Hypnoprenatal reduces anxiety and stress in high-risk pregnancy in North Tapanuli District

Background: High-risk pregnancies can cause more complications for the mother and fetus during pregnancy, childbirth, and the puerperium compared to normal pregnancies. High-risk factors during pregnancy can increase worry and stress, which can influence labor and delivery and are risk factors for postpartum depression. During pregnancy, stress can increase the risk of having a premature, low-birth-weight baby. Hypnoprenatal is an effective communication method to incorporate positive suggestions into the subconscious mind of pregnant women to reduce anxiety and stress during pregnancy. Objectives: to determine the effect of hypnoprenatal intervention on anxiety and stress in high-risk pregnant women in the North Tapanuli District. Methods: This research method used a pre-experimental method with a one group pre-test post-test design. Samples were taken by the purposive sampling method, which, based on the inclusion criteria, obtained as many as 36 high-risk pregnant women who experience anxiety and stress. Hypnoprenatal intervention was carried out for 3 days, twice a day, and then observations and interviews were carried out using the DAS 42 questionnaire. Data analysis used a paired t-test. The results showed that the characteristics of the respondents based on the age of the majority were >35 years (44.7%), secondary education (33.3%), farmer's work (52.8%), primigravidas (17%), high-risk pregnancies (72.7%), and low risk (27.8%).Results : The results of the statistical tests showed differences and decreased levels of anxiety and stress in pregnant women at risk before and after the hypnoprenatal intervention, with a p-value of 0.000 (p<0.05). Conclusions: hypnoprenatal has a significant effect on the level of anxiety and stress among pregnant women at risk. It is recommended that pregnant women use hypnoprenatal techniques to help reduce anxiety and stress during pregnancy, which affects the mother's psychological condition

SOSIALISASI PRENATAL YOGA UNTUK MENGATASI PSIKOLOGIS IBU HAMIL PADA MASA ADAPTASI KEBIASAAN BARU COVID 19

Sejak terjadi pandemi COVID-19 di seluruh dunia, banyak pembatasan hampir ke semua layanan rutin termasuk pelayanan kesehatan ibu dan anak. Seperti ibu hamil menjadi enggan ke puskesmas atau fasilitas pelayanan kesehatan lainnya karena takut tertular, adanya anjuran menunda pemeriksaan kehamilan, serta ketidaksiapan layanan tenaga kesehatan dan sarana prasarana termasuk alat pelindung diri, Situasi ini  telah mengubah cara dan gaya hidup ibu hamil, karena tidak menutup kemungkinan muncul masalah fisiologis dan patologis yang dapat mengganggu proses kehamilan bagi ibu dan janin.Dampak negatif yang dialami terutama adalah kesehatan mental seperti ketakutan, depresi, kecemasan dan perasaan tidak aman. Ibu hamil perlu memperoleh pengalihan fikiran ke hal-hal yang positif untuk mengurangi masalah psikologis yang dialaminya. Yoga merupakan salah satu teknik yang dapat menghasilkan energi positif dalam diri ibu, memberikan suasana nyaman,  dapat menghilangkan stress dan perasaan cemas pada ibu hamil serta meningkatkan rasa percaya diri dalam persiapan persalinan

DETEKSI DINI KEHAMILAN DENGAN MENGGUNAKAN KARTU SKOR POEDJI ROCHAYATI (KSPR) PADA IBU HAMIL DI WILAYAH PUSKESMAS SIPAHUTAR TAHUN 2022

Resiko kehamilan dapat berubah seiiring waktu kehamilan dan persalinan, karena Kehamilan, persalinan, nifas dan bayi baru lahir dalam prosesnya terdapat kemungkinan suatu keadaan yang dapat mengancam jiwa ibu dan bayi bahkan dapat menyebabkan kematian. Kematian ibu dapat dicegah jika kita dapat melakukan deteksi dengan baik. Salah satu alat untuk mendeteksi resiko tinggi ibu hamil adalah dengan menggunakan Kartu Skor Poedji Rochjati (KSPR). Tujuan dari pengabdian masyarakat ini untuk mendeteksi resiko tinggi pada ibu hamil serta meningkatkan pengetahuan ibu hamil tentang resiko tinggi dalam kehamilan di wilayah Puskesmas Sipahutar Kabupaten Tapanuli Utara  Metode yang digunakan dalam pengabdian masyarakat ini adalah dengan melakukan pendataan pada ibu hamil di wilayah kerja Puskesmas Sipahutar, kemudian melakukan penyuluhan mengenai tanda bahaya kehamilan. Kemudian dilanjutkan dengan skrining pengisian KSPR yang dilaksanakan di Puskesmas Sipahutar. Ibu hamil yang hadir dalam kegiatan pengabdian masyarakat dan mengikuti penyuluhan dan skrining KSPR sebanyak 62 orang. Selama mengikuti kegiatan, ibu hamil aktif sangat antusias untuk mengetahui keadaannya dan kehamilannya. Ditemukan 42 orang dengan resiko sangat tinggi

Comparative Study: Yoga and Pregnancy Exercise on First Stage Pain and Length of Labor in Tapanuli Regency

Labor pain is pain that comes from uterine contractions trying to expel the baby. The mother's perception of pain during labor can influence the length of the labor process. Pregnant women should be supported to carry out physical exercise to obtain benefits during pregnancy and childbirth. There are several physical exercises during pregnancy, which pregnant women often participate in, such as pregnancy exercises and pregnancy yoga. The aim of this research is to develop yoga exercises and pregnancy exercises to overcome pain in the first stage and duration of labor, as well as to conduct a trial of a combination of yoga exercises and pregnancy exercises which can be developed to reduce pain in the first stage and duration of labour. This study used a prospective cohort design with consecutive sampling technique. The research subjects were pregnant women in the third trimester who were in the working area of North Tapanuli and Central Tapanuli Regencies. The research sample consisted of 50 people taking part in pregnancy exercise and 50 people taking part in pregnancy yoga during April - June 2023. Data analysis used the Mann Withney test. The Mean Rank value for duration of labor for respondents who did yoga exercise was 44.70 and for respondents who did pregnancy exercise was 56.30. Based on the results of statistical tests, a p value of 0.044 was obtained. The Mean Rank value of labor pain for respondents who did yoga exercise was 32.80 and for respondents who did pregnancy exercise was 68.20. Based on the results of statistical tests, a p value of 0.000 was obtained. so it can be concluded that there is a difference in the length of labor and labor pain between pregnant women who were given yoga training and pregnant women who were given pregnancy exercise training

Hypnoprenatal reduces anxiety and stress in high-risk pregnancy in North Tapanuli District

Background: High-risk pregnancies can cause more complications for the mother and fetus during pregnancy, childbirth, and the puerperium compared to normal pregnancies. High-risk factors during pregnancy can increase worry and stress, which can influence labor and delivery and are risk factors for postpartum depression. During pregnancy, stress can increase the risk of having a premature, low-birth-weight baby. Hypnoprenatal is an effective communication method to incorporate positive suggestions into the subconscious mind of pregnant women to reduce anxiety and stress during pregnancy. Objectives: to determine the effect of hypnoprenatal intervention on anxiety and stress in high-risk pregnant women in the North Tapanuli District. Methods: This research method used a pre-experimental method with a one group pre-test post-test design. Samples were taken by the purposive sampling method, which, based on the inclusion criteria, obtained as many as 36 high-risk pregnant women who experience anxiety and stress. Hypnoprenatal intervention was carried out for 3 days, twice a day, and then observations and interviews were carried out using the DAS 42 questionnaire. Data analysis used a paired t-test. The results showed that the characteristics of the respondents based on the age of the majority were &gt;35 years (44.7%), secondary education (33.3%), farmer's work (52.8%), primigravidas (17%), high-risk pregnancies (72.7%), and low risk (27.8%).Results : The results of the statistical tests showed differences and decreased levels of anxiety and stress in pregnant women at risk before and after the hypnoprenatal intervention, with a p-value of 0.000 (p&lt;0.05). Conclusions: hypnoprenatal has a significant effect on the level of anxiety and stress among pregnant women at risk. It is recommended that pregnant women use hypnoprenatal techniques to help reduce anxiety and stress during pregnancy, which affects the mother's psychological condition.</p

Dasar-Dasar Metode Penelitian Kualitatif

Buku ini berjudul Dasar-Dasar Metode Penelitian Kualitatif. Isinya terdiri dari sepuluh bab, masing-masing membahas konsep dasar metodologi penelitian kualitatif, perspektif metode penelitian kualitatif, potensi masalah, fokus dan judul penelitian kualitatif, kajian teori, perumusan masalah dalam penelitian kualitatif, tahaptahap penelitian, teknik penelitian, instrumen dan pengumpulan data, kriteria dan teknik pemeriksaan keabsahan data dan penyusunan laporan penelitian

Kecemasan Ibu Post Partum Penyintas Covid 19

ABSTRACT The mother post pregnancy experienced anxiety during the covid-19 pandemic with symptoms such as anxiety, uncalmness, a bad feeling of covid-19 virus transmission and a fear of being unable to herself and her baby from the covid-19 virus transmission. Post mothers' concerns during the quarantine and procedures carried out during the covid-19 pandemic can affect thoughts and emotions and worsen the symptoms of depression. To understand the concerns of the mother post of the covid survivors 19. This type of research is a quantitative with a descriptive research design. The study population is the mother of the post survivors covid 19. The sampling technique is sampling samples. Anxiety counter measures using the questionnaire from the counter-anxiety scale.The vast majority of respondents are 20-35 years of age (63.3%), the majority of those with 73.3% high school education levels, most of whom are multipersonnel delivery types. Most of the post moms of covid 19 suffer from moderate anxiety (56.6%). The majority of the mothers post survivors covid 19 have concerns at 56.6%. Of respondents' concerns of covid -19 could be caused by the fact that the covid-19 is a new illness and has a global negative effect, resulting in confusion, anxiety and fear in society. The effects of covid 19 affect the concerns of the covid mother post of the covid survivors 19 and make the post mother of the covid survivors 19 feel the doubts, concerns, stress and frustration that are affecting the expenditure Keywords : Covid 19, Anxiety, Mother post variety, Covid survivors 19  ABSTRAK Ibu post partum mengalami kecemasan selama pandemi Covid 19 dengan gejala yang dialami seperti gelisah, tidak tenang, mempunyai firasat buruk terhadap penularan Virus Covid-19 dan memiliki ketakutan  tidak mampu dirinya dan bayinya dari penularan virus Covid-19. Kekhawatiran ibu post partum masa karantina dan prosedur-prosedur yang dilakukan selama pandemi COVID-19, dapat berpengaruh pada pemikiran dan emosi dan memperjelek gejala depresi. Mengetahui kecemasan ibu post partum penyintas Covid 19. Jenis penelitian kuantitatif desain deskriptif. Populasi adalah Ibu Post Partum penyintas Covid 19. Teknik pengambilan sampling adalah consecutive sample. Alat ukur kecemasan menggunakan kuesioner dari Depression Anxiety Stress Scale (DASS 21). Mayoritas responden berumur 20-35 tahun (63,3%), mayoritas tingkat Pendidikan SMA 73,3%, mayoritas jenis persalinan responden multipara.  Mayoritas Ibu post partum penyintas Covid 19 mengalami kecemasan sedang (56,6%). Mayoritas ibu post partum penyintas Covid 19 memiliki kecemasan sedang 56,6%. Kecemasan responden terhadap Covid -19 terjadi karena Covid-19 adalah penyakit baru yang berdampak negative pada masyarakat secara global, menimbulkan rasa bingung, cemas dan takut. Covid 19 berdampak terhadap Ibu post partum penyintas Covid 19 dan membuat Ibu post partum penyintas Covid 19 merasa ragu-ragu,  cemas,  stress serta  frustasi yang berdampak pada  pengeluaran ASI Kata Kunci: Covid 19, Kecemasan, Ibu post partum, Penyintas Covid 1

Efektifitas Teknik Rebozo dalam Lama Persalinan Kala I Fase Aktif pada Ibu Bersalin Primigravida di Wilayah Kabupaten Tapanuli Utara Bulan Januari s/d Oktober 2020

Nyeri saat persalinan merupakan kondisi fisiologis yang secara umum dialami oleh hampir semua ibu bersalin, apabila nyeri persalinan tidak diatasi akan menyebabkan terjadinya partus lama. Teknik rebozo adalah cara nonfarmakologi untuk membantu mengelola rasa sakit selama persalinan. Rebozo adalah kain panjang yg biasa dipakai wanita meksiko untuk berkegiatan sehari-hari (memanggul, menggendong bayi, selimut dll). melilitkan rebozo ke sekeliling panggul dan bokong ibu hamil lalu menggoyangkannya selama kala I berlangsung. Ayunan dari rebozo dianggap mampu membuat sang ibu rileks serta membantu memposisikan bayi ke jalan lahir sehingga dapat mempercepat proses persalinan. Jenis penelitian ini adalah penelitian comparative dengan desain eksperimen semu. Tujuan Penelitian ini adalah untuk mengetahui efektifitas Teknik Rebozo dalam ama persalinan Kala I fase aktif pada ibu primigravida yang berjumlah 14 orang untuk kelompok intervensi dan 14 orang kelompok kontrol. Penelitian dilakukan pada 6 Puskesmas di wilayah Kabupaten Tapanuli Utara dengan teknik pengambilan sampel consecutive sampling dan memenuhi kriteria inklusi. Hasil penelitian diperoleh seluruh responden dalam usia reproduksi (20 – 35 tahun) umumnya pendidikan SMA, Jenis pekerjaan umumnya PNS 57,4% dan Petani (71,4%), semua persalinan didampingi oleh suami. Hasil uji menggunakan uji independent t test nilai α = 0,00 (&lt; 0,05), nilai mean rank kelompok intervensi (7,43) &gt; kelompok kontrol (4.,00) yang menunjukkan ada perbedaan rata-rata lama persalinan kala I fase aktif sehingga teknik rebozo sangat efektif untuk mempercepat lama persalinan kala I fase aktif. Teknik rebozo sangat efektif untuk mengurangi nyeri persalinan dan mempercepat proses persalinan. Bidan diharapkan dapat menerapkan Teknik Rebozo menjadi salah salah bentuk asuhan persalinan kala I untuk mempercepat persalina

Psychosocial Education “Emotional Freedom Techniques (Eft)” for Pregnant Mothers in the Adaptation of New Habits Covid 19

ABSTRACT This community service is carried out of psychological education by providing Emotional Freedom Technique (EFT) therapy for pregnant women during the COVID-19 pandemic. This community service was conducted 3 times at the Public Health Center in Sipoholon District, namely the Situmeang Habinsaran (24 August 2021), and the Sitada-Tada (26 August 2021 and 2 September 2021), targeting 40 pregnant women in the third trimester. Depression, anxiety, and stress are three disorders that are often found in psichological disorders of pregnant women, especially during the Covid 19 pandemic. EFT is one way to reduce psychological disorders in mothers which are carried out in four set up, tapping, 9 gamut procedures, and repetition. After carrying out EFT, there was a change in the psychological response of mothers who experienced mild, moderate, and severe depression, turning into a normal state (100%). Pregnant women with anxiety disorders, experiencing changes, mild anxiety 3 people, and the remaining 33 people are in the normal category. psychological changes occur with stress disorders, namely the category of very heavy stress becomes non-existent, moderate stress 1 person, mild stress 1 person, and the rest (38 people) in normal conditions. During the adaptation period of the Covid 19 pandemic, health workers, pregnant women should continue to pay attention to preventing the transmission of Covid 19 following the health protocol. Doing EFT regularly at home will keep the body in balance, reduce stress levels, help calm the mind and body by eliminating emotional stress, and anxiety. Keywords: Education, EFT, Pregnancy, Psychologica