Salah satu masalah kesehatan global dan faktor penting dalam keberhasilan program kesehatan ibu adalah Angka Kematian Ibu (AKI).  Di Indonesia rasio  AKI  sebesar  177  per  100.000 kelahiran hidup pada 2017. Studi kasus ini menggunakan desain observasional deskriptif yang menilai derajat atau tingkat kecemasan pada ibu hamil primigravida trimester ketiga pada ibu Ny. S dengan hamil primigravida trimester ketiga di Klinik Bidan Sartikam Manurung pada 23 Februari sampai Maret 2020. Dimana subjek penelitian merupakan ibu hamil primigravida trimester ketiga. Masalah yang dialami Ny. S, ibu cemas terhadap kehamilannya dikarenakan menghadapi persalinannya. Asuhan kebidanan ibu hamil trimester tiga dengan kecemasan menghadapi persalinan, disarankan kepada Ny. S untuk tetap menjaga pola nurtisinya dengan mengkonsumsi makan makanan bergizi, minum banyak baik berupa susu maupun air putih (8-10 gelas/hari) atau 1 liter susu perhari untuk meningkatkan kekuatan ibu. Setelah melakukan asuhan kebidanan pada ibu hamil Ny. S Usia 33 tahun, G1P0A0  tidak didapatkan kesenjangan antara teori dan praktek secara langsung dilapangan.
 
 

Puskesmas sebagai fasilitas kesehatan primer bertanggungjawab terhadap penyelenggaraan pelayanan kesehatan di wilayahnya, termasuk pelayanan SDIDTK. Pelayanan Kesehatan harus sesuai dengan Standar Pelayanan Minimal (SPM). Tujuan Penelitian untuk mengetahui gambaran evaluasi program pelaksana pelayanan kesehatan balita di Wilayah Kerja Puskesmas Batumandi. Metode penelitian kualitatif, subjek penelitian terdiri dari informan utama dan informan trianggulasi. Intrumen yang digunakan berupa pedoman wawancara. Hasil penelitian didapatkan aspek input meliputi man yaitu bidan desa, bidan Puskesmas, gizi, aparat desa dan kader yang bekerja sesuai dengan tupoksi masing-masing. Money berasal dari APBD, DAK dan dana desa. Material yaitu alat-alat pengukur timbangan, pemberian makanan tambahan dan permainan edukatif. Machines yaitu komputer/laptop dan jaringan internet. Method yaitu buku-buku pedoman terkait pelaksanaan program pelayanan kesehatan balita. Aspek proses program pelaksana pelayanan kesehatan balita meliputi perencanaan yaitu pelaksanaan sesuai dengan SOP yang telah ditetapkan sedangkan pelaksanaan sesuai dengan perencanaan dan jadwal yang telah ditentukan. Aspek output meliputi monitoring yaitu dengan melakukan rapat bulanan dan dilakukan secara berkala satu bulan sekali sedangkan evaluasi telah dilakukan dan mengalami kendala yaitu kekurangan tenaga kesehatan dan deteksi dini kesehatan balita.

The aim of this study was to analyze the results of Hb screening of pregnant women in the third trimester and birth weight. Cross sectional observational research. Population of third trimester pregnant women in the Labuhan Rasoki Health Center area, Southeast Padangsidimpuan District, Padangsidimpuan City. The total sample population was 30 respondents. Data were collected for Hb examination using the Easy Touch GHb tool and weighing newborns. Pearson correlation test data analysis.       Results: Relationship between age and birth weight. Pearson correlation coefficient value (r) -0.464, significance level (p) 0.007, significant between age and birth weight of the baby. Parity with an r value of -0.300, significance level (p) 0.007, is not significant between parity and birth weight. The r value of pregnancy spacing is -0.234. significance level (p) 0.198, there is a significant relationship between pregnancy distance and birth weight. LILA r value is -0.030, significance level (p) 0.869, there is no significant relationship between LILA measurements and birth weight of the baby. Hemoglobin, r value 0.751, significance level (p) 0.058. There is a significant relationship between third trimester Hb levels and baby birth weight.elationship between external factors which are significantly related to birth weight, age, gestational interval and the Hb level of pregnant women. Arm circumference and parity were not related to birth weight. Pregnant women's Hb is checked every trimester, the data supports care planning.

.Degenerative diseases in the elderly, if not handled properly, will add to the state’s financial burden, which is not small. This study’s general purpose was to determine ergonomic gymnastics’s effectiveness in lowering blood pressure in the elderly. This research method uses a pre-experiment with a group pre-test and post-test design. The sample in this study amounted to 20 people, using the purposive sampling technique. The results of this study indicate that respondents before being given the intervention had blood pressure in the Stage 1 hypertension category, as many as 12 respondents (60%), and in the Stage 2 hypertension category, as many as eight respondents (40%). After being given the intervention, blood pressure in the Stage 1 hypertension category, as many as two respondents (10%), and pre-hypertension, as many as 18 respondents (90%). The chi-square statistical test showed a p-value = 0.018 (p < 0.05). These results indicate that H0 is rejected Ha is accepted, so it can be concluded that ergonomic exercises effectively reduce blood pressure in the elderly. It is recommended that health center officers socialize with the elderly by providing ergonomic exercises to reduce changes in blood pressure in elderly patients.
 
 
 

One of the causes of MMR and AKB in Indonesia mostly occurs due to hypertension (25%). Prevention of preeclampsia is by screening pre-eclampsia in pregnant women at >20 weeks gestation. The role of cadres is very important in helping midwives to detect high-risk pregnant women. The purpose of the study was to determine the effectiveness of health education on the use of pre-eclampsia screening on cadre skills in detecting high-risk pregnant women in posyandu working areas of Tanta Health Center. This research method includes experimental research using pre-experimental designs type Pretes-Posttest Design. The population is posyandu cadres for pregnant women and toddlers in the Tanta Health Center work area as many as 80 people with sampling techniques with Quota Sampling as many as 40 respondents. The data analysis technique uses the Wilcoxon signed Rank test. The results showed that there was a difference between cadres' skills in detecting high-risk pregnant women before and after health education about the use of pre-eclampsia screening.

Diabetes mellitus is a chronic metabolic disease that causes hyperglycemia. Diabetic neuropathy is a complication of diabetes mellitus due to hyperglycemia. People who experience diabetic neuropathy complain of tingling, numbness, stabbing pain sensations, burning pain sensations, squeezing sensations, and allodynia, which can reduce their quality of life. Administering vitamin B reduces patient symptoms and improves nerve cell function. The aim of this study was to explain the effect of vitamin B on patients with diabetic neuropathy based on a literature review. The research method used was literature review. The results of this study, based on some of the reviewed literature, found that vitamin B has an effect on reducing pain complaints in neuropathic patients with diabetes mellitus.

Elderly is a group of people over 60 years old which is one of the phases that all humans go through. In this phase there will also be various complex problems, especially falls. Falls are the main cause and often cause morbidity and mortality, especially in the elderly over 65 years. The purpose of this study was to see the effectiveness of reducing the risk of falling by implementing the Otago Exercise Program in the elderly. The method used is a case study conducted in February 2023. The duration of the Otago Exercise intervention is 3x a week for 2 weeks. Based on the results of the EOP implementation, it was found that there was a decrease in the Morse Fall Scale value from 90 to 75 (high risk category of falling). There was also a decrease in the TUG value before and after the exercise was carried out. In conclusion, the application of the Otago Exercise Program can reduce the risk of falling in the elderly.
 
 

One of the strategies for the Family Planning (KB) program to reduce maternal and infant mortality is to minimize the 4T conditions. Contraceptive use is still dominated by short-term contraceptive methods, especially injections and pills. Only a quarter of family planning participants use long-term methods of contraception, such as IUDs and implants. The Research objective is to analyze the need for long-term contraceptive methods for injection acceptors based on rational contraceptive use at the Wirang Public Health Center. The method is types of descriptive research. Time of study January 2023. The sample is 168 people. The data source for this research was secondary data in October 2022 regarding injecting birth control acceptors which were analyzed univariately. This study obtained the results of MKJP contraceptive needs based on the phase of contraceptive use (rational contraception), is in the phase of ending the pregnancy as many as 93 people (55.36%). Concluded that contraceptives used by WUS injecting family planning acceptors are not in accordance with rational use of contraception. With age > 35 years or having > 2 children and the pregnancy termination phase, the contraceptive method needed is MKJP contraception.

Menopausal women have a higher risk of hypertension than those who have not been menopausal. Hypertension can damage organs and cause stroke, kidney failure and heart attack. The purpose of the study was to determine the incidence of hypertension in menopausal women in the Working Area of the Lok Batu Health Center. This research method uses quantitative analytical surveys with a cross sectional approach. The population is all menopausal women in the Working Area of Lok Batu Health Center as many as 156 people with purposive sampling techniques as many as 61 respondents. Chi square data analysis technique. The results showed that the majority of the incidence of level 2 hypertension was 33 respondents (54.1%), hormonal birth control history was 42 respondents (68.9%), normal BMI was 33 respondents (54.1%), basic education was 57 respondents (93.4%), working as many as 40 respondents (65.6%). The results of statistical tests using chi square had no relationship between family planning history p = 0.531 (p > 0.05), body mass index p = 0.458 (p > 0.05), education p = 0.403 (p > 0.05) and work p = 0.399 (p > 0.05) with the incidence of hypertension in menopausal women in the working area of the Lok Batu Health Center.

The return of fertility in the mother after delivery is unpredictable. Therefore a woman should start contraception as early as possible after delivery. The low coverage of postpartum family planning at the South Paringin Health Center in 2021 (57.91%) may be due to the low education and not optimal quality of counselling. This study aims to examine the correlation between family planning education and counselling with the use of postpartum family planning. This study used a quantitative method with a cross-sectional approach. With the population of all postpartum mothers in a working area of South Paringin Health Center, from January to October 2022 using a simple random sampling technique of 136 people using the Chi-Square statistical test. The result of this study found that out of 136 people, 87 respondents (63%) used postnatal family planning. The secondary education level was 60 people (44.12%), and 117 people (86.03%) were given family planning counselling. The results of research on the relationship between education and the use of postpartum family planning obtained ρ = 0.430 (ρ > 0.05) and family planning counselling, ρ = 0.032 (ρ <0.05). Concluded that there is no relationship between education and postpartum family planning and there is a relationship between family planning counselling and postpartum family planning.