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a EFEKTIFITAS KONSELING DENGAN MENGGUNAKAN ALAT BANTU PENGAMBILAN KEPUTUSAN BER-KB (ABPK) PADA IBU HAMIL DALAM PENGGUNAAN KB PASCA PERSALINAN (KBPP) NURWITA, ATI
Jurnal Ilmiah Bidan (JIB) Vol 8 No 1 (2024): Jurnal Ilmiah Bidan
Publisher : Ikatan Bidan Indonesia (IBI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61720/jib.v8i1.137

Abstract

Unintended pregnancy occurs because of too late postpartum contraceptive use. The intervention can be done is provide family planning counseling at pregnancy. One of the tools in family planning counseling is ABPK. This study was aimed to identify the effectiveness of ABPK when postpartum family planning counseling in trimester III pregnant to decision making in postpartum contraceptive use. This study Posttest only control research design. Sample technique with proportional stratified random sampling with the inclusion and exclusion criteria. The results of the bivariate analysis showed that there were insignificant differences proportion of contraceptive methods selected, both in group 29-32 weeks / early third trimester (p 0.474), group 33-36 weeks/ middle third trimester (p value 0.791) and group 37-40 weeks / final third trimester (p 0, 316). There was a significant difference in the timing of family planning use at group 29-32 weeks / early third trimester (p 0.001) and there was no difference in the timing of family planning use at group 33-36 weeks / middle third trimester (p 0, 118) and group 37-40 weeks / final third trimester (p 0, 070). This finding suggests that the use ABPK in postpartum family planning counseling has not been statistically effective in decision making chose contracepsion. Therefore, a postpartum family planning counseling model can be developed aspect of the media, subject or frequency of counseling during pregnancy.
Effectiveness of Zilgrei Method Towards Labor Output Among Primigravida Mother in Indonesia Nurwita, Ati; Sumarni, Rani
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 10 No. 4 (2024): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL) : SPECIAL EDIT
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v10i4.703

Abstract

Aims : the study aimed to test the effectiveness of the zilgrei methode in primigravida mother with second stage labor of long second stage, incidence laceration, infant condition and the scale pain of labor. Methods : The study used a queasy experimental design with a control group, collecting primary data through observation, partographs, APGAR score, and pain scale assessment for 6 months. Result : The result of the bivariate test shows that the mean comparison of the long second stage was different between the two groups (p-value 0,001). No significant difference in the proportion of the incidence laceration (p= 0.370), APGAR score at first, fifth, and ten minutes (p>0.005). There was a significant comparison of pain scale between a group with and without Zilgrei Method (p=0.000). Conclusions : Based on the results of this study Zilgrei method can be applied as an alternative non-pharmacological method to shorten the second stage and reduce pain on labor. For further research, it is necessary to consider controlling the weight of a born baby and maternal risk factors to determine the effect of applying the Zilgrei method optimally to the laceration of the birth canal and the condition of the baby at birth.
PENGARUH PELATIHAN TERHADAP PENGETAHUAN KADER TENTANG ALAT KONTRASEPSI Nurwita, Ati
JURNAL KESEHATAN KARTIKA Vol. 15 No. 2 (2020): Jurnal Kesehatan Kartika
Publisher : Faculty of Health Science and Technology, University of Jenderal Achmad Yani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26874/jkkes.v15i2.73

Abstract

Since 1970, the family planning program has been a national program.This program was aimed to reduce birth rates and improve the quality and well-being families.The problem showed in the family planing program is unmet need, that show description of disparities in family planning services.Indonesia’s target to reduce unmet need in 2020 is 7,7 %, while the achievement based on the IDHS (2017) is 10,5 % (Kemenkes, 2018) . One of the achievement targets is the ease of access to family planning service(Kemenkes, 2014). The stategy promoted is to increase the participation of community group to increase the ability of community knowledge and understanding offamily planning, one of which is to involve health cadres in the community (Kemenkes, 2020). To improve the cadres capabilities regarding the family planning program, training was conducted. This study was aimed to measure the effect of training on cadres’ knowledge of contraseption. This study is analitic with One Group Pre-tes Post tes One Design (Sugiono, 2011). Numbers of respondens were 15 respondens. Instrument of this study is questionnaire. Bivariate analysis with paired sample t test (Dahlan, 2013). The analysis showed that training and cadres’ knowledge of various contraseptives is not significantly correlated with mean difference 7,22 and significancy value 0,155 (p <0.005). Based on the result of this study showed increase mean score of knowledge from 63, 9 to 71,12, this result could be influenced by other factors. Including age (mean 45,5) and the lengt of time become a cadre (mean 5,3) (Azwar, 2012) with almost a part education of cadre is high school (46,7 %). The training management process also plays a role in the success of the training (Siregar, 2018). Can be developed with a integrated module training on family planing(Sundari et al., 2019)
Perbedaan Pemilihan Alat Kontrasepsi Pasca Persalinan Sebelum dan Sesudah Diberikan Konseling nurwita, ati
JURNAL KESEHATAN KARTIKA Vol. 16 No. 2 (2021): Jurnal Kesehatan Kartika
Publisher : Faculty of Health Science and Technology, University of Jenderal Achmad Yani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26874/jkkes.v16i2.181

Abstract

Prevalensi stunting di Indonesia cukup tinggi, hal ni berdampak pada penyediaan generasi penerus bangsa yang berkualitas. Pemerintah melakukan refocusing program dalam rangka mengatasi permasalahan stunting diantaranya melalui program KB pasca persalinan. KB pasca persalinan berperan dalam mencegah dan menaggulangi stunting. Dengan Kb pasca persalinan dapat mencegah stunting dengan pengaturan jarak kehamilan agar sistem reproduksi siap untuk hamil kembali, dan dapat menanggulangi stunting karena KB persalinan memberikan waktu yang cukup pada ibu untuk memberikan ASI ekslusif dan perhatian penuh untuk pertumbuhan dan perkembangan bayinya. Pemamahan ibu dalam pemilihan KB pasca persalinan sangat diperlukan untuk memutuskan KB yang tepat Konseling adalah salah satu upaya yang dapat dilakukan bidan dalam membantu ibu memutuskan KB pasca persalinan. Metode penelitian Quasi Experimental pendekatan One Group Pre-tes Post tes One Design. Sampel pada penelitian ini adalah ibu pasca persalinan fase taking hold. Metode pengambilan sampel menggunakan sampel minimal untuk Quasi Experimental yaitu 20 responden, yang memenuhi kriteria penelitian. Instrumen penelitian menggunakan lembar Analisi dilakukan uji bivariat dengan uji T berpasangan. Hasil analisis diperoleh p-value = 0,256 > α = 0,05 (nilai p-value lebih besar dari α = 0,05). Hal ini berarti tidak terdapat perbedaan yang signifikan rencana pemilihan metode kontrasepsi sebelum dan sesudah diberikan konseling. Keberhasilan konseling pasca persalinan dipengaruhi oleh berbagai faktor. Konseling pada ibu untuk memutuskan KB pasca persalinan sangat penting dilakukan dan diperlukan kemampuan bidan sebagai seorang konselor.