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PENGARUH PENGETAHUAN, JENIS PERSALINAN DAN TRADISI TERHADAP PEMBERIAN MAKANAN PRELAKTEAL DI WILAYAH KERJA PUSKESMAS JALAN GEDANG KOTA BENGKULU TAHUN 2017 Rialike Burhan; Gita Hardianti; Diah Eka Nugraheni
Jurnal Bahana Kesehatan Masyarakat (Bahana of Journal Public Health) Vol 2 No 1 (2018): Jurnal Bahana Kesehatan Masyarakat (Bahana of Journal Public Health)
Publisher : Poltekkes Kemenkes Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (403.417 KB)

Abstrak Latar Belakang: Angka pemberian ASI Eksklusif di Bengkulu masih dibawah target program dan mengalami penurunan.Pemberian makanan prelakteal merupakan salah satu penyebab terjadinya kegagalan ASI Eksklusif. Tujuan dalampenelitian ini untuk mengetahui pengaruh pengetahuan, jenis persalinan, dan tradisi terhadap pemberian makanan prelaktealdi wilayah kerja Puskesmas Jalan Gedang Kota Bengkulu.Metode: Desain penelitian ini menggunakan survei analitik dengan pendekatan kohort retrospektif. Jumlah populasisebanyak 321 orang dengan sampel 178 orang diambil dengan menggunakan teknik accidental sampling. Metode analisismenggunakan uji statistik chi square dan hasil uji regresi logistik ganda.Hasil: Faktor yang berhubungan dengan pemberian makanan prelakteal meliputi pengetahuan (nilai p = 0,000; RR = 1,462),jenis persalinan (nilai p = 0,038; RR = 1,291), tradisi (nilai p = 0,048; RR = 1,245). Uji regresi logistik ganda menunjukkanbahwa pengetahuan merupakan faktor yang paling dominan terhadap pemberian makanan prelakteal (nilai p = 0,000; RR= 3,701).Kesimpulan: Diharapkan kepada tenaga kesehatan untuk melakukan penyuluhan, pendekatan khusus dan intensif untukmengubah pola pikir ibu dan keluarga untuk tidak memberikan makanan prelakteal, serta memberikan dukungan terhadapibu agar memberikan ASI segera pada bayi ketika baru lahir. Abstrack Background: Exclusive breastfeeding rate in Bengkulu is still below the program target and decreased. Prelacteal feedingis one of the causes of Exclusive Breastfeeding failure. The purpose of this research is to know the influence of knowledge,type of childbirth, and tradition to the provision of prelacteal feeding in the working area of Puskesmas Jalan GedangBengkulu City.Method: The design used in this study were analytic survey with a retrospective cohort approach. A total population of321 people with a sample of 178 people was taken by accidental sampling technique. Followed by chi square and multiplelogistic regression statistic tests.Results: Factors related to prelacteal feeding included knowledge (p = 0,000, RR = 1.462), type of childbirth (p = 0,038,RR = 1.291) and tradition (p = 0.048; RR = 1.245). Multiple logistic regression test results indicated that knowledge wasthe most dominant factor for prelacteal feeding (p = 0,000; RR = 3,701).Conclusions: It is desirable for health workers to conduct counseling, a specific and intensive approach to change themindset of mothers and families not to provide prelacteal feeding, and to provide support to mothers to breastfeedimmediately to newborns.

ASUHAN PADA IBU NIFAS DENGAN ROBEKAN PERINEUM DI PUSKESMAS TELAGA DEWA KOTA BENGKULU NANDA MAHARANI; RIALIKE BURHAN; FIYA DINIARTI
Journal of Nursing and Public Health Vol 11 No 1 (2023)
Publisher : UNIVED Press, Universitas Dehasen Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37676/jnph.v11i1.4118

Pendahuluan: Berdasarkan data WHO, komplikasi pada ibu nifas merupakan penyebab utama kematian pada ibu hampir (75%) yakni berupa perdarahan hebat setelah melahirkan, infeksi, tekanan darah tinggi selama kehamilan, komplikasi dari persalinan, dan aborsi yang tidak aman. Kunjungan nifas bertujuan mecegah komplikasi dengan cara memenuhi kebutuhan ibu selama periode nifas, salah satu kebutuhan ibu nifas adalah senam nifas. Senam nifas bermanfaat mengencangkan otot dinding perut dan perineum, memulihkan kembali kekuatan otot dasar panggul dan mencegah terjadinya komplikasi. Metode: Metode yang adalah metode penelitian deskriptif dan jenis penelitian deskriptif yang digunakan adalah studi penelaahan kasus (case study). Hasil dan Pembahasan: Setelah dilakukan pengkajian selama 10 hari didapatkan keadaan umum baik kesadaran composmentis, Abdomen: hari pertama TFU 2cm dibawah pusat, hari kedua TFU 2cm di bawah pusat, hari ketiga TFU 3cm dibawah pusat, hari keempat TFU pertengahan pusat sympisis, hari kelima TFU 2cm di atas sympisis, hari keenam TFU 1cm diatas sympisis dan hari ketujuh sampai hari ke sepuluh TFU sudah tidak teraba lagi konsistensi keras, kontraksi uterus baik. Kesimpulan: Berdasarkan hasil penelitian didapatkan hasil pengkajian data disimpulkan bahwa dari data subjektif dan objektif bahwa Ny. D mengalami luka jahitan pada perineum terbukti dari hasil pemeriksaan fisik dan pemeriksaan penunjang. Diagnose masalah yang ditegakan pada Ny. D sesuai dengan kasus tersebut. Asuhan yang diberikan pada Ny. D adalah memberikan konseling tentang kebutuhan nutrisi, cairan, dan istirahat cukup, perawatan luka perineum, serta mengajarkan senam nifas. Setelah dilakukan asuhan selama 10 hari, hasil pemeriksaan TFU tidak teraba lagi dan tidak ada tanda infeksi perineum.

Early Initiation of Breastfeeding Can Accelerate Uterine Involution in Postpartum Women Epti Yorita; Juita Dian Anggraini; Sri Yanniarti; Rialike Burhan; Rina Rina
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 5, No 3 (2023): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v5i3.17550

Maternal Mortality Rate (MMR) in Indonesia is still high with the main causes of pre-eclampsia and postpartum hemorrhage, this occurs due to endometritis, congenital coagulation disorders as well as residual conception products, subinvolution of blood vessels at placental implantation. Therefore, efforts are needed to increase uterine contractions in the first minute after birth by stimulating the release of the hormone oxytocin so that the uterus contracts adequately with early initiation of breastfeeding (EIB). This study aims to determine the effect of EIB on uterine involution in postpartum mothers in Bengkulu Regency, Bengkulu Province. Design of research is cross sectional with independent variable of EIB, dependent variable of uterine involution. External variables measured include early mobilization, age and parity. The sample in this study were postpartum mothers on day 7, a total of 54 people selected by purposive sampling. The research site was located in Central Bengkulu Regency, Bengkulu Province. Data were analyzed univariate, bivariate with Mann Whitney and multivariate with ancova. There is an effect of EIB with uterine involution p=0.000. There is no relationship between parity and uterine involution p=0.100. There is a relationship between age and uterine involution p=0.00. There is a relationship between early mobilization and uterine involution p=0.00. EIB is the dominant factor affecting uterine involution in postpartum mothers. EIB is the dominant factor affecting uterine involution. Health care providers should perform EIB within the first hour after the birth of the baby to prevent sub involution in postpartum women. Keywords: Breastfeeding, Early, Initiation, Involution, Uterine

Faktor - Faktor yang bErhubungan dengan Kesediaan Ibu Hamil Mengikuti Vakisn Covid -19 Di Wilayah Puskesmas Perawatan sidodadi dan puskesmas Sekayun Tahun 2022 Dyah Sari Maharany; Diah Eka Nugraheni; Rialike Burhan
JURNAL BESUREK JIDAN Vol 2 No 2 (2023): Jurnal Besurek Jidan Jurusan Kebidanan Poltekkes Kemenkes Bengkulu Volume 2 No 2
Publisher : Poltekkes Kemenkes Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33088/jbj.v2i2.271

Kejadian infeksi Covid -19 pada wanita hamil dapat terjadi pada semua trimester kehamilan baik pada trimester pertama, kedua, maupun ketiga. Penelitian ini bertujuan untuk mengetahui Faktor – Faktor yang mempengaruhi Kesediaan ibu Hamil dalam mengikuti vaksin covid 19. Desain penelitian Cross Sectional,. Populasi dalam penelitian seluruh ibu hamil di wilayah puskesmas perawatan sidodadi dan puskesmas sekayun tahun 2022 yang berjumlah 106 orang.Sampel sebanyak 106 responden.Pengumpulan data menggunakan kuesioner, analisis data secara univariat,bivariatat (chi squere) dan multivariat. Hasil penelitian menunjukkan ada hubungan yang bermakna antara Pendidikan (p=0,000), Pengetahuan (p=0,000), Pelayanan Kesehatan (p=0,005 ) dan Dukungan Keluarga (p=0,000 ). Faktor dominan yang mempengaruhi kesediaan ibu hamil mengikuti vaksin Covid-19 yaitu dukungan keluarga dengan nilai Exp B = 16,061. Diharapkan tenaga Kesehatan dapat merangkul keluarga untuk meyakinkan ibu hamil melakukan Vaksin Covid-19.

THE EFFECT OF GIVING PURPLE SWEET LEAVES ON ADEQUATE BREAST MILK PRODUCTION IN BREASTFEEDING MOTHERS IN PMB, BENGKULU CITY: PENGARUH PEMBERIAN DAUN UBI JALAR UNGU TERHADAP KECUKUPAN PRODUKSI ASI PADA IBU MENYUSUI DI PMB KOTA BENGKULU UchiKarlina; Sri Yanniarti; Rialike Burhan
JURNAL BESUREK JIDAN Vol 2 No 2 (2023): Jurnal Besurek Jidan Jurusan Kebidanan Poltekkes Kemenkes Bengkulu Volume 2 No 2
Publisher : Poltekkes Kemenkes Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33088/jbj.v2i2.274

Air Susu Ibu (ASI) merupakan makanan paling cocok bagi bayi untuk memenuhi kebutuhan gizi dan melindunginya dalam melawan kemungkinan serangan penyakit. Menurut pusat data dan Informasi kementrian kesehatan 2017, pemberian ASI ekslusif di indonesia hanya 35%. Angka tersebut masih jauh dibawah rekomendasi WHO (Badan Kesehatan Dunia) sebesar 50% Rendahnya cakupan ASI eksklusif di Indonesia dipengaruhi oleh beberapa faktor, antara lain ibu merasa air susunya tidak cukup dan tidak keluar pada hari-hari pertama kelahiran bayi Upaya yang dilakukan untuk memperlancar pengeluaran ASI dapat dilakukan dengan cara makan makanan yang bergizi seperti Daun katuk dan daun ubi jalar ungu. Penelitian ini menggunakan metode rancangan penelitian eksperimen semu (quasy eksperiment) dengan rancangan penelitian two grup only post test Populasi dalam penelitian ini adalah semua ibu post partum hari kedua yang menyusui di wilayah kerja Puskesmas Jembatan Kecil Kota Bengkulu. Teknik pengumpulan data dalam penelitian ini dikumpulkan dari data sekunder yang didapatkan melalui catatan yang diperoleh di BPM Wilayah Kerja Puskesmas Jembatan Kecil Kota Bengkulu , sedangkan data primer yang didapatkan dari catatan hasil observasi. Rata-rata produksi ASI setelah pemberian intervensi pada kelompok daun ubi jalar ungu dengan nilai mean 3,82 dan standar deviasi 0,393. Sedangakn pada kelompok daun katuk dengan mean 3,29 dan standar deviasi 0,686. Ada perbedaan konsumsi daun ubi jalar ungu dan daun katuk terhadap kecukupan produksi ASI pada ibu menyusui di wilayah kerja puskesmas jembatan kecil kota Bengkulu.

EFFECTS COMMUNICATION FLASH CARDS ON KNOWLEDGE AND ATTITUDE RELATED TO WOMEN'S CLASSICAL CANCER IN REPRODUCTIVE AGE IN NUSA INDAH PUSKESMAS AREA, BENGKULU CITY IN 2023 Rolita Efriani; Inne Delia A; Eliana Eliana; Epti Yorita; Rialike Burhan
Proceeding B-ICON Vol. 2 No. 1 (2023): Proceeding of The 3rd Bengkulu International Conference on Health (B-ICON 2023)
Publisher : Poltekkes Kemenkes Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33088/bicon.v2i1.146

The coverage of cervical early detection by clinical examination in the working area of ??Bengkulu city medical center in 2019 of the total number of women of childbearing age was 50,240, only 3,833 (7.6%) Perform cervical and breast exams. Similarly, in 2020, out of 62,160 women of reproductive age, only 1,967 (3.2%) were tested, and for the 2021 aggregate, out of 62,160 women of reproductive age, 5,901 (9.5%) is detected early. cancer through IVA and SADANIS (Bengkulu City Health Office, 2021). This study aimed to determine the effectiveness of flashcards on knowledge and attitudes towards cervical cancer among older adults at the Nusa Indah Public Health Center work area, City from Bengkulu in 2023. Study design using Quassy experimental design research methodology. Know the increase in knowledge and attitude achieved through pre- and post-test activities. In this study, the experimental group was divided into 2 (two) groups, one group was advised by flashcards, the other group received leaflets. The research instrument used in this study was a questionnaire. Research results from data analysis show that there is a significant difference between knowledge and attitude scores before and after the intervention, the p value obtained is 0.000 (<0.05). Wilcoxon test results show that there is a difference in mean knowledge and attitude scores before and after the intervention using flashcards and leaflets with a P value of 0.000 (0.05), meaning there is a effective in implementing interventions with flashcards and leafleat.

THE EFFECTIVENESS OF GUAVA LEAVES IN THE LONG TIME HEALING OF PERINEAL WOUNDS OF POSTPARTUM MOTHERS AT MIDWIFES INDEPENDENT PRACTICE IN BENGKULU CITY Sri Yanniarti; Rosmala Aprelia; Epti Yorita; Rialike Burhan
Proceeding B-ICON Vol. 2 No. 1 (2023): Proceeding of The 3rd Bengkulu International Conference on Health (B-ICON 2023)
Publisher : Poltekkes Kemenkes Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33088/bicon.v2i1.169

Based on data from the World Health Organization, the direct causes of death in other countries are the same, namely bleeding (28%), eclampsia (24%) and postpartum infection (1%). There are infections with a proportion (20-30%) of cases of infection caused by infection of the birth canal or perineal rupture. Cases of laceration or rupture of the perineum in maternity women worldwide occur in 2.7 million people. Based on the results of a survey conducted at one of the Independent Practices of Midwives in Bengkulu City, data on the number of mothers giving birth from January-July 2021 was 58 people and the incidence of perineal injuries with episiotomy was 38 mothers (65%). The average perineal wound healing time is 7-10 days. The design used in this study was a quasi-experimental. The sampling technique in this study was accidental sampling. The total number of samples was 15 respondents in the guava leaf group and 15 respondents in the comparison group. Statistical analysis used is the Mann Whitney test. The results of this study were the average length of perineal wound healing with guava leaves was 5.47 days, while for binahong leaves it was 5.63 days. There is an effect of guava leaves on the duration of perineal wound healing with a p value of 0.003 which means that guava leaves are effective on the duration of perineal wound healing in postpartum mothers. The most dominant influence of other variables on perineal wound healing is nutritional intake.

Factors Affecting Exclusive Breastfeeding in the Working Area of the Sawah Lebar Health Center, Bengkulu City Welly Ayunda Dwi Pratiwi; Epti Yorita,; Desi Widiyanti; Rina Rina; Rialike Burhan
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 6, No 1 (2024): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v6i1.19229

Breast milk is the best food for babies because it can build antibodies from an early age. Exclusively breastfeeding babies with additional food from birth to 6 months of age can prevent infectious diseases such as otiris media, diarrhea and acute respiratory infections. In Indonesia, the achievement of exclusive breastfeeding is still low due to various factors related to socio-demographics. Low access to relevant information about exclusive breastfeeding is also the cause of mothers' low knowledge about the benefits of exclusively breastfeeding their babies. Apart from that, adequate support from family and health workers also influences exclusive breastfeeding. This research aims to determine the relationship between socio-economics, family support and support from health workers on exclusive breastfeeding for babies 0-6 months in the Sawah Lebar Community Health Center area, Bengkulu City. Cross sectional research design with a sample of 98 babies aged 6-12 months selected using proportional random sampling technique. Data were analyzed univariately using a frequency distribution table, bivariately using chi square and multi variately using logistic regression. The results of the study found that there was a relationship between economic status and exclusive breastfeeding, p=0.00, there was a relationship between family support and exclusive breastfeeding, p=0.00, and there was a relationship between support from health workers and exclusive breastfeeding, p=0.00. Multivariate test results found that economic status was the most dominant factor influencing exclusive breastfeeding with a value of p=0.00. It is recommended for health workers to provide exclusive breastfeeding education in structured groups, the intervention given must take into account working mothers from middle to upper economic groups and involve family members.Keywords: Exclusive breastfeeding, economy, family, officers

Improvement of Breastfeeding Efficacy Through Small Group Education of Cadres with Pregnant Women Epti Yorita; Sri Yanniarti; Yulinda Yulinda; Rina Rina; Rialike Burhan
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 5, No 4 (2023): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v5i4.18015

WHO recommends that every infant should be exclusively breastfed, but until now the coverage of exclusive breastfeeding is still low due to factors such as knowledge, breastfeeding efficacy, family support, lactation problems, and barriers in the health care system. This study aims to determine the effectiveness of Small group education of cadres with pregnant women on breastfeeding efficacy among third trimester pregnant women on Enggano Island. The research design was a quasi-experimental pre-test and post-test with a control group. The treathird trimesterent group was pregnant women who received Small group education of cadres with pregnant women while the control group was pregnant women who received conventional education. The study was conducted at Enggano Health Centre from January to November 2023 with a sample of 50 pregnant women in the third trimester of pregnancy from 25-36 weeks of age, selected by purposive sampling. The research instruments were modules and leaflets on exclusive breastfeeding, developed through a needs assessment, while breastfeeding efficacy was measured using the Breastfeeding Self-efficacy Scale-Short Form (BSES-SF). Data were analysed univariate, bivariate with wilcoxon and multivariate with spearman rank test. The results showed that there was an effect of Small group education of cadres with pregnant women class education on breastfeeding effectiveness with p=0.00 mean difference of 19.56. There was an effect of conventional class education on breastfeeding effectiveness in the control group with p=0.46 mean difference of 1.12. The class was more effective in improving breastfeeding practices among pregnant women with p=0.00 mean difference of 47.26. Class and education level were the most dominant factors in improving breastfeeding efficiency among pregnant women. The conclusion of this study is that the small group education of cadre with pregnant women is effective in improving breastfeeding efficacy in pregnant women in the third trimester. Keywords: Breastfeeding, Education, Efficacy, Small Group

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