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Evaluation of Midwifery Service Standards during the Covid-19 Pandemic Nurul Azizah; Rafhani Rosyidah; Ratna Dwi Jayanti
Jurnal MIDPRO Vol 13, No 2 (2021): JURNAL MIDPRO
Publisher : Universitas Islam Lamongan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30736/md.v13i2.324

Abstract

During the COVID-19 pandemic, health services became a burden for the community. The number of cases of Covid-19 transmission made people reluctant to come to health facilities. Health workers are encouraged to continue carrying out their roles to adapt and provide optimal service to patients. Likewise, midwives are advised to continue to provide maternal and child health services by complying with health protocols. Based on data reported by the Central IBI in June 2020, 974 of 9,296 PMBs were closed, maternal and child health services were temporarily suspended from PMBs who continued to provide services. Most of them did not offer midwifery services following standard health protocols. This study was conducted to describe the evaluation of midwifery service standards during the COVID-19 pandemic. The research design used a cross-sectional with chi-square statistical test to determine the standard practice of midwifery services during the covid-19 pandemic, which was analyzed descriptively. Sampling with quota sampling, with a total of 30 respondents. The research instrument used a questionnaire. The results of this study indicate that in the implementation of midwifery services according to standard health protocols during the COVID-19 pandemic, most of which were 53% carried out according to pregnancy, 67% of deliveries were not carried out according to health protocols, almost 90% of postpartum & BBL services were carried out accordingly, and 100% of family planning services are carried out according to health protocols. The conclusion is that most midwives carry out standard midwifery services during the covid-19 pandemic
Strategies to improve the adolescent’s reproductive health knowledge in the traditional Islamic Boarding School in Sidoarjo, Indonesia Rize Budi Amalia; Ivon Diah Wittiarika; Ratna Dwi Jayanti
Journal of Midwifery Vol 5, No 2 (2020): Published on Desember 2020
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jom.5.2.14-21.2020

Abstract

Adolescence is an important stage the girl’s life which the crucial developmental reproductive such as menstruation and pubertal occur. The peer nowadays has a crucial role in determining the proper health reproductive knowledge due to the lack of information from the family and education system. This study aimed to observe the effectiveness of the trained peer educator compared to the expert educator in delivering reproductive health knowledge. The study was using pre - and post - intervention (quasi - experimental) design. The sample taken by random sampling with the pretest and posttest questionnaire was applied to 98 female students aged 12 to 15 at traditional Islamic boarding school in Sidoarjo, East Java. The participants consisting of 49 students were exposed by the trained peer educator compare to 49 students in which exposed by expert.  Wilcoxon Signed Rank Test indicated the significant difference between pretest-posttest in the group were exposed by the trained peer compared by the expert (p=0,001). The Mann Whitney Test indicate there was no significant difference of reproductive health knowledge (p=0,718) between posttest between two groups. In conclusion, the information given by the trained peer educator as effective as the information given by the expert and significantly improved the adolescents' reproductive health knowledge. Therefore, designing the trained peer approach to increase adolescent reproductive health is effective to structure.
Management of Perineal Massage in Pregnant Women as an Effort to Prevent Perineal Rupture in Vaginal Delivery (Literative Review) Euvanggelia Dwilda Ferdinandus; Gusti Ayu Gita Maharani; Ratna Dwi Jayanti
Jurnal KESANS : Kesehatan dan Sains Vol 1 No 7 (2022): KESANS : International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v1i7.74

Abstract

When approaching the time of delivery in the third trimester of pregnancy, pregnant women experience anxiety about the stigma that childbirth will hurt and injure the perineum,prevention of perineal rupture can be done by perineal massage. The method used in this research is to use a literature review study This discussion aims to collect and analyze articles to identify the effectiveness of perineal massage management as an effort to prevent rupture. Results In this discussion it was found that perineal massage has significant results in reducing the occurrence of perineal rupture. Perineal massage is also beneficial in reducing the rate of episiotomy as well as providing other benefits to the mother and the newborn. However, these studies have drawbacks, namely, this perineal massage does not yet have global clinical guidelines on the standard of implementing perineal massage, in some studies the sample experienced dropout in research and differences in research results that affect perineal massage on the prevention of perineal rupture. further research is needed regarding the standard of perineal massage and the support of husbands and midwives in education and implementation of perineal massage.
Delivery Mode On Myopic Women (Literature Review) Ratna Dwi Jayanti; Noor Syafaatin Udhma; Euvanggelia Dwilda Ferdinandus; Ivon Diah Wittiarika; Nurul Azizah
Jurnal KESANS : Kesehatan dan Sains Vol 1 No 7 (2022): KESANS : International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v1i7.79

Abstract

Hormonal changes and hemodynamic changes in pregnancy cause an increase in blood volume and water retention which causes a thickening of the cornea of ??the eye and affects blood flow in the eye. This condition is thought to trigger temporary myopia or worsen myopia that occurred before pregnancy. This will have an impact on the choice of delivery method because pushing in the second stage of labor can increase the risk of retinal detachment. The aim of the study was to determine the method of delivery in patients with myopia, using a meta-analysis. The results showed that obstetrics and gynecology specialists, as well as ophthalmologists, recommended instrumental delivery or cesarean section for women with myopia citing concerns that vaginal delivery would increase the risk of detachment. In addition, the impact of labor on the ocular system was found to be not so significant. While the method of delivery in women with myopia, it was found that most of the vaginal deliveries were spot-on.
PHBS Sekolah di Era New Normal di SDI Ash-Shiddiq Siwalan Panji Buduran Sidoarjo Nurul Azizah; Ratna Dwi Jayanti; Rafhani Rosyidah
Jurnal Abdi Medika Vol 1 No 2 (2021): Jurnal Abdi Medika Desember 2021
Publisher : INSTITUT TEKNOLOGI SAINS DAN KESEHATAN INSAN CENDEKIA MEDIKA JOMBANG

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (446.991 KB)

Abstract

Sekolah merupakan sarana Pendidikan dimana para murid berkumpul untuk melaksanakan proses pembelajaran. Kegiatan tersebut merupakan hal yang biasa dilakukan, namun menjadi sebuah hal yang berisiko di masa pandemi Covid-19. Sehingga proses pembelajaran tatap muka diadakan secara daring. Pada saat ini mulai dilakukan proses pembelajaran secara tatap muka, dengan ketentuan pihak sekolah menerapkan protokol kesehatan, namun belum mencukupi pola perilaku hidup bersih dan sehat di sekolah setelah pandemi Covid-19. Perilaku hidup bersih dan sehat (PHBS) di sekolah sudah lama dipromosikan oleh pemerintah Indonesia melalui Kementerian Kesehatan. PHBS Sekolah saat new normal setelah pandemi Covid-19 menjadi sangat krusial saat siswa kembali ke sekolah. PHBS sekolah merupakan penerapan perilaku kesehatan masyarakat yang diterapkan atas kesadaran individu. Kesadaran tersebut dapat dibangun dengan sebuah kebiasaan dan budaya lingkungan sekitar. Begitupula dengan PHBS Sekolah, yang dianjurkan untuk terus diterapkan oleh seluruh siswa, dengan harapan dapat menjadi sebuah kebiasaan perilaku yang baik yakni menjalankan pola hidup bersih dan sehat baik di sekolah dirumah dan di lingkungan sekitarnya.Tujuan PHBS secara umum sama, yakni meningkatkan kesadaran untuk menjalankan pola hidup bersih dan sehat juga termasuk di lingkungan sekolah. Dengan demikian, masyarakat khususnya siswa disekolah dapat mencegah atau meminimalkan masalah kesehatan tertentu, termasuk penyakit menular seperti Metode pelaksanaan dalam kegiatan ini yakni dengan penyuluhan dan praktik penerapan PHBS sekolah di era new normal dengan pemberian pendidikan PHBS di lingkungan sekolah kepada para guru dan murid melalui penyuluhan disertai tanya jawab, kemudian diikuti kegiatan ptaktik PHBS. Hasil yang didapatkan dari pengabdian masyarakat ini sebagian b esar siswa di SD siwalan Panji Buduran memahami tentang PHBS dan mampu mempraktikkan cuci tangan dengan benar.
Acupressure LI4 and SP6 on Pain with Quality of Life in Post Partum Sectio Caesarea Nurul Azizah; Rafhani Rosyidah; Paramitha Amelia Kusumawardani; Ratna Dwi Jayanti
Jurnal MIDPRO Vol 14, No 1 (2022)
Publisher : Universitas Islam Lamongan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30736/md.v14i1.375

Abstract

Pain is an unpleasant experience. In patients who still feel pain, it will affect the mobilization of the mother after cesarean section and all aspects of quality of life. Various attempts have been made to relieve pain both pharmacologically and non-pharmacologically. Acupressure LI4 and SP6 are believed to reduce pain. This study aims to identify the effect of Hegu LI4 and SP6 acupressure on Pain on Quality of Life in Post Partum SCThe research design used was a quasi-experimental with pre-post test non-equivalent control group design. The sampling technique was non-probabilty sampling with consecutive sampling with a total sample of 30 respondents in the treatment group and the control group. Independent bivariable analysis until T-test with a significance value of P <0.05, multivariable analysis using linear regression. The results of this study are expected to help postpartum Sectio Caesarea mothers in reducing pain. The results of this study can reduce pain and improve the quality of life for postpartum SC which will be the basis for studies in the field of obstetrics