Perlindungan Hukum Bayi melalui Pemberian Asi Eksklusif dalam Prespektif Undang-undang Nomor 36 Tahun 2009 Tentang Kesehatan

The legal research aims to describe legal protection for exclusive breastfeeding for babies in the prespective of Law Number 36 of 2009 concerning Health. The research method is normative legal research. The main data source used is literature. The author uses the statutory approach because it adapts to the legal material being studied, then analyzed with qualitative analysis. The result of the study shows that legal protection for exclusive breastfeeding for infants has obtained public law protection. Indonesia has implemented the International Code of Marketing of Breastfeeding-Milk Substitutes through a national policy to support the exclusive breastfeeding program, namely by the prohibition of advertising of infant formula milk either through print or electronic media

PENGARUH HIPNOSIS TERHADAP PERUBAHAN KADAR LEUKOSIT DAN TEKANAN DARAH IBU HAMIL PREEKLAMPSIA DI WILAYAH KERJA DINAS KESEHATAN KABUPATEN PEKALONGAN

Latar Belakang : Angka Kematian Ibu (AKI) di Indonesia masih tinggi. Salah satu penyebab AKI adalah Preeklampsia. Pada ibu preeklampsia terjadi peningkatan tekanan darah dan peningkatan kadar leukosit. Upaya penanganan preeklampsia saat ini masih bersifat medikamentosa, belum mengarah pada kompelemntary terapi seperti hipnosis. Hipnosis adalah suatu kondisi relaksasi dan komunikasi bawah sadar. Hipnosis telah terbukti bermanfaat secara psikologis maupun medis. Tujuan penelitian ini adalah untuk menganalisis pengaruh hipnosis terhadap perubahan tekanan darah dan kadar leukosit ibu hamil preeklampsia di Wilayah Kerja Dinas Kesehatan Kabupaten Pekalongan. Metode: jenis penelitian ini adalah Quasi Experiment dengan desain penelitian pretest-posttest control group. Subjek penelitian ini yaitu 32 ibu hamil preeklampsia yang terbagi dalam 2 kelompok yaitu kelompok kontrol dan kelompok perlakuan perawatan kehamilan standar. Hipnosis dilakukan sebanyak 3x terapi. Hasil: ada perbedaan tekanan darah sebelum dan setelah hipnosis dengan p vlaue sistolik 0,025 dan p value diastolik 0,002. Ada perbedaan tekanan darah kelompok kontrol dan kelompok perlakuan setelah dilakukan hipnosis dengan p value sistolik 0,002 dan p value diastolik 0,013. Penurunan tekanan darah setelah hipnosis mencapai 20mmHg (sistole) dan 7,5mmHg (diastole). Tidak ada perbedaan signifikan kadar leukosit sebelum dan setelah hipnosis dengan p value 0,089. Hasil analisis univariate terjadi penurunan rata-rata leukosit kelompok perlakuan mencapai 433,125/mm 3. Simpulan: hipnosis berpengaruh terhadap penurunan tekanan darah dan tidak berpengaruh secara signifikan terhadap kadar leukosit pada ibu preeklampsia. Kata kunci: kadar leukosit, tekanan darah, hipnosis. Background : Mortality rate in Indonesia is still hight today. The most of causes preeclampsia is preeclampsia. In mother with preeclampsia have a hight blood pressure and leucocyte. Preeclapmsia just treat based on convensional medicamentosa, not yet complement by complementary therapy such as hypnosis. Hypnosis is a rilex condition and terapis communication which is done in subconscious mind. The benefit of hypnosis can increase physic and psychis health. Objektif of this researh is to analyze the effect of hypnosis on blood pressure and luecocyte change in pregnancy women with preeclampsia in Pekalongan Regional Primary Health Centre. Methode: this study is Quasi Experiment with pretest-posttest control group design. The subject of this study are 32 pregnant women with preeclampsia which is divided into 2 groups: control and experiment group. Result: there is the difference of blood pressure before and after hypnosis with p vlaue for sistole is 0,025 and p vlaue for diastole is 0,002. There is the difference of blood pressure between control and experiment group with p value of sitole is 0,002 and p value for diastole is 0,013. The decrease of sistole up to 20mmHg and the decrease of diastole up to 7,5mmHg. There is no difference of leucocyte before and after hypnosis with p value 0,089. The result of univariate analyze show that the decrease of leucocyte in experimental group is up to 433,125/mm. Conclusion: hypnosis effective on decrease blood pressure in pregnant women with preeclampsia, but not effective significantly on decrease leucocytein pregnant women with preeclampsia. Keyword: leucocyte, blood pressure, hypnosis

Karakteristik Ibu Hamil Preeklampsia

Angka Kematian Ibu (AKI) di Indonesia masih tinggi. Salah satu penyebab AKI adalah Preeklampsia. Ada beberapa karakteristik ibu hamil yang berhubungan resiko terjadinya preeklampsia. Tujuan penelitian ini adalah untuk menganalisis karakteristik ibu hamil dengan preeklampsia. Metode penelitian adalah descriptive analytic quantitative. Sample dalam penelitian ini adalah ibu hamil preeklampsia di wilayah kerja Dinas Kesehatan Kabupaten Pekalongan 2016 sejumlah 32 responden. Hasil penelitian menunjukkan bahwa 68,8% ibu hamil preeklampsia berusia 20-35 tahun, 50% ibu preklampsia multigravida, 62,5% ibu berpendidkan sekolah dasar (SD), 46,8% memiliki gizi cukup, 87,5% ibu hamil trimester III dan 50% ibu hamil bekerja sebagai buruh tekstil.Kata kunci : karakteristik, ibu hamil, preeklampsiaCharacteristics of Preeclampsia Pregnant Women Maternal Mortality Rate (MMR) in Indonesia is still high. One of the causes of MMR is Preeclampsia. There are several characteristics of pregnant women who are associated with the risk of preeclampsia. The purpose of this study was to analyze the characteristics of pregnant women with preeclampsia. The research method is descriptive analytic quantitative. Sample in this research is pregnant mother of preeclampsia in working area of Health Office of Regency of Pekalongan 2016 number of 32 respondents. The results showed that 68.8% of pregnant women with preeclampsia aged 20-35 years, 50% multigravida preeclampsia mothers, 62.5% of primary school elementary mothers, 46.8% had sufficient nutrition, 87.5% of trimester pregnant women III and 50% of pregnant women work as textile laborers

Pengetahuan Tanda Bahaya KehamilanBerdasarkan Keteraturan Antenatal Care

. Faktor penyebab risiko kematian dan kesakitan ibu salah satunya adalah karena tidak terdeteksinya tanda bahaya selama kehamilan karena kunjungan antenatal care yang tidak teratur. Pengetahuan tentang tanda bahaya kehamilan sangat membantu untuk menurunka angka kematian ibu (AKI). Tujuan penelitian ini adalah untuk mengetahui perbedaan pengetahuan tanda bahaya kehamilan ibu hamil trimester III berdasarkan keteraturan antental care di Wilayah Puskesmas Paninggaran Kabupaten Pekalongan Tahun 2014. Desain penelitian menggunakan deskriptifkomparatifdengan pendekatan cross sectional. Populasi dalam penelitian ini adalah seluruh ibu hamil trimester III yang terdapat diwilayah puskesmas Paninggaran. Teknik pengambilan sampel menggunakan cluster random sampling sebanyak 33 ibu hamil. Analisa hasil penelitian menggunakan uji Kolmogorov-Smirnov. Didapatkan nilai ρ = 0,029(ρ<0,05)berarti ada perbedaan pengetahuan tanda bahaya kehamilan ibu hamil trimester III berdasarkan keteraturan antenatal care. Saran bagi tenaga kesehatan hendaknya lebih meningkatkan informasi tentang tanda bahaya kehamilan ibu sejak awal kehamilan

Karakteristik Wanita Dengan Fluor Albus

: Fluoralbus is not a disease but a sign of symptoms of a disease of the female reproductive organs, but this whitish problem if not treated immediately will cause serious problems. Predisposing factors of fluor albus, among others, include age, marital status, parity, menstrual cycle, contraceptive methods, history of reproductive disorders, educational status and working status. The purpose of this study was to determine the characteristics of women with fluor albus in the hospital district pekalongan 2014. This research is descriptive. The use of the sample using a total population of 49 respondents. Data collection tool using a check list. Results of the study the characteristics of women with fluor albus techniques anamnesa is mostly (61.2%) respondents aged 20-35 years, the majority (77.6%) of respondents are married, nearly half (42.9%) of respondents who experienced fluor albus is multiparous, more than half (53.1%) of respondents fluor albus with irregular menstrual cycles, almost half (42.9%) of respondents fluor albus using hormonal contraceptives, more than half (55.1%) of respondents who experienced fluor albus did not have a history of reproductive disorders, almost half ( 34.7%) junior high school education, and more than half (65.3%) of respondents who have not worked fluor albus. Expected that all women can detect the early presence of fluorine albus or symptoms of infection inflammation of the reproductive organs so as to prevent complications arising from fluorine albus with more attention to the healthy way of life, such as pay attention to personal hygiene, consult early with a pap smear / iva test

Paket Edukasi Ibu Hamil untuk Mewujudkan Anak Sehat dan Cerdas Melalui Pendekatan Asuhan Kebidanan Holistik

Children are an investment in a nation, which must be made to optimize their physical and spiritual health. Optimization of children’s health must be done holistically since the child is in the womb. This community service was carried out to increase the knowledge, motivation, and skills of pregnant women in realizing healthy and smart mothers and children. The method of this activity was carried out with the stages of education, empowerment, and mentoring. The target of this activity was pregnant women. The form of the activities was community-based in collaboration with the village government of Pangkah Village, Karangdadap Sub-district, Pekalongan District, and Puskesmas (Public health center) Karangdadap. The education for pregnant women was given once a month, including spiritual hypnotherapy relaxation, stimulating the baby’s intelligence, and exclusive breastfeeding. This activity was attended by 21 pregnant women and lasted for five months. The results obtained are 1) 17 people (81%) have good knowledge of brain booster, relaxation, and proper breastfeeding, and 19 people (91%) have a strong motivation in applying the three skills; 2) Mothers can do spiritual relaxation hypnotherapy during pregnancy, and; 3) Mothers can practice stimulating their baby’s intelligence from the womb with the brain booster method

Evaluasi Pencatatan & Pemanfaatan Buku Kesehatan Ibu dan Anak (KIA) Oleh Bidan, Ibu dan Keluarga

AbstrakAngka Kematian Ibu (AKI) di Indonesia saat ini masih tinggi 359/100.KH. Pelayanan kesehatan antenatal di Fasilitas Kesehatan pemerintah maupun swasta dan praktik perorangan/kelompok perlu dilaksanakan secara komprehensif dan terpadu, mencakup upaya promotif, preventif, kuratif sekaligus rehabilitative. Salah satu instrument untuk menurunkan AKI/AKB adalah buku  Kesehatan Ibu dan Anak (KIA). Tujuan penelitian ini adalah untuk mengetahui gambaran pemanfaatan buku KIA oleh ibu dan keluarga di wilayah  kerja Dinas Kesehatan Kabupaten Pekalongan tahun 2016-2017. Jenis penelitian descriptive analytic dengan desain penelitian cross sectional.  Tehnik sampling dengan stratified random sampling dengan total sampel 63. Analisis  menggunakan analisis univariate. Hasil penelitian  ini menunjukkkan pemanfaatan buku KIA menunjukkan lebih dari separuh ibu kadang-kadang memanfaatkan buku KIA (58,7%) dan 33,3 % ibu dan keluarga embaca buku KIA bersama dengan Bidan.  Tenaga kesehatan agar selalu menggunkan buku KIA sebagai media edukasi sehingga ibu dan keluarga termotivasi  untuk memanfaatkan buku KIA secara lebih optimal.  Abstract.Mortality Mother Rate (MMR) in Indonesia in by 2012 is 359 / 100,000 KH. Antenatal health services in public and private health facilities and individual / group practices need to be implemented comprehensively and integrated, including promotive, preventive, curative and rehabilitative efforts. One of the instruments to decrease MMR/IMR is Maternal and Child Health Book (MCH/KIA book). The purpose of this research is to know the description of MCH book recording and utilization by health officer and family in the working area of Pekalongan Regency Health Office 2016-2017. The study design was cross sectional. Sampling  technique with stratified random sampling with total sample 63. Analysis using  univariate  analysis. The results of this study indicate that the use of MCH books shows that more than half of mothers sometimes use the MCH handbook (58.7%) and 33.3% of mothers and families read the MCH handbook along with the midwife. Health workers should always use the MCH book as an educational medium so that mothers and families are motivated to use the MCH handbook more optimally

Satisfaction and Motivation of Adolescents Attending a Comprehensive Teenage Health Services of Nasyiatul Aisyiyah

Background: Adolescents are an important part of the community in Indonesia. Adolescentstendtohaveseveralproblems,particularlyin healthcare.Thereis aneed for improvements in medical care in order for teenagers to receive better health and psychological treatments. Comprehensive healthy teenage health services (In Bahasa: Pelayanan Remaja Sehat Milik Nasyiatul Aisyiyah /PASHMINA) appears as a solution for this adolescent’s problem. Objectives: The objective of this study was to analyze the motivation of adolescents and their satisfaction from the comprehensive teenage health service. Methods: This was a descriptive quantitative study. The subjects were 100 and 137 adolescents involved in PASHMINA. The data of their satisfaction was collected by using a questionnaire based on the theory of the SERVQUAL method. Results: This study suggested that adolescents have high motivation (93.43%) and moderate motivation (6.57%). In regards to their satisfaction, the result is divided into five dimensions: tangibles (74% - very satisfied), reliability (63% - very satisfied), responsiveness (80% - very satisfied), assurance (82% - very satisfied) and empathy (84%-verysatisfied). Conclusion: Adolescents are satisfied withPASHMINA’sservices and have a high motivation to use them.ThegovernmentandNasyiatulAisyiyahshould cooperates in order to ensure that those can be done in a huge area of Indonesia. &nbsp

KELAS PIJAT BAYI DARING KEPADA ORANGTUA DI MASA PANDEMIC COVID-19

Pijat bayi merupakan asuhan yang memberikan manfaat sangat banyak untuk bayi. Pijat bayi yang dilaksanakan oleh orangtua setiap hari akan memberikan manfaat lebih optimal bagi bayi. Orangtua, khususnya ibu dapat mempelajari ilmu pijat bayi melalui kegiatan kelas pijat bayi. Selama masa pandemic, kelas pijat bayi dapat diikuti secara daring. Tujuan kegiatan ini adalah untuk meningkatkan keterampilan pijat bayi para ibu melalui daring. Metode kegiatan pengabdian masyarakat ini adalah dengan memberikan pelatihan daring menggunakan platform zoom, dilanjutkan dengan pendampingan melalui group WhatsApp selama sebulan hingga peserta mampu melakukan gerakan pijat bayi secara benar. Hasil dari kegiatan ini menunjukkan bahwa terdapat peningkatan pengetahuan dan keterampilan peserta kelas pijat bayi. Diharapkan akan semakin banyak ibu yang mengikuti kelas pijat bayi di masa pandemic seperti saat ini, sehingga ibu dapat memberikan stimulasi tumbuh kembang bayi secara lebih optimal

Progress of Labor Onset with Combination of Pregnancy Massage and Acupressure: Kemajuan Awal Persalinan dengan Kombinasi Pijat Kehamilan dan Akupresur

Abstract Objective: To investigate effectiveness of complementary therapy combination pregnancy massage and acupressure on the onset of labor in primigravida pregnant women. Methods: The population was pregnant women in all regions of Pekalongan Regency at more than 39 weeks' gestation, using random cluster sampling. Data collect use an observation sheet to measure the start time of labor and also check the implementation of massage and acupressure in pregnancy. Treatment was carried out every 2-3 days from 39 weeks of gestation until labor occurs. This study was quantitative quasi-experimental with control group design with a cohort approach. Results:   The results of the bivariate analysis showed that there were significant differences in the onset of childbirth in the intervention group with the control group (p-value; 0.003; CI -8.59 - (- 2.07)). It was concluded that complementary therapy combined therapy of pregnancy massage and acupressure could be used as an alternative therapy to prevent overdue pregnancy Conclusions:   These findings confirm that complementary therapy combination pregnancy massage and acupressure could faster the onset of labor. Keywords: acupressure, complementary therapy, onset  labor, pregnancy massage.   Abstrak Tujuan: Untuk mengetahui efektivitas terapi komplementer kombinasi pijat kehamilan dan akupresur pada permulaan persalinan pada ibu hamil primigravida. Metode: Populasi dalam penelitian ini adalah ibu hamil di seluruh wilayah Kabupaten Pekalongan dengan usia kehamilan lebih dari 39 minggu, dengan menggunakan sampel cluster random. Pengumpulan data menggunakan lembar observasi untuk mengukur waktu mulai persalinan serta memeriksa pelaksanaan pijat dan akupresur pada kehamilan. Pengobatan dilakukan setiap 2-3 hari dari usia kehamilan 39 minggu sampai terjadi persalinan. Penelitian ini merupakan penelitian kuasi eksperimental kuantitatif dengan desain kelompok kontrol dengan pendekatan kohort. Hasil: analisis bivariat menunjukkan terdapat perbedaan yang signifikan timbulnya persalinan pada kelompok intervensi dengan kelompok kontrol (p-value; 0,003; CI -8,59 - (- 2,07)). Disimpulkan bahwa terapi komplementer terapi kombinasi pijat kehamilan dan akupresur dapat digunakan sebagai terapi alternatif untuk mencegah terjadinya kehamilan terlambat. Kesimpulan: Temuan ini mengkonfirmasi bahwa terapi komplementer kombinasi pijat kehamilan dan akupresur dapat mempercepat terjadinya persalinan. Kata kunci: akupresur; awalan persalinan, pijat kehamilan ,terapi komplementer