Mechanical menerant is an influence on the incidence of perineal rupture in normal delivery that causes postpartum hemorrhage. Bleeding is the main cause of maternal death in Indonesia. The results of a survey conducted that the incidence of perineal rupture was caused by a pressing technique error. This study aims to determine the effectiveness of the pressing technique on the incidence of perineal rupture at the Batam City OW Clinic in 2020. This type of research is an analytical survey. The data collection technique used is primary data using observation sheets. The sample in this study were all normal mothers who gave birth at the Batam City OW Clinic, totaling 47 people. Based on the results of research conducted from 47 respondents, there were 15 respondents (31.9%) who pushed correctly, it was found that 13 respondents (72.2%) had no perineal rupture. while 32 respondents (68.1%) who said incorrectly, 27 respondents (93.1%) experienced perineal rupture after statistical tests (chi-square test) obtained a P-value of 0.000. This means that Ho is rejected and Ha is accepted, so it can be concluded that the pushing technique is really effective against the incidence of perineal tears in maternity mothers.

Kondisi sehat dapat dicapai dengan merubah perilaku yang tidak sehat menjadi perilaku sehat dan menciptakan lingkungan yang sehat di rumah tangga, sekolah, dan tempat kerja. Standar pelayanan minimum (SPM) di Indonesia untuk ASI eksklusif 80%. Akan tetapi, berdasarkan data dari Kementrian Kesehatan Indonesia mulai tahun 2010 sampai 2013 menunjukkan rendahnya cakupan ASI eksklusif hingga pada tahun 2013 angka tersebut hanya mencapai 15,30%. Pemberian Air susu ibu (ASI) oleh ibu menyusui memerlukan dukungan dari orang terdekat, seperti anggota keluarga, teman, saudara, dan rekan kerja. Keluarga dalam hal ini suami atau orang tua dianggap sebagai pihak yang paling mampu memberikan pengaruh kepada ibu untuk memaksimalkan pemberian ASI eksklusif. Dukungan atau support dari orang lain atau orang terdekat, sangatlah berperan dalam sukses tidaknya menyusui. Semakin besar dukungan yang didapatkan untuk terus menyusui maka akan semakin besar pula kemampuan untuk dapat bertahan terus untuk menyusui. Tujuan : untuk mengetahui hubungan antara dukungan keluarga dengan pemberian ASI Esklusif di Dusun Jati Sukoharjo. Metode Penelitian : Penelitian ini menggunakan metode korelasi. Metode pengambilan sampel yang digunakan adalah Purposive sampling. Analisa data menggunakan uji Spearman-Rho. Hasil : Hasil penelitian ini menunjukkan bahwa pemberian ASI dalam adanya dukungan dan ada sebanyak 21 responden (65,5%) dan yang tidak esklusif sebanyak 11 responden (34,4%). Hasil penelitian diperoleh nilai probabilitas (p) =0,000 dengan nilai Korelasi Rank Spearman = -0,856 yang berarti bahwa keeratan dukungan keluarga dalam pemberian ASI Esklusif sangat kuat. Kesimpulan : terdapat hubungan antara dukungan keluarga dengan pemberian ASI Esklusif.

Rabies is a zoonotic disease that can attack the central nervous system and can be fatal because it can cause death. Rabies is caused by an RNA virus of the genus Lyssavirus in the family Rhabdoviridae and can be transmitted to humans through contact with infected animals, particularly bites and scratches. Most cases (98%) were caused by dog   bites and the rest by other animals such as monkeys and cats. This disease has a very poor prognosis, but can be prevented by vaccination. Rabies virus is a neurotrophic virus that can infect humans and cause fatal encephalitis. The purpose of this paper is to provide information on rabies cases, prevention, early symptoms to watch out for, and emergency management. A 45-year-old man has clinical encephalitis with suspected viral EC with suspected rabies dd/non-specific viral dd bacterial. Patients complain of not being able to swallow and afraid of water, restlessness, hypersalivation, patients are sensitive to sound, shortness of breath, difficulty swallowing, fear of wind, patients want to bite and hydrophobia, aerophobia and hypersalivation. Therapy in cases of rabies is to provide supportive care and isolation treatment. The prognosis for rabies patients is generally poor, because mortality can reach 100% after the rabies virus reaches the central nervous system, death from respiratory/cardiac arrest most often occurs within 2-3 days after the onset of rabies symptoms. After being bitten by an animal suspected of being rabid, cleaning the wound, administering VAR and SAR is an effective preventive measure against the transmission of the rabies virus.
 

Perkembangan teknologi di era globalisasi yang semakin pesat membuat begitu banyaknya perubahan teknologi salah satunya game online. Remaja lebih rentan kecanduan game online dengan 89 (59,3%) mengalami kecanduan parah . Tujuan dari Literature Review ini adalah untuk mengetahui pengaruh game online terhadap perubahan perilaku remaja. Metode pencarian sumber data artikel menggunakan database Mendeley dan Google Schoolar dengan kata kunci “Pengaruh” AND “Game online” AND “Perubahan Perilaku Remaja” dari hasil jurnal ditemukan 687, diseleksi inklusi dan ekslusi dengan PICOS, Setelah itu diseleksi SANRA dan didapatkan 7 jurnal yang di review. Hasil dari 7 jurnal yang telah review dapat disimpulkan bahwa game online sangat berpengaruh terhadap perubahan perilaku remaja dikarenakan terdapat perubahan perilaku pada remaja yang sudah mengalami kecanduan pada game online. Diharapkan bagi masyarakat menjadi salah satu sumber informasi khususnya pada orang tua untuk membimbing  dan  mengawasi  anaknya yang  bermain  game  online  kemudian memberi batasan waktu bermain agar remaja tidak kehilangan kontrol dalam bermain game online dan tidak berdampak negatif bagi kehidupannya.
 

Midwives have an important role in strategies to reduce maternal mortality and infant mortality. Midwives are responsible for providing continuous and plenary services through health education, counseling, health promotion, and normal delivery assistance as well as early detection of referral cases by conducting comprehensive supervision, care and management of pregnant women, maternity, postpartum, BBL, neonates, and family planning.
                The author of this final project in the form of a case study using midwifery management approach using 7 steps varney and documented in the form of SOAP. The subjects of this case study were pregnant women in the third trimester, namely Mrs. D age 24 years gestational age 35+4 weeks followed by physiological pregnancy, maternity, puerperium, BBL, and family planning.
                The results of this case study obtained Ny. D diagnosis G2P0A1 gestational age 35+4 weeks with good circumstances, and physiological delivery. Physiological puerperium, physiological newborns, neonates upbringing and physiologically provided family planning.
                Comprehensive midwifery care in Ny. D found gaps in pregnancy that is less than 6x ANC examination, Tetanus Toxoid immunization is not complete. No gaps were found in the puerperium, BBL, and neonates.
            The conclusion from the results of this case study is that comprehensive midwifery care has been given to Mrs. D of pregnant, maternity, puerperal, BBL, neonate and family planning with the result that all care is carried out and the mother and baby are in good condition.

Urinary incontinence is a micturition disorder in which urine is released uncontrollably and is found in geriatric patients. Data on the prevalence of urinary incontinence in Indonesia was obtained in 2018 at 30%. There needs to be an intervention carried out, namely kegel exercises to control the bladder. The purpose of this literature review is to analyse journals about the effect of kegel exercises on urinary incontinence in the elderly. The elderly from the age of 60 years and over experience psychological changes, one of which is changes in the urinary system which results in urinary incontinence. The cause of urinary incontinence is an increase in the frequency of micturition. To reduce the frequency of micturition by doing kegel exercises to the maximum. The research method used for literature review is through searching journal databases such as google scholar and mendeley (2016-2022) with the keywords kegel exercises, urinary incontinence and elderly so that 6 journals are reviewed, using a one group pretest and posttest study design with inclusion criteria using the PICOS format. The results and analysis of the study based on the results of literature review from 6 journals there is a significant effect between before and after kegel exercises on the frequency of urinary incontinence in the elderly. The result is that after kegel exercises will have an effect on reducing the frequency of micturition, this is because it can tighten the pelvic floor muscles that can withstand micturition. It can be concluded that there is an effect of kegel exercises on the frequency of urinary incontinence in the elderly which is done regularly to strengthen the pelvic muscles, the frequency of micturition decreases. It is expected that the elderly will remain disciplined in doing Kegel exercises, especially those who experience urinary incontinence.

Work motivation is a condition that has a strong influence in terms of generating or encouraging, guiding and maintaining related behavior in the work environment. While leadership style is a characteristic, habit, character and personality that is distinctive and unique from a leader so that it distinguishes it from others that colors the behavior and way that person leads. The low work motivation of nurses is usually caused by a very high workload, low salaries, and also because the leadership style tends to conflict with the character of their subordinates. The purpose of this study was to determine the relationship between leadership style and work motivation of nurses in the inpatient room at Batara Guru Belopa Hospital, Luwu Regency. The discussion compiled in this chapter includes the leadership style of the head of the room, work motivation of nurses and the relationship between leadership style and work motivation of nurses in the Inpatient Room of Batara Guru Belopa Hospital, Luwu Regency.

Kehamilan, persalinan, Bayi Baru Lahir, Nifas dan Keluarga Berencana bertujuan untuk memberikan pelayanan secara continuity of care untuk mencegah terjadinya komplikasi. Asuhan kebidanan diberikan kepada Ny.D mulai Januari sampai Maret. Metode asuhan kebidanan pada laporan tugas akhir ini menggunakan manajemen kebidanan berdasarkan 7 langkah varney dan SOAP pada Ny.D dari usia kehamilan 39+1 minggu sampai memutuskan untuk menggunakan KB Implant pada Nifas hari kedua.
Asuhan kehamilan dilakukan kunjungan antenatal sebanyak 1 kali selama kehamilan. Pada trimester III dengan keluhan sering kenceng-kenceng yang merupakan kontraksi palsu dan ibu sudah tahu bahwa itu merupakan kontraksi palsu,  sehingga selama kehamilan Ny.D dalam keadaan baik dan normal. Asuhan persalinan tanggal 24 Januari 2022 Ny.D bersalin secara normal, ditolong oleh bidan dan sesuai dengan APN, bayi lahir spontan belakang kepala, jenis kelamin Perempuan, BBL: 3100 gram, PB: 48 cm. Asuhan masa nifas pada Ny.D berjalan lancar dan tidak ada komplikasi pada ibu dan bayinya juga. Pada ibu dan bayi sudah diberikan KIE selama proses asuhan dan pada masa nifas ibu sudah memutuskan untuk menggunakan KB Implant pada hari kedua masa nifas.
Berdasarkan hasil asuhan kebidanan komprehensif yang telah dilakukan pada Ny.D diharapkan Ny.D dapat menerapkan KIE yang telah diberikan selama diberikannya asuhan sehingga kondisi ibu dan bayi tidak mengalami komplikasi.

kepuasan pasien adalah suatu fase perasaan pasien yang timbul sebagai akibat dari kinerja pelayanan kesehatan yang didapat setelah pasien membandingkan dengan apa yang dirasakan. Pasien akan merasa puas jika kinerja layanan kesehatan yang diperoleh sama atau melebihi harapan. Dampak dari kepuasan pasien yang rendah terhadap pelayanan di pendaftaran rawat jalan yaitu dapat menyebabkan pasien tidak akan kembali berobat ke puskesmas dan menyebabkan pengunjung puskesmas berkurang. Peneliti akan melakukan penelitian dengan pasien dibagian pendaftaran rawat jalan di puskesmas kecamatan kepulauan seribu utara. Penelitian ini bertujuan untuk mengetahui tingkat kepuasan pasien terhadap pelayanan petugas pendaftaran rawat jalan di puskesmas kecamatan kepulauan seribu utara. Metode penelitian yang digunakan adalah deskriptif kuantitatif dengan menggunakan model pengambilan sampel accidental sampling, dengan cara menyebarkan angket kepada 97 responden yang diukur pada 5 dimensi mutu pelayanan yaitu bukti fisik (tangibles), kehandalan (reliability), ketanggapan (responsiveness), asuransi (assurance), dan empati (empathy). Dari penelitian tersebut diketahui bahwa persentase kepuasan untuk dimensi bukti fisik (tangibles) 84,5%, kehandalan (reliability) 85,6%, ketanggapan (responsiveness) 78,4%, asuransi (assurance) 74,2%, dan empati (empathy) 80,4%. Dengan demikian diketahui tingkat kepuasan pasien terhadap pelayanan petugas pendaftaran rawat jalan di Puskesmas Kecamatan Kepulauan Seribu Utara sebesar 86,6% dan yang menyatakan tidak puas sebesar 13,4%. Berdasarkan dari hasil tingkat kepuasan yang diperoleh belum mencapai standar pelayanan minimal puskesmas yang telah dititipkan oleh menteri kesehatan yaitu ≥90%. Diharapkan kepada pihak puskesmas untuk meningkatkan kualitas pelayanan khususnya di tempat pendaftaran pasien rawat jalan.

During the Covid-19 pandemic, there was a decrease in the coverage of pregnancy services compared to the previous year. Especially during a pandemic like this sometimes pregnant women don't want to check themselves and their wombs for fear of being exposed to the Covid-19 virus. Continuity of Care (COC) or comprehensive midwifery care is a sustainable midwifery service and is one way to reduce MMR and IMR, especially those that occur at the Maos Health Center by providing care for pregnant women in the third trimester, childbirth, postpartum, neonates and family planning, at the Maos Health Center.
With the provision of comprehensive midwifery care, it is hoped that every pregnant woman will get quality maternal health services so that mothers and babies remain healthy and can reduce maternal and infant mortality rates.