Effleurage Massage for Pain Relief in Pregnant Women

Pregnancy is an event that begins with conception and ends with the onset of labor. Pregnancy is divided into three trimesters, the first trimester (0-12 weeks), the second trimester (13-27 weeks), and the third trimester (28-40 weeks). During the pregnancy process will cause various changes in all body systems, both physiological changes and psychological changes that can cause discomfort to pregnant women. Physiological changes that often occur in pregnant women such as dyspnea, insomnia, gingivitis, frequent urination, pressure and discomfort in the perineum, back pain, constipation, varicose veins, fatigue, Braxton hicks contractions, leg cramps, ankle edema. Not only physiologically, changes in pregnant women also occur psychologically such as changes in mood and increased anxiety.One of the physiological changes that pregnant women often complain about is back pain. According to Ratih (2016), the results of research on pregnant women in various regions of Indonesia reached 60-80% of people who experience back pain in their pregnancy. The reported prevalence of back pain in pregnancy varies from 50% in the UK and Scandinavia to 70% in Australia. Back pain experienced by pregnant women will peak at week 24 to week 28, just before abdominal growth reaches its maximum point. Most back pain during pregnancy occurs due to changes in the spinal muscles, as much as 70%.Back pain in pregnant women can be treated both pharmacologically and non pharmacologically. One of the non-pharmacological therapies that can be given is Effleurage Massage, which provides a gentle, slow and uninterrupted massage on the back of pregnant women so that it can cause relaxation and reduce pain.

Prevention & Control Efforts Non-Communicable Diseases (PTM); Hypertension

BALITBANG KEMENKES in 2020 release data in the form of tendency of non-communicable diseases (PTM) starting from the age of 10-14 years including increasing heart pressure. The purpose of this avenue is describing the prevention and control of hypertension. The method used by the online education seminar on health cadres in Sakatiga village, FK UNSRI fostered village since 2014. Finally, it is hoped that the community (cadres) can understand and implement efforts to prevent and control hypertension in the form of routinely measuring blood pressure, taking hypertension medication regularly and using complementary therapies.

Efforts to Maintain the Health of Children with Special Needs (ABK) During the Pandemic through Online Education Seminars

Sudden changes that cover all aspects of life in a short time, such as what happened during the current COVID-19 pandemic, can pose challenges to not only the children with special needs, but also their parents / guardians. This community service activity is carried out in the form of online educational seminars on efforts to maintain the health of children with special needs during the pandemic for parents / guardians of children with special needs who attend SLB C Karya Ibu Palembang and also common populace. This activity aims to provide a better understanding to parents / guardians of children with special needs about what children with special needs may face and live with during the pandemic.

Strengthening the Healthy Living Society Movement (GERMAS) during the Covid Pandemic 19

Health problems in Indonesia are very serious challenges. The main problem is that there is a triple burden or three important health problems related to the eradication of infectious diseases, an increase in cases of non-communicable diseases and the re-emergence of types of diseases that should have been successfully resolved. Infectious diseases such as diarrhea, tuberculosis and dengue fever were the most common health cases; now there has been a marked change in the number of cases of non-communicable diseases such as diabetes, cancer and coronary heart disease. The Government of the Republic of Indonesia at the Ministry of Health in 2017 launched GERMAS or Healthy Living Community Movement. GERMAS is a movement that aims to promote a culture of healthy living and leave unhealthy habits and behavior of society. The GERMAS action was also followed by promoting hygiene and healthy living habits and support for community-based infrastructure programs. This program has several focuses, such as building access to meet drinking water needs, community health installations and the construction of habitable settlements. The three of them are the basic infrastructure that is the foundation of the healthy life movement.

COVID 19: REALS AND CHALLENGES AGAINST DOCTORS

Corona Virus Disease (Covid-19) is a contagious disease caused by Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) which was discovered in December 2019 in China. This disease can cause clinical manifestations in the airway, lung and systemic. The World Health Organization (WHO) representative of China reported a pneumonia case with unknown etiology in Wuhan City, Hubei Province, China on December 31, 2019. The cause was identified as a new type of coronavirus on January 7, 2020 with an estimated source of the virus from traditional markets (seafood market). ) Wuhan city

Maintaining Healthy Skin During COVID-19 Pandemic

The Covid-19 pandemic has brought several changes to people's routine habits. Educating the public about the importance of washing and disinfecting hands as often as possible and the use of personal protective equipment such as masks, googles or face shields to avoid disease transmission and sunbathing habits to get the benefits of sunlight for health and the immune system has an impact on behavior changes on the community. These new habits can bring a negative effect to the skin. The use of disinfectants and personal protective equipment can cause allergic dermatitis, contact dermatitis, skin maceration, secondary fungal infection and acne. Sunbathing can cause changes in skin pigmentation, the appearance of black spots, the skin looks dull and rough and accelerates the appearance of premature wrinkles on the skin. Proper skin care routine during this pandemic situation is essential to maintain skin healthy and avoid skin problems due to the use of disinfectants or PPE. The use of emollients, moisturizers and barrier creams can prevent skin problems to happen. Skin moisturizers can be used regularly after hand washing and before using personal protective equipment. When it comes to maintaining healthy skin during pandemic, skin care routine consists of facial cleansers, toners, moisturizers, serums, morning creams and night creams are also recommended to keep the skin healthy and slow the appearance of premature aging signs on the skin. This activity aims to provide a better understanding to people especially worker how to prevent skin problems and how to maintain healthy skin during pandemic.

Effect of Screentime during School From Home

The COVID-19 pandemic has significantly changed people's lives around the world. Thousands of millions of people around the world must stay at home to protect and prevent Covid-19 transmission. Covid-19 cases in children have also increased even though the prevalence rate is still lower than adult cases.The government through the Ministry of Education and Culture made recommendations during the Covid-19 pandemic to conduct distance / online learning, so that the teaching and learning process can still take place even though you don't have to come to school. This requires a separate adaptation process for the continuity of online learning to run well, with digital media as a learning tool. Screen time or staring at the screen for children has a recommended time limit, because if it is used beyond the safe time it will have a serious impact on the child's health and development. It takes the role of parents, teachers / schools, the community, and policy makers to oversee the process of using digital media in distance learning during the Covid-19 pandemic.In conclusion, the use of digital media during the pandemic is increasing, especially for children, apart from being a medium for distance learning as well as a medium for entertainment. This must be properly monitored by parents, teachers / schools, the community, and policy makers so that the adverse effects of using digital media do not occur according to WHO / IDAI recommendations.

Physical Activity during the Pandemic

The spread of Corona virus disease 19 (Covid-19) which has been going on since December 2019 has had a very broad impact on all walks of life. Data quoted from the official website of the World Health Organization (WHO), as of September 25, 2020, reported that there were more than 31,026,758 confirmed cases of Covid-19 worldwide, and more than 755,786 people had died with positive Covid-19 ( 1). Meanwhile in Indonesia, as monitored by the Kompas.com website, 137,468 confirmed cases of Covid-19 were reported and more than 6,071 people died. The mortality rate is estimated to be 4.416%, of which most cases involve the elderly (> 80%) (2). Seeing the reality on the ground, by not being disciplined in responding to health protocols to prevent Covid-19 transmission, this number will continue to show an increase.

Efforts to Maintain the Health of Pregnant Women through Antenatal Care Education

In Indonesia, maternal mortality is still an important problem that requires comprehensive treatment and follow-up. Maternal Mortality Rate (MMR) is still high and has not reached the target set by the government. Maternal mortality can be prevented through Antenatal Care (ANC) services. ANC visit, for example, is influenced by the knowledge and attitudes of pregnant women. Unfortunately, there are still pregnant women who don't know about the importance of ANC, so they don't make ANC visits. This community service activity is carried out to provide education, in the form of counseling, for pregnant women about Antenatal Care (ANC), with the aim of increasing awareness of pregnant women to maintain health during pregnancy and increase the participation of pregnant women in ANC visits.

PREVENTION OF DISMENORRHEA

Dismenorrhea is a medical condition characterized by severe uterine pain during menstruation that manifests as cyclical lower abdominal pain. Dismenorrhea is classified into primary dismenorrhea in the absence of pathology and secondary dismenorrhea in the event of an identifiable pathological condition. About 40-70% of women of childbearing age suffer from dismenorrhea accompanied by associated psychological, physical, behavioral, and social distress. This is the main cause of the decline in the quality of life of adolescents. The pathophysiological process due to increased myometrium activity caused by excessive production of prostaglandins that cause ischemia. Risk factors are very important in enforcing the diagnosis of dismenorrhea and also in distinguishing between primary and secondary dismenorrhea. Mainstay treatment is generally supportive by relieving symptoms in primary dismenorrhea and surgical treatment may be recommended for secondary dismenorrhea. Therefore, patients with primary dismenorrhea may only require simple non pharmacological and analgesic therapies, whereas patients with secondary menorrhea require treatment for major problems.