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Analisis Kinerja Bidan Dalam Penatalaksanaan Manajemen Aktif Kala III Dan Antisipasi Perdarahan Postpartum Primer Di Kabupaten Tapanuli Utara Tahun 2015 Siregar, Marni; Pakpahan, Sulastry; Simbolon, Ganda
JURNAL HEALTH REPRODUCTIVE Vol 2 No 1 (2017): Jurnal Health Reproductive
Publisher : UNIVERSITAS SARI MUTIARA INDONESIA

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Abstract

Third stage active management and anticipation of primary postpartum haemorrhage is one of the basic competencies of midwives. During the period of 2013 - August 2015 there are 25 cases of maternal deaths in North Tapanuli, with the biggest cause factor is bleeding. This study aims to analyze the performance of midwives in the implementation of third stage active management and anticipation of postpartum bleeding in North Tapanuli Regency in 2015. This study is a quantitative study with cross sectional approach. Sampling was done by purposive sampling method that is midwife who helped normal delivery and anticipate primary postpartum haemorrhage in September-October 2015 (32 people). Data were collected through observations and a valid and reliable questionnaires. Analysis of data used univariate, bivariate analysis with Pearson product moment correlation and multivariate analysis with multiple linear regression. The results showed that midwives' performance was mostly in poor category (62,50%). Logistic regression test showed that education variables had the greatest and significant effect on midwife performance, followed by knowledge, motivation and experience. Age, employee status, workload, and coworkers have no effect on midwife performance with p-value> 0,05. Form of regression equation obtained performance = 6,476 +1,038 X1 + 0,500 X2 + 0,369 X3 +0,324 X4 + e. R Square value of 0.995 so that obtained coefficient of determination (KD) is 99.5% which means that independent variables have a contribution influence of 99.5% to Y and 0.5% other influenced by other factors not included in this study. This study concludes that education, motivation, experience and knowledge have a significant influence in the management of active management at the third stage and anticipation of postpartum hemorrhage
HUBUNGAN MOBILISASI DINI DENGAN PENYEMBUHAN LUKA POST SECTIO CAESAREA PADA IBU NIFAS Siregar, Marni; Panggabean, Hetty
JURNAL HEALTH REPRODUCTIVE Vol 3 No 1 (2018): Jurnal Health Reproductive
Publisher : UNIVERSITAS SARI MUTIARA INDONESIA

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Abstract

What affects the healing of post-partum wounds includes blood supply, infection and irritation, with early mobilization.The purpose of this study was to determine the relationship between early mobilization and post sectio caesarean wound healing in postpartum mothers at Tarutung Hospital. This study used the Cronbach's Alpha method. The population was all post sc mothers in Tarutung Hospital from June to August 2018 as many as 33 people. The sample technique is accidental sampling. Research variables, independent variables early mobilization and dependent variable post sectio caesarean wound healing in postpartum mothers.Based on the results of the analysis, Ho is rejected, it means that it can be concluded that there is a relationship between early mobilization and post-SC wound healing in postpartum mothers. The results of statistical tests carried out by SPSS with the Wilconxon Match Pairtest formula on 33 respondents calculated using a computer showed that a Z value of showed a relationship between early mobilization and wound healing, where the value was (p - 0.03)
PENGETAHUAN, SIKAP DAN TINDAKAN MASYARAKAT TERHADAP PENCEGAHAN COVID-19 DI DESA SITOMPUL KECAMATAN SIATAS BARITA KABUPATEN TAPANULI UTARA TAHUN 2021 Marni Siregar; Juana Linda Simbolon; Emilia Silvana Sitompul
Jurnal Maternitas Kebidanan Vol. 7 No. 1 (2022): Jurnal Maternitas Kebidanan
Publisher : Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jumkep.v7i1.2593

Abstract

The COVID-19 pandemic that has hit the world is a phenomenon that was never expected in modern civilization. The pandemic conditions have not yet shown that it will end, demanding that everyone be disciplined in implementing preventive measures with the 5M health protocol (wearing masks, maintaining distance, washing hands, staying away from crowds, reducing mobility). However, not everyone obeys these rules. People's perceptions are sometimes wrong, many do not understand the dangers of transmitting COVID-19. This study aims to determine the knowledge, attitudes and actions of the community towards the prevention of Covid-19 in Sitompul Village during the pandemic. The design of this research is descriptive. Results The level of community knowledge about COVID-19 prevention in Sitompul Village is good. The attitude of the community towards the prevention of COVID-19 in Sitompul Village is good. Community action against COVID-19 prevention in Sitompul Village is good
FAKTOR-FAKTOR YANG MEMPENGARUHI PERILAKU PEMERIKSAAN IVA TEST PADA WANITA USIA SUBUR DI DESA SIMATUPANG KECAMATAN MUARA TAHUN 2019 Marni Siregar; Hetty WA Panggabean; Juana Linda Simbolon
Jurnal Kesehatan Masyarakat dan Lingkungan Hidup Vol 6 No 1 (2021): Jurnal Kesehatan Masyarakat dan Lingkungan Hidup
Publisher : UNIVERSITAS SARI MUTIARA INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51544/jkmlh.v6i1.1918

Abstract

PROMOSI KESEHATAN TENTANG MEMPERSIAPKAN GENERASI DALAM 1000 HARI PERTAMA KEHIDUPAN PADA IBU HAMIL Hetty Panggabean; Marni Siregar
Jurnal Mitra Prima Vol. 2 No. 2 (2020): Jurnal Mitra Prima
Publisher : Mitra prima

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/mitraprima.v2i1.1425

Abstract

ABSTRACT Background Every parent wants their children to grow up healthy. For this reason, mothers and fathers must pay attention to children's nutrition, especially at an important time in their lives, namely, the First Thousand Days of Life (HPK) or what is commonly called the Golden Period. At this time, the mother must meet her daily nutritional intake so that the development of the fetus's organs and brain is perfect. Fulfillment of nutrition for children in the first 1000 days of life is very important. Because if the nutritional intake is not met, the impact on children's development will be permanent. The impact can be in the short term and long term, as a result of malnutrition during fetal period (pregnancy) and early childhood. The short-term impact will interfere with brain development, growth, and metabolic programming. In Simatupang Village, the Muara Community Health Center Work Area, there were 15 pregnant women in October 2018. Based on data obtained in September 2018, it is known that exclusive breastfeeding in the Muara Puskesmas area is still low (37%). Purpose of this PKM activity is to increase public knowledge, especially pregnant women and to determine growth and development in the form of height and weight of toddlers. Method begins with coordination with the Muara Puskesmas, the Village Head, the Simatupang Village Midwife about counseling for pregnant women and examining the growth and development of toddlers. Results Obtained from 15 pregnant women, there were 3 people (20%) who experienced the risk of pregnancy and from the results of the growth and development of underfives including height and weight for 30 toddlers, there were 3 (16.67) toddlers with height and weight. not according to his age. Conclusion Health promotion by conducting counseling and examinations to pregnant women has been carried out. The results of antenatal care found that (20%) had a risk of pregnancy. Examination of height and weight to male and female toddlers found 16.67% experienced height and weight not according to their age. Keywords; The first 1000 days of life, pregnant women
Kemitraan Bidan dan Ibu Hamil dalam Pencegahan Covid-19 Juana Linda Simbolon; Emilia Silvana Sitompul; Marni Siregar
Jurnal Pemberdayaan Masyarakat Vol 6 No 1 (2021): Mei
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat (LPPM)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21067/jpm.v6i1.5115

Abstract

COVID-19, a disease that is currently endemic in almost all over the world. COVID-19 affects anyone, including pregnant women and children. The role of midwives in maternal and child health services: ANC service providers are the highest in Indonesia (82.4%). The challenge of midwifery services during the Covid-19 pandemic: knowledge of mothers and families related to COVID-19 about the dangers of COVID-19 in pregnant women can be a motivation for screening or preventing COVID-19. The aim of the service is to increase knowledge through training midwives and pregnant women about the prevention of COVID-19 and to increase partnerships between midwives and pregnant women through training to be able to socialize the importance of preventing COVID-19 to pregnant women. The method used was conducting pre-tests for midwives and pregnant women, training for midwives on the prevention of COVID-19 in pregnant women, counseling by midwives on prevention of COVID-19, and conducting post-tests. The results obtained by pre test, the majority of midwives' knowledge was moderate, while the majority of pregnant women had less knowledge. After being given training, the results of the post test increased the majority of midwives' knowledge was high and the knowledge of pregnant women was high.
Literatur review: Faktor penyebab rendahnya cakupan inisiasi menyusu dini dan pemberian ASI eksklusif Haripin Togap Sinaga; Marni Siregar
AcTion: Aceh Nutrition Journal Vol 5, No 2 (2020): AcTion Vol 5 No 2 Tahun 2020
Publisher : Jurusan Gizi Politeknik Kesehatan Kemenkes Aceh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30867/action.v5i2.316

Abstract

Globally the coverage of early initiation breastfeeding (EIBF) and exclusive breastfeeding (EBF) still low. In Indonesia, the coverage of EIBF and exclusive breastfeeding was 52,8% and 37,3%. This study aimed to review what factors affected the target of EIBF and EBF. Method, the study was a literature review. Eleven scientific articles were critically reviewed based on objectives, methods, and results presented in the articles. The articles were written by Indonesian authors and published in indexed journals during the year 2015 to 2020. Three databases were used; SINTA, Google Scholar, and National Library to search the articles using keywords “Early Initiation Breastfeeding and Exclusive breastfeeding” Data were analyzed with the qualitative method by presenting a summary, compare and contrasting, and critics and opinion. Results, of eleven articles, three were qualitative studies with total respondents 22, 28, and 81 mothers and eight quantitative studies range respondent from 110 mothers to 300.000 household mothers.  There were six factors affecting EIBF and EBF coverage; 1) implementation of government regulation, 2) family support, 3) maternal education and occupation, 4) breastfeeding counseling, 5) pre-term babies and 6) local culture.  In conclusion, the main factors causing the low coverage of EIBF and EBF are government commitment, family support, mother's education and occupation, inactive breastfeeding counseling, babies born at term, and cultural factors.
PEMERIKSAAN IVA TEST PADA WANITA USIA SUBUR DI DESA SIMATUPANG KECAMATAN MUARA KABUPATEN TAPANULI UTARA Hetty WA Panggabean; Marni Siregar
Jurnal Pengabdian kepada Masyarakat Wahana Usada Vol. 2 No. 2 (2020): Desember: Jurnal Pengabdian kepada Masyarakat Wahana Usada
Publisher : Sekolah Tinggi Ilmu Kesehatan KESDAM IX/Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (149.697 KB) | DOI: 10.47859/wuj.v2i2.178

Abstract

Latar Belakang. Kanker serviks, masih menempati posisi kedua terbanyak pada keganasan setelah kanker payudara, diperkirakan, kanker serviks diderita perempuan sebanyak 500.000 wanita setiap tahunnya. Di Indonesia kasus kanker serviks tahun 2019 sebanyak 14,368 orang, dari jumlah itu meninggal dunia  sebanyak 7,297 (50 %) dari jumlah kasus yang ada, dan prevalensi kasus kanker serviks sebanyak 10,823 orang per tahun. Kasus kanker serviks di Indonesia diperburuk dengan banyaknya kasus hampir 70 % diketahui dan datang ke petugas kesehatan atau fasilitas kesehatan pada stadium lanjut. Mayoritas wanita yang terdiagnosa kanker serviks biasanya tidak melakukan deteksi dini (Skrining), ada juga yang tidak menindaklanjuti pemeriksaan maupun pengobatan setelah ditemukan hasil yang abnormal. Tujuan. Kegiatan PKM meningkatkan pengetahuan masyarakat dalam hal ini ibu sekaligus ikut serta dalam pemeriksaan IVA test sehinga secara dini terdeteksi dengan menggunakan IVA test. Metode.Kegiatan diawali dengan koordinasi dengan Puskesmas Muara dan bidan koordinator, Kepala Desa, Bidan Desa dan Kader tentang sosialisasai, penyuluhan dan pelaksanaan pemeriksaan IVA Test sebagai strategi untuk mendapatkan peserta. Hasil. Hasil yang didapat 66 orang wanita usia subur tanpa memandang usia sampai usia 45 telah ikut dilakukan pemeriksaan, Hasil pemeriksaan diperoleh dengan dicurigai 14 orang (21,21 %) dan negatif sebanyak 52 orang (78,78 %). Simpulan. Pengetahuan wanita usia subur akan IVA Test masih  kurang, bahkan ada wanita usia subur yang tidak hadir untuk mengikuti pemeriksaan IVA Test, walaupun dalam penyuluhan hadir. Pengetahuan akan IVA Test masih perlu ditindak lanjuti, sehingga wanita usia subur memiliki kesadararn sendiri, sebagai deteksi dini akan kanker serviks, sehingga mengurangi agka kematian ibu.
Legal Protection for Health Workers Towards the Implementation of Government Regulation No. 33 of 2012 concerning Exclusive Breastfeeding on Infants with Post Sectio Caesarea Mothers Marni Siregar; Hetty W.A. Panggabean
Babali Nursing Research Vol 2 No 3 (2021): November
Publisher : Babali Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (298.36 KB) | DOI: 10.37363/bnr.2021.2358

Abstract

Introduction: Articles 6 and 7 of Government Regulation No. 33 of 2012 on Exclusive Breastfeeding stated that every mother who gives birth must give exclusive breast milk to the newborn, unless there is a medical indication, the mother is not present or the mother is separated from the baby. The purpose of this study was to determine the legal protection for health workers towards the implementation of government regulation concerning exclusive breastfeeding on infants with Post Sectio Caesarea mothers. Methods: This research method is empirical juridical research (field research). The author uses a statutory approach in accordance with the studied legal materials, analyzed qualitatively. The sample in this study is all 2 ObsGyn, 2 pediatrician, 9 midwives, 1 breast milk counselor, 60 post SC mothers and 60 newborns at RSUD Tarutung, RSUD Porsea, and RSUD Doloksanggul when researchers conducted research. Results: Exclusive Breastfeeding is a government program and has been outlined in Government Regulation No. 33 of 2014 on Exclusive Breastfeeding. The government is actually aggressively promoting exclusive breastfeeding through seminars, workshops and advertisements in print, electronic and social media. But this does not make exclusive breastfeeding successful as expected. The number of obstacles both external factors and internal factors of the mother. Especially on the mother of the Post Sectio Caesarea. Conclusion: Implementation of Government Regulation No.33 of 2012 on Exclusive Breastfeeding of Post Sectio Caesarea Mothers in hospitals has still not been realized.
Edukasi Pemanfaatan Daun Sirih sebagai Antiseptik Pada Perempuan di Wilayah Kerja Puskesmas Muara Kabupaten Tapanuli Utara Marni Siregar; Maya Handayanisinaga; Hetty W.A. Panggabean
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 5, No 12 (2022): Volume 5 No 12 Desember 2022
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v5i12.8232

Abstract

ABSTRAK  Pembangunan kesehatan bertujuan untuk meningkatkan kesehatan masyarakat termasuk wanita di seluruh Indonesia. Dalam mencapai derajat kesehatan yang tinggi, wanita sebagai salah satu penerima layanan kesehatan, harus berperan dalam menjaga kesehatan fisik maupun psikologisnya agar tetap sehat sepanjang hidupnya. Kesehatan fisik  tersebut adalah kebersihan alat genitalia sebagai salah satu alat reproduksi wanita yang sangat penting untuk di jaga. Hal ini tentunya menjadi sebuah hal yang harus diupayakan oleh wanita itu sendiri sehingga tidak timbul masalah di kemudian hari seperti keputihan bahkan kanker serviks. Tujuan meningkatkan pengetahuan dan keterampilan terhadap pemanfaatan daun sirih sebagai antiseptik pada perempuan. Metode pelaksanaan kegiatan mendata, membuat perencanaan serta pelaksanaan yang dimulai dengan pre test, penyuluhan, demonstrasi dan diakhiri dengan post test sebagai evaluasi terhadap pemanfaatan daun sirih sebagai antiseptik pada perempuan. Hasil tingkat pengetahuan dan keterampilan perempuan sebelum demonstrasi pengetahuan kurang 3 orang (6%), baik 2 orang (4%) dan cukup 45 orang (90%). Setelah dilaksanakan demonstrasi pengetahuan dan keterampilan perempuan meningkat yaitu cukup 4 orang (8%) dan baik 46 (92%).  Bisa disimpulkan terjadi peningkatan pengetahuan setelah dilakukan edukasi. Kata Kunci: Edukasi, Pemanfaatan Dauh Sirih, Perempuan, Antiseptik  ABSTRACT Health development aims to improve public health, including women throughout Indonesia. In achieving a high degree of health, women as one the recipients of health services must play a role in maintaining their physical and psychological health so that they remain healthy throughout their lives. Physical health is the cleanliness of the genitals as one of the female reproductive organs which is very important to be maintained. This is certainly something that the woman herself must strive for so that problems do not arise in the future such as vaginal discharge and even cervical cancer. The aim is to increase knowledge and skills on the use of betel leaf as an antiseptic for women. The method of carrying out data collection activities, planning, and implementing begins with a pre-test, counseling, and demonstration and ends with a post-test as an evaluation of the use of betel leaf as an antiseptic for women. The results of the level of knowledge and skills of women before the demonstration of knowledge were less than 3 people (6%), both 2 people (4%) and 45 people (90%). After the demonstration, women's knowledge and skills increased, namely 4 people (8%) and 46 (92%). It can be concluded that there was an increase in knowledge after education. Keywords: Education, Utilization of Dauh Sirih, Women, Antiseptic