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Melyana Nurul Widyawati
Poltekkes Kemenkes Semarang, Indonesia
Decision Sciences, Operations Research & Management Dentistry Education Health Professions Medicine & Pharmacology Nursing Public Health

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THE EFFECT OF ELECTRIC BREAST PUMP IN INCREASING BREASTMILK PRODUCTION Maula, Sheyla Najwatul; Widyawati, Melyana Nurul
Proceedings of the International Conference on Applied Science and Health No 2 (2017)
Publisher : Proceedings of the International Conference on Applied Science and Health

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Background: Breastfeeding for 2 years has been recommended by WHO and CDC, so that breastfeeding has become an integral part that determines the quality of human resources in the future as well as solutions for social, environmental and the economic problems faced by every nation around the world. This study was conducted as a preliminary study, the first step in the production of portable electric breast pumping equipment. One of the innovations in modifying electric breast pumping equipment that is more useful effective and efficient in various activities. Breast pumping equipment is a step in the transformational breastfeeding process because it can improve breastfeeding sustainability in the activity performed. Aims: To observe the effect of electric breast milk pump to the effectiveness and satisfaction in breast milk production in breastfeeding women in Semarang 2017. Methods: Preliminary study results were tested by statistical analysis test of independent sample T-Test and chi-square. Independent variable in this study is electric breast pump and dependent variables are effectiveness and satisfaction. This study was carried out by testing the electric breast milk Spectra 9+. The data were collected from 10 respondents. Results: The analysis test results showed the significance value P> 0.05 which meant that there was no significant difference between the effectiveness and satisfaction of breast milk production by using the electric breast pump. Conclusion: The electric breast pumping equipment have no effectiveness and satisfaction in milk production. Modification of electric breast milk pumping equipment should be expected to improve the use by postpartum women to breastfeed in various activities. 
INCREASING COMPETENCE OF MIDWIFERY STUDENTS IN PERINEAL WOUND SUTURING USING LOW COST MODEL MADE FROM FLANNEL FABRIC Iswantoro, Rery Kurniawati Danu; Yuningsih, Nani; Rohaeti, Ayi Tansah; Widyawati, Melyana Nurul
Proceedings of the International Conference on Applied Science and Health No 2 (2017)
Publisher : Proceedings of the International Conference on Applied Science and Health

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Background: Competence of postpartum perineum wound suturing should be owned by midwives. However, students are limitedly trained on how to use cotton pads that are less representative in form and material. This results in a lack of student competence in perineum stitching practice. Aims: This study goal is to know the effectiveness of perineum wound suturing model made from flannel in order to increase stitching competence on the students of Midwifery study program of Banten Health Polytechnic. Methods: This research was designed using experimental design with post-test design method. The respondents consisted of 11 treatment group and 14 control group. The research implementation consisted of three stages. First, an introduction to the perineum wound sewing technique. Second, the model group practiced with flannel and cotton. Third, the respondents filled up the questionnaire on level of confidence and competence assessment of both groups of students. Data analysis used Mann Whitney test because the median difference of two independent groups if the dependent variable data scale is ordinal and ratio. Results: The results showed that the mean of perineum wound suturing competence in the model group was higher (83) than in the non-model group (74). The statistical test results obtained p = 0.002 which means that there was a significant difference in the competency of both groups. At the self confidence level of the respondents in performing perineum wound suturing, both groups had the same mean (4) with p = 0.651. At the time of perineum wound suturing, it is known that the model group mean was slightly faster (20 minutes) than the non-model group (22 minutes) with p = 0.978. There were no significant differences between the two variables. Conclusion: The study showed that the test model was better in improving the competence of the perineum wound suturing. Flannel model is also more affordable and can be sutured over and over so it is economical for students. Further study on efficient media is recommended so that duration and confidence would be better. 
METHODS OF POSTPARTUM BLOOD LOSS MEASUREMENT IN INDONESIA SHOULD BE MODIFIED FOR BETTER ACCURACY: A LITERATURE REVIEW Fauziah, Siska Febrina; Widyawati, Melyana Nurul; Amartha, Tecky Afifah Santy
Proceedings of the International Conference on Applied Science and Health No 2 (2017)
Publisher : Proceedings of the International Conference on Applied Science and Health

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Backgrounds: Assessment of blood loss after delivery is important because intervention in the “golden hour” is crucial to prevent maternal morbidity and mortality. In fact, the biggest obstacle in overcoming postpartum blood loss are symptom recognition, accuracy, and timely diagnosis. Aims: The objective of this study was to analyze the strengths and weaknesses between visual estimation and quantification of blood loss measurements. Methods: Literature review was conducted using the electronic databases Science Direct, Pubmed, and Google Scholar. Measurement of blood loss and postpartum hemorrhage was used as keywords in searching strategy. A total of 23 from 17.200 of publications range from 2010 until May 2017 and presented in English language were included in this review. Results: Many studies show that quantification of blood loss method is better than visual estimation. Visual estimation of blood loss was imprecise, tend to underestimate blood loss, and thus to delay diagnosis of PPH, whilst quantification of blood loss more accurate and objective. Nonetheless, quantification methods not used routinely due to their unavailability, more time consuming, complicated, costly, and analyst workload increases. Conclusions: Modified measurement method and its existing protocol needed to overcome blood loss during postpartum. 
EFFECT OF AMBON BANANA CONSUMPTION TO DECREASE BLOOD PRESSURE IN PREGNANT WOMAN WITH PREECLAMPS Pujiani, Ira; Nurapriyanti, Ima; Widyawati, Melyana Nurul; Ulfiana, Elisa
Proceedings of the International Conference on Applied Science and Health No 2 (2017)
Publisher : Proceedings of the International Conference on Applied Science and Health

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Background: Preeclampsia greatly affects maternal and fetal mortality and morbidity being dependent on gestational age at the time of preeclampsia. Maternal mortality in Indonesia is still marked by three major causes of death: haemorrhage, hypertension in pregnancy (HDK) and infection. Method: This research used analytic survey method with experimental research design. The research design used prepost control design. The sample used was 20 pregnant women with pre-eclampsia, of which 10 were treated and 10 were controls. Result: The result of T-Test paired showed that the effect of the use of ambon banana in the systolic blood pressure treatment group was 0.0001 (P <0.05) and diastole was 0. 031 (p <0.05). Similarly, in systole the effect of banana utilize on the decrease in systolic blood pressure in groups was 0.101 (p>0.05) and in diastole 0.445 (p>0.05). 
COMPARING EFFECTIVENESS OF PALM DATES AND OXYTOCIN MASSAGE IN STIMULATING BREASTMILK PRODUCTION OF POST PARTUM MOTHER Jannah, Siti Roudhotul; Widyawati, Melyana Nurul
Proceedings of the International Conference on Applied Science and Health No 2 (2017)
Publisher : Proceedings of the International Conference on Applied Science and Health

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Backgrounds: The coverage of exclusive breastfeeding in the world is still low. It is influenced by the limited number of breastfeeding counselors, the lack of education, advocacy and coaching breastfeeding support groups, maternal health and physiological factors (prolactin and oxytocin hormones). Dates contains oxytocin and many chemical elements which are good for breastfeeding mothers. Regular oxytocin massage therapy is also shown to increase the production of the oxytocin hormone. Aims: To compare the effectiveness of palm dates and oxytocin massage in stimulating breastmilk production of postpartum mothers. Methods: it is a literature review study, using keywords breastfeeding, palm dates and oxytocin massage from national and international journals. Results: The results shown that palm date and oxytocin massage have been proven to increase the oxytocin hormone that is influential on the smoothness of breastfeeding in postpartum mothers. Some studies noted that the palm dates contain potuchin hormone that serves spur blood vessel contractions around the breast spurring mammary gland to produce milk. In addition, there is the hormone oxytocin can help stimulating the contractions of the muscles of the uterus to facilitate childbirth. While oxytocin massage can increase milk production and the babys weight and also to drive a contraction in the veins surround the breast and spurring the milk glands to produce milk. Conclusion: The results of several studies suggest that the oxytocin massage is more effective applied to increase oxytocin than the consumption of palm dates. 
THE EFFECT OF IRON POLYMALTOSE COMPLEX TABLET ADMINISTRATION TO INCREASE HEMOGLOBIN LEVEL AMONG PREGNANT WOMEN WITH ANEMIA Astuti, Cahyaning Puji; Widyawati, Melyana Nurul; Pujiastuti, Sri Endang
Proceedings of the International Conference on Applied Science and Health No 2 (2017)
Publisher : Proceedings of the International Conference on Applied Science and Health

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Background: Anemia is a major cause of bleeding due to iron deficiency. Iron tablets which contain 60 mg of Ferrous Sulphate and 0.25 mg of folic acid did not show good results in changing the body’s iron level and there are many perceived side effects. However, there is now exists an oral iron tablets in the form of available salt compounds of ferrous fumarate, ferrous sulphate, and ferrous gluconate. These tablets contain iron hydroxide polymaltose complex (III) or better known as IPC (Iron Polymaltose Complex) and have minimal side effects. Aims: To understand the effect of IPC tablets in increasing the hemoglobin level in pregnant women with anemia. Methods: This study used quantitative study with pre-experimental design, or experiments that have not been applied in real terms. This study used non-probability sampling technique and purposive sampling for the selected sample. The sample were 35 people based on the inclusion criteria. The design used was one group pre-test – post-test approach without the control group. The subjects undertook the anemia examination on the first day (pre-test) and afterwards were administered 100mg IPC tablets daily for the next 30 days. In the end of the intervention, the subjects were re-examined and the results were compared (post-test). Results: The study showed that there is a significant increase of hemoglobin level in pregnant women with anemia with p value = 0.023 (p<0.05) after the intervention in the form of IPC tablet administration was conducted for 30 days. Conclusion: The intervention performed in administration of IPC tablets for pregnant women with anemia showed a significant increase of hemoglobin level before and after the provision of IPC tablets. 
RISK FACTORS ASSOCIATED WITH PRECANCEROUS LESION Kusumaningrum, Lutfiana; Mujahidah, Sa’adah; Widyawati, Melyana Nurul; Bahiyatun, Bahiyatun
Proceedings of the International Conference on Applied Science and Health No 2 (2017)
Publisher : Proceedings of the International Conference on Applied Science and Health

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Background: Visual inspection acetic acid (VIA) can be a substitute method for early detection of Precancerous lesion of cervical cancer. Therefore, efforts should be made for prevention to increase community awareness in recognizing the risk factors of cervical cancer so that it can determine the steps of prevention and early detection. Aims: This research is to determine the risk factors associated with precancerous lesion, a study case- control in Health Center of Semarang City Year 2016). Methods: This research is an observational analytic study with case-control design with retrospective study. The sample selection was using a simple random sampling method. The number of respondents is 98 people from 474 people doing the VIA inspection in January 2016 to December 2016, which passed the inclusion and exclusion criteria and divided into two groups, 13 people in case and 86 people in control group. Results: There is a relationship between the results of the examination of the precancerous lesion with the risk factor of the number of respondent marriages (P- 0.038), husband historical marriage (P-0.000), smoking exposure (P-0.000). Conclusion: Risk factors associated with the results of the examination precancerous lesion are the number of responden marriages, husband historical marriage, smoking exposure. 
PERIODONTITIS IN PREGNANCY AS RISK FACTORS OF PREECLAMPSIA : A LITERATURE REVIEW Fitriyah, Nur; Widyawati, Melyana Nurul
Proceedings of the International Conference on Applied Science and Health No 2 (2017)
Publisher : Proceedings of the International Conference on Applied Science and Health

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Background: Periodontitis may indicate the presence of chronic endotoxin inflammatory disease and cytokines, which are considered as risk factors for systemic diseases such as cardiovascular disease, atherosclerosis, and cerebrovascular ischemia. Maternal periodontitis substitutes a potential microorganism that can penetrate the circulation, directly or indirectly has the capacity to affect the health of the mother and fetus. Preeclampsia is associated with an abnormal maternal cytokine response, such as elevated tumor necrosis tumor (TNF)-α, interleukin (IL)-1 and 6 levels that cause endothelial damage to the placenta. Aims: Reviewing epidemiological associations between periodontitis and preeclampsia Methods: The method used in this paper is literature review. Literature searches were conducted using the electronic databases Science Direct and Google Scholar. Results: Many studies showed that periodontitis is a risk factor for the occurrence of preeclampsia. Periodontal disease is known to cause systemic inflammation early in pregnancy through increased IL-6 mechanism and increased systemic CRP, during pregnancy the increased progesterone hormone causes greater vascular permeability, stimulates the production of prostaglandins that can cause inflammation, and can decrease the regulation of interleukin-6 production that is less resistant to bacterial inflammation. Conclussion: The guidance of maintaining the dental and oral health of pregnant and under-five mothers published by the government can be developed into a strategic and innovative program to increase community interest to regularly check the health of teeth to health facilities. 
Experimental Use of Self Test Endoscopy for Cervical Cancer Screening Munafiah, Durrotun; Fatoni, Muhammad Hilman; Mayangsari, Dewi; Widyawati, Melyana Nurul; Sardjono, Tri Arief
Health Notions Vol 2 No 10 (2018): October 2018
Publisher : Humanistic Network for Science and Technology (Address: Cemara street 25, Ds/Kec Sukorejo, Ponorogo, East Java, Indonesia 63453)

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Cervical cancer is the fourth deadly cancer that attack women worldwide. Regardless of age, cancer attack all age range, from children to elderly. Cancer prevalence in Indonesia reaches 1.4 per 1000 population. For cervical canser case, Semarang was one of city in the Province of Central Java which have highest cervical cancer case in 2011. Cases of cervical cancer in Semarang increased from 2,782 in 2010 to 5,155 in 2011. By comparison around the world, Indonesia ranked seventh in the world and the first in Asia. The handling of cancer in Indonesia faces various obstacles that cause nearly 70% of patients found in an advanced stage. Implementation of technology could minimize that condition. In cervical cancer cases, the use of cervical screening program could decrease incidences of cervical cancer. By using cervical screening program, early detection of cervical cancer could be done. Self-test endoscopy is one of the method to detect cervical cancer early. This paper elaborate how self-test endoscopy is used to screen cervical cancer. By using self-test endoscopy, one of seven subject in this experiment detected as cervical cancer subject. Keywords: Cervical cancer screening; Self-test endoscopy
The effectiveness of ginger and mint leaves decoction toward the frequency of emesis gravidarum Rochkmana, Meika Jaya; Widyawati, Melyana Nurul
Jurnal Kesehatan Ibu dan Anak Vol 12 No 2 (2018): November
Publisher : Poltekkes Kemenkes Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (722.353 KB) | DOI: 10.29238/kia.v12i2.144

Abstract

The pregnancy causes physical, psychological and hormonal changes of the mother. This is can cause a variety of trouble or complaints, and one of them is nausea and vomiting. Although, the emesis gravidarum is considered normal for first trimester pregnant if the frequency of nausea is excessive vomiting must be aware. Emesisgravidarum in early pregnancy can be reduced by non-pharmacological approaches including herbs such as ginger, mint, chamomile, acupuncture, and massage. The research method used is Quasy Experiment Design with Time Series Design. The study was carried out at Kesesi I Primary Health Care in Pekalongan Central Java 2018. The sampling using Purposive sampling and obtained as many as 30 respondents. The statistical test used is the Mann Whitney Test. The results of this study showed that administration before and after ginger decoction in pregnant women reduced the frequency of emesis gravidarum with an average difference of 2,333 with p-value 0,000 &lt;α (0,05). In the mint leaf group, the mean difference was 1,200 with p-value 0,000 &lt;α (0,05). This shows that both the ginger stew and mint leaves have an effect on decreasing the frequency of emesis gravidarum in pregnant women. For efficacy results obtained the decoction of ginger with a mean rank of 20.87 compared with the group of mint leaves decoction of 10.13 so it can be concluded that the ginger stew is more effective than mint leaves.
Co-Authors Admini Admini Admini Admini Admini Admini Agustina Catur Setyaningrum Aida Amalia Nur Ramadhian Aini, Fajaria Nur Ainur, Syafrida Amartha, Tecky Afifah Santy Ananti Setya Primawati Anita Widiastuti Annisa Amalia Hanifa Ari Suwondo Ariawan Soejoenoes Asiswari, Asiswari Astri Yulia Sari Lubis Astuti, Cahyaning Puji Ayi Tansah Bahiyatun Bahiyatun Bahiyatun Bahiyatun, Bahiyatun Bedjo Santoso Beniqna Maharani Besmaya Bina Kurniawan Cahyaning Puji Astuti Desiska Pricilia Dewi Mayangsari Dewi Mayangsari Diki Retno Yuliani, Diki Retno Diksi Laksmita Dewi Djamaluddin Ramlan, Djamaluddin Djoko Priyatno Durrotun Munafiah Dyah Lustika Rahayu Elisa Ulfiana Endah Aryati Eko Ningtyas Endah Kumala Dewi Entan Afriannisyah Eny Retna Ambarwati Erni Juniartati Ery Hadiyani Puji Astuti Fauziah, Siska Febrina Fitriyah, Nur Hulfa Ahadian Haryanti I Komang Leo Triandana Arizona Ihsanti Indri Fajriya Imam Djamaludin Mashudi Intanwati Intanwati Isnu Kurnia Nugrahaeni Iswanto, Rery Kurniawati Danu Jannah, Marichatul Kurnianingsih, - Kurniati Devi Purnamasari Kusmini, Kusmini Kusumaningrum, Lutfiana Lailatul Hidayah Leny Latifah Lieni Lestari Lucky Herawati Lucky Herawati Malikhah, Fatatu Mardiyono, Mardiyono Maula, Sheyla Najwatul Maya Latifatul Masruroh Meika Jaya Rochkmana Muhammad Hilman Fatoni Mujahidah, Sa’adah Munafiah, Durrotun Nani Yuningsih, Nani Naomi Christina Hutabarat Nina Indriyawati Nur Syahria Nurapriyanti, Ima Panglukies Ratna Agustie Pujiani, Ira Pujiastuti, Sri Endang Pujiyani, Honesty Putri, Noviyati Rahardjo Retno Kusuma Dewi Reza Indra Wiguna Rili Ronia Nggusual Rohmatun Nazilah Rusmini Rusmini Sa'adah Mujahidah Shinta Wurdiana SST Rhomadona Siti Kistimbar Siti Roudhotul Jannah, Siti Roudhotul Sri Rahayu Sudirman Sudirman Suhartono Suhartono Suhartono, Suhartono Suharyo Hadisaputro Supriyana Supriyana Suryati Kumorowulan sutarmi sutarmi Suwari, Ida Ayu Putu Dewi Adnya Syafrida Ainur Syarief Taufik Syarief Thaufik Syarief Thaufik H Taryatmo, Taryatmo Tasya Nurlaila Dilla Tiara Widiatami Tri Arief Sardjono Tri Endah Widi Lestari Tuti Tuti Uning Sulistiarini Vita Triani Adi Puteri Widodo Widodo Yeyen Wulandari Dhanio Yunita Dyah Fitriani