ASUHAN PADA IBU NIFAS DENGAN ROBEKAN PERINEUM DI PUSKESMAS TELAGA DEWA KOTA BENGKULU

Pendahuluan: Berdasarkan data WHO, komplikasi pada ibu nifas merupakan penyebab utama kematian pada ibu hampir (75%) yakni berupa perdarahan hebat setelah melahirkan, infeksi, tekanan darah tinggi selama kehamilan, komplikasi dari persalinan, dan aborsi yang tidak aman. Kunjungan nifas bertujuan mecegah komplikasi dengan cara memenuhi kebutuhan ibu selama periode nifas, salah satu kebutuhan ibu nifas adalah senam nifas. Senam nifas bermanfaat mengencangkan otot dinding perut dan perineum, memulihkan kembali kekuatan otot dasar panggul dan mencegah terjadinya komplikasi. Metode: Metode yang adalah metode penelitian deskriptif dan jenis penelitian deskriptif yang digunakan adalah studi penelaahan kasus (case study). Hasil dan Pembahasan: Setelah dilakukan pengkajian selama 10 hari didapatkan keadaan umum baik kesadaran composmentis, Abdomen: hari pertama TFU 2cm dibawah pusat, hari kedua TFU 2cm di bawah pusat, hari ketiga TFU 3cm dibawah pusat, hari keempat TFU pertengahan pusat sympisis, hari kelima TFU 2cm di atas sympisis, hari keenam TFU 1cm diatas sympisis dan hari ketujuh sampai hari ke sepuluh TFU sudah tidak teraba lagi konsistensi keras, kontraksi uterus baik. Kesimpulan: Berdasarkan hasil penelitian didapatkan hasil pengkajian data disimpulkan bahwa dari data subjektif dan objektif bahwa Ny. D mengalami luka jahitan pada perineum terbukti dari hasil pemeriksaan fisik dan pemeriksaan penunjang. Diagnose masalah yang ditegakan pada Ny. D sesuai dengan kasus tersebut. Asuhan yang diberikan pada Ny. D adalah memberikan konseling tentang kebutuhan nutrisi, cairan, dan istirahat cukup, perawatan luka perineum, serta mengajarkan senam nifas. Setelah dilakukan asuhan selama 10 hari, hasil pemeriksaan TFU tidak teraba lagi dan tidak ada tanda infeksi perineum

Pengaruh Psikoedukasi Terhadap Pengetahuan Dan Depresi Orang Tua Anak Retardasi Mental

Having children with a disorder may can affect stress on families financially, intellectually, socially and physically. Treatments for physical disabilities children resulted a higher depression level than those were not. This pre-eksperimental study apply one group pretest-posttest design. Group of parents of mental retarded children was identified as less knowledge and experiencing depression were exposed to psychoeducation intervention then remeasured after exposing. Sample, 35 people were selected by total sampling. Collected data were analyzed with Wilcoxon test. Results showed significant difference between the level of knowledge and depression after exposed psicoeducation intervention by p=0.00. The results imply to guidelines and standard operating procedures in the management of increased knowledge and reducing depression for mental retarded children parents

Improvement of Breastfeeding Efficacy Through Small Group Education of Cadres with Pregnant Women

WHO recommends that every infant should be exclusively breastfed, but until now the coverage of exclusive breastfeeding is still low due to factors such as knowledge, breastfeeding efficacy, family support, lactation problems, and barriers in the health care system.  This study aims to determine the effectiveness of Small group education of cadres with pregnant women on breastfeeding efficacy among third trimester pregnant women on Enggano Island. The research design was a quasi-experimental pre-test and post-test with a control group. The treathird trimesterent group was pregnant women who received Small group education of cadres with pregnant women while the control group was pregnant women who received conventional education. The study was conducted at Enggano Health Centre from January to November 2023 with a sample of 50 pregnant women in the third trimester of pregnancy from 25-36 weeks of age, selected by purposive sampling.  The research instruments were modules and leaflets on exclusive breastfeeding, developed through a needs assessment, while breastfeeding efficacy was measured using the Breastfeeding Self-efficacy Scale-Short Form (BSES-SF). Data were analysed univariate, bivariate with  wilcoxon and multivariate with spearman rank test. The results showed that there was an effect of Small group education of cadres with pregnant women class education on breastfeeding effectiveness with p=0.00 mean difference of 19.56. There was an effect of conventional class education on breastfeeding effectiveness in the control group with p=0.46 mean difference of 1.12. The class was more effective in improving breastfeeding practices among pregnant women with p=0.00 mean difference of 47.26. Class and education level were the most dominant factors in improving breastfeeding efficiency among pregnant women. The conclusion of this study is that the small group education of cadre with pregnant women is effective in improving breastfeeding efficacy in pregnant women in the third trimester.  Keywords: Breastfeeding, Education, Efficacy, Small Grou

Early Initiation of Breastfeeding Can Accelerate Uterine Involution in Postpartum Women

Maternal Mortality Rate (MMR) in Indonesia is still high with the main causes of pre-eclampsia and postpartum hemorrhage, this occurs due to endometritis, congenital coagulation disorders as well as residual conception products, subinvolution of blood vessels at placental implantation.  Therefore, efforts are needed to increase uterine contractions in the first minute after birth by stimulating the release of the hormone oxytocin so that the uterus contracts adequately with early initiation of breastfeeding (EIB). This study aims to determine the effect of EIB on uterine involution in postpartum mothers in Bengkulu Regency, Bengkulu Province. Design of research is cross sectional with independent variable of EIB, dependent variable of uterine involution. External variables measured include early mobilization, age and parity. The sample in this study were postpartum mothers on day 7, a total of 54 people selected by purposive sampling. The research site was located in Central Bengkulu Regency, Bengkulu Province. Data were analyzed univariate, bivariate with Mann Whitney and multivariate with ancova. There is an effect of EIB with uterine involution p=0.000.  There is no relationship between parity and uterine involution p=0.100. There is a relationship between age and uterine involution p=0.00. There is a relationship between early mobilization and uterine involution p=0.00. EIB is the dominant factor affecting uterine involution in postpartum mothers. EIB is the dominant factor affecting uterine involution. Health care providers should perform EIB within the first hour after the birth of the baby to prevent sub involution in postpartum women. Keywords:  Breastfeeding, Early, Initiation, Involution, Uterin

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

Pemanfaatan Pelayanan Kesehatan oleh Perempuan Terinfeksi HIV/AIDS

Perempuan terinfeksi human immunodeficiency virus dan acquired immune deficiency syndrome (HIV/AIDS) mempunyai permasalahan yang kompleks sehubungan dengan penyakit dan statusnya, sehingga mereka mempunyai kebutuhan yang khusus. Kebutuhan perawatan, dukungan dan pengobatan tersebut dapat diperoleh dengan mengakses pelayanan kesehatan yang tersedia untuk dapat mengoptimalkan kesehatan mereka sehingga dapat meningkatkan kualitas hidup. Tujuan penelitian ini untuk menganalisis hubungan faktor predisposisi yang meliputi pengetahuan, sikap, stigma, faktor pemungkin yang meliputi jarak ke pelayanan kesehatan dan faktor penguat berupa dukungan sosial dengan pemanfaatan pelayanan kesehatan pada perempuan terinfeksi HIV/AIDS. Rancangan penelitian menggunakan pendekatan potong lintang. Penelitian dilaksanakan di Kelompok Dukungan Sebaya Female Plus Kota Bandung pada bulan Juni sampai Juli 2012. Sampel penelitian berjumlah 40 orang perempuan terinfeksi HIV/AIDS. Data di analisis secara univariat, bivariat, dan multivariat. Hasil penelitian ini didapatkan bahwa terdapat hubungan yang signifikan secara statistik yaitu usia, pendidikan, status perkawinan, status pekerjaan, faktor predisposisi (pengetahuan, sikap, stigma), faktor penguat (dukungan sosial), dan faktor pemungkin yaitu jarak ke pelayanan kesehatan tidak berhubungan dengan pemanfaatan pelayanan kesehatan. Pengetahuan merupakan faktor penentu dalam pemanfaatan pelayanan kesehatan berpeluang 60,1 kali untuk memanfaatkan pelayanan kesehatan.Women living with HIV/AIDS have a complex problems who connection with the disease and her status, because they have special needs, for care, support and treatment can be obtained by accessing the health services available to optimize their health so as to improve the quality of life. The purpose of this study was to analyze the correlation between three factors, predisposing factors (knowledge, attitudes, stigma), enabling factors (distance to health services), and reinforcing factors (social support) with health service utilization.This type of research was analytic with cross-sectional research approach. The research was implemented in Female Plus Peer Support Group Bandung from June until July 2012. The sample in this study were 40 women living with HIV/AIDS. Data analysis using univariate, bivariate, and multivariate. The results obtained that there were significant relationship is age, education, marital status, work, predisposing factors (knowledge, attitude, stigma), reinforcing factor (social support), and enabling factors (distance to health services were not correlated with health service utilization). Knowledge was the determinant factor to health service utilization in 60,1 times the chance to utilize health services