MMJ (Mahakam Midwifery Journal)

KOMPRES AIR HANGAT UNTUK MENGATASI NYERI PUNGGUNG PADA IBU HAMIL TRIMESTER III

Evita Aulianisa — 2023-06-05

Abstract

Pregnancy will cause various changes in all body systems. The impact of changes in the musculoskeletal system often causes pregnant women to feel pain in the lower back area. One of the non-pharmacological methods that can reduce pain is with a warm compress that can provide benefits such as providing a sense of comfort, reducing or freeing pain, reducing or preventing muscle spasms, and providing a sense of warmth. This type of research is a pre-experimental design research that uses a pre and post test method with one group design. This research design uses only one group, so it does not require a control group (Sugiyono, 2016). With the one group pretest-posttest design, it is hoped that the results of the effect of giving warm compresses on pregnant women's back pain. The population in this study were 26 pregnant women (trimester 3) from January to March 2022 at Pupuk Kaltim Hospital. The sample amounted to 18 respondents who were selected using inclusion criteria.data analysis technique used univariate analysis with frequency distribution and bivariate analysis using the Wicolxon test. the results of this study showed that there was a significant difference in the frequency of back pain before and after the application of warm water compresses (p-value = 0.000) with a value of = 0.05. Warm compresses can provide benefits such as providing a sense of comfort, reducing or relieving pain, reducing or preventing muscle spasms, and providing a sense of warmth.

Keywords: third trimester pregnant women, warm compresses, back pain

Abstrak

Proses kehamilan akan menimbulkan berbagai perubahan pada seluruh sistem tubuh. Dampak perubahan pada sistem muskuloskeletal sering menyebabkan ibu hamil merasakan nyeri pada daerah punggung bawah.Salah satu metode non farmakologis yang dapat mengurangi nyeri yaitu dengan kompres hangat yang dapat memberikan manfaat seperti memberikan rasa nyaman, mengurangi atau membebaskan rasa nyeri, mengurangi atau mencegah terjadinya spasme otot, dan memberikan rasa hangat. Jenis penelitian ini adalah penelitian pre-eksperimen design yang menggunakan rancangan metode pre and post test with one group design. Desain penelitian ini hanya menggunakan satu kelompok saja, sehingga tidak memerlukan kelompok kontrol (Sugiyono, 2016). Dengan rancangan one group pretest-posttest design diharapkan dapat memperoleh hasil pengaruh pemberian kompres hangat terhadap nyeri punggung ibu hamil. Populasi dalam penelitian ini yaitu sebanyak 26 ibu hamil (trimester 3) dari bulan januari hingga maret tahun 2022 di Rumah Sakit Pupuk Kaltim. Sampel berjumlah 18 responden yang dipilih menggunakan kriteria inklusi. Teknik analisis data menggunakan analisis univariat dengan distribusi frekuensi dan analisis bivariat dengan menggunakan uji Wicolxon. Hasil penelitian ini diperoleh terdapat perbedaan yang signifikan terhadap frekuensi nyeri punggung sebelum dan sesudah penerapan kompres air hangat (p-value = 0,000) dengan nilai α = 0,05. Terdapat efektifitas kompres air hangat terhadap nyeri punggung ibu hamil trimester III di Rumah Sakit Pupuk Kaltim Bontang.

Kata kunci : Ibu hamil trimester III, Kompres air hangat, Nyeri punggung

GERAKKAN YOGA TERHADAP TINGKAT STRES IBU MENYUSUI

rosalin ariefahputri — 2023-06-05

Abstrak

Masa nifas merupakan masa transisi bagi ibu yang dapat mengalami stres. Stres dapat diatasi dengan yoga karena dapat meminimalkan ketegangan tubuh, pikiran, juga mental serta menjadikan tubuh lebih kuat saat menghadapi stres dan cemas, membuat rasa percaya diri meningkat, selalu berfikir positif serta dapat meningkatkan hormon endorphin. Jenis penelitian ini adalah eksperimen dengan design penelitian pre eksperimen, variabel dalam penelitian ini senam yoga dan tingkat stres pada ibu menyusui. Sampel penelitian ini ibu nifas sebanyak 15 orang, diambil secara purposive sampling. Penelitian ini dilakukan pada bulan Mei sampai Juli 2022 di PMB Susiyati,S.Tr.Keb. Data dianalisis dengan analisis univariat dan analisis bivariate dengan teknik Wilcoxon signed rank test dengan hasil jika nilai P-value < 0,05 maka Ha diterima yang artinya ada pengaruh pemberian senam yoga terhadap tingkat stres pada ibu menyusui Tingkat stres ibu menyusui sebelum dilakukan yoga dengan tingkat stres ringan 5 orang (33,3%), stres sedang 10 orang (66,7%) sedangkan tingkat stres ibu menyusui sesudah dilakukan yoga dengan stres ringan 12 orang (80%), stres sedang 3 orang (20%). Ada pengaruh yoga terhadap tingkat stres pada ibu menyusui di PMB Susiyati,S.Tr.Keb dengan nilai P-value <0,05 sehingga Ho ditolak dan Ha diterima. Terdapat pengaruh senam yoga terhadap tingkat stres pada ibu menyusui.

Kata Kunci : Stres, yoga, ibu menyusui

Abstract

The puerperium is a transition period for mothers who can experience stress. Stress can be overcome with yoga because it can minimize the tension of the body, mind, and mental and make the body stronger when facing stress and anxiety, make self-confidence increase, always think positively and can increase endorphin hormones. This type of research is an experiment with pre-experimental research design, variables in this study yoga gymnastics and stress levels in nursing mothers. The sample of this study was 15 postpartum mothers, taken by purposive sampling. The study was conducted from May to July 2022 in Independent Midwife Practice Susiyanti. The data were analyzed by univariate analysis and bivariate analysis with the Wilcoxon signed rank test technique with the results if the P-value value < 0.05 then Ha was accepted which means there is an influence of giving yoga exercises on stress levels in nursing mothers The stress level of breastfeeding mothers before doing yoga with a mild stress level of 5 people (33.3%), moderate stress 10 people (66.7%) while the stress level of breastfeeding mothers after doing yoga with mild stress 12 people (80%), moderate stress 3 people (20%). There was an effect of yoga on stress levels in breastfeeding mothers at PMB Susiyati, S.Tr.Keb with a P-value of <0.05 so Ho was rejected and Ha was accepted. There is an influence of yoga on stress levels in nursing mothers.

Keyword : Stress, yoga, Breastfeeding mother

PEMANFAATAN UPAYA KESEHATAN BERSUMBERDAYA MASYARAKAT (UKBM) BIDANG KESEHATAN DI PUSKESMAS MARGASARI

Vonny Khresna Dewi — 2023-06-05

Abstract

Community-based health efforts (UKBM) are a form of health service facilities managed by the community. Some known forms of UKBM are Posyandu (Integrated Service Post), Polindes (Village Maternity Cottage), and Desa Siaga. The success of UKBM implementation is inseparable from the role of the community as implementers and recipients of health services. The use of village funds for UKBM in Tapin District in 2016 only reached 3.6% of the expected 10% target. The aim of the study was to find out the factors related to the Utilization of Community-Based Health Efforts (UKBM) in the Health Sector in the Work Area of the Margasari Health Center, Candi Laras Utara District, Tapin Regency in 2018. This research method uses an analytic survey design with a cross sectional approach. The instrument used in this study was a questionnaire. The study population was all mothers who had toddlers in the working area of Margasari Health Center in Tapin Regency in 2017 as many as 1069 people. The sample of this study is a portion of mothers who have children under five in the work area of Margasari Health Center in Tapin Regency. Calculation of sample size in this study based on the formula as many as 95 people.Date analysis using Chi Square Test. The results showed that Utilization of UKBM in the Health Sector was related to knowledge (ρ=0.000), attitude (ρ=0.000), distance to health facilities (ρ=0.000), ownership of KMS (ρ=0.000), family support (ρ=0.000), support for figures society (ρ=0.000). The conclusion is that the factors that influence the utilization of UKBM in the health sector are knowledge, attitude, distance to health facilities, KMS ownership, family support and support from community leaders.

Keywords: Factor, UKBM, Health Sector

Abstrak

Upaya Kesehatan Bersumberdaya Masyarakat (UKBM) merupakan bentuk fasilitas pelayanan kesehatan yang dikelola oleh masyarakat.Beberapa bentuk UKBM yang dikenal adalah Posyandu (Pos Pelayanan Terpadu), Polindes (Pondok Bersalin desa) dan Desa Siaga. Keberhasilan pelaksanaan UKBM ini tidak terlepas dari peran masyarakat sebagai pelaksana dan penerima pelayanan kesehatan. Penggunaan dana desa untuk UKBM di Kabupaten Tapin tahun 2016 hanya mencapai 3,6% dari target 10% yang diharapkan.Tujuan penelitian adalah mengetahui Faktor yang berhubungan dengan Pemanfaatan Upaya Kesehatan Bersumberdaya Masyarakat (UKBM) Bidang Kesehatan di Wilayah Kerja Puskesmas Margasari Kecamatan Candi Laras Utara Kabupaten Tapin Tahun 2018. Metode penelitian ini menggunakan rancangan survei analitik dengan pendekatan cross sectional. Instrumen yang digunakan dalam penelitian ini adalah kuesioner Populasi penelitian adalah seluruh ibu yang mempunyai balita di wilayah kerja Puskesmas Margasari Kabupaten Tapin tahun 2017 sebanyak 1069 orang. Sampel penelitian ini adalah sebagian ibu yang mempunyai balita di Wilayah Kerja Puskesmas Margasari Kabupaten Tapin. Perhitungan besar sampel pada penelitian ini berdasarkan rumus sebanyak 95 orang. Analisis data menggunakan Uji Chi Square. Hasil penelitian didapatkan Pemanfaatan UKBM Bidang Kesehatan berhubungan dengan pengetahuan (ρ=0,000), sikap (ρ=0,000), jarak fasilitas kesehatan (ρ=0,000), kepemilikan KMS (ρ=0,000), dukungan keluarga (ρ=0,000), dukungan tokoh masyarakat (ρ=0,000). Kesimpulan adalah Faktor yang mempengaruhi pemanfaatan UKBM bidang kesehatan adalah pengetahuan, sikap, jarak fasilitas kesehatan, kepemilikan KMS, dukungan keluarga dan dukungan tokoh masyarakat.

Kata Kunci : Faktor, UKBM, Bidang Kesahatan

STUDI LITERATUR FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KEJADIAN ANEMIA PADA IBU HAMIL

Zakiah Zakiah — 2023-06-05

Abstract

According to data from the World Health Organization (WHO), the prevalence of anemia in pregnant women was 41.8% (WHO, 2010). The prevalence of anemia in pregnant women in Indonesia increased compared to 2013, in 2013 as many as 37.1% of pregnant women were anemic while in 2018 it increased to 48.9% (Riskesdas, 2018). The purpose of this study was to determine the factors associated with the incidence of anemia in pregnant women. This research method uses a literature study method taken from 10 articles, 3 international articles and 7 national articles. The analysis in this study uses thematic analysis. The results of the study of 10 articles, it was found that the incidence of anemia worth between 11.8% - 62%, age at risk worth between 24% - 71.8%, third trimester gestation age worth between 51% - 62.5%, risk parity worth between 6.1% - 57.7%, gestation interval <2 years worth between 5% - 53.5%, and malnutrition status worth between 31.4% - 58%. Of the 8 articles 6 articles 75% stated that there was a relationship between age and the incidence of anemia and 2 articles 25% stated that there was no relationship between age and the incidence of anemia, from 2 articles 100% that discussed gestational age stated that there was a relationship. gestational age with the incidence of anemia, of the 9 articles there were 5 articles 55.5% which stated that there was a relationship between parity and the incidence of anemia and 4 articles 44.5% which stated that there was no relationship between parity and the incidence of anemia, of 3 articles, there are 2 articles 66.6% which state that there is a relationship between pregnancy distance and the incidence of anemia and 1 article 33.4% states that there is no relationship between pregnancy interval and the incidence of anemia, from 4 articles 100% that discuss parity states that there is a relationship between parity and the incidence of anemia. There is a relationship between age, gestational age, parity, gestational distance and nutritional status with the incidence of anemia in pregnant women

Keywords : Incidence of Anemia, Age, Gestational Age, Parity, Birth Distance, Nutritional Status

Abstrak

Menurut data World Health Organization (WHO) secara global prevalensi anemia pada ibu hamil adalah 41,8% (WHO, 2010). Prevalensi anemia pada ibu hamil di Indonesia meningkat dibandingkan dengan 2013, pada tahun 2013 sebanyak 37,1% ibu hamil anemia sedangkan pada tahun 2018 meningkat menjadi 48,9% (Riskesdas, 2018).Tujuan penelitian ini adalah untuk mengetahui Faktor-faktor yang Berhubungan dengan Kejadian Anemia pada Ibu Hamil. Metode penelitian ini menggunakan metode Studi Literatureyang diambil dari 10 artikel, 3 artikel internasional dan 7 artikel nasional. Analisis pada penelitian ini menggunakan analisis tematik. Hasil dari penelitian 10 artikel, didapatkan kejadian anemia bekisar antara 11,8 % - 62%, umur beresiko bekisar antara 24% - 71,8%, usia kehamilan Trimester III bekisar antara 51% - 62,5%, paritas beresiko bekisar antara 6,1% - 57,7%, jarak kehamilan < 2 tahun bekisar antara 5% - 53,5%, dan status gizi kurang bekisar antara 31,4% - 58%. Dari 8 artikel terdapat 6 artikel 75% menyatakan ada hubungan umur dengan kejadian anemia dan 2 artikel 25% menyatakan tidak ada hubungan umur dengan kejadian anemia, dari 2 artikel 100% yang membahas usia kehamilan menyatakan ada hubungan usia kehamilan dengan kejadian anemia, dari 9 artikel terdapat 5 artikel 55,5% yang menyatakan ada hubungan paritas dengan kejadian anemia dan 4 artikel 44,5% yang menyatakan tidak ada hubungan paritas dengan kejadian anemia, dari 3 artikel terdapat 2 artikel (66,6%) menyatakan ada hubungan jarak kehamilan dengan kejadian anemia dan 1 artikel 33,4% menyatakan tidak ada hubungan jarak kehamilan dengan kejadian anemia, dari 4 artikel 100% yang membahas paritas menyatakan ada hubungan paritas dengan kejadian anemia. Terdapat hubungan antara umur, usia kehamilan, paritas, jarak kehamilan dan status gizi dengan kejadian anemia pada ibu hamil.

Kata Kunci : Kejadian Anemia, Umur, Usia Kehamilan, Paritas, Jarak Kelahiran, Status Gizi

PENGETAHUAN IBU MENYUSUI TERHADAP PEMBERIAN KOLOSTRUM DI PUSKESMAS PASUNDAN

Artin Irma Wiherlina — 2023-06-05

Abstract

Breastfeeding is the process of giving breast milk which is very beneficial for the growth and development of babies, especially the first yellowish breast milk (colostrum). Colostrum is the first milk that comes out and is yellowish, usually coming out on the first day to the seventh day. Colostrum contains immune substances to protect babies from infectious diseases, such as upper respiratory tract infections, diarrhea, and other infectious diseases. To determine the relationship between knowledge of breastfeeding mothers and the provision of colostrum in the work area of Pasundan Health Center Samarinda. This type of research is a type of quantitative descriptive research that uses a cross sectional design. The population is all breastfeeding mothers 0-3 months in the work area of Pasundan Health Center Samarinda. The sample is 38 respondents based on total sampling. Data collection uses primary and secondary data. Analysis technique with Sperman rank. The results of statistical research using the Spearman Rank test showed that p = 0.000 (p < 0.05). The Correlation Coefficient value obtained is 0.893 so that it can be said that the close relationship between the two variables is very strong and has a positive correlation direction. There is a relationship between knowledge of breastfeeding mothers on colostrum administration in the work area of Pasundan Health Center Samarinda.

Keywords: Knowledge, Breastfeeding Mothers , Colostrum.

Abstrak

Menyusui adalah proses pemberian Air Susu Ibu yang sangat bermanfaat bagi pertumbuhan dan perkembangan bayi khususnya pemberian ASI pertama yang berwarna kekuningan (kolostrum). Kolostrum merupakan ASI yang pertama kali keluar dan berwarna kekuningan, biasanya keluar pada hari pertama sampai hari ketujuh. Kolostrum mengandung zat kekebalan tubuh untuk melindungi bayi dari penyakit infeksi, seperti infeksi saluran pernafasan atas, diare, dan penyakit infeksi lainnya. Mengetahui hubungan pengetahuan ibu menyusui terhadap pemberian kolostrum di Wilayah Kerja Puskesmas Pasundan Samarinda. Jenis penelitian ini merupakan jenis penelitian deskriptif kuantitatif yang menggunakan rancangan Cross Sectional. Populasi yaitu seluruh ibu menyusui 0-3 bulan di Wilayah Kerja Puskesmas Pasundan Samarinda. Sampel berjumlah 38 responden berdasarkan total sampling. Pengumpulan data menggunakan data primer dan sekunder. Tekhnik analisis dengan Sperman rank. Hasil penelitian statistik menggunakan uji Spearman Rank didapatkan bahwa p = 0.000 (p< 0,05). Diperoleh nilai Correlation Coefficient sebesar 0,893 sehingga dapat dikatakan keeratan hubungan antara kedua variabel tersebut ialah sangat kuat dan memiliki arah korelasi bernilai positif . Terdapat hubungan pengetahuan ibu menyusui terhadap pemberian kolostrum di Wilayah Kerja Puskesmas Pasundan Samarinda

Kata kunci : Pengetahuan, Ibu Menyusui, Kolostrum

VULVA HYGIENE DENGAN REBUSAN DAUN SIRIH TERHADAP PENYEMBUHAN LUKA PERINEUM IBU NIFAS

Endah Wijayanti — 2023-06-05

Abstract

Maternal mortality (AKI) according to Ministry of Health Data (DEPKES) in 2018 indicates that infection in the third rank whole the world. Infection usually occurs in the postpartum mother caused by the lacerations or road injuries born either due to spontaneous rips or episiotomy. The high number of these cases was influenced by a less of understanding about the treatment of perineum wounds at home and poor knowledge of obstetric care. The use of vulva hygiene using betel leaf decoction is the latest innovation to accelerate the healing of perineum wound and prevent infection. To analyze the effectiveness of vulva hygiene with betel leaf boiled water in accelerating the healing of perineal wounds in postpartum mothers through literature studies. Data search is sourced from Google Scholar, Google Search, around 10 articles from 2010-2020. Data analysis was performed narrative and descriptive form. Resulting that vulva hygiene by using betel leaf boiled water has an effect to the perineal wound healing in postpartum mothers. The reseacrh Results based on the 10 articles which have been reviewed that vulva hygiene by using the leaf betel has a good effect on the wound healing perineum, innovation and this technique can be done at home independently or in aids among the family’s member.

Keywords : Vulva Hygiene, Betel Leaves, Perineal Wounds