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THE EFFECTIVENESS OF THE "BOMB" METHOD (BREASTCARE, OXYTOCIN MASSAGE, AND MARMET TECHNIQUE) ON INCREASING BREAST MILK PRODUCTION IN BREASTFEEDING MOMENTS AGE 0-6 MONTHS AT PRAMBON PUBLIC HEALTH CLINIC, NGANJUK DISTRICT Dwi Retno Wati; siti mudrikatin
INTERNATIONAL JOURNAL OF NURSING AND MIDWIFERY SCIENCE (IJNMS) Vol 4 No 3 (2020): VOLUME 4 ISSUE 3 DECEMBER 2020
Publisher : Bina Sehat Press. Departement Research and Community Engagement Bina Sehat PPNI Institute of Health Science, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29082/IJNMS/2020/Vol4/Iss3/312

The problem experienced by breastfeeding mothers is that the milk is not released on the first to the third day post partum. As a result, newborns who are supposed to be breastfed early will be delayed and as an alternative are given formula milk. The smoothness of the process of lactation or the production and production of breast milk is influenced by breast care, frequency of breastfeeding, maternal psychology, maternal health, and contraception, as well as breast milk production, which is strongly influenced by physical, psychospiritual, environmental and social. Efforts to stimulate the hormones prolactin and oxytocin can be done with breast care or massage, oxytocin massage, nipple cleansing, early and regular breastfeeding and marmet techniques or milking and massage techniques. The "BOM" method (Breastcare, Oxytocin Massage, and Marmet Technique) is a stimulation to help the production and release of breast milk through breast care, oxytocin massage (massage or stimulation of the spine) and marmet technique (a combination of expressing breast milk and massaging the breasts) ). Mothers breastfeeding babies aged 0-6 months at Public Health Clinic Prambon Nganjuk Regency in a preliminary study of 5 (five) mothers breastfeeding babies aged 0-6 months, do not know how to make a lot of milk production using "BOM" through structured interviews. The research objective was to assess the effectiveness of the BOM (Breastcare, Oxytocin, and Marmet Teachnique) method in increasing breast milk production. This study uses a quasi-experimental method. It was carried out at the Prambon Health Center with a total sample of 60 people and used the Mann Whitney U Test analysis. The results obtained from 60 samples were a p value of 0.000 <0.05, so it can be concluded that there were significant differences between the two groups, where the BOM method (Breastcare, Oxytocin, and Marmet Teachnique) was very effective on breast milk production.

Qualitative Study on HIV/AIDS Prevention in Jombang City siti mudrikatin; Dwi Retno Wati
INTERNATIONAL JOURNAL OF NURSING AND MIDWIFERY SCIENCE (IJNMS) Vol 6 No 3 (2022): VOLUME 6 ISSUE 3 DECEMBER 2022
Publisher : Bina Sehat Press. Departement Research and Community Engagement Bina Sehat PPNI Institute of Health Science, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29082/IJNMS/2022/Vol6/Iss3/410

Background: 2022 will see an increase in the number of HIV/AIDS cases in Jombang City, ranking it second in East Java with 1388 PLWHA, 20 cases of mother-to-child HIV transmission during childbirth, 12 HIV (+) cases, 8 AIDS cases, and 100 fatalities. The Independent Practice Midwife (BPM) is the linchpin of a healthcare organization that has the potential to grow into a network of expectant mothers. Midwives are qualified to serve as health educators for expectant women who exhibit habits that increase their risk of contracting HIV/AIDS. In a qualitative study in Jombang City, the aim of this study was to determine the program to develop midwives' ability as health educators for expectant mothers in an effort to prevent HIV/AIDS transmission. Method: This study is qualitative and employs an in-depth interviewing methodology. Up to 8 stakeholders served as primary informants, while 2 NGOs and 10 BPM employees served as secondary informants. analysis of data using the content analysis approach. Results: Because national guidelines for preventing HIV transmission from mother to newborn have been popularized, stakeholders have implemented a policy that uses standard technical programs for midwifery practice. Midwives have received training in APN, PI, and STIs, but due to funding restrictions, they have never received training in HIV/AIDS counseling. There is no such thing as BPM; only the central IBI does monitoring and assessment, which is done only through monthly reports. The coordination of NGOs, KPAD Regional Child Protection Commission, Public Health Office, The Indonesian Midwives Association, and BPM in the execution of monitoring and evaluation is insufficient, and only IBI is carried out, unplanned, carried out at any moment if it is going to prolong the practice permit. BPM has not yet received special supervision. Coordination amongst stakeholders during the implementation of supervision is insufficient. In an effort to stop the spread of HIV/AIDS, health education facilities for pregnant women in BPM have been provided with posters, flipcharts, and MCH handbooks. There are four VCT clinics and three PMTCT clinics. Conclusion: Program to improve midwives' abilities as health educators for expectant mothers in an effort to stop the spread of HIV/AIDS at BPM (independent practice midwives) Jombang City. In order to improve coordination between stakeholders (KPAD Regional Child Protection Commission, Public Health Office, and IBI The Indonesian Midwives Association with BPM in monitoring and supervision, train counselors for BPM (independent practice midwives), and have midwives become more motivated to provide IEC and continue to improve professionalism in providing midwifery services, advocacy is required to the Regional/ Legislative Council

PENGARUH PEMBERIAN TEH DAUN KELOR (MORINGA OLEIFERA LAMK.) TERHADAP PENINGKATAN PRODUKSI ASI PADA IBU NIFAS DI WILAYAH KERJA PUSKESMAS WUNGU KABUPATEN MADIUN Dwi Retno Wati
PRIMA WIYATA HEALTH Vol 3 No 1 (2022): Prima Wiyata Health, Januari 2022
Publisher : LPPM STIKES HUSADA JOMBANG

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The low coverage of exclusive breastfeeding in Indonesia lead to children less entitled to got exclusive nutritious food for their growth. This is due to the lack of breast milk production. Non-pharmacological treatmen such as Moringa tea is expected to be able to increase breast milk production. The aims of study was to determine the effect of Moringa tea consumption to increasing breast milk production in Wungu Regional Publick Health Madiun Regency. This research method was using a quasi experimental study using one group prepost test design on 60 respondents. Intervention was carried out for 3 weeks to assess breast milk production between Pre and Post intervention. Data were analysis using Paired t-Test. The results showed that the average of breast milk (pre-test) was 152.00, increasing to 158.50 (post-test). There was a difference in the amount of breast milk with p value of 0.002 and a value of 0.934. The conclusion of this study was a significant effect of Moringa tea consumption to increasing breast milk production.

EFEKTIVITAS PEMBERIAN AROMATERAPI UNTUK MENURUNKAN TINGKAT KECEMASAN IBU HAMIL TRIMESTER III DALAM PERSIAPAN MENGHADAPI PERSALINAN Dwi Retno Wati; Istiadah Fatmawati
PRIMA WIYATA HEALTH Vol 1 No 2 (2020): Prima Wiyata Health, Juli 2020
Publisher : LPPM STIKES HUSADA JOMBANG

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Kecemasan yang dialami ibu antara lain kecemasan terhadap persiapan persalinan karena trimester III. Prevalensi (angka kesakitan) gangguan kecemasan berkisar pada 6-7% dari populasi umum. Penelitian yang dilakukan dengan menggunakan Hamilton anxiety Rating Scale, prevalensi gangguan kecemasan sebesar 8-12%. Tujuan penelitian ini adalah untuk mengetahui efektivitas aromaterapi dalam menurunkan kecemasan pada Ibu hamil trimester III saat persiapan menghadapi persalinan. Metode penelitian adalah quasi experimental dengan pre and post test one group design. Populasi dalam penelitian ini sebanyak 32 ibu hamil dan sampelnya sebanyak 32 ibu hamil yang memeriksakan kehamilannya di Bidan Praktek Mandiri Suprijati Desa Bagi. Teknik sampling yang digunakan total sampling. Instrumen penelitian menggunakan skala kecemasan terpakai yaitu HARS (Hamilton Anxiety Rating Scale). Hasil penelitian menunjukkan : 1) tingkat Kecemasan ibu hamil sebelum diberi aromaterapi sebagian besar pada kategori cemas berat l yaitu 14 (43,75%), 2) tingkat Kecemasan ibu hamil setelah diberi aromaterapi kategori cemas sedang banyak yaitu sebanyak 15 (46,88%). Hasil penelitian ini adalah pemberian aromaterapi memberikan pengaruh yang bermakna, pada hasil pengujian dengan metode Wilcoxon Signed Rank Test.

PENGARUH KOMPRES HANGAT TERHADAP PENURUNAN SKALA NYERI PADA PASIEN DENGAN KOLIK ABDOMEN DI RUANG RAWAT INAP RUMAH SAKIT LAWANG MEDIKA Sofa Qurrata Ayun; Dwi Retno Wati; Fifi Ratna Aminati
PRIMA WIYATA HEALTH Vol 3 No 2 (2022): Prima Wiyata Health, Juli 2022
Publisher : LPPM STIKES HUSADA JOMBANG

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Blood thinning or hemodilution in pregnant women, there is an increase in blood plasma volume of 30%-40%, an increase in red blood cells 18%-30% and hemoglobin 19%. Physiologically hemodilution to help ease the work of the heart. Hemodilution occurs as early as 10 weeks' gestation and reaches its peak at 32-36 weeks' gestation. If the hemoglobin is before about 11%, hemodilution will result in physiological anemia and the hemoglobin will drop to 9.5-10%. This study aims to determine the effect of guava juice on changes in hemoglobin levels of pregnant women in the third trimester at Pratama Rahma Clinic. The research design used was Quasi Experiment using Pre Post Test control Group Design. The sampling method in this study used purposive sampling with a total sample of 30 pregnant women, namely 15 pregnant women in the control group and 15 pregnant women in the intervention group. Hemoglobin measurement tool using Easy Touch Blood Hemoglobin. Bivariate analysis in this study used paired t-test and independent t-test. The results showed that the combination of guava Fe was more effective in increasing the hemoglobin level of pregnant women, which was indicated by the p- value = 0.001 < (0.05). Pregnant women can use guava juice in combination with Fe tablets as an alternative choice in increasing hemoglobin levels during pregnancy.

PENGARUH ACUPRESSURE TERHADAP KENAIKAN BERAT BADAN BALITA USIA 13-36 BULAN Lilis Suryani; Dwi Retno Wati
PRIMA WIYATA HEALTH Vol 4 No 1 (2023): Prima Wiyata Health, Januari 2023
Publisher : LPPM STIKES HUSADA JOMBANG

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The condition of having difficulty eating is one of the problems that has an impact on the lack of nutritional intake in toddlers. Eating disorders in children must be treated immediately because they can have an impact on malnutrition. One effort to increase body weight is by acupressure, which is an action that is emphasized at certain points that can stimulate appetite in toddlers so that they can increase body weight. The purpose of this study was to determine the effect of acupressure on weight gain in toddlers aged 13-36 months. This type of research is a quasy experiment with a pretest-posttest control group design. The sample for this study was 60 toddlers who met the criteria, taken by random sampling technique. The independent variable is acupressure, while the dependent variable is toddler's weight. The instruments used were observation sheets, checklists, baby oil and scales. The method of data collection was by measuring the toddler's weight before and after the acupressure treatment 4 times for 4 weeks. Data analysis using Independent Sample T-Test. The results of this study after acupressure was carried out on 30 toddlers in the intervention group, there was an average increase in toddler's weight by 335 grams (p value = 0.000). The conclusion from the results of this study is that acupressure affects toddlers' weight gain. Therefore Acupressure is suggested to be used as a non-pharmacological therapy to increase appetite so that it can increase the weight of toddlers

Pengaruh Peer Group Disscusion terhadap Peningkatan Pengetahuan Pencegahan Perilaku Seks Bebas Remaja SMA di Magetan Dwi Retno Wati; Lilis Suryani; Siti Mudrikatin
JPKM: Jurnal Profesi Kesehatan Masyarakat Vol 4, No 1: April 2023
Publisher : STIKES Bhakti Husada Mulia Madiun

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47575/jpkm.v4i1.482

Penelitian ini bertujuan untuk menganalisis pengaruh peer group discussion terhadap peningkatan pengetahuan remaja tentang pencegahan perilaku seks bebas remaja SMA 1 Karas, Kab. Magetan. Jenis penelitian ini adalah quasy experimen dengan rancangan penelitian one group pretest-posttest design. Sampel penelitian adalah remaja Kelas 11 sejumlah 85 diambil secara proporsional random sampling. Data berdasarkan kuesioner. Analisis statistik inferensial menggunakan uji Wilcoxon Signed Ranks Test didapatkan nilai p=0,011 menunjukan bahwa ada peningkatan pengetahuan pada siswa sebelum dan sesudah diberikan intervensi Peer Group Discussion dalam pencegahan perilaku sex bebas. Hasil penelitian dapat disimpulkan Peer group discussion efektif meningkatkan pengetahuan remaja secara signifikan. Disarankan bagi pihak sekolah perlu adanya pelaksanaan pendidikan kesehatan untuk siswa dengan menerapkan metode peer group discussion sebagai bentuk tindak lanjut dari program pendidikan kesehatan dan untuk remaja dalam meningkatkan pengetahuannya terkait pencegahan perilaku seks bebas dengan mencari berbagai informasi diberbagai media.

ANALISIS FAKTOR DETERMINAN ANEMIA PADA IBU HAMIL DI WILAYAH KERJA PUSKESMAS JATIKALEN KABUPATEN NGANJUK Siti Nur Farida; Dwi Retno Wati
Literasi Kesehatan Husada: Jurnal Informasi Ilmu Kesehatan Vol 7 No 1 (2023): Volume 7 Issue 1, Februari 2023, Literasi Kesehatan Husada: Jurnal Informasi Ilmu
Publisher : Library Unit of the College of Health Science Husada Jombang

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Introduction: Anemia of pregnancy is a national problem faced by the Indonesian government because it shows the value of the socio-economic welfare of the community and affects the quality of human resources. Apart from that, anemia in pregnant women can be said to be "potential danger to mother and child". Objective: The purpose of this study was to determine the factors that influence anemia in pregnant women at the Jatikalen Public Health Center, Nganjuk Regency in 2022. Methods: This type of research is quantitative analytic with a cross sectional research design (cross-sectional). The study population was 341 pregnant women with a sample size of 79 taken by proportional random sampling. Independent variables are age, education, occupation, parity, gestational age, frequency of ANC, compliance with blood supplement consumption and knowledge, Dependent Variable of Pregnancy Anemia. Primary data based on a questionnaire and secondary data about Hb taken from the MCH handbook. Data analysis with descriptive analysis and inferential statistics Ordinal Regression. Results: Based on the results of the Ordinal Regression test analysis, data obtained from age, education, occupation, parity, gestational age, adherence to consumption of blood-added tablets and knowledge have an effect on the incidence of anemia in pregnant women. ANC frequency data does not affect the incidence of anemia in pregnant women. Conclusion: The results of the study can be concluded that simultaneously the factors that influence anemia include age, education, occupation, parity, gestational age, adherence to taking blood-added tablets, knowledge and there is no effect of ANC frequency on anemia in pregnancy. It is recommended for the Puskesmas to improve the monitoring of health workers for early detection of risk factors for anemia and for pregnant women it is recommended to consume the correct blood-added tablets.

HUBUNGAN KEHAMILAN IBU DI USIA MUDA DENGAN PERKEMBANGAN EMOSI ANAK USIA 3-5 TAHUN DI PRAKTEK MANDIRI BIDAN (PMB). FH SURABAYA Hikmah Hikmah; Gempi Tri Sumini; Dwi Retno Wati
PRIMA WIYATA HEALTH Vol 4 No 2 (2023): Prima Wiyata Health, Juli 2023
Publisher : LPPM STIKES HUSADA JOMBANG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.60050/pwh.v4i2.47

Latar Belakang : Prevalensi gangguan emosional dan perilaku pada anak usia prasekolah cukup tinggi yaitu 34,10% . Salah satu faktor masalah perkembangan emosi anak yaitu usia ibu ketika hamil. Hasil dan Metode : Penelitian ini bertujuan untuk mengetahui hubungan kehamilan di usia muda dengan perkembangan emosi anak usia 3-5 tahun.Penelitian ini menggunakan desain historical cohort. Subyek penelitian yaitu semua ibu hamil yang hamil tahun 2019-2020 di wilayah kerja PMB. FH Kota Surabaya Indonesia. Sampel penelitian ini berjumlah 74 repsonden. Variabel Independen yaitu perkembangan emosi anak diukur menggunkan kuesioner SDQ. Variabel dependen yaitu usia ibu diukur menggunakan kuesioner. Variabel luar yaitu jumlah anak, jenis kelamin, pendidikan ibu ayah, pola asuh, dan pendapatan diukur menggunakan kuesioner. Analisis yang digunakan yaitu chi square dan multipel regresi logistik. Kesimpulan : Hasil menunjukan bahwa terdapat hubungan kehamilan di usia muda dengan perkembangan emosi anak usia 3-5 tahun. Anak usia 3-5 tahun yang lahir dari ibu yang hamil di usiamu dan mempunyai peluang 80 % mengalami gangguan perkembangan emosi disbanding ibu usia dewasa. Saran agar remaja, keluarga, dan tenaga kesehatan memperhatikan usia ketika hamil supaya dapat menghindari gangguan emosi anak usia 3-5 tahun dengan membuat program hamil di usai 20-35 tahun.

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