39 pregnant women who visited ANC in the working area of ​​the Rumbia Health Center, Rumbia District, Jeneponto Regency. The results of the research show that there is a relationship between pregnant women's compliance regarding the importance of ANC examinations and implementing the Covid-19 health protocol in the Rumbia Pueskesmas work area, Rumbia District, Jeneponto Regency with a p value = 0.000 < α 0.05, there is a relationship between the level of understanding of pregnant women about the importance of ANC examinations. by implementing the Covid-19 health protocol in the Rumbia Pueskesmas work area, Rumbia District, Jeneponto Regency with a p value = 0.000 < α 0.05. Conclusion: there is a relationship between the compliance of pregnant women and the level of understanding of pregnant women about the importance of ANC examinations by implementing the Covid-19 health protocol in the work area of ​​the Rumbia Pueskesmas, Rumbia District, Jeneponto Regency. Suggestions: For mothers who will visit the Rumbia Community Health Center, Rumbia District for pregnancy checks, they are expected to always wear a mask, in this case knowing the importance of the Covid-19 health protocol.