PENYULUHAN MANFAAT RAWAT GABUNG DENGAN KELANCARAN PRODUKSI ASI PADA IBU DI DESA AMPLAS

ABSTRACT Rooming in means placing the baby in a room/room with the mother, even if it remains in a different bed, the distance of the mother and the baby becomes close together, allowing the mother to pay attention to the baby. The general purpose of this counseling is to assist the community / government in reducing maternal and infant mortality rates and lowering maternal and infant mortality rates. Methods used in activities through a series of stages include counseling/education, training, and mentoring. The community is formed through several activities, namely: coordination with RT administrators, teachers, and community leaders providing health services about combined care, providing health education about combined care, rewarding mothers, giving door prizes after maternal health care activities, rewarding cadres. The results achieved by this program start from data collection, deliberation with community leaders to determine how many mothers want to apply rooming in. Initially, the Midwife Service activities in the community with counseling about exclusive breast milk and nurses joined in Tanjung Gusta Village was rejected by some mothers to attend but with cooperation with midwives and cadres in the place finally this counseling can be done properly. Many expectant mothers come to the counseling and some even bring their babies. They are very enthusiastic about the benefits of caring for midwives about rooming in. &nbsp

TERAPI BIRTH BALL UNTUK MENURUNKAN INTENSITAS NYERI PERSALINAN

Pain in childbirth has the highest degree of pain among other pain, so that many women are not ready to have children because they imagine the pain that will be presented at the time of labor later. The general objective of this study was to determine whether there was an effect of birth ball therapy on pain intensity in labor. Univariate and bivariate analysis using Wilcoxon test analysis. Bivariate analysis is used to see the effect of the independent variable (independent) on the dependent variable using the Wilxocon test analysis. Of the 50 respondent mothers who carried out the variable therapy pre-test birth ball who were very painful and 29 respondents had pain (58%), and a minority of respondents had little pain, 21 people (42%). And on the post-test respondents the least pain was increased by 32 respondents (64%), while the minority of pain was quite severe as many as 18 respondents (36%). A significant effect on the effect of birth ball therapy on labor pain where the p value is 0.00 <0.05. The results are expected to have an effect on birth therapy on labor pain. The results of the Wilcoxon test analysis with a degree of significance (α) = 0.05 and a P value of 0.00 were obtained (α<0.05) which can be seen from the value which means that Ho is rejected and Ha is accepted. The conclusion is that there is an effect of birth ball therapy on labor pain

Hubungan Perilaku Ibu Menyusui dalam Keseimbangan Foremilk dan Hindmilk dengan Konsistensi Feses Bayi yang Mendapatkan ASI Eksklusif di Wilayah Kerja Puskesmas Andalas Padang

HUBUNGAN PERILAKU IBU MENYUSUI DALAM KESEIMBANGAN FOREMILK DAN HINDMILK DENGAN KONSISTENSI FESES BAYI YANG MENDAPATKAN ASI EKSKLUSIF DI WILAYAH KERJA PUSKESMAS ANDALAS PADANG Debora Paninsari, Eny, Yaslinda ABSTRAK Salah satu penyebab kematian bayi adalah faktor gizi. Faktor gizi meliputi pemberian ASI, salah satu masalah dalam pemberian ASI adalah tentang ketidakseimbangan foremilk dan hindmilk yang dapat menimbulkan ketidaknyaman, dan kesakitan pada bayi. Penelitian ini bertujuan untuk mengetahui hubungan perilaku ibu menyusui dalam keseimbangan foremilk dan hindmilk dengan konsistensi feses bayi yang mendapatkan ASI Eksklusif. Metode penelitian adalah survei analitik dengan pendekatan cross sectional. Populasi penelitian ini adalah semua ibu yang memberikan ASI eksklusif berjumlah 226. Besar sampel 141 ibu menyusui pada bulan Desember 2016 dan Januari 2017, diperoleh dengan cara consecutive sampling. Data yang diperoleh dianalisa univariat yaitu frekuensi data independen dan dependen serta analisa multivariat chisquare. Hasil penelitian didapatkan mayoritas berpengetahuan kurang (73,8%), bersikap positif (90,8%), tidak melakukan keseimbangan foremilk dan hindmilk (90,8%) dan konsistensi feses bayi yang normal pada hari I (55,3%) dan II (58,2%) pemeriksaan. Hasil uji statistik hubungan pengetahuan dengan konsistensi feses berdasarkan tindakan didapatkan p1-value=0,672 dan p2-value=0,660 maka dapat disimpulkan tidak ada hubungan yang signifikan antara tindakan ibu menyusui dengan konsistensi feses bayi yang mendapatkan ASI eksklusif pada ibu yang berpengetahuan baik dan kurang dalam keseimbangan foremilk dan hindmilk. Uji statistik hubungan sikap dengan konsistensi feses didapatkan p1-value=0,326 maka disimpulkan bahwa tidak ada hubungan yang signifikan antara tindakan dengan konsistensi feses bayi yang mendapatkan ASI eksklusif pada responden yang bersikap positif serta p2-value= 0,046 maka dapat disimpulkan bahwa terdapat hubungan tindakan dengan konsistensi feses bayi yang mendapatkan ASI eksklusif pada responden yang bersikap negatif. Kata kunci: Perilaku, Foremilk, Hindmilk, Konsistensi Feses, ASI Eksklusi

PERILAKU IBU PASCA PERSALINAN TENTANG MANFAAT OUKUP DI KLINIK DAMAI YANTI TAHUN 2018

Adequate traditional medicine originating from the Karoness tribe that utilizes the diversity of plant species as ingredients for health after childbirth and treatment of various types of diseases. Medicines in the Karoness community and continue to grow and demand by the community to cure various types of diseases. Oukup is a traditional treatment from the Karo tribe for health during childbirth, good body care will restore maternal health and beauty as before pregnancy. Steam bath or adequate is the most appropriate tool to overcome the excess serum in the body and can improve nerve alignment and muscles. The purpose of this study is to find out about the description of postpartum maternal behavior about adequate benefits at Yanti Peace Clinic in 2018. This type of research is descriptive using an observational approach. Descriptive research is research conducted on a set of objects that aim to see a picture of something that happens in a particular population. The sample used was 6 postpartum mothers at Yanti Peace Clinic in 2018. The results of this study obtained from 6 respondents who had good behavior as much as 1 respondent (17%), and who had enough knowledge as much as 2 respondents (33%), and those who lacked 3 respondents (50%). The conclusion that is obtained is that the description of postpartum maternal behavior about adequate benefits at the Yanti Peace Clinic in 2018 is still lacking. Suggestions for respondents to find out more about information about adequate benefits and to health workers to provide information to the community

EFFECTS OF ETHANOLIC EXTRACT OF RHINACANTHUS NASUTUS (L) KURZ AS AN ANTIMICROBIAL AGAINST ESCHERICHIA COLI BACTERIA USING IN VITRO METHOD

Objective: The objective of this study was to discover of the ethanolic extract of Rhinacanthus nasutus (L) Kurz in inhibiting Escherichia coli bacteria using an in vitro method. Methods: This is an experimental study using a laboratory test with Kirby-Bauer or paper disc method by observing and measuring the inhibition zone of the ethanolic extract of R. nasutus against E. coli bacteria with extract concentrations of 15%, 30%, and 60% consisting of control groups and treatment group. The positive control group used chloramphenicol antibiotics and negative control groups used Aquadest. E. coli was incubated at 37°C for 24 h. Then, the plates were incubated for 24 h at 37°C and the diameter of the inhibition zone was observed until the 3rd day with three repetitions. Results: The results of the study showed that the mean inhibition zone of E. coli bacteria was 10.93 mm, 12.09 mm, and 18.90 mm. The results of the Shapiro–Wilk test were p=0.199. The results of the one-way analysis of variance test were p<0.05 and that of the post hoc test indicated a significant value of p<0.05. Based on the results of the research, there were significant differences in the inhibition zone between the control group and the treatment group at a concentration of 15%, 30%, and 60%. Conclusion: R. nasutus extract was effective to inhibit the growth of E. coli bacteria at concentrations of 15%, 30%, and 60%, so R. nasutus is effective as an antimicrobial

Melaksanakan Penyuluhan Pengetahuan Tentang Stunting

Stunting adalah masalah kurang gizi kronis yang disebabkan oleh asupan zat gizi yang kurang dalam waktu yang cukup lama akibat pemberian makanan yang tidak sesuai dengan kebutuhan. Stunting muncul pada dua sampai tiga tahun awal kehidupan, salah satunya dikarenakan pada usia tersebut laju pertumbuhan mencapai puncak atau tercepat sehingga membutuhkan asupan zat gizi yang banyak. Balita yang mengalami stunting akan memiliki tingkat kecerdasan tidak maksimal, menjadikan anak lebih rentan terhadap penyakit dan di masa depan dapat berisiko pada menurunnya tingkat produktivitas. Pada akhirnya stunting dapat menghambat pertumbuhan ekonomi, meningkatkan kemiskinan dan memperlebar ketimpangan. Stunting disebabkan oleh faktor genetik dan faktor lingkungan. Tetapi faktor lingkungan memiliki pengaruh yang lebih besar terhadap kejadian stunting, yaitu mencapai 90 % dan faktor keturunan hanya 10 %. Tingkat pendidikan, khususnya tingkat pendidikan ibu mempengaruhi derajat kesehatan. Hal ini terkait peranannya yang paling banyak pada pembentukan kebiasaan makan anak, karena ibu lah yang mempersiapkan makanan mulai mengatur menu, berbelanja, memasak, menyiapkan makanan, dan mendistribusikan makanan. Penyebab lain yang secara tidak langsung mempengaruhi kejadian stunting diantaranya praktik pengasuhan yang kurang baik termasuk kurangnya pengetahuan ibu mengenai kesehatan dan gizi sebelum dan pada masa kehamilan. Metode yang digunakan dalam kegiatan melalui serangkaian tahap antara lain dengan penyuluhan/edukasi, pelatihan, dan pendampingan. Komunitas dibentuk melalui beberapa kegiatan yaitu: koordinasi dengan pengurus RT pedukuhan, dan tokoh masyarakat memberikan pelayanan kesehatan tentang rawat gabung, memberikan penyuluhan, memberikan reward bagi para ibu, memberikan door prize usai kegiatan pelayanan kesehatan ibu, memberian reward bagi  para kader

HUBUNGAN EKSTRAK DAUN KENTANG MANIS DENGAN PRODUKSI ASI DI KLINIK SITI HAJAR MEDAN

Breast milk (breast milk) is an emulsion of fat contained in a solution of protein, lactose, and organic salts which will be secreted by both breast glands as the main source of food for the baby. Increasing milk is very necessary for mothers by consuming foods such as: sweet potato leaves, the content contained in sweet potato leaves is low in fat and cholesterol etc. Sweet potato leaves can increase milk production because sweet potato leaves contain lactagogum. The purpose of this study was to determine whether or not there was a relationship between consuming sweet potato leaf extract and an increase in breast milk production at the SitiHajar Medan clinic, Marelan. Methods: pre = post test. This study measured the mother's milk before and after being given sweet potato leaves from January 2021 to February 2021. Samples were taken at the SitiHajar Medan clinic with a total of 50 samples, with the inclusive criteria being mothers who gave birth normally and healthy babies. Univariate analysis was carried out to describe the variables with the results of 46% as many as 23 (people) intervention of mother's milk production increased after consuming sweet potato leaves compared to before consuming with a result of 4% as many as 2 (people). Bivarate analyst to determine the relationship between independent and variables using the Wilcoxon test, based on the results of the Wilcoxon test, the p-value is 0.000 (<0.05). and In conclusion, there is a significant relationship between consuming sweet potato leaves and increasing breast milk production

DAYA HAMBAT DAUN MANUKAN (Rhinacanthus nasutus (L) Kurz) TERHADAP BAKTERI STAPHYLOCOCCUS AUREUS SECARA IN VITRO

The use of antimicrobial such as antibiotics  against infectious diseases with no control is quite common in Indonesia. This leads to increase morbidity and incidence of drug resistance. Staphylococcus aureus is a pathogenic bacteria, particularly infects the skin. The resistance it difficult to determine which antimicrobials were suitable for therapy. Manukan leaves have an active substance Rhinacanthin can be used as an anti-bacterial. The aim of this study was to determine the inhibition of ethanol extract of manukan leaves (Rhinacanthus nasutus (L) Kurz) against gram-positive bacteria (Staphylococcus aureus) in vitro with the extract concentration of 15,  30, and 60% as a control. This study was a true experiment through the in vitro test with the Kirby Bauer method. The results showed that the average diameter of the inhibition zone was at an extract concentration of 15, 30, and 60% are 9.97 mm, 10.95mm, and 13.18 mm. The Kruskal-Wallis test results showed a significant difference between the four treatment groups (p= 0.010). The Mann-Whitney test showed significant differences in the inhibition zone between control and  treatment at 15, 30 and 60% (p= 0.037). In conclusion leave ethanol extract of manukan has antimicrobial activitiy in inhibiting staphylococcus aureus

PENGARUH KESEIMBANGAN FOREMILK DAN HINDMILK DENGAN POLA DEFEKASI BAYI YANG MENDAPATKAN ASI EKSKLUSIF DI DESA SUKARENDE

Mothers who exclusively breastfed their babies from 2011-2015 tended to increase. However, in breastfeeding there are still many maternal understandings that are lacking about foremilk and hindmilk. Foremilk and hindmilk are related to the duration of the baby breastfeeding, if the baby has not been obtained in a balanced manner can cause problems in the pattern of defecation of infants especially those aged 1-6 months. The purpose of study was to determine the effect of foremilk and hindmilk balance with defecation patterns of infants who received exclusive. The study design was cross sectional, with total sample 30 mothers who had infants aged 1-6 months and exclusively. The results showed the majority (96.7%) frequency of defecation of infants 1-8 times, consistency of soft stool (96.7%) and yellow stool (93.3%). Out of 30 respondents 53.33% of mothers had a balance of foremilk and hindmilk while breastfeeding and 86.66% of infants had normal defecation patterns. Chi-square test results did not influence the balance of foremilk and hindmilk with the pattern of defecation  with 30 respondents surveyed. This shows that the balance of foremilk and hindmilk has not affected the pattern of infant defecation including frequency, consistency and color of feces

MELAKSANAKAN PENYULUHAN PENCEGAHAN DAN PENANGANAN STUNTING

Stunting pada anak usia dini perlu mendapatkan perhatian khusus karena dapat menyebabkan buruknya kemampuan kognitif, terhambatnya pertumbuhan fisik, perkembangan mental dan status kesehatan pada anak serta rendahnya produktivitas. Kasus stunting pada anak dapat dijadikan prediktor rendahnya kualitas sumber daya manusia suatu negara. (Eko dkk, jurnal kesehatan Universitas Andalas. 2018). Stunting merupakan ancaman serius terhadap anak di Indonesia saat ini. Kondisi stunting atau bertubuh pendek karena kekurangan gizi kini telah diderita sebanyak 8,8 juta anak Indonesia (Tirto,2016). Menurut amatan pakar gizi, angka ini meningkat sebesar 37,2 persen dalam jangka waktu tiga tahun (Tirto,2016). Saat ini prevalensi stunting di Indonesia adalah 37,2% atau 8 juta anak mengalami pertumbuhan tidak maksimal. Metode yang digunakan dalam kegiatan melalui serangkaian tahap antara lain dengan penyuluhan/edukasi, pelatihan, dan pendampingan. Komunitas dibentuk melalui beberapa kegiatan yaitu: koordinasi dengan pengurus RT pedukuhan, dan tokoh masyarakat memberikan pelayanan kesehatan tentang rawat gabung, memberikan penyuluhan, memberikan reward bagi para ibu, memberikan door prize usai kegiatan pelayanan kesehatan ibu, memberian reward bagi  para kader