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Determinan Pola Asuh Anak Autisme di Kota Denpasar Ni Wayan Suarniti; Ni Komang Erny Astiti
Jurnal Ilmiah Kebidanan (The Journal Of Midwifery) Vol 9, No 1 (2021)
Publisher : Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jik.v9i1.1483

Abstract

Children with autism symptoms with late intervention will lead to failure of social development and communication in adulthood. The purpose of writing is to develop instruments related to the determinants of parenting styles for children with autism in Denpasar City. Qualitative research design. The sample is the parents (mother/father) of children with autism at the autism service provider institution in Denpasar City in 2018/2019 who meet the research inclusion criteria. The sampling technique is purposive sampling. Data analysis went through the stages of transcription, reduction, coding, categorization and finding themes. The results of the study are the determinants of parenting styles for children with autism in Denpasar City, including knowledge and perceptions of parents and social support. The conclusion of this study is that knowledge, perception and social support are determinants of parenting patterns for children with autism in Denpasar City. Suggestions for further researchers to carry out mixed methods to clarify research results.
Pengetahuan, Sikap dan Kepatuhan Penggunaan Masker oleh Ibu Hamil pada Masa Pandemi CoVid-19 di Kota Denpasar Ni Made Dwi Purnamayanti; Ni Komang Erny Astiti
Jurnal Ilmiah Kebidanan (The Journal Of Midwifery) Vol 9, No 1 (2021)
Publisher : Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jik.v9i1.1476

Abstract

Corona virus diseases 2019 (CoVid-19) spreads very quickly through droplets or indirectly when touching objects or area exposed to the virus. Since the first cases were announced, the number of cases in Bali has increased rapidly, including among pregnant women. The use of face masks is one of the strategies to prevent transmission. This study aims to analyze the relationship between knowledge, attitudes and compliance with the use of mask by pregnant woman during the CoVid-19 pandemic in Denpasar-Bali. This research is a quantitative observational study with a cross-sectional approach. 97 pregnant women in Denpasar during 2020 were involved in this study. Data were collected using a questionnaire that was filled out online. The results showed that most pregnant women had good knowledge, attitude and compliance regarding the use of masks during the CoVid-19 pandemic (respectively 92,8%, 77,3% and 67,0%). There is no relationship between knowledge and compliance with the use of masks. There is a relationship between attitude and compliance with the use of mask by pregnant women during the CoVid-19 pandemic in Denpasar-Bali.
Identification of the needs couples against prenatal class program in Badung Regency Ni Komang Erny Astiti; Ni Made Dwi Purnamayanti
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 10, No 1 (2022)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2022.10(1).76-88

Abstract

Background: Pregnancy causes changes in physical and psychological. Sometimes it causes a maturation crisis. The husband's support is expected to be optimal. So far, pregnancy education has focused on the mother, so the husband cannot carry out his role optimally.Objective: This study aims to identify the information needs of couples about the materials, methods, media, repetitions, and duration of couple prenatal class in Badung Regency.Methods: This research is a mixed-method explanatory sequential. This research was conducted in Badung Regency with 100 couples. Data analysis went through the stages of transcription, reduction, coding, categorization and finding themes. The results obtained six themes: subjects, functions, forms, awareness, quantity, and quality of health education. The next step is quantitative, the questionnaire contains the types of material needs, media, methods, duration and repetitions of health education needed by couples.The results of quantitative research were analyzed descriptive quantitatively..Result: This study consisted of 6 themes that were used as the basis for compiling a quantitative research. This research questionnaire consists of 30 items which include material, media, method, duration and repetition of health information needs about pregnancy, childbirth, postpartum and newborn which are assessed with a Likert scale.The findings revealed that the most common pregnant topics were fetal stimulation, danger indicators, and complaints, as well as how to deal with them. Pain management strategies, the role of the husband, and early breastfeeding initiation are the essential delivery materials. Danger indicators, breastfeeding issues, and managing and caring for postpartum are the most needed during the postpartum time. Bathing and caring for the umbilical cord, growth, development, and massage are the essential newborn care items. Interactive media, hybrid approaches, duration, and repetition of material adapted to the urgency and demands of couples are all desirable learning media.Conclusion: The needs of couples for health education in a couple of prenatal classes are very varied, including materials, media, methods, duration, and repetitions.
Probiotik Sebagai Terapi Komplementer Bakterial Vaginosis Dalam Kehamilan Ni Komang Erny Astiti
Jurnal Infokes Vol 9 No 1 (2019): Jurnal Ilmiah Rekam Medis dan Informatika Kesehatan
Publisher : Universitas Duta Bangsa Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47701/infokes.v9i1.721

Abstract

Bacterial vaginosis (BV) adalah infeksi yang disebabkan perubahan flora normal vagina menjadi pertumbuhan bakteri anaerob, disertai perubahan sekresi vagina. BV ditemukan 40% pada kehamilan dan menyebabkan preterm. Penapisan BV dilakukan dengan pemeriksaan apusan vagina. Terapi BV yang direkomendasikan adalah klindamisin atau metronidazol, tetapi berdasarkan hasil beberapa penelitian, penggunaan kedua obat tersebut dalam waktu yang lama tidak efektif. Tujuan penelitian yaitu menganalisis penggunaan probiotik sebagai terapi komplementer BV dalam kehamilan. Metode penelitian kajian (review) orisinal penelitian terkait probiotik sebagai terapi komplementer BV dalam kehamilan. Hasil review didapatkan:(1)Probiotic atau bacteriotherapy direkomendasikan sebagai pengobatan BV dalam jangka waktu yang lama;(2)Lactobacilli yang terkandung dalam probiotik menjaga vagina dari mikroorganisme dengan menghasilkan hydrogen peroxide dan bacteriocin; (3) Kombinasi Lactobacillus rhanosus GR-1 dan Lactobacillus reuteri RC-14 dan metronidazole dapat menurunkan prevalensi BV;(4)Probiotik dapat mencegah persalinan preterm, 81% mengurangi resiko infeksi vagina; (5) Penelitian in vitro, Lactobacilli berefek menghambat Group B Streptococcus dan Lactobacillus di vagina pada ibu hamil. Terapi BV dengan menggunakan kombinasi probiotik oral Lactobacillus rhamnosus GR-1 dan Lactobacillus reuteri RC-14 dan metronidazole efektif menghambat group B streptococcus pada ibu hamil. Berdasarkan review beberapa hasil penelitian tersebut, probiotik efektif digunakan sebagai terapi komplementer yang dikombinasikan dengan metronidazole dan klandimycin untuk mengobati BV dalam kehamilan.
Stimulation of endorphin massage, oxytocin massage, and suggestive (SPEOS) method activates let-down reflex (LDR) of postpartum mother Ni Wayan Armini; Gusti Ayu Marhaeni; I Gusti Ayu Surati; Ni Made Dwi Malahayati; Ni Wayan Suarniti; Ni Komang Erny Astiti; Ni Luh Putu Sri Erawati
Jurnal Kesehatan Ibu dan Anak Vol. 15 No. 2 (2021): November
Publisher : Poltekkes Kemenkes Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29238/kia.v15i2.1224

Abstract

Breast milk is the most important food, especially in the first months of a baby's life. The process of releasing milk also depends on the Let Down Reflex (LDR). One way to facilitate breast milk production is to apply the Stimulation of Endorphin Massage Oxytocin Massage, and Suggestive (SPEOS) method. The purpose of this study was to determine the effect of the SPEOS Method on LDR Activation Postpartum. The study design used a pre-experimental one-group pretest-posttest. The location of the study was conducted at the public health of Denpasar. The research period was from May to October 2019. The population was postpartum mothers at the public health care of Denpasar and fulfilled the specified inclusion criteria. The data collection instrument used a questionnaire. Statistical analysis with Wilcoxon test. The result found that the median of LDR postpartum before the SPEOS method (2 with a range of 1-3) and after the SPEOS method (5 with a range of 4-6) indicated an increase in the LDR score (p-value <0.001). SPEOS method increases the activation of LDR in postpartum. Public health centers and health workers need to compile and set operational standards for SPEOS procedures and implement this method for postpartum mothers.
The inclination of psychological disorder of post sectio caesarean based on characteristic Ni Wayan Dewi Purwanti; Ni Komang Erny Astiti; I G A A Novya Dewi; I Nyoman Hariyasa Sanjaya; I Nyoman Wirata; G. A Eka Utarini
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 10, No 3 (2022)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2022.10(3).205-213

Abstract

Background: Psychological problems in postpartum mothers, both vaginal postpartum and post SC, can have a negative impact on the cognitive development of babies and can reduce maternal and infant bonding. Post SC have a risk of postpartum depression four times greater than mothers with vaginal deliveries. However, previous studies looked at postpartum mothers in general, not specifically in post-SC who had a higher risk. Research related to early detection of the risk of post-SC psychological disorders is quite limited.  The prevalence of mothers with postpartum depression symptoms in Denpasar in 2019 was 25.4%. Early detection can be done using the Edinburgh Postpartum Depression Scale (EPDS).Objectives: The aims of this research to identify the psychology of post SC mothers based on characteristics including age, race/ethnicity, last education, income, pregnancy status, parity, living with a nuclear or large family, lactation problems, and type of SC in the Dr.dr. I Nyoman Hariyasa Sanjaya,SpOG(K)-KFM.MARS 2022.Methods: Descriptive research design with a cross-sectional subject approach model. The sample of this research is 34 samples with the Consecutive Sampling technique. Types of primary data taken by EPDS and characteristic questionnaire. This study uses quantitative descriptive univariate analysis.Results: The prevalence of Post SC which indicates a psychological disorder is 44.12%. Post SC which indicates more psychological disorders are mothers with a productive age range of 20-35 years by 26.47%, Asian race 41.18%, higher education level which is 38.24%, very high revenue 38.24%, desired pregnancies status 35.29%, 29.41% multiparas, 23.53% mothers living with large families, 38.24% experiencing lactation problems, and 26,47% elective SC types.Conclusions: This study found that 44.12% of Post SC indicated experiencing psychological disorders, the majority were Post SC at the age of 20-35 years, Asian race, good education, very high revenue, desired pregnancy status, multipara, mothers living with large families, mothers with lactation problems, and elective cesarean section. The environment and health workers can conduct screening as early as possible so that the impact of this psychological disorder can be prevented.
HUBUNGAN MEKANISME KOPING IBU BERSALIN DENGAN LAMA KALA I FASE AKTIF DI RUANG BERSALIN RUMAH SAKIT IBU DAN ANAK PURI BUNDA DENPASAR TAHUN 2022 Ni Ketut Sri Satriani; Ni Komang Erny Astiti; Ni Nyoman Suindri
Jurnal Ilmiah Kebidanan (The Journal Of Midwifery) Vol 10, No 2 (2022)
Publisher : Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jik.v10i2.2202

Abstract

Nyeri persalinan dapat menimbulkan traumatik yang menyebabkan kecemasan pada ibu bersalin,salah satu upaya yang dilakukan dengan mekanisme koping. Mekanisme koping nyeri persalinan adalah upaya mengatasi diri selama proses persalinan, sehingga diperlukan upaya untuk membantu pasien untuk menyesuaikan diri atau beradaptasi terhadap masalah nyeri yang dialaminya disebut mekanisme koping. Penelitian ini bertujuan mengetahui hubungan  mekanisme  koping dengan lama  kala I fase aktif. Jenis penelitian analitik korelasi dengan pendekatan cross sectional. Sampel penelitian adalah  ibu bersalin di Rumah Sakit Ibu dan Anak Puri Bunda Denpasar selama 1 April sampai dengan 22 Mei, pengambilan sampel yang memenuhi kriteria inklusi sebanyak 50 orang dengan tehnik purposive sampling. Jenis data yang digunakan adalah data primer.dan sekunder. Hasil penelitian menunjukkan ibu bersalin 54% memiliki mekanisme koping nyeri kategori maladaptif, lama kala I fase aktif menunjukkan 58% dalam kategori patologis. Hasil uji Chi squre didapatkan p value = 0,000 (p0,05) Penelitian ini dapat disimpulkan ada hubungan mekanisme koping ibu bersalin dengan lama kala I fase aktif  di Rumah Sakit Ibu dan Anak Puri Bunda Denpasar. Memfasilitasi koping yang adaptif disarankan dengan menggunakan sumber-sumber kekuatan, tenaga kesehatan diharapkan mampu memberikan pendidikan kesehatan tentang persiapan persalinan, cara mengatasi nyeri persalinan sehingga ibu bersalin mampu mengatasi nyeri persalinan dengan adaptif.                                                                           Kata Kunci : Mekanisme Koping; Lama Kala I Fase Aktif; Ibu Bersalin 
STATUS GIZI IBU HAMIL DENGAN BERAT BAYI LAHIR (BBL) Ni Ketut Sri Kurniati; Ni Komang Erny Astiti; Lely Cintari
Jurnal Midwifery Update (MU) Vol 4, No 2 (2022): Jurnal Midwifery Update (MU)
Publisher : Poltekkes Kemenkes Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32807/jmu.v4i2.134

Abstract

Proses kehamilan menyebabkan peningkatan kebutuhan energi dan zat gizi untuk pertumbuhan dan perkembangan janin, serta perubahan komposisi dan metabolisme tubuh ibu. Asupan gizi ibu hamil yang tidak seimbang dapat mengakibatkan defisiensi zat gizi berdampak negatif pada outcome kehamilan seperti bayi lahir dengan berat yang rendah (BBLR). Penelitian didesain kuantitatif analitik dengan pendekatan cross sectional. Sumber data berasal dari kohort. Sampel diperoleh dengan metode purposive sampling, analisis data menggunakan bivariat dan pengujian statistik menggunakan contingency coefficient. Berdasarkan pada total 104 responden, hasil analisis yang diperoleh yaitu sejumlah 48 responden (46,2%) mengalami KEK, 42 responden (38,2%) mengalami IMT dibawah normal dan 46 responden (44,2%) mengalami anemia, serta sebanyak 40 bayi (38,5%) mengalami berat lahir rendah (BBLR). Hasil analisis korelasi LiLA dengan BBL menyatakan ada hubungan yang signifikan (p-value = 0,000), analisis korelasi IMT dengan BBL menyatakan ada hubungan yang signifikan (p-value =0,000) dan analisis korelasi Hb dengan BBL menyatakan ada hubungan yang signifikan (p-value = 0,000). Hasil penelitian ini diharapkan dapat dijadikan sebagai acuan dalam meningkatkan pelayanan KIA di UPTD Puskesmas Kuta Selatan.
Rancangan couple prenatal class dalam edukasi perawatan bayi baru lahir Ni Komang Erny Astiti; Ni Wayan Suarniti
Jurnal Kebidanan dan Keperawatan Aisyiyah Vol 18, No 2 (2022): Desember
Publisher : Universitas Aisyiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31101/jkk.2792

Abstract

Edukasi perawatan bayi baru lahir diberikan sejak kehamilan, agar orang tua siap menjalankan perannya. Kenyataanya edukasi tersebut tidak optimal didapatkan dan minim melibatkan suami. Penelitian bertujuan merancang pembelajaran couple prenatal class dalam edukasi perawatan bayi baru lahir yang telah teruji secara internal. Penelitian ini merupakan Reseach And Development Design RND level 1, dengan subyek penelitian 100 ibu hamil dan suami yang dipilih secara cluster sampling. Analisis data secara deskriptif kuantitatif, selanjutnya dibuat rancangan pembelajaran serta dilakukan uji validitas internal. Hasil uji validitas internal rancangan pembelajaran kelas edukasi perawatan bayi baru lahir, didapatkan skor 3,93 (sangat valid). 
The relationship between breastfeeding contact with breastfeeding self-efficacy in Wangaya Hospital Denpasar City Sang Ayu Kompiang Suartiningsih; Ni Komang Erny Astiti; Listina Ade Widya Ningtyas; Ni Gusti Kompiang Sriasih; I Nyoman Wirata
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 10, No 4 (2022)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2022.10(4).285-291

Abstract

Background :Breastfeeding is the best care for babies in early life. Lack of self- confidence of mothers is one of the causes of breastfeeding failure. Breastfeeding self-efficacy can be used to see or identify mothers who are at hight risk for stopping the breastfeeding process prematurely. Interventions that can improve breastfeeding self-efficacy care providing support and counseling during antenatal, perinatal and postnatal management. To achieve successful breastfeeding, WHO has set a special time for contact with lactation counselor orlactation clinic known as Breastfeeding contact.Objectives :This study aims to analyze the relationship between breastfeeding contact and breastfeeding self- efficacy in Wangaya Hospital, Denpasar City.Methods :The study was designed with an observational analytic approach with a crosssectional approach, in Februari-April 2022. The data were collected from breastfeeding mothers who bring their babies control for the first time and or 7 days old. The sampel was obtained by total sampling method, data analysis using bivariate and statistical testing using Chi-square test.Results :The results showed that of 38 respondents, were 73.68% had good breastfeeding contact and 57.89% had a good of breastfeesing self-efficacy.The results of cross tabulation, respondents who had good breastfeeding contacts and had a good breastfeesing self-efficacy were 55.26%. The results of this study indicate that there is a significant relationship between breastfeeding contact and breastfeeding self- efficacy in Wangaya Hospital Denpasar City with ρ-value is 0.001.Conclusions : Having regular breastfeeding contact can increase the breastfeeding self-efficacy.