Titi Suherni
Midwifery Department, Polytechnic Health Ministry of Semarang

Published : 7 Documents
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HUBUNGAN MUTU LAYANAN KONSELING AKDR DENGAN TINGKAT KEPUASAN AKSEPTOR BIDAN DELIMA DI KOTA SEMARANG

Jurnal Kebidanan Vol 2, No 1 (2013): JURNAL KEBIDANAN
Publisher : Jurnal Kebidanan

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Abstract

Pemakaian Alat Kontrasepsi Dalam Rahim (AKDR) semakin menurun dari tahun ke tahun. Padahal pemakaian AKDR di Indonesia mampu menurunkan angka TFR secara signifikan. Salah satu faktor yang mempengaruhinya adalah proses konseling yang benar dan bermutu. Dalam hal ini, bidan menjadi ujung tombak dalam pelayanan KB. Program Bidan Delima dicanangkan untuk menjamin mutu layanan di Bidan Praktik Swasta.Tujuan penelitian ini adalah mengetahui hubungan mutu layanan konseling AKDR dengan kepuasan akseptor di bidan delima di kota Semarang tahun 2010. Jenis penelitian ini analitik korelasi dengan metode survey dan pendekatan crossectional. Penelitian ini menggunakan teknik sampling aksidental, yaitu akseptor AKDR yang datang ke Bidan Delima dan mendapat konseling tentang AKDR. Analisis bivariat menggunakan koefisien kontingensi dengan taraf signifikan 5%. Hasil penelitian menunjukkan bahwa chi kuadrat hitung dengan Fisher’s Exact sebesar 0,095, p value sebesar 1,000 dan koefien kontingensi sebesar 0,04. Berdasarkan perhitungan statistik, dapat disimpulkan bahwa tidak ada hubungan signifikan antara mutu layanan konseling AKDR dengan tingkat kepuasan akseptor. Kata kunci: Mutu layanan konseling AKDR, Tingkat kepuasan akseptor

EFFECT OF CONSUMING RED SPINACH (AMARANTHUS TRICOLOR L) EXTRACT ON HEMOGLOBIN LEVEL IN POSTPARTUM MOTHERS

Belitung Nursing Journal Vol 3, No 4 (2017): July-August 2017
Publisher : Belitung Nursing Journal

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Abstract

Background: Postpartum mothers are susceptible to anemia, due to loss of blood count during labor. Postpartum anemia causes uterine subinvolution which causes postpartum hemorrhage, facilitates puerperium infection, decreases breastfeeding and easy mamae infection. One alternative to prevent anemia in postpartum is to consume vegetables with high iron one red spinach. Red spinach is one of the non-heme iron sources needed to synthesize hemoglobin.Objective: To determine the effect of red spinach in increasing the levels of hemoglobin in postpastum mothers.Methods: This was a quasy experiment with pretest posttest with control group design in October-December 2017 at the Community Health Center of PONED Tarub, Tegal regency. Thirty postpartum mothers were included using purposive sampling, which 15 assigned in each group. Blood sampling and examination were performed in each respondent. Paired and Independent t-test were done for data analysis.Results: The results of the 14-day intervention of given red spinach extract showed that there was a significant increase of hemoglobin level (1.25 g / dL) with p-value 0.047.Conclusion: There is a significant effect of consuming red spinach extract (amaranthus tricolor L.) on the increase of  hemoglobin level in postpartum mother. It is recommended that midwives could apply this intervention and cooperate with agriculture and food processing in order to produce red spinach extract that increases hemoglobin, hematocrit and erythrocytes levels.

EFFECT OF CONSUMING TEMULAWAK (CURCUMA XANTHORRHIZA ROXB.) EXTRACT ON BREAST MILK PRODUCTION IN POSTPARTUM MOTHERS

Belitung Nursing Journal Vol 3, No 5 (2017): September-October 2017
Publisher : Belitung Nursing Journal

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Abstract

Background: The dominant factor inhibiting breastfeeding is the lack of milk production. The extract of temulawak (curcuma xanthorrhiza Roxb) is considered having an effect to increase breast milk production.Objective: To examine the effect of temulawak (curcuma xanthorrhiza Roxb) extract to increase milk production in postpartum mothers in the working area of Ambarawa Community Health Center.Methods: This was a quasy-experimental study with non-equivalent control group design conducted on October-December 2016. There were 38 respondents included using consecutive sampling, with 19 assigned in the intervention and control group. Paired t-test and independent test were used for data analysis.Results: Findings showed that there were significant increases of prolactin hormone (p = 0.000), breast milk volume (p = 0.001), baby’s urinary frequency (p = 0.001), baby’s defecation frequency (p = 0.000), and baby’s sleep duration (p = 0.000) after given temulawak (curcuma xanthorrhiza Roxb) extract.Conclusion: Temulawak (curcuma xanthorrhiza Roxb) extract has a significant effect in increasing breast milk production and prolactin levels in postpartum mothers. Thus, it is recommended that temulawak (curcuma xanthorrhiza Roxb) extract can be an option for postpartum mother to increase milk production.

BREAST MILK AS AN ALTERNATIVE FOR POSTPARTUM PERINEAL CARE

Belitung Nursing Journal Vol 3, No 3 (2017): May-June 2017
Publisher : Belitung Nursing Journal

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Abstract

Background: Perineal laceration during childbirth is very common among mothers; however some of them may suffer from its complication if not treated properly.Objective: To prove the effectiveness of breast milk as an alternative topical ingredient in the treatment of perineal wound in postpartum mothers.Methods: This was a quasi-experimental study with non-equivalent control group posttest only design. There were 30 respondents selected in this study, with 15 assigned in the intervention and control group. Accidental sampling was used to select the samples with the criteria that the respondents had perineal laceration in level 1 and 2. Data were analzed using Mann Whitney test.Results: Effective wound healing process can be seen in the intervention group from 80% of poor category in 6-10 hours (1st period) of postpartum became 86.7% of good category in 7 days of postpartum (4th period). Different from the control group that showed the slow progress of wound healing, which was 86.7% of poor category in the 1st period to only 33.3% of good category in the 4th period. Mann Whitney test showed that there was a significant mean difference of the perineal wound healing process between the intervention group (11.23) and the control group (19.77) with p-value 0.002 (<0.05).Conclusion: Breast milk was more effective than povidone iodine in the treatment of perineal wound. It is suggested for health workers, especially midwife to apply this intervention to accelerate the healing of perineal wound in midwifery care.

EFFECT OF CONSUMING GUAVA LEAVES (PSIDII FOLIUM) EXTRACT ON THE LEVEL OF BLOOD PROFILE IN TEENAGE GIRLS AT VOCATIONAL HIGH SCHOOL OF PALEBON SEMARANG, INDONESIA

Belitung Nursing Journal Vol 3, No 5 (2017): September-October 2017
Publisher : Belitung Nursing Journal

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Abstract

Background: Women are at risk of iron-deficiency anemia, especially in teenage girls. One alternative treatment to prevent the occurrence of anemia is to consume guava leaf extractObjective: To examine the effect of guava leaves extract on changes in blood profile level in teenage girls.Methods: This study was a quasy experiment with pretest posttest control group design. This research was conducted at SMK Palebon Semarang conducted on December 2016 - January 2017. There were 36 samples selected using a purposive sampling, with 18 samples were assigned in the experiment and control group. Blood profiles was measured in the Laboratory of Cito Klinik Setiabudi to see the hemoglobin level, hematocrit level, erythrocyte count, and platelet count. Data were analyzed using Independent t-test.Results: There were significant differences in hemoglobin and trombocytes levels after given intervention between the experiment and control group with p-value <0.05. However, the intervention has no effect on hematocrit and erytrocytes levels (p>0.05).Conclusion: Guava leaves (Psidii folium) extracts have a significant effect on changes in hemoglobin and thrombocyte levels in teenage girls, but not in the hematocrit and thrombocytes levels. Therefore, it is suggested that guava leaves (Psidii folium) extracts can be an alternative treatment for midwives to prevent the occurrence of anemia in teenage girls.

EFFECT OF PREGNANCY EXERCISE ON DURATION OF THE FIRST AND SECOND STAGE OF LABOR IN PRIMIGRAVIDA MOTHERS DURING THE THIRD TRIMESTER OF PREGNANCY

Belitung Nursing Journal Vol 3, No 6 (2017): November-December 2017
Publisher : Belitung Nursing Journal

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Abstract

Objective: This study aimed to examine the pregnancy exercise during the third trimester of pregnancy on duration of the first and second stage of labor in primigravida at the Community Health Center of Sukamaju, Bandar lampung, Indonesia.Methods: This study employed a quasy experimental design with posttest-only non-equivalent control group. This study was conducted from 8 January 2017 to 12 February 2017 at the Community Health Center of Sukamaju. Forty-eight primigravida mothers were selected using consecutive sampling, with 24 assigned in the experiment and control group. Data were analyzed using Mann whitney and Chi square test.Results: The average duration of the first stage of labor in the experiment group was 495 minutes and in the control group was 685 minutes (p= 0.000); while the average duration of the second stage of labor in the experiment group was 42.5 minutes and in the control group was 68.75 minutes (p=0.000).Conclusion: There was a statistically significant difference in the duration of the first and second stage of labor between experiment and control group. It is expected for midwives in the community health centers to implement pregnancy exercise program to help mothers in accelerating the delivery process.

PENGARUH LATIHAN RELAKSASI GUIDED IMAGERY AND MUSIC (GIM) PADA KELAS IBU TERHADAP DERAJAT KECEMASAN IBU HAMIL MENGHADAPI PERSALINAN PERTAMA: STUDI DI PUSKESMAS MENINTING KABUPATEN LOMBOK BARAT

Jurnal Kesehatan Prima Vol 8, No 1 (2014): Jurnal Kesehatan Prima
Publisher : poltekkes kemenkes mataram

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Abstract

Abstract: Fear and anxiety in pregnant woman is actually a normal thing but if it cannot be overcame seriously, it will be affect and give great effect to mother and fetus physical and psychic. Objective to know the effect of GIM relaxation exercise in prenatal class toward the anxiety level of pregnant women in the first labor experience. Methods a quasi-experiment group, pre and post test with control group design. Sample of the study are pregnant women of primigravid in the three three-month periods which were taken by purposive sampling. The total samples are 34,17 in the intervention group and 17 in the control group. The measurement of anxiety variables is performed before and after the intervention process by using anxiety questionnaires of Hamilton Anxiety Rating Scale (HRSA). Data of the study is analyzed by using the Mann-Whitney test, Chi-quare, Independent Samples Test and Paired Samples Test. Results there were significant differences of anxiety scores, before and after treatment, in the intervention group (p = 0.001) and in the control group (p = 0.016). It is mean that GIM relaxation exercises in the prenatal class are effective in reducing maternal anxiety in their labor experience. The decrease of average anxiety scores in the intervention group was 8.2 (± 7.53) whereas in the control group was 2.3 (± 3.50), the average difference of anxiety scores between the two groups was significantly different (p-value = 0.003). It is mean that there are some effects of GIM relaxation exercise to the degree of maternal anxiety in the labor experience. Conclusion GIM relaxation exercise can be used as a model or an intervention alternative to reduce anxiety of pregnant women in dealing with labor experience