PENGARUH TEKNIK RELAKSASI HYPNOBIRTHING TERHADAP PENURUNAN RASA NYERI KALA I PERSALINAN NORMAL PADA PRIMIPARA DI RUMAH SEHAT KASIH BUNDA KEC MEDAN SELAYANG TAHUN 2019

Hypnobirthing is one of the hypnosis techniques (self-hypnosis), which is a natural effort to instill positive intentions/suggestions into the soul / subconscious mind during pregnancy and childbirth preparation. Primipara is a woman who gives birth for the first time and tends to experience more intense pain than multiparas. The only practice of midwives in the city of Medan that uses hypnobirthing is Rumah Sehat Kasih Bunda. This study was conducted to determine the effect of hypnobirthing relaxation techniques on decreasing pain in the first stage of normal labor in primipara in Rumah Sehat Kasih Bunda in 2019. This study was a Quasi Experiment with the Pretest-Postest design with a control group. The number of samples was ten people, namely five respondents as experiments and five respondents as controls. The sampling procedure uses an accidental sampling technique — retrieval of data using questionnaires. Data analysis carried out by univariate and bivariate with the t-independent test. The results showed that there was an effect of hypnobirthing relaxation techniques on normal labor because there was a decrease in pain in the first stage of normal labor in primiparas after hypnobirthing did. We recommend that pregnant women and mothers who will give birth take classes for pregnant women who not only focus on pregnancy but also about hypnobirthing and are advised to use hypnobirthing relaxation techniques to reduce pain in the first stage of labor.

ANALISIS PENGARUH MEDIA INTERNET TERHADAP PERILAKU PENYIMPANGAN SEKSUAL PADA REMAJA DI SMP NEGERI 4 TEBING TINGGI

The progress of the application of internet media technology among teenagers makes teenagers spend a lot of time useless, so that few teenagers have experience changes in communication, ethics, and behavior, even increasing sexual deviance behavior. The purpose of this study was to determine the effect of internet media on sexual deviance behavior in adolescents of SMP Negeri 4 Tebing Tinggi in 2019. This type of research uses a cross-sectional method. The population in this study was 90 students. The results show that there is an influence on the frequency of internet media usage on adolescent sexual deviation behavior. There is an effect of the duration of internet media usage on adolescent sexual deviation behavior. There is the influence of internet media access used on adolescent sexual deviation behavior, and the variable that most influences the behavior of adolescent sexual deviation is the variable frequency of using internet media with prevalency ratio 3.501. It expected that adolescents do not use the facilities and internet media their have for pornography. Besides, teenagers should be positive things in their spare time, such as taking school extracurricular activities, exercising, or did good hobbies to avoid deviant behavior.

PENGARUH PIJAT OKSITOSIN TERHADAP PRODUKSI ASI PADA IBU POST PARTUM SECTIO CAESAREA DI RSU SEMBIRING DELITUA

Exclusive breastfeeding is very important for babies aged 0-6 months and must be given in the first hour. Exclusive breastfeeding is one of the most powerful influences on children's survival, growth and development. Despite the many benefits of breastfeeding, the coverage of exclusive breastfeeding is still low. One of the causes of mothers not giving breast milk because the milk comes out very little. So the mother gives formula milk. This study aims to determine the production of breast milk produced in mothers given oxytocin massage and analyze the effect of oxytocin massage on breast milk production in post partum sectio caesarea mothers in sembiring delitua hospital . The design of this study was quasy experimental design with a total sample of 32 people with aaccidental sampling technique with the type of Posttest-Only Control Design. The results of the study showed that there was a significant the effect of Oxytocin Massage on Breast Milk Production.

ANALISIS DETERMINAN YANG MEMPENGARUHI KEPATUHAN IBU TENTANG PEMBERIAN IMUNISASI MEASLES RUBELA PADA BALITA DI PUSKESMAS DELI TUA KABUPATEN DELI SERDANG

The purpose of this study was to analyze what determinants influence maternal adherence regarding Measles Rubella immunization in infants. This type of research is quantitative research with cross sectional study design. The population in this study were all mothers who have children under five in the Delitua Health Center with a sample size of 36 people. Data collection methods obtained directly from respondents through interviews using interview guidelines (questionnaire). Secondary data were obtained from Obstetric Gynecology records in the midwifery room and the medical records of the Deli Tua Health Center. Data retrieval of information will be done by interviewing Delitua Health Center with a questionnaire that has fulfilled the elements of validity and reliability. The results of this study are factors that greatly affect mothers not giving MR immunization in infants is a factor of family support with a value of 1.397 and information source factors. It is expected that health workers will provide more health information to the public that MR immunization is very important for toddlers to prevent Measles Rubella disease.

HUBUNGAN DUKUNGAN SUAMI DAN PENGETAHUAN IBU HAMIL DALAM PEMERIKSAAN ANTENATAL CARE DI PUSKESMAS TANJUNG UNCANG

Antenatal Care is a health screening service provided to mothers during their pregnancy period in accordance with the standard of antenatal care, which includes several elements of service, blood pressure, measurement of Upper Arm Circles, measurement of height, immunization, giving Tablets, determining fetal heart rate, conducting speeches, laboratory test services, blood hemoglobin tests, examining urine protein, checking blood type The purpose of this study was to find out the relationship between husband's support and knowledge of pregnant women in prenatal care in Tanjung Uncang Community Health Center. The research design used in this study was a cross-sectional approach — this research conducted in Tanjung Uncang Health Center in 2018 with a sample of 31 people. Of the 31 respondents as many as 15 people (49%) respondents whose knowledge is excellent, as many as ten people (32%) whose knowledge is sufficiently supported and six people (19%) respondents lack knowledge. As many as 12 people (39%) respondents whose husband's support was excellent, ten people (32%) had enough support from their husbands, and nine people (29%) their husband's support was lacking. Then it can be stated that there is a relationship between husband's support and the knowledge of pregnant women in the Tanjung Uncang health center.

PENGELUARAN KOLOSTRUM DENGAN PEMBERIAN PERAWATAN PAYUDARA DAN ENDORPHIN MASSAGE PADA IBU POST SEKSIO SESAREA

Spending colostrum in post-cesarean section mothers is difficult in the first week postpartum. Efforts to overcome colostrum disruption can use non-pharmacological methods, namely breast care and endorphin massage. This study aims to determine the expenditure of colostrum by giving breast care and endorphin massage to post-cesarean mothers. This research is a quasi-experimental study with a nonequivalent design posttest control group design. This research was carried out in the midwifery room of the second floor of Grand Medistra Lubuk Pakam Hospital during the June-July 2019 period. There were 48 participants selected using purposive sampling, with 18 assigned in breast care, endorphin massage and combination of breast care and endorphin massage. The time of spending colostrum expenditure is assessed every day while the amount of colostrum expenditure is assessed after intervening. Analysis of the data used is one-way Annova. The results showed that the combination of breast care and endorphin massage was the most effective action in the time of spending colostrum and the amount of colostrum with a value of p = 0,000. The combination of breast care and endorphin massage could be applied as an alternative therapy post-cesarean mothers

ANALISIS HUBUNGAN SARANA, PENGETAHUAN, DAN SIKAP BIDAN PRAKTIK MANDIRI DENGAN KEPATUHAN MENJALANKAN STANDAR PELAYANAN ANTENATAL CARE DI KOTA PADANGSIDIMPUAN

Antenatal care is a service provided to pregnant women to monitor, support maternal health and detect mothers whether normal or problematic pregnant women. According to the WHO, globally more than 70% of maternal deaths are caused by complications of pregnancy and childbirth such as hemorrhage, hypertension, sepsis, and abortion. Based on data obtained from the profile of the North Sumatra provincial health office in 2017, in the city of Padangsidimpuan in 2017 the coverage of ANC visits reached (76.58%) and had not reached the target in accordance with the 2017 Provincial Health Office strategy plan (95%). This type of research was an observational analytic study with a cross sectional design. The population in this study were independent practice midwives who were in the Padangsidimpuan, the sample in this study amounted to 102 respondents. The technique of collecting data used questionnaires and data analysis used univariate, bivariate and multivariate analysis with logistic regression analysis. Based on bivariate analysis showed that there was a relationship between facilities, knowledge and attitudes of independent midwives with compliance with the standards of antenatal care services with a value of p <0.05. The results of the study with multivariate logistic regression analysis showed that the factors associated with the compliance of independent midwives in carrying out antenatal care service standards were attitudes with values (p = 0.026).

HUBUNGAN PENGETAHUAN DAN SIKAP REMAJA PUTRI DENGAN UPAYA PENANGANAN DISMENOREA DI SMA NEGERI 1 NAMORAMBE KAB. DELI SERDANG TAHUN 2019

In Indonesia the incidence of primary type of dysmenorrhoea is around 54.89% while the rest are patients with secondary dysmenorrhoea. Dysmenorrhea occurs in teenage girl with a prevalence ranging from 43% to 93%, of which around 74-80% of teenage girl experience mild dysmenorrhea, while the incidence of endometriosis in teenage girl with pelvic pain is estimated at 25-38%, whereas in teenage girl who do not respond positively to treatment for menstrual pain, endometriosis is found in 67% of cases in laparoscopy. Dismenorrhea is an imbalance of the hormone progesterone in the blood resulting in pain, psychological factors play a role in the occurrence of dysmenorrhea in some women. Knowledge of dysmenorrhea is very influential on attitudes in dealing with dysmenorrhea. The attitude shown by young women is seen from how much knowledge teenage girl have. The research design used was descriptive analytic with cross sectional design. The studies sample was a 76 students of with dysmenorrhea class XI teenage girl in Namorambe 1 Senior High School Distric Deli Serdang In 2019 there were 76 people with dysmenorrhoea. The sampling technique is purposive sampling. Data were analyzed by Chi Square test. The results showed that the value of knowledge with efforts to treat dysmenorrhea was significant 0.006 p ≤ 0.05 and the attitude value with efforts to treat dysmenorrhea was significant 0.014 p ≤ 0.05. It is expected that young women can increase their knowledge about reproductive health, especially the problem of dysmenorrhoea and efforts to handle it from reliable sources such as parents, health workers, teachers or reading books about women's reproductive health.

PENGETAHUAN IBU TENTANG PENYAKIT YANG DAPAT DICEGAH DENGAN IMUNISASI PADA BAYI

Immunization is a program that deliberately introduces weak antigens to stimulate antibodies out so that the body can be resistant to certain diseases. Diseases that can be prevented by immunization are tuberculosis, tetanus, diphtheria, pertussis, polio, measles, and hepatitis B. This disease can cause death, morbidity, and disability, even if not treated optimally can be contagious and cause extraordinary events. The purpose of this study is to describe how the mother's Knowledge about diseases that can be prevented by immunization in infants. The design in this study was descriptive, using primary data obtained directly from respondents through a questionnaire. The population in this study were all mothers who had babies in the Veterans Region of Medan Estate Village Percut Sei Tuan Medan District by using a total sampling technique of 20 respondents. Data processing is done through the process of editing, coding, tabulating. The results showed that knowledge of mothers about diseases that can be prevented by immunization in dominant infants with sufficient knowledge was 14 people (70%). So it can be concluded that the mother's knowledge about diseases that can be prevented by immunization in infants is categorized as sufficient. It is hoped that with increasing knowledge, mothers will be more active in bringing their babies to the public health for immunization. Midwives and cadres are also expected to be more active in disseminating health information about diseases that can be prevented by immunization to residents, especially to mothers who have babies.

HUBUNGAN PEMBERIAN MAKANAN PENDAMPING ASI DAN SANITASI MAKANAN PADA BAYI USIA KURANG DARI 6 BULAN DENGAN KEJADIAN DIARE

Diarrhea is a disorder defection which is marked more than 3 times in a day with the consistency of the liquid, which could accompany blood and mucus. This research has aims to know the relation giving companies the food and the food sanitation to the baby by the age 0-6 in a month that happen in diarrhe, the location is Puskesmas Saribudolok, the area is center of Silimakuta and Simalungun district at 2018 year. This research is used to analytic observation with alignment (cross-sectional) the research of population is 179 respondes and the research sample as much as 89 respondes and used the formula lemeshow by taking the sample of consecutive sam. The data analysis by chi-square, the result of the research analysis to give companion the food is not good (84,3%). Giving the frequency mp-asi is not good (79,8%) and the method processing the food is not fulfill the requirment (87.6%), The way to keep the food is not fulfill yet the requirment (74,2%), The step to presentation the food is not fulfil yet the requirment (73.0%) ,The way using the eguiment/things the food is not fulfill yet the requirement (59.6%). Base on the result of the bivariate analysis what kinds of companion the food, giving a frequency, the way to keep the food, the way to keep the equipments for food there is a relation with diarhe. And the way to process presentation there is nothing the relation with have been happening of diarrhea. Base on the result of multivariate analysis had known that the food sanitation that's a step to keep a food overall percentage storage (78.7%). Suggestions can be given to the community, for the next researcher, and in the educational institution.