HUBUNGAN ANTARA KESIAPAN KEHAMILAN DENGAN ANEMIA PADA IBU HAMIL PADA WILAYAH KECAMATAN KAMPUNG MELAYU KOTA BENGKULU

Latar belakang: Anemia merupakan masalah nasional karena mencerminkan nilai kesejahteraan sosial ekonomi masyarakat dan pengaruhnya sangat besar terhadap kualitas sumber daya manusia. Kejadian anemia sekitar (38%) pada wanita hamil 32 juta wanita hamil di dunia (WHO, 2015). Kesiapan Kehamilan penting dilakukan pada pasangan suami isteri yang telah menikah untuk mempersiapkan kehamilan yang sehat. Tujuan penelitian ini untuk mengetahui hubungan antara kesiapan kehamilan dengan anemia pada ibu hamil. Tujuan Penelitian: Penelitian ini bertujuan mengetahui hubungan antara kesiapan kehamilan dengan anemia pada ibu hamil pada wilayah Kecamatan Kampung Melayu Kota Bengkulu Tahun 2019. Metode Penelitian: Jenis penelitian ini adalah penelitian analitik. Penelitian ini menggunakan pendekatan kuantitatif rancangan cross sectional. Populasi pada penelitian ini adalah ibu hamil di wilayah Kecamatan Kampung Melayu Kota Bengkulu. Sampel penelitian yaitu seluruh ibu hamil dengan anemia maupun tidak anemia di wilayah Kecamatan Kampung Melayu Kota Bengkulu. Hasil Penelitian: Hasil penelitian menunjukkan bahwa dari 44 orang ibu hamil yang kesiapan kehamilan tidak siap dimana hampir sebagian 21 (47,7%) responden anemia dan sebagian besar 23 (52,3%) responden tidak anemia dengan hasil uji chi square didapat p=0,000 < 0,05. Kesimpulan dan Saran: Ada hubungan yang bermakna antara kesiapan kehamilan, pengetahuan, dan jarak kehamilan dengan kejadian anemia pada ibu hamil, diharapkan dapat hal ini dapat memberikan gambaran prevalensi anemia ibu hamil yang tanpa melakukan Kesiapan kehamilan dan sehingga dapat digunakan sebagai salah satu bahan informasi dalam rangka penyusunan perencanaan penanggulangan anemia khususnya pada ibu hamil

PENGARUH METODE KANGURU TERHADAP KENAIKAN BB BAYI BARU LAHIR RENDAH (BBLR) DI RSUD CURUP TAHUN 2017

Menurut Survei Ekonomi Nasional (SUSENAS) 2005, kematian neonatus di Indonesia yang disebabkan oleh BBLR sebesar 38,85% (Depkes RI, 2008). Metode Kanguru mampu memenuhi kebutuhan asasi BBLR dengan menyediakan situasi dan kondisi yang mirip dengan rahim sehingga memberi peluang BBLR untuk beradaptasi dengan baik di dunia luar. Penelitian ini bertujuan untuk mengetahui rerata (mean) berat badan lahir dan rerata hari ke-10 serta pengaruh PMK Intermitten terhadap kenaikan berat badan BBLR. Metode yang digunakan adalah analitik dengan menggunakan Quasi-Eksperiment dengan rancangan Desain Sebelum dan Sesudah Satu Kelompok (One Group Before and After Design) dengan Dependen T-Test sebagai uji korelasinya. Penelitian ini dilakukan di RSUD Curup dari bulan Juli-September 2017. Penelitian dilakukan selama 10 hari, tiga hari di RS dan 6 hari  di rumah. Teknik sampel menggunakan purposive sampling yang berjumlah 32 responden. Data yang diambil adalah data primer yang diperoleh secara langsung dari tempat penelitian. Hasil penelitian menunjukkan bahwa rerata sebelum dibeikan intervensi metode kanguru BB 2264 dan setelah diberikan intervensi BB 2575. Hasil uji statistik menunjukan bahwa BBLR (p=0,000) yaitu p value< 0,05 dengan tingkat kepercayaan 95% yang berarti ada pengaruh metode kanguru terhadap BBLR. Disarankan bagi RS/Klinik agar mempunyai program dan sarana yang menunjang untuk program PMK. Bagi tenaga kesehatan dapat meng-edukasi program PMK kepada keluarga yang memiliki bayi BBLR

The Effectiveness of Rosella Flowers to the Changes of Hemoglobin Levels of Third Trimester Pregnant Women in The Area of The RatuAgung Community Health Center in 2020

Anemia during pregnancy is one of the most common disorders in pregnant women in Indonesia. The Government has made efforts to overcome this problem, however, the rate of anemic mothers remains high. Rosella (Hibiscus Sabdariffa) is considered able to increase the hemoglobin levels in pregnant mothers. To analyze the effect of Rosella flower on the increase of Hemoglobin level in pregnant women receiving Fe tablet. This study was a quasy experiment with pretest-posttest control group design conducted in January 2020 in the working area of Ratu Agung Community Health Center. Thirty-two participants were selected using accidental sampling, which assigned in the experiment and control group. All samples were pregnant women in the third trimester and receiving iron tablets. Independent t-test and paired t-test were used for data analysis. The paired t-test obtained a p-value of 0.00 ( 0.05) indicating that there wasn't a significant difference of mean of hemoglobin levels between the control group and the treatment group. The consumption of rosella combined with Fe tablet showed a significant increase of hemoglobin levels compared of pregnant women. Therefore

The Effect of Red Spinach Juice + Fe Tablets on Increased Hemoglobin Levels in Pregnant Women

Anemia during pregnancy is one of the most common abnormalities in pregnant women in Indonesia. The prevalence of anemia in pregnant women in Indonesia is 48.9%. The iron supplementation program is an effort that has been made by the Indonesian government to prevent anemia. To determine the effect of giving red spinach juice on increasing hemoglobin levels in third-trimester pregnant women. This type of research uses quantitative methods with quasi-experimental research with the two-group approach. The experimental group consumed red spinach juice + Fe tablets and the control group only drank Fe tablets. The results showed that there was an effect of giving red spinach juice + Fe tablets to increasing hemoglobin levels and there was a difference in increasing hemoglobin levels in the group given red spinach juice + Fe tablets and Fe tablets only. There is a relationship between parity and an increase in hemoglobin levels, but there is no relationship between age and education and an increase in hemoglobin levels. Intervention and parity variables were the most influential variables in increasing the hemoglobin level of pregnant women in PMB Bengkulu City. Results: There is an effect of giving red spinach juice + Fe tablets to the increase in hemoglobin levels of pregnant women

EFEKTIFITAS PROGRAM ANTENATAL GIZI KIA TERPADU (GIKATERA) TERHADAP PERTUMBUHAN DAN KESEJAHTERAAN JANIN PADA IBU TM III DI KABUPATEN SELUMA TAHUN 2022

Kejadian BBLR di Indonesia masih tinggi, yang berdampak terhadap infeksi, komplikasi gangguan pernafasan, susunan saraf pusat, risiko kematian serta kejadian stunting, sehingga diperlukan antenatal terpadu sebagai instrumen untuk pertumbuhan janin intrauterin karena antenatal care yang adekuat dapat kesehatan maternal sehingga meningkatkan kesehatan bayi yang akan dilahirkan. Antenatal care terpadu dilakukan dengan instrumen 10 T, sebagai upaya peningkatan pertumbuhan dan kesejahteraan janin intrauterine agar janin dilahirkan dalam kondisi terbaik dan jika janin mengalami pertumbuhan terhambat dapat ditindaklanjuti dengan cermat. Penelitian ini bertujuan untuk mengetahui efektifitas program antenatal Gizi Kia terpadu (Gikatera) terhadap pertumbuhan dan kesejahteraan janin pada ibu TM III di KabupatenSeluma tahun 2022. Desain penelitian kuasi eksperimen post test only dengan kelompok kontrol dengan pendekatan kuantitatif. Kelompok perlakuan adalah ibu hamil yang menerima pelayanan antenatal Gizi KIA terpadu (Gikatera) selama masa kehamilan sedangkan kelompok kontrol adalah ibu hamil yang menerima antenatal care konvensional di Puskesmas, BPM atau posyandu. Intervensi penelitian berupa Pelayanan antenatal Gikatera yang diberikan minimal 3 kali dengan standar 10 T dimulai pada kehamilan TM I sampai TM III dengan usia kehamilan 35 minggu. Pengukuran pertumbuhan janin diukur melalui taksiran berat janin dan tinggi fundus uteri sedangkan kesejahteraanjanin diidentifikasi melalui frekuensi denyut jantung janin dan gerakanjanin. Variabel independen yaitu pelayanan antenatal Gikatera sedangkan variabel dependen pertumbuhanjanin dankesejahteraan janin. Sampel berupa ibu hamil dengan kriteria inklusi ibu hamil TM I, Kriteria eksklusi adalahibu hamil dengan riwayat bad obstetrik atau menderita komplikasi atau penyulit kehamilan saat penelitian berlangsung atau terjadi partus prematurus. Analisis data dilakukan secara univariat, bivariat dan multivariat. Hasil: Ada pengaruh Program Antenatal Gikatera Terhadap Pertumbuhan janin. Ada pengaruh Program Antenatal Gizi Kia Terpadu Gikatera Terhadap Kesejahteraan Janin. Ada pengaruh status anemia dan KEK terhadap Pertumbuhan janin. Tidak ada pengaruh usia, paritas, jarak kehamilan, status anemia dan KEK terhadap kesejahteraan janin. Tenaga Kesehatan harus memberikan pelayanan antenatal Gizi KIA terpadu untuk meningkatkan kualitas outcome kehamilan dan persalinaan

Genetic Factors Causing the Prevalence of Anemia in Young Girls and Stunting in Toddlers: A Systematic Literature Review

The prevalence of anemia in adolescents at the national level is still considered quite high. Several factors are associated with the incidence of anemia in female adolescents, namely energy intake, protein intake, iron intake, vitamin C intake, tea or coffee drinking habits, investment in worms, knowledge, education and type of parental occupation, family income, and menstrual patterns as well as genetics. Stunting is also still a problem in Indonesia due to insufficient nutritional intake for quite a long time. Stunting occurs when the fetus is still in the womb and only appears when the child is two years old. anemia caused by malnutrition at an early age increases infant and child mortality. anemia in young women and also stunting in children is very dangerous. Where the purpose of research is to explain Genetic Factors Causing the Prevalence of Anemia in Young Girls and Stunting in Toddlers. A review is conducted on the state-of-the-art methods using the preferred reporting items for reviews and meta-analyses (PRISMA) guidelines. We review literature from several publications and analyze genetic factors that cause the prevalence of anemia in young women. The prevalence of anemia among young women is also caused by genetic factors. Young women tend to experience anemia because during this period they experience growth and development. The risk of anemia increases with physiological shifts such as menstrual periods. To prevent anemia, the government has planned a program for the Prevention and Control of Iron Nutrition Anemia in women of childbearing age which aims to reduce the prevalence of iron deficiency anemia in high school and junior high school students

Kinerja Bidan Desa dalam Deteksi Dini Kasus Malaria pada Kehamilan di Kabupaten Bengkulu Tengah

Background: Malaria has become the health problem that cause mortality especially in high risk group such as infants, children below 5 years old and pregnant women. The incidence of malaria in Central Bengkulu, Bengkulu Province is quite high, the last three years there is an increase compared to year 2011 – 2013. Annual Malaria Incidence in 2011 was 75.68/00, where the incidence in 2012 was 66.13/00. The Annual Parasite Incidence in 2013 was 52.34/00. In 2013, the amount of pregnant women who underwent malaria screening during 1st antenatal care (K1) only 784 from 2016 pregnant women(39%).Objective: To understand the malaria screening achievement among pregnant women by village midwives in Central Bengkulu District.Method: The study was observational with cross sectional design. The subjects was all of the village midwives in Central Bengkulu District. The dependent variable in this study was midwives achievement in malaria screening during pregnancy. The independent variables were training for malaria screening during pregnancy and the availability of rapid diagnostic test (RDT). The disturbing variables were age, level of education, and the duration of work. The study’s instrument was questionnare and observational sheet. The data analysis was done with t test, correlation method, chi square and linear regression.Result and Discussion: The achievement in malaria’s screening during pregnancy by village midwives was better in the group who received training compared with the group who didn’t (RR 2.2 ; 95% CI 1.71 – 2.51). The achievement also was better in the group of midwives who had good supply of RDT compared with the group who didn’t (RR 1.5; 95% CI 1.01 – 1.94).Conclusion: The achievement of malaria’s screening during pregnancy among village midwives who received training was better compared to midwives who didn’t. The achievement was also better among midwives who had good supply of RDT compared with midwives who didn’t. There is relation between level of midwivery education and the achievement in screening b ut there was no relation between age and duration of work and achievement during screening.Keywords: Achievement of Village Midwives, Screening, Training and Availability of RD

Marmet technique and oxytocin massage increase the smoothness of breastfeeding

Background: Breast milk is the best baby food and every baby has the right to get breast milk. Based on data from the World Health Organization (WHO) in 2018, data on the coverage of exclusive breastfeeding in several countries had not yet reached the target. Referring to the national target of 80%, in 2018 nationally the coverage of babies receiving exclusive breastfeeding is 68.74%. Meanwhile, in Bengkulu province, newborns who received exclusive breastfeeding were 65.46%. Based on the results of the 2018 Riskesdas, the proportion of breastfeeding patterns for infants aged 0-5 months in Indonesia is 37.3% exclusive breastfeeding.Objectives: This study aimed to determine the effectiveness of the marmet technique and oxytocin massage on the smoothness breastfeeding .Methods: This research used a quantitative approach with a quasi-experimental design, employing a two-group pretest-posttest design with a control group. The experimental group was administered the Marmet technique, while the control group received oxytocin massages for seven consecutive days. The sample for this study consisted of 60 first-day postpartum mothers, with 30 in the intervention group and 30 in the control group. The research was conducted at PMB Bengkulu City. The research instruments used observation sheets, and data analysis was tested using the t-test and processed using computerization. Results: The statistical results obtained showed that there was a significant difference between the groups given the marmet technique and oxytocin massage regarding the smoothness of breast milk, where the marmet technique group had better improvement. There is a relationship between education and parity with breastfeeding fluency but there is no relationship between age and work with breastfeeding fluency. Intervention and parity variables are the most effective variables in increasing the smooth breastfeeding of postpartum mothers.Conclusions: There is an effect of the marmet technique and oxytocin massage on the smoothness of breast milk. It is expected that midwives can provide midwifery care for postpartum mothers by applying the marmet technique and oxytocin massage for the smooth production of breast milk and can be disseminated to the community</p

The Effectiveness of Consumption of Rujak Rujak Herbs on the Acceleration of Uterine Involution in the Independent Practice of Bengkulu City Midwives in 2022

According to the World Health Organization (WHO) in 2021, the highest AKI cases occurred in Africa with 525 deaths per 100,000 live births and the lowest was in Europe with 13 deaths per 100,000 live births. The most common cause of AKI in Indonesia in 2019 was caused by several cases such as bleeding (30.32%). Uterine atony occurs due to failure of uterine contractions to control bleeding after delivery, causing uterine subinvolution. This process is known as uterine involution. The herbal composition of rujak soup is useful for preventing blood clots due to a compound called gingerol in ginger. The type of research used in this study was a quasi-experiment with a two-group post-test design. The population in this study were postpartum mothers from the first day to the tenth day of postpartum at PMB F Bengkulu City as many as 117 people with a sample of 30 respondents. The statistical test used was the Independent T-test. The results of this study indicate that the average acceleration of uterine involution on the seventh day is known that in the herbal soup rujak group is 4.73 and the uterine involution acceleration in the palm juice group is 5.40 with a mean difference between the herbal kuah rujak group and the date palm juice group. 0.67. There was an effect between the group of herbal ingredients of rujak sauce and the palm juice group on the TFU on day 7 with a p value = 0.038 and a mean difference of 0.67. This proves that the herbal soup rujak accelerates uterine involution more. It is hoped that the PMB of the Telaga Dewa Working Area will continue to promote complementary medicine with herbal ingredients to reduce the use of chemical drugs and help deal with problems during the postpartum period

Marmet technique and oxytocin massage increase the smoothness of breastfeeding

Background: Breast milk is the best baby food and every baby has the right to get breast milk. Based on data from the World Health Organization (WHO) in 2018, data on the coverage of exclusive breastfeeding in several countries had not yet reached the target. Referring to the national target of 80%, in 2018 nationally the coverage of babies receiving exclusive breastfeeding is 68.74%. Meanwhile, in Bengkulu province, newborns who received exclusive breastfeeding were 65.46%. Based on the results of the 2018 Riskesdas, the proportion of breastfeeding patterns for infants aged 0-5 months in Indonesia is 37.3% exclusive breastfeeding.Objectives: This study aimed to determine the effectiveness of the marmet technique and oxytocin massage on the smoothness breastfeeding .Methods: This research used a quantitative approach with a quasi-experimental design, employing a two-group pretest-posttest design with a control group. The experimental group was administered the Marmet technique, while the control group received oxytocin massages for seven consecutive days. The sample for this study consisted of 60 first-day postpartum mothers, with 30 in the intervention group and 30 in the control group. The research was conducted at PMB Bengkulu City. The research instruments used observation sheets, and data analysis was tested using the t-test and processed using computerization. Results: The statistical results obtained showed that there was a significant difference between the groups given the marmet technique and oxytocin massage regarding the smoothness of breast milk, where the marmet technique group had better improvement. There is a relationship between education and parity with breastfeeding fluency but there is no relationship between age and work with breastfeeding fluency. Intervention and parity variables are the most effective variables in increasing the smooth breastfeeding of postpartum mothers.Conclusions: There is an effect of the marmet technique and oxytocin massage on the smoothness of breast milk. It is expected that midwives can provide midwifery care for postpartum mothers by applying the marmet technique and oxytocin massage for the smooth production of breast milk and can be disseminated to the communit