Midwife, Counseling and Adolescent Reproductive Health Rights in the Covid-19 Pandemic

Background: Cases related to adolescent health have increased during the COVID-19 pandemic. Midwives have a very important role in conducting counseling related to adolescent health. This is a form of commitment in fulfilling the right to health of adolescents. The role of the midwife is stated in terms of reproductive health in accordance with the Regulation of the Minister of Health of the Republic of Indonesia Number 28 of 2017 concerning Permits and Implementation of Midwifery Practices article 21a. The purpose of this research is to know the role of midwives in the implementation of adolescent counseling as the fulfillment of adolescent reproductive health rights.Methods: Qualitative research methods, with a sociological juridical approach. The study used in-depth interviews with midwife and adolescent informants. The research was conducted from May to June 2021. Data analysis was carried out by qualitative data analysisResults: The results of the study show that BIdans have carried out their authority and obligations in the role of counselors based on the Midwifery Law Number 4 of 2019 and the Regulation of the Minister of Health of the Republic of Indonesia Number 28 of 2017 concerning Permits and Implementation of Midwifery Practices article 21a. The role of midwives in the implementation of adolescent counseling is to increase knowledge of reproductive health as a fulfillment of adolescent reproductive health rights. Midwives are implementers of youth health service programsConclusion: Reproductive health rights in adolescents based on the International Conference on Population and Development (ICPD) in Cairo in 1994 there are 12 rights of which 11 reproductive health rights have been well fulfilled

Effectiveness of Kegel Education for the Elderly as A Form of the Authority of the Midwife in Community Midwife Care

Background: The ageing process is usually characterized by physical, biological, mental, or psychosocial changes. Kegel exercises are beneficial for strengthening the double muscles of the pelvic floor, thereby strengthening the function of the external sphincter of the bladder. The research purposes were to prove the Effectiveness of Kegel Education for The Elderly as A Form of The Authority of The Midwife in Community Midwife Care Methods: The method used in the pra experiment in this community service activity is divided into three stages and is supported through a pretest and posttest to evaluate activities. An evaluation is carried out after one month of providing education. The population was all older adults, and This activity was attended by 27 older adults in the Tabanan I Health Center. Results: The result of the research show that the average score of the frequency of urination before being given Kegel exercises was 0.19 after being given Kegel exercises of 0.85. It also obtained an at-count value of -6.245 and a p-value of 0.000 < (0.05) so that it can be concluded that Kegel exercise education influences the elderly in the Tabanan Health Center area. Conclusion: Education Kegel exercises affect urinary incontinence. Kegel exercise can stimulate and increase the activation of chemical, neuromuscular, and muscular in the pelvic muscles so that it can reduce the frequency of urination in the elderly. Providing education related to Kegel exercise will greatly assist midwives in carrying out the midwife's authority in community care

KARAKTERISTIK GESTASIONAL DAN STANDAR OPERASIONAL PROSEDUR (SOP) IBU BERSALIN DENGAN SECTIO CAESARIA PADA MASA PANDEMI COVID-19

 Background Covid-19 is a disease that can be transmitted through droplets, with signs and symptoms, namely coughing, shortness of breath, hyperthermia and others. The Covid-19 pandemic period is something that really needs to be considered, especially for maternity mothers who will have a caesarean section, by screening a good covid-19 protocol before a caesarean section is carried out.Purpose of this study was to determine the gestational characteristics of mothers giving birth with Sectio Caesaria during the Covid-19 pandemic in the Central Surgical Installation Room (IBS) of the Sanjiwani Hospital, Gianyar.Methods This study uses a mix method design, where quantitative data uses a cross sectional approach to the type of secondary data, namely Medical Records. The qualitative data used in-depth interviews involving the head of the room and the Head of Nursing at the Sanjiwani Hospital consisting of 4 doctors, midwives and nurses. The data were analyzed by univariate analysis with Stata SE 12 software. This study used total sampling in the period March-September 2020 with a total of 102 mothers who gave birth by cesarean section. Results of the study were obtained from 102 respondents with an average age of 29.77 years, with high school education, namely 75 people (70%), 55 people not working (52%), medical indications 82 people (80.39%), complaints of vaginal discharge (KPD) were 33 people (32.35%), positive rapid test 37 people (36.27%), and positive PCR swab results were 33 people (32.35%).Conclusion The policy is that all pregnant women must undergo a rapid test and PCR test before the delivery process is carried outSuggestions The regulation of maternity services during the COVID-19 pandemic is more about screening, namely mandatory rapid tests and PCR tests. Handling with strict health protocol level 3 to break the chain of virus transmission. Key words: Sectio Caesaria, Covid-19, SOP ABSTRAK  Latar Belakang Covid-19 merupakan penyakit yang dapat ditularkan melalui droplet, dengan tanda dan gejala yaitu batuk, sesak, hipertermi dan lain-lain. Masa pandemi Covid-19 merupakan hal yang sangat perlu diperhatikan terutama pada ibu bersalin yang akan dilakukan tindakan sectio caesarea, dengan melakukan skrining protocol covid-19 yang baik sebelum dilakukan tindakansectio caesarea.Tujuan penelitian ini adalah untuk mengetahui karakteristik gestasional pada ibu bersalin dengan Sectio Caesaria pada masa pandemi Covid-19 di Ruang Instalasi Bedah Sentral (IBS) RSUD Sanjiwani Gianyar.Metode Penelitian ini menggunakan rancangan mixmethod, dimana data kuantitatif menggunakan pendekatan cross sectional pada jenis data sekunder yaitu Rekam Medis. Data kualitatif menggunakan wawancara mendalam yang melibatkan kepala ruangan dan Kabag Keperawatan RSUD Sanjiwani yang terdiri dari dokter, bidan dan perawat yang berjumlah 4 orang. Data dianalisis dengan analisis univariat dengan software Stata SE 12.  Penelitian ini menggunakan total sampling pada periode Maret-September 2020 dengan total 102 orang ibu bersalin dengan tindakan SC.      Hasil penelitian didapatkan dari 102 responden rata-rata pada umur 29,77 tahun, berpendidikan SMA yaitu 75  orang (70%), tidak bekerja sebanyak 55 orang  (52%), indikasi medis sebesar 82 orang (80.39%), keluhan keluar air pervaginam (KPD) yaitu 33 orang (32.35%), rapid test positif 37 orang (36.27%), dan hasil swab PCR positif sebanyak 33 orang (32.35%).Kesimpulan Kebijakan yang dilakukan bahwa seluruh ibu hamil wajib dilakukan rapid test dan PCR test sebelum dilakukan proses tindakan persalinanSaran Regulasi layanan ibu bersalin pada masa pandemi COVID 19 ini lebih pada skrining yaitu wajib rapid test dan test PCR. Penanganan dengan protokol kesehatan yang ketat level 3 untuk memutus rantai penularan virus.   Kata Kunci :  Sectio Caesaria, Covid-19, SO