The Effect of Anxiety on Pregnant Women during the Covid-19 Pandemic

Pregnant mothers typically will experience both physical and psychological changes that naturally come alongside their physical and hormonal changes. The spread and transmission of SARS-CoV-2 is very rapid such that it is now considered as a pandemic. This pandemic force government to release several policies such as mask-mandate, handwashing-mandate, and crowd limitation to reduce the spread of the virus on everyone, including expecting mothers. Due to the pandemic, a lot of social interaction must be limited, including the routine pregnancy medical examination. In other hand, expecting mothers tends to be more easily anxious due to many reasons that can compromise their fetus and their own health. The objective of this research is to obtain a qualitative description of mothers’ anxiousness in relation to the COVID-19 pandemic situation. Google forms filled by the respondents were mainly used as tool to collect descriptive data in this research. The data was collected at Restu Pregnancy Clinic at Pakis Malang. 30 respondents who were doing ante-natal-care (ANC) are chosen by total sampling technique from the clinic. The data collected was then analyzed by frequency table and percentage. The instrument used was the perinatal anxiety screening scale (PASS). The result obtained indicated that most of the expecting mothers in the Restu Pregnancy Clinic are having light-medium level of anxiety level during COVID-19 pandemic situation.

The Use of Growth Mattress and Stunting Early Detection in Toddlers Aged 3-24 Month

Indonesia is the third Southeast Asia country that has the highest prevalence of stunting toddler. Stunting is a chronic malnutrition condition that can start within the first thousand days of life and detectable up to two years of age by height. However, the measurement of the toddler's height can be influenced by the skills of Posyandu cadres using existing tools, so that the growth mattress is launched which is easier and faster to use detect stunting. The purpose of this study was to determine the effectiveness of using growth mattress for stunting early detection in toddlers aged 3-24 months. This research is a descriptive study with a cross sectional approach which is carried out at Posyandu of Siwalankerto Community Health Center working area. Respondents involved in this study were 42 toddlers aged 3-24 months and 54.8% of them were male. Data were obtained through questionnaires and observation sheets which were filled in by Posyandu cadres independently. The results showed that the effectiveness of using growth mattress was in the range of 80.9% and could detect the presence of stunting by 7.2%. The conclusion of this study is that the use of growth mattress as a medium for early detection of stunting is mostly effective

Profile of Violence of Women and Children in the COVID-19 Pandemic Period in NTB Province

The COVID-19 pandemic has an impact on the economic condition of the family which will directly contribute to the health condition of the family. The uncertain conditions during the COVID-19 pandemic could trigger violence, especially for women and children. The purpose of this study was to determine the profile of violence against women and children during the COVID-19 pandemic in NTB Province. This research is a type of quantitative research derived from secondary data. data on cases of violence against women and children were obtained from the results of reports from health centers, sub-districts, etc. that were collected in DP3AP2KB in 2020. Violence against women in NTB Province in 2020 increased by 26.05% from the previous year (2019). North Lombok Regency has the highest number of cases (140 cases) of violence against women that occurred during the COVID-19 pandemic in 2020. Violence that occurs in adult women is dominated by physical violence (61.18%) and violence that occurs in children dominated by violence in the form of sexual, namely 40.1%. The highest number of sexual violence against girls was in East Lombok Regency at 22.7%.

Differences in The Effectiveness of Oxytocin Massage and Major Pectoralist Massage Towards Acceleration of Breast Milk Expenditure in Postpartum Mothers in PMB Ngadila Sobirin Malang District

Breastmilk (ASI) is a staple food that can be given to a newborn for growth and development of the baby for his survival. Therefore, almost 80% of mothers who give birth are able to produce enough milk for the needs of their babies. Psychological factors because there is a belief from the mother that she cannot provide breast milk which will cause a decrease in the hormone oxytocin so that breast milk cannot come out immediately after birth, so the mother takes the decision to give formula milk. The research objective in this study was to analyze the difference in the effectiveness of oxytocin massage and pectoralis major muscle massage on the acceleration of breastfeeding in postpartum mothers. The number of respondents in each group was 20 people with criteria such as postpartum mothers before 2 hours, breastfeeding did not come out at all, mothers gave normal birth. Both groups were checked for the smooth release of breast milk on which day by observation. This study used a true experiment design with a postest-only control design approach. The independent variables in this study were oxytocin massage and pectoralis major muscle massage which was carried out 2 times a day massage with a massage duration of 2-3 minutes for 5 days, while the dependent variable was the speed of expressing breastmilk which occurred on what number of days postpartum. The results showed that the U value was 122 and the W value was 375. When converted to Z value, the value was -2.593. Sig value or P value 0.010 <0.05 means that there is a significant difference between the 2 groups, namely oxytocin massage is more effective in accelerating breastfeeding.

Differences in Infant Weight Gain between Mothers who Consumed Bangun-Bangun Tea (Coleus amboinicus Lour) and Katuk Leaf Tea (Saoropus androgynous)

Breast milk is a complete nutrient content that is needed for the growth and development of children. The quality and quantity of breast milk depends on several factors, one of which is the food consumed. Efforts to improve the quality and quantity of breast milk are done both traditionally and modernly, one of which is by consuming the leaves and katuk leaves that have been packaged more practically in the form of tea so as to facilitate nursing mothers in consuming it. This study aims to find out if there is a difference in baby weight gain between mothers who consume wake-up leaf tea (Coleus amboinicus Lour) and mothers who consume katuk leaf tea (Saoropus androgynus). The study used quasi-experimental methods of both groups given different treatments. Comparison of values in both groups to determine the comparison of infant weight gain. The sample count in this study was 30 respondents divided into two groups that were adjusted to the inclusion criteria. Analyze the data using independent sample t-test. The results of the study that there was no significant difference in infant weight gain between mothers who consumed wake-up leaf tea and mothers who consumed katuk leaf tea with a p-value of 0.061. Conclusion Tea Leaves Wake-Up (Coleus amboinicus Lour) and Katuk Leaf Tea (Saoropus androgynus) can increase the weight of the baby.

Needs Assessment about Adolescent Reproductive Health Education for Students

Adolescent Reproductive Health (ARH) problems are currently increasingly concerning, this is due to the low knowledge of adolescents about ARH. Increasing knowledge of adolescents about ARH can be done through adolescent health education. Research objectives to see the needs of students about adolescent health education. Research design using cross-sectional. Consists of all students at the Kota Kediri. The sample of some students was 35 respondents using the cluster random sampling technique. Data were collected by questionnaires and interviews. Data analysis using the statistical test of rank spearman. The results showed that almost all respondents had low knowledge (85.7%), mostly good psychological conditions (71.4%), almost all of the level needs assessment of ARH education was high (82.9%). The ARH education method attracted the most questions and answers (88%). ARH media education is the most popular video (86%). The most popular ARH education material was how to care for organs (95%). Almost all of the presenters of ARH education chose health workers (92%). There is a significant relationship between knowledge and the need level of the ARH education assessment, but there is no relationship between psychological conditions and the assessment of the needs of the ARH education level at Kota Kediri in 2021. Based on this research it can be denied that ARH education is needed by students and in delivering the program. ARH education in higher education is adjusted based on student needs.

Differences in Video Media and Flash Card Effectiveness on Knowledge and Attitudes About Body Shaming in Adolescents

Changes in reproductive health can lead to psychological disorders such as body shaming behavior due to changes in the body that occur. Body shaming has been happening lately, such as cases of bullying in both teenagers and cyberspace. The importance of education regarding body shaming as a preventive effort so that the health of each individual is prosperous because physical and mental health are interrelated and based on the results of preliminary studies it can be seen that there are students and students who do not know about body shaming. One of the efforts to prevent body shaming is the provision of education using the media because media is the most influential thing for education today and can influence the development of individual attitudes. This study aims to determine the difference in the effectiveness of the use of video media and flash cards on the knowledge and attitudes of adolescents about body shaming. The research method used is quantitative and uses a Quasi Experiment research design. There are 342 students of SMP Islam Sultan Agung 4 as the population in this study. To get a sample using purposive sampling technique and get 44 respondents for the sample used. From the results of research that has been carried out using Fisher's Test analysis, the significance value of p-value = 1,000 (<0.05). From the results of the research that has been done, it can be concluded that there is no difference between the two media, namely video and flash cards regarding attitudes and knowledge.

Media Counseling for Lactation Management During the Pandemic

During the pandemic babies should get breast milk because it has a high risk compared to the general population. Knowledge of lactation management during the pandemic is very necessary because it will determine the success of mothers in breastfeeding. However, in a pandemic situation direct counseling on lactation management cannot be done because it must keep a distance. Therefore, effective media is needed for counseling without making direct contact. The purpose of the research is to find out the most appropriate media to provide counseling on lactation management during the pandemic. This research is based on methods including correlation studies with quantitative approaches. Respondents in the study used 30 nursing mothers in Padengo Village and Poowo Village, Bone Bolango Gorontalo Regency. Respondents were taken randomly. The measuring instrument uses 30 questions that have been conducted validity and reliability tests. Respondents were given three different media for counseling on lactation management while breastfeeding, namely books, leaflets and powerpoints. Then knowledge is measured by questionnaires. As a result, the average knowledge of mothers who are given counseling using animated book media is better than leaflets and powerpoints. The results of the data analysis using Anova Test averaged the value of maternal knowledge given by the book media had the highest score of 23.90. Which means books are better for improving breastfeeding mothers' knowledge of lactation management compared to leaflets and powerpoints.

The Relationship Between Maternal Weight Gain and Newborn Weight With the Frequency of Stunting in South Central Timor District (TTS)

During pregnancy, mothers are prone to experiencing nutritional problems. This problem can be fatal and exceptionally perilous for both the fetus and the mother. Malnutrition in pregnant women encompasses a huge enough affect on the growth process of the fetus and the child to be born, one of which is stunting. Toddlers' stunting in NTT is ranked 34th in Indonesia with a short presentation of 22.30% and very short 18.00%, while the incidence of stunting in TTS district reaches 57.3%. The point of the study was to analyze the relationship between maternal weight gain and newborn weight with the frequency of stunting. This type of research used case control with retrospective approach. The population of all children under five with incidence of stunting and non-stunting, the subjects of the study were 200 samples in 8 Public Helath Center in TTS district. Data collection using a questionnaire and with univariate and bivariate analysis and tested using the Chi-square test. The results showed that maternal weight gain during pregnancy in stunting infants had a weight gain that was not according to the recommendation, which was 55%, experiencing weight gain as recommended during pregnancy was 45%, while the weight of newborns who were stunted had an abnormal weight gain 60 % and the normal weight gain is 40%. After doing the Chi-Square test, the Asymp was obtained. Sig. is 0.000 <α (0.05). Therefore, it can be concluded that there’s a critical relationship between maternal weight gain during pregnancy and birth weight on the incidence of stunting.

Aerobic Gymnastics Intervention on BMI, Abdominal Circumference and Lipid Profile in DMPA Acceptance

The risk of obesity and hypertension is associated with the influence of the hormone estrogen and the impact of the use of contraceptives. Use over one year is at risk of 1.36 times overweight, and will continue to increase in use over seven years (8.3 times). An important component for weight loss is aerobic exercise, so expected BMI, triglycerides, total cholesterol. LDL and HDL under normal conditions. Interventions in the form of treadmills, aerobic gymnastics or ergocycle. The purpose of this study is to determine the influence of aerobic gymnastics BMI, abdominal circumference and lipid profile of KB DMPA acceptors. The design was the quasi-experimental research (one group pretest posttest design). Pretest BMI, abdominal circumference, cholesterol, HDL and LDL were performed before and after the acceptor performed aerobic gymnastics a total of 16 meetings with a frequency of 3 times per week. The sample numbered 31 people. Data analysis using t-test and Wilcoxon. The results showed that aerobic gymnastics had no significant effect on BMI (p=0.818) and HDL (p=0.416) but had no significant effect on decreased abdominal fat (p=0.002), cholesterol (p = 0.044) and LDL (p=0.030). This recommendation of research is the need for routine physical activity such as aerobic gymnastics for DMPA KB acceptors so as to reduce complaints due to the side effects of DMPA contraceptives.