PEMBERDAYAAN IBU MENYUSUI DALAM PENINGKATAN KADAR HEMOGLOBIN MELALUI PENGELOLAAN BUAH NAGA

Abstrak: Anemia merupakan kurangnya konsentrasi hemoglobin (Hb) di dalam tubuh dan bukan suatu keadaan spesifik, melainkan akibat bermacam-macam reaksi patologis dan fisiologis. Kelompok wanita usia reproduksi lebih rentan terhadap kekurangan zat besi yang mengakibatkan anemia, terutama selama kehamilan dan menyusui. Zat besi merupakan mineral yang sangat dibutuhkan untuk membentuk eritrosit dan juga berperan sebagai komponen untuk membentuk mioglobin dan berfungsi dalam sistem pertahanan tubuh, saat hamil kebutuhan zat besi meningkat dua kali lipat dari kebutuhan sebelum hamil. Salah satu alternatif yang dapat dilakukan untuk meningkatkan kadar zat besi dalam darah dengan mengkonsumsi buah naga. Tujuan kegiatan ini untuk memberikan edukasi, demonstrasi, dan praktik kepada ibu menyusui agar bisa memahami tentang manfaat dan cara pengolahan buah naga serta mampu melakukan secara mandiri sebagai upaya dalam meningkatkan kadar hemoglobin. Tahapan kegiatan terdiri dari (1) Melakukan pretest pengetahuan dan pemeriksaan hemoglobin; (2) Memberikan edukasi dan demonstrasi, (3) Melakukan  praktik tentang cara pengolahan buah naga; (4) Melakukan evaluasi peningkatan pengetahuan, kadar hemoglobin dan keterampilan mengolah buah naga.  Hasil yang dicapai yakni adanya peningkatan pengetahuan peserta dengan rata-rata 74,69% dan peningkatan kadar hemoglobin dengan rata-rata 12,01 gr/dl. Peserta juga mampu mengolah buah naga secara mandiri, serta diharapkan mampu mengajarkan kepada masyarakat sekitar.Abstract: Anemia is a lack of hemoglobin (Hb) concentration in the body and is not a specific condition, but a result of a variety of pathological and physiological reactions.  Women of reproductive age are more susceptible to iron deficiency which results in anemia, especially during pregnancy and breastfeeding.  Iron is a mineral that is needed to form erythrocytes and also acts as a component to form myoglobin and functions in the body's defense system.  One alternative that can be done to increase iron levels in the blood is by consuming dragon fruit.  The purpose of this activity is to provide education, demonstration, and practice to breastfeeding mothers so that they can understand the benefits and ways of processing dragon fruit and be able to do it independently as an effort to increase hemoglobin levels.  The activity stages consisted of (1) Conducting a pre-test of knowledge and checking hemoglobin; (2) Providing education, and demonstrations and (3) Practices on how to process dragon fruit; (4) Evaluate the increase in knowledge, hemoglobin levels and skills in dragon fruit processing.  The results achieved were an increase in the participants knowledge by an average of 74.69 and an increase in hemoglobin levels by an average of 12.01 g / dl.  Participants are also able to process dragon fruit independently, and are able to teach the surrounding community

PEMBERDAYAAN KELOMPOK MITRA DESA DALAM PELAKSANAAN TONTHOLO UNTUK MENINGKATKAN PENGETAHUAN KADER DAN MENINGKATKAN PRODUKSI ASI DAN MEMPERCEPAT INVOLUSI PADA IBU NIFAS

Abstrak: Kelurahan Lekobalo merupakan salah satu daerah yang mempunyai masalah jumlah stunting yang masih tinggi dan cakupan ASI ekslusif rendah. Kurangnya pengetahuan kader tentang tontholo berdampak pada ibu nifas yang tidak menyusui bayinya karena asi kurang. Tujuan pengabdian masyarakat yaitu meningkatkan pengetahuan kader tentang tontholo dengan pemberian pelatihan dan meningkatkan produksi ASI serta mempercepat involusi uterus pada ibu nifas. Metode pengabdian masyarakat yaitu membuat kelompok kader, kemudian melatih mereka tentang tontholo yang bisa mempercepat proses involusi dan meningkatkan produksi ASI, membagikan buku tontholo sebagai panduan, mendampingi kader saat pelaksanaan tontholo kepada ibu post partum, mengevaluasi hasil pelaksanaan tontholo menggunakan lembar ceklis yang telah disusun dengan mengobservasi tindakan kader apakah sesuai dengan materi pelatihan. Mitra pada pengabmas ini yaitu kader sebanyak 10 orang dengan sasarannya ibu nifas yang berjumlah 30 orang. Hasil pengabdian masyarakat didapatkan bahwa pengetahuan Kader sebelum dan sesudah pelatihan meningkat dari 62% menjadi 69,30%. Dari 30 ibu nifas setelah dilakukan tontholo dan diobservasi hari 1 dan ke 2, didapatkan 23 orang (75%) ibu nifas mengatakan asinya keluar banyak setelah dilakukan tontholo, dan 29 orang (96%) setelah diperiksa TFU tidak teraba lagi.Abstract: Lekobalo is one of the areas that has the problem of a high number of stunts and low exclusive milk coverage. The lack of knowledge of the curriculum affects mothers who do not breast-feed their babies because they are less likely. The aim of community service is to increase cadres' knowledge about tontholo by providing training, increasing breast milk production, and accelerating uterine involution in postpartum mothers. The community service method is to create a group of cadres, then train them about tontholo, which can speed up the involution process and increase breast milk production; distribute tontholo books as a guide; accompany cadres during the implementation of tontholo to postpartum mothers; and evaluate the results of the implementation of tontholo using a checklist that has been prepared by observing cadre actions to determine whether they are in accordance with the training material. The partners in this community service are a cadre of 10 people, with the target being 30 postpartum mothers. The results of the public dedication obtained show that the knowledge of Kader before and after training increased from 62% to 69.30%. Of 30 mothers who breathed after doing tontolo and observed on days 1 and 2, 23 people (75%) said that the mother was out a lot after having done tontolo, and 29 people (96%) after examining the TFU were no longer in sight

CHARACTERISTICS OF ACCEPTORS WITH THE USE OF IUD CONTRACEPTIVE

Abstrak Masalah kependudukan di Indonesia adalah jumlah penduduk yang besar, laju pertumbuhan penduduk yang tinggi, persebaran penduduk yang tidak merata, struktur demografi yang masih muda, dan kualitas penduduk yang masih memiliki ruang untuk perbaikan. IUD (non hormonal) merupakan jenis alat kontrasepsi jangka panjang yang ideal untuk mencegah kehamilan. Jenis penelitian yang digunakan adalah penelitian observasional analitik dengan pendekatan cross sectional study. Sampel diambil secara total sampling dengan jumlah sampel adalah seluruh akseptor KB yang berkunjung dalam wilayah kerja Puskesmas Dulalowo Kecamatan Kota Tengah Kota Gorontalo dari bulan Januari – Desember 2020 sebanyak98orang. Analisis data yang digunakan adalah Chi Square. Hasil menunjukkan nilai ρ masing-masing karakteristik sebagai berikut: usia (nilai ρ = 0,088), pendidikan (nilai ρ = 0,032), ekonomi (nilai ρ = 0,009), dan paritas (nilai ρ = 0,041). Jadi, karakteristik yang berhubungan dengan penggunaan KB IUD adalah pendidikan, ekonomi, dan paritas. Kata kunci: Akseptor, IUD, Karakteristik, KB Abstract Population problems in Indonesia are a large population, high population growth rate, uneven population distribution, a young demographic structure, and the quality of the population that still has room for improvement. The IUD (non-hormonal) is a type of long-term contraceptive that is ideal for preventing pregnancy. The type of research used is analytic observational research with a cross sectional study approach. The sample was taken by total sampling with the total sample being all family planning acceptors who visited the working area of the Dulalowo Health Center, Kota Tengah Subdistrict, Gorontalo City from January - December 2020 as many as 98 people. Analysis of the data used is Chi Square. The results show the value of each characteristic as follows: age (ρ value = 0.088), education (ρ value = 0.032), economy (ρ value = 0.009), and parity (ρ value = 0.041). So, there characteristics related to the use IUD family planning are education, economy, and parity.         

FACTORS THAT AFFECT INTRA UTERINE FETAL DEATH AT GORONTALO CITY HOSPITAL

AbstrakIntra uterine Fetal Death (IUFD) adalah kematian janin setelah usia kehamilan 20 minggu dan diklasifikasikan menjadi IUFD dini dan IUFD lanjut. IUFD dini jika kematian janin terjadi sebelum usia kehamilan 24 minggu dan IUFD lanjut jika kematian janin setelah usia kehamilan 24 minggu. Banyak faktor yang berkontribusi terhadap tingginya angka kematian ibu dan angka kematian neonatus  penyebabnya diantaranya factor proses persalinan,seperti partus lama, posisi janin,tempat persalinan dan penolong persalinan.Tujuan penelitian ini untuk mengetahui factor factor  yang mempengaruhi kejadian Intra Uterin Fetal Death di Rumah Sakit Kota Gorontalo. Penelitian ini menggunanakan metode survey analitik rancangan case control dengan pendekatatan retrosfektif. Pengambilan sampel menggunakan tehnik purporsive sampling sebanyak 94 ibu yang dibagi dalam 2 kelompok. Kelompok kasus 47 ibu yang melahirkan dengan IUFD dan kelompok control 47 ibu yang melahirkan normal. Analisis data menggunakan uji odd Rasio. Hasil uji statistic menunjukkan umur (OR=7,169), Pekerjaan (OR=5,273), Paritas (OR= 4,615), Kehamilan Ganda (OR=1,000), Preeklamsi (OR=6,875) dan KPD (OR=4,615) dari hasil uji statistik  disimpulkan ada pengaruh umur, pekerjaan, paritas dan pre-eklamsi terhadap kejadian IUFD sedangkan kehamilan ganda dan KPD tidak ada pengaruh terhadap kejadian Intra Uterine Fetal Death namun tidak signifikan. Disarankan kepada ibu hamil untuk memeriksa kehamilannya secara rutin.Kata kunci: IUFD, Paritas, KPD, Pre-eklamsi, Kehamilan ganda                                                                                                                    Abstract Intra uterine Fetal Death (IUFD) is fetal death after 20 weeks of gestation and is classified into early IUFD and late IUFD. Early IUFD if fetal death occurred before 24 weeks of gestation and late IUFD if fetal death occurred after 24 weeks of gestation. Many factors contribute to the high maternal mortality rate and the cause of neonatal mortality, including labor processes, such as prolonged labor, fetal position, place of delivery and birth attendants. Gorontalo. This study uses an analytical survey method with a case control design with a retrospective approach. Sampling with purporsive sampling technique as many as 94 mothers who were divided into 2 groups. The case group was 47 mothers who gave birth with IUFD and the control group was 47 mothers who gave birth normally. Data analysis used the odd ratio test. The results of the statistical odd ratio test showed age (OR = 7,169), Occupation (OR = 5,273), Parity (OR = 4,615), Multiple Pregnancy (OR = 1,000), Preeclampsia (OR = 6,875) and PROM (OR = 4,615) from the results Statistical tests can be concluded that there is an effect of age, occupation, parity and preeclampsia on the incidence of IUFD, while multiple pregnancy and KPD have no effect on the incidence of Intra Uterine Fetal Death but it is not significant. It is recommended for pregnant women to check their pregnanc

DEMONSTRASI PENGELOLAAN MAKANAN PANGAN LOKAL PADA IBU HAMIL DAN IBU BALITA DALAM UPAYA PENCEGAHAN STUNTING

Abstrak: Stunting berdampak pada pertumbuhan dan perkembangan balita yang tidak sesuai usia. Stunting tertinggi di kecamatan tilongakabila terdapat di desa Bongoime dengan kasus sangat pendek 43 balita dan kasus pendek 114 balita. ibu hamil dan ibu balita tidak paham tentang stunting, tidak paham bahwa pangan lokal seperti tanaman kelor yang dijadikan makanan ternak banyak manfaatnya. Daun kelor sumber pangan nabati yang kaya kandungan gizi. Salah satu antioksidan adalah jus buah tomat (Solanum lycopersicum). Asam folat untuk ibu hamil mencegah kecacatan janin ketika dilahirkan. Pangan lokal salah satunya Jagung merupakan sumber protein tinggi. Pengabdian masyarakat bertujuan meningkatkan pengetahuan dan keterampilan ibu hamil dan ibu balita dalam pengelolaan bahan pangan lokal. Metode yang digunakan ceramah, demonstrasi membuat pudding daun kelor dan jus tomat serta kuesioner. Kegiatan dilakukan pada 10 orang kader dan 30 orang ibu hamil dan ibu balita.monitoring berupa pretest kategori baik 37,5% dan posttest kategori baik meningkat 62,5% hasil yang dicapai adalah kader, semua ibu hamil dan ibu balita mengalami peningkatan pengetahuan dengan nilai value 0,000 t table = 1,99.Abstract: Stunting has an impact on the growth and development of toddlers that are not age appropriate. The highest stunting in tilongakabila district was in Bongoime village with 43 very short cases and 114 short cases. Pregnant women and mothers of toddlers do not understand stunting, do not understand that lokal food such as moringa which is used as animal feed has many benefits. Moringa leaves are a source of vegetable food that is rich in nutrients. One of the antioxidants is tomato juice (Solanum lycopersicum). Folic acid for pregnant women prevents fetal defects when born. Lokal food, one of which is corn, is a source of high protein. Community service aims to improve the knowledge and skills of pregnant women and mothers under five in the management of lokal foodstuffs. The method used is lectures, demonstrations of making Moringa leaf pudding and tomato juice and questionnaires. The activity was carried out on health cadre 10 and 30 pregnant women and mothers of toddlers. Monitoring in the form of pre-test and post-test the results achieved were that all pregnant women and mothers of toddlers experienced an increase in knowledge 37,5% than 62,5% good category and increased skills with a value of 0.000 t table = 1,99

The Effect of Knowledge of Mothers Assisted by Cadres during Pregnancy on the Incidence of Low Birth Weight

Every pregnancy carries risks to the quality of birth outcomes, such as low birth weight (LBW). Interventions such as increased maternal knowledge, supervision, and intensive assistance are required, which can be performed by health cadres. The study aimed to examine the impact of knowledge on the incidence of LBW in pregnant women accompanied/assisted by cadres during pregnancy. This method combines descriptive research with a quasi-experiment. The study included 30 pregnant women who fulfilled the following criteria: single pregnancy, 30 weeks gestation, not a high-risk pregnancy, and no comorbidities. The study lasted three months, and the independent variable was the knowledge of pregnant women assisted by cadres, while the dependent variable was the incidence of LBW. Pregnant women's questionnaires and observation sheets were employed as instruments. T-Test and Yates' Correction were utilized during data analysis. The findings revealed a p-value of 0.031 increase in knowledge of pregnant women before and after being assisted by cadres during pregnancy, and the incidence of LBW was 3 cases (10%). With a p-value of 0.041, the results of Yates' Correction statistical test revealed that knowledge of pregnant women assisted by cadres is one of the determinants of the occurrence of LBW. It is critical to increase cadre involvement and role in assisting pregnant women.     

EDUKASI DAN DEMONSTRASI PENGOLAHAN BUBUR MANADO PADA IBU UNTUK PENCEGAHAN STUNTING

Abstrak: Masalah gizi terjadi akibat kekurangan asupan zat gizi pada anak dan kurangnya pengetahuan orang tua, sehingga perlu diberikan makanan tambahan bagi anak dan edukasi gizi bagi orang tua. Tujuan kegiatan pengabdian kepada masyarakat ini untuk meningkatkan pengetahuan dengan cara pemberian edukasi dan demonstrasi pada ibu tentang stunting dan cara pengolahan bubur manado sebagai menu sehat untuk mencegah stunting melalui Poster dan Leaflet, memberikan informasi terkait cara mengolah dan pemberian bubur manado secara sehat dan tepat pada ibu bayi dan balita dan mengevaluasi tingkat pemahaman dan pengetahuan peserta. Metode yang digunakan adalah Pre-Test, Edukasi, Demonstrasi pembuatan Bubur Manado, tanya jawab, dan Post-Test. Kegiatan ini bekerja sama dengan Puskesmas Kabila Kabupaten Bone Bolango, dengan jumlah peserta 31 ibu yang memiliki anak balita. Hasil yang dicapai menunjukkan bahwa adanya peningkatan pengetahuan tentang stunting dan cara pengolahan Bubur Manado untuk balita yakni, 18 Responden (58%) berpengetahuan baik; 9 Responden (29%) berpengetahuan cukup; dan 4 Responden (13%) berpengetahuan kurang.Abstract: Nutritional problems occur due to lack of nutritional intake in children and lack of parental knowledge, so it is necessary to provide additional food for children and nutrition education for parents. The purpose of this service is to provide education to mothers of children under five about stunting through posters and leaflets, provide information related to how to give healthy and correct complementary feeding to mothers of toddlers to prevent stunting, and evaluate the level of understanding and knowledge of mothers under five about giving Healthy and correct. The methods used were Pre-Test, stunting education, demonstration of making Manado porridge , question and answer, and Post-Test. The partners involved were the Head of the Kabila Health Center, the Midwives, and the Health Cadre. The results of the activity showed that 18 respondents (58%) had good knowledge; 9 respondents (29%) knowledgeable enough; and 4 respondents (13%) had less knowledge about stunting prevention materials and how to give healthy and correct food