Publication Search

Background: KEK is one of the risk factors for pregnancy causes complications and maternal death. The global maternal mortality rate due to CED is 37%, maternal deaths in Central Java Province in 2020 were 530 cases. The maternal mortality rate in Brebes district is 62 cases. At the Bumiayu Health Center, the maternal mortality rate in 2020 was 2 cases. The aim is to be able to carry out Comprehensive Midwifery Care for Mrs N aged 22 years with Chronic Energy Deficiency at the Bumiayu Community Health Center using Varney's seven-step midwifery management and SOAP Research Method: this research is a qualitative descriptive research with a case study approach. The results: of Comprehensive Midwifery Care for Mrs N were that during pregnancy KEK was found. Delivery was normal and the newborn was found to be underweight. In neonates, boils were found on the legs and the baby's body temperature was high, then appropriate management was carried out so that the problem was resolved. During the postpartum period, the stitched wound was found to be still wet, then ointment was given to solve the problem. Mother uses birth control implant. Conclusion: care has been carried out in accordance with midwifery service standards.

The success of the normal delivery process was influenced by many factors, including the frequency of coitus during pregnancy. Coitus or husbandand wife intercourse can improve blood circulation in the reproductive area, including the cervix, which helps soften and open the cervix, especially if it was often done during the third trimester of pregnancy. Coitus can also increase the production of the hormone oxytocin which can trigger uterine contractions and help speed up the normal delivery process. The objectives of the research: To analyzed the relationship between the frequency of coitus and the incidence of normal delivery. Method: This type of analytic research with correlational design and cross sectional approach. The sample used 84 people with purposive sampling. The instrument uses an observation sheet. Data analysis using chisquare. Result: The frequency of coitus the majority of respondents sometimes do (1-2x a week) (47,6%) and the majority of respondents are dominated by normal delivery (84,5%). The results of the chi square analysis obtained a chi square value of 62,786 > chi square table (5,99) with a significant value (p value) of 0,000 <0,05 so it can be interpreted that there is a relationship between thefrequency of coitus and the incidence of normal delivery. Conclusion: There wasa relationship between the frequency of coitus and normal delivery in the hospital.Asy Sifa Sambi, Boyolali Regency.

The period of pregnancy, childbirth, perurperium, newborns are circumstances that can threaten the life of the mother and the baby even death. One of the goals is to implement comprehensive obstetric care. Comprehensive midwifery care is the care provided by midwives from pregnancy, delivery, newborn, postpartum and until the mother decide to use birth control aimed at providing services an a continuity of care (COC) basis to prevent complications in pregnancy, childbirth, newborns, postpartum and birth control. The method used is descriptive observational research design with case study approach. The results obtained are comprehensive obstetric care provided ranging prom pregnancy, delivery, puerperium, newborn to normal running birth control acceptors.

Labor is the process by which the fetus and amniotic fluid are pushed out through the birth canal. During the birth process the mother will experience pain. Pain that is uncontrolled or excerssive and does not get proper treatment can cause problems with difficulty in childbirth. A non-pharmocological method that is quite safe was to determine the effect of giving warm compresses to labor pain in the active phase of the first stage of labor at Fatimah Banyuwangi Hospital in 2022. The research method used a pre-exsperimental one group pretest posttest on 30 respondents who met the inclusion criteria, namely pregnant women in the first active phase, singleton pregnancies, head presentations, term pregnancies, normal delivery plants, fetal interpretation between 2500-4000 grams, accompanied by their husbands or family. Data collection was carried out using the VAS observation sheet and warm compress SOP. Then the data is processed through the process of editing, coding,scring, tabulating and statistical analysis of the Wilcoxon test. The result showed that the level of labor pain before the intervention was mostly in the severe pain category by 53% and after the warm compress intervention there was a decrease in the pain level, namely in the moderate pain category by 70%. Wilcoxon test reslts Asymp. Sig. (2-tailed) 0,00 < 0,05 means that there is a significant effect of giving warm compresses to labor pain in the active phase I parturition at RSI Fatimah Banyuwangi in 2022. Proper application of warm compresses according to the procedure gives a feeling of warmth and causes vasoconstriction so that labor pain in the first stage can be reduced. This method is safe and can be an alternative choice for midwives in the management of pain care during labor.

Every woman experiences the process of giving birth, it is natural for women to give birth normally, namely through the vagina or normal birth canal. If a woman cannot give birth normally, medical personnel will perform an alternative delivery to help expel the fetus. If the conditions of the mother and fetus have complications during delivery, then to immediately save both of them it is necessary to carry out delivery procedures, one of the actions taken is caesarean section delivery (Safitri, 2020).

The purpose of this study was to determine the partial and simultaneous effect of service quality and the role of chaperones on satisfaction with the delivery of PKH assistance in Sidamulya village. For research sampling, researchers used the Slovin technique, so the sample used was 76 people. Data collection techniques using questionnaires and documentation. Test the validity of the instrument using Product Moment correlation and reliability testing using Cronbach's Alpha. The classic assumption test consists of the normality test, multicollinearity test and heteroscedasticity test. The hypothesis test consists of a partial test (t test), simultaneous test (F test) and multiple linear regression tests.The service quality variable (X1) has a significant and positive effect on community satisfaction (Y). This is indicated by the significant value of 0.000 <0.05 and the t-count value of  2,224 > the t-table value of 1,665. The Chaperone's Role variable has a positive and significant effect on the satisfaction of beneficiaries of PKH assistance. the results of the analysis are proven by a significant value of 0.003 <0.05 and a t-count value of 5,077 > a t-table value of 1,665. Variables Influence of Public Service Quality and Companion Role have a positive and significant effect on the satisfaction of beneficiaries of PKH assistance. 15.810 while the F table value is 3.97, it can be seen that the calculated F value > F table, with a significant level of 0.000 <0.05.    

Perineal rupture is a common complication of normal delivery, especially in primigravida mothers, which can cause postpartum hemorrhage and increase the risk of maternal morbidity. One non-pharmacological method that can be used to prevent perineal rupture is perineal massage, which functions to soften the pelvic floor muscle tissue and increase the elasticity of the birth canal. This study aims to analyze the effect of perineal massage on the incidence of perineal rupture in third-trimester pregnant women. This type of research is quantitative with a Quasi Experiment design using a post-test only approach with a control group design. The study was conducted at the Penawar Bidan Yulidina Clinic, Central Aceh Regency from April to June 2022 with a sample of 30 third-trimester pregnant women divided into two groups, namely the intervention group and the control group. Data analysis used the Mann Whitney test with a 95% confidence level. The results showed a p-value = 0.020 (p <0.05) which means there is a significant effect of perineal massage on the incidence of perineal rupture. Most mothers in the intervention group did not experience perineal rupture after routine perineal massage. These results indicate that perineal massage is effective in reducing the risk of perineal rupture and can be recommended as a preventive obstetric intervention to prepare pregnant women for a safe and comfortable delivery.

Indicators to measure the quality of health services in an area can be seen from the Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR). One of the ways that can be done to reduce maternal mortality (MMR) and infant mortality (IMR) is by implementing continuous care. The purpose of this continuous midwifery care is to be able to provide comprehensive midwifery care to Mrs. "S" from pregnancy to family planning in accordance with midwifery care standards. Case study research method. The results of the implementation of midwifery care on an ongoing basis (Continuity of Care) on Mrs. "S" G1P0A0 age 24 years starting from the gestational age of 30 weeks 3 days to the age of 38 weeks. At the first pregnancy visit there was a problem in the mother, namely pregnancy with breech location. At the second visit the baby's position was in a normal position. The delivery process ended by cesarean section because the baby had an Early Rupture of Membranes. The baby was born at Budi Kemuliaan Hospital with a weight of 3000 gr Body Length : 48 cm Head Circumference: 33 cm, Chest Circumference: 32 cm. In the postpartum period, physiological complaints were found such as pain in the suture wound but not accompanied by signs of suture wound infection. Mrs. "S" chose to use 3-month injectable birth control. The conclusion of this assessment is that midwives are expected to be able to provide comprehensive care from pregnancy to family planning services and apply care in accordance with midwifery service standards.

Prolonged delivery is a contributing factor to the mortality rate of mothers with a prevalence of 20% in Demak regency. Based on the survey in First Clinic Irma Solikin, Mranggen district, Demak regency, the birth data in January 2022 showed that 40% of mothers of 15 mothers experienced prolonged partity. One of the physiological efforts to prevent prolonged delivery is promoting pelvic rocking with a birthing ball. This technique requires the mothers to sit on the ball and rock the ball. This action makes the mothers feel comfortable and help them to promote the delivery due to the influence of gravity force. Thus, the fetus or the lower part of the fetus could move to the pelvis and shorten the delivery time. This research determined the influence of pelvic rocking exercise with a birthing ball on the delivery advancement of primipara mothers. The sample consisted of 20 mothers in the intervention group with pelvic rocking intervention with a birthing ball. Then, the other 20 mothers in the control group received normal delivery. The applied instruments were an observation sheet and a partograph. The researchers analyzed the data with univariate and bivariate analyses. The results found the influence of pelvic rocking exercise with birthing ball technique toward the delivery progress of primipara mothers in the First Clinic, Irma Solikin, Mranggen district, Demak regency.   Keywords: Pelvic Rocking, Birthing ball, Delivery progress, Primipara mothers

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.