The Influence of Audiovisual Media on Improving Adolescents' Knowledge of Reproductive Health

Various adolescent health problems in Indonesia are so complex, not only related to physical but also related to psychosocial aspects. When teenagers have to struggle to recognize the sides of themselves that are experiencing physical-psychic and social changes due to puberty, society instead tries to hide everything about sex and leave teenagers with question marks in their minds. The view that sex is taboo, makes teenagers reluctant to discuss reproductive health with others. The lack of accurate and correct information about reproductive health makes teenagers seek access and explore themselves. Health education for adolescents needs to be provided with the right methods and media. Audiovisual media is a learning tool or media that uses video or mobile display, this media is a modern learning among the community and effective for teenagers so that they can absorb the material provided to the maximum.This study aims to determine the influence of audiovisual media on increasing adolescent knowledge about reproductive health. This research is a quantitative study with quasi-experimental design one group without control, with a sample of 50 respondents. Respondents measured the rate ofyears before and after intervention, namely health education using audiovisual media.The results of the study: dependent t-test dependent statistical test on post-test knowledge about reproductive health increased by 6.46 to 8.06 with p value of 0.000 indicating the influence of audiovisual media provision on improving adolescent reproductive health knowledge.

Mother's Behavior in Exclusive Breastfeeding and Factors Affecting It in the Working Area of Air Dingin Padang Health Center

United Nations Children's Fund (UNICEF) and the World Health Organization (WHO) recommends that children only be breastfed with breast milk (ASI) for at least six months in an effort to reduce child morbidity and mortality. Solid food should be given after the child is 6 months old, and breastfeeding continued until the child is two years old. Many factors will affect the success of exclusive breastfeeding including knowledge, education, occupation, problems with the mother's breast, and interest in formula milk promotion. This study aims to determine how the behavior of mothers in exclusive breastfeeding and the factors that influence it. This type of research is quantitative with a cross sectional study design. The independent variables of this study were education, mother's knowledge and husband's support, while the dependent variable is the mother's behavior in exclusive breastfeeding. The subjects in this study were all mothers who had babies aged 6-12 months with multistage sampling technique. The statistical test in this study used the Chi Square test. The results showed that there was no relationship between mother's knowledge and mother's education with mother's behavior in exclusive breastfeeding (p>0.05), and there was a relationship between husband's support and mother's behavior in exclusive breastfeeding (p=0.000)

The Effect of Sundanese Instrumental Music Therapy and The Provision of Spicy Drinks on Pain Intensity and Labor Duration

The pain in labor due to contractions and the process of expelling the baby cannot be avoided by the mother. One way to reduce pain intensity non-pharmacologically is music therapy and the provision of spice drinks. music therapy can reduce stress and anxiety levels, especially during childbirth, while herbal drinks derived from ginger are analgesic, as well as cinnamon and cloves, can relieve pain. The research method is “Quasi experimental pre-post test with control group design. The intervention group was Sundanese instrumental music therapy with spice drinks and the control group was only given spice drinks, which was carried out on mothers giving birth during an active phase. The population is all mothers giving birth in BPM Bogor area. The sample size of the average difference test of two paired groups is 15 respondents in each group. The results showed a decrease in labor pain in the active phase of the first stage in the intervention group with p = 0.016. This shows that there is an effect of giving music therapy and spice drinks on the intensity of labor pain as assessed by the Visual Analog Scale (VAS), and there is no significant change in the decrease in labor pain during the active phase of labor, in the control group (p>0.05). There was no significant result on the length of labor with p = 0.439 (p > 0.05). This means that both the control and intervention groups did not show a difference in the time/length of labor

Influence of Breastfeeding Support Group (KP-ASI) on the success of exclusive breastfeeding in the Molingkapoto Community Health Center

Exclusive breastfeeding is giving only breast milk without giving other food and drinks to babies from birth to 6 months of age, except for drugs and vitamins. The purpose of this study was to determine the effect of breastfeeding support groups (KP-ASI) on the success of exclusive breastfeeding. The research method used is quantitative descriptive analytic which is cross sectional. The independent variable is the breastfeeding support group (KP-ASI), while the dependent variable is the success of exclusive breastfeeding. Case samples are mothers who have babies aged 6-24 months. The results of the study were based on the Chi-square statistical test, the results obtained were p = 0.001 (p <0.05), meaning that there was a significant relationship between breastfeeding support groups (KP-ASI) on the success of exclusive breastfeeding. Conclusion Breastfeeding Support Groups (KP-ASI) have a very big influence on the success of exclusive breastfeeding; most of who are assisted makes it to the exclusive breastfeeding stage.

Effect of Implementation of Blended Learning Method on Student Learning Outcomes At Block 5a. Professional Ethics and Health Law in Undergraduate Midwifery Program, Faculty of Medicine Andalas University

Midwives are one of the main health workers as the spearhead of health development in an effort to accelerate the reduction of MMR and IMR. For this reason, midwives who are skilled in conducting clinical procedures are needed with analytical, critical and precise skills in the management of care for women. This can be generated through quality midwife education providers, which are determined by the availability of human resources (lecturers), the quality of infrastructure, classroom learning curricula, laboratory and clinical practice and the condition of the practice area.The learning method is one of the supporting methods for the successful achievement of graduate competencies. This study aims to analyze the effect of the implementation of the blended learning method on the learning outcomes of block 5A midwifery students.Professional Ethics and Health Law in Midwifery Undergraduate Study Program, FK Unand. Design pThis research is a quasi experiment with a control group design research design. The research subjects were given treatment, namely the blended learning method. The analysis used to test the hypothesis is to seedifferences in the mean (average) of data for the treatment group (this year) and the control group (last year) fordetermine whether there is an effect of the implementation of the blended learning method on the learning outcomes of block 5A students. This study applies online learning methods in Block 5A. Respondents who were given treatment in this study were BP18 students, and control respondents were BP17 students who had implemented Block 5A learning in the previous year without using online methods. The results of the unpaired t test with the level of significance (α) are <0.05, which results in a probability value (p) of 0.000, which means that there is an effect of the implementation of the blended learning method on the learning outcomes of Block 5A students. In conclusion, blended learning has a positive impact on increasing the value and motivation of student learning in Block 5A

Overview of the Cause of Death of the Forensic Section of DR M.Djamil Hospital, Padang in 2019

Backgrounds: Death eventually occurs in all living things. Statistical data of deaths are needed to determine policies, priorities, and development of health programs in order to improve health service provisions.Objectives: This research implemented a retrospective descriptive design. Samples were selected using total sampling technique. Samples were taken from data recorded in the death registration form in RSUP M. Djamil Padang from January to December 2019. Data analysis was carried out univariately.Results: Characteristic of corps in the Forensic Unit of RSUP DR M.Djamil Padang in 2019 was found that more deaths occurred in men (53.9%) and elderly age (> 45 years) groups. The most common causes of death based on the ICD-10 classification were symptoms, signs, and other abnormalities (31.9%), disease of the respiratory system (14%) and the circulatory system (16%). On 125 of 212 corpes with unnatural death (59%), external examinations were performed.Conclusion: The number of death is higher in male and elderly age with the most common cause of death group is symptoms, signs, and other abnormalities.

Transition of Roles Change of Motherhood in Women

Being a mother is an extraordinary experience for women. The transition to changing the role of being a mother is a process that a mother must go through in achieving her maternal identity. The purpose of this paper is to determine the transition from changing the role of being a mother to women. This type of writing is a narrative literature review, conducted in June-November 2020. Data was collected through the PubMed digital library, Science Direct and Google Scholar using inclusion and exclusion criteria. The data analysis was done qualitatively. The analysis was carried out on 19 research articles. The results of the paper show three main themes, namely motherhood, transition to motherhood in working and unemployed mothers, and the role of midwives in supporting the role transition process. The transition process of changing the role of motherhood to both working and non-working mothers, namely experiencing feelings of inadequacy, feeling alone, losing, then being able to realize, make adjustments and perform these roles. Midwives must provide care according to client needs

Risk Factors For The Occurrence of Low Birth Weight Based on Nutritional Status of Pregnant Women With Upper Arm Circumference

The nutritional status of pregnant women before and during pregnancy can affect the growth of the fetus in the womb. The purpose of this study was to look at the risk factors of LBW events based on nutritional status based on the MUAC size of pregnant women. This research is analytical with cross sectional study design by sampling using the total sampling technique of 98 pregnant women in Kubang Village, Sukaresmi District, Cianjur Regency. Analyze data using Chi Square. Univariate analysis results from 98 respondents have good nutritional status (MUAC≥23.5 cm) which is as much as 78 (80%) and normal birth weight 64 (65.3%) pregnant women. The results of bivariate analysis there is a meaningful relationship between the nutritional status of pregnant women based on LBW and the incidence of LBW value P value = 0.006 (P value<0.05). In conclusion there is a meaningful relationship between the nutritional status of pregnant women based on MUAC and the incidence of LBW value P value = 0.006 (P value<0.05) value (OR=3.345, CI 2.234-8.562), respondents who have a history of malnutrition status while pregnant have a risk of 3,354 times giving birth to babies with LBW

Qualitative Study: The Diffusion Innovation Theory to Long Term Reversible Contraception Method Selection in High Risk Women, Malang District

Research objective: Long-term reversible contraceptive method (LTRC) is the most effective form of contraception but women prefer lesser effective method. In this study we explored whether women of reproductive age will accept or reject LTRC as their contraceptive innovation, and how their perceptions on the innovation's attributes influence their decision in choosing LTRC.Design, participants, interventions, and outcomes: The research design used was a qualitative descriptive study with high-risk reproductive women who were over 35 years old (16 people) spread over 4 health centers (puskesmas) as participants. Data collection was done by using focus group discussion. The results were analyzed using thematic content analysis.Result: Data analysis revealed that there were 2 subgroups of participants based on their tendency to use LTRC: positive (n 6) and negative (n 10). Most of the participants were aware of the advantages of long-term reversible contraceptive methods. They get information from health workers, the media and other people's experiences. They think that both IUD and implants have a high complexity / difficulty, especially the IUD. The characteristics of innovation in the form of relative advantage, compatibility, complexity, trialability and ease of observation greatly influence the decision to choose a long-term reversible contraceptive method. Most of the participants refused to try using the LTRC because it was too risky to try and too complicated to use.Conclusion: Most women are still hesitant to choose LTRC as a contraceptive, especially intrauterine contraceptives. They need more information about the advantages of LTRC

Lymphedema in Breast Cancer

Forearm edema in breast cancer is caused by disruption of the axillary lymphatic system by surgery or radiotherapy, which causes fluid accumulation in the subcutaneous tissue of the arm, with decreased distensibility of the tissues around the joints and increased weight of the extremities. Risk factors with strong clinical evidence include extensive surgery (eg, axillary lymph node dissection, more dissection of lymph nodes, mastectomy) and being overweight or obese. A BMI greater than or equal to 30 kg / m2 is an independent risk factor for lymphedema associated with breast cancer. Subclinical edema and cellulitis in the literature have also been cited as risk factors for lymphedema associated with breast cancer. The mechanism underlying lymphedema is dysfunction in the lymphatic transport system. of interstitial pressure. Lymphatic fluid, known as lymph, is drained by blind-ended lymphatic capillaries. It is then filtered through the lymph nodes and eventually re-enters the circulatory system, through the thoracic duct, where peripheral venous blood enters the right atrium of the heart. Under normal conditions, the same amount is transported to the interstitial as is transported from the interstitial, a balance that is disturbed in lymphedema due to reduced lymph transport capacity, leading to fluid accumulation and swelling. Options include bioelectrical impedance analysis (BIA), band measurement, perometry, and water displacement. Lymphoscintigraphy, computed tomography (CT) and magnetic resonance imaging (MRI) can also be used to describe lymphatic dysfunction. Management of lymphedema associated with breast cancer conservatively with controlled and operative compression therapy with resection, microsurgery, tissue transfer and liposuction