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Support, Access and Antenatal Care to Women with a history of Preeclampsia in Pregnancy Rospia, Evi Diliana; Astuti, Andari Wuri; Mawarti, Retno
Jurnal Kesehatan - Institut Kesehatan Prima Nusantara Bukittinggi Vol 11, No 2 (2020): Jurnal Kesehatan
Publisher : STIKes Prima Nusantara Bukittinggi

Preeclampsia and eclampsia are the second direct cause of maternal death worldwide, estimated to complicate 2-8% of all pregnancies, the global prevalence of preeclampsia is around 4.6%. The purpose of this scoping review is to provide an overview of studies related to antenatal support, access and services to mothers with a history of preeclampsia in pregnancy. The authors identify studies that explain preeclampsia in pregnancy from several databases namely PubMed, ProQuest, EBSCO and Springer Link. Searches are limited to studies published in English and present data for the 2009-2019 period. The identified study was reviewed using PRISMA Flowchart. Studies with qualitative and quantitative designs that explore the experiences of pregnant women regarding antenatal support, access and services were selected for review, while studies that were not experience related to antenatal support, access and services to mothers with a history of preeclampsia in pregnancy were excluded. A total of twelve articles were reviewed which obtained three sub-themes of support, namely the support of husband, family and health workers, from the theme of access obtained three sub-themes namely information search, modification programs and the availability of health workers. From the theme of antenatal care, four sub-themes are found, namely unsustainable care, lack of information, screening and feeling empowered. Pregnant women with preeclampsia need support from a partner or family and health workers. Information and screening need to be improved in antenatal care.

MARITAL RELATIONSHIP PADA PASANGAN USIA MUDA: SCOPING REVIEW Saraswati, Putu Ayu Dina; Astuti, Andari Wuri; Hakimi, Mohammad
Jurnal Cakrawala Promkes Vol 2, No 2 (2020): AUGUST
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.12928/promkes.v2i2.1900

There are nine percent of women aged 15-19 who have married or living together in Indonesia, one percent of women divorced in the age group of 15-19 years.Â This scoping review aimed to review the evidence about the marital relationship among young couple in developing countries.Â Arksey and Oâ€™Malley framework was applied involving identify relevant evidence; identify review question; identify relevant evidence; study selection; charting data; and collating, summarizing and reporting the data. PRISMA flowchart used to show the process of searching the literature.Â Result of the review showed that there were ten pieces of evidence included and processed within a review. These four themes emerged, i.e. marriage decision-makers for the young couple; changes in the marriage practice of young couples;Â unpreparedness pregnancy on a young couple; the perspective of young couples about marital relationship.Â The young married couple will face many environmental and social problems with the result that they must be able to adapt to deal with the stresses and pressures that arise in their family life.

A Qualitative Study on the Breastfeeding Experiences of Young Mothers Astuti, Andari Wuri; Kurniawati, Herlin Fitriana; Kurniawati, Herlin Fitriani
Nurse Media Journal of Nursing Vol 11, No 1 (2021): (April 2021)
Publisher : Department of Nursing, Faculty of Medicine, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v11i1.33539

Background: Breastfeeding practice for young mothers could be problematic, especially when supports are absent. Evidence reported that young mothers have risks of experiencing mental health problems and of behavioural problems in their children. Data showed that 36 per 1,000 childbirth occurred among Indonesian female adolescents aged 15-19 during 2018. Nevertheless, the breastfeeding experience of young mothers has not been well studied, particularly in the Indonesian context. Therefore, to develop professional caring and supporting relationships, it is important to address this knowledge gap.Purpose: This study aimed to explore the experiences of breastfeeding practices among Indonesian young mothers.Methods: A qualitative exploratory study was employed, and one-to-one in-depth interviews were conducted on 18 young mothers between May until August 2019. Data analysis was guided by Colaizziâ€™s thematic approach.Results: Four key themes emerged from the qualitative data, i.e., formal support of breastfeeding, the role of family, partner and peers, culture and judgement, and future aspirations and healthcare. Indonesian young mothers sought formal information on breastfeeding from healthcare providers. However, there was a lack of translation into practices due to lack of supports from partners, cultural beliefs, and parents' interference, which consequently led to the failure of breastfeeding. Indonesian young mothers were suggesting that breastfeeding information should also be provided to their circle of supports, such as partners and close relatives. Conclusion: Indonesian young mothers experienced complex situations through their journey of breastfeeding practices. A tailored maternity health service involving partners, parents, and communities into culture-sensitive programme intervention is needed to provide professional caring, and reliable supportive sources of breastfeeding for young mothers.Â

IMPLEMENTASI PEMBERIAN IMUNISASI BAYI PADA MASA PANDEMI COVID-19 Astuti, Hutari Puji; Astuti, Andari Wuri
Jurnal Kesehatan - STIKes Prima Nusantara Vol 12, No 2 (2021): JURNAL KESEHATAN
Publisher : STIKes Prima Nusantara Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35730/jk.v12i2.449

Latar Belakang: Salah satu pelayananÂ kesehatan esensial yang tetap menjadi prioritas utama untuk dilaksanakan pada masa pandemi COVID-19 yang terjadi saat ini adalah pelayanan imunisasi bayi atau anak. Untuk melaksanakan prioritas tersebut, dilakukan beberapa tindakan penting dalam memastikan bayi atau anak yang merupakan kelompok paling rentan menderita PD3I dapatÂ terlindungi dari penyakit-penyakit berbahaya.Tujuan Review: untuk mereview evidence mengenai implementasiÂ pemberian imunisasi bayiÂ pada masaÂ pandemi COVID-19.Metode: Metode scoping review ini menggunakan framework Arksey & O'Malley yang terdiri dari 5 tahapan yaitu mengidentifikasi pertanyaan scoping review dengan framework PICO; mengidentifikasi artikel yang relevan dengan menentukan kriteria inklusi dan eksklusi; mencari literatur melalui database yang relevan, yaitu Pubmed, Science Direct, ProQuest dan EBSCO, sedangkan Grey Literatur diakses melaluiÂ Google Scholar; proses seleksi artikel ini peneliti menggunakan prisma flowÂ chartÂ Â untukÂ Â mendeskripsikanÂ Â secaraÂ Â transparanÂ Â bagaimana prosesÂ Â yangÂ Â sudah dilakukan; melakukan Critical Appraisal untuk menilai kualitas artikel; melakukan data charting; menganalisa artikel, membuat mapping tema dan melakukan pembahasan pada artikel yang diperoleh.Hasil: Berdasarkan 10 artikel yang diperoleh, didapatkan 3 artikel dengan grade A, 6 artikel grade B dan 1 artikel grade C. Selanjutnya didapatkan 4 tema yaitu Dampak pelayanan Imunisasi bayi, hambatan dalam pelayanan imunisasi bayi. harapan dan kebutuhan dalam pelayanan imunisasi bayi, dan upaya dalam pelayanan imunisasi bayi di masa pandemi COVID-19.Simpulan: Implementsi pemberian imunisasi bayi di beberapa Negara berkembang mengalami penurunan kunjungan namun ada dua daerah di Indonesia yang masih stabil. Sedangkan hasil penelitian di Negara maju (Amerika) juga mengalami penurunan kujungan imunisasi selama pandemic COVID-19 ini.

Pengalaman pemberian ASI ekslusif pada Ibu bekerja: scoping review Agustin, Dinar; Astuti, Andari Wuri
Jurnal Cakrawala Promkes Vol 3, No 2 (2021): August
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.12928/promkes.v3i2.4574

Working mothers faced many challenges and constraints. Despite legislations mandating workplaces to give support, including breastfeeding areas for their employees, a number of hurdles remained, preventing them from achieving exclusive breastfeeding (EBF). Therefore, this review intended to review evidence on the experience of EBF practices among working mothers. This study employed scoping review by using four stages. Firstly, develop the focus of the study through the framework of PEOS (Population, Exposure, Outcome and study design). Secondly, conducted literature search using three relevant databases (PubMed, Science Direct, Wiley Online) and grey literature (Google scholar). Thirdly, selected relevant studies using inclusion and exclusion criteria. Fourthly, conducted critical appraisals using data charting to assess the quality of included articles, followed by analyzing and reporting the results. PRISMA flowchart was used to describe the literature search plot. Based on 12 included articles, twothirds of the included articles were qualitative studies categorized as grade A. The other four articles had grade B where three out of four were non-randomized quantitative studies and one mixed-method study. Some factors identified to be the cause to prevent continued EBF were insufficiency support and facilities from family, husband, coworkers in the workplaces (paid leave, availability of daycare, lactation room, breast milk pumping tools). Two other identified factors were previous breastfeeding experience and knowledge. The implementation of EBF practices were challenging in some developed countries. However, having good knowledge was necessary to reduce the gap between maternal perception and belief in which was occurred in Italy study. In contrary, low knowledge was found as an important obstacle in the developing world such as Bangladesh. Overall, perception and belief related to EBF of working mothers contributed to the practice of EBF.

Narrative review: pengaruh terapi massage counterpressure terhadap pengurangan nyeri dalam persalinan Astuti, Hutari Puji; Astuti, Andari Wuri; Agustin, Dinar; Awaliyah, Hardiyanti Fitrah; Winarti, Gana Rendra; Jaya, Vanny Oktaviani
Jurnal Cakrawala Promkes Vol 3, No 2 (2021): August
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.12928/promkes.v3i2.4573

Labor often prompts unpleasant, fearful, or, further, traumaticexperiences due to the pain it entails. Scientific evidence suggests thatpain during labor can be managed using two methods; pharmacologicaland non-pharmacological. Pharmacology is a method of using drugs,whereas non-pharmacologic is without the administration of drugs. The nonpharmacologicalmethod is known as complementary and alternativetherapies, one practice is through massage. Massage frequentlyperformed to reduce labor pain is counterpressure. The purpose of thisstudy is to investigate the effect of counterpressure massage therapy asa measure to reduce labor pain. The method used is a narrative review.Article exploration was carried out in several databases, which arePubmed and Science Direct. In the case of Gray Literature, it wasaccessed via Google Scholar. Specific keywords were employed forliterature search and articles were selected by considering inclusion andexclusion criteria. The article selection process was elaboratedtransparently in the PRISMA Flowchart. From the article selectionprocedure, 14 articles were identified and fulfilled the criteria. Thus,articles were critically analyzed (Critical Appraisal) using the MixedMethod Appraisal Tool (MMAT). The review concludes thatcounterpressure is a massage performed by applying continuouspressure to the patient's sacral with the heel of the hand or fist of thehand. Counterpressure massage can be done in a straight stroke or smallcircular stroke. This technique is proven to be sufficient in relieving backpain during labor. The recommendation suggested is based on the 14articles reviews carried out that a common problem occurring in laboringwomen is physiological pain experience during childbirth so that it mayprovoke bad experiences for mothers, especially fear and anxiety thatmay lead to prolonged labor.Labor often prompts an unpleasant, fearful, or, further, traumatic experiences due to the pain it entails. Scientific evidence suggests that pain during labor can be managed using two methods; pharmacological and non-pharmacological. Pharmacology is a method of using drugs, whereas non-pharmacologic is without the administration of drugs. Non-pharmacological method is known as complementary and alternative therapies, one practice is through massage. Massage frequently performed to reduce labor pain is counterpressure. The purpose of this study is to investigate the effect of counterpressure massage therapy as a measure to reduce labor pain. The method used is a narrative review. Article exploration was carried out in several databases, which are Pubmed and Science Direct. In the case of Gray Literature, it was accessed via Google Scholar. Specific keywords were employed for literature search and articles were selected by considering inclusion and exclusion criteria. The article selection process was elaborated transparently in the PRISMA Flowchart. From the article selection procedure, 14 articles were identified and fulfilled the criteria. Thus, articles were critically analyzed (Critical Appraisal) using the Mixed Method Appraisal Tool (MMAT). The review concludes that counterpressure is a massage performed by applying continuous pressure to the patient's sacral with the heel of the hand or fist of the hand. Counterpressure massage can be done in a straight stroke or small circular stroke. This technique is proven to be sufficient in relieving back pain during labor. The recommendation suggested is based on the 14 articles reviews carried out that a common problem occurring in laboring women is physiological pain experience during childbirth so that it may provoke bad experiences for mothers, especially fear and anxiety that may lead to prolonged labor

PENGGUNAAN MOBILE TECHNOLOGY DAN PENELITIAN PARTISIPATORIS UNTUK PENCEGAHAN DROUP-OUT KB SELAMA PANDEMI COVID-19 Astuti, Andari Wuri; Mufdlillah, Mufdlillah; Anggraeni, Witriani Susasi; Sewoko, Ewang
Jurnal Kesehatan - STIKes Prima Nusantara Vol 12, No 1 (2021): JURNAL KESEHATAN
Publisher : STIKes Prima Nusantara Bukittinggi

Latar Belakang Masalah: Pada masa pandemi COVID-19, Pasangan Usia Subur (PUS) di Indonesia mengalami hambatan untuk melakukan kunjungan di fasilitas kesehatan dikarenakan pembatasa sosial, hal ini juga mempersulit PUS mengakses kontrasepsi. Data menunjukkan bahwa pada rentang Maret sd Mei 2020, terdapat peningkatan jumlah kehamilan di Indonesia. Penelitian ini bertujuan untuk mencegah drop out KB pada PUS selama masa pandemi COVID-19 dengan menggunakan mobile technology dan PAR serta menggali pengalaman stakeholder KB.Metode: Kegiatan yang dimplementasikan dalam penelitian ini ada 2 kegiatan besar yaitu dengan melakukan PAR dengan memberikan pendidikan kesehatan tentang kontrasepsi dan KB. Blended online-offline method diterapkan dalam pendidikan kesehatan ini. Mobile technology dipilih sebagai media untuk memberikan pendidikan kesehatan, WhatsApp dan Youtube video digunakan untuk mengirimkan pesan dan informasi tentang kontrasepsi dan KB, serta memberikan informasi tentang akses kontrasepsi pada masa pandemi COVID-19. Study PAR ini dilaksanakan pada bulan Juni sd Agustus 2020, dan one to one interview dilakukan untuk menggali pengalaman stakeholder.Hasil: Data interview menunjukkan bahwa PUS merasakan bahwa penggunaan mobile technology memberikan manfaat bagi mereka untuk dalam memperoleh pengetahuan dan informasi tentang kontrasepsi dan KB.PAR juga memberikan kesempatan kepada PUS untuk bisa berkontribusi pada sebuah program intervensi kesehatan yang menyebabkan emreka lebih bisa berpartisipasi pada program tersebut. Kader, tokoh masyarakt dan bidan juga merasakan manfaat positif dari program yang dijalankan dalam memberdayakan masyarakat di daerah tersebut.pada masa pandemi COVID-19. Namun demikian, ketidakstabilan jaringan internet dibeberapa daerah dianggap senagai salah satu tantangan pada saat implementasi.Kesimpulan: Diperlukan scope dan tempat yang luas untuk implementasi pada studi yang sam, sehingga mangaaf dari program bisa dirasakan oleh lebihnbanyak masyarat, hal ini secara tidak langsung akan meningkatkan kesdaran ber KB serta menurunkan angka drop out KB pada masa pandemi COVID-19.

KECEMASAN DAN STRESS YANG DIRASAKAN IBU HAMIL SELAMA MASA PANDEMI COVID-19 Wulandari, Lukmi; Satriyandari, Yekti; Astuti, Andari Wuri
Jurnal Kesehatan - STIKes Prima Nusantara Vol 12, No 3 (2021): JURNAL KESEHATAN
Publisher : STIKes Prima Nusantara Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35730/jk.v12i3.468

Latar Belakang :Â Selama prevalensi pandemi yang tinggi wanita hamil sebagai kelompok rentan yang terkena kerusakan psikologis yang tinggi. Pandemi COVID-19 dapat menimbulkan efek psikologis pada ibu hamil. Dibandingkan dengan sebelum wabah Covid-19. Kecemasan selama kehamilan juga meningkatkan risiko persalinan premature, BBLR, preeklamsia dan sesar. Tujuan : Mereview hasil penelitian terkait tentang tingkat kecemasan dan stress yang dirasakan ibu hamil selama masa pandemic Covid-19. Metode : Metode Scoping Review menggunakan framework Arskey & Oâ€™Malley. Saat merumuskan focus review dan straregi pencarian peneliti menggunakan format: Population, Intervention, Comparison, Outcome (PICO), artikel yang direview sebanyak 10 artikel, diperoleh dari 4 data base yaitu Pubmed, Science direct, dan Wiley. Seleksi artikel berdasarkan Prisma Flowcharts danÂ Critical Appraisal dengan Mixed Methods Appraisal Tool (MMAT). Hasil : Berdasarkan artikel yang telah dipilih, 10 artikel menggunakan metode kuantitatif, 7 menggunakan study cross-sectional, 2 menggunakan case-control, 1 menggunakan survey kuantitatif. Didapatkan 4 sub tema yaitu: dampak, factor penyebab, tingkat kecemasan dan stress selama pandemi covid-19 dan strategi penanganan. Kesimpulan : perubahan psikologis terjadi pada ibu hamil selama masa pandemic covid-19 ibu menunjukkan gejala kecemasan, stress bahkan depresi. Factor yang mempengaruhi ialah: riwayat penyakit mental, tingkat pendidikan, kecukupan pendapatan rumah tangga, dukungan pasangan dan kepuasan hidup perkawinan. Pada wanita hamil, gejala kecemasan dapat meningkat lebihÂ karena kekhawatiran tentang kesehatan janin (merupakan penyebab stres yang dapat memicu indikator kecemasan) tetapi juga karena ketakutan tertular virus dan gangguan perawatan prenatal. Dalam keadaan social distancing, hotline psikologis dan konseling online akan menjadi strategi yang aman dan layak untuk mengelola penyakit mental perinatal

Promotive and Preventive Efforts of Health Workers in Reducing Stunting: A Scoping Review Hanifah, Lilik; Astuti, Andari Wuri
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 8, No 1: March 2023
Publisher : Universitas Aisyah Pringsewu

The role of health workers in increasing information related to stunting prevention and meeting the information needs of families is very important. Health promotion that is effective in preventing stunting can improve public health status. The purpose of this study is to find out the promotive and preventive efforts of health workers in reducing stunting. This study is a scoping review. Four databases were used to search the literature: PubMed, ScienceDirect, ProQuest, and Willey. The articles were selected using Prisma-Scr based on predetermined inclusion and exclusion criteria, and the critical appraisal was done using Mixed Method Appraisal Tool (MMAT). Ten articles that fit the objectives and criteria of the established literature study were found from 2,014 articles. The articles come from various countries: cross-sectional studies, quasi-experimental studies, case-control studies, and qualitative articles. Four themes were obtained, namely promotive and preventive efforts of health workers in pregnant women, promotive and preventive efforts of health workers in postpartum and breastfeeding mothers, promotive and preventive efforts of health workers in toddlerhood, and influencing factors. The conclusion is that promotive and preventive efforts of health workers in reducing stunting are needed, namely preventing anemia in pregnancy, nutritional counseling, exclusive breastfeeding, and feeding practices for toddlers. Abstrak: Peran tenaga kesehatan dalam meningkatkan informasi terkait pencegahan stunting dan memenuhi kebutuhan informasi keluarga sangat penting. Promosi kesehatan yang efektif dalam pencegahan stunting dapat meningkatkan derajat kesehatan masyarakat. Tujuan dari studi literatur ini untuk mengetahui upaya promotif dan preventif tenaga kesehatan dalam penurunan stunting. Metode yang digunakan dalam studi literatur ini adalah scoping review, pencarian literatur dalam studi ini menggunakan 4 database (PubMed, SciencDirect, ProQuest, Willey). Untuk seleksi artikel yang didapat berdasarkan kriteria inklusi dan eksklusi yang telah ditentukan, menggunakan Prisma-Scr untuk alur penyeleksian artikel, serta dilakukan critical apparaisal dengan menggunakan Mixed methods Appraisal Tool (MMAT). Hasil review dari total pencarian sebanyak 2.014 artikel, kemudian ditemukan 10 artikel yang masuk kedalam tujuan dan kriteria studi literatur yang ditetapkan. Artikel yang didapat berasal dari berbagai negara yang terdiri dari cross-sectional study, quasi-eksperimental study, case-control study dan kualitatif. Diperoleh 4 tema yaitu upaya promotif dan preventif tenaga kesehatan pada ibu hamil, upaya promotif dan prefentif tenaga kesehatan pada ibu postpartum dan menyusui, upaya promotif dan prefentif tenaga kesehatan pada masa balita dan faktor yang berpengaruh. Kesimpulan adalah dalam penurunan stunting diperlukan upaya promotif dan preventif dari tenaga kesehatan yaitu pencegahan anemia dalam kehamilan, konseling gizi, ASI eksklusif, dan praktik pemberian makan pada balita.

Husband’s Role In Contraception Selection: Scoping Review Mukarromah, St.; Astuti, Andari Wuri
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 8, No 2: June 2023
Publisher : Universitas Aisyah Pringsewu

Contraceptives (KB) have various types of methods with advantages and disadvantages in their use. Husband's support is needed because it can provide motivation and comfort in choosing contraception. The results of the BKKBN mini survey show that men's participation in family planning has decreased, namely 11.1% in 2018, down to 8.9%. in 2017 husband's participation in selecting and using contraceptives was still low at 1.3%. Purpose: to map available evidence related to the husband's role in choosing contraception. Scoping this review follows the framework of Arksey and O'Malley, which consists of identifying review questions; looking for relevant evidence; selecting relevant studies; map data; and discuss, conclude and report results. PRISMA flowchart is used to display evidence search flow. The results of the review show that there are 10 articles obtained from the search process. This review raises 4 themes, namely the role of the husband in choosing contraception; factors influencing husband's involvement in contraception selection; cause of the lack of participation of husbands and the health system. The husband's role in contraception selection is still not carried out optimally, as a result of the division of roles between husband and wife due to gender bias, therefore innovative efforts are needed to involve husbands in contraception selection.

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