THE EFFECT OF PRENATAL GENTLE YOGA AND HYPNOTHERAPY ON ANXIETY LEVEL AND SLEEP QUALITY IN THE THIRD TRIMESTER PREGNANT WOMAN AT PUSKESMAS SUMBER CIREBON REGENCY IN 2019

As the pregnancy gets older, the attention and thoughts of pregnant women begin to focus on something that is considered as a climax, so that the anxiety experienced will intensify just before the childbirth. Excessive anxiety and sleep disorders during pregnancy can cause mental disorders in pregnant women and inhibit fetal growth. To determine the effect of prenatal gentle yoga and hypnotherapy on anxiety level and sleep quality in the third trimester pregnant women. This is a quasi-experimental study with a pre-post test with a control group. The sample was 32 respondents consisting of 16 respondents as an intervention group and 16 respondents as a control group taken by purposive sampling. The analysis used was the Paired T-test. There is a difference in the average of anxiety level in the third trimester pregnant women in the intervention and control groups with a p value 0,000; there is a difference in the average of sleep quality in the third trimester pregnant women in the intervention and control groups with a p value 0,000; and there is no difference in the average of anxiety level and sleep quality in the third trimester pregnant women in the intervention and control groups with a p value 0,64. Prenatal Gentle Yoga and Hypnotherapy have an effect in reducing the anxiety level and improving the sleep quality in the third trimester pregnant women.

DESCRIPTION OF MIDWIFERY STUDENT KNOWLEDGE ABOUT 1000 HARI PERTAMA KEHIDUPAN (HPK) BASED ON MEDIA INSTITUTE OF HEALTH SCIENCES KUNINGAN 2020

The first 1000 days of life or 1000 Hari Pertama Kehidupan (HPK) is a period starting from the beginning of pregnancy until the baby is 2 years old. Knowledge of 1000 HPK is very important for midwifery students as a benchmark for health workers in serving clients in the future. About 6 in 10 students still do not understand and know about the First 1000 Days of Life. The purpose of this study was to describe the level of knowledge of midwifery students about the first 1000 days of life based on media sources at the Kuningan College of Health in 2020. Descriptive research method with observational design, population of midwifery students of level II as many as 40 people, using a total sampling technique. Direct data collection (primary data) using a questionnaire. Data analysis using univariate analysis. The results showed that most midwifery students level II had less knowledge of 20 respondents (50%), most of the media sources for obtaining information about HPK were mostly audio-visual 32 (80%), and the level of knowledge of midwifery students level II about 1000 HPK based on media sources. as many as 17 (42.5%) had less knowledge. It is recommended that level II midwifery students get information about 1000 HPK not only through the media but can seek information from various sources, for the Midwifery Study Program to be used as evaluation material, as input for developing an additional curriculum related to 1000 HPK in the Midwifery Care course so that it can increase student knowledge.

NUTRITIONAL STATUS OF TODDLERS IN NAGARAKEMBANG VILLAGE, CINGAMBUL DISTRICT, MAJALENGKA REGENCY

The coverage of visits to the integrated service post for boys and girls in the village of Nagarakembang in January 2019 was 26.82%, in February it was 42.54%, in March 81.16%. The purpose of this study was to describe the nutritional status of children under five based on the frequency of visits to integrated service posts in Nagarakembang Village, Cingambul District, Majalengka Regency. This type of research is descriptive with a cross sectional design. The sampling technique is total sampling with a sample of 85 toddlers aged 25-60 months The results showed that the toddlers who often visited the integrated service posts were 47.1%. The nutritional status of children under five was mostly normal, which was 82.4%. Respondents who frequently visited the integrated service posts were mostly with normal nutritional status, namely 31 toddlers. Conclusion: There are as many toddlers who do not visit the integrated service posts as children who visit the integrated service posts and on average have nutritional status. Suggestions for mothers of toddlers must be active in visiting integrated service posts so that they have knowledge about additional food for toddlers

THE OUTCOME OF PMTCT GUIDELINE IMPLEMENTATION TOWARDS THE PROGRAM PERFORMANCE FOR THE ELIMINATION OF HIV TRANSMISSION FROM MOTHER TO CHILD IN DENPASAR CITY

UNAIDS report on the level of HIV transmission from mother to child shows that Indonesia is in the highest rank in the world. This study aims to conduct rapid assessment about the full extent of PMTCT program and services in Denpasar City, Bali. This study located Denpasar City as a capital of Bali with high HIV cases and currently apply PMTCT services. The study conducted through FGDs, in-depth interview and observation in the primary health centers and hospitals. The data was validated by triangulating data from several sources. The results showed that the there is no specific local policy for PMTCT programs and services. There is no PMTCT program management guideline or SOP for PMTCT services at the Health Office and primary health centers. In Denpasar City there are already 5 primary health centers that provide comprehensive HIV and AIDS prevention and treatment services (LKB), and this includes providing PMTCT services consisting of HIV testing and ARV treatment for pregnant women. However, there is no ARV treatment for infant, this service must be obtained at general hospital through a referral mechanism. There is funding from local government (APBD) to buy diagnostic test for HIV and to capacity strengthening of human resources, but no support for further laboratory examinations. The empowerment for midwives to be involved in PMTCT program is limited, there has never been a comprehensive training on PMTCT and no empowerment of private practice midwives for PMTCT. The assistance’s activities to ensure ARV adherence is limited. There has been assistance for HIV positive mothers by NGOs in Denpasar City. Women with HIV still get stigma and discrimination from the community and health workers. There are also some challenges in data input, including error in inputting the data that need permission to edit it. It is recommended to improve: the HIV test coverage to 100% for pregnant women (for the first 90); the coverage and quality of ARV treatment (for the second 90); the capacity of PMTCT human resources; the commitment of local government; and data utilization.

THE EFFECT OF PROVIDING EDUCATION USING ONLINE MEDIA FOR PREGNANT WOMEN ON MOTHER'S KNOWLEDGE, SUCCESS OF BREASTFEEDING ONLY FOR ONE MONTH AND MOTHER'S SELF EFFICACY

Introduction: Breastmilk is the first food for newborns and is the main nutrition for babies. The low level of exclusive breastfeeding is due to the lack of knowledge of mothers about exclusive breastfeeding. Therefore, in order for mother's knowledge to be good, it can be done by providing education about exclusive breastfeeding. The purpose of this study was to determine the effect of providing education using online media for pregnant women on the knowledge of mothers in breastfeeding, self-efficacy and the success of breastfeeding alone for one month. Methods: This study used a quasi-experimental design with a pre and post-test nonequivalent control group approach. The sampling technique used probability sampling, which consisted of 44 pregnant women in the third trimester. Collection using a questionnaire and analyzed using the chi square test with a significance level of α ≤ 0.05. Results: This study shows that there is no significant relationship between the provision of online education and maternal knowledge with a p value of 0.056 (α ≥ 0.05). There is a significant relationship between providing online education with maternal self-efficacy with a p value of 0.001 (α ≤ 0.05). There was no significant relationship between the provision of education and the success of breastfeeding for 1 month with a p value of 0.186 (α ≥ 0.05). Conclusion: It is suggested that health walkers can increase educational activities regarding exclusive breastfeeding by using any method and in an appropriate, structured and continuous way with direct or indirect interactions so that the knowledge and self-efficacy of mothers about exclusive breastfeeding will be better.

PERCEPTION OF WOMEN OF CHILDBEARING AGE ON EARLY DETECTION OF CERVICAL CANCER WITH IVA TEST IN THE BASIC ESSENTIAL NEONATAL OBSTETRICS SERVICES CIPEUNDEUY COMMUNITY HEALTH CENTER SUBANG REGENCY

Cervical cancer is the most common cancer in women with an estimated 570,000 new cases in 2018 and represents 6.6% of all cancers in women. The behavior of women of childbearing age in preventing cervical cancer with early detection is still low. Nationally, it is still less than 5%, while the target to be achieved in 2019 is 50%. In Subang Regency in 2019, of the target of 7500, only 20 people (0.27%) did IVA tests (Subang District Health Office, 2019). This study aims to determine the perception of women of childbearing age on early detection of cervical cancer with IVA test in the Basic Essential Neonatal Obstetrics Services Cipeundeuy Community Health Center, Subang Regency In 2020. This research is qualitative with a case study approach, the research subjects are 5 women of reproductive age. Measurement and observation of these variables using in-depth interviews. Data analysis through transcription, reduction, categorization, presentation of data in narrative form. The behavior of women of childbearing age in preventing cervical cancer with early detection is based on the perception of vulnerability of women of childbearing age to feel vulnerable to cervical cancer, because women of childbearing age is already active in sexual intercourse, based on the perception of severity seriousness. Women of childbearing age considers cervical cancer a serious disease, based on the perceived advantage that this examination is to determine the health condition of the presence of signs and symptoms, based on the perception of obstacles due to shame, fear, lack of knowledge and costs. Women of childbearing age perception of cervical cancer early detection includes perception of vulnerability, perception of severity/ seriousness, perception of benefits and perception of barriers.

THE EFFECT OF HYDROTHERAPY ON THE REDUCTION OF BLOOD PRESSURE IN PREGNANT WOMEN WITH HYPERTENSION AT THE PRIMARY HEALTH CAREASTANAJAPURA CIREBON DISTRICT IN 2019

One of the causes of maternal mortality and morbidity is pregnancy induced hypertension (PIH). One of many hypertension management in pregnancy with non-pharmacological is hydrotherapy, which is soaking the feet using warm water for 20 minutes. This study aims to determine the differences in systolic and diastolic blood pressure in the hydrotherapy group with a temperature of 40o - 43 o compared to temperatures of 37 o - 39 o. The study using Quasi-Experimental non-randomized pre-test and post-test with control design on 22 hypertensive pregnant women using purposive sampling technique. Research instruments included observation sheets, sphygmomanometer, stethoscope, and digital water thermometer. Univariate and bivariate data analysis using the Wilcoxon and Mann-Whitney tests. This study showed difference of systolic blood pressure p value 0,000 and difference of diastolic p value 0,013 (p <0,05), therefore there were differences in systolic and diastolic blood pressure in the hydrotherapy group with a temperature of 40 o - 43 o compared to 37 o - 39 o. Hydrotherapy using temperature of 40 o - 43 o is better to use than temperature of 37 o - 39 o. Midwives can use hydrotherapy as an early treatment alternative for hypertensive pregnant women

ANALYSIS OF CHARACTERISTICS OF INFANT DEATH RATE (2015-2019) IN UPTD PUSKESMAS JAPARA KUNINGAN DISTRICT, 2020

Infant mortality is a death incident that occurs in newborns up to <1 year of age. Infant mortality is measured as the infant mortality rate, which is the number of deaths for children under 1 year of age per 1000 births. According to WHO, the infant mortality rate in Indonesia reaches 27/1000 live births. Based on the health profile of West Java, the number of infant deaths in 2017 reached 3.4 / 1000 live births. In the UPTD Puskesmas Japara there are 34 cases of infant mortality. Infant mortality is caused by several factors, including maternal age, education, birth attendants, and parity. The research objective was to determine the analysis of the characteristics of the incidence of infant mortality in 2015-2019 at the UPTD Puskesmas Japara, Kuningan Regency. The research method used was quantitative with a retrospective design, taken from secondary data 2015-2019, the population in the study was all infant deaths in the UPTD Puskesmas Japara, amounting to 34 people. Selection of a sample of 34 people using the total sampling technique. The statistical test technique uses the Chi Square test. The results showed that there was a relationship between parity (p-value = 0.006) and there was no relationship between maternal age (p-value = 0.129), education (p-value = 0.156), birth attendants (p-value = 0.781) and death. babies in 2015-2019 at UPTD Puskesmas Japara, Kuningan Regency. It can be concluded that the incidence of infant mortality occurs in some mothers with no risk age, some mothers with primary education, some mothers with multiparity parity. Suggestions for health centers are expected to increase the priority of health programs in an effort to reduce the incidence of infant mortality.

AUDIOVISUAL MEDIA INCREASES PREGNANT MOTHERS’ KNOWLEDGE AND ATTITUDE OF HEPATITIS B DURING COVID-19 PANDEMIC

During pregnancy, mothers are at very high risk of getting infected with viruses, one of the viruses is hepatitis B. Hepatitis B is transmitted through horizontal and vertical ways. The knowledge deficit on pregnant mothers toward hepatitis B caused a lot of them to be infected with hepatitis B virus. One of solutions to increase their knowledge and attitude toward hepatitis B is by giving them health education with audiovisual media. The purpose of the study was to know if there was an impact of the health education with audiovisual media on the increase of pregnant mothers’ knowledge and attitude toward hepatitis B in the working area of the Public Health Center of Waruroyom, Cirebon regency, in 2021. This research used quasi experimental methods which are pretest and posttest with control group design. Sample used in this research were 72 pregnant mothers obtained with the purposive sampling technique and the data collection used questionnaires. Based on the independent t-test on the knowledge variable, the obtained result was p value 0.00 whereas the obtained result on the attitude variable using mann-whitney was p value 0.00. Hence, there was an impact of education health with audiovisual media on the increase of pregnant mothers’ knowledge and attitude toward hepatitis B. Audiovisual media can increase pregnant mothers’ knowledge and attitude toward hepatitis B during Covid-19 Pandemic

THE EFFECT OF HEALTH EDUCATION ON PREGNANT WOMEN'S KNOWLEDGE LEVEL ABOUT COVID-19 IN MAIN CLINIC CIDENG MEDICAL CENTER REGENCY OF CIREBON IN 2020

Health education is an effort to convey the health message that is expected that people, groups, or individuals can gain knowledge about better health so that it can affect behavior. Video media is a health education tool used to facilitate the reception of health messages that rely on the senses of vision and hearing. Pregnant women are at considerable risk of being infected with COVID-19. There is still a low knowledge of pregnant women about COVID-19 at Cideng Medical Center Main Clinic by 40%. The purpose of this study is to analyze the differences in pregnant women's knowledge about COVID-19 before and after the provision of health education about COVID-19 at the Main Clinic of Cideng Medical Center CirebonDistrict in 2020. Research design using a quasi-experimental design with one group design pre test-post test without control design.The sampling technique used is accidental sampling. The population in this study was pregnant women, with a sample of 30 respondents.The results of the analysis with the Wilcoxon T-Test test in pregnant women before and after obtained a p-value of 0.000 from the results of the study obtained a value of p < 0.05 so that the hypothesis is accepted. The average increase in the knowledge level score of pregnant women between before and after being given health education was 2.13. There is an influence of health education on the level of knowledge of pregnant women about COVID-19 at the Main Clinic of Cideng Medical Center Cirebon Regency in 2020