Publication Search

Weight gain can be a concern for some women, with some considering a body conforming to specific beauty standards as an ideal or desired goal. The use of progesterone hormone injections, which affect the appetite control center in the hypothalamus, can increase appetite and potentially lead to weight gain. This research employs a descriptive-analytical method with a quantitative approach conducted at the Independent Midwife Practice in the working area of the Kragilan Serang Community Health Center, Banten, using secondary data from medical records. Data collection involved 96 respondents divided into 48 samples of 1-month injectable contraceptive (KB Suntik) users and 48 samples of 3-month injectable contraceptive users. The total research sample size is 96 respondents, with the majority falling in the 20–40 age group and the remainder aged >40 years. The results indicate that among the 48 respondents using the 1-month injectable contraceptive, the average weight gain is 0. 938 kg, while for the 3-month injectable contraceptive, the average weight gain is 4. 251 kg.

Introduction: Conditions in Indonesia based on data from the 2019 Nutrition Status Study of Toddlers in Indonesia (SSGBI) are still relatively high, where the prevalence of stunting is 27.67%. The GADHIES model aims to clarify and facilitate work steps in carrying out health promotion and can complement the shortcomings of each of these models. The purpose of this service is to improve the competence of village midwives in health promotion by empowering the community to use local ingredients in making healthy and nutritious food as an effort to prevent stunting, as well as increase public awareness of the dangers of stunting in children. Method: The implementation of this activity goes through three stages of activities, namely planning, implementation and monitoring evaluation. During the planning, a Focus Group Discussion (FGD) began first between the PKM team, the Puskesmas and village midwives. The implementation of the gadhies model health promotion model training for stunting prevention was carried out for 2 days which was attended by 15 village midwives, with 3 resource persons, lecture methods and interactive discussions using power point media, gadhies model posters, gadhies health promotion pocket books, and also the Gadhies Model Training Module. After carrying out this training activity, the team conducted monitoring and evaluation to see the improvement of midwives' competence on the gadhies model health promotion method. Results: There was a significant increase in midwife's competence in health promotion from 2 (13.3%) during the pretest to 14 (93.3%) during the posttest. There was a significant increase in maternal satisfaction with health promotion services by midwives from 4 (26.7%) to 15 (100%) after midwives received health promotion training on the Gadhies model.

This service activity was carried out in the Domestic Trade Sector, Central Java Provincial Industry and Trade Office with the aim of supporting the data collection process and updating the prices of basic necessities. This activity focuses on providing accurate and up-to-date price data as the basis for making price stabilization policies by local governments. The implementation of activities includes observation of the internal data collection system, daily price data input, data validation, and preparation of price development reports. In addition, the service team also coordinates with field officers and market managers to ensure the completeness of information and consistency of the data received. The technical assistance process related to the use of data collection application tools is also carried out to improve the competence of apparatus in managing information more effectively. The results of the activity show that systematic data updates are able to improve administrative efficiency, database accuracy, and support decision-making processes related to regional economic stability. Furthermore, the availability of more reliable price data allows local governments to detect potential price fluctuations early and formulate more timely and targeted intervention steps.

This community engagement program aims to analyze and strengthen institutional synergy among the Special Crimes Division, the Civil and Administrative Affairs Division, and the Intelligence Division of the Palangka Raya District Prosecutor’s Office through a community-organizing framework and participatory collaboration. The initiative stems from a strategic need to optimize coordination, enhance the effectiveness of law enforcement, and foster the development of an integrated work pattern that is responsive to the complexities of contemporary legal issues. Using the participatory action research (PAR) method, the program was implemented through participatory assessments, thematic discussions, field observations, case simulations, and the strengthening of legal administration, all of which collectively contributed to substantial improvements in analytical capacity, professionalism, and cross-divisional communication patterns. The findings indicate that synergy across divisions not only enhances the technical efficiency of case handling but also generates institutional social change through the establishment of new work routines, the emergence of local leaders, and the strengthening of internal social capital. Theoretically, these outcomes reinforce perspectives from collaborative governance, organizational learning, and institutional change, which emphasize that institutional transformation can only be achieved through functional integration, knowledge exchange, and the cultivation of a collaborative institutional culture. This program recommends the institutionalization of coordination procedures, the utilization of information technology as a tool for data integration, and the implementation of continuous synergistic training to sustain the changes achieved. Consequently, this engagement contributes both empirically and conceptually to the development of an adaptive, integrated law enforcement model aimed at improving the quality of public service delivery.

This community engagement program aims to analyze and strengthen institutional synergy among the Special Crimes Division, the Civil and Administrative Affairs Division, and the Intelligence Division of the Palangka Raya District Prosecutor’s Office through a community-organizing framework and participatory collaboration. The initiative stems from a strategic need to optimize coordination, enhance the effectiveness of law enforcement, and foster the development of an integrated work pattern that is responsive to the complexities of contemporary legal issues. Using the participatory action research (PAR) method, the program was implemented through participatory assessments, thematic discussions, field observations, case simulations, and the strengthening of legal administration, all of which collectively contributed to substantial improvements in analytical capacity, professionalism, and cross-divisional communication patterns. The findings indicate that synergy across divisions not only enhances the technical efficiency of case handling but also generates institutional social change through the establishment of new work routines, the emergence of local leaders, and the strengthening of internal social capital. Theoretically, these outcomes reinforce perspectives from collaborative governance, organizational learning, and institutional change, which emphasize that institutional transformation can only be achieved through functional integration, knowledge exchange, and the cultivation of a collaborative institutional culture. This program recommends the institutionalization of coordination procedures, the utilization of information technology as a tool for data integration, and the implementation of continuous synergistic training to sustain the changes achieved. Consequently, this engagement contributes both empirically and conceptually to the development of an adaptive, integrated law enforcement model aimed at improving the quality of public service delivery.

Anesthesiology and emergency care require rapid and accurate clinical decision-making. Artificial intelligence (AI) offers substantial potential to support triage, monitoring, and decision-making in critical and emergency anesthesiology settings. This scoping review maps the use of AI in clinical decision-making and emergency patient management in anesthesiology and identifies existing research gaps. A literature search was conducted in ScienceDirect, PubMed, Cochrane Library, and Google Scholar for articles in Indonesian or English published between 2020 and 2025. Study selection followed Tricco’s scoping review framework, and methodological quality was assessed using Joanna Briggs Institute (JBI) tools. Ten articles met the inclusion criteria. AI was shown to improve triage accuracy and efficiency (predictive accuracy up to 99.1% and reductions in waiting time of around 30%). Machine learning models effectively predicted critical care needs and emergency risk, while AI-based clinical decision support systems (CDSS) enhanced the speed and quality of clinical decisions. Key challenges include data bias, ethical and privacy issues, clinician readiness, and integration with hospital information systems. AI and CDSS have strong potential to improve patient safety and clinical decision-making in emergency anesthesiology. Strengthening AI literacy, supportive regulation, and transparent, context-appropriate predictive models are needed for safe and sustainable implementation.

Labor is a complex interaction between psychological and physiological drives in women. (90%) delivery is accompanied by pain. In the active phase there is an increase in the intensity and frequency of contractions, so that the peak pain response is in this phase. Pain and soreness during labor are basically caused by strong contractions during labor. Breathing relaxation techniques can control pain by minimizing sympathetic activity in the autonomic nervous system. This study aims to determine the effect of deep breathing relaxation techniques on reducing labor pain in the first active phase. The type of design in this study is pre-experimental with The number of samples was taken according to the Accidental Sampling technique, samples were taken when patients went to the Andra Agustiana PMB Clinic with a minimum of 30 respondents. The data collection technique used a questionnaire sheet and a Numeric Rating Scale (NRS) pain scale. Data analysis used the Wilcoxon test. The results showed that before being given the breathing relaxation technique, most respondents experienced severe pain or pain levels on a scale of 7-10, namely 25 respondents (71.4%) and after being given deep breathing relaxation technique treatment, most respondents experienced moderate pain (scale 4-6) as many as 28 respondents (80%). The results of data analysis obtained the Asymp.significancy value = 0.000 (ρ<0.05). The conclusion is that there is an effect of providing deep breathing relaxation techniques on reducing labor pain in the first active phase. It is hoped that deep breathing relaxation techniques can be applied in the management of labor care as an alternative to reduce labor pain for mothers giving birth in the first active phase

Kegiatan Kuliah Kerja Nyata (KKN) merupakan salah satu implementasi Tri Dharma Perguruan Tinggi yang berorientasi pada pemberdayaan masyarakat. Penelitian ini bertujuan untuk mengevaluasi pelaksanaan program KKN INSANI (Inovasi dan Solusi untuk Pembangunan Masyarakat) di Desa Papringan, Banyumas. Program difokuskan pada empat bidang utama, yaitu sosial, ekonomi, kesehatan, dan teknologi informasi. Metode yang digunakan mencakup observasi lapangan, diskusi bersama komunitas, pelaksanaan program, serta evaluasi hasil kegiatan. Hasil penelitian menunjukkan adanya peningkatan keterampilan masyarakat dan penguatan kapasitas sumber daya manusia, terutama dalam mengoptimalkan potensi desa melalui kegiatan edukasi, pelatihan, dan inovasi berbasis lokal. Temuan ini menegaskan bahwa program KKN INSANI tidak hanya memberikan manfaat langsung bagi masyarakat, tetapi juga menjadi media pembelajaran kolaboratif bagi mahasiswa dalam mengasah kemampuan komunikasi, problem solving, dan kepemimpinan sosial. Dengan demikian, program ini berkontribusi terhadap pengembangan desa yang berkelanjutan sekaligus memperkuat peran perguruan tinggi dalam pembangunan masyarakat.

Learning is a dynamic process involving interactions between students, educators, and learning resources in an environment designed to achieve a deep understanding of the material. One of the challenges often faced in education is learning difficulties, especially in subjects considered difficult such as Mathematics and English. Additional tutoring programs outside of class hours are a solution to help students overcome the academic difficulties they face. This study aims to evaluate the effectiveness of a tutoring program in addressing learning difficulties in Kedondong District, with a focus on Mathematics and English. This program involves students experiencing difficulty understanding the subject matter and provides intensive guidance using an interactive approach and the use of technology-based learning media, such as multimedia and educational quizzes, which make learning more engaging. The evaluation results show a significant increase in student understanding of the material, as well as positive changes in student motivation, independence, and self-confidence. This program not only successfully improves academic understanding but also fosters a higher enthusiasm for learning in students. Despite challenges, such as limited resources and differences in student understanding levels, this program is able to create a conducive learning environment. Therefore, it is hoped that this program can be replicated in other regions to improve the quality of education in a sustainable manner, by involving various parties, such as the government, educational institutions, and the community.

Status gizi merupakan ukuran keberhasilan untuk memenuhi nutrisi kebutuhan pada anak yang dutunjukkan melalui capaian berat badan terhadap umur. Status gizi balita sangat signifikasi sebagai titik tolak kapasitas fisik saat usia dewasa. Penelitian bersifat deskriptif dengan menggunakan data primer yaitu data yang diperoleh dari peninjauan langsung lapangan dengan menggunakan kuesioner yang telah dirancang sebelumnya untuk mengetahui pengetahuan ibu tentang status gizi pada balita di desa telaga sari kecamatan sunggal kabupaten deli serdang  sebanyak 30 orang di dalam penelitian ini . Berdasarkan penelitian dari 30 orang yang menjadi responden  Gambaran Pengetahuan Ibu tentang status gizi pada balita di desa telaga sari kecamatan sunggal kabupaten deli serdang mayoritas berpengetahuan cukup sebanyak 14 orang (47%) dan minoritas ibu yang berpengetahuan kurang 6 orang (20%). Berdasarkan umur mayoritas umur 20 – 35 tahun sebanyak  7 orang (23%) dan minoritas pada usia <20  tahun sebanyak 1 orang (3%), berdasarkan pendidikan mayoritas SMA sebanyak 8 orang (27%) dan minoritas pendidikan  SD sebanyak 1 orang (3%), berdasarkan pekerjaan Mayoritas yang bekerja sebanyak 8 orang (27%) dan minoritas yang tidak bekerja sebanyak 2 orang (7%). Dari penelitian ini diharapkan kepada bidan desa agar banyak  memberikan informasi melalui penyuluhan dan meningkatkan lagi pengetahuan ibu tentang status gizi pada balita sehingga anak tidak mengalami kekurangan gizi.

Dalam rangka menurunkan angka kesakitan dan kematian bayi, Dari data WHO tahun 2019 memperkirakan 85,5% bayi per 1000 kelahiran hidup (Under Five Mortality), ibu yang mempunyai bayi tidak melakukan pijat pada bayinya tiap tahunnya, sedangkan bayi yang dipijat tiap tahunnya hanya 14,5%. Pijat bayi adalah memberikan sentuhan pada tubuh bayi yang bermanfaat untuk menstimulasi tumbuh kembang bayi dan sebagai salah satu cara untuk mengungkapkan kasih sayang orangtua terhadap bayinya. Jenis penelitian ini bersifat deskritif dengan menggunakan kuesinior yang bertujuan untuk mengetahui Gambaran pengetahuan ibu yang mempunyai bayi usia 0-12 bulan tentang pijat bayi dan populasi dalam penelitian ini adalah seluruh ibu bayi yang ada di Dusun IV Desa Serbajadi  Tahun 2022 dengan menggunakan Total sampling sebanyak 40 orang. Dengan menggunakan 20 pertanyaan hasil penelitian didapatkan 40 responden, bahwa responden dengan kategori baik hasil penelitian yang ditemukan bahwa gambaran pengetahuan ibu yang mempunyai bayi usia 0-12 bulan tentang pijat bayi berpengetahuan kurang, penelitian menunjukkan bahwa kurangnya pengetahuan ibu tentang pijat bayi sebanyak 93% sedangkan ibu yang pengetahuan baik sebanyak 7%. Dari hasil penelitian ini diharapkan kepada tenaga kesehatan khususnya bidan di Dusun IV desa Serbajadi agar lebih lagi ditingkatkan pengetahuan tentang Pijat bayi sehingga bertujuan untuk memberikan pelayanan kesehatan yang baik dan terampil.

Breast milk (ASI) is the most perfect source of nutrition for infants, especially during the first six months of life. However, many postpartum mothers experience obstacles in producing breast milk optimally. One non-pharmacological alternative to increase breast milk production is the consumption of mung bean extract, which contains lactagogues and B-complex vitamins. This study aims to determine the effect of mung bean extract on breast milk production in postpartum mothers. The method used was a quasi-experimental design with a one-group pretest-posttest approach involving 10 postpartum mothers at PMB Bidan SRI, Selesai Subdistrict, Langkat Regency. The intervention was carried out for seven consecutive days, and data were analyzed using the Wilcoxon Signed-Rank test. The results showed a significant increase in the average breast milk production score from 1.20 to 2.90 after the intervention, with a p-value of 0.004. This indicates that mung bean extract has a positive effect on increasing breast milk production. These findings are expected to serve as a basis for healthcare providers to recommend mung bean consumption in lactation management for postpartum mothers.

Dalam rangka menurunkan angka kesakitan dan kematian bayi, Dari data WHO tahun 2019 memperkirakan 85,5% bayi per 1000 kelahiran hidup (Under Five Mortality), ibu yang mempunyai bayi tidak melakukan pijat pada bayinya tiap tahunnya, sedangkan bayi yang dipijat tiap tahunnya hanya 14,5%. Pijat bayi adalah memberikan sentuhan pada tubuh bayi yang bermanfaat untuk menstimulasi tumbuh kembang bayi dan sebagai salah satu cara untuk mengungkapkan kasih sayang orangtua terhadap bayinya. Jenis penelitian ini bersifat deskritif dengan menggunakan kuesinior yang bertujuan untuk mengetahui Gambaran pengetahuan ibu yang mempunyai bayi usia 0-12 bulan tentang pijat bayi dan populasi dalam penelitian ini adalah seluruh ibu bayi yang ada di Dusun IV Desa Serbajadi  Tahun 2022 dengan menggunakan Total sampling sebanyak 40 orang. Dengan menggunakan 20 pertanyaan hasil penelitian didapatkan 40 responden, bahwa responden dengan kategori baik hasil penelitian yang ditemukan bahwa gambaran pengetahuan ibu yang mempunyai bayi usia 0-12 bulan tentang pijat bayi berpengetahuan kurang, penelitian menunjukkan bahwa kurangnya pengetahuan ibu tentang pijat bayi sebanyak 93% sedangkan ibu yang pengetahuan baik sebanyak 7%. Dari hasil penelitian ini diharapkan kepada tenaga kesehatan khususnya bidan di Dusun IV desa Serbajadi agar lebih lagi ditingkatkan pengetahuan tentang Pijat bayi sehingga bertujuan untuk memberikan pelayanan kesehatan yang baik dan terampil.

Menurut WHO World Health Organization usia bayi pada bebrapa bulan pertama kehidupanya yakni 1 sampai 6 bulan merupakan tahap yang sangat penting bagi bayi, karena pada usia ini bayi memerlukan pijat bayi dalam memenuhi tingkat pertumbuhan dan perkembangan secara optimal, Pijat bayi disebut sebagai Stimulasi Touch atau terapi sentuhan tertua dan terpopuler yang dikenal manusia sejak berabad-abad. Di indonesia tahun 2017 tercatat jumlah anak melakukan pijat bayi sebanyak 300 ribu bayi sedangkan di sumatera utara sebanyak 10,179 bayi. Penelitian ini bersifat deskriptif dengan menggunakan data primer, bertujuan untuk mengetahui gambaran pengetahuan ibu tentang pijat bayi berdasarkan umur, pendidikan, pekerjaan, sumber informasi di Klinik Irma Suskila Medan dimana semua populasi dijadikan sampel dalam penelitian ini berjumlah 30 responden dengan menggunakan kuesioner. Hasil penelitian ditemukan bahwa pengetahuan responden tentang pijat bayi di Klinik Irma Suskila Medan Periode Juni-Juli 2022 mayoritas paling paling banyak tingkat pengetahuan cukup sebanyak 15 orang (50). Berdasarkan umur mayoritas 20-35 tahun sebanyak 21 orang (70%). Berdasarkan pekerjaan mayoritas tidak bekerja sebanyak 16 orang (53,33%). Berdasarkan sumber informasi mayoritas tenaga kesehatan sebanyak 16 orang (53,33%). Dari hasil penelitian disarankan bagi petugas kesehatan khususnya bagi bidan agar dapat memberikan penyuluhan bagi ibu yang memiliki bayi untuk melaksanakan pijat bayi, yang bertujuan untuk meningkatkan pelayanan kesehatan dan manfaat bagi pertumbuhan dan perkembangan bagi khususnya tentang pijat bayi bagi ibu.

Adanya tuntutan akan media pembelajaran sebagai produk teknologi. Untuk mendukung maksud dan tujuan pendidikan, media pembelajaran digunakan supaya pengalaman belajar lebih bermakna. Media Film Kartun yaitu salah satu wahana pendidikan berbasis teknologi yang sedang berkembang saat ini dalam dunia pendidikan. Berbagai pendekatan pembelajaran dan media pembelajaran telah dilakukan oleh guru bidang studi pada siswa kelas VII SMP Swasta Darussunnah. Mengingat beragamnya media yang berbeda, tidak diragukan lagi perlu bagi peneliti untuk dapat menentukan media yang paling cocok dengan kondisi siswa. Karena kelebihan serta kekurangan masing-masing media pembelajaran tentunya berbeda-beda. Untuk memilih media yang tepat untuk kelas mereka, guru harus mampu memahami setiap kelas. Penelitian ini bertujuan untuk peningkatan keterampilan siswa dalam menulis teks narasi melaui penerapan media film kartun pada peserta didik kelas VII SMP Swasta Darussunnah Tahun Pelajaran 2023/2024. Populasi pada penelitian ini sebanyak 25 orang, karena populasi yang sedikit maka sampel diambil semua jumlah populasi. Hasil yang diperoleh adalah nilai t-hitung sebesar 23,63 dan t-tabel sebesar 1,71, kriteria pengujian hipotesis adalah jika t-hitung > t-tabel maka H1 diterima dan H0 ditolak, dengan kata lain 23,63 > 1,71, artinya ada peningkatan keterampilan menulis teks narasi dalam penerapan media film kartun pada siswa kelas VII SMP Swasta Darussunnah dapat tahun pelajaran 2023/2024.

The development of digital technology and artificial intelligence (AI) has brought major changes in the world of accounting, both in terms of work processes and the professional competencies needed. This Community Service activity aims to improve the digital competence of Vocational High School (SMK) students in the field of accounting, especially in understanding and adopting the role of technology and AI wisely. The activity was carried out in the form of an educational seminar at SMK Al Fatah Banjarnegara involving 100 students majoring in Accounting. The material includes the transformation of the accounting profession due to digitalization, the introduction of AI-based accounting software, and the importance of data literacy and critical thinking skills. The results of the activity showed an increase in students' understanding of the role of AI in accounting, as well as the formation of a mindset that AI is a tool, not a substitute for the human profession. This activity has a positive impact on fostering digital awareness, readiness to adapt, and student learning motivation. Potential future development includes practical training and replication of similar activities in other vocational schools. With the right approach, vocational school students can be prepared to become a superior and relevant vocational workforce in the era of digital transformation.

Kekerasan Dalam Rumah Tangga (KDRT) masih menjadi permasalahan sosial yang signifikan di Indonesia, tak terkecuali di Kelurahan Sawah Besar. Minimnya pemahaman masyarakat tentang bentuk-bentuk KDRT serta jalur pelaporan dan perlindungan korban menjadi faktor pendorong tingginya angka kasus yang tidak terungkap. Program pengabdian masyarakat ini bertujuan untuk meningkatkan kesadaran dan literasi warga Kelurahan Sawah Besar terkait pencegahan, pengenalan, dan penanganan kasus KDRT melalui pendekatan edukasi partisipatif. Metode yang digunakan meliputi serangkaian lokakarya interaktif, penyuluhan berbasis komunitas, dan pembentukan kelompok dukungan dengan melibatkan tokoh masyarakat setempat serta ahli dari bidang hukum. Program ini berhasil meningkatkan pemahaman masyarakat tentang KDRT, membentuk jaringan relawan pendamping korban yang terdiri dari 25 kader terlatih dan mengembangkan sistem pelaporan kasus berbasis komunitas yang terintegrasi dengan dinas sosial setempat. Simpulan dari program ini menunjukkan bahwa edukasi berbasis partisipatif efektif dalam membangun kesadaran kolektif dan menciptakan sistem dukungan bagi korban KDRT. Model edukasi yang dikembangkan diharapkan dapat direplikasi di kelurahan lain sebagai upaya strategis pencegahan dan penanganan KDRT berbasis komunitas

Desa Kemuning merupakan salah satu Desa yang terletak di Kec. Ngargoyoso, Kab. Karanganyar Jawa Tengah. Desa Kemuning mempunyai potensi dalam bidang pariwisata yang dikenal luas oleh masyarakat. Dalam proses pengembangan desa, salah satu permasalahan yang ada pada Desa Kemuning adalah kurangnya perhatian masyarakat tentang pentingnya Keselamatan dan Kesehatan Kerja (K3) dalam proses konstruksi. Sehingga Dosen Program Studi Teknik Sipil Universitas 17 Agustus 1945 Semarang melaksanakan kegiatan pengabdian yang berlokasi di Desa Kemuning yang berupa penyuluhan terkait pentingnya Keselamatan dan Kesehatan Kerja (K3) dalam proses pembangunan dan pengembangan Desa Kemuning. Metode kegiatan yang digunakan untuk tercapainya tujuan Pengabdian kepada Masyarakat ini adalah survei untuk mengetahui kondisi masyarakat dan lingkungan, analisis mengenai penyuluhan yang terkait pengetahuan masyarakat mengenai Keselamatan dan Kesehatan Kerja (K3), penyusunan materi tentang Keselamatan dan Kesehatan Kerja (K3), serta melakukan sosialisasi kepada masyarakat Desa Kemuning. Berdasarkan hasil dari proses kegiatan pengabdian kepada masyarakat yang dilaksanakan di Desa Kemuning yang berupa penyuluhan mengenai pentingnya Keselamatan dan Kesehatan Kerja (K3) untuk pelaksanaan konstruksi, dapat memberikan tambahan pengetahuan dan peningkatan sikap kehati-hatian dalam bekerja dibidang konstruksi dan warga semakin tahu item-item yang wajib digunakan dalam memenuhi standar Keselamatan dan Kesehatan Kerja (K3).

Rupture of the perineum is one of the common complications in vaginal delivery that can increase the risk of postpartum hemorrhage, infection, and maternal death. One of the factors that contribute to the occurrence of perineal rupture is the baby's birth weight. Babies with a birth weight of ≥4000 grams can cause greater pressure on the mother's birth canal, increasing the likelihood of tearing of perineal tissue. In Indonesia, 75% of mothers who give birth vaginally experience perineal lacerations, and postpartum bleeding is still the leading cause of 40% of maternal deaths. This study aims to determine the relationship between infant birth weight and the incidence of perineal rupture in normal childbirth at the Lusi Marbun Independent Midwife Practice, Simalungun Regency in 2022.This study uses an observational analytical design with a case control approach. A sample of 30 maternity mothers was selected using the total sampling method. The data were analyzed using the Chi-square test to determine the relationship between birth weight and perineal rupture. The results showed that the majority of babies had a birth weight of <4000 grams (63.3%) and the majority of mothers experienced a second degree perineal rupture (70%). The results of bivariate analysis showed that there was a significant relationship between birth weight and the incidence of perineal rupture (p-value = 0.000). There is a significant relationship between birth weight and the incidence of perineal rupture. The greater the baby's weight, the higher the risk of perineal rupture in the mother during childbirth. It is important for health workers to carry out early detection of fetal weight, provide nutrition education during pregnancy, and prepare for the delivery process optimally to minimize the risk of complications.

Kurangnya pemahaman masyarakat tentang pentingnya sertifikasi tanah di Kelurahan Karangmojo, Kecamatan Klego, Kabupaten Boyolali, berpotensi meningkatkan sengketa agraria. Meski PTSL digulirkan, hambatan administratif dan minimnya edukasi hukum menghambat implementasi. Program pengabdian masyarakat bertujuan meningkatkan kesadaran hukum warga, mendukung Reforma Agraria, dan mendorong pengelolaan tanah berkeadilan. Kegiatan meliputi survei lokasi, sosialisasi hukum pertanahan melalui presentasi interaktif, dan diskusi dengan masyarakat Karangmojo Kidul. Kesadaran hukum masyarakat Kelurahan Karangmojo terkait pengelolaan dan sertifikasi tanah masih rendah, ditunjukkan oleh banyaknya tanah yang belum bersertifikat, berisiko menimbulkan konflik agraria. Faktor penyebabnya meliputi kurangnya pemahaman akan pentingnya sertifikat tanah sebagai bukti hukum, kendala ekonomi, rendahnya pendidikan, dan budaya pengelolaan tanah tradisional. Kurangnya informasi dan tenaga ahli di bidang pertanahan juga menjadi hambatan. Program pemerintah seperti PTSL, yang bertujuan mempermudah sertifikasi, kurang dimanfaatkan karena minimnya sosialisasi. Langkah strategis untuk meningkatkan kesadaran mencakup edukasi intensif melalui sosialisasi, pendampingan teknis bagi masyarakat dalam melengkapi dokumen sertifikasi, serta pemanfaatan teknologi informasi untuk menyebarkan panduan terkait. Selain itu, diperlukan sinergi antara pemerintah pusat dan daerah dalam penyediaan layanan publik yang efektif. Peningkatan kesadaran hukum ini penting untuk menjamin kepastian hukum, mencegah konflik, dan mendukung pembangunan ekonomi masyarakat.