The Effectiveness of Rosella Flowers to the Changes of Hemoglobin Levels of Third Trimester Pregnant Women in The Area of The RatuAgung Community Health Center in 2020

2021 ◽  
Vol 8 (1) ◽  
pp. 038-042
Author(s):  
Rifi Wulandari ◽  
Afrina Mizawati

Anemia during pregnancy is one of the most common disorders in pregnant women in Indonesia. The Government has made efforts to overcome this problem, however, the rate of anemic mothers remains high. Rosella (Hibiscus Sabdariffa) is considered able to increase the hemoglobin levels in pregnant mothers. To analyze the effect of Rosella flower on the increase of Hemoglobin level in pregnant women receiving Fe tablet. This study was a quasy experiment with pretest-posttest control group design conducted in January 2020 in the working area of Ratu Agung Community Health Center. Thirty-two participants were selected using accidental sampling, which assigned in the experiment and control group. All samples were pregnant women in the third trimester and receiving iron tablets. Independent t-test and paired t-test were used for data analysis. The paired t-test obtained a p-value of 0.00 (<0.05), indicated that there was an increase of hemoglobin levels in both experiment and control group. The mean increase of hemoglobin levels in the control group was 0.59 gr and in the experiment group was 1.11. The hemoglobin levels in the experiment group were higher than the levels in the control group. The independent t-test obtained a p-value of 0.241 (> 0.05) indicating that there wasn't a significant difference of mean of hemoglobin levels between the control group and the treatment group. The consumption of rosella combined with Fe tablet showed a significant increase of hemoglobin levels compared of pregnant women. Therefore,

2018 ◽  
Vol 12 (01) ◽  
Author(s):  
Niluh Nita Silfia ◽  
Henrietta Imelda Tondong ◽  
Sulis Setiyawati

ABSTRACTThis research aims to determine the effect of counseling about Exclusive Breast Milk (ASI) towards the knowledge and attitudes of the third trimester pregnancy in Biromaru Community Health Center. The design of this research used the pre-experiment one group pretest and posttest design. The population was all pregnant women at the Biromaru Community Health Center. The sample of this research is 43 people selected using the Simple Random Sampling technique. Then, the data were analyzed with paired t-test. The results showed that respondents' knowledge increased after being given counseling as many as 10 people (23.2%). The results of paired t-test obtained mean value of Rank -3,163 and p value = 0,000 (p≤0,05). After counseling, there were changes on respondents’ attitude of as many as 12 people (27.9%). The results of paired t-test obtained mean value of Rank -2,880 and p value = 0,000 (p≤0,05). The conclusion is there are effect of counseling about exclusive breast milk towards the knowledge and attitudes of the third trimester pregnancy in Biromaru Health Center. It is suggested for the Biromaru Community Health Center to schedule ASI counseling and develop counseling methods so that mothers can be more motivated to breastfeed their babies properly.Keywords : Knowledge, Attitude, Counseling, Exclusive Breast Milk


Author(s):  
Merlyna Suryaningsih

Pregnancy causes most of the woman's body to change and will cause the emergence of one of the back pain complaints. Based on preliminary study of 8 (80%) of 10 third trimester pregnant women complained impaired in doing activity while the rest did not complain disturbed in doing its activity. The purpose of this study to analyze the influence of pregnancy exercise to decrease back pain in third trimester pregnant women at health center bangkalan. This research uses Quasy Experimental design with pretest-posttes with control groub approach. Independent variable is pregnancy exercise, dependent variable is decrease of back pain in pregnant mother of trimester III. The population was third trimester pregnant women at Bangkalan Health Center and the sample were 18 people, 9 treatment groups, and 9 control groups using purposive sampling technique. The result of this research is paired t test and independent test with α: 0,05 The results showed that the pre and post treatment group in the analysis using paired t test in get P value: 0.000 <α: 0,05, This shows that H0 is rejected that there is difference of pre and post pain level of treatment group. While in the control group in the analysis using paired t test in get P value: 0.001 <α 0.05 this means H0 rejected, then there are differences in pre and post pain level of control group. And the results were analyzed using independent t-test in both groups obtained P Value: 0.000 <α: 0,05, it shows that H0 is rejected, hence there is difference of pain scale scale between treatment group and control group. It is expected that health workers to improve services and more intensive both quality and quantity in providing counseling to pregnant women about the benefits of pregnancy exercise to prevent back pain complaints


2017 ◽  
Vol 3 (6) ◽  
pp. 765-770
Author(s):  
Iin Wahyuni ◽  
Noor Pramono ◽  
Titi Suherni ◽  
Melyana Nurul Widyawati

Objective: This study aimed to examine the pregnancy exercise during the third trimester of pregnancy on duration of the first and second stage of labor in primigravida at the Community Health Center of Sukamaju, Bandar lampung, Indonesia.Methods: This study employed a quasy experimental design with posttest-only non-equivalent control group. This study was conducted from 8 January 2017 to 12 February 2017 at the Community Health Center of Sukamaju. Forty-eight primigravida mothers were selected using consecutive sampling, with 24 assigned in the experiment and control group. Data were analyzed using Mann whitney and Chi square test.Results: The average duration of the first stage of labor in the experiment group was 495 minutes and in the control group was 685 minutes (p= 0.000); while the average duration of the second stage of labor in the experiment group was 42.5 minutes and in the control group was 68.75 minutes (p=0.000).Conclusion: There was a statistically significant difference in the duration of the first and second stage of labor between experiment and control group. It is expected for midwives in the community health centers to implement pregnancy exercise program to help mothers in accelerating the delivery process.


2020 ◽  
Vol 2 (2) ◽  
pp. 225-230
Author(s):  
Nova Yusenta ◽  
Komalasari Komalasari ◽  
Mareza Yolanda Umar ◽  
Yenny Marthalena

Angka Kematian Ibu dan Angka Kematian Neonatal Bayi di Indonesia masih tinggi dimana Kabupaten Pesisir Barat khususnya Kecamatan Bangkunat yang merupakan salah satu penyumbang tertinggi. Tujuan dari penelitian ini adalah diketahuinya Pengaruh Konseling Tentang Program Perencanaan Persalinan dan Pencegahan Komplikasi (P4K) terhadap Motivasi Ibu Hamil Untuk Bersalin Di Fasilitas Kesehatan di Wilayah Kerja UPTD. Puskesmas Bengkunat Belimbing Tahun 2020. Populasi dalam penelitian ini adalah semua ibu hamil trimester III yang terdapat di Pekon Penyandingan, Pekon Pemerihan, Pekon Sumberejo dan Pekon Kota Jawa pada Bulan Maret tahun 2020 yang berjumlah 50 ibu hamil. Sedangkan Sample diambil dari populasi dengan teknik Total Sampling. Analisis bivariat dalam penelitian ini menggunakan Uji Non Parametic Yaitu Uji Wilcaxon Machted Pair Test. Hasil uji  Wilcaxon Machted Pair Test menunjukkan diperoleh p-value 0,001 (less than 0,01) yang artinya Ada pengaruh konseling tentang P4K dengan peningkatan motivasi ibu hamil untuk bersalin di fasilitas kesehatan di wilayah kerja UPTD. Puskesmas Bengkunat Belimbing tahun 2020.Abstract: Maternal Mortality and Neonatal Infant Mortality rates in Indonesia are still high in West Pesisir Regency, especially in Bengkunat sub-district, which is one of the highest contributors. The research objective was to know the influence of counseling about P4K by improving the motivation of pregnant women to childbirth in health facilities at the working areas of the UPTD community health center of Bengkunat Belimbing in 2020. The population in this research were all third trimester of pregnant women in the Pekon Penyandingan, Pekon Pemerihan, Pekon Sumberejo dan Pekon Kota Jawa on March 2020, which amounted to 50 pregnant women. While the sample is taken from the population with the Total Sampling technique. The bivariate analysis in this research uses the Non-Parametic Test Namely the Wilcoxon Matched Pair Test. The Wilcoxon Matched Pair Test results show that a p-value of 0.001 (less than 0.01), which means that there is an influence of counseling about P4K by increasing the motivation of pregnant women to childbirth in health facility at the working areas of UPTD community health center of Bengkunat Belimbing in 2020.


2020 ◽  
Vol 2 (3) ◽  
pp. 163-169
Author(s):  
Rifi Wulandari

Anemia during pregnancy is one of the most common disorders in pregnant women in Indonesia. Rosella (Hibiscus sabdariffa) is considered able to increase the hemoglobin levels in pregnant mothers. To analyze the effect of Rosella flower on the increase of Hemoglobin level in pregnant women receiving Fe tablet. This study was a quasi-experiment with a pretest-posttest control group design. 32 participants were selected using accidental sampling, which assigned in the experiment and control group. All samples were pregnant women in the third trimester and receiving iron tablets. Independent t-test and paired t-test were used for data analysis. The result indicated that there was an increase in hemoglobin levels in both the experiment and the control group. The mean increase of hemoglobin levels in the control group was 0.59gr and in the experiment group was 1.11. The hemoglobin levels in the experiment group were higher than the levels in the control group. Independent t-test obtained a p-value of 0.241 indicating that there wasn’t a significant mean difference of hemoglobin levels between the control group and the treatment group. The consumption of rosella combined with Fe tablet showed a significant increase of hemoglobin levels compared to pregnant women. Therefore, it is suggested for midwives to use the result of this research as evidence-practice through counseling for pregnant mothers about the utilization of rosella that can increase hemoglobin levels in pregnant.


2017 ◽  
Vol 3 (6) ◽  
pp. 771-777
Author(s):  
Rif’atun Nisa ◽  
Ariawan Soejoenoes ◽  
Sri Wahyuni

Background: Anemia during pregnancy is one of the most common disorders in pregnant women in Indonesia. The Government has made efforts to overcome this problem, however, the rate of anemic mothers remains high. Rosella (Hibiscus Sabdariffa) is considered able to increase the hemoglobin levels in pregnant mothers.Objective: To analyze the effect of Rosella flower extract (Hibiscus Sabdariffa) on the increase of Hemoglobin level in pregnant women with anemia receiving Fe tablet.Methods: This study was a quasy experiment with pretest-posttest control group design conducted in November - December 2016 in the working area of Tlogosari Wetan Community Health Center. Forty-two participants were selected using accidental sampling, which 21 assigned in the experiment and control group. All samples were pregnant women in the second trimester suffering from anemia and receiving iron tablets. Hemoglobin levels were measured using hematology analyzer in laboratory. Independent t-test and paired t-test were used for data analysis.Results: Paired t-test obtained p-value 0.00 (<0.05), indicated that there was an increase of hemoglobin levels in both experiment and control group. The mean increase of hemoglobin levels in the control group was 0.61 gr and in the experiment group was 1.08. The hemoglobin levels in the experiment group were higher than the levels in the control group.  Independent t-test obtained p-value 0.000 (<0.05) indicating that there was a significant difference of mean of hemoglobin levels between the control group and the treatment group.Conclusion: The consumption of rosella extract combined with Fe tablet showed a significant increase of hemoglobin levels compared with the consumption of Fe tablet alone. Therefore, it is suggested for midwife to use the result of this research as a evidence practice through counseling for pregnant mother about utilization of rosella extract that can increase hemoglobin level in pregnant woman with anemia.


2018 ◽  
Vol 1 (1) ◽  
Author(s):  
Emy Huriyati ◽  
Tri Ratnaningsih ◽  
Abdul Wahab ◽  
Arta Farmawati ◽  
Nur Imma Fatimah Harahap ◽  
...  

ABSTRAK Fokus Dinas Kesehatan Kabupaten Sleman untuk penanggulangan anemia dewasa ini bukan hanya pada ibu hamil saja, melainkan sudah dimulai dari remaja puteri, jauh sebelum mereka hamil. Langkah pemerintah dalam menanggulangi anemia dengan adanya suplementasi besi dikhawatirkan tidak tepat sasaran. Sejauh ini deteksi anemia oleh petugas puskesmas hanya sebatas pemeriksaan haemoglobin saja dan kejadian anemia yang terdeteksi masih bersifat general, tidak spesifik anemia defisiensi besi. Subjek dalam kegiatan ini adalah petugas puskesmas meliputi dokter, ahli gizi dan ahli teknologi laboratorium medis yang diambil secara purposive sampling. Metode yang diterapkan dalam kegiatan ini adalah pelatihan dengan rangkaian kegiatan yaitu penyuluhan dengan pre-test dan post-test, tutorial kasus, dan praktikum. Analisis data hasil kegiatan menggunakan uji paired t-test antara nilai pre-test dan post-test. Uji statistik dikatakan signifikan bila p-value kurang dari 0,05. Total peserta yang mengikuti kegiatan adalah 71 orang dari target awal 75 orang (persentase kedatangan= 94,67%). Pelatihan terkait anemia defisiensi besi untuk petugas puskesmas dapat meningkatkan tingkat pemahaman sebesar 32,82 poin (p<0,0001), yang merupakan delta kenaikan nilai pre-test dan post-test. Pemilihan metode untuk kegiatan pelatihan dirasa sudah tepat dengan pertimbangan hasil evaluasi kegiatan menunjukkan sebagian besar peserta kegiatan menilai metode pelatihan efektif atau sangat efektif (74,7%). Program pelatihan dapat meningkatkan pemahaman petugas puskesmas di Kabupaten Sleman terkait anemia defisiensi besi.KATA KUNCI pelatihan; puskesmas; pengetahuan; anemia defisiensi besi ABSTRACT The focus of the Sleman District Health Office in the prevention of anemia is not only on pregnant women anymore as it currently involves young women, long before they become pregnant. The government's step in overcoming anemia with iron supplementation is argued to fail to hit the target. So far the detection of anemia by health center officials is only limited to hemoglobin examination, indicating that the detection of anemia is still general and not specific to iron deficiency anemia. The subjects of this study were community health center staffs including doctors, nutritionists and medical laboratory technology experts who were picked by purposive sampling. The methods used were training with a series of activities: education with pre-test and post-test, case tutorials, and practicum. Paired t-test was performed to compare the difference of value between pre-test and post-test. P-value of less than 0.05 was considered statistically significant. The total participants who took part in the activity were 71 people from the initial target of 75 people (percentage of arrivals = 94.67%). Training related to iron deficiency anemia for health center officers can increase the level of understanding by 32.82 points (p <0,0001). The methods chosen for training activities were considered appropriate with around three-quarters (74,7%) of the participants rated the training method effective or very effective. The training program can improve the understanding of health center staff in Sleman Regency regarding iron deficiency anemia.KEYWORDS training; community health center; knowledge; iron deficiency anemia 


2021 ◽  
Vol 2 (1) ◽  
pp. 85-91
Author(s):  
Khairiatu Saadah ◽  
Efendi Sianturi

The results of Basic Health Research (Riskesdas) issued by the Health Research and Development Agency (Baritbankes) of the Indonesian Ministry of Health in 2018 stated that the prevalence of anemia in pregnant women in Indonesia was 48.9%. In North Sumatra, blood tests were carried out on pregnant women from 9,377 pregnant women in three cities, namely Medan, Pematang Siantar and Kisaran. 33% of them had anemia. One of the causes of anemia in pregnancy is iron deficiency. The type of research used was pre-experiment with One Group Pretest-Posttest Design. In this study, using purposive sampling technique, namely 34 pregnant women. Adherence is the level of patients carrying out the treatment and behavior suggested by their doctor or by others. Meanwhile, the compliance with taking blood-supplemented tablets is a behavior where pregnant women support the iron supplementation program carried out by the government to prevent anemia in pregnant women. Based on the results of the research discussion entitled "Effectiveness of Extension through Audio Visual Media Using Animation Videos on Compliance with the Consumption of Iron (Fe) Tablets in Pregnant Women in the Work Area of ​​the Tanjung Morawa community Health Center in 2020, it can be concluded that the compliance of respondents before being given counseling was the majority as obedient as 22 respondents ( 35.3%) and the compliance of respondents after being given counseling was the majority obedient as many as 29 respondents (85.3%), and the effectiveness of counseling through audio-visual media using animation videos on compliance with consuming iron tablets (Fe) in pregnant women in the work area of ​​ Tanjung Morawa community health center in 2020 after being given counseling with the results of the T test paired sample T-test, it was obtained that sig 2 tailed was 0.000 (p value) <0.05. And it is hoped that the next researchers will develop this research using other media


2021 ◽  
Vol 7 (1) ◽  
pp. 109-115
Author(s):  
Neneng Siti Lathifah ◽  
Zarma H ◽  
Nurul Isnaini

IMPROVEMENT OF HEMOGLOBIN (Hb) LEVELS IN PREGNANT WOMEN WITH ANEMIA WITH THE CONSUMPTION OF JAMBU SEEDS (PSIDIUM GUAJAVA. L) ABSTRACT Background Anemia in pregnancy is a national problem because it reflects the socio-economic condition of the community and its influence is very large on the quality of human resources. The incidence of anemia in pregnant women 2018 in Pesisir Barat Regency is 29.9%. The incidence of anemia in pregnant women at Krui Health Center is 67.5%. The purpose of this study is to know the effect of giving guava juice (Psidium Guajava. L) to the increase of hemoglobin (Hb) levels in pregnant women with anemia in Krui health center in 2019.Methods Quantitative Research Type, the research design is a quasi-experimental method with a Non-equivalent Control Group Design approach. The population in this study were as many as 60 second trimester pregnant women and third trimester who had anemia, a sample of 30 pregnant women. 15 people were given treatment with guava fruit juice and Fe tablets, and 15 people were given treatment with Fe tablets, with inclusion criteria Willing to be respondents, Willing to consume guava juice, Pregnant women with mild and moderate anemia with hemoglobin levels (Hb 7.9 - 10 g / dl). With purposive sampling sampling technique. Analyze data with T-test (univariat and bivariat).The results showed an average hemoglobin level before consumption of guava juice and Fe tablets of 9.72 gr / dl, the average hemoglobin level after consumption of guava juice and Fe tablets was 11.13 gr / dl, the average hemoglobin level before consumption of Fe tablets of 9.80 gr / dl, the average hemoglobin level after consumption of FE tablets was 10.60 gr / dl. Conclusion It was known that there was an effect of giving guava juice (Psidium Guajava. L) to Hb levels in pregnant women with anemia in Krui Public Health Center, West Coast District in 2019. The results of the t test were p value 0,000 <α (0.05).Suggestion  It is recommended for health workers, especially midwives, to encourage pregnant women to consume guava juice as a companion to Fe because it can raise hemoglobin levels in pregnant women. Keywords              : Guava Juice, Tablets Fe, Hemoglobin Level ABSTRAK Latar Belakang Anemia pada kehamilan merupakan masalah nasional karena mencerminkan keadaan sosial ekonomi masyarakat dan pengaruhnya sangat besar terhadap kualitas sumber daya manusia. Angka kejadian anemia pada ibu hamil tahun 2018 di Kabupaten Pesisir Barat adalah sebesar 29,9%. Angka kejadian anemia pada ibu hamil di Puskesmas Krui sebesar 67,5%.Tujuan dari penelitian ini adalah diketahui Pengaruh Pemberian Jus Jambu Biji (Psidium Guajava. L) Terhadap Peningkatan Kadar Hemoglobin (Hb) pada Ibu Hamil dengan Anemia di Puskesmas Krui Tahun 2019.Metode Jenis Penelitian Kuantitatif, rancangan penelitian metode quasi eksperimen dengan pendekatan Non-equivalent Control Group Design. Populasi dalam penelitian ini adalah sebanyak 60 orang ibu hamil trimester II dan trimester III yang mengalami anemia, Sampel sebanyak 30 ibu hamil. 15 orang diberikan perlakuan dengan jus jambu biji dan tablet Fe, dan 15 orang diberikan perlakun dengan tablet Fe, dengan kriteria inklusi Bersedia menjadi responden, Bersedia mengkonsumsi jus jambu biji, Ibu hamil dengan anemia ringan dan sedang dengan kadar hemoglobin (Hb 7,9 – 10 g/dl). Dengan teknik sampling purposive sampling. Analisa data dengan uji T-test (univariat dan bivariat).Hasil penelitian menunjukan rata-rata kadar hemoglobin sebelum konsumsi jus jambu biji dan tablet Fe sebesar 9,72 gr/dl, rata-rata kadar hemoglobin setelah konsumsi jus jambu biji dan tablet Fe sebesar 11,13 gr/dl, rata-rata kadar hemoglobin sebelum konsumsi tablet Fe sebesar 9,80 gr/dl, rata-rata kadar hemoglobin setelah konsumsi tablet Fe sebesar 10,60 gr/dl.Kesimpulan Diketahui Ada Pengaruh Pemberian Jus Jambu Biji (Psidium Guajava. L) Terhadap Kadar Hb pada Ibu Hamil dengan Anemia di Puskesmas Krui Kabupaten Pesisir Barat Tahun 2019. Hasil uji t didapat p value 0,000 < α (0,05).Saran bagi tenaga kesehatan khususnya bidan agar menganjurkan kepada ibu hamil untuk mengkonsumsi jus jambu biji sebagai pendamping Fe karena dapat menaikkan kadar hemoglobin pada ibu hamil. Kata Kunci            : Jus Jambu Biji, Tablet Fe, Kadar hemoglobin


2017 ◽  
Vol 3 (5) ◽  
pp. 508-514
Author(s):  
Yuli Sya’baniah Khomsah ◽  
Agus Suwandono ◽  
Ida Ariyanti

Background: Pain during pregnancy and childbirth is a physiological process, but it leads to discomfort without pain management. Acupressure and effleurage are considered to be effective in reducing labor pain.Objective: To examine the effect of acupressure and effleurage in reducing pain during in the active phase of the first stage of labor in the community health center of Kawunganten, Cilacap regency.Methods: This was a quasi-experimental study with pretest-posttest control group design. There were 33 respondents recruited using simple random sampling. Numerical rating scale was used to measure labor pain. Data were analyzed using one way anova, Post hoc anova and repeated anova for normal data distribution. Kruskal Wallis was also used for non-normal data distribution.Results: There was a statistically significant mean difference of pain scale before and after given acupressure and effleurage (p-value <0.05). However, acupressure treatment had a greater effect  in reducing pain compared with effleurage.Conclusion: Acupressure and efflurage had a significant effect in reducing pain in mothers in the active phase of the first stage of labor. The results of this study are expected to enrich and contribute to the development of science in the field of health promotion, and  serve as an additional input for midwives in order to carry out the care of mother during labor.


Sign in / Sign up

Export Citation Format

Share Document