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Relationship Maternal Characteristics (Parity And Age) With The Length of Time For Labor During The First And Second Stages of Labor at RSUD dr. R. Koesma Tuban Dwi Kurnia Purnama Sari; Miftahul Munir; Tiara Putri Ryandini
Jurnal MIDPRO Vol 13, No 1 (2021): JURNAL MIDPRO
Publisher : Universitas Islam Lamongan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30736/md.v13i1.268

One of the important social indicators to measure the success of maternal mortality eradication programs and to see the status of maternal health is the Maternal Mortality Rate (MMR). The results of the initial survey in 2019 were 184 who experienced periods I and II, while in 2020 there were 222 people. The purpose of this study was to determine the relationship maternal characteristics (parity and age) with the length of time for labor during the first and second stages of labor at RSUD dr. R. Koesma Tuban. The research design used an analytical method with a cross-sectional research design. The population used was all mothers who gave birth in the maternity room at RSUD dr. R. Koesma Tuban in 2021 many 842 respondents, obtained a sample size of many 271 respondents. The sampling technique uses simple random sampling. Data collection uses secondary data, namely the independent and dependent variables. While the test used is chi-square with a significant level α = 0.05. The results showed that almost all of the results of the study showed that the length of time of delivery for the first and second stages of the primiparous tended to give birth accordingly, whereas in multiparous and grade multi the delivery was appropriate. Based on the chi-square test, it was found that x2 count = 5.705 ˃ x2 table = 3.841, then H0 was rejected H1 accepted This means that there is a relationship between maternal characteristics (parity and age) and the length of time for labor during the first and second stages of labor at RSUD dr. Koesma Tuban. From the research, it can be concluded that the characteristics of the mother (parity and age) can affect the length of time of stages I and II. One of the preventive efforts that can be done is to provide counseling about the ideal age for marriage, especially for women, regular antenatal examinations, counseling on family planning programs that can be used for married women under 20 years old and women over 35 years old.

PENGARUH TERAPI SENTUH PADA KENAIKAN SUHU TUBUH BAYI PREMATUR DI RUMAH SAKIT MUHAMMADIYAH TUBAN dwi kurnia purnamasari; Tri Yunita fitria Damayanti
Jurnal Kesmas (Kesehatan Masyarakat) Khatulistiwa Vol 7, No 1 (2020): Jurnal Kesmas (Kesehatan Masyarakat) Khatulistiwa
Publisher : Universitas Muhammadiyah Pontianak

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29406/jkmk.v7i1.1974

Bayi berat lahir rendah dan prematur rentan mengalami berbagai komplikasi karena belum mempunyai kemampuan untuk beradaptasi dengan suhu lingkungan di sekitarnya, akibat ketidakmampuan mempertahankan suhu tubuh. setiap penurunan 1oC suhu aksila meningkatkan risiko kematian 75% (WHO, 2007). Angka kematian neonatal di indonesia sebesar 47% dari angka kematian bayi dan 3,5 % dari kematian neonatal yang disebabkan hipotermi (Diosko, 2013). bayi prematur yang dirawat di ruang bayi RS. Muhammadiyah Tuban pada bulan Januari sampai dengan maret 2019 sebanyak 10 bayi mengalami hipotermi pada awal kelahiran kurang dari 12 jam dan tidak bisa mempertahankan suhu tubuh normal. Desain penelitian ini menggunakan Pre Experimental Designs dengan “Static-group comparasion Design”. Teknik sampling menggunakan “systematic random Sampling”. Jumlah responden 10 bayi yang terbagi menjadi 2 kelompok yaitu kelompok kontrol dan kelompok perlakuan. Pengumpulan data menggunakan observasi dengan menggunakan alat ukur suhu berupa termometer raksa. Data dianalisis menggunakan uji t test dengan sampel tidak berpasangan. Hasil dari penelitian didapatkan p value 0,000 ( α < 0,05) nilai ini menunjukkan pengaruh yang signifikan terapi sentuh terhadap suhu tubuh bayi prematur. Kesimpulan dari penelitian ini adalah ada pengaruh terapi sentuh terhadap suhu tubuh bayi prematur di Ruang Multazam (Bayi) Rumah Sakit Muhammadiyah Tuban. Sehingga diharapkan terapi sentuh dapat diterapkan dalam asuhan keperawatan pada bayi prematur.

The Effect Of Oxytosin Massage Through The Back On The Production Of Breast Milk In Post Partum Mother In The Mother Of Permata Bunda Subdistrict Babat dwi kurnia purnama sari
Jurnal Penelitian Vol 1, No 1 (2019): JURNAL PENELITIAN
Publisher : Institut Ilmu Kesehatan Nahdlatul Ulama Tuban

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47710/jp.v1i1.23

Every minute of one baby indonesia died because they did not to obtain breast milk (BM) in the first hour of birth, problems in the provision of breastfeeding can because production breastfeeding not out.One way to overcome the incomplete milk production is by doing a massage of oxytocin through the back. This message can relax the mother’s so that stimulate oxcytocin reflex and milk production also smoothly. The purpose of this research to know the influence of massage oxytocin through the back to production breastfeeding on the post partum. This research using design Quasy experimental that involves 30 respondents taken with systematic random sampling. Respondents divided into 2 groups, namely the control group were 15 respondents and group experimental were 15 respondents.Data collection use observation checklist.Data analyzed using chi-square test with a significant degree α ≤ 0.05. The results of statistical tests chi square obtained p value = 0,028 (α< 0,05)thus H1 accepted that mean there are influence massage oxytocin through the back to production breastfeeding on the post partum. The research at the clinic Permata BundaSubdistrict Babat that is the massage oxytocin through the back to production breastfeeding. Because massage oxytocin through the back can stimulate reflexes oxytocin hormone. Expected for health workers can provide health education about massage oxytocin through the back to the community so later expected all the community be able to apply massage oxytocin through the back to overcome it swift sailboat production breastfeeding.

ENDORPHIN MASSAGE EFFECT ON BACK PAIN IN THIRD TRIMESTER PREGNANT WOMEN Miftahul Munir; Aris Puji Utami; Dwi Kurnia Purnama Sari; Ina Sholikhatin
Indonesian Midwifery and Health Sciences Journal Vol. 6 No. 2 (2022): Indonesian Midwifery and Health Sciences Journal, April 2022
Publisher : UNIVERSITAS AIRLANGGA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/imhsj.v6i2.2022.163-171

Background : Back pain during pregnancy was experienced by many women at certain times during their pregnancy, usually in the third trimester of pregnancy. Efforts to reduce pain can use pharmacological and non-pharmacological methods, by providing anti-pain drugs carried out by health workers and non-pharmacological methods can be done by health workers or families, one of which is endorphin massage therapy. The purpose of this study was to determine the effect of Endorphin Massage on back pain in third trimester pregnant women. Methods : This study used Pretest-Posttest Control Group design. Samples were taken from the population that met the inclusion criteria at PMB Faufatul Zuhriyah from June to August 2021 as many as 30 respondents with purposive sampling. The independent variable was Endorphin massage, while the dependent variable was back pain in third trimester pregnant women. Instrument using Endorphin massage technique checklist and questionnaire, visual analog scale (VAS). Results : the effect of endorphin massage on back pain in third trimester pregnant women with the Mann-Whitney test obtained a Z-count of -4.237 with a p-value of 0.000 (p-value <0.05). Conclusion : there was an effect of endorphin massage on back pain in third trimester pregnant women at PMB Faufatul Zuhriyah, Glodog Village, Palang District, Tuban Regency in 2021. It was expected that midwives can apply endorphin massage techniques to reduce back pain in third trimester pregnant women and can also be applied to pregnant women for relaxation. Keyword : Endorphin Massage, Back Pain, Third Trimester

THE CORRELATION OF MOTIVATION AND EDUCATION WITH PREGNANT WOMEN CLASS PARTICIPATION Dwi Kurnia Purnama Sari Sari; Aris Puji Utami Utami
International Journal of Midwifery Research Vol. 1 No. 1 (2021): International Journal of Midwifery Research
Publisher : Department of Midwifery, Faculty of Nursing and Midwifery, Institut Ilmu Kesehatan Nahdlatul Ulama Tuban

Pregnant Women Class is a study group for pregnant women with a gestational age of 4 weeks to 36 weeks (before delivery) with a maximum number of 10 participants. The research was an analytic with a cross-sectional approach. The time this research began was in September 2020 at the Puskesmas Klotok, Tuban. The population in this study were all pregnant women, who visited the Puskesmas Klotok Tuban in 2020. The sampling technique used in this study was total sampling. Secondary data from the attendance list and primary data by giving questionnaires to respondents. The independent variables in this study were motivation and education with each nominal scale and the dependent variable in this study was pregnancy class with an ordinal data scale. Data analysis in this study used Contingency Coefficient with the help of SPSS. Significant limitation if p-value < 0.05. The analysis using the Contingency Coefeccient statistical test obtained p-value = 0,017, because the p-value < 0.05 which indicates there is no correlation between gestational age and the incidence of anemia in pregnant women. The analysis using the Contingency Coefficient statistical test obtained p-value = 0,000 because the p-value <0.05 which indicates there is a correlation between motivation and participation of pregnant women attending classes for pregnant women class. Health workers are expected to increase their duties and responsibilities by providing health services as much as possible as a driving factor and strengthening the formation of positive motivation in the community

THE CORRELATION BETWEEN KNOWLEDGE AND ATTITUDE WITH COMPLIANCE OF FE TABLET CONSUMPTION IN ANEMIA OF THE THIRD TRIMESTER PREGNANT WOMEN Dwi Kurnia Purnama Sari; Masrufah
International Journal of Midwifery Research Vol. 1 No. 2 (2021): International Journal of Midwifery Research
Publisher : Department of Midwifery, Faculty of Nursing and Midwifery, Institut Ilmu Kesehatan Nahdlatul Ulama Tuban

Anemia in pregnancy increases the risk of miscarriage, premature birth, low birth weight, bleeding after delivery. Anemia can be prevented by consuming a balanced nutritious diet and giving 90 tablets of Fe during pregnancy. The purpose of this study was to determine whether there was a correlation between knowledge and attitude with adherence to Fe tablet consumption in pregnant women with anemia in the third trimester in the working area of Merakurak Health Center. The research design used an observational analytic design with a cross-sectional approach. The sampling technique was simple random sampling. The population was 21 pregnant women with Third Trimester anemia in the working area of the Merakurak Health Center and a sample of 20 people. The contingency coefficient test using SPSS 21 obtained a value of 0.036 (p<0.05) meaning there was a correlation between knowledge and compliance and the contingency coefficient test is 0.264 (p>0.05) meaning there was no correlation between attitude and compliance. So it was suggested for more intensive socialization and supervision by families with a control card for Fe tablet consumption in pregnant women with anemia in the third trimester.

The Effect Of Oxytosin Massage Through The Back On The Production Of Breast Milk In Post Partum Mother In The Mother Of Permata Bunda Subdistrict Babat dwi kurnia purnama sari
Jurnal Penelitian Sekolah Tinggi Ilmu Kesehatan Nahdlatul Ulama Tuban Vol. 1 No. 1 (2019): JURNAL PENELITIAN
Publisher : Institut Ilmu Kesehatan Nahdlatul Ulama Tuban

Every minute of one baby indonesia died because they did not to obtain breast milk (BM) in the first hour of birth, problems in the provision of breastfeeding can because production breastfeeding not out.One way to overcome the incomplete milk production is by doing a massage of oxytocin through the back. This message can relax the mother’s so that stimulate oxcytocin reflex and milk production also smoothly. The purpose of this research to know the influence of massage oxytocin through the back to production breastfeeding on the post partum. This research using design Quasy experimental that involves 30 respondents taken with systematic random sampling. Respondents divided into 2 groups, namely the control group were 15 respondents and group experimental were 15 respondents.Data collection use observation checklist.Data analyzed using chi-square test with a significant degree α ≤ 0.05. The results of statistical tests chi square obtained p value = 0,028 (α< 0,05)thus H1 accepted that mean there are influence massage oxytocin through the back to production breastfeeding on the post partum. The research at the clinic Permata BundaSubdistrict Babat that is the massage oxytocin through the back to production breastfeeding. Because massage oxytocin through the back can stimulate reflexes oxytocin hormone. Expected for health workers can provide health education about massage oxytocin through the back to the community so later expected all the community be able to apply massage oxytocin through the back to overcome it swift sailboat production breastfeeding.

PELATIHAN TENTANG MANAJEMEN BANGSAL DI RS NU TUBAN sugiyono; Dwi Kurnia Purnama Sari
ABDIMASNU: Jurnal Pengabdian kepada Masyarakat Vol. 2 No. 3 (2022): ABDIMASNU
Publisher : Institut Ilmu Kesehatan Nahdlatul Ulama Tuban

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (470.555 KB)

Peran utama seorang Kepala Ruang Rawat adalah mengelola seluruh sumber daya di unit perawatan untuk menghasilkan pelayanan yang bermutu. Kepala Ruang Rawat merupakan jabatan yang cukup penting dan strategis, karena secara manajerial kemampuan kepala ruang rawat menentukan keberhasilan pelayanan keperawatan. Tujuan kegiatan ini adalah perawat mampu melakukan pengolahan bangsal terutama untuk kepala ruang termasuk fasilitas pelayanan kesehatan untuk mendapatkan pengarahan yang lebih lanjut. Metode pelaksanaan yang dilakukan dalam kegiatan pengabdian masyarakat ini adalah dengan melakukan pelatihan manajemen bangsal. Dengan kata lain, kegiatan ini memberikan pengetahuan tentang upaya pengelolaan bangsal di RSNU Tuban. Setelah dilakukan pelatihan manajemen bangsal pendidikan dan implementasi peserta pelatihan mampu mengelola bangsalnya dengan baik sesuai dengan standart akreditasi rumah sakit nasional. Perlunya peningkatan pengetahuan manajerial tentang pengelolaan bangsal maka diharapkan badan diklat RS untuk memfasilitasi pelatihan-pelatihan gunameningkatkan mutu pelayanan rumah sakit.

Hubungan Jenis Pekerjaan dengan Pemilihan KB Metode Kontrasepsi Jangka Panjang Tri Yunita Fitria Damayanti; Dwi Kurnia Purnama Sari; Umu Qonitun
Jurnal Ilmiah Kesehatan Vol. 14 No. 1 (2021): Jurnal Ilmiah Kesehatan
Publisher : Universitas Muhammadiyah Pekajangan Pekalongan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.48144/jiks.v14i1.540

Abstrak. Capaian Akseptor Metode Kontrasepsi Jangka Panjang (MKJP) sangat rendah dibandingkan dengan KB Non-MKJP. Penelitian ini membahas analisa hubungan jenis pekerjaan ibu dengan pemilihan KB metode kontrasepsi jangka panjang yang dipilih. Pendekatan cross sectional digunakan dalam penelitian ini. Populasi dan sampel dalam penelitian ini adalah Seluruh Akseptor yang menggunakan KB jangka panjang Di Dusun Kenthu, Desa Tahulu Kecamatan Merakurak, Kabupaten Tuban Bulan Juli-Agustus 2020. Variabel independen dalam penelitian ini adalah jenis pekerjaan ibu, sedangkan jenis kontrasepsi jangka panjang merupakan variabel dependen. Analisa data dengan menggunakan korelasi Spearman. Berdasarkan analisa hasil penelitian menunjukkan bahwa jenis pekerjaan tidak berhubungan dengan pemilihan KB Metode kontrasepsi jangka panjang. Jenis pekerjaan dapat dipastikan tidak berhubungan dengan pemilihan metode KB, maka untuk meningkatkan capaian program KB MKJP, pemerintah dapat melakukan penyuluhan tentang efek samping, indikasi, kontraindikasi, cara kerja semua alat kontrasepsi, dan komplikasi MKJP. Kata kunci : MKJP, Keluarga berencana, Jenis Pekerjaan The Corellation between Type of Work and Selection of Long Acting Contraception Method In Kenthu Hamlet, Tahul Village, Merakurak District, Tuban Regency in 2020 Abstract. The accomplishment of acceptors of long-term contraceptive methods is very low compared to long-term non-contraceptive methods. This study discusses the analysis of the relationship between the type of mother's occupation and the choice of long-term contraceptive method. A cross-sectional approach was used in this study. The population and sample in this study were all acceptors using long-term family planning in Kenthu Hamlet, Tulu Village, Merakurak District, Tuban Regency in July-August 2020. The independent variable in this study was the type of maternal occupation, while the type of long-term contraception was the dependent variable. Data analysis using the Spearman correlation. Based on the analysis of the research results, it shows that the type of work is not related to the choice of family planning methods of long-term contraception. The type of work can be ascertained that it is not related to the choice of family planning methods, so to improve the achievements of the long-term contraceptive method, the government can provide counseling about side effects, indications, contraindications, how all contraceptives work, and complications of the long-term contraceptive method. Keywords: long-term contraceptive, family planning, type of work

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