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Pengaruh Inisiasi Menyusu Dini Terhadap Suhu Tubuh Bayi Baru Lahir Yuni Astari, Ruri
Jurnal Keperawatan Bina Sehat Vol 7, No 2 (2012): Vol. 7, No. 2, Juli-Desember 2012
Publisher : Jurnal Keperawatan Bina Sehat

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Abstract

ABSTRACTHypothermia is one cause of mortality and morbidity in newborn. This is caused by the fact that the babys body surface area is larger than an adults body surface and the rate of heat loss even faster. One handling of heat loss (hypothermia) is by early breastfeeding initiation (IMD). IMD gives opportunity for baby to suckle his mother early in life. One of the benefits of IMD is to prevent heat loss (hypothermia).The purpose of this study was to determine the effect of early breastfeeding initiation against newborn body temperature at BPS Hj. Yayah Surlan Kuningan Sub-District and  BPS Yetti Sudiati Cilimus Sub-District Kuningan Regency in 2011. This study used a pure experiment research design to conduct a simple experiment (Post-test Only Control Group Design). Its population was newborns at BPS Hj. Yayah Surlan and BPS Hj. Yetti Sudiati. The number of samples as many as 47 of each group. Which 47 infants in the intervention group and 47 infants in the control group. This study used a simple random sampling with the criteria that the labor is a normal birth without complications.This study used the same homogeneity of variance test. Because the ρ value wasobtained through the Levene test for 0.120> α. The average temperature of infants in the intervention group was 36.7° C, while the average temperature of infants in the control group was 36.47°C. The results of statistical tests of the effect of early breastfeeding initiation on the incidence of hypothermia after the intervention obtained the value of Pvalue = 0.0001 (<0.05). It can be concluded that there was a statistically significant difference in the average temperature of newborns who did not experience IMD, and in other words there was an influence on the newborn temperature. It is therefore expected for the midwives to provide care to newborn in the form of early breastfeeding initiation to prevent heat loss (hypothermia) in newborns.Keywords: Early Breastfeeding Initiation, Newborn Body Temperature, hypothermia
Konsumsi Kurma pada Akhir Kehamilan Terhadap Percepatan Kala 1 Persalinan Astari, Ruri Yuni; Dewi, Dzikri Yupita
Wellness And Healthy Magazine Vol 1, No 2 (2019): August
Publisher : Universitas Aisyah Pringsewu (UAP) Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (98.5 KB) | DOI: 10.30604/well.27122019

Abstract

The first-stage is the beginning of labor that starts from the uterine contraction or known as "his" which is regular and continue to increase (both in the frequency and strength) until the cervix dilates to 10 cm (complete dilatation). The length of the first stage of labor for primigravidae is 12 hours while for multigravidae is 8 hours. This study aims to determine the effectiveness of the consumption of dates at the end of pregnancy on the acceleration of time period of the first stage of labor. The type of study used was a quasi-experimental with a static group comparison approach. The sampling technique used a purposive sampling approach. The samples in this study were 30 pregnant women with 37-38 weeks gestational age who were assigned in the control group and the experimental group (consuming dates) with 15 respondents, respectively). The study was conducted at Sumber Jaya Community Health Center in Majalengka District from April 1 to June 10, 2019. Univariate data analysis was conducted with central tendency distribution and bivariate analysis was conducted with paired t test. The results showed that the fastest progress of the first stage of labor that was seen from the duration until complete dilatation (10 cm) in group 1 (treatment) was 0 hour and in group 2 (control) was 1 hour, while the slowest progress in group 1 (treatment) was 3.5 hours and in group 2 (control) was 4 hours. The mean acceleration of the first stage of labor in term pregnant women who consumed dates was faster, namely 1.2 hours of 2.2 hours. Tcount value 3.347 and p value 0.002 which meant that the null hypothesis was rejected, so statistically the consumption of dates at the end of pregnancy was effective in accelerating the first stage of labor. Midwives or healthcare providers can provide alternative ways to accelerate the progress of the first stage of labor, namely by consuming dates before delivery as one way to facilitate labor.
KEGIATAN PENYULUHAN TENTANG DISIPLIN PROTOKOL KESEHATAN COVID-19 Astari, Ruri Yuni; Nuryawati, Lina Siti; Amalia, Merlly; Evitasari, Desi
JMM (Jurnal Masyarakat Mandiri) Vol 5, No 4 (2021): Agustus
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (31.837 KB) | DOI: 10.31764/jmm.v5i4.4976

Abstract

Abstrak: Penyebaran Covid-19 masih cukup tinggi di Kabupaten Majalengka sehingga perlu penanganan kepada masyarakat agar waspada dan terhindar dari penularan ini. Rendahnya pengetahuan masyarakat mengenai disiplin dalam protokol kesehatan menjadi aspek pencetus tingginya transmisi Covid-19. Berdasarkan permasalahan tersebut, maka dibutuhkan usaha kegiatan penyuluhan untuk meminimalisir penyebaran Covid-19 semakin luas. Kegiatan ini bertujuan untuk meningkatkan kesadaran dan pengetahuan  tentang disiplin tentang protokol kesehatan Covid-19 pada masyarakat RW 9 dan RW 10 Desa Cijati Kecamatan Majalengka. Kegiatan pengabdian ini dilakukan dalam empat tahapan yang meliputi identifikasi masalah, penyuluhan disiplin protokol kesehatan Covid-19, pembagian masker serta evaluasi kegiatan. Hasil kegiatan penyuluhan menunjukkan adanya peningkatan pengetahuan masyarakat tentang disiplin protokol kesehatan Covid-19 dengan selisih rata-rata pengetahuan masyarakat sebelum dan sesudah penyuluhan sebesar 18.37. Abstract:  The spread of Covid-19 is still quite high in Majalengka Regency so it is necessary to handle the community so that they are alert and avoid this transmission. The low level of public knowledge about discipline in health protocols is an aspect that triggers the high transmission of Covid-19. Based on these problems, outreach activities are needed to minimize the wider spread of Covid-19. This activity aims to increase awareness and knowledge about the discipline of the Covid-19 health protocol in the community of RW 9 and RW 10, Cijati Village, Majalengka District. This service activity was carried out in four stages which included problem identification, counseling on Covid-19 health protocol discipline, distribution of masks and evaluation of activities. The results of the counseling activity showed an increase in public knowledge about the Covid-19 health protocol discipline with the average difference in public knowledge before and after counseling of 18.37.
Pengaruh Inisiasi Menyusu Dini Terhadap Suhu Tubuh Bayi Baru Lahir Yuni Astari, Ruri
JURNAL KEPERAWATAN BINA SEHAT Vol 6, No 2 (2012): Juli-Desember 2012
Publisher : JURNAL KEPERAWATAN BINA SEHAT

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Abstract

Hypothermia is one cause of mortality and morbidity in newborn. This is caused by the fact that the babys body surface area is larger than an adults body surface and the rate of heat loss even faster. One handling of heat loss (hypothermia) is by early breastfeeding initiation (IMD). IMD gives opportunity for baby to suckle his mother early in life. One of the benefits of IMD is to prevent heat loss (hypothermia).The purpose of this study was to determine the effect of early breastfeeding initiation against newborn body temperature at BPS Hj. Yayah Surlan Kuningan Sub-District and BPS Yetti Sudiati Cilimus Sub-District Kuningan Regency in 2011. This study used a pure experiment research design to conduct a simple experiment (Post-test Only Control Group Design). Its population was newborns at BPS Hj. Yayah Surlan and BPS Hj. Yetti Sudiati. The number of samples as many as 47 of each group. Which 47 infants in the intervention group and 47 infants in the control group. This study used a simple random sampling with the criteria that the labor is a normal birth without complications.This study used the same homogeneity of variance test. Because the &rho; value wasobtained through the Levene test for 0.120> &alpha;. The average temperature of infants in the intervention group was 36.7&deg; C, while the average temperature of infants in the control group was 36.47&deg;C. The results of statistical tests of the effect of early breastfeeding initiation on the incidence of hypothermia after the intervention obtained the value of Pvalue = 0.0001 (<0.05). It can be concluded that there was a statistically significant difference in the average temperature of newborns who did not experience IMD, and in other words there was an influence on the newborn temperature. It is therefore expected for the midwives to provide care to newborn in the form of early breastfeeding initiation to prevent heat loss (hypothermia) in newborns.Keywords: Early Breastfeeding Initiation, Newborn Body Temperature, hypothermia
Effect of Warm Compress, Ginger Drink and Turmeric Drink on The Decrease in The Degree of Menstrual Pain Ruri Yuni Astari
JURNAL KEBIDANAN Vol 10, No 1 (2020): April 2020
Publisher : Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jkb.v10i1.5611

Abstract

Menstrual pain is a natural condition, but if doesn’t get appropriate treatment, it can be bad for health. Non-pharmacological efforts that can be applied to cope with menstrual pain are warm compress, providing ginger drink and turmeric drink. This study aims to determine the effect of warm compress, ginger drink and turmeric drink on the decrease in the degree of menstrual pain among midwifery students. This was a quasi experimental study with comparative study design. Samples in the study for 3 treatment groups of warm compress, ginger drink and turmeric drink were as many as 27 respondents, respectively. Data analysis used paired t test. The results showed that there was an effect of warm compress ( value=0.001), ginger drink ( value=0.000) and turmeric drink ( value=0.000) on the decrease in the degree of menstrual pain. Of the three treatments, the most effective was warm compress because it provided a decrease in the degree of menstrual pain with a mean value of 2.03, greater than the treatments of ginger drink by 1.4 and turmeric drink by 1.34. Women who experience menstrual pain can apply alternative treatments to relieve pain by using warm compress, ginger drink or turmeric drink.
KEGIATAN PENYULUHAN TENTANG DISIPLIN PROTOKOL KESEHATAN COVID-19 Ruri Yuni Astari; Lina Siti Nuryawati; Merlly Amalia; Desi Evitasari
JMM (Jurnal Masyarakat Mandiri) Vol 5, No 4 (2021): Agustus
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (319.953 KB) | DOI: 10.31764/jmm.v5i4.5089

Abstract

Abstrak: Penyebaran Covid-19 masih cukup tinggi di Kabupaten Majalengka sehingga perlu penanganan kepada masyarakat agar waspada dan terhindar dari penularan ini. Rendahnya pengetahuan masyarakat mengenai disiplin dalam protokol kesehatan menjadi aspek pencetus tingginya transmisi Covid-19. Berdasarkan permasalahan tersebut, maka dibutuhkan usaha kegiatan penyuluhan untuk meminimalisir penyebaran Covid-19 semakin luas. Kegiatan ini bertujuan untuk meningkatkan kesadaran dan pengetahuan  tentang disiplin tentang protokol kesehatan Covid-19 pada masyarakat RW 9 dan RW 10 Desa Cijati Kecamatan Majalengka. Kegiatan pengabdian ini dilakukan dalam empat tahapan yang meliputi identifikasi masalah, penyuluhan disiplin protokol kesehatan Covid-19, pembagian masker serta evaluasi kegiatan. Hasil kegiatan penyuluhan menunjukkan adanya peningkatan pengetahuan masyarakat tentang disiplin protokol kesehatan Covid-19 dengan selisih rata-rata pengetahuan masyarakat sebelum dan sesudah penyuluhan sebesar 18.37. Abstract:  The spread of Covid-19 is still quite high in Majalengka Regency so it is necessary to handle the community so that they are alert and avoid this transmission. The low level of public knowledge about discipline in health protocols is an aspect that triggers the high transmission of Covid-19. Based on these problems, outreach activities are needed to minimize the wider spread of Covid-19. This activity aims to increase awareness and knowledge about the discipline of the Covid-19 health protocol in the community of RW 9 and RW 10, Cijati Village, Majalengka District. This service activity was carried out in four stages which included problem identification, counseling on Covid-19 health protocol discipline, distribution of masks and evaluation of activities. The results of the counseling activity showed an increase in public knowledge about the Covid-19 health protocol discipline with the average difference in public knowledge before and after counseling of 18.37.
GAMBARAN KEMATIAN IBU DI KABUPATEN MAJALENGKA TAHUN 2015 (STUDY KUALITATIF) Ruri Yuni Astari; Debby Sandela; Gita Elvira
Midwifery Journal: Jurnal Kebidanan UM. Mataram Vol 3, No 1 (2018): Januari
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (656.306 KB) | DOI: 10.31764/mj.v3i1.149

Abstract

Abstrak: Kematian ibu di Kabupaten Majalengka termasuk dalam peringkat 16 (atau peringkat 10 terbawah) dari 27 kabupaten/ kota yang ada di Propinsi Jawa Barat tahun 2015. Penelitian ini bertujuan untuk mengetahui gambaran kematian ibu di Kabupaten Majalengka Tahun 2015. Metode penelitian yang digunakan metode kualitatif melalui pendekatan studi naratif. Populasi penelitian ibu yang meninggal dunia saat hamil, bersalin, dan nifas di Wilayah Puskesmas Kabupaten Majalengka Tahun 2015 sebanyak 20 orang, dan yang dijadikan partisipan berjumlah 13 orang. Instrumen penelitian menggunakan kuesioner yang di adopsi dari hasil penelitian Febriana Prodi Magister Epidemiologi  Program Pasca Sarjana Undip Tahun 2007 serta dokumen autopsi verbal kematian maternal dan perinatal. Pengambilan data melalui wawancara dan dokumentasi. Analisis data secara kualitatif melalui tahapan reduksi data, penyajian data dan penarikan kesimpulan. Hasil penelitian lebih dari setengahnya ibu meninggal pada periode nifas penyebab tertinggi kematian ibu karena Hipertensi Dalam Kehamilan (HDK). Faktor determinan jauh : lebih dari setengahnya pendidikan ibu SMP, sebagian besar tidak bekerja dan rata-rata pendapatan keluarga sesuai dengan UMR Kabupaten Majalengka. Faktor determinan antara : sebagian besar ibu tidak mengalami KEK dan anemia, usia ibu meninggal pada usia 20-35 tahun, lebih dari setengahnya terjadi pada primipara, jangkauan pelayanan kesehatan dari lama rujukan sampai tiba di pelayanan kesehatan ditempuh sekitar 1-2 jam dan hampir seluruh ibu melakukan pemeriksaan kehamilan sampai persalinan dengan tenaga kesehatan. Faktor determinan dekat yang berpengaruh terhadap kematian ibu adalah komplikasi pada kehamilan, persalinan dan nifas. Hambatan dan masalah rujukan pada ibu yang meninggal dikarenakan keluarga terlambat merujuk ibu ke fasilitas kesehatan, jarak yang jauh dari fasilitas kesehatan, akses BPJS serta masalah transportasi yang lama menunggu. Akses pelayanan kesehatan jarak tempuh paling jauh +15 Km dan paling dekat +1 Km. Kecepatan dan ketepatan tenaga kesehatan (baik bidan maupun dokter) dalam mengambil keputusan, merujuk, melakukan penanganan tindakan kegawatdaruratan serta stabilisasi kondisi pasien merupakan faktor penting dalam menyelamatkan  nyawa ibu, karena kematian ibu sering terjadi karena keterlambatan dalam penentuan diagnosa komplikasi, terlambat mengambil keputusan, terlambat merujuk dan terlambat ditangani.Abstract: Maternal mortality in Majalengka District was in the 16th ranking (or the 10th lowest) of 27 districts/cities in West Java Province by 2015. This study aims to determine the description of maternal mortality in Majalengka District in 2015. The study method used was qualitative method through narrative study approach. The populations of the study were mothers who died during pregnancy, childbirth, and postpartum in the work area of Public Health Centers in District Majalengka in 2015 as many as 20 people, and the participants were 13 people. The study instrument used questionnaire which was adopted from the study result of Febriana, Epidemiology Master Study Program of Postgraduate Program of Diponegoro University in 2007 and document of verbal autopsy of maternal and perinatal mortality. Data collection was performed through observation, interview and documentation. Qualitative data analysis was conducted through the stages of data reduction, data presentation and conclusion. The results of this study showed that more than half of mothers died during the postpartum period with the highest cause of maternal mortality due to Hypertension In Pregnancy (PIH), the distant determinant factors were: more than half had junior high school education, most of them were unemployed and the average family income was in accordance with Minimum Wage in Majalengka District; the intermediate determinant factors were: most of the mothers did not experience Chronic Energy Deficiency (CED) and anemia, the women died at the age of 20-35 years, more than half deaths occurred in primiparous, health service coverage from referral duration until arrived at health service took about 1-2 hours and almost all mothers did prenatal care until delivery with health personel; the outcome determinant factors affecting maternal mortality were complications during pregnancy, childbirth and postpartum. The referral obstacles and problems in women who died were due to the family performed late referral to health facilities, long distance from health facilities, access to health insurance (BPJS) and long time in waiting transportation. The longest distance of health service access was +15 Km and the closest was +1 Km. The speed and accuracy of health workers (both midwives and doctors) in making decision, referral, performing emergency measures and stabilizing the condition of the patient were important factors in saving the lives of mothers, because maternal mortality often occurs due to delay in the determination of complication diagnosis, delay in making decision, delay in performing referral and delay in receiving care.
Perbandingan Metode Kolostrum dan Metode Terbuka Terhadap Lama Pelepasan Tali Pusat pada Bayi Baru Lahir Ruri Yuni Astari; Dinda Nurazizah
Faletehan Health Journal Vol 6 No 3 (2019): Faletehan Health Journal
Publisher : Universitas Faletehan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (252.721 KB) | DOI: 10.33746/fhj.v6i3.64

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Umbilical cord care is the treatment and binding of the umbilical cord which causes the last physical separation between the mother of the baby, then the umbilical cord is treated in a sterile, clean, dry and protected from umbilical cord infection. The umbilical cord treatment method effectively speeds up the release of the umbilical cord and reduces the incidence of infection. This study aims to compare the length of umbilical cord release with the colostrum method and the open method in the process of releasing newborn umbilical cord. This type of research uses the experiment of static group comparism. The sample of this study was 30 newborns divided into 2 groups, 15 respondents in the intervention group and 15 respondents in the control group. The results showed that the timing of umbilical cord separation with the colostrum method was <5 days (fast category) and none had >7 days (slow category). Meanwhile, the timing of umbilical cord separation with the open method was <5 days (fast category) and the cord was fallen off >7 days (slow category). The statistical test results show that the length of the umbilical cord release for newborns with the colostrum method is about 4 days 9 hours faster than the open method with the results of the statistical test (ρ = 0.022). Health workers need to get information about cord care with the colostrum method so that it can be applied to newborns.
Pengaruh Terapi Jalan Kaki 10 Menit terhadap Tekanan Darah pada Primigravida Ruri Yuni Astari Ruri; Ade Rita Nurlaela
Jurnal Abdidas Vol. 1 No. 2 (2020): Vol 1 No 2 June Pages 23-87
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (666.528 KB) | DOI: 10.31004/abdidas.v1i2.15

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Angka Kematian Ibu (AKI) di Indonesia masih tinggi, hal ini disebabkan karena masih banyaknya ibu hamil dengan risiko tinggi yang salah satunya hipertensi dalam kehamilan (hipertensi gestasional). Hipertensi dalam kehamilan adalah hipertensi yang terjadi pada bulan terakhir kehamilan dengan tekanan darah mencapai 140/90 mmHg atau lebih. Tujuan pengabdian masyarakat ini untuk mengetahui pengaruh terapi jalan kaki 10 menit terhadap tekanan darah pada ibu primigravida. Metode yang dilakukan simulasi dan pendampingan terapi jalan kaki 3 kali dalam satu minggu. Hasil pengabdian masyarakat menunjukkan bahwa rata-rata tekanan darah pada ibu primigravida sebelum terapi jalan kaki 10 menit sebesar 122,6 mmHg dan sesudah terapi jalan kaki 10 menit sebesar 112,6 mmHg sehingga terjadi penurunan sebesar 10 mmHg dibanding sebelum terapi. Artinya terdapat pengaruh terapi jalan kaki 10 menit terhadap tekanan darah pada ibu primigravida. Terapi jalan kaki 10 menit dapat digunakan sebagai salah satu alternatif asuhan pada ibu hamil dengan hipertensi dan dianjurkan untuk  menjaga pola hidup sehat
GAMBARAN PENGGUNAAN KB DI DESA HAURSEAH KECAMATAN ARGAPURA KABUPATEN MAJALENGKA TAHUN 2017 Devia Putri Anggraeni; Hera Nurmayani Herlina; Ruri Yuni Astari
Syntax Literate Jurnal Ilmiah Indonesia
Publisher : CV. Ridwan Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (203.251 KB)

Abstract

Tujuan utama dari program KB adalah membentuk keluarga kecil sesuai dengan kekuatan sosial ekonomi suatu keluarga dengan cara pengaturan kelahiran anak, agar diperoleh suatu keluarga bahagia dan sejahtera yang dapat memenuhi kebutuhan hidupnya. Penelitian ini bertujuan untuk mengetahui gambaran penggunaan KB di Desa Haurseah Wilayah Kerja UPTD Puskesmas Argapura Kabupaten Majalengka. Jenis penelitian ini menggunakan penelitian deskriptif dengan pendekatan kualititatif. Informan pada penelitian ini sebanyak 8 orang informan kunci dan 4 informan pendukung. Pengumpulan data menggunakan wawancara mendalam/deep interview. Hasil penelitian menunjukkan bahwa dari Penggunaan KB oleh akseptor di Desa Haurseah sebagian besar menggunakan KB suntik. Faktor predisposisi dalam penggunaan KB di Desa Haurseah adalah pengetahuan ibu tentang tujuan KB sudah mengerti dengan baik, sikap yang positif terhadap tujuan KB, namun untuk tradisi masih dipengaruhi oleh kondisi religius mengenai penggunaan KB yang masih kurang berkenan di kalangan tokoh agama. Faktor pemungkin dalam penggunaan KB di Desa Haurseah adalah sarana kesehatan yaitu sudah dibangunnya Polindes. Faktor pendorong dalam penggunaan KB di Desa Haurseah adalah dukungan dari petugas kesehatan, tokoh masyarakat dan keluarga yang telah memberikan dukungan untuk ber-KB, sedangkan tokoh agama belum memberikan dukungan sepenuhnya terhadap penggunaan KB. Perlunya meningkatkan kegiatan pemberian informasi dan konseling tentang KB kepada akseptor mengenai cara penggunaannya agar mengurangi keluhan yang dialami oleh pengguna KB serta mengingatkan akseptor untuk memeriksakan kepada petugas kesehatan jika mengalami keluhan atau efek samping. Juga kolaborasi yang baik dengan tokoh masyarakat dan keluarga dengan pendekatan atau advokasi tanpa harus memaksa keyakinannya