UNDANG-UNDANG NOMOR 4 TAHUN 2019 TENTANG KEBIDANAN : DIPLOMA III KEBIDANAN TIDAK DAPAT MELAKUKAN PRAKTIK MANDIRI BIDAN

From time to time, the regulation of midwife practice always changes according to the needs and development of the community and government policies in improving the public health status. The most recent regulation on midwifery practice is Law Number 4 of 2019 concerning MidwiferyThere are several obstacles faced in the implementation of quality services, including constraints on professionalism, competence, and authority. Different levels of education, different competencies at these levels and overlapping authorities still need to be improved in accordance with currently developing regulations.Research objectives to find out the implementation of Law Number 4 of 2019 concerning Midwifery in Banyumas RegencyAnalytical survey research. with a cross sectional approach.The research will be carried out in 2020. The population of this research is all midwives who work in the Banyumas Health Office with a total of 890 people. The sample used was 100 people with the sampling technique using random samplingThe results showed that most midwife education was 71% D3 and the lowest was S2 / S3 with a percentage of 2%. Recommendations for midwives who do not have professional education to attend this education if they want to practice independently.

DUKUNGAN KELUARGA MENGHADAPI KECEMASAN MENOPAUSE

ABSTRACTThe research entitled this background is based on a preliminary study conducted by researchers in Tidar Magelang Selatan village, that the population of women aged 45-59 experienced some anxiety facing menopause. Anxiety occurs due to various reasons, one of which is the absence of family support.The purpose of this study was to determine the relationship between family support and anxiety in facing menopause in premenopausal mothers in Tidar Village, South Magelang.The research method used is cross sectional through data collection from 62 questionnaires distributed to 62 respondents. This study conducted an expert validity test with three experts. Univariate and bivariate data analysis. The statistical test used is the contingency coefficient test by including a 2 x 2 contingency table and using a significance level of 0.05.The results of statistical tests show the chi square value of 7.468 and a significance level of 0.006, this means that family support is needed for mothers who are facing premenopausal anxiety with a strong enough relationship. From this study it can be concluded that the existence of family support can reduce the anxiety experienced by premenopausal mothers when facing menopause. It is hoped that midwives can provide health education to families regarding the importance of family support for premenopausal mothers to reduce anxiety in mothers who are facing menopause.

PIJAT HAMIL SEBAGAI TERAPI NON FARMAKOLOGIS DALAM PENANGANAN KETIDAKNYAMANAN KEHAMILAN TRIMESTER III

ABSTRACTPhysiological changes during pregnancy occur due to the development of the fetus and preparation for labor. Third trimester requires attention because of the many discomforts felt by the mother due to the rapid growth and development of the fetus. Massage therapy is a non-pharmacological technique that can help reduce discomfort during pregnancy. The aim of the study was to analyze the benefits of massage therapy to reduce discomfort during the third trimester in the form of sleep disturbances, back pain and anxiety. The method used is literature review. The articles used are articles published in 5 years starting from 2015-2020. The keywords used are pregnancy massage and third trimester pregnancy discomfort. Five research articles used in the literature review showed that the results of massage therapy carried out on TM III pregnant women can reduce the intensity of back pain, improve sleep quality and reduce anxiety / stress and can make mothers feel happy. The conclusion obtained by pregnancy massage is a massage technique with gentle and smooth methods in certain parts to make the mother feel fresher and more comfortable. The main goal of massage therapy for pregnant women is to improve the welfare of the mother and the fetus. It is hoped that massage techniques can be taught by the patient's family health personnel so that pregnant women and their families can do it independently and provide a stronger psychological effect because it is given by the closest person to the pregnant mother.Key words: pregnancy massage, third trimester of pregnancy, complementary therapy during pregnancy ABSTRACTPerubahan fisiologi selama kehamilan terjadi akibat adanya tumbuh kembang janin dan persiapan persalinan. Trimester III memerlukan perhatian karena banyaknya ketidaknyamanan yang dirasakan oleh ibu akibat tumbuh kembang janin yang cepat. Terapi pijat merupakan salah satu teknik non farmakologi yang dapat membantu mengurangi ketidaknyamanan selama kehamilan. Tujuan penelitian adalah menganalisis manfaat terapi pijat untuk mengurangi ketidaknyamanan selama trimester III berupa gangguan tidur, nyeri punggung dan kecemasan. Metode yang digunakan adalah kajian literatur. Artikel yang digunakan adalah artikel terbitan 5 tahun dimulai dari 2015-2020. Keyword yang digunakan adalah pijat hamil/ pregnancy massage dan ketidaknyamanan kehamilan TM III. Lima artikel penelitian yang digunakan dalam kajian literatur didapatkan hasil terapi pijat yang dilakukan pada ibu hamil TM III dapat menurunkan menurunkan intensitas nyeri punggung, meningkatkan kualitas tidur dan mengurangi kecemasan/ stres serta dapat membuat ibu merasa bahagia. Kesimpulan yang diperoleh pijat hamil merupakan teknik pemijatan dengan cara lembut dan halus pada bagian tertentu untuk membuat ibu merasa lebih segar dan nyaman. Tujuan utama terapi pemijatan ibu hamil adalah untuk meningkatkan kesejahteraan ibu dan janin. Diharapkan teknik pemijatan bisa diajarkan oleh tenaga kesehatan kekeluarga pasien sehingga ibu hamil dan keluarga dapat melakukan secara mandiri dan memberikan efek psikologi yang lebih kuat karena diberikan oleh orang terdekat dengan ibu hamil.Kata kunci: pijat kehamilan, kehamilan trimester III, terapi komplementer selama kehamilan

EFFECT OF WORK AND EDUCATION ON THE SUCCESS OF ESCLUSIVE ASI

ABSTRACTIntroduction: Breast milk is the best food for babies. Exclusive breastfeeding or exclusive breastfeeding is that babies are only given breast milk without the addition of other fluids such as formula milk, oranges, honey, tea water, water and without the addition of solid foods such as bananas, papaya, milk powder, biscuits, rice porridge, and team. Data from the World Health Organization (WHO) in 2016 still shows the average rate of exclusive breastfeeding in the new world is around 38 percent.Research Objectives: To determine the relationship between work and education on the success of exclusive breastfeedingMethods: The subjects of this study were all breastfeeding mothers who had babies aged 6-12 months. This type of research is analytic with cross sectional design, the independent variable in this study is the mother's employment status, the mother's education level and the dependent variable is exclusive breastfeeding. This research was conducted from June to August 2020Results: The results showed that 33 people (62.3%) did not provide exclusive breastfeeding and 20 people (64.2%) gave exclusive breastfeeding, the respondents who worked 37 people (69.8%) and did not work, namely 16 people ( 30.2%). The statistical test results obtained p-value = 0.014 (p-value 0.05), which means that there is a significant relationship between working mothers and exclusive breastfeeding at BPM Nurhasanah Bandar Lampung in 2020. In further analysis, OR = 5.98 which This means that mothers who do not work have a 5.98 times chance of giving exclusive breastfeeding compared to working mothers, while mothers with high education level 38 people (71.7%) have low education level 15 people (28.3%), the test results statistics were obtained (p-value = 0.678 0.05) which means that there is no relationship between education level and exclusive breastfeeding at BPM Nurhasanah Bandar Lampung in 2020.Conclusion: The majority of mothers do not provide exclusive breastfeeding, namely 62.3%, there is a significant relationship between working mothers and exclusive breastfeeding. Meanwhile, mother's education has no effect on the success of exclusive breastfeedingSuggestion: For health workers to provide breastfeeding counseling, especially the preparation of mothers who work in providing exclusive breastfeeding.

KECEMASAN IBU HAMIL DAN IBU NIFAS PADA MASA PANDEMI COVID-19 DI KECAMATAN BATURRADEN

COVID-19 berdampak pada kesejahteraan masyarakat, hal tersebut dapat menjadi permasalahan psikologis bagi ibu hamil dan ibu nifas, salah satunya kecemasan. Tujuan studi ini untuk mengetahui gambaran kecemasan ibu hamil dan ibu nifas di masa pandemic COVID-19. Desain penelitian adalah penelitian deskriptif. Sampel adalah 28 ibu hamil dan 23 ibu nifas di kecamatan Baturraden dengan teknik cluster sampling. Intrumen yang digunakan adalah the perinatal anxiety screening scale (PASS). Hasil yang diperoleh adalah ibu hamil dan ibu nifas di Kecamatan Baturraden, pada masa pandemi COVID-19, mayoritas mengalami kecemasan dengan skala ringan-sedang.

PERAWATAN METODE KANGURU PADA BAYI BERAT LAHIR RENDAH

Angka Kematian Bayi merupakan parameter dalam penentuan derajat kesehatan masyarakat. Kematian bayi disebabkan salah satunya yaitu bayi berat lahir rendah. Upaya penurunan AKB dengan melakukan perawatan metode kanguru pada bayi berat lahir rendah. Tujuan penelitian adalah untuk mengetahui pengaruh perawatan metode kanguru terhadap perubahan berat badan pada bayi berat lahir rendah. Desain penelitian menggunakan pre experimental design dengan jenis pre test and post test one group design. Teknik pengambilan sampel dengan Accidental Sampling sebanyak 32 bayi, analisis data dengan uji paired t test. Hasil yang diperoleh berat badan bayi hari ketiga sesudah Perawatan Metode Kanguru memiliki mean sebesar 2002,66 gram dan standar deviasi sebesar 168,872. Rata-rata kenaikan berat badan setelah dilakukan Perawatan metode kanguru terjadi kenaikan berat badan pada hari pertama 0,47 gram; hari kedua 15,47 gram; hari ketiga 20,62 gram; rata-rata total kenaikan berat badan selama 3 hari adalah 12,19 gram. Perawatan metode kanguru berpengaruh terhadap perubahan berat badan bayi lahir selama 3 hari pada bayi berat lahir rendah (p value = 0,000). Saran bagi ibu lebih aktif dan semangat untuk melaksanakan perawatan metode kanguru, bagi tenaga kesehatan meningkatkan informasi dan edukasi kepada masyarakat tentang perawatan metode kanguru. Keywords: perawatan metode kanguru ; bayi berat lahir rendah

PRENATAL YOGA TERHADAP TINGKAT KECEMASAN PRIMIGRAVIDA TRIMESTER III

Anxiety in pregnant women often occurs in the third trimester. Anxiety results in prolonged labor, premature birth, LBW (Low Birth Weight). To prevent and reduce anxiety, prenatal yoga as an alternative therapy is given to primigravida pregnant women in the third trimester.The puropose of this study is to find out the influence of prenatal yoga toward anxiety level primigravida in the third trimester in Puskesmas I Kembaran, Banyumas District. This study used quasy experimental with pretest posttest design. The sample in this study are all of primigravida in third trimester, there are 24 pregnant woman in Puskesmas 1 Kembaran. The results showed there were differences in primigravida in third trimester anxiety levels before and after prenatal yoga with p value = 0,000 (p 0.05). There is an influence of prenatal yoga on the level of anxiety primigravida in third trimester. There is a change in the mean level of anxiety of 11,3.

ANALISIS KEPUASAN IBU BERSALIN DI RUANG KEBIDANAN

Patient satisfaction is the most important thing that needs to be prioritizied by the Hospital. To achieve the quality of service according to patient expectations, the hospital always prioritizes patient satisfaction through continous improvement in the quality of service by implementing correct practives, increasing human resource competence (HR) and applying adequate technology. Research this is a type of quantitative research with approach cross sectional. The population in this, study were all maternity patients for a period of 1 month. The number of samples that met the inclusion criteria from September 11 to October 11, 2017 wa 77 people. Univariate analysis with the Importnace-method Performance Analysis. The IPA method is done by calculating the level of conformity and a Cartesian diagram of expectations and reality. To determine the different test, the researcher first conducted a normality test on variabels; tangible; reliability, responsivess, assurance, and empathy using Kolmogorof-Smirnof (because the sample 50) with a significant value0.05 (Dahlan, 2014). It was concluded that the data was not normally distrtributed. So researchers use the Wilcoxon test (because the data are not normally distributed) to determine the different test (Dahlan, 2014). On the dimensions of the study carried out still requires changes to improve patient satisfaction.

PENYULUHAN UNTUK MENINGKATKAN PENGETAHUAN DUKUN BAYI TENTANG PERAWATAN MASA NIFAS

Postpartum mothers and many families who use the services of a traditional birth attendants to carry out postnatal care, because the cost is cheaper, and this is the habit of society in their generations. Because postpartum care is very important to be done properly, the practice of the traditional birth attendants is also required to get the attention of midwives, because the knowledge and skills the traditional birth attendants are not a systematic formal education. The aim of this study is to determine the effectiveness of education’s method to increased knowledge of the traditional birth attendants knowledge about postpartum care. This research is a quasi-experimental study. The study designed use a one group pretest posttest with control group design. The population of this study is the traditional birth attendants, the sample in this study was total sampling, with a total of 15 treatment groups, and 15 control groups. Statistical test results using the Wilcoxon test p-value 0.035 (p 0.005) so that it can be concluded that counseling with the lecture method is effective in increasing the level of knowledge of the traditional birth attendants about postpartum care.

KONSUMSI SUKUN MEMBANTU PENYERAPAN TABLET FE DALAM PERUBAHAN KADAR HEMOGLOBIN IBU HAMIL

Iron absorption is influenced by the availability of vitamin C to help reduce ferric iron (Fe3 +) to ferrous (Fe2 +) in the small intestine so that it is easily absorbed. Breadfruit is an alternative food consumption to increase iron absorption because it contains vitamin C fruit around 29-62 mg per 100 grams. Pregnant women are prone to iron deficiency anemia due to hemodilution, lack of iron in food and increased need for iron as well as digestive disorders and absorption. Anemia incidence of pregnant women in Cilacap Regency in 2018 was 37.30% and in Kroya District was 31.61%.. The purpose of this study was to determine the effect of consumption of breadfruit to help the absorption of Fe tablets on changes in hemoglobin levels in pregnant women.Type of research Quasy experiment with a Non-rondomized Control Group Pretest - Postest Design research design The research instrument used a questionnaire and a Photometer 4010 Boehringer Mannheim accuracy of 0.01 g / dL.The results showed influence of breadfruit consumption to help the absorption of tablets Fe on changes in hemoglobin levels in pregnant women (probability value 0.001).