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ANEMIA REMAJA DAN KESEHATAN REPRODUKSI Khobibah Khobibah; Tri Nurhidayati; Mimi Ruspita; Budi Astyandini
Jurnal Pengabdian Masyarakat Kebidanan Vol 3, No 2 (2021): Jurnal Pengabdian Masyarakat Kebidanan
Publisher : Jurnal Pengabdian Masyarakat Kebidanan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/jpmk.v3i2.7855

Anemia merupakan salah satu masalah gizi yang umum terjadi di dunia, terutama di negara berkembang. Survei Demografi dan Kesehatan Indonesia (SDKI) tahun 2017 menunjukkan bahwa prevalensi anemia pada wanita umur 13-18 tahun adalah 23% sedangkankan pada pria usia 13-18 yaitu 17 %. Kekurangan kadar hemoglobin (Hb) dalam darah akan menyebabkan tubuh cepat lelah, lemah, lesu dan letih yang dapat mengakibatkan dapat terjadinya penurunan prestasi belajar dan produktivitas kerja remaja. Tujuan dari kegiatan pengabdian masyarakat ini adalah peningkatan pengetahuan remaja tentang anemia dan resiko terhadap kesehatan reproduksi melalui pemberian pendidikan kesehatan dan pemeriksaan kadar hemoglobin. Sasaran dalam kegiatan pengabdian masyarakat ini adalah Siswi SMA N 1 Kendal sejumlah 100 orang. Kegiatan pengabdian masyarakat diawali dengan pemeriksaan kadar Hb, dilanjutkan dengan pemberian pendidikan kesehatan tentang anemia dan pengaruhnya dalam kesehatan reproduksi. Evaluasi dilakukan dalam bentuk pemeriksaan kadar Hb kedua, dengan jarak 4 minggu. Selain itu, disediakan booklet untuk memberikan keluasan pengetahuan bagi siswi. Evaluasi akhir dilaksanakan pemeriksaan Hb ulang. Hasil Pemeriksaan awal kadar Hb didapatkan 85 siswi tidak mengalami anemia (85%) dan 15 siswi mengalami anemia (15%). Pemeriksaan kadar Hb kedua menunjukkan hasil 94 siswi tidak mengalami anemia (94%) dan 6 siswi masih mengalami anemia (6%). Simpulannya bahwa pemberian informasi sangat diperlukan agar siswa mengkonsumsi makanan bergizi seimbang dan mengandung zat besi agar angka kejadian anemia pada remaja berkurang.

Aerobic Gymnastics Intervention on BMI, Abdominal Circumference and Lipid Profile in DMPA Acceptance Khobibah Khobibah; Budi Astyandini; Mimi Ruspita
EMBRIO Vol 13 No 1 (2021): EMBRIO: Jurnal Kebidanan (MEI)
Publisher : Program Studi S1 Kebidanan - Fakultas Sains dan Kesehatan Universitas PGRI Adi Buana Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36456/embrio.v13i1.3163

The risk of obesity and hypertension is associated with the influence of the hormone estrogen and the impact of the use of contraceptives. Use over one year is at risk of 1.36 times overweight, and will continue to increase in use over seven years (8.3 times). An important component for weight loss is aerobic exercise, so expected BMI, triglycerides, total cholesterol. LDL and HDL under normal conditions. Interventions in the form of treadmills, aerobic gymnastics or ergocycle. The purpose of this study is to determine the influence of aerobic gymnastics BMI, abdominal circumference and lipid profile of KB DMPA acceptors. The design was the quasi-experimental research (one group pretest posttest design). Pretest BMI, abdominal circumference, cholesterol, HDL and LDL were performed before and after the acceptor performed aerobic gymnastics a total of 16 meetings with a frequency of 3 times per week. The sample numbered 31 people. Data analysis using t-test and Wilcoxon. The results showed that aerobic gymnastics had no significant effect on BMI (p=0.818) and HDL (p=0.416) but had no significant effect on decreased abdominal fat (p=0.002), cholesterol (p = 0.044) and LDL (p=0.030). This recommendation of research is the need for routine physical activity such as aerobic gymnastics for DMPA KB acceptors so as to reduce complaints due to the side effects of DMPA contraceptives.

PENINGKATAN BERAT BADAN DAN LAMA PENGUNAAN METODE SUNTIK PROGESTIN PADA AKSEPTOR AKTIF Khobibah Khobibah; Budi Astyandini; Mimi Ruspita
Midwifery Care Journal Vol 1, No 4 (2020): July 2020
Publisher : Politeknik Kesehatan Kementrian Kesehatan Semarang

Progestin injection contraception is one of hormonal contraception. Approximately 56% choosen this contraception. Progesteron contraception contained side effects in long term use. One of side effect is increasing body weight related of fat accumulation. Aim of this research is to find out the relationship between long term use with increasing of weight gain on acceptor. This research use analitical observasional with 35 sampling acceptor. The age of the acceptor was more than 30 years old. The age of the acceptor was more than 30 years old in Purwosari village, Patebon Kendal. This research use observasional checklist and use Pearson Correlation test. The result showed correlation between longterm use with increasing of bdoy weight gain that was p 0,338 with significancy value 0,048 0,05. In conclusion there was correlation long term use and increasing of body weight gain. There was intervention to reduce body weight gain and the measurement of lipid profil on acceptor.

IDENTIFIKASI PENANGANAN KEHAMILAN SEROTINUS DI RSUD DR. H SOEWONDO KENDAL Tri Nurhidayati; Budi Astyandini; Sri Setiasih
Midwifery Care Journal Vol 1, No 1 (2019): Oktober 2019
Publisher : Politeknik Kesehatan Kementrian Kesehatan Semarang

Kehamilan umumnya berlangsung 40 minggu atau 280 hari dihitung dari hari pertama haid terakhir (HPHT). Namun, sekitar 3,4-14% atau rata-rata 10% kehamilan berlangsung sampai 42 minggu atau lebih.Kehamilan lewat waktu merupakan salah satu kehamilan resiko tinggi.Hal ini berhubungan erat dengan mortalitas, morbiditas perinatal, ataupun makrosomia.Adapun penyebab kematian perinatal adalah kelainan kongenital, prematuritas, trauma persalinan, infeksi, gawat janin dan asfiksia neonatorum.Terjadinya gawat janin disebabkan oleh induksi persalinan, infeksi pada ibu, perdarahan, insufisiensi plasenta, prolapsus tali pusat, kehamilan dan persalinan preterm dan postterm. Untuk mengetahui seberapa besar upaya tenaga kesehatan dalam memberikan pelayanan, Tujuan penelitian ini adalah untuk mengidentifikasi penanganan kehamilan serotinus di RSUD Dr.H.Soewondo Kabupaten Kendal.Desain yang digunakan adalah deskriptif yaitu suatu desain yang dilakukan terhadap sekumpulan objek yang bertujuan unuk melihat gambaran fenomena (termasuk kesehatan) yang terjadi disuatu populasi tertentuserta metode yang digunakan adalah dengan melihat data ibu bersalin serotinus dengan penanganannya yang tertera di Rekam Medis. Populasi dalam penelitian ini adalah ibu bersalin kehamilan serotinussebanyak 108 responden.Sampel dalam penelitian ini menggunakan sampel jenuh.Menunjukkan bahwa dari 108 ibu bersalin dalam penanganannya adalah 22 (20,4%) dengan metode menunggu, 11 (10,2%) dengan induksi persalinan, 75 (69,4%) dengan seksio sesarea. Kesimpulannya sebagian besar responden (ibu bersalin) dalam penanganannya menggunakan metode seksio sesarea.Bagi ibu hamil disarankan untuk segera datang ke rumah sakit untuk mendapat penanganan secara optimal.

GAMBARAN DUKUNGAN SUAMI DARI AKSEPTOR DALAM PEMILIHAN ALAT KONTRASEPSI IUD DI DESA RINGINARUM KECAMATAN RINGINARUM KABUPATEN KENDAL Khobibah Khobibah; Budi Astyandini; Sri Setiasih
Midwifery Care Journal Vol 1, No 1 (2019): Oktober 2019
Publisher : Politeknik Kesehatan Kementrian Kesehatan Semarang

ABSTRAK Ada berbagai macam pilihan kontrasepsi, salah satu jenis alat kontrasepsi adalah Intra Urerin Device (IUD) yang merupakan salah satu metode kontrasepsi efektif. Banyak faktor yang mempengaruhi WUS (Wanita Usia Subur) dalam penggunaan kontrasepsi, faktor tersebut antara lain usia WUS, jumlah keluarga, status pekerjaan, tingkat pendidikan, tingkat pengetahuan alat kontrasepsi serta dukungan keluarga khususnya suami. Dukungan suami adalah bentuk nyata keikutsertaan suami kepada istrinya dalam mempengaruhi bahtera rumah tangga. Penelitian ini bertujuan untuk mengetahui gambaran dukungan suami dari akseptor dalam pemilihan alat kontrasepsi IUD di desa Ringinarum Kecamatan Ringinarum Kabupaten Kendal. Desain penelitian ini adalah deskriptif dengan pendekatan survey. Populasi dalam penelitian ini yaitu semua akseptor KB di Desa Ringinarum Kecamatan Ringinarum Kabupaten Kendal kurang lebih 261 akseptor. Jumlah sampel 66 responden dengan teknik sampling secara Acak Sistematis. Hasil penelitian menunjukkan bahwa sebagian besar suami mendukung dalam pemilihan alat kontrasepsi IUD sebanyak 52 responden (78,8%). Diharapkan dengan adanya dukungan dari suami, Wanita Pasangan Usia Subur dapat memilih dan menggunakan alat kontrasepsi IUD. Hasil penelitian disarankan dapat digunakan sebagai masukan pada Instansi BPPKB dan Dinkes untuk membuat program atau kebijakan yang lebih baik untuk meningkatkan program – program dalam pencapaian target IUD dan meningkatkan mutu pelayanan dalam program keluarga berencana, misalnya dengan cara mengadakan penyuluhan dan safari KB.

RIWAYAT PENGGUNAAN ALAT KONTRASEPSI PADA WANITA MENOPAUSE Budi Astyandini; Rozikhan Rozikhan; Titi Mursiti
Midwifery Care Journal Vol 1, No 4 (2020): July 2020
Publisher : Politeknik Kesehatan Kementrian Kesehatan Semarang

A woman's reproductive cycle begins at menarche and ends with menopause. Various factors affect a person's age at menopause. The purpose of this study was to find out the fun of using contraception and the age of menopause that occurred in PERIP administrators in Kendal district. research methods with observational analytics with a retrospective approach. The population in the study was 60 people in the management of PERIP with a total sample of 40 people selected by random sampling, primary data collection using instruments using a questionnaire filled directly by respondents, research results obtained 55% of respondents using non hormonal contraceptives especially IUDs and menopause age 70% occurred after age 55 years. The results of the study concluded that most of the non-hormonal contraception methods of menopause were mostly above 55 years. It is recommended for further research to intervene in early menopausal women and test the relationship between variables.

Risk Factors of Preeclampsia in Raden Mattaher Hospital, Jambi Devi Natalia; Listyaning Eko Martanti; Budi Astyandini
JURNAL KEBIDANAN Vol 12, No 2 (2022): Oktober 2022
Publisher : Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jkb.v12i2.7966

Preeclampsia is the major cause of maternal-neonatal death, with an estimated incidence 2-8% of pregnancies. The purpose of this study was to determine risk factors that most influence the incidence of preeclampsia in pregnant women in Jambi province. This study used an analytic observational method with a case-control study design. By using purposive sampling, 125 pregnant women with preeclampsia were found as a case group at Raden Mattaher Hospital and 125 normal pregnant women as a control group at Lambur Health Center. The results showed there was a significant difference between age (p-value 0.002), parity (p-value 0.073), gestational interval (p-value 0.0001), hypertension history (p-value 0.0001), Multiple Pregnancy (p-value 0.366), BMI (p-value 0.0001 ) and hemoglobin levels (p-value 0.003) with incidence of preeclampsia. Then multiple logistic regression analysis showed that hemoglobin level (OR 23.5/CI 3.5-157.3), hypertension history (OR 13.2/CI 4.4- 39.5) and BMI (OR1 6.1 CI 2.5-15.3/ OR2 5.0 CI 2.1-12.0) are the most dominant risk factor that causes preeclampsia. The conclusion there are relationship between age, gestational age, hypertension history, BMI and hemoglobin levels with the incidence of preeclampsia

PENINGKATAN PENGETAHUAN MELALUI MEDIA VIDEO STUNDACE (STUNTING DAPAT DI CEGAH) BAGI REMAJA Muchamad Fachrul Ilham; Tegar Maulana; Elma Fitriya; Siti Afiva Rosiana; Fatmarani; Budi Astyandini
Jurnal Online Keperawatan Indonesia Vol 5 No 2 (2022): Jurnal Online Keperawatan Indonesia
Publisher : UNIVERSITAS SARI MUTIARA INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51544/keperawatan.v5i2.3505

Stunting is a condition where the length or height is less when compared to age. This condition is measured by length or height minus two standard deviations of the WHO child growth standard median. The quality of adolescent health is the key to preventing stunting. Adolescents need to know stunting to prevent stunting cases in the next generation; knowledge can be increased through suitable media. This study aims to determine the level of knowledge of adolescents about stunting between groups with prior knowledge interventions and after being given educational videos from the health office. This research was conducted in March – December 2022. The research design used in this study was quantitative with a Groups Pretest- Posttest Design approach. The sampling technique was Quasi-Experiment with a population of 170 people with a sample of 85 people using the Random Sampling method taken from students with an even number of absences. Student knowledge. The data analysis technique is used to test the instrument's validity and reliability. The data analysis used was univariate analysis with the characteristics of the respondents at the focus of gender and level of knowledge with the influence of the research focus. Based on the results of the research conducted, it can be concluded that the group with the educational video intervention made by the team was compared to their level of knowledge. There is no low category for posttest results, and the results show the excellent category in 58 respondents at 68.2%. Therefore, it can be concluded that the effectiveness of the team's educational video produced a better level of knowledge in respondents during the posttest.

Perbandingan Konsumsi Buah Naga dan Sari Kacang Hijau terhadap Peningkatan Kadar Hb pada Ibu Hamil Anemia di Wilayah Puskesmas Mranggen II Kecamatan Mranggen Kabupaten Demak Dewi Andang Prastika; Amanda Sasha Febiani; Budi Astyandini
Jurnal Ilmu Kebidanan (Journal of Midwivery Science) Vol. 11 No. 1: Maret 2023
Publisher : Sekolah Tinggi Ilmu Kesehatan Akbidyo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36307/jik.v11i1.241

ABSTRACT Background: Anemia is still a complex health problem in Indonesian women. The most common cause of anemia in pregnancy is lack of nutrients in the body. Pharmacological treatment has side effects faster than non-pharmacological treatment. Natural products that are traditionally used as an additional intake in the prevention of anemia, for example there are dragon fruit, green beans, and so on. Purpose: The purpose of this study was to determine the effectiveness comparison between consumption of dragon fruit and mung bean juice on increasing Hb levels in anemia pregnant women in the Mranggen II Public Health Center, Demak Regency. This type of research is quantitative research with a research design using Two Group Pretest Posttest Design. The population in this study were pregnant women with anemia. Sampling using the entire population of as many as 40 respondents. Giving dragon fruit in the form of pieces shows 100% of the ingredients used and green beans are made by boiling to get the juice from the green beans. The research instrument was the Easy Touch Hb test as a measuring tool for Hb levels. Data analysis used Paired T-Test / T-dependent test. Result: The results showed that the average hemoglobin level of pregnant women with anemia in the intervention group before being given Dragon Fruit had a Mean value of 10.241 g/dl, while after the intervention the Mean value became 11.125 g/dl. The Hb level in the control group before being given Mung Bean Extract had a Mean value of 10.825 g/dl while after being given Mung Bean Extract the Mean value became 11.266 g/dl. The results of the statistical test using the Independent T-Test between the two intervention groups and the control group showed p-values 0.539 which means there is no difference in the effectiveness of giving Dragon Fruit and Green Bean Extract to increase Hb levels in pregnant women with anemia. Keywords: Dragon fruit, Green Beans, Increased Hb levels, pregnancy

Perbandingan Konsumsi Buah Naga dan Sari Kacang Hijau terhadap Peningkatan Kadar Hb pada Ibu Hamil Anemia di Wilayah Puskesmas Mranggen II Kecamatan Mranggen Kabupaten Demak Dewi Andang Prastika; Amanda Sasha Febiani; Budi Astyandini
Jurnal Ilmu Kebidanan (Journal of Midwivery Science) Vol. 11 No. 1: Maret 2023
Publisher : Sekolah Tinggi Ilmu Kesehatan Akbidyo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36307/jik.v11i1.241

ABSTRACT Background: Anemia is still a complex health problem in Indonesian women. The most common cause of anemia in pregnancy is lack of nutrients in the body. Pharmacological treatment has side effects faster than non-pharmacological treatment. Natural products that are traditionally used as an additional intake in the prevention of anemia, for example there are dragon fruit, green beans, and so on. Purpose: The purpose of this study was to determine the effectiveness comparison between consumption of dragon fruit and mung bean juice on increasing Hb levels in anemia pregnant women in the Mranggen II Public Health Center, Demak Regency. This type of research is quantitative research with a research design using Two Group Pretest Posttest Design. The population in this study were pregnant women with anemia. Sampling using the entire population of as many as 40 respondents. Giving dragon fruit in the form of pieces shows 100% of the ingredients used and green beans are made by boiling to get the juice from the green beans. The research instrument was the Easy Touch Hb test as a measuring tool for Hb levels. Data analysis used Paired T-Test / T-dependent test. Result: The results showed that the average hemoglobin level of pregnant women with anemia in the intervention group before being given Dragon Fruit had a Mean value of 10.241 g/dl, while after the intervention the Mean value became 11.125 g/dl. The Hb level in the control group before being given Mung Bean Extract had a Mean value of 10.825 g/dl while after being given Mung Bean Extract the Mean value became 11.266 g/dl. The results of the statistical test using the Independent T-Test between the two intervention groups and the control group showed p-values 0.539 which means there is no difference in the effectiveness of giving Dragon Fruit and Green Bean Extract to increase Hb levels in pregnant women with anemia. Keywords: Dragon fruit, Green Beans, Increased Hb levels, pregnancy

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