PENGARUH TERAPI BIRTH BALL TERHADAP INTENSITAS NYERI PADA PERSALINAN DI KLINIK PRATAMA HANNA KASIH MEDAN 2020

Pain in childbirth is a physiological process caused by myometrial contractions with different intensities for each mother and is a signal to inform the mother that she has entered the labor process stage. Pain in childbirth has the highest degree of pain among other pain, so that many women are not ready to have children because they imagine the pain that will be presented at the time of labor later. The general objective of this study was to determine whether there was an effect of birth ball therapy on pain intensity in labor at the Pratama Hanna Kasih clinic, Medan 2020. Univariate and bivariate analysis using Wilcoxon test analysis. Bivariate analysis is used to see the effect of the independent variable (independent) on the dependent variable using the Wilxocon test analysis. Of the 30 respondent mothers who carried out the variable therapy pre-test birth ball who were very painful and 19 respondents had pain (63%), and a minority of respondents had little pain, 11 people (37%). And on the post-test respondents the least pain was increased by 22 respondents (73%), while the minority of pain was quite severe as many as 8 respondents (27%). A significant effect on the effect of birth ball therapy on labor pain where the p value is 0.00 <0.05. The results are expected to have an effect on birth therapy on labor pain. The results of the Wilcoxon test analysis with a degree of significance (α) = 0.05 and a P value of 0.00 were obtained (α <0.05) which can be seen from the value which means that Ho is rejected and Ha is accepted. The conclusion is that there is an effect of birth ball therapy on labor pain

THE EFFECTIVENESS OF COUNSELING THROUGH AUDIO VISUAL MEDIA USING ANIMATION VIDEO ON COMPLIANCE OF IRON TABLETS (FE) CONSUMPTION IN PREGNANT WOMEN AT WORKING AREA OF TANJUNG MORAWA COMMUNITY HEALTH CENTER IN 2020

The results of Basic Health Research (Riskesdas) issued by the Health Research and Development Agency (Baritbankes) of the Indonesian Ministry of Health in 2018 stated that the prevalence of anemia in pregnant women in Indonesia was 48.9%. In North Sumatra, blood tests were carried out on pregnant women from 9,377 pregnant women in three cities, namely Medan, Pematang Siantar and Kisaran. 33% of them had anemia. One of the causes of anemia in pregnancy is iron deficiency. The type of research used was pre-experiment with One Group Pretest-Posttest Design. In this study, using purposive sampling technique, namely 34 pregnant women. Adherence is the level of patients carrying out the treatment and behavior suggested by their doctor or by others. Meanwhile, the compliance with taking blood-supplemented tablets is a behavior where pregnant women support the iron supplementation program carried out by the government to prevent anemia in pregnant women. Based on the results of the research discussion entitled "Effectiveness of Extension through Audio Visual Media Using Animation Videos on Compliance with the Consumption of Iron (Fe) Tablets in Pregnant Women in the Work Area of ​​the Tanjung Morawa community Health Center in 2020, it can be concluded that the compliance of respondents before being given counseling was the majority as obedient as 22 respondents ( 35.3%) and the compliance of respondents after being given counseling was the majority obedient as many as 29 respondents (85.3%), and the effectiveness of counseling through audio-visual media using animation videos on compliance with consuming iron tablets (Fe) in pregnant women in the work area of ​​ Tanjung Morawa community health center in 2020 after being given counseling with the results of the T test paired sample T-test, it was obtained that sig 2 tailed was 0.000 (p value) <0.05. And it is hoped that the next researchers will develop this research using other media

EFEKTIVITAS PEMBERIAN INFUSED WATER KURMA TERHADAP PENINGKATAN KADAR HEMOGLOBIN REMAJA PUTRI KEBIDANAN POLTEKKES MEDAN TAHUN 2020

Hemoglobin is the red pigment-protein contained in red blood cells. The function of hemoglobin is to transport oxygen from the lungs and in the bloodstream to be carried to the tissues. Hemoglobin can increase by increasing the intake of iron in the body. One way to increase hemoglobin can be done by giving method Infused Water Dates. Infused water is a drink consisting of plain water with fresh fruit added and soaking or settling together for a certain time. The making of infused water is carried out by soaking for a period of 0 to 12 hours, so that the infused water becomes a liquid medium that carries more nutrients than ordinary water and will be more easily absorbed by cells and distributed throughout the body (Sidauruk, 2018 ). In several studies, it is stated that dates can increase hemoglobin levels in the blood. Where dates contain iron, vitamin A, vitamin C, protein to form red blood cells. With the method, Infused Water the date palm water becomes alkaline so that it can accelerate the absorption process in the body. The purpose of this study was to determine the effectiveness of dates infused water provision to increase hemoglobin levels of midwifery adolescent girls at Medan Health Polytechnic in 2020. This research was quasi-experimental study using the One Group Pretest-Posttest Without Control Design approach. The sample in this study were 20 respondents of midwifery adolescent girls from Medan Health Polytechnic, using the technique of purposive sampling. The statistical test used wa the Wilcoxon Signed Rank Test because the data was not normal. The results of the Wilcoxon Signed Rank Test obtained the value of P-Value = 0.001. So it can be concluded that the date infused water is effective in increasing hemoglobin levels of midwifery adolescent girls at Medan Health Polytechnic in 2020. Keywords: Dates Infused Water, Increased Hemoglobin Levels, Girls Adolescent

PENGARUH PEMBERIAN SIMPLISIA JANTUNG PISANG KEPOK TERHADAP PENINGKATAN PRODUKSI ASI PADA IBU POST PARTUM DI PBM NURHAYATI DAN KLINIK PRATAMA NINING PELAWATI KEC. LUBUK PAKAM TAHUN 2020

Banana blossom is a food that has many benefits and is easily obtained by the community because it can be easily planted in the yard of the house. Banana blossom processing in the community can be done by boiling and steaming. Banana blossom also contains protein, minerals (especially phosphorus, calcium and iron) and a number of vitamins A, B1 and C. There are many reasons for mothers do not give exclusive breastfeeding to their babies. However, what is most often found is insufficient breast milk. There are several factors that influence milk production, one of which is the food factor. One of the efforts to increase breastmilk production that will be carried out is by giving Kepok Banana blossom Simplicia. This study aims to determine the effect of Kepok banana blossom simplicia on increasing breast milk production in postpartum mothers at Nurhayati and Nining Pelawati Midwifery Pratama Clinic, Lubuk Pakam sub district in 2019. This type of research was a Quasi Experiment with a Non Equivalent Control Group design and purposive sampling. Samples were normal postpartum mothers from day 7 to day 21 with parity of 1-2 and were willing to take part in the study through informed consent. Based on the results of the Wilcoxon Rank test and the Mann-Whitney test, it was obtained a p-value of 0.000 (α <0.05), which means that there was a significant effect on the simplicia of Kepok banana blossom on increasing milk production in postpartum mothers and it is expected that it can be used as an effort to increase milk production in postpartum mothers and to meet the needs of babies without having formula milk.

PENGARUH PEMBERIAN PUDING SARI PEPAYA TERHADAP PRODUKSI ASI PADA IBU POSTPARTUM DI BPM SUGIHARTI LUBUK PAKAM TAHUN 2020

Introduction: One of the obstacles that occur in postpartum mothers is not giving exclusive breastfeeding. According to UNICEF data (2018) the coverage of exclusive breastfeeding in the world is only around 36%. Papaya fruit provision to postpartum mothers is one of the efforts to increase breast milk production, the aim of this study was to find out the effect of papaya juice pudding provision to breast milk production in postpartum mothers at Sugiharti midwifery clinic of Lubuk Pakam in 2020. Methods: This type of research was Quasi Experiment with a Posttest Only Control Group design and the sampling used was purposive sampling. Samples were 30 postpartum mothers, namely 15 experimental groups who gave papaya juice pudding and 15 control groups who were not given papaya juice pudding with the inclusion criteria of normal postpartum mothers, infants who were given early breastfeeding initiation, mothers who did not consume drugs, herbal / Other breastfeeding smoothing supplements, willing to take part in the research through Informed Consent, were given in the experimental group papaya juice pudding while in the control group papaya juice pudding was not given. Results and Discussion: This research on giving papaya juice pudding was conducted for 7 consecutive days and then measured the volume of breast milk using Breastpump. Based on the results of the study showed that the average milk production of the experimental group was 128.00 and the average milk production of the control group was 91.20, so the difference in breast milk production was 36.8. Then it can be seen that the results of the Independent T-Test test obtained a P-Value of 0.000 (α <0.005). Conclusion: The provision of papaya juice pudding has an effect on increasing breast milk production in postpartum mothers. It is suggested to midwifery clinic to utilize papaya fruit which can be processed into papaya juice pudding to increase breast milk production in postpartum mothers so that mothers give exclusive breastfeeding to their babies.

TINGKAT PENGETAHUAN DAN SIKAP REMAJA PUTRI TUNANETRA TENTANG MENARCHE DI SLB Y TANJUNG MORAWA TAHUN 2018

Menarche is the first menstruation that usually occurs in the age range of 10-16 years or in early adolescence in the middle of puberty before entering the reproductive period. Knowledge is the result of knowing and this happens after people have sensed a certain object. Sensing occurs through the human senses, namely: vision, hearing, smell, taste and touch. Attitude is a reaction or response of someone who is still closed to a stimulation or object. The manifestation of that attitude cannot be directly seen, but can only be interpreted in advance from closed behavior.This research uses descriptive quantitative method, namely to find out the description of the level of knowledge of blind young women about menarche at Y Tanjung Morawa SLB 2018. The population in this study were all the number of young women at Y Tanjung Morawa SLB aged 10-18 years. And the sample in this study is the entire population. Data collection using primary data. From the results of research on blind teenage girls at Y Tanjung Morawa SLB in 2018 the majority of knowledge is less than 60% and the minority of good knowledge (16.67%) The majority of respondents aged 10-12 years lack knowledge as much as 23.33%, sufficient knowledge 13, 33% and good knowledge as much as 10%, minorities are found at the age of 16-18 years with less knowledge as much as 10%, sufficient knowledge as much as 6.67% and good knowledge as much as 3.33%. The majority of information sources from the environment are lack of knowledge as much as 33.33%, sufficient knowledge of 10% and good knowledge as much as 6.67% of the source of information from health professionals is enough (3.33%). The majority of adolescent attitudes are negative as much as 56.67% and minority positive teen attitudes as much as 43.33%. From the results of the study it is expected that young women will increase their knowledge about menarche because it is very important to maintain personal hygiene during menarche or menstruation.

TINGKAT PENGETAHUAN DAN SIKAP ORANG TUA YANG MEMILIKI ANAK AUTIS TENTANG TUMBUH KEMBANG ANAK AUTIS DI KLINIK FADIRA BINJAI TAHUN 2018

Growth is increasing in size and the cell size of all parts of the body, development is increasing body structure and function that is more complex in the ability to coarse motion, smooth motion, speech and language and socialization and independence. Autism is a neurobiological development disorder that is very complex / long in life, which includes disturbances in aspects of social interaction, communication and language, and behavior and emotional disturbances and sensory perceptions even in the motor aspects. Autistic symptoms appear before 3 years of age. Knowledge is the result of "knowing" and this occurs after people have sensed a particular object. Attitude is the most important concept in social psychology that addresses the elements of attitudes both as individuals and groups. The type of research used in this research is descriptive method. This research was conducted at the Fadira Binjai clinic. Data collection is taken using primary data. With a sample of all the total population (total sampling) all parents who have autistic children in the fadira Binjai clinic. The results showed that there were 17 parents (56.67%) with good knowledge of autistic children and 5 (16.66%) good knowledge. Parents who have autistic children have a positive attitude of 17 people (56.67%) and have a negative attitude of 13 people (43.33%). From the results of the above research, it is expected that parents who have autistic children in order to increase their understanding of autism and the development of autistic children can through group discussions with a nurse doctor or midwife, friends to find out information through magazine and television books.

PENGARUH KEBIASAAN KONSUMSI ENERGI, PROTEIN, DAN SENG TERHADAP KEJADIAN STUNTING PADA ANAK USIA SEKOLAH DASAR DI DESA TANJUNG LANGKAT KECAMATAN SALAPIAN KABUPATEN LANGKAT TAHUN 2018

Stunting is one form of nutritional abnormalities in terms of body size characterized by a short body condition to exceed the -2SD deficit below the WHO standard. The result of Riskesdas in North Sumatra found that the prevalence of stands for province by 2013 was 42.5%, which means an increase of 0.2% from the state of 2010 (42.3%). The prevalence of stunting in Kabupaten Langkat is quite high (54.7%). This study aims to determine the effect of consumption habits of energy sources, protein, and zinc to the incidence of stunting in school-aged children in Tanjung Langkat Village Kecamatan Salapian Kabupaten Langkat. This research is an observational analytic research with case control design. The number of research samples were 29 cases and 29 controls selected using stratified random sampling method. Data of energy consumption habits, protein, and zinc was done by interview using 24 hour food recall form and form food frequency and stunting data obtained from measurement of body height by using microtoise which processed by using Software WHO Anthroplus. Data analysis was done by univariante analysis, bivariate analysis, and multivariate analysis by using chi- square test and logistic regression test. The result of the analysis showed that there were three variables that had significant relation on the stunting event, energy consumption habits (p=0.036; OR=3.109), protein consumption habits (p=0.035; OR=3.148) and zinc consumption habits (p=0.002; OR=5,971). The most dominant factor influencing the stunting event is the consumption habit of zinc source with Exp. (B)=5.737. It is advisable to improve the provision of information and understanding to children and parents about the importance of consuming food sources of energy, protein, and zinc as well as expected to parents to pay attention and familiarize children consuming diverse types of food and suggested to the school to cooperate with puskesmas provide counseling related to the consumption of balanced nutritious foods, especially those that play a role in the growth of children.

Studi Literatur: Faktor yang Berhubungan Dengan Kejadian Kurang Energi Kronis (KEK) pada Ibu Hamil tahun 2020

Latar Belakang: Kurang Energi Kronis merupakan suatu keadaan dimana status gizi seseorang berada pada kondisi yang kurang baik. Hal ini dapat disebabkan karena kurangnya konsumsi pangan dan sumber energi yang mengandung zat mikro. Berdasarkan hasil Riskesdas tahun 2018 prevalensi Wanita Usia Subur (WUS) hamil usia 15-34 tahun yang mengalami KEK sebesar 17,3 %, sedangkan pada WUS yang tidak hamil sebesar 14,5 %. Tujuan penelitian ini adalah untuk mengetahui faktor yang berhubungan dengan kejadian KEK pada ibu hamil melalui studi literatur. Metode: Penelitian ini menggunakan penelitian kualitatif dengan tekni literatur riview. Pencarian artikel dilakukan dengan basis data seperti google scholar. Dengan menggunakan kata kunci (Keywords) “Kurang Energi Kronis”, “Kurang Energi Kronis pada Ibu Hamil”.dan penulis menemukan 12 artikel yang relevan dari 2015-2020. Hasil penelitian: Hasil penelitian yang didapatkan oleh penulis bahwa faktor yang dapat memeprngaruhi KEK pada ibi hamil adalah pengetahuan, usia, status pekerjaan, tingkat kecukupan energi, tingkat aktivitas fisik, pengeluaran rokok, pendidikan, primigravida, status ekonomi dan pemeriksaan kehamilan.

GAMBARAN PENGETAHUAN DAN SIKAP WANITA PREMENOPAUSE DALAM MENGHADAPAI KLIMAKTERIUM DI DUSUN MULIA BAKTI DESA KARANG REJO KECAMATAN STABAT KABUPATEN LANGKAT TAHUN 2018

Klimakterium menjadi masa peralihan dalam kehidupan normal seorang wanita sebelum mencapai senium, yang mulai dari akhir masa reproduktif dari kehidupan sampai masa non reproduktif pada wanita terjadi anatara umur 40-65 tahun. Tujuan penelitian ini adalah untuk membuktikan ada gamabaran pengetahuan dan sikap wanita premenopause DiDusun Mulia Bakti Desa Karang Rejo digunakan dalam penelitian ini yaitu Survey analitik. Populasinya wanita premenopause DiDusun Mulia Bakti Desa Karang Rejo tahun 2018. Yang didapat pengumpulan data sekunder sebanyak 80 orang. Dan sampelnya adalah seluruh wanita premenopause yang mengalami klimakterium sebanyak 40 orang. Hasil penelitian menunjukan bahwa wanita klimakterium umur 40-47 sebanayak 15 %. Ibu mengalami wanita premenopause dalam menghadapi klimakterium umur 48 >51 sebanyak 48 %. Pengetahaun wanita premenoapuse dalam menghadapi klimakterium Pengetahuan Baik sebanyak 3 orang 1,2 % , pengetahuan cukup sebnayak 4 %, pengetahuan kurang sebanyak 10,8 %. Disarankan kepada tenaga kesehatan untuk memberikan penyuluhan serta mengajurkan ibu untuk melakukan menghadapi klimakterium agar bisa membantu wanita yg siap untuk menghadapi klimakterium. Kata kunci : Pengetahuan, Sikap, Premenopause, Klimakterium