EXCLUSIVE BREAST FEEDING PRACTICE

Introduction: Breastfeeding is a basic human activity, vital to infant and maternal health and of immense economic value to households and societies. The WHO recommends that for the first six months of life, infants should be exclusively breastfed to achieve optimal growth, development, and health. Exclusive Breast Feeding (EBF) is defined as infant feeding with human milk without the addition of any other liquids or solids. The benefits of breast-feeding, to both mother and baby, have long been recognized. Despite strong evidences in support of EBF for the first six months of life, its prevalence has remained low worldwide and it is estimated that only about one-third of infants were exclusively breastfed for the first six months of life. Method: The method used database journals in PubMed, ProQuest and Cochrane that used the keywords; after the data obtained was reviewed journal research was conducted. Search result found 116 journals but in accordance with the topic was 5 journal with a span of 2015 – 2016. Result: breastfeeding promotion interventions in developing countries have been shown to result in a six fold increase in exclusive breastfeeding rates at six months. Educational status, age, antenatal and postnatal follow up, resident and place of delivery were predictors of suboptimal breastfeeding. Integrated and targeted interventions were recommended to achieve a better outcome in minimizing the late initiation, non-exclusive and early cessation of breastfeeding. Conclusion: A greater understanding of barriers to initiating and sustaining breastfeeding, some of which are socio-economic-specific, may assist in reducing inequalities in infant breast-feeding. The level of exclusive breast-feeding was low. Thus, it is important to provide prenatal education to mothers and fathers on breast-feeding. And recommend strengthening the public health education campaigns to promote exclusive breast-feeding. Keywords: Exclusive breastfeeding, breast feeding practic

CORELATION USE OF HORMONAL CONTRACEPTION WITH INCIDENCE BREAST CANCER IN SURGERY POLICLINIC RSUD JOMBANG

The number of cases of breast cancer in the world ranks second only to cervical cancer, breast cancer in addition to be one of the major killer of women in the world and the tendency of increase in cases in the world or in Indonesia. The purpose of this study was to determine the relationship between the use of hormonal contraception with the incidence of breast cancer in the surgical hospital poly Jombang. This study uses a method of analysis with case control design. The case group was women with breast cancer in Poly Surgical Hospital Jombang and control group was women who did not have breast cancer in Poly Surgical Hospital Jombang, where each - each sample was 31 respondents. Odds Ratio value is calculated using a 2 x 2 table and the p-value using chi square test using SPSS. There were 31 respondents 31 respondents case and control groups in this study. Having calculated by multivariate logistic regression analysis showed that there was no significant association between the use of hormonal contraception with the incidence of breast cancer in Jombang Poly Surgical Hospital, which is characterized by the value of p = 0.276 and the value of OR = 8.523 Incompatibility results of this study with previous research or theory that there is possible to have several possibilities. This can occur when women who use hormonal contraceptives maintain a healthy lifestyle, by maintaining the diet and activity by diligently exercising and minimizing the consumption of fatty foods, which in this study is supported by the nutritional status of women with breast cancer in part great rmempunyai normal nutritional status. However, if the user in the long term will also affect the incidence of breast cancer

PENDAMPINGAN IBU BALITA DAN KADER POSYANDU DENGAN MEDIA VIDEO, BUKU RESEP DAN KARTU BB GOALS UNTUK MENINGKATKAN PERSENTASE N/D

Salah satu cara memantau status gizi balita adalah dengan melakukan penimbangan dan pengukuran di posyandu. Keberhasilan posyandu dapat diketahui dari capaian SKDN, dimana salah satu indikatornya adalah N/D. Berdasarkan survei pendahuluan, prevalensi N/D yang terdapat di Dusun Pucanganom 2, Desa Kendal, Kecamatan Kendal, Kabupaten Ngawi yaitu sebesar 46%. Hal ini menunjukan tingkat keberhasilan kenaikan berat badan balita di posyandu tersebut masih rendah. Cakupan N/D rendah disebabkan karena faktor yang bersifat eksternal maupun internal. Maka, dari permasalahan tersebut perlu mengadakan program intervensi gizi untuk membantu meningkatkan presentase kenaikan N/D di dusun tersebut dengan cara meningkatkan pengetahuan dan motivasi melalui pendampingan berupa penyuluhan edukasi melalui media video, pemberian buku PMT dan kartuu BB Goal. Pelaksanaan Pengabdian masyarakat berada di wilayah kerja Puskesmas kendal Kabupaten Ngawi, Jawa Timur. Tepatnya di Posyandu Pucanganom 2 Desa kendal. penyuluhan ini dihadiri dengan jumlah responden atau dengan jumlah ibu balita sebanyak 41 orang Metode pelaksanaan berupa pemberian edukasi. Kegiatan meliputi 3 tahapan yaitu tahapan perencanaan, pelaksanaan dan monitoring evaluasi. Monitoring evaluasi meliputi pre test dan post test pengetahuan, sikap dan perilaku ibu balita. Hasil yang didapat kemudian di uji menggunakan uji dependent ttest. Pada hasil uji t-berpasangan pengetahuan, sikap dan perilaku diperoleh nilai significance 0,000 atau p-value <0,05 secara statistik terdapat perbedaan rerata nilai pre-test dan post-test dan terjadi peningkatan rerata skor pengetahuan, sikap dan perilaku ibu balita. Pemberian edukasi melalui video dapat meningkatkan pengetahuuan , sikap dan perilaku ibu terhadap gizi seimbang, sehingga diharapkan dapat meningkatkan berat badan balit

THE EFFECT OF OXYTOCIN MASSAGE ON BREASTMILK PRODUCTION POSTPARTUM MOTHERS IN PETERONGAN PHC AREA, JOMBANG, EAST JAVA, INDONESIA

Background: Breastmilk in early life was an effective intervention in saving lives of newborns and could prevent 13-15% of 9 million deaths of children underfive years old. Rate of breastfeed in world was lack, between 20-40%. There were many breastmilk of postpartum mothers not smooth at one week postpartum and breastfeed blockage incident that required mothers breastcare each month. One effort to improve breastmilk production with early intervention in postpartum mothers by stimulating oxytocin hormone, one of them with oxytocin massage. Aim: This study conducted to evaluate effect of oxytocin massage on breastmilk production postpartum mothers. Study Design: This study utilized simple post test design. The intervention was oxytocin massage. Samples: Population of this study physiologic postpartum mothers. Sample were collected with consecutive non-probability random sampling, involving 100 total samples. Results: It was found that 72% of participants were 20-35 years old, 84% housewives, and 66% multiparas. The most important findings of study were following 58.1% postpartum mothers with oxytocin massage were significantly improved after treatment (Fisher Exact Test, p value= 0.006; OR= 3.765; CI 1.410-10.051) Conclusion: This study proved that oxytocin massage could improve breastmilk production. Oxytocin massage, massage therapy of spine in costa 5-6 to scapula would accelerate work of parasympathetic nervous system stimulates posterior pituitary to secrete oxytocin. Sustainability production of oxytocin hormone needs to be further investigated. The result can be used as basic policy of lactation management and exclusive breastfeeding promotion education programs in health services and community. Keywords: oxytocin massage, breastfeed, breastmilk, breastfed, postpartu

PENYULUHAN DAN DETEKSI DINI RESIKO TINGGI PRE EKLAMPSIA DALAM KEHAMILAN DI DESA GAMBIRAN KECAMATAN MOJOAGUNG KABUPATEN JOMBANG

Pengabdian masyarakat merupakan salah satu bentuk pengamalan Tri Dharma Perguruan Tinggi. Rangkaian kegiatan ditujukan untuk meringankan beban masyarakat dari masalah kesehatan melalui pencegahan terhadap timbulnya penyakit dan melakukan upaya – upaya peningkatan kesehatan masyarakat. Tujuan dari kegiatan ini adalah meningkatkan derajat kesehatan ibu hamil di wilayah Desa Gambiran Kecamatan Mojoagung Kabupaten Jombang Hasil dari kegiatan ini adalah semua ibu hamil yang berada di desa Gambiran mengetahui tanda dan gejala adanya komplikasi dalam kehamilan salah satunya yaitu pre eklampsia dalam kehamilan

SIKAP IBU HAMIL TENTANG PEMERIKSAAN KEHAMILAN DI WILAYAH PUSKESMAS JATIWATES KECAMATAN TEMBELANG KABUPATEN JOMBANG: Attitude Of Pregnant Pregnancy In Public Health Inspection District Jatiwates Tembelang Jombang

Pendahuluan : Angka kematian ibu di Indonesia pada tahun 2012 adalah 359 per 100.000 kelahiran hidup dan angka kematian bayi 32 kematian atau kelahiran hidup. Dalam menunjang penurunan angka kematian ibu diperlukan pemeriksaan kehamilan atau antenatal care untuk mendeteksi dini komplikasi-komplikasi, mempersiapkan kelahiran dan kegawat daruratan. Pemeriksaan kehamilan yang diberikan kepada ibu bersifat preventif untuk memantau kesehatan ibu dan mencegah komplikasi bagi ibu dan janin. Tujuan penelitian ini adalah untuk mengidentifikasi sikap ibu hamil tentang pemeriksaan kehamilan di Wilayah Kerja Puskesmas Jatiwates Kecamatan Tembelang Kabupaten Jombang. Metode : Desain penelitian yang digunakan adalah deskriptif dengan populasi semua Ibu hamil di Desa Bedah Lawak wilayah Puskesmas Jatiwates pada bulan Agustus tahun 2015 sebanyak 30 Orang. Besar sampel Semua Ibu hamil di Desa Bedah Lawak wilayah Puskesmas Jatiwates pada bulan Agustus tahun 2015 sebanyak 30 Orang. Teknik sampling yang digunakan adalah total sampling. Variabel dalam penelitian ini adalah sikap ibu hamil tentang pemeriksaan kehamilan, dengan menggunakan kuesioner. Hasil : Hasil penelitian menunjukkan bahwa sebagian besar sebanyak 28 responden (93,33%) pernah mendapatkan informasi tentang pemeriksaan kehamilan sebagian besar responden mempunyai sikap positif sebanyak 17 responden (56,67%). Pembahasan : Disimpulkan bahwa sikap ibu hamil tentang pemeriksaan kehamilan sebagian besar ibu hamil 56,67 % bersikap positif terhadap pemeriksaan kehamilan. Diharapkan hasil penelitian ini dapat menjadi masukan untuk meningkatkan pelayanan kesehatan pada ibu hamil. Dan menambah pemahaman untuk ibu hamil tentang pemeriksaan kehamilan di Puskesmas Jatiwates. Kata Kunci : Ibu Hamil, Sikap, Ante Natal Car

Prediction of Preeclampsia by a Combination of Body Mass Index (BMI), Mean Arterial Pressure (MAP), and Roll Over Test (ROT)

Introduction One of the main causes maternal and infant mortality is preeklampsi. Preeclampsia is a disease of the theory and attacking multiple organs, making it difficult for handling. It indicates preventive interventions as early as possible by using a predictor preeklampsi. Has done a lot of studies to find effective predictors of preeclampsia, but have not found a single accurate predictor. This study aims to determine the effectiveness of the combination of predictors of IMT, MAP, and ROT in predicting preeclampsi. Method This research was carried out on all pregnant women with gestational age of 22-32 weeks who visit the Pacar Keling Public Health Centre of Surabaya in October-November, 2015. All over sample was measured BMI, MAP, and ROT, further observation until delivery. Data were analyzed descriptively, predictor combination of BMI, MAP, and ROT declared effective if > 90% of women who had two or more positive signs experienced preeclampsi. Result The combination of IMT, ROT, and MAP obtained 85% of pregnant women declared posisif. On further observation, 90% of mothers who stated positive after evaluated experiencing preeklampsi. Discussion Predictors combination of IMT, ROT, and MAP have a tendency to be effective in predicting Preeclampsi. The results of this study suggest that the combination of predictors of IMT, ROT, and MAP is used as a screening in all pregnant women. Key words : Body Mass Index, Mean Arterial Pressure, Roll Over Test, Preeclampsi, Predicto

ROLE ATTAINMENT COMPETENCY DEVELOPMENT STIMULATION WORKING MOTHERS HAD INFANTS 0-3 MONTHS

Introduction:Tthe role of a mother to do stimulation progress so that children reach developmental optimal1. Achievement Roles or Role Attainment working mother can be either excitatory development of competence in delivering babies 0-3 months in the form of a process of self-development stimulation developments that will have an impact on infant development. The research aims to analysis role attaintment of working mothers in the competence of stimulation developments that affect the development of infants . Method: The study design was analytic correlational with cross sectional approach. Population is working mothers had babies 0-3 months are 45 and by simple random sampling as many as 32. Collecting data using questionnaires for role Attainment competence development stimulation and observation sheet KPSP. Data were analyzed with the Mann Whitney statistical test. Results: Of the study 62.5% of respondents between 20-35 years old mother. 78.1% of respondents secondary maternal education. 68.8% of women work in factories. 78.8% of respondents position middle child and infant 56.3% 62.5% boy sex mom competent enough stimulation. 25% of infant development doubted. With Mann-Whitney statistic r = 0.000 for r <a sense there is a relationship role Attainment competence development stimulation and development. Discussion: Role Attainment stimulation competence development within the competence necessary stimulation for babies to develop optimally. Developmental delays in young infants by looking KPSP can still be achieved in the next month with early detection of growth and development conducted by health officials together with the mother to correct deviations in the development of the baby. Keywords: role attainment, working mothers, developmen

NURSE ROLE ON BUILDING COMMUNITY RESILIENCE IN MERAPI: PREPAREDNESS PHASE

Introduction: Mount Merapi in Yogyakarta is one of Indonesia‘s phenomenal volcanoes. This mount erupts predictably every 3-5 years. One of the most eminent eruption happen in 2010. Community resilience development would prevent huge loss and damage from the event. Method: This paper critically examines the available literature that explores problems and nurses roles in building resiliency of Merapi‘s community. Examining the problems that occur in Merapi eruption, and finding the literature to answer the problems and encourage the nurse to building community resilience. Results: There were several problems identified. The risk perception, by letting the community knows about the information to recognize the damage cause by disaster. Then, the cultural and religion approach is the key action in building community trust. By understanding the culture, the nurse can emerge with the community and empowering them. The last part is the social, economic and politics. The nurse role and function in building the community resilience by educating and empowering the community to recognize the risk, diagnose the problem, and implementing the preparedness. Conclusion: Yet, more studies need to conduct to find more evidence related to disaster preparedness and community resilience and using the cultural and religion approach Key words: community resilience, nurse role, volcano eruptio

DESCRIPTION OF SLEEP PATERN DISORDER ON CHILD WITH CANCER RELATED FATIGUE (CRF) IN CIPTO MANGUNKUSUMO HOSPITAL JAKARTA

Introduction: Fatigue is the most common symptom in patients with cancer and its treatment. CRF in general is often caused by the effects of chemotherapy, radiation, immunotherapy. One of the symptoms of CRF is a sleep disorder. Sleep disorders in children may occured due to health problems such as pain, stress, depression, use of drugs. The purpose of this study is described the problem disruption of sleep patterns in children with Cancer-Related Fatigue (CRF) in the Pediatric Non Infection Ward of RSUPN Dr. Cipto Mangunkusumo. Method: This research is used descriptive method with quantitative approach. The sampling technique is total sampling (samples saturated) with a sample of 32 children. Result: Results of measurements of sleep patterns in children with cancer who were treated at Children's Non-Infectious Space RSUPN Dr. Cipto Mangunkusumo is showed interference. Conclusion: This is evidenced by the measurement through a sleep diary that assesses sleep patterns of the number of hours of sleep at night, the time it takes to fall asleep, sleep during the day, as well as the child's condition when I wake up in both the morning and afternoon. Key words: Sleep pattern, Cancer-Related Fatigue (CRF), Chil