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Keikutsertaan menjadi akseptor KB ditinjau dari aspek sosial budaya dan dukungan keluarga Nopita Yanti Sitorus; R Maimunah
Holistik Jurnal Kesehatan Vol 14, No 3 (2020)
Publisher : Program Studi Ilmu Keperawata Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v14i3.3015

Abstract

Socio-cultural and family  aspects among female participation in family planningBackground: The family planning program is one way to suppress population growth. However, the phenomenon in some communities regarding family planning is that there are values, culture and norms that have not been able to accept birth control programs and think that family planning is not in accordance with the values believed so that the family also does not provide support.Purpose: To analyze the socio-cultural relationship and family support with family planning participation.Method: A quantitative study with a cross sectional approach. The research was conducted in the area of public Health Centre (Puskesmas) Kota Datar, Tandem Hulu I Village. The study population was 1711 people and the sample was 324 responden taken by simple random sampling. Data analysis used univariate analysis, bivariate analysis with chi-square test at the 95% confidence level ( = 0.05).Results: The  socio-culture and family support were related to family planning participation in the working area of the Public Health Centre (Puskesmas) Kota Datar, Tandem Hulu I Village, Hamparan Perak District, Deli Serdang Regency, p <0.05.Conclusion: The wife who do not get support socio-culture and get support from family tend to use contraceptives and wifes who has support socio-culture and do not get support from their husbands tend not to use contraceptives.Keywords: Socio-culture; Family support; Participation; Female; Family planningPendahuluan : Program KB merupakan salah satu cara untuk menekan pertumbuhan penduduk. Namun, fenomena pada sebagian masyarakat tentang KB yaitu adanya nilai, budaya dan norma yang belum dapat menerima program pengaturan kelahiran dan menganggap KB tidak sesuai dengan nilai-nilai yang diyakini sehingga keluarga juga tidak memberikan dukunganTujuan: Untuk menganalisis hubungan sosial budaya dan dukungan keluarga dengan keikutsertaan KB.Metode : Penelitian kuantitatif dengan pendekatan cross sectional. Penelitian dilakukan di wilayah Kerja Puskesmas Kota Datar yaitu di Desa Tandem Hulu I Kecamatan Hamparan Perak Kabupaten Deli Serdang. Populasi penelitian sebanyak 1.711 orang dan sampel diperoleh sebanyak 324 responden. Penarikan sampel secara acak sederhana (simple random sampling). Analisis data menggunakan analisis univariat, analisis bivariat dengan uji chi-square pada tingkat kepercayaan 95% (p<0,05).Hasil: Menunjukkan bahwa sosial budaya dan dukungan keluarga berhubungan dengan keikutsertaan KB di Wilayah kerja Puskesmas Kota Datar Desa Tandem Hulu I Kecamatan Hamparan Perak Kabupaten Deli Serdang, p < 0,05.Simpulan : Ibu yang tidak mendapat dukungan sosial budaya dan mendapatkan dukungan dari  keluarga cenderung menggunakan alat kontrasepsi, dan ibu yang mendapat dukungan sosial budaya dan tidak mendapatkan dukungan suami cenderung tidak menggunakan alat kontrasepsi.
Pengaruh perilaku ibu terhadap keikutsertaan program KB di kota medan tahun 2019 Nopita Yanti Sitorus; R Maimunah
Holistik Jurnal Kesehatan Vol 13, No 4 (2019)
Publisher : Program Studi Ilmu Keperawata Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (349.665 KB) | DOI: 10.33024/hjk.v13i4.1912

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Factors affecting participation of the family planning program in Medan, IndonesiaBackground: Family Planning is one of the most effective ways to increase family endurance and mother, children and women safety. In fact, there are many mothers who do not use contraception so as they have many children. Therefore, the distance between child births is very close.Purpose: Knowing of the effects of mothers’ behavior, attitude, and knowledge on their participation of the Family planning program in Medan in 2019.Method: A quantitative analytical method by cross sectional research design and conducted in 13 Public Health Centers (Puskesmas) and Maternity Clinics in Medan, North Sumatra Provinc, Indonesia. The population were 745 mothers of childbearing age and the samples were 260 mothers. The primary and secondary data were collected. They were analyzed by univariat and bivariate data analysis by using chi-square test with the level of confidence 95% .Results: The findings showed that mothers’ knowledge affect their participation in family planning program  with p=0,005 < 0,05. Mothers’ attitude affects their participation in the program with p=0,009 < 0,05. And mothers’ behavior affects their participation in the program with p=0,000 < 0,05Conclusion: This study proves that mothers’ participation in the family planning program in Medan is affected by knowledge, attitude, and behavior.Suggestion: The provincial health services authority to be cooperate with Board of Family Planning Program  in Medan in order to perform health promotions of Family Planning in terms of the use of appropriate contraceptive and prevention of early marriage. Health promotions by using counseling and health education are expected to improve mothers’ knowledge, to change their negative attitude, and to improve their behavior.Keywords: Behavior; Attitude; Knowlegde; Participation; Family Planning ProgramPendahuluan: Keluarga Berencana merupakan salah satu cara yang paling efektif untuk meningkatkan ketahanan keluarga, kesehatan, dan keselamatan ibu, anak, serta perempuan. Tetapi faktanya masih banyak ibu yang tidak menggunakan alat kontrasepsi sehingga memiliki banyak anak, dan jarak kelahiran yang dekat.Tujuan: Mengetahui faktor-faktor ibu terhadap keikutsertaan program Keluarga Berencana (KB).Metode: Penelitian kuantitatif dengan metode analitik menggunakan rancangan cross sectional, dilakukan di beberapa puskesmas dan rumah bersalin di kota Medan. Populasinya ibu pasangan usia subur sebanyak 745 orang dan sampel diperoleh sebanyak 260 orang. Data yang digunakan adalah data primer dan sekunder dan dianalisa secara univariat dan bivariat dengan menggunakan uji chi-square dengan tingkat kepercayaan 95%Hasil: Menunjukkan bahwa pengetahuan ibu berpengaruh terhadap keikutsertaan program KB, p=0,005 < 0,05. Sikap ibu berpengaruh terhadap keikutsertaan program KB, p=0,009 < 0,05 dan perilaku ibu berpengaruh terhadap keikutsertaan program KB, p=0,000 < 0,05.Simpulan: Penelitian ini membuktikan bahwa keikutsertaan ibu dalam program KB di Kota Medan dipengaruhi pengetahuan, sikap, dan perilaku.Saran: Dinas Kesehatan Kota Medan supaya dapat bekerjasama dengan BKKBN Kota Medan melakukan promosi kesehatan tentang Keluarga Berencana, penggunaan alat kontrasepsi yang sesuai, pencegahan pernikahan usia dini. Promosi kesehatan dengan penyuluhan atau pendidikan kesehatan diharapkan dapat meningkatkan pengetahuan, merubah sikap yang negatif menjadi positif,  dan meningkatkan tindakan menjadi lebih baik.
HUBUNGAN PENGETAHUAN IBU NIFAS TENTANG KONSUMSI NUTRISI DAN PERAN SUAMI TERHADAP KELANCARAN PRODUKSI ASI PADA IBU MENYUSUI DI WILAYAH KERJA PUSKESMAS MEDAN AREA SELATAN KOTA MEDAN TAHUN 2020 Maimunah R; Nopita Yanti Sitorus
JKM (Jurnal Kebidanan Malahayati) Vol 6, No 4 (2020): Volume 6 Nomor 4 Oktober 2020
Publisher : Program Studi Kebidanan Fakultas Kedokteran Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkm.v6i4.3039

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ABSTRACT Background : The puerperium / breastfeeding period is an important period for the growth and development of babies, especially through the lactation process. Babies often do not get breast milk optimally because the mother's milk production is not smooth, which is thought to be due to the mother's lack of knowledge about nutritional consumption and the husband's lack of role in providing support.Purpose: The purpose of this study was to analyze the relationship between maternal knowledge about nutritional consumption and the role of husbands with the smooth production of breast milk.Methods :  This research is a quantitative study with a cross sectional approach. The research was conducted in the working area of the South Area Medan Health Center. The study population was all mothers who breastfed their children aged 0–12 months and the sample was obtained 33 people. Accidental sampling. Data analysis used univariate analysis, bivariate analysis with chi-square test at the 95% confidence level ( = 0.05).Result : The results showed that the knowledge of postpartum mothers about nutritional consumption and the role of husbands were related to the smooth production of breast milk in the South Area Medan Health Center in 2020, p <0.05. Mothers with good knowledge and good husbands' roles tend to produce milk smoothly compared to mothers with less knowledge and their husbands who have less role to play during childbirth / breastfeedingConclusion: The role of the partner is related to the smooth production of breast milk in the South Area Medan Health Center in 2020, p = 0.001 <0.05. Husbands who are good during the postpartum period / breastfeeding make the mother's milk production smooth compared to husbands who do not play a role during the postpartum / breastfeeding period.Suggestion: Mothers can ask their husbands for help during the postpartum / breastfeeding period by actively providing assistance that can make postpartum / breastfeeding mothers more comfortable so that they can facilitate milk production. Key words: Knowledge, Role of Husband, Smooth Breastfeeding Production ABSTRAK Pendahuluan : Masa nifas/menyusui merupakan masa yang penting bagi pertumbuhan dan perkembangan bayi terutama melalui proses laktasi. Bayi sering tidak mendapatkan ASI secara optimal dikarenakan produksi ASI ibu tidak lancar yang diduga karena kurangnya pengetahuan ibu tentang konsumsi nutrisi dan suami kurang berperan dalam memberikan dukungan.Tujuan : Tujuan penelitian ini untuk menganalisis hubungan pengetahuan ibu tentang konsumsi nutrisi dan peran suami dengan kelancaran produksi ASI.Metode : Penelitian ini adalah penelitian kuantitatif dengan pendekatan cross sectional. Penelitian dilakukan di wilayah kerja Puskesmas Medan Area Selatan. Populasi penelitian adalah seluruh ibu yang menyusui anaknya usia 0–12 bulan dan sampel diperoleh 33 orang. Penarikan sampel secara aksidental (accidental sampling). Analisis data menggunakan analisis univariat, analisis bivariat dengan uji chi-square pada tingkat kepercayaan 95% (=0,05).Hasil : Hasil penelitian bahwa pengetahuan ibu nifas tentang konsumsi nutrisi  dan peran suami berhubungan dengan kelancaran produksi ASI di Wilayah Kerja Puskesmas Medan Area Selatan tahun 2020, p <0,05. Ibu yang berpengetahuan baik dan  peran suaminya baik cenderung lancar produksi ASInya dibandingkan ibu yang berpengetahuan kurang dan suaminya kurang berperan pada masa nifas/menyusui.Kesimpulan: Peran suami berhubungan dengan kelancaran produksi ASI di Wilayah Kerja Puskesmas Medan Area Selatan tahun 2020, p = 0,001<0,05. Suami yang berperan baik selama masa ibu nifas/menyusui membuat produksi ASI ibu lancar dibandingkan dengan suami yang kurang berperan pada masa nifas/ menyusui.Saran: Ibu dapat meminta suami untuk meminta dukungan selama masa nifas/ menyusui dengan berperan aktif memberikan bantuan yang dapat membuat ibu nifas/menyusui menjadi lebih nyaman sehingga dapat memperlancar produksi ASI. Kata Kunci : Pengetahuan, Peran Suami, Kelancaran Produksi ASI  
MASASE MENGURANGI NYERI PERSALINAN PADA IBU BERSALIN Nopita Yanti Sitorus; Maimunah R
JKM (Jurnal Kebidanan Malahayati) Vol 7, No 4 (2021): Vol.7 No.4 Oktober 2021
Publisher : Program Studi Kebidanan Fakultas Kedokteran Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkm.v7i4.5094

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Introduction: Labor pain management can be implemented both non pharmacologically and pharmacologically. It can be done non pharmacologically without using drugs such as relaxation, massage, acupressure, acupuncture, hot or cold compresses and aromatherapy, while pharmacologically through the use of drugs. Non-pharmacological pain management is more secure, simpler, no bad side effect and reffering to mother caring than pharmacological pain management that potentially have adverse effect.Purpose: To identify the effect of massage on mothers’ pain during first stage labor. Method: This is an analytical survey study with cross sectional method. It was taken place in Hadijah Maternity Clinic which is located in Medan. It was conducted from January to July 2021. The populations were 38 mothers who gave birth physiologically, that complained pain during first stage labor in Hadijah Maternity Clinic. The samples were part of the number and characteristics possessed by the population. There were 38 women chosen as the sample of the study that devided into 2 groups; control group and intervention group.Results: The rate of pain intensity in intervention group before the massage was about 7,26 and after the massage was 4,74 with the value p=0,000. Whereas in control group, the rate of pain intensity before the massage was 7,00 and after the massage 6,16 with value p=0,007. So that the comparison after the massage which was carried out in the intervention and control groups obtained value p=0,001Conclusion: There is a significant effect of the massage on the reduction of mothers’ labor pain during first stage labor. Suggestion clinics and hospitals to use the massage method as an intervention in reducing labor pain in the active phase of the first stage Key words: Massage, Labor Pain, First Stage Labor ABSTRAKPendahuluan : Manajemen nyeri persalinan dapat diterapkan secara non farmakologis dan farmakologis. Pendekatan secara non farmakologis tanpa penggunaan obat-obatan seperti relaksasi, masase, akupresur, akupunktur, kompres panas atau dingin dan aromaterapi, sedangkan secara farmakologis melalui penggunaan obat-obatan. Manajemen nyeri non farmakologis lebih aman, sederhana dan tidak menimbulkan efek merugikan serta mengacu kepada asuhan sayang ibu, dibandingkan dengan metode farmakologi yang berpotensi mempunyai efek yang merugikanTujuan : Mengidentifikasi pengaruh metode masase terhadap nyeri persalinan pada ibu inpartu kala I fase aktif. Metode : Jenis penelitian kuantitatif pendekatan quasy ekspreimen Lokasi penelitian di RB Hadijah yang terletak di Kota Medan. Penelitian dilakukan sejak bulan Januari sampai dengan bulan Juli 2021. Populasi penelitian adalah semua Ibu Bersalin Fisiologis yang mempunyai keluhan nyeri persalinan dengan partus pervaginam di RB Hadijah sebanyak 38 orang. Sampel adalah bagian dari jumlah dan karakteristik yang dimiliki oleh populasi. Sampel dalam penelitian ini sesuai dengan kriteria adalah sebanyak 38 orang dibagi menjadi 2 yaitu kelompok control dan kelompok intervensiHasil : Intensitas nyeri responden pada kelompok intervensi rata-rata skala nyeri sebelum dilakukan metode masase adalah 7,26 dan sesudah dilakukan metode masase adalah 4,74 diperoleh nilai p=0,000. Pada kelompok kontrol rata-rata skala nyeri sebelum dilakukan metode masase adalah 7,00 dan sesudah dilakukan metode masase pada kelompok kontrol 6,16 diperoleh nilai p=0,007. Sehingga perbandingan sesudah dilakukan metode masase pada kelompok intervensi dan kontrol diperoleh nilai p=0,001Kesimpulan : ada pengaruh yang signifikan metode masase terhadap pengurangan nyeri persalinan pada ibu inpartu kala I fase aktif.Saran klinik maupun rumah sakit supaya menggunakan metode masase sebagai salah satu intervensi dalam mengurangi nyeri persalinan kala I fase aktif Kata Kunci : Metode masase, Nyeri Persalinan, Inpartu Kala I
HUBUNGAN PENGETAHUAN PERAWAT DAN BIDAN DENGAN KETERAMPILAN DALAM MEMBERIKAN PENDIDIKAN KESEHATAN INISIASI MENYUSU DINI PADA IBU PRENATAL DI PUSKESMAS KABUPATEN BATUBARA Maimunah Maimunah R
JUMANTIK (Jurnal Ilmiah Penelitian Kesehatan) Vol 2, No 1 (2017): Mei 2017
Publisher : Prodi Kesehatan Masyarakat Fakultas Kesehatan Masyarakat UIN Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (589.853 KB) | DOI: 10.30829/jumantik.v2i1.966

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ABSTRACT             Early breastfeeding initiation constitutes a process in which a baby begins to suckle on the breast by itself soon after it was born. Within the first hour, a baby must be breastfed by its mother. The aim was not only to give nutrition but also to train the baby to suck the nipple and to prepare the mother to produce colostrum breast milk. In the practice of giving early breastfeeding initiation, the skill of health care providers was very important in giving information through health education about early breastfeeding initiation for mothers. The skill of health care providers was closely related to their knowledge of early breastfeeding initiation.The objective of the research was to find out the correlation of the knowledge of nurses and midwives with the skill in providing health education about early breastfeeding initiation for prenatal mothers at Puskesmas of Kabupaten Batubara.The type of the research was descriptive analytic with cross sectional design. The population was 65 nurses and midwives who worked in KIA (Mother and Child Health), and 55 of them were used as the samples at the level of error 5%, using purposive sampling technique. The data were analyzed by using univatriate analysis with frequency distribution and bivatriate analysis with Spearman Rho test at the significance level of 5%.             The result of the research showed that 40 respondents (72.7%), consisted of nurses and midwives, had good knowledge and 41 respondents (74.5%) had good skill which indicated that there was positive correlation between the knowledge of nurses and midwives and the skill in providing health education about early breastfeeding initiation for prenatal mothers at Puskesmas of Kabupaten Batu Bara with the result of coefficient correlation of -0.270 at the significance level p < α (0.047 < 0.05).It was recommended that the agency concerned determine and prepare the location for health counseling or education at the favorable site in order that the message or materials can achieve the target which was in line with the purpose of the expected health education.  Keywords: Knowledge, Skill, Health Education
The Influence of Health Education about the Benefits of Breast Milk on Mother's Motivation in Exclusively Breast Feeding Infants Yulia Safitri; Pratiwi Syah Putri; Maimunah R
Science Midwifery Vol 10 No 5 (2022): December: Science Midwifery
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v10i5.939

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Exclusive breastfeeding is highly recommended for infants aged 0 to 6 months, because breast milk contains complete nutrition for infant growth and development. But currently the coverage of breastfeeding is still low because the motivation of mothers to give exclusive breastfeeding is also low which is suspected because of the lack of health education about the benefits of breastfeeding. The purpose of this study was to determine the effect of health education about the benefits of breastfeeding on mother's motivation in giving exclusive breastfeeding. This study is an analytical study using a one group pre and posttest design approach with a quasi-experimental design. The study was conducted in Klinik Pratama Hadijah. The study population was 30 people and all were sampled. Data analysis was done by univariate and bivariate using paired sample t-test at a confidence level of 95% ( = 0.05). It is recommended to nurses to provide health education or education to every mother who visits the Klinik Pratama Hadijah. by using a language that is easily understood and understood by the mother so she is motivated to give exclusive breastfeeding to her baby.
Counseling about MP-ASI to Mothers for Improving Children's Nutritional Status Maya Sari; Maimunah R; Nopitayanti Br Sitorus
International Journal of Community Service (IJCS) Vol. 1 No. 2 (2022): International Journal of Community Service (IJCS)
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (442.401 KB) | DOI: 10.55299/ijcs.v1i2.244

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MP-ASI plays a role important in support Child growth . If mom not quick introduce MPASI with the right way for children moment he enter 6 months old , growing the flower can just disturbed . Activity MP-ASI socialization to mothers for Improving the Nutritional Status of Children carried out on day Tuesday, November 22, 2022 at the Village Office Dewi Sri District sea tador . Destination beginning MPASI socialization is for give understanding to women in the village area goddess sri that so important quality nutrition given to child ages 6-24 months as MPASI because in Century it's exclusive breastfeeding just no enough Fulfill nutrition child for grow and develop optimally. Reluctantly increasing knowledge moms regarding MPASI which is very important for the golden age child in grow and develop optimally. So will many mothers who will give solids in the right way, and follow existing rules like give eat appropriate time it means given when child already ready for eat, with sufficient nutrition from various menu options and types rich food carbohydrates , proteins and fats. And all his served in circumstances hygienic and processed by the mother yourself and given in a manner responsive .