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Factor of Interesting in Breastfeed Mother With Milk Formula In District of Buleleng, Bali Ni Made Karlina Sumiari Tangkas; Putu Dian Prima Kusuma Dewi; Indrie Lutfiana; Desak Ketut Sugiartini; Luh Mariyoni; Luh Putu Sri Artadi
Journal of Midwifery Vol 4, No 1 (2019): Published on June 2019
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (492.568 KB) | DOI: 10.25077/jom.4.1.51-57.2019

Abstract

Providing formula milk is still the biggest obstacle in the success of exclusive breastfeeding. Bali Province reported as a province in Indonesia with the highest use of formula milk. This study aims to look at the percentage and factors of interest of breastfeeding mothers on formula milk. The method used is a mixed-method with questionnaire sheets and interviews. The results show the proportion of formula milk interest is 25.48%. Factors that increase interest in formula milk are higher education 3.03 times (CI 1.18-7.81: p0.02), duration of work more than 6 hours 12.22 times (CI 5.95-25.09: p 0.01), and not giving Exclusive Breastfeeding 5.85 times (CI 2.94-11.65; p 0.01). While the absence of promotion of formula reduces interest by up to 77% (OR 0.23 CI 0.13-0.42; p 0.01). The reason for the interest in formula milk is that mothers must work so that there is no time for breastfeeding, inadequate breastfeeding, and time off It is enough. Better guidance on how to store breast milk should be prioritized for working mothers not only an understanding of the benefits of breastfeeding. Health workers should review government regulation No. 33 of 2012 regarding exclusive breastfeeding to support breastfeeding and limit the use of formula milk.
SKRINING KEHAMILAN SEBAGAI UPAYA PENINGKATAN KESEHATAN IBU HAMIL DI DESA YEH SUMBUL KECAMATAN MENDOYO KABUPATEN JEMBRANA: SKRINING KEHAMILAN SEBAGAI UPAYA PENINGKATAN KESEHATAN IBU HAMIL DI DESA YEH SUMBUL KECAMATAN MENDOYO KABUPATEN JEMBRANA ni made ayu wulandari; Indrie Lutfiana; Ni Made Karlina Sumiari Tangkas
MIDWINERSLION : Jurnal Kesehatan STIKes Buleleng Vol. 7 No. 1 (2022): MIDWINERLION Jurnal Kesehatan STIKes Buleleng
Publisher : STIKes Buleleng

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52073/midwinerslion.v7i1.248

Abstract

ABSTRACT The causes of maternal mortality are still high, which are influenced by delays in recognizingdanger signs in pregnant women, delays in reaching and making decisions to health facilities, age factors,delays in handling emergencies, limited level of education for pregnant women and knowledge. An earlypregnancy check is needed which is the first step in a prenatal check-up to identify any abnormalities orcomplications that may occur during pregnancy, and ensure the health of the mother and fetus. Efforts thatcan be made to prevent maternal and fetal morbidity and mortality provided by health workers are throughpromotive, preventive, curative and rehabilitative screening. The purpose of this study was to improve thehealth of pregnant women through pregnancy screening including pregnancy check-ups, examination of Hblevels as well as health education about anemia and Caloric Energy Deficiency (KEK) and danger signs inpregnancy. The research method is descriptive with a cross-sectional approach and community participationto get an overview of the health and knowledge of pregnant women about anemia in pregnancy and KEK anddanger signs of pregnant women. The target is 34 pregnant women, where the activity is in Yeh Sumbul village,Mendoyo District, Jembrana Regency from September to November 2021. The results of the examination ofpregnant women are mostly not anemia, 2 pregnant women (KEK) and 1 hypertension. After counseling,knowledge about anemia was good (50%), danger signs in pregnancy were good (97%). Screening for pregnant women can detect early health of mothers and babies, prevent and provide early treatment as well asprovide education. Health promotion and provide an overview of increasing knowledge of pregnant women.Key words: pregnant women, knowledge, screening
Effectiveness of Kegel Education for The Elderly as A Form of The Authority of The Midwife in Community Midwife Care Ni Made Karlina Sumiari Tangkas; Indrie Lutfiana; Ni Made Ayu Wulandari
Journal of Applied Nursing and Health Vol. 4 No. 1 (2022): Journal of Applied Nursing and Health
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/janh.v4i1.11

Abstract

Background: The ageing process is usually characterized by physical, biological, mental, or psychosocial changes. Kegel exercises are beneficial for strengthening the double muscles of the pelvic floor, thereby strengthening the function of the external sphincter of the bladder. The research purposes were to prove the Effectiveness of Kegel Education for The Elderly as A Form of The Authority of The Midwife in Community Midwife Care Methods: The method used in the pra experiment in this community service activity is divided into three stages and is supported through a pretest and posttest to evaluate activities. An evaluation is carried out after one month of providing education. The population was all older adults, and This activity was attended by 27 older adults in the Tabanan I Health Center. Results: The result of the research show that the average score of the frequency of urination before being given Kegel exercises was 0.19 after being given Kegel exercises of 0.85. It also obtained an at-count value of -6.245 and a p-value of 0.000 < (0.05) so that it can be concluded that Kegel exercise education influences the elderly in the Tabanan Health Center area. Conclusion: Education Kegel exercises affect urinary incontinence. Kegel exercise can stimulate and increase the activation of chemical, neuromuscular, and muscular in the pelvic muscles so that it can reduce the frequency of urination in the elderly. Providing education related to Kegel exercise will greatly assist midwives in carrying out the midwife's authority in community care.
Midwife, Counseling And Adolescent Reproductive Health Rights In The Covid-19 Pandemic Ni Made Karlina Sumiari; Indrie Lutfiana; Putu Dian Prima Kusuma Dewi
Journal of Applied Nursing and Health Vol. 3 No. 2 (2021): Journal of Applied Nursing and Health
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (235.503 KB) | DOI: 10.55018/janh.v3i2.25

Abstract

Background: Cases related to adolescent health have increased during the COVID-19 pandemic. Midwives have a very important role in conducting counseling related to adolescent health. This is a form of commitment in fulfilling the right to health of adolescents. The role of the midwife is stated in terms of reproductive health in accordance with the Regulation of the Minister of Health of the Republic of Indonesia Number 28 of 2017 concerning Permits and Implementation of Midwifery Practices article 21a. The purpose of this research is to know the role of midwives in the implementation of adolescent counseling as the fulfillment of adolescent reproductive health rights.Methods: Qualitative research methods, with a sociological juridical approach. The study used in-depth interviews with midwife and adolescent informants. The research was conducted from May to June 2021. Data analysis was carried out by qualitative data analysisResults: The results of the study show that BIdans have carried out their authority and obligations in the role of counselors based on the Midwifery Law Number 4 of 2019 and the Regulation of the Minister of Health of the Republic of Indonesia Number 28 of 2017 concerning Permits and Implementation of Midwifery Practices article 21a. The role of midwives in the implementation of adolescent counseling is to increase knowledge of reproductive health as a fulfillment of adolescent reproductive health rights. Midwives are implementers of youth health service programsConclusion: Reproductive health rights in adolescents based on the International Conference on Population and Development (ICPD) in Cairo in 1994 there are 12 rights of which 11 reproductive health rights have been well fulfilled.
KARAKTERISTIK GESTASIONAL DAN STANDAR OPERASIONAL PROSEDUR (SOP) IBU BERSALIN DENGAN SECTIO CAESARIA PADA MASA PANDEMI COVID-19 Putu Dian Prima Kusuma Dewi; Lina Anggaraeni Dwijayanti; Kadek Ayu Suarmini; Ni Made Karlina Sumiari Tangkas; Indrie Lutfiana; Dewa Ayu Dian Purnami
JKM (Jurnal Kebidanan Malahayati) Vol 7, No 3 (2021): Vol.7 No.3 Juli 2021
Publisher : Program Studi Kebidanan Fakultas Kedokteran Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkm.v7i3.4461

Abstract

 Background Covid-19 is a disease that can be transmitted through droplets, with signs and symptoms, namely coughing, shortness of breath, hyperthermia and others. The Covid-19 pandemic period is something that really needs to be considered, especially for maternity mothers who will have a caesarean section, by screening a good covid-19 protocol before a caesarean section is carried out.Purpose of this study was to determine the gestational characteristics of mothers giving birth with Sectio Caesaria during the Covid-19 pandemic in the Central Surgical Installation Room (IBS) of the Sanjiwani Hospital, Gianyar.Methods This study uses a mix method design, where quantitative data uses a cross sectional approach to the type of secondary data, namely Medical Records. The qualitative data used in-depth interviews involving the head of the room and the Head of Nursing at the Sanjiwani Hospital consisting of 4 doctors, midwives and nurses. The data were analyzed by univariate analysis with Stata SE 12 software. This study used total sampling in the period March-September 2020 with a total of 102 mothers who gave birth by cesarean section. Results of the study were obtained from 102 respondents with an average age of 29.77 years, with high school education, namely 75 people (70%), 55 people not working (52%), medical indications 82 people (80.39%), complaints of vaginal discharge (KPD) were 33 people (32.35%), positive rapid test 37 people (36.27%), and positive PCR swab results were 33 people (32.35%).Conclusion The policy is that all pregnant women must undergo a rapid test and PCR test before the delivery process is carried outSuggestions The regulation of maternity services during the COVID-19 pandemic is more about screening, namely mandatory rapid tests and PCR tests. Handling with strict health protocol level 3 to break the chain of virus transmission. Key words: Sectio Caesaria, Covid-19, SOP ABSTRAK  Latar Belakang Covid-19 merupakan penyakit yang dapat ditularkan melalui droplet, dengan tanda dan gejala yaitu batuk, sesak, hipertermi dan lain-lain. Masa pandemi Covid-19 merupakan hal yang sangat perlu diperhatikan terutama pada ibu bersalin yang akan dilakukan tindakan sectio caesarea, dengan melakukan skrining protocol covid-19 yang baik sebelum dilakukan tindakansectio caesarea.Tujuan penelitian ini adalah untuk mengetahui karakteristik gestasional pada ibu bersalin dengan Sectio Caesaria pada masa pandemi Covid-19 di Ruang Instalasi Bedah Sentral (IBS) RSUD Sanjiwani Gianyar.Metode Penelitian ini menggunakan rancangan mixmethod, dimana data kuantitatif menggunakan pendekatan cross sectional pada jenis data sekunder yaitu Rekam Medis. Data kualitatif menggunakan wawancara mendalam yang melibatkan kepala ruangan dan Kabag Keperawatan RSUD Sanjiwani yang terdiri dari dokter, bidan dan perawat yang berjumlah 4 orang. Data dianalisis dengan analisis univariat dengan software Stata SE 12.  Penelitian ini menggunakan total sampling pada periode Maret-September 2020 dengan total 102 orang ibu bersalin dengan tindakan SC.      Hasil penelitian didapatkan dari 102 responden rata-rata pada umur 29,77 tahun, berpendidikan SMA yaitu 75  orang (70%), tidak bekerja sebanyak 55 orang  (52%), indikasi medis sebesar 82 orang (80.39%), keluhan keluar air pervaginam (KPD) yaitu 33 orang (32.35%), rapid test positif 37 orang (36.27%), dan hasil swab PCR positif sebanyak 33 orang (32.35%).Kesimpulan Kebijakan yang dilakukan bahwa seluruh ibu hamil wajib dilakukan rapid test dan PCR test sebelum dilakukan proses tindakan persalinanSaran Regulasi layanan ibu bersalin pada masa pandemi COVID 19 ini lebih pada skrining yaitu wajib rapid test dan test PCR. Penanganan dengan protokol kesehatan yang ketat level 3 untuk memutus rantai penularan virus.   Kata Kunci :  Sectio Caesaria, Covid-19, SOP
KEWENANGAN BIDAN DALAM MELAKUKAN METODE PERSALINAN GENTLE BIRTH PADA IBU BERSALIN MELALUI PENDEKATAN HOLISTIC CARE Karlina Sumiari Tangkas; Indrie Lutfiana
MIDWINERSLION : Jurnal Kesehatan STIKes Buleleng Vol. 3 No. 2 (2018): Midwinerslion Jurnal Kesehatan STIKES Buleleng
Publisher : STIKes Buleleng

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (163.639 KB)

Abstract

ABSTRACT Introduction: Complementary and traditional health services are currently global issues, which are contained in the 2014-2023 World Health Organization strategy related to complementary alternative medicine. The manifestation of complementary services can be seen from the practice of gentle birth which is currently the choice of maternity to gain security, nayman and reduced pain where a holistic approach is used in practice. But there is still a difference of views on this method into a complex problem to be discussed. For this reason, discussion is needed regarding the authority of midwives in gentle birth practices through a holistic care approach so that midwives receive legal protection. The purpose of this study is to examine the authority of midwives in carrying out gentle birth through a holistic care approach. Method: The method used is a qualitative research method with descriptive phenomenological design. There were 7 respondents in the study selected using purposive sampling sampling techniques based on inclusion criteria. Data is collected through interview techniques. Results: The results obtained include the implementation of gentle birth practices that support care for mothers and babies through a holistic care approach, and the authority of midwives is regulated in legislation, professional standards, minimum service standards, and midwives' code of ethics. This authority is a form of legal protection for midwives. Conclusion: The conclusion that can be drawn from this study is that midwives have authority in the delivery assistance with gentle birth method and through a holistic care approach is the challenge of midwives in carrying out care where this method is an old way with new terms. Keywords: authority, midwife, gentle birth, holistic care
PEMBERIAN MASSAGE PUNGGUNG SEBAGAI ALTERNATIF PENGOBATAN UNTUK PENGURANGAN INTENSITAS NYERI PADA IBU BERSALIN PRIMIGRAVIDA DI BPM TITIEK C, A.Md..Keb TAHUN 2018: PEMBERIAN MASSAGE PUNGGUNG SEBAGAI ALTERNATIF PENGOBATAN UNTUK PENGURANGAN INTENSITAS NYERI PADA IBU BERSALIN PRIMIGRAVIDA DI BPM TITIEK C, A.Md..Keb TAHUN 2018 INDRIE LUTFIANA; I Made Karlina Sumiari; Ketut Jayanti
MIDWINERSLION : Jurnal Kesehatan STIKes Buleleng Vol. 4 No. 2 (2019): Midwinerslion Jurnal Kesehatan STIKES Buleleng
Publisher : STIKes Buleleng

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (104.043 KB) | DOI: 10.52073/midwinerslion.v4i2.117

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Pelayanan kebidanan merupakan bagian yang tidak terpisahkan dari sistem pelayanan kesehatan. Pelayanan kebidanan merupakan layanan yang diberikan oleh bidan sesuai kewenangan bidan yang diarahkan untuk mewujudkan kesejahteraan keluarga terutama ibu dan anak sehingga terwujud keluarga bahagia, sejahtera dan berkualitas.Dalam penyelenggaraan Praktik Kebidanan, Bidan memiliki kewenangan untuk memberikan pelayanan kesehatan ibu, pelayanan kesehatan anak; danpelayanankesehatan reproduksi perempuan dan keluarga berencana.Manajemen nyeri persalinan dapat diterapkan secara non-farmakologis dan farmakolgis. Manajemen nyeri non-farmakologis lebih aman, sederhana dan tidak menimbulkan efek merugikan serta mengacu kepada asuhan sayang ibu, dibandingkan dengan metode farmakologi yang berpotensi mempunyai efek yang merugikan Tujuan penelitian ini yaitu untuk menganalisis penatalaksanaanPenatalaksaan Massage Punggung Sebagai Alternatif Pengobatan Untuk Pengurangan Intensitas Nyeri Pada Ibu Bersalin Primigravida Di Bpm Titiek C, A.Md.KebTahun 2018 Desain penelitian ini menggunakan quasy eksperimen dengan rancangan penelitian pretest dan post test terhadap satu kelompok tanpa adanya pembanding. Sampel dalam penelitian ini sebanyak 23 responden. Variabel independennya adalah Penatalaksanaan Massage Punggung dan variabel dependennya adalah intensitas nyeri persalinan. Data dalam penelitian ini diambl dengan cara observasi. Dari hasil teknik massage punggung sangat efektif dalam menurunkan tingkat nyeri persalinan primigravida di BPM Titiek C, A.Md.Kebdengan nilai p = 0,00 (p <0,05) yang artinya p value < 0,05, sehingga hipotesa dalam penelitian ini diterima. Penatalaksanaan nyeri dengan massage punggung merupakan salah satu Teknik yang dibutuhkan dalam pengelolaan nyeri pada persalinan, massage punggung dapat menurunkan nyeri persalinan kala I dan juga memberikan gambaran secara umum pada ibu yang akan melahirkan sehingga ibu akan merasa lebih tenang dalam menjalani persalinan
HUBUNGAN PEMBERIAN ASI (AIR SUSU IBU) TERHADAP PERTUMBUHANANAK USIA 1-3 TAHUN DI WILAYAH KERJA PUSKESMAS BULELENG I kadek ayu suarmini; Indrie Lutfiana; Semi .; Desi Fitriani; Sri Suryati
MIDWINERSLION : Jurnal Kesehatan STIKes Buleleng Vol. 5 No. 1 (2020): Midwinerslion Jurnal Kesehatan STIKES Buleleng
Publisher : STIKes Buleleng

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52073/midwinerslion.v5i1.138

Abstract

The growth and development of children of Todler's age is largely determined by the amount of breast milk obtained, including energy and other nutrients contained in the milk. ASI has various benefits that are good for the growth and development of children and can also reduce the risk of acute and chronic diseases (Chris Suhud, 2013). Where mother's milk (ASI) is the best food that is needed by children to grow and develop. (MOH, 2010). The purpose of this study is to determine the relationship of giving breastmilk ASI to the growth of children aged 1-3 years in the work area of ​​Sukasada I health center.The design of this study uses the research design used in this study is observational with a case control approach. The sample in this study were 38 respondents. The independent variable is the provision of breastfeeding and the dependent variable is the growth of children aged 1-3 years. The data in this study was taken by filling out the questionnaire.Judging from the results of the bivariate analysis using chi square it was found that the value of p 0,000. This result is significant with a p value of less than 0.05, so the hypothesis is answered that there is a relationship between the duration of breastfeeding and the growth of children aged 1-3 years in the Puskesmas Sukasada I. Giving ASI is an important factor for the growth of children. ASI is a nutritional intake that is in accordance with the needs that will help the growth and development of children. Infants who get enough breast milk means they have good nutrition.
ASPEK HUKUM PELAKSANAAN KEWENANGAN BIDAN DALAM PELAYANAN KEBIDANAN: LEGAL ASPECT FOR THE IMPLEMENTATION OF THE AUTHORITY OF MIDWIVES IN MIDWIFERY SERVICES INDRIE LUTFIANA; Ni Ketut Ayu Wulandari
MIDWINERSLION : Jurnal Kesehatan STIKes Buleleng Vol. 5 No. 1 (2020): Midwinerslion Jurnal Kesehatan STIKES Buleleng
Publisher : STIKes Buleleng

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (131.362 KB) | DOI: 10.52073/midwinerslion.v5i1.177

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Pemerintah bersama masyarakat bertanggung jawab untuk menjamin bahwa setiap ibu memiliki akses terhadap pelayanan kesehatan ibu yang berkualitas. Tujuan penelitian ini adalah untuk kajian pelaksanaan kewenangan dan kompetensi bidan dalam memenuhi standar pelayanan kesehatan khususnya dalam bidang pelayanan kebidanan di Kabupaten Buleleng. Tujuan penelitian ini yaitu untuk mengetahui aspek hukum pelaksanaan kewenangan bidan dalam pelayanan kebidanan. Desain penelitian ini desain penelitian kualitatif dengan studi deskriptif fenomenologi. Sampel dalam penelitian ini sebanyak 25 responden. Dari hasil penelitian dapat diketahui dasar hukum dalam pelaksanaan kewenangan dan kompetensi bidan dalam memenuhi standar pelayanan kebidanan meliputi UU Kesehatan Nomor 36 Tahun 2009, UU Pemerintah Daerah Nomor 23 tahun 2014, UU No 12 Tahun 2012 Tentang Pendidikan Tinggi, Kepmenkes 369 Tentang Standar Profesi Bidan Tahun 2007, Peraturan Menteri Riset, Teknologi Dan Pendidikan Tinggi Ri Nomor 44 Tahun 2015 Tentang Standar Nasional Pendidikan Tinggi dan Permenkes No 28 Tahun 2017 Tentang Izin Dan Penyelenggaraan Praktik Bidan. Pelaksanaan kewenangan oleh bidan yang berkerja kurang dari 3 tahun sesuai dengan kewenangan bidan 38 kewenangan (100 %) dan BPM memberikan kewenangan 23 kewenangan (60,5 %) dari 38 kewenangan
Efektivitas Perawatan Payudara Pada Ibu Nifas Dalam Melancarkan Produksi ASI: Literature Review INDRIE LUTFIANA; Putu Monna Frisca Widiastini; Desak Ketut Sugiartini
MIDWINERSLION : Jurnal Kesehatan STIKes Buleleng Vol. 5 No. 2 (2020): Midwinerslion Jurnal Kesehatan STIKES Buleleng
Publisher : STIKes Buleleng

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (137.849 KB) | DOI: 10.52073/midwinerslion.v5i2.199

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Latar Belakang: Pengeluaran ASI (air susu ibu) atau laktasi menjadi salah satu tanda dari perubahan fisiologis yang dialami ibu nifas pada masa ini, Namun, adanya kendala yang dialami oleh sebagian ibu menyebutkan bahwa ASI yang diberikan belum bisa keluar secara lancara atau ASI hanya keluar sedikit sehingga tidak memenuhi kebutuhan ASI eksklusif pada bayinya. Tujuan: Paper ini bertujuan untuk mengetahui Efektivitas Perawatan Payudara Pada Ibu Nifas Dalam Melancarkan Produksi ASI? Metode: Artikel yang direview merupakan hasil penelitian asli yang dipilih berdasarkan kriteria inklusi dan eksklusi, Artikel dicari secara elektronik melalui database Pubmed (2017-2020) dan Google Scholar (2017-2020). Strategi pencarian serta istilah yang di gunakan dalam bahasa inggris adalah sebagai berikut: “breastcare” AND “postpartum mother” AND “breastmilk”, sedangkan istilah yang di gunakan dalam bahasa Indonesia adalah sebagai berikut: “perawatan payudara” DAN “ibu nifas” DAN “ASI”. Hasil: Dari 8 penilitian yang diperoleh, secara keseluruhan penilitian menunjukkan tingkat efektif yang baik.