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DESCRIPTION OF COVID-19 MANAGEMENT FOR PREGNANT MOTHERS IN PAGENTAN PUBLIC HEALTH CENTER 2 BANJARNEGARA REGENCY Lia Aria Ratmawati; Ratih Subekti
Siklus : Journal Research Midwifery Politeknik Tegal Vol 10, No 2 (2021)
Publisher : Pusat Penelitian dan Pengabdian Masyarakat Politeknik Harapan Bersama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30591/siklus.v10i2.2511

During pandemic COVID-19, pregnant women were included in the susceptible group. Although, there has been no evidence of reports of vertical transmission from mother to fetus. COVID-19 prevention and control guidelines have been prepared and referred to WHO guidelines and government laws and regulations. This study aimed to describe COVID-19 management for pregnant women at the Pagentan Public Health Center 2, Banjarnegara Regency. This research used a descriptive method with a cross-sectional approach—the data used were secondary data from the medical report on the COVID-19 screening of pregnant women. Data analysis used univariate analysis. The number of samples was 36 respondents. The results showed that the swab test conducted on 36 respondents resulted in 5 respondents (13.9%) were positive, and 31 respondents (86.1%) were negative. Management of pregnant women with covid-19 was self-isolation at home, education on strengthening health protocols, and increasing endurance. A follow-up swab test was carried out again after the 14th day, and all respondents' results are negative. Keywords: Management, Pregnant Women, Covid-19

GAMBARAN PROFIL KESEHATAN IBU HAMIL YANG MENGIKUTI PROGRAM OSOC PRODI KEBIDANAN POLITEKNIK BANJARNEGARA Lia Aria Ratmawati; Ratih Subekti; Isnaeni Rofiqoch; Diah Atmarina Yuliani
Jurnal Ilmiah Medsains Vol 5 No 1 (2019): Edisi Desember
Publisher : Unit Penelitian dan Pengabdian Masyarakat, Politeknik Banjarnegara

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Angka Kematian Ibu (AKI) dan angka Kematian Bayi (AKB) merupakan salah satu indikator untuk melihat derajat kesehatan ibu dan bayi. Jumlah kasus kematian ibu di Provinsi Jawa Tengah pada tahun 2018 sebanyak 421 kasus, mengalami penurunan dibandingkan jumlah kasus kematian ibu tahun 2017 yang sebanyak 475 kasus. Dengan demikian Angka kematian ibu Provinsi Jawa Tengah juga mengalami penurunan 88,05 per 100.000 kelahiran hidup pada tahun 2017 menjadi 78,60 per 100.000 kelahiran hidup pada tahun 2018 (Dinas Kesehatan Provinsi Jawa Tengah, 2018).Tujuan penelitian adalah menggambarkan kesehatan ibu hamil yang mengikuti program OSOC Prodi kebidanan tahun 2019. Metode penelitian deskriptif dengan pendekatan Cross Sectional. Sampel dalam penelitian ini adalah ibu hamil yang mengikuti program OSOC Prodi Kebidanan tahun 2019 yang berjumlah 48 responden yang dipilih menggunakan teknik total sampling. Hasil penelitian sebagai berikut kondisi kehamilan dalam kategori normal sejumlah 36 (75%) responden; ibu bersalin dalam kondisi normal sejumlah 40 (83.33%) responden; ibu melahirkan bayi dalam kondisi normal sejumlah 46 (95.83%) responden; ibu nifas dalam kondisi normal sejumlah 48 (100%) responden dan ibu memilih KB jenis MKJP sejumlah 41 (85.42%) responden. Saran agar pendampingan mahasiswa dengan metodeContinuity Of Care dapat dijadikan sebagai model pembelajaran klinik di Institusi Pendidikan Kebidanan dalam upaya meningkatkan keterampilan mahasiswa bidan dalam memberikan asuhan kebidanan.

PENGARUH KOMBINASI TEKNIK MARMET DAN BREASTCARE UNTUK MEMPERLANCAR PENGELUARAN ASI IBU POSTPARTUM NORMAL Ratih Subekti; Dwi Atin Faidah
Jurnal Ilmiah Medsains Vol 5 No 1 (2019): Edisi Desember
Publisher : Unit Penelitian dan Pengabdian Masyarakat, Politeknik Banjarnegara

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Produksi ASI dapat meningkat atau menurun tergantung pada stimulasi kelenjar payudara terutama pada minggu pertama laktasi. Metode yang dapat dilakukan untuk memperlancar pengeluaranASI adalah breast care untuk melancarkan sirkulasi darah dan mencegah tersumbatnya saluranproduksi ASI sehingga memperlancar pengeluaran ASI dan teknik marmet. Teknik Marmet merupakan perpaduan teknik memerah dan memijat. Tujuan penelitian ini untuk mengetahui adakah perbedaan kelancaran pengeluaran ASI padaibu postpartum normal kelompok intervensi dengan kelompok kontrol. Instrumen penelitianmenggunakan lembar observasi yang dibuat sendiri oleh peneliti berisi karakteristik responden danindikator kelancaran pengeluaran ASI. Jenis penelitian yang digunakan Quasy Exsperimental dengan rancangan post test only designwith control group. Pengambilan sampel menggunakan consecutive sampling, besar sampel 60 ibupostpartum normal dibagi menjadi 2 kelompok yaitu 30 pada kelompok intervensi dan 30 padakelompok kontrol. Analisa data statistik menggunakan uji Mann-Whitney. Hasil uji Mann-Whitneymenunjukkan bahwa nilai p<0,05 yaitu (0,001<0,05) sehingga dapat diambil kesimpulan bahwa adaperbedaan antara kelompok intervensi dengan kombinasi teknik marmet dan breastcare dengankelompok kontrol terhadap kelancaran pengeluaran ASI pada ibu postpartum normal di PuskesmasPONED Kabupaten Banjarnegara.

STUDI DESKRIPTIF PENGETAHUAN IBU POSTPARTUM NORMAL MENGENAI MANAJEMEN LAKTASI DI PUSKESMAS PONED KABUPATEN BANJARNEGARA Ratih Subekti; Reni Sumanti
Jurnal Ilmiah Medsains Vol 6 No 1 (2020): Edisi Juni
Publisher : Unit Penelitian dan Pengabdian Masyarakat, Politeknik Banjarnegara

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Lactation is the whole process of breastfeeding from breast milk produced to the process of babies sucking and swallowing breast milk. The success of the breastfeeding process can be achieved by applying good lactation management. Lactation management starts from pregnancy (antenatal), immediately after giving birth (natal) and breastfeeding (post-natal). The purpose of this study was to determine the description of the knowledge of normal postpartum mothers regarding lactation management at the PONED Community Health Center in Banjarnegara District. This type of research is quantitative research with a descriptive approach. Sampling using consecutive sampling, the sample size is 60 normal postpartum mothers. Analysis of the data used is univariate analysis. In this analysis only produces a frequency distribution. The research instrument used a questionnaire sheet containing the characteristics of respondents and regarding lactation management which consisted of six indicators namely knowledge about breastfeeding, breast care, IMD, correct breastfeeding techniques, breastfeeding on demand and breast milk. The results of this study show a picture of normal postpartum maternal knowledge about lactation management with good knowledge of 20 people (33.3%), enough that is 34 people (56.7%) and less than 6 people (10.0%). Kata kunci : Pengetahuan, Ibu Postpartum Normal, Manajemen Laktasi. ABSTRAK Laktasi adalah keseluruhan proses menyusui mulai dari ASI diproduksi sampai dengan proses bayi menghisap dan menelan ASI. Keberhasilan proses menyusui dapat dicapai dengan cara menerapkan manajemen laktasi yang baik. Manajemen laktasi dimulai dari sejak hamil (antenatal), segera setelah melahirkan (natal) dan masa menyusui (post natal). Tujuan penelitian ini untuk mengetahui gambaran pengetahuan ibu postpartum normal mengenai manajemen laktasi di Puskesmas PONED Kabupaten Banjarnegara. Jenis penelitian yang digunakan adalah penelitian kuantitatif dengan pendekatan deskriptif. Pengambilan sampel menggunakan consecutive sampling, besar sampel yaitu 60 ibu postpartum normal. Analisis data yang digunakan adalah analisis univariat. Dalam analisis ini hanya menghasilkan distribusi frekuensi. Instrumen penelitian menggunakan lembar kuesioner berisi karakteristik responden dan mengenai manajemen laktasi yang terdiri dari enam indikator yaitu pengetahuan tentang menyusui, perawatan payudara, IMD, teknik menyusui yang benar, Pemberian ASI secara on demand dan ASI perah. Hasil penelitian ini menunjukkan gambaran pengetahuan ibu postpartum normal mengenai manajemen laktasi dengan pengetahuan baik sebanyak 20 orang (33.3%), cukup yaitu 34 orang (56.7%) dan kurang 6 orang (10.0%).

GAMBARAN PERILAKU TERHADAP ROKOK PADA WARGA DI KELURAHAN SOKANANDI KABUPATEN BANJARNEGARA admjurnalsiji polibara; Barni; Ratih Subekti
Jurnal Ilmiah Medsains Vol 6 No 2 (2020): Edisi Desember
Publisher : Unit Penelitian dan Pengabdian Masyarakat, Politeknik Banjarnegara

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Smoking is a dangerous form of bad behavior for health. Consumption Cigarettes can cause various diseases such as lung cancer, heart disease, narrowing of blood vessels and others. Amount smoker in Indonesia is increasing from year to year. The purpose of this study is to describe behavior to cigarettes on residents in Sokanandi Village, Banjarnegara Regency. This research is a descriptive research with cross sectional method. The research was carried out in Sokanandi Village, Banjarnegara Regency. Data collection was done with observation and interview techniques. Analysis of the data used is univariate analysis. Amount a sample of 30 respondents. The results obtained showed that some of the respondents did not smoke 86.7%, behaved avoiding cigarette smoke 63.3%, behaved reprimanding when disturbed by cigarette smoke, 73.3%, behaved reminding their families not to smoke 66.6%. Various the form of behavior towards smoking shows that more than half of the informants have implemented good behavior. Therefore, it is hoped that health agencies will continue to strengthen the campaign no smoking so that public awareness to avoid the dangers of smoking increases. Keywords : Behavior, Smoker, Cigarettes

ANALISIS FAKTOR RISIKO KEJADIAN RUPTUR PERINEUM DI PUSKESMAS MADUKARA 2 KABUPATEN BANJARNEGARA Ratih Subekti
Jurnal Ilmiah Medsains Vol 7 No 2 (2021): Edisi Desember
Publisher : Unit Penelitian dan Pengabdian Masyarakat, Politeknik Banjarnegara

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Perineal rupture is an injury to the birth canal that occurs at the time of the birth of the baby either using a tool or not using a tool. Perineal rupture is caused by parity, birth spacing, baby weight, improper delivery leadership, cunam extraction, vacuum extraction, instrument trauma and episiotomy. The incidence of perineal rupture based on parity was most common in primiparas, which was 62% and based on infant weight the most at weight > 3500 grams, which was 46%.The purpose of this study was to determine whether there was a relationship between parity and infant birth weight with the incidence of perineal rupture at the Madukara 2 Public Health Center, Banjarnegara Regency.The type of research used is an analytic survey with a cross sectional approach. The sampling technique was using consecutive sampling method, the sample size was 36 women giving birth.Most of the respondents were in the “multipara parity” group, which amounted to 24 respondents (66.7%). Most respondents were in the group "Baby Birth Weight < 3500 grams" which amounted to 23 respondents (63.9%). From the results of the Chi-Square test at the 95% (0.05) confidence level, it shows that value = 0.001, so that the value (p = 0.001) < (0.05). Thus, it can be said that there is a significant relationship between parity and the incidence of perineal rupture in pregnant women. From the results of the Chi-Square test at the 95% (0.05) level of confidence, it shows that value = 0.000, so that the value (p = 0.000) < (0.05). Thus, it can be said that there is a significant relationship between the baby's birth weight and the incidence of perineal rupture in women giving birth.There is a significant relationship between parity and birth weight of infants with the incidence of perineal rupture. Mothers are expected to be able to perform ANC regularly so that the estimated fetal weight can be monitored through TBJ measurements and related information about preparation for labor such as how to push correctly and the position in pushing.

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