scholarly journals “KEBUMILTAR” (KELOMPOK IBU HAMIL PINTAR) SEBAGAI UPAYA PENURUNAN ANGKA KOMPLIKASI PERSALINAN IBU DI WILAYAH PESISIR KABUPATEN NAGAN RAYA

Author(s):  
Teungku Nih Farisni ◽  
Dian Fera

ABSTRAK Tingginya angka kematian ibu dan bayi di wilayah pesisir Kabupaten Nagan Raya menjadi perhatian khusus disektor kesehatan. Salah satu penyebabnya adalah pendidikan pada masa hamil (prenatal) yang minim, pendidikan prenatal sangat penting dalam rangka mempersiapkan pasangan untuk menjadi orang tua. Kurangnya pengetahuan ibu hamil tentang kehamilannya merupakan salah satu bentuk ketidakberdayaan yang dapat mendukung tingginya angka kematian ibu/perinatal. Kegiatan pengabdian ini dilakukan bertujuan untuk mengimplemantasikan program berbasis masyarakat yang memfasilitasi masyarakat untuk membentuk kelompok hamil pintar dan meningkatkan pengetahuan ibu hamil dan meningkatkan kepatuhan ibu hamil untuk melakukan Antenatal Care (ANC) di Wilayah Pesisir Kabupaten Nagan Raya. Metode Penelitian ini adalah one group pre post design dengan Training Of Trainer (TOT) kader berjumlah 10 kader yang diukur pengetahuan, sikap, dan self-efficasy sebelum dan sesudah TOT. Instrumen yang digunakan adalah instrumen baku yang terdapat pada pedoman kelas ibu hamil. Setelah kader mengikuti TOT, kemudian kader membentuk kelompok ibu hamil pintar berjumlah 2 kelompok (10 ibu hamil/kelompok).  Analisis data menggunakan distribusi frekuensi dan uji Wilcoxon. Hasil kegiatan pengabdian ini adalah terdapat perbedaan yang signifikan dari pengetahuan, sikap, dan self-efficacy kelompok ibu hamil pintar (P-Value < 0,05). Melalui pembentukan kelompok ibu hamil pintar ini dapat diaplikasikan secara mandiri dan kontinue melalui kader kesehatan dengan pengawasan petugas kesehatan, sehingga bisa menurunkan angka kematian ibu dan angka kematian bayi. Kata Kunci: Ibu-hamil, Pintar, Kader, ANC ABSTRACT The high maternal and infant mortality rates in the coastal areas of Nagan Raya Regency are of particular concern in the health sector. One reason is that education in the prenatal period is minimal, prenatal education is very important in order to prepare couples to become parents. Lack of knowledge of pregnant women about pregnancy is one form of helplessness that can support the high maternal / perinatal mortality rate. This service activity was carried out aimed at implementing community-based programs that facilitate the community to form smart pregnancy groups and increase the knowledge of pregnant women and increase the adherence of pregnant women to carry out Antenatal Care (ANC) in the Coastal Area of ​​Nagan Raya Regency. The method of this research is one group pre post design with training of trainers (TOT) cadres totaling 10 cadres who measured knowledge, attitudes, and self-efficacy before and after TOT. The instruments used were standard instruments contained in class guidelines for pregnant women. After the cadres joined TOT, then the cadres formed 2 groups of smart pregnant women (10 pregnant women / groups). Data analysis using frequency distribution and Wilcoxon test. The result of this service activity is that there is a significant difference from the knowledge, attitudes, and self-efficacy of the group of smart pregnant women (P-Value <0.05). Through the establishment of this group of smart pregnant women, it can be applied independently and continuously through health cadres with the supervision of health workers, so as to reduce maternal. Keywords: Mother-pregnant, Smart, Cadre, ANC

2019 ◽  
Vol 19 (3) ◽  
pp. 661
Author(s):  
Desi Andriani ◽  
Husna Yetti ◽  
Roza Sriyanti

Antenatal care or antenatal care is a planned program that is observation, education and medical treatment for pregnant women, to obtain a safe and satisfying pregnancy and childbirth process. The indicator used to assess the access of pregnant women to antenatal care is K1 direction (first visit) is the contact of pregnant women to health workers and K4 (perspective visit) is 4 or more times contact with health workers. From the data of the Padang City Health Office, it was found that the Air Tawar Puskesmas with this low level was caused by various factors. The purpose of this study was to determine factors related to the use of antenatal services. This type of research is a quantitative study with cross sectional study design with 110 respondents of third trimester pregnant women with purposive sampling technique. Data analysis was performed univariate, bivariate with Chi squre test. From the research results obtained from the five factors studied, it was found that the factors related to the use of antenatal services in freshwater health centers were access or distance with pvalue 0.009 = OR 21.676), service availability factors with a p value of 0.001 = OR 9.293, the role factor midwives with a p value of 0.001 = OR 12.302, while the family income factor, disease complaints obtained results have nothing to do with the use of antenatal services. The author's suggestion is that there is a need for good coordination with the Independent Practice Midwife (BPM), revitalize puskesmas to more strategic places and improve better facilities, improve accessibility that can be minimized, strive to reach pregnant women, especially for accessibility that is less affordable.


Author(s):  
Puji Astuti Wiratmo ◽  
Lisnadiyanti ◽  
Nurkamilia Sopianah

Introduction: Antenatal Care (ANC) is an effort to detect the occurrence of high risk in pregnant women. However, ANC non-compliance was still found due to several factors. Aim of study: This study aims to determine factors that influence ANC visits to ANC behavior at Puskesmas Pasar Rebo East Jakarta. Method: This study used a descriptive correlation design with a cross-sectional survey. Data analysis used Spearman's rho with 117 respondents. Results and Discussion: The results showed that there are some factors that influence ANC visits to ANC behavior, including age with a correlation value (r = 0.419), a p-value of 0.000; education with a correlation value (r = 0.425), p-value of 0.000; jobs with a correlation value (r = 0.279), p-value of 0.002; income with a correlation value (r = 0.407), p-value of 0.000; knowledge with a correlation value (r = 0.409), p-value of 0.000; husband / family support with a correlation value (r = 0.417), p-value of 0.000; attitude with a correlation value (r = 0.597), p-value of 0.000 (<0.05). Irregularity in carrying out ANC has a bad impact on pregnant women because they are not aware of the risk factors that may occur to the mother and her fetus and can not be detected early on the disease suffered by pregnant women. Conclusion: The conclusion of this study is nurses as health workers need to increase their role as educators and health care provider to pregnant women and their families about the importance of ANC to reduce maternal mortality and monitor the state of the fetus.


2021 ◽  
Vol 3 (2) ◽  
pp. 162-167
Author(s):  
Novita Br Ginting Munthe ◽  
G.F Gustina Siregar ◽  
Iskandar Markus Sembiring ◽  
NURSYIDAH .

Anemia in pregnancy can adversely affect the mother, especially during pregnancy, childbirth and the puerperium. The high prevalence of anemia has negative consequences such as disturbances and inhibition of growth, both body and brain cells, lack of hemoglobin in the blood resulting in a lack of oxygen being under/transferred to body cells and to the brain. Pregnant women who suffer from anemia have the possibility to experience post partum bleeding. Tempe has higher quality and nutritional value. The fermentation process in tempe will activate the phytase enzyme which can break down phytic acid. With the breakdown of phytic acid, minerals such as iron, calcium, magnesium and zinc become more available for use by the body. This study aims to determine the effect of tempeh milk consumption on increasing hemoglobin levels in pregnant women in the independent practice of midwife zuhrah hh, Samudera District, North Aceh District in 2021. The method in this study is a quasi-experimental study, the design used is one group pre-posttest design. By using the Wilcoxon test. The results showed that the average HB level in pregnant women before consuming tempeh milk was 9 gr% and 12 gr% after consuming tempeh milk. The results showed that the positive ranks value was 8.50, so it could be concluded that there was an increase in hemoglobin levels after being given tempeh milk compared to before being given tempeh milk, so the hypothesis decision was that there was a significant difference in the pre-postest respondents who were given tempeh milk. So it can be concluded that H0 is rejected and Ha is accepted. It is hoped that health workers can provide information to all pregnant women so that they can consume tempe as a daily food ingredient.


2021 ◽  
Vol 9 (2) ◽  
pp. 121-129
Author(s):  
Nurhaidah Nurhaidah ◽  
Rostinah Rostinah

The results of the Indonesian Health Demographic Survey in 2017 show that the maternal mortality rate that occurs in Indonesia is 305 / 100.000 live births. This figure is still high and quite far from the target of the Sustainable Development Goals program. One of the factors contributing to the high maternal mortality in Indonesia is due to bleeding caused by anemia during pregnancy. The purpose of this study was to determine the factors associated with anemia in pregnant women. The population in this study were all pregnant women who performed pregnancy examinations at the Mpunda Public Health Center in Bima City for the period of April-May 2020. The number of sample data was 121 using purposive collection techniques. Data analysis was performed using the chi-square test and logistic regression. The results showed that there was a relationship between knowledge and Antenatal Care (ANC) visits with a p value of 0.028 and 0.022. Meanwhile, age, parity and consumption pattern of Fe tablets did not correlate with the incidence of anemia in pregnant women with p value > 0.05. The logistic regression test results show that the knowledge variable has the greatest influence on the incidence of anemia in pregnant women with an OR value of 2.385. It is hoped that health workers will provide information about the importance of conducting regular antenatal care and intensify the provision of information counseling and education about anemia, so that pregnant women are expected to be able to prevent, detect and manage anemia independently.


2018 ◽  
Vol 3 (01) ◽  
pp. 23
Author(s):  
Endah Nurmahmudah ◽  
Hj. Heni Hendarsah

Rapid development of global worldwide has been happening on technology, information, science and health technology including reproduction health have impacted on a very tight competition in Health Sector. Recently, the society has required quality of service, safety, comfortable and reasonable price. That is why a midwife is requested to be ready and able to respond quickly and anticipate modernization and satisfy the customers. This research aims to figure out the correlation of the quality of antenatal care (ANC) treatment and the level of clients’ satisfaction at BPM Hj. Elsye Agustin in Tasikmalaya. Data sampling technique has applied total sampling with cross sectional approach method. And data collection is primary data. Primary data is the data taken directly from the respondents which has been done by the researcher itself. Based on the result of the research, the quality of ANC treatment at BPM Hj. Elsye Agustin is good (66.3%), it explains that ANC treatment has oriented to the pregnancy needs. Pregnant women who have received pregnancy treatment at BPM Hj. Elsye Agustin are satisfied (71.4%) indicating that the expectation of pregnant women to get a satisfied treatment has been fulfilled. The correlation of the quality of ANC treatment and the clients satisfaction at BPM Hj. Elsye Agustin has identified p-value of 0.000 indicating that the clients/pregnant women are satisfied with ANC treament.Keywords: quality, antenatal care treatment, customers‟satisfaction


2021 ◽  
pp. 18-28
Author(s):  
Yunita Wiwit Widuri ◽  
Margono Margono ◽  
Yuliantisari Retnaningsih

Background: Danger signs of pregnancy before causing complications can be detected early independently through learning media such as videos and e-booklets. The purpose of this study was to determine the effectiveness of video and e-booklet media in improving the knowledge of pregnant women about the danger signs of pregnancy Methods: This study was conducted in December 2020-January 2021 at Jetis 1 Public Health Center, Bantul Regency and used the type of quasi-experimental research and pretest-posttest with control group design. The research subjects were pregnant women in the first, second and third trimesters as many as 24 people for each group. Sampling was collected using purposive sampling technique on respondents with the criteria of being willing to follow the research rules, there is no trouble in seeing/speaking/hearing, being capable to read and write. Respondents who resigned during the study, did not complete the questionnaire until the end and worked as health workers were not taken as research respondents. The measuring instrument used is a questionnaire that has been tested for validity and reliability. The data analysis used Wilcoxon test and Mann Whitney test Results: The results of the analysis show that the two media have an effect on increasing the knowledge of pregnant women with p-value 0,000 for videos and p-value 0,000 for e-booklet Conclusion: Video is more effective than e-booklet in improving the knowledge of pregnant women (p-value 0,031). Thus the video made by researchers can be used to provide health education about the danger signs of pregnancy


2021 ◽  
Vol 7 (3) ◽  
pp. 555-561
Author(s):  
Dessy Hermawan ◽  
Yohana Christine Simatupang ◽  
Susilawati Susilawati ◽  
Devi Kurniasari ◽  
Ledy Octaviani Iqmy

Background AKI cases in Lampung continue to increase, based on information from the Lampung Provincial Health Office in 2015 there were 122 AKI in Lampung. That number increased to 144 cases in 2015 and in 2016 it reached 138 cases and in 2017 it reached 142 cases. While the incidence of anemia in pregnant women in Pesawaran Regency in 2016 was 14.4%, and in 2017 it was 15.4%.The purpose of this study was to determine the effect of consuming dates and Fe tablets on the increase in hemoglobin levels in pregnant women with anemia at the Hanura Health Center, Teluk Pandan District, Pesawaran Regency in 2019.Methods Types of Quantitative Research, the research design is a quasi-experimental method with a pretest-posttest approach with a control group. The population in this study were all pregnant women in the second and third trimesters with anemia who performed Antenatal Care (ANC) at the Hanura Health Center, Teluk Pandan District, Pesawaran Regency, namely 56 pregnant women who experienced anemia. With a sample of 30 people made into 2 groups, 15 people were treated with dates and Fe tablets, and 15 people were treated with Fe tablets, with the inclusion criteria of all pregnant women with mild anemia, Respondents with full awareness, Willing to be research subjects, Respondents taking FE tablets. By using purposive sampling technique. Analysis of univariate and bivariate data with independent T-test.The results showed the average hemoglobin level before consumption of dates and Fe tablets was 9.907 g/dl., the average hemoglobin level after consumption of dates and Fe tablets was 11.320 g/dl., the average hemoglobin level before consumption of Fe tablets was 9.867. gr/dl., the average hemoglobin level after consuming Fe tablets was 10,667 gr/dl.The conclusion is that there is an influence of the consumption of dates and Fe tablets on the increase in hemoglobin levels in pregnant women with anemia at the Hanura Health Center, Teluk Pandan District, Pesawaran Regency in 2019. The t test results obtained p value 0.000 < (0.05).Suggest for health workers, especially midwives, to recommend pregnant women to consume dates as a supplement for Fe because it can increase hemoglobin levels in pregnant women. Keywords: Dates, Fe tablets, hemoglobin levels ABSTRAK Latar Belakang Kasus AKI di Lampung terus meningkat, berdasarakan keterangan Dinas Kesehatan Provinsi Lampung pada 2015 terdapat 122 AKI di Lampung. Jumlah itu meningkat menjadi 144 kasus di tahun 2015 dan tahun 2016 mencapai 138 kasus dan pada tahun 2017 mencapai 142 kasus. Sedangkan angka kejadian anemia pada ibu hamil di Kabupaten Pesawaran pada tahun 2016 sebanyak 14,4%, dan pada tahun 2017 sebanyak 15,4%.Tujuan dari penelitian iUntuk mengetahui pengaruh konsumsi buah kurma  dan tablet fe terhadap kenaikan kadar hemoglobin pada ibu hamil dengan anemia di Puskesmas Hanura Kecamatan Teluk Pandan Kabupaten Pesawaran Tahun 2019.Metode Jenis Penelitian Kuantitatif, rancangan penelitian metode quasi eksperimen dengan pendekatan pretest-posttest with control group. Populasi dalam penelitian ini adalah seluruh ibu hamil trimester II dan trimester III dengan anemia yang melakukan Antenatal Care (ANC) di Puskesmas Hanura Kecamatan Teluk Pandan Kabupaten Pesawaran yaitu sebanyak 56 ibu hamil yang mengalami anemia. Dengan jumlah sampel 30 orang  di buat dalam 2 kelompok yaitu 15 orang diberikan perlakuan dengan kurma dan tablet fe, dan 15 orang diberikan perlakun dengan tablet fe, dengan kriteria inklusi seluruh ibu hamil dengan anemi ringan, Responden dengan kesadaran penuh, Bersedia menjadi subjekpenelitian, Responden mengkonsumsi tablet FE. Dengan teknik sampling purposive sampling. Analisa data univariat dan bivariate  dengan uji T-test independent.Hasil penelitian menunjukan rata-rata kadar hemoglobin sebelum konsumsi kurma dan tablet Fe sebesar 9,907 gr/dl.,rata-rata kadar hemoglobin setelah konsumsi kurma dan tablet Fe sebesar 11,320 gr/dl., rata-rata kadar hemoglobin sebelum konsumsi tablet Fe sebesar 9,867 gr/dl., rata-rata kadar hemoglobin setelah konsumsi tablet Fe sebesar 10,667 gr/dl.Kesimpulan diketahui ada perngaruh konsumsi buah kurma dan tablet Fe terhadap kenaikan kadar hemoglobin pada ibu hamil dengan anemia di Puskesmas Hanura Kecamatan Teluk Pandan Kabupaten Pesawaran Tahun 2019. Hasil uji t didapat p value 0,000 < α (0,05).Sarankan bagi tenaga kesehatan khususnya bidan agar menganjurkan kepada ibu hamil untuk mengkonsumsi kurma sebagai pendamping Fe karena dapat menaikan kadar hemoglobin pada ibu hamil. Kata Kunci : Kurma, Tablet Fe, Kadar hemoglobin 


2019 ◽  
Vol 2 (2) ◽  
Author(s):  
Kusniyati Utami ◽  
Irni Setyawati

The West Nusa Tenggara Provincial Health Office (2017) mentions the number of maternal mortality from 2015 to 2017 continues to decrease, from 95 cases to 85 cases. Maternal mortality during pregnancy can be prevented by antenatal care by health workers in accordance with the frequency of antenatal visits a minimum of four times. The first visit is carry out at a gestational age of the mother <16 weeks (Ministry of Health Republic of Indonesia, 2013), but still found pregnant women who made the first antenatal visit in the second trimester and even the third trimester.The purpose of this study was to determine the differences in first visit of pregnant women by age in the Poskesdes working area of the UPTD Puskesmas Gunungsari.This study used a cross-sectional analytic research design in eight Poskesdes in the working area of the UPTD Puskesmas Gunungsari, West Lombok district in November 2018 to January 2019. Samples were taken using a total sampling technique of 1042 people.Secondary data was collected from the maternal cohort register in eight Poskesdes in the UPTD Puskesmas Gunungsari working area in the form of the age of the mother at the first visit and the age of the mother's pregnancy at the first visit. Data were processed univariately and bivariately using the chi-square test.There was a significant difference in the first visit of pregnant women between mothers aged <20 years, 20-35 years, and> 35 years as indicated by the p value of 0.00001 (<0.05). It is expected that midwives in Poskesdes will further enhance the role of cadres in capturing first trimester pregnant women especially those aged <20 years and> 35 years.


2021 ◽  
Vol 7 (4) ◽  
pp. 620-625
Author(s):  
Yayah Khoeriah ◽  
Sri Dinengsih ◽  
Risza Choerunnisa

Background In Indonesia, the quality of ANC services is still low, seen from the coverage of ANC which is still below the national target where data on the coverage of pregnant women (K4) visits in Indonesia in 2015 was 87.48%, which means it has not reached the target of the Strategic Plan of the Ministry of Health in 2015, namely by 95%. Of the 34 provinces in Indonesia, only 3 provinces have achieved this target, namely the Riau Archipelago, DKI Jakarta, and West Java.The Purpose To know the relationship between the quality of antenatal care (ANC) services to the level of satisfaction of pregnant women in the obstetrics polyThe research design method uses an analytical survey research with a cross-sectional approach, the number of samples is 83. The research instrument uses a questionnaire, bivariate analysis uses the Chi Square test.Results Based on data from 83 pregnant women who were dissatisfied with ANC services as many as 15 people (18.1%), based on Tangibles less good and dissatisfied 16 (19.3%), Empathy 16 (19.3%)The conclusion is that there is a relationship between satisfaction with Tangibles (P-value = 0.000 OR 140.80), Reliability (P-value = 0.000 OR 86.66), Responsiviness (P-value = 0.000 OR 303.3), Assurance (P-value = 0.000 OR 140.8) and Empathy (P-value=0.000 OR 140.8)Suggestions It is hoped that health workers will improve counseling for pregnant women to conduct regular ANC visits. Keywords: Quality of service, ANC, level of satisfaction ABSTRAK Latar Belakang Di Indonesia, kualitas pelayanan ANC masih rendah dilihat dari cakupan ANC yang masih dibawah target nasional dimana data cakupan kunjungan ibu hamil (K4) di Indonesia pada tahun 2015 sebesar 87,48% yang berarti belum mencapai target Renstra Kementerian Kesehatan pada tahun 2015 yaitu sebesar 95%. Dari 34 provinsi di Indonesia, hanya 3 provinsi yang telah mencapai target tersebut, yaitu kepulauan Riau, Dki Jakarta, dan jawa barat. Tujuan Diketahui hubungan kualitas pelayanan antenatal care(anc)  terhadap tingkat kepuasan ibu hamil di poli kebidananMetode desain penelitian ini menggunakan penelitian survey analitik dengan pendekatan cross- sectional, jumlah sampel 83. instrument penelitian menggunakan kuesioner, analisis bivariate menggunakan uji Chi Square. Hasil Berdasarkan data 83 ibu hamil yang tidak puas terhadap pelayanan ANC sebanyak 15 orang (18,1%), berdasarkan Tangibles kurang baik dan tidak puas 16(19,3%), Emphaty 16 (19,3%) Kesimpulan adanya hubungan kepuasan dengan Tangibles (P-value=0,000 OR 140,80), Reliability (P-value=0,000 OR 86,66), Responsiviness (P-value=0,000 OR 303,3), Assurance (P-value=0,000 OR 140,8)dan Emphaty (P-value=0,000 OR 140,8)Saran Diharapkan kepada petugas kesehatan supaya meningkatkan konseling terhadap ibu hamil untuk melakukan kunjungan ANC secara teratur. Kata Kunci: Kualitas pelayanan, ANC, tingkat kepuasan


2020 ◽  
Vol 1 ◽  
pp. 60-65
Author(s):  
Retno Puji Hastuti ◽  
Fitarina Fitarina

Stunting cases in North Lampung continuously increase due to lack of visits by mothers to perform stimulation, detection, early intervention for toddler development (SDIDTK). This study aims to determine the effectiveness of cadre empowerment on SDIDTK completion among children under five. The intervention of SDIDTK training for 50 cadres. The study used a Quasi-experimental Pre and Post-Test Design without control. Univariate data analysis with proportion, average, and standard deviation. Bivariate analysis using the Wilcoxon-test and Pearson Chi-Square Test. The results showed that there was a significant difference in the average score of knowledge of the cadres before and after the empowerment of cadres (p-value = 0.000). There was a significant correlation between cadre empowerment and the measurement completion of height, head circumference, and measurement of development (p-value = 0.000), however, there is no significant relationship between cadre empowerment and the completion of body weight measurement (p-value = 0.317). Suggestions for Health workers and health offices to carry out training on SDIDTK to all cadres, to provide guidance and motivation, and to provide SDIDTK facilities and infrastructure at Posyandu.


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