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Efektivitas Program “Ngiung-Ngiung Hayuk” Dalam Menurunkan Kasus Kematian Ibu Di Puskesmas Lohbener Kabupaten Indramayu Tahun 2018 Hasanah, Uswatun; Dartiwen, Dartiwen; Rudiansyah, Rudiansyah
Infokes Vol 9 No 01 (2019): Jurnal Info Kesehatan
Publisher : Sekolah Tinggi Ilmu Kesehatan Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (541.806 KB)

The Maternal Mortality Rate (MMR) in West Java in 2015 was 823 cases while the Infant Mortality Rate (IMR) was 3,369 cases. The causes of maternal deaths were hypertension in pregnancy (31%), bleeding (30%), infection (4%), prolonged labor (1%) and others (34%). Of these figures, West Java is a contributor to maternal and newborn mortality rates with an average mortality of above 50%. This study aims to analyze how the efforts to implement the ngiung-ngiung hayuk  program in lowering the case of maternal mortality at the Lohbener Health Center in Indramayu Regency. The research method used in this study is mix methods, namely research that combines two forms of approaches in research (quantitative and qualitative). The subjects in this study were the Lohbener Health Center in Indramayu Regency, the person in charge of the Ngiung-ngiung Hayuk program and the high risk pregnant women in the Trimester III (> 28 weeks) as many as 27 people. The results of the study showed that the effort to implement this program was effective in lowering case of maternal mortality at the Lohbener Health Center in Indramayu district. It is hoped that this ngiung-ngiung hayuk program can be adopted by other health centers so that cases of maternal mortality can be suppressed.

EDUCATION LEVEL IN THE RELATION TO ADOLESCENTS PREGNANCY IN INDRAMAYU 2019 Rudiansyah Rudiansyah; Dartiwen Dartiwen
Insights in Public Health Journal Vol 1 No 1 (2020): Insights in Public Health Journal
Publisher : Public Health Department, Faculty of Health Sciences, Jenderal Soedirman University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.iphj.2020.1.1.2422

Adolescents’ pregnancy negatively impacts their health and their babies, also gives socio-economics impacts and risks of premature birth, low birth weight (LBW) and bleeding that can increase maternal and infant mortality. This study aims to determine the relationship of education level with the pregnancy at the age of adolescence. This research using observational analytic design with cross-sectional to recognize the relationship between education level ties and pregnancy at the age of adolescence. The subject of this research is pregnant women in the North Coast Region of Indramayu who meet the inclusion criteria and are willing to sign the consent form after being given an explanation. The samples of 200 pregnant women were taken using consecutive sampling. The results obtained p-value = 0.045 smaller than the alpha value (<0. 05) it can be concluded that there is a relationship between the level of education of mothers with pregnancy in adolescence. Analysis we found the value of OR of 3.336 (95% CI 1.098 to 10.140) means, less educated mother 3.336 times risk higher to get married and pregnant at the age of adolescence. It is expected that health center, government worker and the Office of Religious Affairs (KUA) able to work together to provide better education for adolescents and prospective brides in order not to get pregnant at an early age.

Upaya Pencegahan Kehamilan Resiko Tinggi yang Disebabkan "4 Terlalu" pada Wanita Usia Subur (WUS) di Desa Juntiweden Kabupaten Indramayu Dartiwen Dartiwen; Cucu Nurmala
PengabdianMu: Jurnal Ilmiah Pengabdian kepada Masyarakat Vol 5 No 1 (2019): PengabdianMu: Jurnal Ilmiah Pengabdian kepada Masyarakat
Publisher : Institute for Research and Community Services Universitas Muhammadiyah Palangkaraya

Fertile Age Women (WUS) are women whose reproductive organs function well between the ages of 20 and 45 years. In Juntiweden Village, there are still many pregnant women who have a high risk so that health workers need to develop practical skills to improve maternal health. One of our approaches is through community service activities by counseling women of childbearing age who aim to increase knowledge to prevent high-risk pregnancies caused by "4 Terlalu" as an effort to improve women's reproductive health. The counseling method uses adult learning methods, including discussion, question and answer, and video screenings. The description of the activity is carried out pretest in advance by using a questionnaire, giving material then carried out posttest. The results of the 50 people the number of participants found that before counseling (pretest) there were 44 people (88%) with less knowledge and six people (12%) with enough knowledge, whereas after being given counseling (posttest) results obtained 50 people (100%) good knowledge. This means that there is an increase in WUS knowledge about preventing high-risk pregnancies after getting counseling. This dedication activity can increase the knowledge of WUS in efforts to prevent high-risk pregnancies from reducing the number of maternal and infant deaths caused by 4 Terlalu.

PENGARUH PENYULUHAN PROGRAM PERENCANAAN PERSALINAN DAN PENCEGAHAN KOMPLIKASI (P4K) TERHADAP SIKAP IBU HAMIL DALAM PENCEGAHAN KOMPLIKASI KEHAMILAN DI DESA KENANGA KAB. INDRAMAYU TAHUN 2016 Dartiwen Dartiwen
JURNAL KESEHATAN INDRA HUSADA Vol 4 No 2 (2016): Juli-Desember
Publisher : SEKOLAH TINGGI ILMU KESEHATAN (STIKes) INDRAMAYU

Pelaksanaan program P4K dipengaruhi beberapa faktor diantaranya pengetahuan, dukungan keluarga, situasi geografis dan budaya. Kurangnya pengetahuan baik ibu hamil atau masyarakat tentang pencegahan komplikasi kehamilan mempengaruhi rendahnya cakupan P4K. Dengan rendahnya pengetahuan ibu hamil dan masyarakat tentang pentingnya pencegahan komplikasi kehamilan maka kesadaran akan pentingnya manfaat P4K juga rendah. Penelitian ini bertujuan untuk mengetahui pengaruh penyuluhan tentang P4K terhadap upaya pencegahan komplikasi pada ibu hamil di Desa Kenanga Kabupaten Indramayu periode Januari-Mei 2016. Metode penelitian yang digunakan dalam penelitian ini adalah rancangan pre eksperimen one group pretest-posttest design dengan populasi dan sampel seluruh ibu hamil di Desa Kenanga sebanyak 34 orang. Analisis data menggunakan uji Wilcoxon. Instrument penelitian menggunakan kuesioner. Hasil penelitian menunjukkan bahwa sikap ibu hamil dengan kategori baik sebelum diberikan penyuluhan 10 orang (29,41%), setelah diberikan penyuluhan 28 orang (82,35%). Sikap ibu hamil dengan kategori cukup sebelum diberikan penyuluhan 4 orang (11,76%) setelah diberikan penyuluhan 6 orang (17,65). Sikap ibu hamil dengan kategori kurang sebelum diberikan penyuluhan 20 orang (58,83%) setelah diberi penyuluhan tidak ada responden dengan kategori kurang (0%). Ada pengaruh penyuluhan tentang P4K terhadap upaya pencegahan komplikasi pada ibu hamil. Penyuluhan yang diberikan telah mampu memberikan pengetahuan maupun informasi tentang P4K sehingga diharapkan ibu hamil dapat meningkatkan kesadaran dan kewaspadaan dalam melakukan upayaupaya untukmencegah terjadinya komplikasi kehamilan dan persalinan. Kata kunci : Penyuluhan P4K, Sikap, Upaya pencegahan komplikasi

FAKTOR INTERNAL DAN EKSTERNAL YANG MEMPENGARUHI PERILAKU SEKSUAL LELAKI SEKS DENGAN LELAKI (LSL) PADA REMAJA DI KABUPATEN INDRAMAYU Idham Latif; Dian Fitriyani; Dartiwen Dartiwen
JURNAL KESEHATAN INDRA HUSADA Vol 6 No 2 (2018): Juli-Desember
Publisher : SEKOLAH TINGGI ILMU KESEHATAN (STIKes) INDRAMAYU

Perilaku seksual lelaki seks dengan lelaki (LSL) sudah menjadi permasalahan di Indonesia berkaitan dengan penularan HIV, terlebih karena perilaku seks tersebut dilakukan pada usia dini yaitu remaja. Perilaku tersebut pada remaja bisa berdampak negatif, baik dari segi kesehatan reproduksi maupun kehidupan sosial. Mengingat belum diketahuinya faktor-faktor yang mempengaruhi fenomena perilaku seksual LSL, maka dilakukanlah penelitian dengan pendekatan kualitatif untuk menggali faktor internal dan eksternal yang mempengaruhi perilaku LSL pada remaja di kabupaten Indramayu. Subyek dalam penelitian adalah pelaku LSL yang terdampak HIV, dimana pernah melakukan perilaku seksual LSL pada usia 10-20 tahun. Jumlah populasi penelitian tercatat di RS Bhayangkara sejumlah 25 klien. Sampel diambil dengan teknik purposive sampling. Jumlah informan yang berhasil ditemui dan diberi informasi dari sebanyak 25 klien, hanya sebanyak 17 klien yang bersedia menjadi responden, namun yang bersedia diwawancarai sebanyak 8 responden. Pengumpulan data dilakukan melalui wawancara mendalam, dan data dianalisis mengunakan analisis tematik. Melalui penelitian ini, terungkap beberapa faktor internal dan eksternal yang mempengaruhi perilaku LSL pada remaja di Kabupaten Indramayu, yaitu berkaitan karena sejak kecil telah memiliki perasaan suka terhadap sesama jenis, diasuh dalam lingkungan feminis, kurangnya kedekatan dengan ayah, kurangnya bimbingan religi, migrasi desa kota, pergaulan kota, dan peran internet khusunya media sosial. Rekomendasi dari hasil penelitian, kepada orang tua agar lebih memperhatikan lingkungan bermain anak laki-laki dari sejak kecil, berilah mainan/permainan yg sesuai jenis kelamin, jalin komunikasi yg baik antara anak dengan ayah, perkuat landasan religi, awasi dan batasi pergaulan sesama jenis, serta bijaksana menggunakan internet.

EFEKTIVITAS HYPNOBREASTFEEDING TERHADAP PEMBERIAN ASI EKSLUSIF PADA IBU YANG MEMPUNYAI BAYI USIA 0 – 6 BULAN DI DESA BERONDONG KECAMATAN PASEKAN KABUPATEN INDRAMAYU TAHUN 2017 Dartiwen Dartiwen; Cucu Nurmala
JURNAL KESEHATAN INDRA HUSADA Vol 6 No 2 (2018): Juli-Desember
Publisher : SEKOLAH TINGGI ILMU KESEHATAN (STIKes) INDRAMAYU

Air Susu Ibu (ASI) merupakan makanan utama bagi bayi di 6 bulan pertama usianya. United Nation Childrens Fund (UNICEF) dan World Health Organization (WHO) mengeluarkan rekomendasi tentang pemberian ASI saja (bayi hanya diberikan ASI tanpa cairan atau makanan lain, kecuali suplemen vitamin, mineral dan atau obat-obatan untuk keperluan medis) sampai bayi berusia 6 bulan. Seperti halnya proses persalinan, proses menyusui juga adalah proses yang alami. Walaupun demikian para ibu harus tetap mempersiapkan diri dengan sebaik-baiknya secara menyeluruh (body,mind, and soul) untuk dapat menyusui bayinya dengan nyaman. Teknik Hypnobreastfeeding telah disarankan sebagai salah satu cara untuk membantu mengatasi hambatan tersebut dan memberikan kenyamanan sehingga proses menyusui dapat berjalan dengan lancar. Tujuan dari penelitian untuk mengetahui efektifitas Hypnobreastfeeding terhadap pemberian ASI Ekslusif pada ibu yang mempunyai bayi usia 0 – 6 bulan di Desa Berondong Kecamatan Pasekan Kabupaten Indramayu. Penelitian ini adalah jenis penelitian Analitik dengan pendekatan Cross Sectional. Pengambilan sampel menggunakan total sampling yaitu sebanyak 25 orang. Analisis data menggunakan tabulasi silang untuk mengetahui hubungan variabel yang diuji menggunakan Koefisiensi Kontingensi. Hasil penelitian menunjukan p value <0,05 sehingga kesimpulannya adalah Hypnobreastfeeding efektif terhadap pemberian ASI Ekslusif.

PENGARUH SENAM DISMENORHEA TERHADAP PENURUNAN NYERI MENSTRUASI PADA MAHASISWA KEBIDANAN Dartiwen Dartiwen
JURNAL KESEHATAN INDRA HUSADA Vol 10 No 1 (2022): January-June 2022
Publisher : SEKOLAH TINGGI ILMU KESEHATAN (STIKes) INDRAMAYU

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36973/jkih.v10i1.405

Dysmenorrhea is pain that occurs during menstruation which can interfere with student learning activities. To reduce pain, non-pharmacological alternatives are carried out with dysmenorrhea exercise. The purpose of this study was to reveal something new, namely the effectiveness of dysmenorrhea exercise on reducing menstrual pain in midwifery students. This study is a quasi-experimental study with a pre-post test research design with a control group involving two groups, namely the intervention group of 19 people and the control group of 22 people. The sample in this study used the total population. The intervention group was given dysmenorrhea exercise twice a week for four weeks. Pain measurement using Numeical Rating Scale (NRS). Statistical test with mann whitney and chi – square. The results showed that in the intervention group there was a decrease in menstrual pain after doing dysmenorrhea exercise (p = 0.001). This study concludes that dysmenorrheal exercise is effective in reducing the intensity of pain during menstruation. For students who experience menstrual pain, it is recommended to do dysmenorrhea exercises instead of taking drugs that have side effects on body health.

FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KEJADIAN BERAT BAYI LAHIR RENDAH DI DESA KARANGSONG Mira Aryanti; Dartiwen Dartiwen
JURNAL KESEHATAN INDRA HUSADA Vol 10 No 2 (2022): July-December 2022
Publisher : SEKOLAH TINGGI ILMU KESEHATAN (STIKes) INDRAMAYU

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36973/jkih.v10i2.414

ABSTRAC Background: According to the WHO, the results of the MMR policy are 23.88 per 1000 live births, while the IMR is 12.41 per 1000 live births. The Ministry of Health noted that the number of maternal deaths in Indonesia was 4,627 people in 2020. This number increased by 8.92% from the previous year's 4,197 people. Based on data from West Java Province, the Infant Mortality Rate in 2021 was 2672 cases, compared to 2020 there was a decrease of 88 cases. Indramayu District Health Report in 2021 the number of maternal deaths was 42 cases, the number of infant deaths was 170 cases and the largest cause of infant mortality Methods: This research uses descriptive method with cross sectional approach. The data used is secondary data. The population of this study were all mothers who gave birth in Karangsong village totaling 468 mothers, sampling was carried out by simple random sampling method and the sample in this study was 211 mothers. Data analysis in this study was univariate, bivariate and multivariate. Results: From the results of the study, it was found that the incidence of LBW was 22.3%. The results of the study using the Chi Square test, there is 1 variable that is not related to the incidence of low birth weight (LBW) namely education (p-value 0.826) and there are 2 related variables, namely maternal age during pregnancy (p-value 0.020) and gestational age (p-value 0.020). p-value 0.000). Conclusion: There is a significant relationship between maternal age and gestational age with the incidence of low birth weight, and there is no significant relationship between maternal education and the incidence of low birth weight babies. Keywords: Maternal Age, Gestational Age, Education and LBW

COMPARATIVE ANALYSIS OF LABOR PAIN LEVELS BETWEEN PRIMARY AND MULTIPPARATE PAIN Dartiwen Dartiwen
Jurnal Ilmu Keperawatan dan Kebidanan Vol 14, No 1 (2023): JURNAL ILMU KEPERAWATAN DAN KEBIDANAN
Publisher : Universitas Muhammadiyah Kudus

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26751/jikk.v14i1.1262

Pain due to uterine contractions during labor is a normal thing, but pain can also cause anxiety and fatigue in the mother which will negatively affect the progress of labor and fetal well-being. The purpose of the study was to determine the relationship between age, education and parity on labor pain levels and to analyze the differences in pain levels between primiparas and multiparas. The research method uses a quantitative analytic approach with a cross sectional design. The number of samples as many as 65 mothers who gave birth during one year were taken using accidental sampling technique. Assessment of labor pain level using the Numerical Rating Scale (NRS). Data were analyzed using chi square and Mann-Whitney test. The results showed that there was no significant relationship between age and the level of labor pain (p = 0.126), there was no relationship between education and the level of labor pain (p = 0.334), and there was a difference in the level of labor pain in the first stage of the active phase between primiparous and primiparous mothers. multipara p value = 0.007 (<0.05). Providing complete information by health workers about pain management during pregnancy check-ups in order to increase the mother's confidence in facing the delivery process. Further research is needed in analyzing the factors that influence labor pain.

EDUCATION LEVEL IN THE RELATION TO ADOLESCENTS PREGNANCY IN INDRAMAYU 2019 Rudiansyah Rudiansyah; Dartiwen Dartiwen
Insights in Public Health Journal Vol 1 No 1 (2020): Insights in Public Health Journal
Publisher : Public Health Department, Faculty of Health Sciences, Jenderal Soedirman University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.iphj.2020.1.1.2422

Adolescents’ pregnancy negatively impacts their health and their babies, also gives socio-economics impacts and risks of premature birth, low birth weight (LBW) and bleeding that can increase maternal and infant mortality. This study aims to determine the relationship of education level with the pregnancy at the age of adolescence. This research using observational analytic design with cross-sectional to recognize the relationship between education level ties and pregnancy at the age of adolescence. The subject of this research is pregnant women in the North Coast Region of Indramayu who meet the inclusion criteria and are willing to sign the consent form after being given an explanation. The samples of 200 pregnant women were taken using consecutive sampling. The results obtained p-value = 0.045 smaller than the alpha value (<0. 05) it can be concluded that there is a relationship between the level of education of mothers with pregnancy in adolescence. Analysis we found the value of OR of 3.336 (95% CI 1.098 to 10.140) means, less educated mother 3.336 times risk higher to get married and pregnant at the age of adolescence. It is expected that health center, government worker and the Office of Religious Affairs (KUA) able to work together to provide better education for adolescents and prospective brides in order not to get pregnant at an early age.

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