scholarly journals PENGARUH PARITAS DAN MEDIA KONSELING MASA NIFAS TERHADAP KEMAMPUAN PERAWATAN MANDIRI IBU POST PARTUM DI BPM VIVI SURABAYA

2018 ◽  
Vol 11 (1) ◽  
Author(s):  
Yunik Windarti ◽  
Uke Maharani Dewi

In Indonesia Maternal Mortality Rate (MMR) is still high. Various attempts were made by the government to reduce AKI one of them with the implementation of adequate postnatal care. The success of postnatal care is determined by the mother's ability to care for him, especially since birth experience (parity) and the delivery of health information (media counseling) is good. The aim of research to determine the effect of parity and media postnatal counseling on self-care ability of others. postpartum Analytical research design. The population postpartum mothers day 1-10 for 30 people in BPM Vivi in April-June 2017, the sample size of 30 people were taken to the technique of "total sampling". The independent variable parity and media counseling, self-care dependent mothers. postpartum Analysis by Chi squaretest.the results showed that primiparous majority (63.3%) are less able to perform self-care, multipara almost entirely (78.9%), both in performing self-care with p = 0.047. leaflet media health education with the majority ( 60.0%) less than in performing self-care, media counselor almost entirely (86.7%) either do self-treatment with p = 0.023. this study concluded that the higher the better parity self-care during childbirth and direct counseling method (counselor) better than the media leaflets in self-care during childbirth. Therefore for health workers in providing services to clients KIE further improve the media direct counseling.

2019 ◽  
Vol 3 (1) ◽  
pp. 114-122
Author(s):  
Siti Patonah ◽  
Dwi Agung Susanti ◽  
Dara Dwifa Anggraita

Background: Many mothers do not know about the benefits of Breast Crawl. Often mothers have an improper understanding, such as not having to breastfeed the baby because the breast milk has not come out or because the milk that comes out first and yellow is the dirt and stale.Purpose: The purpose of this research is to know the relationship of postpartum knowledge about Breast Crawl in newborn with the smoothness of milk production.Method: This research use analytical method with cross sectional approach. The study was conducted on May 29 to June 23, 2018. The population in this study were all post partum mothers in Sri Widayati Wiwik BPS, SST Tanggungan Ngraho Sub-district Bojonegoro Regency in 2018 as many as 22 people, the sample size of 22 postpartum women was taken by purposive sampling technique. The instrument used is a questionnaire, then performed data processing through editing, coding, scoring and tabulating and analysis of data with Cross tables.Results: The results showed that 22 postpartum mothers in BPS Wiwik Sri Widayati, SST Tanggungan Ngraho Sub-district Bojonegoro Regency is knowledgeable good of 11 people, more than half the smoothness of breast milk production smoothly for 14 people (63,64%).Conclusion: There is relation of maternal knowledge about Breast Crawl on newborn with smoothness of breast milk production at BPS Wiwik Sri Widayati, SST Tanggungan Ngraho Sub-district Bojonegoro Regency. From the results of this study should postpartum mother can improve knowledge especially about Breast Crawl in newborn by coming to counseling conducted by health workers at Maternal & Child Health Centre every month


2017 ◽  
Vol 28 (1) ◽  
Author(s):  
Mary Grace Prowel

Improved medical care and services are some of the strategies that provide quality healthcare to women provided by the government. Such approach in the form of Essential Intrapartum and Neonatal Care (EINC) had reduced infant mortality from 57 every 1,000 live births in 1990 to 14 in 2011. However, maternal deaths have been unacceptably high as it has increased from 162 in 2006 to 211 in 2011 (NCSB, 2011). The study investigated, through a survey, the extent of the implementation of EINC as perceived by the healthcare providers and as assessed by post-partum mothers in Cavite.  It also wanted to know if health vectors such as mother’s education, the number of pregnancies, age, sex, and income influence their assessment of the implementation of EINC. Sixty-five (65) healthcare providers and 72 post-partum mothers participated in the study. Independent sample t-test and analysis of variance (ANOVA) were used to analyze the data. It was revealed that both healthcare providers and post-partum mothers assessed the implementation as well performed (µ=4.52) and highly observed (µ=4.47). There was no significant difference in the evaluation of the two groups. Health vectors had no considerable influence in the assessment of the post-partum mothers on the implementation of the EINC. Findings imply the success of the EINC application and, therefore, it was recommended that the government would continuously monitor and evaluate EINC to maintain its sustainability.  


2020 ◽  
Vol 9 (1) ◽  
pp. 44
Author(s):  
Elvira Mustikawati Putri Hermanto

Maternal Mortality Rate (MMR) is an indicator used to assess maternal health as well as the health status of a country. MMR is a target that must be achieved by Indonesian Government in Sustainable Development Goals (SDGs) in 2030. The Government of Indonesia has made various efforts to reduce MMR. This study aims to determine the distribution pattern of indicators for improving maternal health by grouping provinces in Indonesia based on the characteristics of maternal health indicators. The variables used are indicators that affect maternal mortality, namely K4 coverage (x1), Td2+ immunization coverage (x2), maternity assisted by health workers in health facilities coverage (x3), post-partum check up coverage (x4), Puskesmas implementing pregnant classes (x5), Puskesmas implementing P4K (x6), participant of KB coverage (x7) in Indonesia in 2017. The grouping methods are Variable Weighting K-Means (VWKM) and Fuzzy C-Means (FCM). The selection of the best grouping results uses the Internal Cluster Dispersion Rate (icdrate). Based on the analysis results, the best grouping is generated by the FCM method. The icdrate value generated by FCM is 0.325 while the icdrate value generated by VWKM is 0.552. FCM produces five groups which can be categorized as groups with maternal health indicator characteristics with very low, low, medium, high, and very high scores. Provinces in a group tend to be geographically close. East Java and Bali are provinces included in the indicator group of very high maternal health. Papua and West Papua fall into the group for maternal health which is very low.


2020 ◽  
Vol 5 (2) ◽  
pp. 134
Author(s):  
Yunik Windarti

Peningkatan kesejahteraan masyarakat oleh pemerintah melalui berbagai macam program kesehatan. Salah satunya program KB, namun masih banyak pasangan usia subur yang tidak menggunakan alat kontrasepsi, di Jawa Timur 17,18% PUS tidak menggunakan alat kontrasepsi. Salah satu faktor penyebabnya adalah persepsi yang salah tentang KB sehingga mempengaruhi minat ibu yang mengakibatkan keputusan pemilihan alat kontrasepsi yang tidak tepat. Tujuan penelitian menganalisis pengaruh persepsi dan minat ibu terhadap pemilihan jenis alat kontrasepsi. Desain penelitian analitik dengan tehnik non probability sampling dengan insidental sampling. Populasi akseptor di PMB Vivi Surabaya jumlah 60 orang.  Variabel independen persepsi dan minat, variabel dependen jenis pemilihan alat kontrasepsi. Instrumen quesioner, dianalisis uji Regresi Logistik. Hasil penelitian menunjukkan dari 29 responden yang mempunyai persepsi kurang baik, hampir seluruhnya (86,2%) memilih alat kontrasepsi jangka pendek. Dari 24 responden yang mempunyai minat rendah hampir seluruhnya (95,8%) memilih alat kontrasepsi jangka pendek. Terdapat pengaruh yang signifikan variabel persepsi (p=0,028) terhadap pemilihan jenis alat kontrasepsi dengan nilai OR 4,887 (95%CI : 1,190 – 20,075). Terdapat pengaruh yang signifikan variabel minat (p=0,006) terhadap pemilihan jenis alat kontrasepsi dengan nilai OR 20,849 (95%CI : 2,431 – 178, 833). Semakin seseorang mempunyai persepsi yang kurang dan minat yang rendah terhadap alat kontrasepsi, maka mereka cenderung memilih alat kontrasepsi jangka pendek.Increasing community welfare by the government through various health programs. One of them is a family planning program, but there are still many couples of childbearing age who do not use contraception, in East Java 17.18% of EFAs do not use contraception. One contributing factor is the wrong perception of family planning that affects the interests of mothers resulting in inappropriate decisions about the choice of contraception. The purpose of the study is to analyze the influence of mothers' perceptions and interests on the choice of contraception. Analytical research design with non probability sampling technique with incidental sampling. The population of acceptors at PMB Vivi Surabaya is 60 people. The independent variable is perception and interest, the dependent variable is the type of contraception selection. Questionnaire instruments, analyzed by Logistic Regression test. The results showed that of 29 respondents who had poor perceptions, almost all (86.2%) chose short-term contraception. Of the 24 respondents who had low interest, almost all (95.8%) chose short-term contraception. There is a significant influence of perception variable (p = 0.028) on the choice of contraception with an OR value of 4.887 (95% CI: 1.190 - 20.075). There was a significant influence of the variable of interest (p = 0.006) on the choice of contraception with an OR value of 20,849 (95% CI: 2,431 - 178, 833). The more a person has less perception and low interest in contraception, then they tend to choose short-term contraception.


2021 ◽  
Vol 14 (3) ◽  
pp. 222-226
Author(s):  
Nanik Handayani ◽  
Fritria Dwi Anggraini

The period of the Covid 19 pandemic is a difficult time for all people, including pregnant women. In undergoing pregnancy, pregnant women must have self-efficacy, and husband support is needed. This paper determines the correlation between husband support and self-efficacy in pregnant women. This study was an analytical research design with a cross-sectional approach. The population was 52 pregnant women checked at Independent Midwifery Practice (IMP) Nanik Cholid, Sidoarjo, from May to November 2020. Meanwhile, the sample size was 46 respondents by purposive sampling. The independent variable was husband support, and the dependent variable was self-efficacy in pregnant women. The instrument to evaluate husband support was Family Support Questionnaire (FSQ), and to assess self-efficacy was a questionnaire with a Likert scale. Then, data were analyzed with the Spearmen Rank test with a significance (α) of 0.05. The results showed that most respondents had good self-efficacy (91.3%) and received high husband support (65.2%), particularly emotional support (28%). The statistical tests result using the Rank Spearmen test obtained p=0.016 indicating a correlation between husband support and self-efficacy in pregnant women. In conclusion, Husband support increases self-efficacy in pregnant women during the COVID 19 Pandemic. Health workers should educate husbands to provide support to pregnant women during pregnancy.   


2019 ◽  
Vol 6 (1) ◽  
pp. 6-12
Author(s):  
Suprapti Suprapti

Early breastfeeding is an initial activity in providing breast milk to babies which have the advantage on the health of your baby's growth and development and fostering ties of affection between mother and baby. Early breastfeeding is also an effort to increase the contractions of the uterus that can reduce the occurrence of bleeding. The purpose of this study is to determine the relationship between technical implementation of IMD with the incidence of postpartum haemorrhage.This research uses analytic observational design by the cross sectional approach. Independent variable is the technical implementation of the IMD and the dependent variable was the incidence of postpartum haemorrhage. The subject of this study was 30. Data was collecting by a checklist and be analyzed using the Fisher Exact Test. The results show that mothers who carry out technical implementation of the corresponding IMD were 21 people (70%) and who carry out technical implementation of the IMD that does not fit as many as 9 people (30%). While mothers who experience postpartum haemorrhage are 3 people (10%) and did not experience postpartum haemorrhage are 27 people (90%). The fisher exact test show score of ρ value was 0.207. So there is no relationship between the technical implementation of the IMD with the incidence of postpartum haemorrhage. So this result can be used as the basis to give the information for the health workers (midwives) about the importance of prevention of postpartum haemorrhage by remaining obediently carry out the standard APN by IMD and by improving human resources through sustainable education, and joining the training for the health care.


Author(s):  
Wahyu Karyaningtyas ◽  
Listyaning Eko Martanti ◽  
Erna Widyastuti

The success of health education in the society, depends on the learning component. Attractive media will provide confidence, so the cognitive changes of affection and psychomotor can be accelerated (Siti Zulaekah, 2013). Print media that can be used in the EIC program for the postpartum mother family is a pocket book or booklet (Notoatmodjo, 2012). Audiovisual is one of the media that provide information or messages in audio and visual (Setiawati and Dermawan, 2008). The purpose of this research is to know the effectiveness of the booklet and video animation towards the increasing of puerperal sign knowledge on the husband. This research was conducted in Gayamsari Polyclinic. The type of this research is experimental research, research method in the form of quasi experiment using control group design pretest posttest design. The research population is the husband of postpartum mother period March-April 2018 and the sample was 30 respondents. The Sampling technique by using the purposive sampling, the group determination by using simple random technique (drawing technique). The result of this research using Mann Whitney with Sig 0,268 0,05, mean of control group with booklet was 17,27 higher than intervention group with videos animation, so booklet more effective to increase knowledge husband than used videos animation. The explanation of health education can use a variety of media such as animated videos. Health workers may also actively involve the role of the husbands of the puerperal mother in performing care for the puerperal mother.


2020 ◽  
Vol 3 (1) ◽  
pp. 39-47
Author(s):  
Rahajeng Siti Nur Rahmawati ◽  
Ratih Novitasari ◽  
Lorensa Chiantiko Putri Supriyono

Most maternal deaths occur during the puerperium period so that health workers should be more careful in handling postpartum mothers. There were 8 of the 10 (80%) normal primiparous postpartum mothers in the Aura Syifa Hospital Puerperal Room who did not know about the danger signs during the puerperium. Providing information and health education regarding danger signs during puerperium is one of the efforts in dealing with this. Health education is carried out using the media of leaflets, booklets, flipcharts, and audiovisuals. The purpose of this study was to determine the differences in health education about danger signs during puerperium using flip chart and leaflet media on knowledge of postpartum mothers in Aura Syifa  Hospital Kediri. This study used a Pre-Experimental research design with research design using posttest design. The sampling technique used is simple random sampling. The number of samples in this study were 32 respondents who were in accordance with the inclusion and exclusion criteria which were divided into 2 groups. The Data was collected using questionnaires and data were analyzed using the Mann Whitney U-Test statistical test with a significance value of 0.05. The results of the study shows ρ value of 0.002 <0.05, which means that there is a significant difference in health education about danger signs during puerperium using flip chart media and leaflets on knowledge of postpartum mothers. Thus it is known that flip chart media is more effective than leaflet media in health education on the knowledge of postpartum mothers about danger signs during the puerperium.


2021 ◽  
Vol 15 (2) ◽  
pp. 201-206
Author(s):  
Maya Indriati ◽  
Rosita Rosita

  COVID-19 has been declared a world pandemic by WHO in 2020. The government has the responsibility to ensure every citizen, including children, to obtain basic health services. At the Posyandu level, 86% of health facilities reported cessation of development and growth monitoring, 55% reported cessation of immunization services and 46% reported cessation of vitamin delivery services, and 46% cessation of antenatal care services. This research used descriptive qualitative research method, by involving 2 midwives in independent midwife (PBM) and 2 parents who have babies and toddlers who got services at the independent midwife (PBM). During this pandemic, independent midwife (PBM) is still providing services as usual and there are no health protocols that must be carried out by service recipients during their visit. The number of visits showed a decrease, due to restrictions on visits for babies who did not have serious problems and needed action. There are factors that become obstacles in implementing services for infants and toddlers during this pandemic such as parental knowledge is lacking, there has been no socialization about services during the pandemic, and parents are afraid to come to the service. Supporting factors for the implementation of services obtained several important themes, including the support of health workers, and the importance of examining babies and toddlers independently at home. It is hoped that parents who have babies and toddlers will continue to monitor the health of their babies and toddlers even at home by looking for various information either from the media or being able to consult with health workers.


2020 ◽  
Vol 2 (1) ◽  
pp. 31-41
Author(s):  
Babatunde M Lawal ◽  
Obani Lateefat Adeola

Purpose: This paper attempted to x-ray the incidence of COVID-19 global pandemic and the resulting unfortunate stigmatization and social discrimination experiences which people with the pandemic are going through. The paper as a as a theoretical paper examined the effects of the instances of stigmatization arising from fear, misinformation, lack of adequate information and the corresponding social tension. Some of the discriminatory behaviours that accompany such fear, as they damage not only the socio-cultural fabric in the long-run, but also compromise present efforts to contain the disease were discussed.Methodology: The study adopted a descriptive research design.Findings: from the paper revealed that everyone is capable of helping to stop stigma related to COVID-19 through assisting oneself and others to cope with the stress associated with the pandemic in order to make the community stronger.  Attempt was therefore made to highlight some strategies that could be considered and explored by different stakeholders such as the government, media, community, the individuals and research institutes towards mitigating the effects of stigmatization and social discrimination created by the global pandemic called COVID-19. It concluded that we all have a responsibility to help correct the misconceptions through policy shift and interventions that can promote less chances of stigmatization in case of any pandemic.Unique contribution to theory, policy and practice: Members of any community experiencing COVID-19 cases must be ready to maintain privacy and confidentiality of people with such cases so that they will not be unnecessarily exposed to instances of stigmatization and discrimination. Timely public health interventions capable of addressing cultural impact and the risk of stigmatization along with proper screening, treatment and follow up will reduce any anticipated spike in the spread and resultantly bring down the chances of stigmatization and discrimination. Health workers would need to be more conscious of the names of diseases and using of words and phrases such as “epidemic”, “the epicenter of the disease”. The media personnel equally need to be cautious about the images that are shared by making sure that they do not reinforce stereotypes. They must be very careful in their choices of awareness materials. Scholars would need to be encouraged to get involved in action researches that can promote the development of vaccines and drugs that can help reduce the menace of COVID-19 which is currently characterized by deaths and numerous instances of stigmatization and discrimination


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