PENGARUH TEKNIK AKUPRESUR TERHADAP KADAR ENDORFIN DAN KEMAJUAN PERSALINAN PADA KALA I FASE AKTIF DI KOTA PADANG TAHUN 2017

ABSTRAK Pengaruh Teknik Akupresur Terhadap Kadar Endorfin dan Kemajuan Persalinan pada Kala I Fase Aktif di Kota Padang Tahun 2017 ULIY IFFAH Proses persalinan identik dengan rasa nyeri. Nyeri pada persalinan merupakan hal yang fisiologis. Penelitian yang dilakukan oleh Brown, Douglas dan Flood (2001) dengan menggunakan 10 metode nonfarmakologi yang dilakukan pada 46 orang didapatkan bahwa teknik akupresur merupakan teknik yang paling efektif menurukan nyeri saat persalinan. Tujuan penelitian ini adalah untuk Mengetahui pengaruh metode akupresur terhadap kadar endorfin dan kemajuan persalinan kala I. Jenis penelitian ini merupakan penelitian kuantitatif dengan menggunakan desain quasi experiment dengan pendekatan pre test and post test design with group control dengan melakukan akupresur pada ibu bersalin primipara kala I fase aktif. Penelitian dilaksanakan di Bidan Praktik Mandiri wilayah kerja Puskesmas Kota Padang tanggal 20 September – 26 November 2017. Populasi penelitian ini ibu primipara inpartu kala I fase aktif menggunakan teknik Non Probability Sampling dengan metode sampel Consecutive Sampling. Hasil penelitian rerata kadar endorfin sebelum akupresur kelompok intervensi 315,179 ng/L±257,587 dan kontrol 248,623 ng/L±165,966. Rerata kemajuan persalinan sebelum akupresur intervensi adalah 6,05 cm±0,826 dan kontrol 5,90 cm±0,788. Rerata kadar endorfin setelah akupresur intervensi 190,773 ng/L±26,068 dan kontrol 247,971±179,066. Rerata kemajuan persalinan setelah akupresur intervensi 9,00 cm±0,795 dan kontrol 7,10 cm±0,968. Tidak terdapat perbedaan kadar endorfin dan kemajuan persalinan sebelum akupresur p=0,338 dan 0,560. Tidak ada perbedaan kadar endorfin setelah akupresur pada intervensi dan kontrol p=0,166. Ada perbedaan kemajuan persalinan setelah akupresur kedua kelompok dengan p=0,001. Kesimpulan penelitian ini adalah terdapat perbedaan pengaruh akupresur terhadap kadar endorfin dan kemajuan persalinan pada kelompok intervensi dan kontrol. Saran: Diharapkan agar akupresur dapat dijadikan asuhan rutin di setiap asuhan persalinan normal. Kata Kunci: Akupresur, Kadar Endorfin, Kemajuan Persalina

The relationship between parenting and development of toddlers aged 1-5 years in the working area of Rawang public health center, Padang city

Children under five years of age when the increase in body structure and function becomes more complex and the ability to move fine, fine motion, language, and independence. The number of children under five who do not develop according to their age is triggered by parental care, where this care aims to meet the basic needs of toddlers so that they can grow and develop more optimally. The purpose of this study was to determine the relationship between parenting and the development of children aged 1-5 years in the working area of Puskesmas Rawang, Padang City. This research uses quantitative design with a cross section. This research was conducted in the working area of Puskesmas Rawang, Padang City. Data collection was carried out in March 2020. The sample of this study is mothers who have children aged 1-5 years who are in the working area of Puskesmas Rawang, Padang City, amounting to 79 people. The technique used in this study is proportional random sampling, for data collection using a questionnaire. The results of this study obtained 79 respondents consisting of mothers and toddlers with an average age of 12-24 months. Descriptively democratic parenting has a proportion of under five development in accordance with the highest value, namely 95.6% while authoritarian is 11.5%. Democratic parenting style affects the optimal development of toddlers

FACTORS AFFECTING THE VISUAL INSPECTION OF ACETIC ACID EXAMINATION (IVA) IN PADANG CITY 2019

Cervical cancer is the fourth most common cancer in women with a mortality rate of 6.8% (WHO, 2015; Globocan, 2012). The incidence of cervical cancer ranks second after breast cancer in Southeast Asia and Indonesia. Based on data from the Republic of Indonesia Ministry of Health 2015, cervical cancer is the cancer with the highest prevalence of 0.8 per 1000 population (Ministry of Health Republic of Indonesia, 2015). The high prevalence of cancer in Indonesia requires prevention and early detection by health service providers. The purpose of this study was to determine the factors that influence the inspection of Acetic Acid Visual Inspection (IVA) in Padang City. This type of research is quantitative with cross sectional design. The study was conducted at the Padang City Health Center in April-November 2019. The population was all women aged 30-50 years who were at the Padang City Health Center, amounting to 10,670 people, with a sample of 73 people taken by consecutive sampling technique. Data were collected by questionnaire and analyzed by univariate and bivariate analysis. More than half (64.4%) of women of childbearing age (WUS) have never had an IVA examination, more than half (58.9%) of women have a risk age, less than half (39.7%) women have low levels of education , more than half (60.3%) WUS with working status, there was no relationship between the age of WUS with IVA examination (p value = 0.182), there was a relationship between WUS education level and IVA examination (p value = 0.031), there was no relationship between the status of WUS work and IVA examination (p value = 0.404). It is expected that officials and leaders of puskesmas will develop more attractive ways to be able to convince and increase awareness and concern of the WUS themselves in conducting IVA examinations

The Effect Of Using Leaflet Media To Reduce Anxiety In Pregnant Women In Trimester III During The Covid-19 Pandemic In The Andalas Health Center

Anxiety in pregnant women can arise, especially in the third trimester of pregnancy until delivery, where during this period pregnant women feel anxious about various things such as anxiety about the baby's birth process and the pain they feel. Covid-19 causes pregnant women to be very anxious about their pregnancy and also with the rules for preparing for childbirth. The purpose of this study was to determine the effect of using leaflet media on the level of anxiety in third-trimester pregnant women during the Covid-19 pandemic at the Andalas Health Center, Padang City.  The type of research used is quasi-experimental with a control group pretest-posttest design. In this research design, the experimental group received education using leaflet media, while the control group was given conventional-based education (without using media). The results of The p-value is 0.000, so it can be concluded that there is a difference in anxiety before and after being given health education. The provision of health education interventions about childbirth can reduce anxiety scores in third-trimester pregnant women

CONTINUITY OF CARE PADA NEONATUS DAN BAYI DI ERA PANDEMI COVID-19 DI SUMATERA BARAT

Bayi Baru Lahir dan neonatus memiliki resiko ganggguan kesehatan paling tinggi, berbagai masalah kesehatan bisa muncul, sehingga tanpa penanganan yang tepat, akan memiliki dampak berbahaya pada bayi. Saat ini, Indonesia sedang menghadapi bencana nasional non alam Covid-19 sehingga pelayanan kesehatan maternal dan neonatal menjadi salah satu layanan yang terkena dampak baik secara akses maupun kualitas. Kasus Covid-19 untuk wilayah Sumatera Barat yang masih meningkat dan kasus positif tidak hanya terjadi pada wanita yang sehat, namun juga ada yang tanpa gelaja, wanita hamil, menyusui, bayi baru lahir, anak dan dewasa. Agar ibu dan bayi tetap dapat selalu mendapatkan asuhan selama masa pandemi, maka sebagai bidan dapat dilakukan asuhan kebidanan berkelanjutan (Continuity of care) pada ibu dan keluarga dengan lebih inovatif dengan tetap harus memperhatikan protokol kesehatan dalam memberikan asuhan pada ibu dan bayi. Tujuan yang akan dicapai dalam kegiatan ini adalah meningkatnya angka derajat kesehatan yang lebih baik pada bayi, sehat fisik dan tumbuh serta berkembang secara normal di era pandemi covid-19. Metode yang dipakai dengan melakukan survey dan wawancara untuk pengumpulan data, analisis data, penyajian data, merumuskan pembahasan dan selanjutnya diberikan komunikasi, informasi dan edukasi (KIE) dilakukan dengan metode daring dengan menggunakan aplikasi SMS,video conference, zoom,WA dan aplikasi lainnya. Kata kunci : Bayi Baru Lahir, Neonatus, Covid-19, Continuity of Care ABSTRACT Newborn and neonatus  have the highest risk of health problems, various health problems can arise. So that without proper handling, it will have a dangerous impact on the baby. Currently, Indonesia is facing a national non-natural disaster Covid-19 so that maternal and neonatal health services are among the services that are affected both in terms of access and quality. Covid-19 cases for the West Sumatra region are still increasing and positive cases do not only occur in healthy women, but also those who are uneasy, pregnant, breastfeeding, newborns, children and adults. So that mothers and babies can always receive care during the pandemic, as a midwife continuous midwifery care can be carried out for mothers and families more innovatively while still having to pay attention to health protocols in providing care to mothers and babies. The goals in this event that will be achieved are to increase the health status in babies, physically healthy and grow and develop normally in the era of the Covid-19 pandemic. The method used by conducting surveys and interviews for data collection, data analysis, data presentation, formulating discussions and give the education, information by online using SMS, video conferencing applications, zoom, WA and other video applications. Keywords: Newborns, Neonates, Covid-19, Continuity of Care &nbsp