ASI memiliki beberapa keunggulan bila dibandingkan dengan susu formula. ASI murah, sehat, dan mudah diberikan. Pemberian ASI eksklusif di Kota Palu relatif menurun dari tahun 2015 (68%) menjadi (64%) pada tahun 2016. Sementara pemberian ASI eksklusif di Rumah Sakit Umum Anutapura di Palu pada tahun 2016 (74%) atau 1.462 jiwa dari total kelahiran 1954 jiwa dan belum mencapai target Nasional yaitu 80%. Tujuan penelitian ini diketahui hubungan pengetahuan dan sikap ibu nifas dengan pemberian ASI Ekslusif di RSU Anutapura Palu. Penelitian ini merupakan jenis penelitian analitik yang menggunakan pendekatan cross sectional dengan jumlah sampel 48 responden. Hasil uji statistik dari pengetahuan ibu nifas dengan pemberian ASI Ekslusif diperoleh nilai p value = 1,000 pada fisher’s exact test, dengan tingkat kepercayaan α = 0,05, sehingga p value > α maka H1 diterima dan H0 ditolak, berarti secara statistik tidak ada hubungan antara pengetahuan ibu nifas dengan pemberian ASI Ekslusif. Sedangkan hasil uji statistik dari sikap ibu nifas dengan pemberian ASI Eksluisf diperoleh nilai p value = 0,009 pada fisher’s exact test, dengan tingkat kepercayaan α = 0,05, sehingga p value < α maka H1 diterima dan H0 ditolak, berarti secara statistik ada hubungan antara sikap ibu nifas dengan pemberian ASI Ekslusif. Jadi dapat ditarik kesimpulan bahwa tidak ada hubungan antara pengetahuan ibu nifas dengan pemberian ASI Ekslusif dan terdapat hubungan antara sikap ibu nifas dengan pemberian ASI Ekslusif di RSU Anutapura Palu.
Introduction Growth and development of children from birth to adulthood, so it needs to be done early detection of developmental deviations. The results of the survey conducted at Puskesmas Parung Panjang there are 52 (0.5%) toddlers who get help MP-ASI because weight is very thin. Exclusive breastfeeding nutrition program at UPT Parung Panjang in 2016 which target 90%, but only reached 35.77%. The research method used is analytical descriptive with Cross Sectional approach with sampling technique with accidental sampling. The population used were children aged 6-60 months in Posyandu Bakti Husada, Puskesmas Parung Panjang with a sample of 41 respondents. The tool used is KPSP to detect the development, and table / chart BB / U and TB / U (Ministry of Health RI, 2010) to measure the growth of children under five. Result of research from 41 respondents got univariate result of good growth status as much 87,8% and less good as much as 12.2%. The result of bivariate test showed statistically there was a significant relationship (p-value <0.05) between breastfeeding and infant growth. Conclusions and suggestions of the 9relationship of exclusive breastfeeding to the growth of babies, for mothers are expected to provide exclusive breastfeeding to babies or balitanya and stimulate development early on. Keywords: Growth, Development, Exclusive Breast Milk.
Anemia in pregnant women is called a potential that endangers the mother and child, therefore anemia requires serious attention from parties involved in health services. The purpose of this study is to know the relationship of age and consumption of iron-containing foods with the incidence of anemia in pregnant women in Talise Palu Health Center in 2017. The type of research is descriptive comparative using a cross sectional approach. The population of all pregnant women in the Talise Health Center area. The sample in this study amounted to 55 respondents with the sampling technique using consecutive sampling technique. The data collection is done through direct interviews and direct Hb measurements. Data analysis using univariate frequency distribution and bivariate analysis with Fisher's Exact Test. The results of the study of 55 respondents there were 96.4% of pregnant women who had anemia, with the age of pregnant women not at risk of 85.5% and pregnant women who rarely consumed foods containing iron there were 78.2%. The results of statistical tests using Fisher's Exact Test showed that there was a relationship between consumption of iron-containing foods (p = 0.04) with the incidence of anemia in pregnant women at Talise Palu Health Center in 2017 and no age relationship (p = 0.728) with anemia in pregnant women . Conclusion that age has no relationship with the incidence of anemia in pregnant women. Consumption of iron-containing foods is associated with the incidence of anemia in pregnant women. Suggestions for midwives who work at the KIA-KB Poli to continue to provide services according to operational standards during pregnancy examinations so that anemia in pregnant women can be treated and even prevented during pregnancy.Keywords: Pregnant, Anemia, consumption of foods containing iron
Fibroadenoma is the most benign breast neoplasm. These tumors grow in young women with the highest frequency in young women 21-25 years, with a prevalence of more than 9% of the female population affected by fibroadenoma. Breast cancer still has a high likelihood of being cured when it comes early or early. Early detection of breast cancer is an examination program to recognize breast cancer while still small, and before the cancer has a chance to spread. One of the early detection efforts is clinical breast examination (SADANIS) which is carried out at least once every 3 years or if abnormalities are found in the process of self breast examination (BSE) and carried out by trained health workers. The purpose of the study was to determine the relationship between knowledge and early detection of breast cancer risk in young women through SADANIS examination. Observational research method with cross sectional approach. The sample is a student of SMK 1 Palu and a student of AKBID Cendrawasih Palu. The results showed that there was a significant relationship between knowledge about SADANIS examination and the practice of SADANIS examination in young women. In line with the Wantini and Indrayani (2018) study that there is a meaningful relationship between knowledge with early detection of breast cancer through SADANIS examination based ontest Fisher Exact's with a p-value of 0.012<α (0.05), so there is a strong relationship between young women's knowledge BSE in early detection of breast cancer as evidenced by the p-value 0.007<α (0.05). The conclusion is that the knowledge of young women about sadanis examination is still low Keywords: Knowledge, Early Detection of Breast Cancer, Adolescent Girls, SADANIS
Pneumonia is the premiere killer of toddlers in the world and in Indonesia. In Indonesia pneumonia is the cause of 15% of infant mortality is estimated as many as 922,000 under-fives in 2015. Puskesmas Kamonji is a health center that has the highest number of pneumonia cases in the city of Palu is 422 cases in 2015. Based on evidence that the risk factor of pneumonia is the lack of breastfeeding exclusive, malnutrition, indoor air pollution, low birth weight (LBW), population density, and lack of measles immunization. The purpose of this study is known factors associated with the incidence of pneumonia, namely Exclusive breastfeeding and history of low birth weight (LBW). The type of research used is analytical survey with case control approach. The samples in this study were all mothers who had children under 12-59 months in the Kamonji Puskemas Working Area consisted of 70 samples consisting of 35 case samples and 35 control samples. This research uses Chi-square statistical analysis with 5% error rate (α = 0,05) and trust level 95%. The results showed that exclusive breastfeeding (P value = 0.147) and low birth weight (P Value = 1,000) did not correlate with pneumonia occurrence in children aged 12-59 months. The conclusion in this study was no association between exclusive breastfeeding and the incidence of pneumonia and no association between low birth weight infants and the incidence of pneumonia. Suggestions for Health Officers to continue to give counseling about the importance of healthy living behavior teaches the community how important to wash hands with soap and keep the nutritional status of toddlers is always good. Keywords: Exclusive Breast Milk, Low birth weight, Pneumonia
ABSTRACT One of the failures of exclusive breastfeeding is the lack of a mother's level of confidence that her mother's milk cannot fulfill her baby's nutritional needs. Efforts that can be made to stimulate the hormone prolactin and oxytocin in the mother after childbirth is to provide a relaxed sensation in the mother by doing Woolwich massage and rolling massage (back). The purpose of this study was to determine the effect of a combination of Woolwich massage methods and Rolling Massage on Asi production in post partum mothers. Research site in the Work Area of Mapane Health Center, Poso Regency. The type of research used was Quasi Experimental. Data analysis was performed by the chi squre test. The results of the study showed that 95.8% of the intervention group respondents had enough baby weight while in the group without intervention it was 70.8% with a value of p = 0.048. Frequency of BAK: 87.5% of respondents in the intervention group had sufficient frequency while in the group without intervention it was 45.8% with a value of p = 0.006. BAB frequency in the intervention group 100% frequency is sufficient while in the group without intervention is 91.7% with a value of p = 0.015. This research is expected to be applied by midwives and taught to mothers and families so as to increase ASI production so that the coverage of exclusive breastfeeding is achieved in the area of the Research Health Center. Keywords: Combination of Woolwich Massage and Rolling Massage, ASI Production
Anemia is a condition where the hemoglobin level in the blood is below normal. Anemia is directly caused by daily food intake that contains less iron and folic acid. Data from the Basic Health Research conducted in 2013 showed that the proportion of pregnant women who were anemic in Indonesia reached 37.1%, in Central Sulawesi anemia in pregnant women reached 24.42%, then for the Palu city it was found in the Tawaeli Health Center reaching 58, 7%. The purpose of this study was to determine the relationship between food consumption and folic acid with the incidence of anemia in pregnant women in the Tawaeli Health Center Area. This type of research is analytic observational using cross sectional. Sampling is done by visiting the respondent's place directly or door to door with 40 people. Data collection was done directly, using a food frequency questionnaire (FFQ) and to find out anemia in pregnant women using Hb meter (Diaspect). The results showed that the percentage of anemia anemia was higher in pregnant women who rarely discussed iron food (56.7%) with the results of statistical tests showing p value = 0.02 (p <0.05) and folic acid (52.6%) with the results of statistical tests showing a p value of 0.04 (p <0.05). The results showed an association between iron food and folic acid with the incidence of anemia in pregnant women.Keywords: Iron, folic acid, pregnant women, anemia
Sampul ramadhan, kadar Jurnal Bidan Cerdas Vol 2, No 1 (2019): Edisi April 2019 Publisher : Poltekkes Kemenkes Palu
Implementation of IMD in hospitals has decreased from the previous year and has not reached the target set by the government. Some IMD implementation processes have not been carried out according to applicable standards. So that babies do not get an IMD in accordance with existing SOPs. The purpose of this study was to determine the determinant factors associated with the implementation of the IMD by midwives in the Midwifery and Maternity Room Emergency Room (IGD) at the Anutapura General Hospital in Palu. This research method is analytical with cross sectional approach. The population of this study was that all midwives in the obstetrics emergency room and maternity room at Anutapura Palu Hospital were 37 respondents. The sample in this study is total sampling. The analysis used was univariate, and bivariate analysis using the chi square test with a confidence level of 95% (α = 0.05). The results of statistical tests on variable knowledge of midwives with the implementation of IMD p value: 0.018 (p value <0.05). APN training with the implementation of IMD p value: 0.697 (p value> 0.05). length of work with the implementation of IMD p value: 0.029 (p value <0.05). and peer support with the implementation of IMD p value: 0.007 (p value <0.05). Conclusions there is a relationship between knowledge, length of work, peer support with the implementation of the IMD, and training factors that have nothing to do with IMD implementation. The strongest factor in the relationship is peer support. It is recommended that the Anutarapura Palu Hospital be able to motivate midwives so that they can further enhance their role in the implementation and provide support to their colleagues so that the implementation of the IMD can be carried out in accordance with applicable standards.Keywords: Knowledge, APN Training, Duration of work, Implementation of IMD
Basic Health Research in 2013 recorded the prevalence of SEZ in pregnant women nationally reaching 24.2 percent, an increase from 2010 (18.8 %%) and 2007 (10.9%). The prevalence of SEZs in Central Sulawesi Province in 2013 was 32.6%, higher than the National average. Nutritional status monitoring in Central Sulawesi Province reported a prevalence of KEK Risk in pregnant women in 2015 of 32.6%. Districts with the highest prevalence were consecutively in Banggai Kepulauan District (67.8%), Tojo Una-Una District (51.9%), Sigi District (46.4%), Donggala District (36.7%), and Palu City (35.4%). Midwives in providing services to the community, especially pregnant women, always strive to prepare pregnant women since the first contact during prenatal care provides counseling or education to every pregnant mother about nutritional needs during pregnancy. This study aims to determine the role of midwives education in preventing Chronic Energy Deficiency (SEZ) in pregnant women in Central Sulawesi Province. Observational research with astudy design crosectional. Sampling using the proportional random sampling technique with a total sample of 98 midwives in the working area of 4 selected districts, namely Banggai Islands District (15 samples), Sigi District (18 samples), Donggala District (25 samples) and Palu City (40 samples). The results of the study showed that the midwives who carried out the role of education to pregnant women in their regions mostly did not have the incidence of pregnant women with SEZ (83.1%). The results of theanalysis Chi-Square obtained a p-Value value of 0.041, which means that there is a relationship between the role of midwife education and prevention of SEZ events in pregnant