Jurnal Ilmu Kebidanan (Journal of Midwivery Science)
ISSN 2338-2848 (print) | 2579-9428 (online) DOI Prefix 10.36307 Publisher Sekolah Tinggi Ilmu Kesehatan Akbidyo Editor in Chief Fitriani Mediastuti OAI Journal http://ejournal.akbidyo.ac.id/index.php/JIK/OAI Publication Frequency Triannually (March, August, and December) Focus & Scope Focus and Scope Jurnal Ilmu Kebidanan (Journal of Midwifery Science) Pregnancy Labor Post Partum Pathology Midwifery community Family planning Reproduction health Citation Analysis Google Scholar
Senam Gym Ball Dalam Asuhan Kebidanan Kehamilan untuk Mengurangi Nyeri Pinggang di PMB Anisa Mauliddina
Kehamilan adalah kondisi fisiologis di mana terdapat janin yang berkembang di dalam rahim seorang wanita. Pada trimester III, ibu hamil sering mengalami ketidaknyamanan seperti nyeri pinggang akibat pembesaran rahim yang menyebabkan perubahan postur tubuh, terutama peningkatan tulang belakang (hiperlordosis). Ny. N adalah salah satu ibu hamil yang datang ke PMB Anisa Mauliddina Sleman dengan keluhan nyeri pinggang pada kehamilan trimester III. Dalam hal ini, bidan memiliki peran penting dalam membantu mengurangi ketidaknyamanan ibu hamil, salah satunya melalui intervensi berupa senam hamil menggunakan gym ball. Jenis metode penelitian yang digunakan adalah metode deskriptif analitik dengan pendekatan studi kasus. Instrumen penelitian ini menggunakan hasil pemeriksaan, observasi atau pengamatan penulis, wawancara dengan klien dan data pendukung yang tercantum dalam buku kesehatan ibu dan anak milik klien. Setelah dilakukan senam gym ball selama 10-15 menit sekali setiap 3 hari selama 3 hari, nyeri yang dialami Ny N berkurang, mulai dari skala nyeri 6 pada hari pertama menjadi 2 pada hari ke-5. Sehingga kajian ini menyimpulkan terdapat penurunan intensitas nyeri setelah melakukan latihan senam gym ball pada Ny N, yang sedang hamil trimester III di PMB Anisa Mauliddina. Pregnancy is a physiological condition in which a fetus develops in a woman's uterus. In the third trimester, pregnant women often experience discomfort such as lower back pain due to the en-larged uterus, which causes changes in posture, particularly an enlarged spine (hyperlordosis). Mrs. N is one of the pregnant women who came to PMB Anisa Mauliddina Sleman with complaints of lower back pain in her third trimester. In this case, midwives play a crucial role in helping alleviate discomfort in pregnant women, one of which is through interventions such as prenatal exercises using a gym ball. The type of research method used is descriptive analytic method with a case study approach. This research instrument used the results of examinations, observations or observations of the author, interviews with clients and supporting data listed in the maternal and child health book owned by the client. The results of research on pain on Ny. N after doing senam gymball 10-15 minutes once every 3 days for 3 days it de-creased, starting from the first day pain scale 6 to 2 on day 5. There was a decrease in pain intensity after doing pregnancy exercises with a gym ball on Mrs. N, who was pregnant in the third trimester at In-dependent Midwife Practice Anisa Mauliddina.
Copyright (c) 2026 Jurnal Ilmu Kebidanan (Journal of Midwivery Science)
Evaluasi Tingkat Kepatuhan Penggunaan Obat Antiretroviral (ARV) pada Pasien HIV/AIDS dengan Metode MMAS-8
Kasus Human Immunodeficiency Virus (HIV) di Indonesia mengalami tren peningkatan hingga akhir tahun 2023, berdasarkan data dari kementerian kesehatan terdapat 16.410 kasus AIDS baru di Indonesia hingga akhir 2023. Human Immunodeficiency Virus (HIV) adalah infeksi virus yang menyerang sistem kekebalan tubuh yang mentargetkan pada sel darah putih sehingga dapat melemahkan sistem kekebalan tubuh. Acquired Immunodeficiency Syndrome (AIDS) adalah penyakit lanjutan dari HIV dan dapat memperparah kondisi seorang pasien. Penyakit HIV dapat diobati dan dicegah dengan terapi obat antiretroviral (ARV). Jika pasien HIV tidak diobati dengan terapi tersebut selama bertahun-tahun, maka dapat berkembang menyebabkan AIDS. Sehingga pada penelitian ini akan berfokus pada evaluasi penggunaan obat antiretroviral (ARV) pada pasien HIV/AIDS guna mengetahui gambaran tingkat kepatuhan konsumsi obat ARV pada pasien HIV/AIDS. Penelitian menggunakan pendekatan kuantitatif deskriptif observasional dengan sampel purposif sebanyak 17 responden. Pengukuran kepatuhan dinilai menggunakan instrumen Morisky Medication Adherence Scale (MMAS-8) dengan delapan butir pertanyaan Hasil menunjukkan mayoritas responden memiliki tingkat kepatuhan sedang (58,9%). Temuan ini menunjukkan bahwa kepatuhan pasien dapat dipengaruhi oleh faktor-faktor lain seperti motivasi pribadi, dukungan keluarga, akses layanan kesehatan, dan kondisi psikososial. Studi ini merekomendasikan pendekatan multidimensional yang melibatkan edukasi komprehensif, konseling berbasis empati, dan strategi pemberdayaan untuk meningkatkan kepatuhan terapeutik. Hasil penelitian ini diharapkan menjadi landasan untuk perumusan kebijakan intervensi yang lebih efektif dalam program pencegahan HIV/AIDS pada populasi ibu hamil. Human Immunodeficiency Virus (HIV) cases in Indonesia have been on the rise until the end of 2023. Based on data from the Ministry of Health, there were 16,410 new AIDS cases in Indonesia until the end of 2023. Human Immunodeficiency Virus (HIV) is a viral infection that attacks the immune system by targeting white blood cells, thereby weakening the immune system. Acquired Immunodeficiency Syndrome (AIDS) is the advanced stage of HIV and can worsen a patient's condition. HIV can be treated and prevented with antiretroviral (ARV) therapy. If HIV patients are not treated with this therapy for years, it can develop into AIDS. Therefore, this study will focus on evaluating the use of antiretroviral (ARV) drugs in HIV/AIDS patients to determine the level of ARV drug adherence in HIV/AIDS patients. The study used a descriptive observational quantitative approach with a purposive sample of 17 respondents. Compliance was measured using the Morisky Medication Adherence Scale (MMAS-8) instrument with eight questions. The results showed that the majority of respondents had moderate compliance (58.9%). These findings indicate that patient compliance can be influenced by other factors such as personal motivation, family support, access to health services, and psychosocial conditions. This study recommends a multidimensional approach involving comprehensive education, empathy-based counseling, and empowerment strategies to improve therapeutic adherence. The results of this study are expected to form the basis for the formulation of more effective intervention policies in HIV/AIDS prevention programs for pregnant women.
Peran Perawatan Kebidanan Pascapersalinan dalam Mencapai Keberhasilan Menyusui: Scoping Review
Menyusui adalah metode pemberian makan bayi yang paling bermanfaat dapat meminimalisir terjadinya infeksi pada anak, membantu perkembangan anak yang lebih baik dan meningkatkan kesehatan ibu. Meskipun manfaat pemberian ASI sudah banyak diketahui, namun beberapa negara terutama negara maju terus mengalami angka pemberian ASI yang rendah. Keberlanjutan pemberian ASI esklusif bersifat multifaktorial, peran dan dukungan bidan selama periode pascapersalinan dianggap sebagai komponen penting. Tujuan scoping review untuk mengetahui peran perawatan kebidanan pascapersalinan dalam mencapai keberhasilan menyusui. Ulasan ini menggunakan metodologi untuk peninjauan pengelompokan seperti yang disarankan oleh Arksey dan O’Malley. Lima tahapan tersebut diantaranya: mengidentifikasi pertanyaan penelitian, mengidentifikasi studi yang relevan, pemilihan studi, memetakan data, menyusun, meringkas dan melaporkan hasilnya. Pencarian literatur sistematis menggunakan PubMed, Wiley, Scient Drirect dan Google Scholar. Study design yang digunakan adalah study kualitatif. Hasil diperoleh enam artikel publikasi. Analisis tematik digunakan untuk mengidentifikasi konsep-konsep kunci. Kami mengelompokkan konsep-konsep kunci tersebut kedalam empat tema yang muncul: dukungan pemberian informasi sebelum persalinan, dukungan bidan pada ibu nifas dan menyusui, hambatan yang dialami bidan, harapan ibu. Secara keseluruhan, keberhasilan menyusui sangat dipengaruhi oleh kualitas perawatan kebidanan pascapersalinan yang berkelanjutan, berpusat pada ibu dan keluarga, serta didukung oleh kebijakan dan sistem pelayanan yang kondusif. Breastfeeding is the most beneficial method of infant feeding, as it can reduce the risk of infections in children, support optimal child development, and improve maternal health. Although the benefits of breastfeeding are well recognized, several countries, particularly high-income countries, continue to experience low breastfeeding rates. The continuation of exclusive breastfeeding is multifactorial, and the role and support of midwives during the postpartum period are considered key components. This scoping review aimed to identify the role of postpartum midwifery care in achieving breastfeeding success. The review followed the scoping review methodology proposed by Arksey and O’Malley, which includes five stages: identifying the research question, identifying relevant studies, study selection, data charting, and collating, summarizing, and reporting the results. A systematic literature search was conducted using PubMed, Wiley, ScienceDirect, and Google Scholar. The study designs included were qualitative studies. Six published articles were included in the review. Thematic analysis was used to identify key concepts, which were grouped into four emerging themes: provision of antenatal breastfeeding information, midwives’ support for postpartum and breastfeeding mothers, barriers experienced by midwives, and mothers’ expectations. Overall, breastfeeding success is strongly influenced by the quality of continuous postpartum midwifery care that is woman- and family-centered, and supported by conducive health policies and service systems.
Analisis Status Gizi Balita Berdasarkan Indeks Antropometri di Wilayah Puskesmas Nanga Tayap Tahun 2024
Status gizi balita merupakan indikator penting untuk memantau pertumbuhan dan menunjukkan kualitas kesehatan masyarakat. Penelitian ini bertujuan menganalisis status gizi balita menggunakan indeks antropometri berat badan menurut umur (BB/U), tinggi badan menurut umur (TB/U), dan berat badan menurut tinggi badan (BB/TB) serta menilai hubungan antara jenis kelamin dan status gizi balita di wilayah Puskesmas Nanga Tayap tahun 2024. Penelitian menggunakan desain cross sectional dengan total sampel 228 balita melalui teknik total sampling. Data diperoleh dari data Sekunder Puskesmas Nanga Tayap melalui pengukuran antropometri dan dianalisis dengan software dilakukan uji Chi-Square untuk melihat hubungan antara jenis kelamin dan status gizi. Hasil menunjukkan sebagian besar balita memiliki status gizi normal pada ketiga indeks. Berdasarkan BB/U, 82,5% balita normal, sementara gizi sangat kurang dan gizi kurang masing-masing 6,6%. Pada TB/U, 80,7% normal dan 19,3% pendek. Pada BB/TB, 86,4% gizi baik, 2,6% gizi kurang, dan 11,0% gizi lebih. Uji Chi-Square pada ketiga indeks menunjukkan tidak terdapat hubungan signifikan antara jenis kelamin dan status gizi (p > 0,05). Penelitian menyimpulkan bahwa jenis kelamin tidak memengaruhi status gizi balita. Faktor pola makan, lingkungan, asupan nutrisi, dan pengasuhan memiliki pengaruh yang lebih besar. Hasil ini menjadi dasar penting bagi perencanaan intervensi gizi yang lebih terarah di tingkat Puskesmas Nanga Tayap. The nutritional status of toddlers is an important indicator for monitoring growth and showing the quality of public health. This study aims to analyze the nutritional status of toddlers using anthropometric indices of weight for age (WFA), height for age (HFA), and weight for height (WFH), as well as to assess the relationship between gender and the nutritional status of toddlers in the Puskesmas Nanga Tayap area in 2024. The study used a cross-sectional design with a total sample of 228 toddlers through total sampling technique. Data were obtained through anthropometric measurements and analyzed using software. A Chi-Square test was performed to see the relationship between gender and nutritional status. The results showed that most toddlers had normal nutritional status in all three indices. Based on W/A, 82.5% of toddlers were normal, while 6.6% were severely malnourished and 6.6% were malnourished. Based on H/A, 80.7% were normal and 19.3% were short. Based on W/H, 86.4% were well-nourished, 2.6% were malnourished, and 11.0% were over-nourished. The Chi-Square test on the three indices showed no significant relationship between gender and nutritional status (p > 0.05). The study concluded that gender does not affect the nutritional status of toddlers. Dietary patterns, environment, nutritional intake, and parenting have a greater influence. These results are an important basis for planning more targeted nutritional interventions at the Puskesmas Nanga Tayap level.
Sikap Calon Pengantin Terhadap Imunisasi Tetanus Toxoid Sebagai Upaya Persiapan Kehamilan Sehat
ABSTRAK Imunisasi Tetanus Toxoid (TT) bagi calon pengantin (catin) merupakan langkah preventif untuk mencegah infeksi tetanus pada ibu dan bayi. Namun, tingkat penerimaan imunisasi ini masih bervariasi, dipengaruhi oleh berbagai faktor. Penelitian ini menggunakan metode kuantitatif dengan pendekatan cross-sectional. Sampel terdiri dari 55 calon pengantin di KUA Kecamatan Plupuh, Kabupaten Sragen. Analisis data dilakukan menggunakan uji regresi logistik berganda untuk menentukan faktor yang paling berpengaruh terhadap sikap imunisasi TT. Mayoritas responden memiliki pendidikan tinggi (85,5%), bekerja (65,5%), serta memiliki pengetahuan baik tentang imunisasi TT (58,2%). Namun, sebanyak 54,4% responden melaporkan mendapat dukungan tenaga kesehatan yang buruk. Hasil analisis menunjukkan bahwa faktor yang paling berpengaruh terhadap sikap imunisasi TT adalah dukungan tenaga kesehatan, dengan nilai koefisien regresi (B) sebesar 2,331, nilai AOR 0,097 (95% CI: 0,011-0,832), dan p-value 0,033. Hasil uji regresi terakhir menunjukkan p-value 0,008 dengan Nagelkerke R Square sebesar 0,198, yang berarti dukungan tenaga kesehatan mempengaruhi sikap imunisasi TT sebesar 19,8%, sementara sisanya dipengaruhi oleh faktor lain. Dukungan tenaga kesehatan berperan signifikan dalam meningkatkan sikap positif calon pengantin terhadap imunisasi TT. Oleh karena itu, peningkatan edukasi dan keterlibatan aktif tenaga kesehatan dapat menjadi strategi efektif dalam memperluas cakupan imunisasi TT sebagai upaya persiapan kehamilan sehat. Kata Kunci : Imunisasi TT, Calon Pengantin, Faktor yang Berpengaruh ABSTRACT Tetanus Toxoid (TT) immunization for prospective brides is a preventive measure to protect mothers and infants from tetanus infection. However, the acceptance rate of this immunization varies, influenced by several factors. This study employs a quantitative method with a cross-sectional approach. The sample consists of 55 prospective brides at KUA Plupuh District, Sragen Regency. Data analysis was conducted using multiple logistic regression tests to determine the most influential factor affecting TT immunization attitudes. The majority of respondents had a higher education level (85.5%), were employed (65.5%), and had good knowledge about TT immunization (58.2%). However, 54.4% of respondents reported poor support from healthcare professionals. The analysis results indicate that the most influential factor in TT immunization attitudes is healthcare support, with a regression coefficient (B) of 2.331, an AOR value of 0.097 (95% CI: 0.011-0.832), and a p-value of 0.033. The final regression test showed a p-value of 0.008 with a Nagelkerke R Square of 0.198, meaning that healthcare support influences TT immunization attitudes by 19.8%, while other factors account for the remaining variance. Healthcare support plays a significant role in fostering a positive attitude toward TT immunization among prospective brides. Therefore, enhancing education and increasing the active involvement of healthcare professionals can be an effective strategy to expand TT immunization coverage as part of healthy pregnancy preparation. Keywords: TT immunization, prospective brides, influencing factors
Imunisasi TT, Calon Pengantin, Faktor yang Berpengaruh
Copyright (c) 2025 Jurnal Ilmu Kebidanan (Journal of Midwivery Science)
Pengaruh Edukasi ASI Eksklusif Terhadap Peningkatan Pengetahuan dan Dukungan Keluarga Ibu Primigravida
Air Susu Ibu (ASI) eksklusif merupakan makanan terbaik bagi bayi hingga usia enam bulan pertama. Rendahnya cakupan ASI eksklusif masih menjadi masalah, salah satunya dipengaruhi oleh pengetahuan dan dukungan keluarga. Dukungan keluarga menjadi faktor yang sangat berperan penting dalam keberhasilan ASI eksklusif. Penelitian ini bertujuan mengetahui pengaruh edukasi ASI eksklusif terhadap peningkatan pengetahuan dan dukungan keluarga ibu primigravida trimester III. Penelitian kuantitatif ini menggunakan desain pra-eksperimen dengan rancangan one group pretest-posttest. Populasi penelitian ini sebanyak 55 ibu hamil primigravida trimester III di pueskesmas Sewon II. Pengambilan sampel menggunakan purposive sampling yaitu berjumlah 39 orang keluarga ibu hamil trimester III yang tinggal satu atap. Instrumen penelitian berupa kuesioner pengetahuan dan dukungan keluarga sebelum dan sesudah diberikan edukasi. Analisis data menggunakan uji Wilcoxon dengan hasil penelitian menunjukkan peningkatan rata-rata pengetahuan dari 9,56 menjadi 10,59 setelah penyuluhan, serta peningkatan rata-rata dukungan keluarga dari 29,05 menjadi 32,37. Uji Wilcoxon menunjukkan nilai p=0,000 untuk pengetahuan dan p=0,004 untuk dukungan keluarga (p<0,05). Dapat disimpulkan bahwa penyuluhan berpengaruh signifikan terhadap peningkatan pengetahuan dan dukungan keluarga ibu primigravida trimester III. Tenaga kesehatan diharapkan meningkatkan program edukasi keluarga untuk mendukung keberhasilan ASI eksklusif. Exclusive Breastfeeding (ASI) is the best food for infants up to the first six months of life. The low coverage of exclusive breastfeeding remains a problem, one of which is influenced by knowledge and family support. Family support plays a very important role in the success of exclusive breastfeeding. This study aims to determine the effect of exclusive breastfeeding education on increasing knowledge and family support for primigravida mothers in their third trimester. This quantitative research uses a pre-experimental design with a one-group pretest-posttest arrangement. The population of this study consists of 55 primigravida pregnant women in their third trimester in the Sewon II health center. Sampling was done using purposive sampling, amounting to 39 family members of third-trimester pregnant women living under one roof. The research instrument comprised a questionnaire assessing knowledge and family support before and after education was provided. Data analysis using the Wilcoxon test showed that the research results indicate an increase in average knowledge from 9.56 to 10.59 after the counseling, as well as an increase in average family support from 29.05 to 32.37. The Wilcoxon test showed p=0.000 for knowledge and p=0.004 for family support (p<0.05). It can be concluded that counseling has a significant effect on increasing knowledge and family support for mothers in their third trimester of pregnancy. Healthcare workers are expected to enhance family education programs to support the success of exclusive breastfeeding.
PENGARUH KEPATUHAN KONSUMSI SUPLEMEN ZAT BESI DENGAN KEJADIAN ANEMIA PADA IBU HAMIL DI PUSKESMAS PIYUNGAN
Bleeding during childbirth and the postpartum period is partly caused by anemia during pregnancy. According to the World Health Organization (WHO), approximately 40% of maternal mortality rates in developing countries are related to anemia during pregnancy. One of the causes of anemia in pregnant women is non-compliance with ron supplement consumption. Compliance with iron tablet consumption by pregnant women can ensure an increase in hemoglobin levels. The purpose of this study was to determine the effect of compliance with iron supplement consumption on the incidence of anemia in pregnant women at the Piyungan Community Health Center. The research method used was a quantitative experimental design. The design used in this study is a pre-experimental design with a one-group pretest-posttest design. The study population consists of all pregnant women who underwent examinations at the Piyungan Health Center, totaling 668 pregnant women. The sampling technique used is purposive sampling. Data analysis was performed using the Wilcoxon Signed Rank Test. The results of the study indicate that there is an association between compliance with iron supplement consumption and the incidence of anemia in pregnant women, as evidenced by the asymptotic significance value of p = 0.000. Health centers are encouraged to continue implementing iron supplementation programs as part of routine antenatal care and ensure that pregnant women regularly consume iron supplements, with a minimum of 90 tablets during pregnancy. Additionally, educational programs should be enhanced to emphasize the importance of iron supplements in improving compliance among pregnant women as a preventive measure against anemia.
HUBUNGAN PENGETAHUAN IBU DAN PERILAKU SWAMEDIKASI TERAPI DIARE PADA BALITA DI KLINIK PRATAMA LARAS HATI
Self-medication is a therapeutic process that involves everything from recognizing symptoms to selecting and using medications. Common or mild illnesses, such as mild fever, mild stomach ache, and diarrhea, are usually treated through self- medication. Diarrhea is a condition involving abnormal or unusual stool production, characterized by an increase in body fluid volume and bowel movement frequency of three times or more. If self-medication is performed improperly, there is a risk of further symptoms arising from the improper use of medications, which can lead to fatal consequences such as death. The purpose of this study is to determine the relationship between mothers' knowledge levels and self-medication behavior for diarrhea in infants at the Laras Hati Sewon Clinic. This study uses an observational method with a descriptive analytical approach and a cross-sectional design, employing simple random sampling as the sampling technique. The sample consisted of 30 respondents. The results showed that 77% of mothers at Laras Hati Sewon Primary Clinic had a “good” level of knowledge, 20% had a ‘fair’ level, and 3% had a “poor” level. The level of self-medication behavior among mothers was found to be 64% in the “good” category, 23% in the ‘adequate’ category, and 13% in the “poor” category. The results of the chi-square test analysis showed that there is a relationship between higher education and professional background of mothers, which makes them more effective in managing diarrhea, thereby influencing self-medication behavior in infants, with a p-value < 0.005
IDENTIFIKASI STAKEHOLDER UNTUK MENYUSUN DESAIN KOLABORASI DALAM KESEHATAN MATERNAL (Studi Kasus Kabupaten Bantul)
Maternal health serves as a key indicator in assessing the quality of healthcare services and the success of a country's health development efforts. It encompasses not only the safety of mothers during pregnancy, childbirth, and the postpartum period, but also reflects the accessibility, effectiveness, and coordination within the healthcare system involving multiple stakeholders. Despite various intervention efforts, maternal mortality remains a significant challenge in Indonesia. According to the 2023 Indonesian Health Survey (SKI), the maternal mortality ratio (MMR) in Indonesia stands at 189 per 100,000 live births, which is still above the national target set in the 2020–2024 National Medium-Term Development Plan (RPJMN), namely 183 per 100,000 live births. A thorough identification of maternal health stakeholders is essential not only to understand the extent of national support for maternal health issues, but also to design effective stakeholder collaboration to accelerate the achievement of maternal health targets. This case study in Bantul Regency, Special Region of Yogyakarta (DIY), identifies at least seven potential stakeholders for collaboration: the District Health Office, hospitals, community health centers (Puskesmas), the Office of Population and Family Planning, village governments, social organizations, higher education institutions, and the business sector. Each of these stakeholders has a distinct and valuable role to play.
Hubungan Konsumsi Soft Drink Dengan Usia Menarche Pada Remaja Putri Di Sd Pacar Timbulharjo
In girls, early puberty is characterized by menarche. Factors that can affect the age of menarche include socio-economic, BMI, nutritional status, including soft drink consumption. Soft drink consumption in teenagers is very high with the content in soft drinks such as caffeine and artificial sweeteners. There is a shift in the age of menarche which tends to be earlier, especially in developing countries. Increased consumption of sweetened beverages, such as soft drinks, is considered the cause This research aims to find out. The relationship between soft drink consumption and menarche age in adolescent girls at Pacar Elementary School. This study used an observational analytical study with a cross sectional design. The research location is at Pacar Elementary School, the research was conducted in February 2024 with a total of 45 respondents. Sampling was done using purposive sampling techniques. The analysis in this study used a brivariate analysis with a statistical test with Chi-square to determine the relationship between soft drink consumption and menarche age in adolescent girls The results of the study showed that there was a relationship between soft drink consumption and menarche age as shown with a value of p=0.00 (<0.05). The value of p=0.00 shows that the results of the tested study have a statistically significant relationship (p<0.05). Conclusion There is a relationship between soft drink consumption and menarche age in adolescent girls.
PENGARUH DUKUNGAN SUAMI TERHADAP KESEHATAN IBU HAMIL DI KELURAHAN PURO KARANGMALANG
The maternal mortality ratio, estimated at around 228 per 100,000 live births, has remained high at over 200 for the past decade, despite efforts to improve maternal health services and every hour one woman dies in childbirth or from pregnancy-related causes. Factors that cause maternal mortality can be broadly grouped into direct and indirect causes. The family has an instrumental support function, namely the husband's support given to meet the mother's physical needs with the help of the family, informational support in this case the husband has an instrumental support function, namely the husband's support given to meet the mother's physical needs with the help of the family, informational support, namely the husband's support in providing information he has obtained about pregnancy, assessment support, namely making the right decisions for his wife's pregnancy care, emotional support, namely the husband fully provides psychological support to his wife by showing concern and attention to her pregnancy and being sensitive to the needs and changes in the emotions of the pregnant woman. The purpose of this study was to determine the effect of husband's support on the health of pregnant women. This research method was designed with a cross-sectional approach with an observation form with a sample of 65 respondents. The results of the study showed that as many as 50 (76.9%) husbands supported pregnant women well, and there were 34 (52.3%) pregnant women who had good health status. P-Value of 0.004 <0.005, which means there is a significant relationship between husband's support and the health status of pregnant women.
PENGARUH PENDIDIKAN PRANIKAH DENGAN MEDIA SOSIAL INSTAGRAM TERHADAP STATUS GIZI CALON PENGANTIN PEREMPUAN DI PUSKESMAS JATEN II KABUPATEN KARANGANYAR
Limited access to preconception health is due to their low knowledge of this aspect. Efforts to improve knowledge can be carried out by providing information about preconception health. This study aims to analyze the effect of premarital education through Instagram on the nutritional status of prospective brides and grooms. This study applies a pre-experimental method through a one-group pretest-posttest design. The research sample consisted of 40 prospective brides and grooms at the Jaten II Health Center who met the inclusion and exclusion criteria using the total sampling technique. The research instruments were questionnaires and Instagram. Data analysis was carried out univariately and bivariately, with bivariate analysis using the Wilcoxon test. The results showed that: 1) The characteristics of the respondents were mostly aged 20-35 years (87.4%), high school (45.0%), and private employees (40.0%). 2) Nutritional status based on BMI before premarital education was classified as underweight (100%), but after premarital education it increased to normal conditions (75.0%). Nutritional status based on Hb levels before premarital education was categorized as low (100%), but increased to normal (78.0%) after being given premarital education. There was a significant effect of premarital education through Instagram on the nutritional status of prospective brides and grooms at Jaten II Health Center (p-value 0.000 <0.05). The conclusion of this study is that premarital education through Instagram affects the nutritional status of prospective brides and grooms based on body mass index and Hb levels.
PENGARUH KONSELING GIZI PRAKONSEPSI DENGAN MEDIA VIDEO TERHADAP PENGETAHUAN DAN SIKAP CALON PENGANTIN PEREMPUAN DI PUSKESMAS SUKADAMAI LAMPUNG SELATAN
The nutritional status of women of childbearing age (WCA) or prospective brides during the preconception period, which lasts three to six months, determines the condition of the baby at birth. The nutritional and health status of prospective mothers during the preconception period, pregnancy, and breastfeeding is a critical phase. The prevalence of chronic energy deficiency (CED) in Lampung Province is 13.6%, while in South Lampung, it is 9.56%. Nutrition education promotes increased knowledge and behavioral changes. Counseling using video media is an effective health education method, as videos can provide more concrete information, be evenly distributed, repeated, or paused as needed, making them highly suitable for explaining processes. This study aims to determine the effect of preconception nutrition counseling using video media on the knowledge and attitudes of prospective brides at Sukadamai Public Health Center, South Lampung. This quantitative study uses a quasi-experimental design with a nonequivalent control group. The study population includes all prospective brides at Sukadamai Public Health Center, with an average of 50 individuals per month (January – June 2024). The sampling technique used is total sampling, with 25 participants in the intervention group and 25 in the control group. The study was conducted at Sukadamai Public Health Center. The intervention group received counseling using video media, while the control group received counseling using leaflet media. Data collection was conducted using observation sheets, and the analysis was performed using the Wilcoxon test, independent t-test, Mann-Whitney test, and paired t-test. The average knowledge score of prospective brides in the experimental group increased from 50.80 before the intervention to 79.80 after receiving counseling with video media, while in the control group, it increased from 52.40 to 62.40 after receiving counseling with leaflet media. Similarly, the average attitude score of prospective brides in the experimental group increased from 44.88 to 76.40, whereas in the control group, it increased from 46.88 to 66.00. The results showed a significant difference in the knowledge and attitudes of prospective brides before and after the intervention in both the video counseling group and the leaflet counseling group, with a p-value of 0.000. It is recommended to develop more interactive and engaging video media and involve prospective grooms in preconception nutrition counseling to enhance educational effectiveness and support optimal pregnancy preparation.
EFEKTIVITAS PENYULUHAN TERHADAP PENGETAHUAN, SIKAP DAN NIAT REMAJA PUTRI UNTUK MENGKONSUMSI TABLET TAMBAH DARAH
Anemia is a health problem in adolescent girls. The prevalence of anemia among young women risks disrupting growth, development and quality of life. One of the recommended efforts to prevent anemia is to consume blood supplement tablets (TTD). Counseling is one method of increasing knowledge and changing attitudes. This research aims to analyze the effectiveness of counseling on the knowledge, attitudes and intentions of young women in consuming tablets. add blood. Counseling was carried out to increase knowledge of young women regarding the importance of consuming TTD in preventing anemia. The method used is experimental research with a pre-test post-test design. The research sample consisted of high school and vocational school teenagers. Data was collected through questionnaires that measured teenagers' knowledge, attitudes and intentions before and after counseling. The results of the study prove that providing intervention is statistically effective in increasing knowledge, attitudes and intentions regarding the benefits of blood supplement tablets. This research concludes that counseling is effective in increasing teenagers' knowledge, attitudes and intentions towards consuming TTD, which is expected to reduce the prevalence of anemia in young women in Indonesia
PENERAPAN ASUHAN KEBIDANAN BERKESINAMBUNGAN PADA PEREMPUAN DALAM ASUHAN KEBIDANAN NY. S UMUR 25 TAHUN DI PUSKESMAS TAWANGMANGU KARANGANYAR
Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR) are key indicators in assessing maternal and child health as well as the quality of midwifery services. In Tawangmangu District, no cases of maternal mortality were found, but the infant mortality rate was recorded at eight cases. Efforts to reduce MMR and IMR include providing continuous midwifery care (continuity of care). This study aims to implement continuous midwifery care from pregnancy to contraceptive decision-making using a holistic midwifery management approach based on evidence-based practice. This study employs a case study method with Mrs. S, a 25-year-old woman, and her baby as research subjects. Data collection was conducted through primary data, including interviews and direct examinations, secondary data from medical records, and literature studies to support the analysis. Throughout the study, a total of 13 visits were conducted, consisting of three visits during pregnancy, one visit during labor, three visits for newborn care, four visits during the postpartum period, and two visits for contraceptive decision-making. From pregnancy to contraceptive selection, both the mother and baby remained in a normal physiological condition without complications. However, during labor, a pathological condition was observed in the form of retained placenta, where the placenta had not been delivered within 30 minutes after childbirth. To address this issue, manual placenta removal was performed, and uterotonic injection was administered to stimulate uterine contractions. The evaluation of these interventions showed positive results, as the placenta was successfully expelled, bleeding stopped, and uterine contractions proceeded optimally. The findings of this study indicate that continuous midwifery care, from pregnancy to contraceptive decision-making, proceeded normally. Therefore, midwives are expected to continue implementing professional midwifery management at every stage of care. Furthermore, midwives should maintain and enhance their competencies to provide services in accordance with standards, ensuring optimal maternal and infant health.
Pengaruh Pemberian Madu Terhadap Penurunan Nyeri Pasca Imunisasi Measles Rubella
Background: children after being given Measles Rubella (MR) immunization often experience pain in the injection area and parents become confused and panicked. Various efforts, both using drugs and traditional methods, are carried out to reduce pain. One of the traditional methods is by giving children honey to drink. This study aims to determine the effect of giving honey on reducing pain after MR immunization in children aged 9-18 months in the Trucuk I Klaten Health Center area. Method: The research method used is analytical observational, namely researchers try to find the influence between variables by conducting an analysis of the data collected and using a quasi-experimental one group pretest-posttest research design. Result: The results of the study on 20 respondents showed mean pain score after MR immunization before the honey solution drink (pre-test) 5.20; standard deviation 1,765 and mean pain score after the honey solution drink (post-test) 2.70; standard deviation 1,174. The results of the Paired Sample t Test analysis showed a sig value (2-tailed) of 0.000 < 0.05. It can be concluded that post-MR immunization pain in children aged 9-18 months will decrease after drinking honey solution and the decrease in pain score is significant. Keywords: Honey, Pain, Immunization, Measles Rubella
Tingkat Pengetahuan Dan Sikap Mahasiswa Kebidanan Dengan Anemia Di Stikes Akbidyo
Background: The prevalence of anemia in women in Indonesia is 27.2% of students, including the group vulnerable to anemia with the highest prevalence in young women aged 15-24 years. It was found that 8 out of 10 students do not have good knowledge and attitudes, this is one of the factors that causes it to occur. anemia. This research aims to determine the relationship between knowledge and attitudes of midwifery students and anemia at STIKes Akbidyo. Research Method: This type of research uses quantitative analytical methods, with a cross-sectional approach. The population of this study were all midwifery students. Sampling used probability sampling techniques with a simple random sampling Tingkat Pengetahuan dan Sikap Mahasiswa Kebidanan dengan Anemia di STIKes Akbidyo approach. The data collection tool uses a g-form questionnaire with a Guttman and Likert scale and hemoglobin level values use easy touch GCHb. Meanwhile, the statistical test technique uses the Chi-Square test. Research Results: The hemoglobin levels of respondents who experienced anemia were 37.1%. The research results showed that the relationship between sufficient knowledge about anemia was 85.2% and the relationship between adequate attitudes about anemia was 62.9%. This shows that there is no significant relationship between knowledge and anemia of STIKes Akbidyo midwifery students with p-Value results of 0.811 > 0.05 and there is a significant relationship between attitudes and anemia of STIKes Akbidyo midwifery students with p-Value results of 0.022 > 0.05. Conclusion: The conclusion of this research is that the relationship between the level of knowledge and attitudes of midwifery students and anemia is said to be quite good regarding anemia at STIKes Akbidyo. Keywords: Knowledge, Attitude, Anemia
Literature Review: Intrauterine Device Terhadap Resiko Kanker Serviks
Background: Based on Riskesdas data, the prevalence of cancer in Indonesia shows an increase from 1.4 per 1000 population in 2013 to 1.79 per 1000 population in 2018. According to data from the Global Burden of Cancer Study (Globocan) from the World Health Organization (WHO), cancer cases in Indonesia in 2020 reached 396,914 cases and total deaths were 234,511 cases(1) The type of contraception and duration of contraceptive use are also said to be risk factors for cervical cancer in women(2). Castellagué's research (2011) states that women who accept IUDs have a 50 percent risk of developing cervical cancer compared to those who do not use them(3). Objective: To determine the effect of intrauterine devices on the risk of cervical cancer. Research Method: Literatures review The database search used was Google Scholar. A search for full text publication articles, Pubmed, Google Scholar from 2017 to 2022. A total of 7 journals were reviewed, including 7 full text Google Scholar S: 3 and Pubmend: 4 journals. Characteristics of full text articles are discussed based on the quality of the article using critical appraisal research tools Hawker, S. et al. Results: Observing and measuring the quality of full text research journals on IUDs on the risk of cervical cancer, full text journals reviewed case control study methods, randomize control clinical trials, retrospective cohort analysis, cross sectional studies based on the conditions cohort study, retrospective cohort . based on the grade of Grade A articles there is 6 journal, Grade B there are 1 journals, based on country the journals come from California 1, Colombia 1, Denmark 1, Brazil 1, Indonesia 3. Conclusion: Copper IUD use was not associated with pre-cancer or cancer. and that IUD use reduces the incidence of cervical cancer. LNG-IUD use was associated with CIN2+ but not CIN3+. Because CIN2 is in the low level spectrum. Keywords: Intrauterine Device (IUD), Risk of Cervical Cancer
Dukungan Keluarga Dalam Keberhasilan Pemberian ASI Eksklusif Pada Ibu Bekerja Di Desa Sendangsari, Pajangan Bantul
Background: The success of exclusive breastfeeding is important because it can increase a child's height growth and help prevent malnutrition in children aged 0-24 months. Sendangsari Village, Gupawarak Hamlet has a large number of breastfeeding mothers who work, so exclusive breastfeeding is not well provided for. The factors that influence the success of exclusive breastfeeding are very diverse, and one of the most influential factors is family support, especially support from husbands, parents and other family members. Family support is provided to form and increase the mother's confidence in breastfeeding and become a motivation to breastfeed thereby increasing breast milk production. This research aims to determine the forms and efforts of family support for the success of exclusive breastfeeding for working mothers. Method: This type of research is a qualitative descriptive ethnographic design. The number of informants was 6 people consisting of two mothers-in-law, two biological mothers and two husbands. The research instrument is an interview guide using cellphones and stationery. The population of this study were working breastfeeding mothers, husbands and family members. The data analysis techniques used were data collection, data reduction, data display/data presentation, and drawing conclusions. Result: The research results found several things regarding forms of support, support efforts in storing breast milk, support for increasing breast milk production and providing information. In conclusion, family support takes the form of emotional, instrumental, appreciation or assessment and informational support Key words: Family support, exclusive breastfeeding, working mother
Pengaruh Pendidikan Kesehatan Reproduksi Terhadap Peningkatan Pengetahuan Santriwati Putri Di Pondok Pesantren Al Mukmin Sukoharjo
Background: Many life events that will be occurred will not only determine adult life but also the quality of life of the next generation, so this period is a critical one. Maintaining reproductive health is very important, especially for adolescents. Adolescence is the best time to build good hygiene habits, which can be an asset in the long term. Method: This study is pre experimental research with a one-group pre-post test design method using Wilcoxon test. The study population consisted of students at the Al-Mukmin Sukoharjo Islamic boarding school, totally 20 respondents. Results: It can be concluded that the reproductive health education provided has an influence on increasing knowledge, or it can be said that reproductive health education can improve the thinking skills of students. Keywords: Education, reproductive health, adolescence
Pengaruh Edukasi Terhadap Pengetahuan Stunting Pada Ibu Hamil Di Kelurahan Bangunharjo
Background: Stunting is a current issue that is of global concern, especially in Indonesia to face a window opportunity in 2030. A number of stunting prevention and management methods have been attempted to encourage knowledge and fulfillment of nutrition in preventing chronic malnutrition that causes stunting, including stunting prevention education for caten , nutrition education in fulfilling energy in pregnant women. Pregnant women are a vulnerable group with nutritional problems, this is related to the process of fetal growth and physiological changes in various organs of the body to support the pregnancy process Objective: This study generally aims to determine the effect of health education on knowledge about stunting in pregnant women in Bangunharjo Village, Kapanewon Sewon, Bantul Regency. Method: This study used a quasi-experimental research method (quasi-experimental) with a "one group pretest-posttest design". This research activity provides treatment in the form of health education regarding stunting to find out a symptom of influence that arises after being given treatment. The subjects of this study were 51 pregnant women in Bangunharjo Village, Kapanewon Sewon, Bantul Regency. Results: The results of the research from the paired t-test showed a t-test value of 7.023 with a p-value of 0.000, which means that there is a significant difference between pregnant women's knowledge about stunting before and after counseling. Keywords: Knowledge of Stunting, Pregnant Women, Health Education
Efektivitas Pelatihan Kader Posyandu Dalam Pengisian Buku KMS Di Posyandu Remaja Klaten
Background:One of the duties of Posyandu cadres in Posyandu activities is to keep records. Conditions in the field are that there are still many posyandu cadres who do not know how to fill in the KMS book. So far, the cadres have received training on the MCH Handbook. The approach used is conventional. Purpose:This study aims to determine the effectiveness of training for youth posyandu cadres in completing the MCH handbook. Methode: This type of research is pre-experimental, with a one-group pre-test-post-test group design. The population in this study were all posyandu cadres in Lemahireng Pedan Klaten Village, consisting of 10 people. Sampling technique with total sampling. Result: Data analysis using the Wilcoxon Signed Ranks Test, obtained P = 0.006 (p <0.05) so that there is a significant difference in the knowledge of cadres before and after being given training in filling out the Health Card book (KMS). Keywords: Training, Cadre, KMS Book
Literatur Review: Kombinasi Aromaterapi Dan Pijat Sebagai Pemicu Produksi ASI
Background: Breastmilk is the best food for babies in their early life. This is because breastmilk has complete nutrients, such as carbohydrates, protein, fat, multivitamins, water, carnitine, and minerals, which babies need. Therefore breastfeeding can guarantee the nutritional status of infants so that child morbidity and mortality decreases. The need for efforts that can be made to help facilitate and increase milk production, such as the use of medicinal plants, oxytocin massage, marmet techniques, acupressure, acupuncture, warm compresses, rolling (back) massage, breast care, and the SPEOS method. Objective: To find out what can be done how to expedite and increase milk production. Methode: This study is a literature review. Sources for conducting this literature review include systematic search studies of computerized databases, namely PubMed and Google Scholar. Result: Increasing prolactin hormone levels can be done in several ways, namely massage, aromatherapy oil compression, and physiological stimulation of the baby while breastfeeding. In addition, massage and breast stimulation can also prevent breast engorgement so that it can maintain the smooth flow of breast milk. In this study it can be concluded that the combination of massage or massage with aromatherapy can increase milk production. The massage techniques used consisted of back massage, oxytocin massage, acupressure, and loving massage. Aromatherapy used in massage includes oil, rose, anise, lime peel, clary sage, lavender, jasmine, and lemongrass. Keywords: production breastmilk, aromatherapy, massage
Hubungan Tingkat Pengetahuan Dengan Keikutsertaan Keluarga Berencana Pada Pria
Background: Uncontrolled population growth leads to various issues, including social, economic, political, and security concerns. The solution to address this is through a family planning program. However, family planning programs are predominantly focused on women. Male participation in family planning is still very low, as indicated by the low coverage of male contraceptive use. Limited knowledge among men about family planning is one of the causes of low male participation in family planning. Purpose: To determine the relationship between knowledge level and family planning participation in men in the working area of Koba Central Health Center. Method: The research is a quantitative study with a case-control design. The population consists of all fertile-age male couples (reproductive age group) in the UPTD Koba Health Center area, Bangka Regency. The sample consists of 53 respondents for both the case and control groups, selected through accidental sampling. The case group comprises reproductive age group participants in family planning. The control group consists of reproductive age group individuals who are not family planning participants. Data collection was done using a questionnaire. Data analysis techniques used chi-square. Results: The knowledge level of family planning in the case group mostly falls under the good category (71.7%), while in the control group, it mostly falls under the poor category (50.9%). Male participation in family planning mostly involves condom use (92.5%), has been using contraception for ≤ 5 years (58.5%), and regular condom users (87.8%). There is a relationship between knowledge level of family planning and male participation in family planning, with a chi-square value of 4.772 and p-value of 0.029 (p < 0.05). Men with good knowledge of family planning are 2.631 times more likely to be family planning acceptors compared to men with poor knowledge of family planning. Conclusion: There is a relationship between knowledge level of family planning and male participation in family planning. Keywords: Knowledge, Family planning participation, Men.
Pertambahan Berat Badan Akseptor KB Suntik 3 Bulan Di Puskesmas Danurejan 1 Yogyakarta
Background: Family planning is a program to help improve public health by regulating pregnancy. Injections are contraception with high interest as well as being effective and efficient in preventing pregnancy. injecting contraceptive users in the special region of Yogyakarta in 2021 are included in the top 3 enthusiasts of contraceptive users consisting of 5,317 injections, 7,741 IUDs, 6,354 condoms, with 33,702 fertile couples. Injectable contraception has the side effect of increasing body weight for women as acceptors, even so, there are still many enthusiasts who use injectable contraception. Objetive: The aim is to determine the weight gain of 3-month injectable contraceptive acceptors. Methode: This research is descriptive research. The sample in this study were 259 respondents with technical accidental sampling. Result: The results showed that 159 respondents (61.4%) experienced normal weight gain in the first year of 2.9 kg, and 42 respondents (16.2%) gained more than 2.9 kg of body weight, normal weight gain in the second year 5.9 kg in 44 respondents (17%), and overweight in the second year > 5.9 kg in 14 respondents (5.4%). With weight gain in the normal category and more emphasis on midwives or health workers to be able to provide adequate counseling regarding weight gain for mothers who use 3-month injection contraception.
Status Pekerjaan Ibu Dengan Perkembangan Balita Usia 3 Sampai 5 Tahun Di PAUD Permata Hati Al Mahalli
Background: Children can optimally achieve 4 aspects of development (fine motor, gross motor, language, and social) if they get stimulation from an early age. Many factors affect the growth and development of children. Parents or companions can do the stimulation. Parents, especially mothers, play an essential role in the process of growth and development of children. Currently, mothers have various roles, one of which is being a working mother. Objective: This study aimed to determine the correlation between the mother's employment status and the development of toddlers aged 3 to 5 years at Permata Hati Al Mahalli Method: This is an observational analytic study with a cross-sectional approach. This study used total sampling to get 35 respondents of mothers and toddlers. Data collection was carried out using mother respondent identity sheets and the results of the Pre-screening Developmental Questionnaire (PDQ) for assessing toddler development. Data analysis in this study was carried out using Chi-Square. Result: This study showed that there were 7 (35%) toddlers with dubious development out of 20 working mothers and 1 (6.7%) toddler with dubious development out of 15 non-working mothers. The chi-square test results showed df = 1 at a significant level of 5% with a p-value of 0.048 <0.05. Conclusion: Mother's employment status is significantly correlated with the development of toddlers aged 3 to 5 years at Permata Hati Al Mahalli Keywords: Mother's employment status, toddlers’ development
Pengaruh Konsumsi Air Kelapa Hijau Dalam Penurunan Intensitas Dismenore Di Sumatera Selatan
Background: Dysmenorrhea in adolescents usually occurs due to very high prostaglandin hormones on the first day of menstruation. Dysmenorrhea affects productivity such as disruption of learning activities causing a lack of focus in lessons and can even increase absenteeism from school. One effort that can be done to relieve dysmenorrhea is non-pharmacological therapy of green coconut water. Green coconut water contains vitamins and minerals that can stimulate the body to stabilize the prostaglandin hormone so that dysmenorrhea pain decreases. Research Objectives: This study aims to determine the effect of consuming green coconut water (Cocos Nucifera Linn Var. Viridis) on reducing the intensity of dysmenorrhea in young women in Sungai Pinang 1 Village, Ogan Ilir District, South Sumatra. Research Methods: The type of research used is a quantitative research with a quasi-experimental design with a one group pretest and posttest serial design. Total sampling data collection technique obtained. The data analysis used non-parametric statistics because the data were not normally distributed, the Wilcoxon test was used with a significant level of 0.05. Results: there was a decrease in the intensity of pain response before treatment pain score 128 with a mean score of 4.74 (moderate pain) after treatment I, II and III there was a decrease in pain score 72 with a mean score of 2.77 (mild pain). Green coconut water has a significant effect on reducing the intensity of dysmenorrhea with a significant level of p 0.000 Z score -4.633 (Z score table = 107). Conclusion: There is a significant effect on reducing the intensity of dysmenorrhea after consuming green coconut water in young women in Sungai Pinang 1 Village, Ogan Ilir District. Keywords: Green coconut water, dysmenorrhea, pain intensity
Pengetahuan Ibu Dan Kepatuhan Ibu Tentang Penggunaan Kontrasepsi Di Masa Pandemi
Background: The world's population continues to grow, Indonesia is also predicted in 2025-2035 to be the fourth most populous country in the world. For this reason, it is necessary to control the rate of population growth through the family planning program using contraception. During the pandemic, it had several impacts, especially for the Family Planning (KB) program, namely: a decrease in family planning participants. Ultimately it will affect family planning services and membership. Family planning participants during a pandemic were afraid to make repeat visits because of their limited knowledge of family planning during a pandemic. Research objectives for the relationship between mother's knowledge about contraception and adherence to contraceptive use during the pandemic. Subjects and Methods This research uses non-experimental research with an observational research design that aims to analyze a relationship between variables. This type of research uses cross sectional. The sampling technique in this study was simple random sampling. The subjects in this study were mothers who used contraception in Delanggu Village as many as 55 acceptors. Results: Based on the research, it can be found that out of 55 respondents, the majority of respondents have knowledge about contraceptive use in the good category, namely 26 respondents (47.48%). 30 respondents (54.5%) were obedient in using contraception, it was found that there was a significant relationship between mothers' knowledge about contraceptive use and adherence to contraceptive use during a pandemic with a p value = <0.001. Conclusion: Mother's knowledge of contraceptive use during a pandemic is good, adherence to contraceptive repeat visits during a pandemic is good and there is a significant relationship between maternal knowledge and maternal compliance in contraceptive services (p <0.001). Keywords: contraception, pandemic, compliance, knowledge, Covid19
Efektivitas Pendidikan Kesehatan Video Animasi Tentang Pernikahan Dini Terhadap Pengetahuan Remaja Putri
Background: The phenomenon of early marriage during the COVID-19 pandemic that occurred in Batang Regency increased by 200% compared to the previous year with the average age of marriage being 17 years. From 2019 to 2020 there has been a decrease of 0.6%, but it has not yet reached the target of reducing it to 8.74% in 2024. One of the factors causing early marriage is the lack of knowledge of reproductive health in adolescents and the risks that can occur due to contraceptives. reproductive organs that are not ready for pregnancy and childbirth. This can increase maternal and infant mortality as a standard for a country's health status. Social and economic impacts also occur due to reduced peer interaction, discontinued education levels, resulting in narrower job opportunities. Purpose: The aim of this study was to determine the effectiveness of health education through animated video media on young women's knowledge of early marriage during a pandemic at SMA Negeri 1 Batang. This type of research uses a quasi-experimental and pretest-posttest with control design. The sampling technique was simple random sampling with a total of 134 respondents. Data collection used a questionnaire filled out online via the Google form. Result: The results of the study showed an increase in the average knowledge score in both the control and experimental groups. In the control group, the increase in score reached 12.69 ± 2.211, while in the treatment group it experienced a higher increase, namely 22.55 ± 7.509. The results of the Mann Whitney test showed that providing health education using animated video media was effective in increasing the knowledge of SMA Negeri 1 Batang students with a p value = 0.000. Keywords: early marriage, animation videos, knowledge
Perbandingan Konsumsi Buah Naga Dan Sari Kacang Hijau Terhadap Peningkatan Kadar Hb Pada Ibu Hamil Anemia Di Wilayah Puskesmas Mranggen II Kecamatan Mranggen Kabupaten Demak
Background: Anemia is still a complex health problem in Indonesian women. The most common cause of anemia in pregnancy is lack of nutrients in the body. Pharmacological treatment has side effects faster than non-pharmacological treatment. Natural products that are traditionally used as an additional intake in the prevention of anemia, for example there are dragon fruit, green beans, and so on. Purpose: The purpose of this study was to determine the effectiveness comparison between consumption of dragon fruit and mung bean juice on increasing Hb levels in anemia pregnant women in the Mranggen II Public Health Center, Demak Regency. This type of research is quantitative research with a research design using Two Group Pretest Posttest Design. The population in this study were pregnant women with anemia. Sampling using the entire population of as many as 40 respondents. Giving dragon fruit in the form of pieces shows 100% of the ingredients used and green beans are made by boiling to get the juice from the green beans. The research instrument was the Easy Touch Hb test as a measuring tool for Hb levels. Data analysis used Paired T-Test / T-dependent test. Result: The results showed that the average hemoglobin level of pregnant women with anemia in the intervention group before being given Dragon Fruit had a Mean value of 10.241 g/dl, while after the intervention the Mean value became 11.125 g/dl. The Hb level in the control group before being given Mung Bean Extract had a Mean value of 10.825 g/dl while after being given Mung Bean Extract the Mean value became 11.266 g/dl. The results of the statistical test using the Independent T-Test between the two intervention groups and the control group showed p-values 0.539 which means there is no difference in the effectiveness of giving Dragon Fruit and Green Bean Extract to increase Hb levels in pregnant women with anemia. Keywords: Dragon fruit, Green Beans, Increased Hb levels, pregnancy