Kelas Ibu Hamil Meningkatkan Partisipasi Suami/Keluarga dalam Pendampingan Persalinan

Angka kematian ibu dan bayi di Indonesia masih cukup tinggi disebabkan oleh komplikasi selama kehamilan, persalinan dan nifas. Upaya menurunkan angka kematian ibu saat ini telah mengalami pergeseran paradigma, dari mendeteksi dan mengatasi komplikasi, berubah menjadi mencegah, mendeteksi dan mengatasi komplikasi yang ditemukan. Upaya tersebut melalui peningkatan kualitas pelayanan kesehatan bagi ibu hamil di Indonesia, yakni dengan melibatkan peran serta suami dalam kegiatan kelas ibu hamil. Permasalahan saat ini masih banyak keluarga/suami yang masih bingung akan perannya sebagai pendamping itu sendiri. Peran pendamping persalinan ini adalah pemberi dukungan emosional, materi, informasi, dan penghargaan terus-menerus. Kegiatan ini bertujuan untuk meningkatkan peran serta suami/keluarga agar dapat meningkatkan partisipasi suami dan pendamping dalam proses persalinan. Kegiatan dilaksanakan di Praktik Mandiri Bidan (PMB) Kasih Ibu, sebanyak dua kali pertemuan, dengan target peserta melibatkan 10 pasangan suami istri (usia kehamilan ibu 32-36 minggu, primigravida). Metode yang digunakan adalah metode survey lapangan, pre-post test pengetahuan, pengisian materi, diskusi tanya jawab, simulasi pendampingan dan praktik manajemen nyeri persalinan. Solusi yang ditawarkan berkaitan dengan kemampuan suami/pendamping dalam meningkatkan pengetahuan, informasi, dukungan, dan keterampilan dalam pendampingan serta manajemen mengurangi nyeri. Keluaran pengabdian masyarakat ini adalah berupa peningkatan pengetahuan, kualitas pendampingan dan partisipasi suami menjelang proses persalinan, dan memperkaya pendidikan dalam aktivitas kelas ibu hamil

Intervention of Kusuma Milk-Shake Drink on Cervical Dilatation and Duration of Labor: Experience from Bengkulu, Indonesia

Background: Labor processes require energy consumption regulated by a complex nervous system and hormonal response. Thus, the intensity of maternal nutritional intake since pregnancy should be highly considered for physiological delivery. Nutrients that are high in energy and provide fast-decomposing glucose intake should be chosen by the mothers. Kusuma is a kind of drink made from dates, milk, and honey. This study aimed to analyze the effect of Kusuma milk-shake drink implementations on cervical dilatation and duration of labor.Methods: An experimental study was conducted by post-test only with a controlled group design, including 34 mothers with term pregnancy, which was intervention groups and controls. A completely randomized design in two different places was conducted. Data were analyzed using Shapiro-wilk, independent sample T-test, and Mann-Whitney. Results: There was a significant effect of Kusuma milk-shake implementation on cervical dilatation (p=0.000). The dilatation process was found to be 5.5 times faster, and the duration of labor (p=0.000) was observed to be 9.7 hours faster than the control group.Conclusions: Implementation of the Kusuma milk-shake has a significant effect on the acceleration of cervical dilation and the duration of labor. This research is expected to improve the quality of midwifery services as an effort to realize the concept of a Continuum of Obstetric Care

Compliance with consuming blood supplement tablets can reduce the incidence of anemia in young women in Bengkulu City

Background: Anemia is a public health problem throughout the world, globally the highest prevalence of anemia is in the Southeast Asia region at 46.6%, while in Indonesia it is 31.2%.  Objectives: The aim of the study was to determine the relationship between adherence to blood supplement consumption and the incidence of anemia in young women in Bengkulu City.Methods: The research uses a cross sectional approach. The sample was calculated using the Slovin formula, obtaining a minimum sample of 160 people. The independent variable is compliance with blood supplement tablet consumption, the dependent variable is the incidence of anemia, while the confounding variables in this research are knowledge, attitudes, perceptions and peer support. Data collection on hemoglobin levels used easy touch GCHb while data on compliance, knowledge, attitudes, perceptions and peer support used a questionnaire. All data obtained were tested for univariate, bivariate and multivariate analysis using the Chi Square test and Logistic RegressionResults: The results of research using univariate analysis tests showed that respondents were anemic (14%) and respondents were not anemic (86%). Respondents did not comply with taking blood supplement tablets (27.5%) respondents complied (72.5%). The results of the bivariate analysis test were that there was a significant relationship between compliance and the incidence of anemia in adolescent girls (p value 0.000 &lt; 0.05). There is no relationship between knowledge, attitudes, perceptions and the incidence of anemia, and there is a significant relationship between peer support and the incidence of anemia as well as the results of the multivariate analysis test, namely the most influential variable is Compliance with PR value (119.214).Conclusions: Conclusions and research suggestions show a relationship between adherence to consuming blood supplement tablets and the incidence of anemia in adolescent girls, so support from parents, health professionals, teachers and peers, as well as increased knowledge of the importance of adolescent girls consuming iron supplements are needed to increase compliance. taking blood enhancing tablets</em

Efektifitas the Safe Delivery App (SDA) secara Blended Learning terhadap Pengetahuan Bidan: Effect of The Safe Delivery App (SDA) by Blended Learning on Midwives' Knowledge

Instroduction: Globally on the industrial revolution of 4.0 mobile learning (mLearning) tools were familiar and attracted considerable attention for healthcare workers as a means of continuous training. The Safe Delivery App’s innovation (SDA) is a smartphone mLearning app that contains information and skills for trained health workers, can be accessed directly, quckly, and based on evidence-based Basic Emergency Obstetric and Neonatal Care (BEmONC) content. Purpose: This study assessed the effect of the SDA intervention by blended learning on midwives’ knowledge. Methods: The study used a quasi-experimental group pre-and post-test design with control group. The research sample consisted of 48 midwives with randomized sampling grouping through by-wheel trial numbers, timing 3 to 6 month. An independent sample t-test was used to statistically, Confidence interval (Cls) and effect size by Cohen’s d were used. Results: The use of The SDA App has proven to be significantly effective in creasing knowledge, the mean differences before-after 5,39 (SD=2,37); 95% Cl 2,29 ± 4,28, p-value &lt;0,001 and d=1,38 in one of the modules. Conclusion: The SDA App has proven very effective improved the quality of human resources for midwives, hope these benefits will be further disseminated wider by all heatlh cares provider