JOMIS (Journal of Midwifery Science)

PERBEDAAN EFEKTIFITAS PIJAT LAKTASI DENGAN PERAWATAN PAYUDARA TERHADAP KEBERHASILAN MENYUSUI DI PMB KOTA PEKANBARU

2024-01-28T22:47:34+07:00

International Guidelines, which are based on scientific data about the advantages of breast milk for infants, moms, families, and nations, advise exclusive breastfeeding for six months. The sensation of having inadequate or too little breast milk, breast swelling, flat or painful nipples, clogged breast milk ducts, and mastitis are issues that nursing moms often face. Breast care and lactation massage are two of the numerous strategies that may be used to boost breast milk supply. The purpose of this study is to ascertain how lactation massage and breast care vary in their ability to support successful breastfeeding in PMB Pekanbaru City. The study design used was two group independent approach design, and the research methodology was quasi experimental (quasi experimental). Mothers who had given birth within two hours and were nursing in the Pekanbaru Midwife Independent Practice Work Area made up the study population. The present study used the independent T test for analysis in order to ascertain the impact of lactation massage and breast care on postpartum moms' success in breastfeeding. The average amount of breast milk provided to moms who undergo lactation massage is 5.47 months, with a standard deviation of 0.837, according to the findings of statistical data processing using the Independent Samples Test. Breastfeeding moms give birth to their children for 4.6 months on average, with a standard deviation of 1,352. Breast milk is delivered to women who do breast care

PENGARUH RELAKSASI DEEP BREATHING DENGAN TEKNIK SELF INTRODUCTION TRAINING (SIT) DALAM BENTUK AUDIO VISUAL TERHADAP KECEMASAN PADA IBU HAMIL

2024-01-29T20:34:23+07:00

Anxiety during pregnancy is related to a state of worry in the form of fear or feelings of uncertainty or helplessness and if not treated it can pose a risk to pregnancy. A non-pharmacological approach that can be given to pregnant women is relaxation therapy. Deep breathing relaxation therapy is a relaxation technique that is easiest to apply without having to use an instructor. This technique can be combined with the self-instruction technique, which is a self-verbalization technique by replacing negative thoughts with positive thoughts. The aim of this research is to analyze the comparison of the effectiveness of deep breathing relaxation using the Self Instruction Training technique via audio-visual with the effectiveness of deep breathing relaxation using audio only. The research method used was quasi experimental with the Pretest-Posttest Control Group design technique. The anxiety measuring tool is determined using the State – Trait Anxiety (STAI) tool which is presented in the form of a questionnaire form. The population in this study were pregnant women in the TPMB working area of East Denpasar Community Health Center I. The sampling technique used is accidental sampling. The sample in this study was 30 pregnant women at TPMB Bdn. Ketut Nuriasih, S.ST and TPMB Ni Made Serioni, A.Md. Keb. Based on data analysis using Mann Whitney, a p value of 0.003 was obtained, where the p value was <0.005, which means there was a significant difference in the effectiveness of the final anxiety level in pregnant women who were given deep breathing relaxation audio and pregnant women who were given deep breathing relaxation video using the SIT (Self) method. Instruction Training). For pregnant women, it is hoped that this research will provide benefits as additional knowledge regarding the use of deep breathing relaxation in audio-visual form to relieve discomfort during pregnancy.

MANAJEMEN PENDEKATAN FISIOTERAPI DENGAN TERAPI LATIHAN DAN POSTURAL CORRECTION TERHADAP NYERI MUSKULOSKELETAL LOW BACK PAIN SELAMA KEHAMILAN

2024-01-28T22:47:38+07:00

Low back pain (LBP) is a common musculoskeletal problem during pregnancy with an estimated prevalence of 30% -78% of pregnant women experiencing complaints in the form of low back pain at some point in their pregnancy. This type of LBP can occur in the pelvic bones between the posterior iliac crest, gluteal folds or in the lumbar spine area. In this case the pain usually spreads to the buttocks, legs and feet. This is due to hormonal changes, blood circulation and biomechanical changes. low back pain usually increases with increasing gestational age, interfering with work, every activity and sleep so that it has an impact on the quality of life of pregnant women. This research aims to determine the effect of providing exercise and postural correction on the condition of low back pain during pregnancy. Method: this research uses quasie experimental with a pre and post test research design without control group design, the population in this study were all pregnant women who were experiencing low back pain who received physiotherapy services in the form of providing exercise and postural correction totaling 15 clients. Results: based on paired sample tests in the group treatment obtained a value of P = 0.001 (P<0.05) with a mean value of 5.27 ± 2.07, meaning that there were significant differences in results before and after the intervention of providing exercise and postural correction. Conclusion: there was a decrease in the VDS (verbal descriptive scale) value in low back pain conditions by providing exercise and postural correction interventions. This can be seen from the difference between the results before and after the intervention, which means that the exercise and postural correction interventions significantly have a very good effect in reducing pain scores in low back pain conditions during pregnancy

PENGARUH PEMAKAIAN BENGKUNG TERHADAP INVOLUSI UTERUS PADA IBU NIFAS DIWILAYAH KERJA PUSKESMAS SIAK HULU II

2024-01-28T22:47:39+07:00

During the postpartum period, changes occur in the reproductive organs, including the uterus, cervix, vagina, perineum and pelvic organ muscles. In the uterus, several changes occur starting from uterine involution, contractions, afterpains, regeneration of the placenta and expulsion of the lochea from the birth canal. During the postpartum period, the process of uterine involution will take place, the process of shrinking the uterus until it returns to its original size or before pregnancy. Normally after the tenth day the uterus is no longer palpable, but if up to 2 weeks after delivery the uterus has not yet entered the pelvis, subinvolution should be suspected. The use of bengkung is considered to provide many benefits for the recovery process of postpartum mothers by the community. Traditionally, the use of bengkung (stagen) can slim down a stretched stomach, especially for women after giving birth. This is due to pressure in the abdominal cavity so that it can help the uterus contract to its original shape. The aim of this study was to determine the effect of using bengkung on uterine involution in postpartum mothers. This research uses a preexperimental research design with a one group pretest and posttest research approach. The sample in this study consisted of 15 postpartum mothers. The data analysis used was univariate and bivariate using the Wilcoxon pretest-posttest test. The results of data analysis obtained a p-value of 0.001 (p < 0.05) which indicates that Ha is accepted. Thus, it can be concluded that there is an influence of the use of bengkung on uterine involution in the working area of the Siak Hulu II Kampar Community Health Center. It is recommended for mothers to use bengkung as a process to tighten the abdominal muscles and help speed up the recovery of the uterus to its original shape

The MODIFICATION OF IVA TEST PROPS TO PERFORM CERVIX CANCER EARLY DETECTION SKILLS

2024-01-28T22:47:39+07:00

Background: The competence area that must be had by midwives is clinical skills in midwifery practice on women's reproductive health and sexuality services where midwife graduates must be able to know early detection, complications, and problems of women's reproductive health and sexuality. Phantom which is commonly used in IVA examination practice in the laboratory uses phantom that cannot describe the results of the examination interpretations. The phantom used only teaches the use of speculum and cannot show Squamo-columnar junction (SCJ), so it is necessary to develop a tool that can be used to perform IVA tests that can show portio before and after acetic acid. Research Objective: modify and utilize phantoms that are no longer feasible in a new teaching tool for the IVA Test practicum and test the feasibility of the developed tools. Method: This research is a development research that produces products with the One Shot Case Study method. Results: From the 35 respondents who participated in the field trial, the total questionnaire score obtained was 6,949 with a total ideal maximum score of 7,350. The percentage of eligibility obtained is 95%. Conclusion : Modification of IVA test examination props is Very Feasible to be used as IVA test props to perform cervix cancer early detection skills in a comprehensive application-based obstetric laboratory. It is recommended for all PLP in Indonesia to be able to develop creative and innovative ideas and ideas in the laboratory in utilizing teaching aids that are no longer suitable for use into new tools that increase the use value and benefits to support learning in the laboratory

SOCIODEMOGRAPHIC ANALYSIS, KNOWLEDGE AND ATTITUDES OF PREGNANT WOMEN TOWARDS ACCEPTANCE OF THE COVID-19 VACCINE IN THE WORKING AREA OF THE RAJADESA PUSKESMAS, CIAMIS DISTRICT

2024-01-28T22:47:39+07:00

ABSTRACT

The SARS-CoV-2 virus causes the 2019 coronavirus epidemic (COVID-19). Pregnant women are a particularly sensitive population and one of the issues being encountered during the pandemic is connected to COVID-19 incidence in this population. Vaccination is an important tool in the fight against this illness. The study's objective was to examine the demographics, levels of education, and opinions of pregnant women in Ciamis Regency about getting the COVID-19 vaccination at the Rajadesa Community Health Center. This study used a quantitative cross-sectional strategy with a sample size of 167 pregnant women selected by proportionate stratified random selection. Chi-square was used to validate the bivariate data. Analisis multivariat with regression berganda. No significant association was found (p=0.77) between age, employment, or parity with the uptake of the Covid-19 vaccination. Pregnant women's acceptance of the Covid-19 vaccine is correlated with their level of vaccine education and vaccination history (p0.000). Attitude is the most influential factor in determining whether or not pregnant women receive the Covid-19 vaccine; pregnant women with a positive attitude are 13.72 times more likely to receive the vaccine than mothers with a negative attitude, as measured by the odds ratio (OR) value of 13.72. Acceptance of the COVID-19 vaccination is influenced by a number of factors, including sociodemographics (education), knowledge, and attitude of pregnant women, with attitude being the most important one. For further scientific advancement, the researcher proposes doing additional study using mixed methodologies research approaches.

LAPORAN KASUS HIPERTIROIDISME PADA KEHAMILAN: HASIL IBU DAN NEONATAL

2024-01-28T22:47:39+07:00

Normal pregnancy induces some clinical findings similar to thyroxine excess; Clinically mild thyrotoxicosis may be difficult to diagnose. Hyperthyroidism in pregnancy is a hyperthyroid condition that existed before pregnancy, or a condition that was acquired during pregnancy. The aim of this study is to determine the management of hyperthyroidism in uncontrolled hyperthyroid pregnancies and the clinical outcomes for mothers and neonates. The location of the research was Arifin Achmad Rekanbaru Regional Hospital. The research method is a study that explores a problem in detail, and collects in-depth data and includes various sources of information that will help doctors gain insight into hyperthyroidism in pregnancy. Data was taken retrospectively from medical records, from February to April 2021. The results of the study were that the management of hyperthyroidism in the first and second patients was the same, but the maternal and neonatal outcomes obtained were different. In both cases, both experienced uncontrolled hyperthyroidism. The neonatal outcome of the first patient was poor, but the mother survived. Unlike the second patient who died of thyroid storm, the baby was saved. Treatment should be carried out in intensive care areas that include special care units during labor and delivery units. Patients with uncontrolled hyperthyroidism are in the high risk group and require early fetal surveillance examination. Treatment with propylthiouracil, a thionamide that inhibits thyroid biosynthesis and peripheral conversion of T4 to T3 has become the drug of choice for hyperthyroidism in pregnancy. Proper management of hyperthyroidism during pregnancy is very important for the mother and fetus. Untreated hyperthyroidism can lead to pregnancy-related complications such as premature birth, growth restriction, and even fetal death.

FAKTOR FAKTOR YANG MEMPENGARUHI AKSEPTOR DALAM MEMILIH ALAT KOTRASEPSI DI PMB DINCE SAFRINA

2024-01-28T22:47:39+07:00

Contraception is an attempt to prevent pregnancy. These efforts can be temporary, can also be permanent. Contraceptive use is one of the variables that affect fertility. The main objective of the family planning program is to fulfill people's demand for quality family planning and reproductive health services, reduce maternal mortality (MMR) and infant mortality (IMR), as well as address reproductive health problems in the framework of building quality small families. The purpo se of this study was to determine the factors that influence family planning acceptors in choosing contraception. This research is a quantitative analysis research with a cross sectional approach. Withdrawal of the number of samples with the accidental sam pling technique with a total of 40 respondents. From the results of the multivariate test, it was found that there was no effect on the level of education, knowledge, age and husband's support on the choice of contraception with a value (P > 0.1) which was not significant due to the lack of a sample in this study. It is recommended for further research to examine samples with a larger number and use a multivariate test .

PERAN BUDAYA DAN AGAMA DALAM MENGATASI STUNTING DI JORORNG PAHAMBATAN KENAGARIAN BALINGKA KABUPATEN AGAM

2024-01-30T10:02:47+07:00

Stunting is a condition where children fail to thrive which results in children being short and the main cause is a lack of nutrition. Several factors that can cause stunting in children include the mother's low knowledge about good nutrition during pregnancy. Therefore, it is necessary to evaluate maternal behavior in efforts to prevent stunting in children, especially in toddlers. The behavior that needs to be evaluated consists of the role of culture, religion, attitudes and actions, by evaluating what the mother has done in efforts to prevent stunting (Fildzah et al., 2020). The research aims to find out in-depth information regarding the role of culture and religion in overcoming stunting in Jorong Pahbatas Kenagarian Balingka. The research method used is qualitative research using the In-depth Interview method. The sampling technique is Purpose Random Sampling, which is adjusted to research considerations and the number of informants deemed sufficient. The number of informants in this research was 4 informants, consisting of guardians, implementing midwives, religious leaders and mothers with toddlers. Research data collection was carried out using interview guidelines. Data processing and analysis is carried out using data transcripts and data reduction including data presentation, conclusions and verification. The results of this research show that the role of culture and religion in overcoming stunting in Jorong Pahbatas is good, but the stunting rate in Nagari is still high so it is necessary to conduct research on mothers, husbands and families using related variables. The conclusion of this research is that in-depth information is known regarding the role of culture and religion in overcoming stunting in Jorong Pahbatas Kenagarian Balingka, Agam Regency.

HUBUNGAN STIMULASI PERKEMBANGAN DENGAN SOCIAL SKILL ANAK USIA 4-5 TAHUN DI TK QUSHRUL UBUDIYAH

2024-02-01T14:21:19+07:00

Background: A development of children's social skills can be seen at the age of 4-5 years. The problems that arise at this stage are conflicts with friends, passivity, fear of doing something, lack of willingness to learn. The low social skills can cause children to be less able to establish relationships with others, tend to have unpleasant relationships and get negative feedback. This research on children aged 4-5 years states that children’s social skill was low by 28%. Objective: to determine the relationship between developmental stimulation and social skills of children aged 4-5 years in Kindergarten of Qushrul Ubudiyah, Working Area of Health Center in Jagir of Surabaya City. Research methods: survey and observational with cross sectional design. The research location is in Kindergarten of Qusrul Ubudiyah in Working Area of Health Center in Jagir of Surabaya. The subjects were mothers and children aged 4-5 years. The number of samples was 32 people that used simple random sampling technique. The child's social skills were observed three times, then the average value was taken, while the stimulation directly asked the mother via a questionnaire. The data analysis was carried out through two stages, namely univariate and bivariate analysis with a level of significance (p<0.05) and a CI of 95%. The results: in general, developmental stimulation was high, and

social skill was good, developmental stimulation was related to children’s social skill.

The higher the developmental stimulation, the better the children’s social skills marked by (r = 0.389, p < 0.05). Conclusion: The higher the developmental stimulation that was the better the children’s social skills. It is hoped that all family members work together to provide stimulation and it is not just the responsibility of the mother