Oxytocin Massage Can Increase Breastfeeding Production in Postpartum Mothers

Breastfeeding is the most appropriate feeding method for babies, so the Government issued a policy of Implementing 10 Steps to Successful Breastfeeding to support successful breastfeeding. However, the coverage of exclusive breastfeeding is still low. Pre-lacteal feeding, culture, and common knowledge are the causes of the failure of exclusive breastfeeding. In addition, the mother's perception of insufficient milk supply is the most common reason for stopping breastfeeding. Therefore, an oxytocin massage intervention is needed to increase milk production. This study aims to determine the effect of oxytocin massage on breastfeeding production in postpartum mothers in the work area of the Bengkulu City Health Center. Quasi-experimental research design with control group post-test only. The treatment group was postpartum women who were given oxytocin massage, while the control group was given endorphin massage. A sample of 34 people was taken by purposive sampling technique. Data was collected through questionnaires and observation sheets. A breast pump measures breastfeeding production. Data were analyzed univariately, bivariate with independent t-test, and multivariate with Ancona. The results showed that there was an effect of oxytocin massage on milk production p=0.00. The mean difference was 1.54. There is an effect of IMD status on breast milk production p=0.00, and there is an effect of frequency of breastfeeding on milk production p=0.00. Oxytocin massage is not the most dominant variable affecting breastfeeding production. It is recommended that health service providers provide breastfeeding education continuously during pregnancy, perinatal, and until the baby is two years old by involving the family and using digital information technology that can reach all targets. Keywords: Oxytocin massage, Breastfeeding Productio

EFEKTIFITAS PROGRAM ANTENATAL GIZI KIA TERPADU (GIKATERA) TERHADAP PERTUMBUHAN DAN KESEJAHTERAAN JANIN PADA IBU TM III DI KABUPATEN SELUMA TAHUN 2022

Kejadian BBLR di Indonesia masih tinggi, yang berdampak terhadap infeksi, komplikasi gangguan pernafasan, susunan saraf pusat, risiko kematian serta kejadian stunting, sehingga diperlukan antenatal terpadu sebagai instrumen untuk pertumbuhan janin intrauterin karena antenatal care yang adekuat dapat kesehatan maternal sehingga meningkatkan kesehatan bayi yang akan dilahirkan. Antenatal care terpadu dilakukan dengan instrumen 10 T, sebagai upaya peningkatan pertumbuhan dan kesejahteraan janin intrauterine agar janin dilahirkan dalam kondisi terbaik dan jika janin mengalami pertumbuhan terhambat dapat ditindaklanjuti dengan cermat. Penelitian ini bertujuan untuk mengetahui efektifitas program antenatal Gizi Kia terpadu (Gikatera) terhadap pertumbuhan dan kesejahteraan janin pada ibu TM III di KabupatenSeluma tahun 2022. Desain penelitian kuasi eksperimen post test only dengan kelompok kontrol dengan pendekatan kuantitatif. Kelompok perlakuan adalah ibu hamil yang menerima pelayanan antenatal Gizi KIA terpadu (Gikatera) selama masa kehamilan sedangkan kelompok kontrol adalah ibu hamil yang menerima antenatal care konvensional di Puskesmas, BPM atau posyandu. Intervensi penelitian berupa Pelayanan antenatal Gikatera yang diberikan minimal 3 kali dengan standar 10 T dimulai pada kehamilan TM I sampai TM III dengan usia kehamilan 35 minggu. Pengukuran pertumbuhan janin diukur melalui taksiran berat janin dan tinggi fundus uteri sedangkan kesejahteraanjanin diidentifikasi melalui frekuensi denyut jantung janin dan gerakanjanin. Variabel independen yaitu pelayanan antenatal Gikatera sedangkan variabel dependen pertumbuhanjanin dankesejahteraan janin. Sampel berupa ibu hamil dengan kriteria inklusi ibu hamil TM I, Kriteria eksklusi adalahibu hamil dengan riwayat bad obstetrik atau menderita komplikasi atau penyulit kehamilan saat penelitian berlangsung atau terjadi partus prematurus. Analisis data dilakukan secara univariat, bivariat dan multivariat. Hasil: Ada pengaruh Program Antenatal Gikatera Terhadap Pertumbuhan janin. Ada pengaruh Program Antenatal Gizi Kia Terpadu Gikatera Terhadap Kesejahteraan Janin. Ada pengaruh status anemia dan KEK terhadap Pertumbuhan janin. Tidak ada pengaruh usia, paritas, jarak kehamilan, status anemia dan KEK terhadap kesejahteraan janin. Tenaga Kesehatan harus memberikan pelayanan antenatal Gizi KIA terpadu untuk meningkatkan kualitas outcome kehamilan dan persalinaan

UPAYA MENINGKATKAN PENERIMAAN KONSEP PENDEWASAAN USIA PERKAWINAN MELALUI PEMBENTUKAN PUSAT INFORMASI KESEHATAN REMAJA DAN PENERAPAN MEDIA ULAR TANGGA

Abstrak: Kejadian stunting di Indonesia masih tinggi, dengan faktor risiko kehamilan usia muda. Sehingga diperlukan akses informasi yang relevan pada remaja tentang PendewasaanUsia Perkawinan (PUP). Pusat Informasi Kesehatan Remaja (PIK-R) dan media ular tanggamerupakan wadah dan media bagiremaja terkait penyampaian pesanPUP. Tujuan pengabdian masyarakat membentuk kelompok PIK-R dan menerapkan media ular tangga untuk meningkatkan pengetahuan, sikap dan kemampuan kelompok PIK R tentang PUP di SMP N 14 Kecamatan Singaran Pati Kota Bengkulu dengan mitra berjumlah 46 orang terdiri dari kelompok PIK R, Remaja siswa SMP guru sekolah, PLKB Kecamatan SIngaran Pati, Puskesmas Lingkar Timur. Metode kegiatan berupa pembentukan kelompok PIK R dan pelatihan PUP dengan tahapan yang terdiri dari persiapan pelaksanaan, evaluasi dan rencana tindak lanjut. Pasca kegiatanterdapat peningkatan pengetahuan kelompok PIK R dari rerata skor 8 menjadi 17, dan skor sikap dari 30 menjadi 52. Sebanyak 90% kelompok PIK R mampu melakukan edukasi PUP melalui penerapan media permainan ular tangga. Kesimpulan pembentukan kelompok PIK R dan penerapan media ular tangga meningkatkan pengetahuan, sikap, kemampuan edukasi tentang PUP pada kelompok PIK R. Diperlukanpendampingan mitra untuk keberlangsungan kelompok PIK R.Abstract: The incidence of stunting in Indonesia is still high, with a risk factor for young pregnancy. So that access to relevant information is needed for adolescents about Maturity of Marriage Age (PUP). The Adolescent Health Information Center (PIK R) and the snakes and ladders media are platforms and media for youth regarding the delivery of PUP messages. The purpose of community service is to form the PIK R group and apply snakes and ladders media to increase the knowledge, attitudes and abilities of the PIK R group regarding PUP at SMP N 14, Singaran Pati District, Bengkulu City with school teacher partners, PLKB SIngaran Pati District, the Lingkar Timur Health Center. Methods of activity include preparation for implementation, evaluation and follow-up plans. The results showed an increase in the knowledge of the PIK R group from an average score of 8 to 17, and an attitude score from 30 to 52. The PIK R group was able to conduct PUP education through the application of the snakes and ladders media game. The conclusion is that the formation of the PIK R group and the application of snakes and ladders media increases knowledge, attitudes, educational abilities about PUP in the PIK R group. Partner assistance is needed for the sustainability of the PIK R group.

The relationship of exclusive breastfeeding with the return of menstrual time in mothers who have babies aged 6 -12 months in the work area of Pekik Nyaring Puskesmas, Bengkulu Central District

Background: Exclusive breastfeeding means giving only breast milk to babies from 30 minutes after birth (after birth) until the age of 6 months, without additional fluids, such as formula milk, fruit juices, water, honey, tea water and solid complementary foods such as fruit, biscuits, milk porridge. , rice porridge and team rice. Mothers who breastfeed exclusively, in principle, will get menstruation longer than those who do not exclusively breastfeed their babies. Objectives: The purpose of this study was to determine the relationship between exclusive breastfeeding and the duration of the return of menstruation in mothers who have babies aged 6-12 months in the Working Area of Pekik Nyaring Health Center, Central Bengkulu Regency. Methods: This research was conducted in December 2021 in the working area of the Pekik Nyaring Health Center, Central Bengkulu Regency using a kohort retrospektif.design. Determination of the number of samples using the slovin formula. The sample in this study were mothers who had babies aged 6-12 months in the Pekik Nyaring Health Center Work Area, Central Bengkulu Regency as many as 54 people spread over 7 villages with proportional random sampling technique. Results: The results showed that most of the respondents were under 35 years old with the most education level graduating from high school and most of them working as housewives. Most mothers who have babies aged 6-12 months give exclusive breastfeeding and get menstruation back more than six months. There is a significant relationship between exclusive breastfeeding and the length of return of menstruation for mothers who have babies 6-12 months in the Working Area of Pekik Nyaring Health Center, Central Bengkulu Regency.Conclusions: There is a significant relationship between exclusive breastfeeding and the duration of the return of menstruation in mothers who have babies 6-12 months in the Working Area of Pekik Nyaring Health Center, Central Bengkulu Regenc

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

PEMBERDAYAAN KADER SEBAGAI UPAYA MENINGKATKAN PENGETAHUAN DAN SIKAP KELOMPOK BINA KELUARGA REMAJA TENTANG PENDEWASAAN USIA PERKAWINAN

Abstrak: Pernikahan usia muda masih tinggi, menyebabkan kehamilan usia muda yang berrisiko komplikasi kehamilan, persalinan, Ibu usia muda berisiko mengalami kematian pada saat hamil dan bersalin. Pendidikan, sosial ekonomi, teman sebaya, tidak menjadi beban orang tua, dorongan orang tua karena malu anak sudah hamil diluar nikah merupakan faktor yang berkontribusi terhadap kejadian pernikahan dini. Diperlukan pendidikan berbasis keluarga melalui kelompok Bina Keluarga Remaja untuk meningkatkan pengetahuan dan sikap tentang pendewasaan usia perkawinan. Kegiatan Pengabdian masyarakat ini bertujuan meningkatkan pengetahuan, sikap dan ketrampilan kader sebagai pendamping Kelompok BKR dengan tahapan sosialisasi, pembentukan kelompok BKR dan pelatihan kader. Mitra terdiri dari mitra sasaran utama kader, kelompok BKR, dan mitra kegiatan yaitu petugas Puskesmas, Petugas PLKB, kepala desa dan camat berjumlah 56 orang. Tempat pelaksanaan Desa Padang Kuas dan Kuti Agung Kecamatan Sukaraja Kabupaten Seluma. Evaluasi menggunakan kuesioner dan observasi untuk mengukur pengetahuan, sikap dan ketrampilan kader sebagai pendamping kelompok BKR. Hasil kegiatan ada peningkatan pengetahuan kader dari rerata skor 12.50 meningkat menjadi 17.7. Terjadi peningkatan rerata sikap kader dari skor 34.60 menjadi 52.30 setelah pelatihan. Kemampuan kader dalam melakukan penyuluhan pada kelompok BKR 93.75% baik. Terjadi peningkatan pengetahuan kelompok BKR dari rerata skor 8.6 menjadi 13.53 dan peningkatan rerata skor sikap dari 27.96 menjadi 35.90.Abstract: Early marriage is still high, resulting in young pregnancies that are at risk of complications during pregnancy and childbirth, young mothers are at risk of dying during pregnancy and childbirth. Education, socioeconomics, peers, not being a burden to parents, parental encouragement due to embarrassment that their child is pregnant outside of marriage are factors that contribute to the incidence of early marriage. Family-based education through the Bina Keluarga Remaja group is needed to improve knowledge and attitudes about maturing at the age of marriage. This community service activity aims to improve the knowledge, attitudes, and skills of cadres as BKR group facilitators through the stages of socialization, BKR group formation, and cadre training. Partners consisted of the main target partners of cadres, BKR groups and activity partners, namely Puskesmas Officers, PLKB Officers, Village Heads and Subdistrict Heads, totaling 56 people. Place of implementation Padang Kuas village and Kuti Agung Sukaraja subdistrict, Seluma Regency. Evaluation using questionnaires and observation to measure the knowledge, attitudes and skills of cadres as BKR group assistants. As a result of the activity, the knowledge of the cadres increased from an average score of 12.50 to 17.7. The average attitude of cadres increased from 34.60 to 52.30 after the training. The ability of cadres to conduct counseling in BKR groups is 93.75% good. There was an increase in the knowledge of the BKR group from an average score of 8.6 to 13.53 and an increase in the average score of attitudes from 27.96 to 35.90

The relationship of exclusive breastfeeding with the return of menstrual time in mothers who have babies aged 6 -12 months in the work area of Pekik Nyaring Puskesmas, Bengkulu Central District

Background: Exclusive breastfeeding means giving only breast milk to babies from 30 minutes after birth (after birth) until the age of 6 months, without additional fluids, such as formula milk, fruit juices, water, honey, tea water and solid complementary foods such as fruit, biscuits, milk porridge. , rice porridge and team rice. Mothers who breastfeed exclusively, in principle, will get menstruation longer than those who do not exclusively breastfeed their babies. Objectives: The purpose of this study was to determine the relationship between exclusive breastfeeding and the duration of the return of menstruation in mothers who have babies aged 6-12 months in the Working Area of Pekik Nyaring Health Center, Central Bengkulu Regency. Methods: This research was conducted in December 2021 in the working area of the Pekik Nyaring Health Center, Central Bengkulu Regency using a kohort retrospektif.design. Determination of the number of samples using the slovin formula. The sample in this study were mothers who had babies aged 6-12 months in the Pekik Nyaring Health Center Work Area, Central Bengkulu Regency as many as 54 people spread over 7 villages with proportional random sampling technique. Results: The results showed that most of the respondents were under 35 years old with the most education level graduating from high school and most of them working as housewives. Most mothers who have babies aged 6-12 months give exclusive breastfeeding and get menstruation back more than six months. There is a significant relationship between exclusive breastfeeding and the length of return of menstruation for mothers who have babies 6-12 months in the Working Area of Pekik Nyaring Health Center, Central Bengkulu Regency.Conclusions: There is a significant relationship between exclusive breastfeeding and the duration of the return of menstruation in mothers who have babies 6-12 months in the Working Area of Pekik Nyaring Health Center, Central Bengkulu Regency</em

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

Effectiveness of Giving Putri Malu Leaf (Mimosa pudica Linn) and Kangkung Leaf (Ipomoea reptans) in Overcoming Insomnia on Pre-menapousal Women

Insomnia is a sleep disorder in the form of repetitive difficulty to sleep or maintain sleep with symptoms always feel tired throughout the day. Insomnia increases in women aged 44-45 years due to decrease estrogen and progesterone level in the body especially gets worse during menopause. This study was intended to know the effectiveness of giving Putri Malu leave (Mimosa pudica Linn) and Kankung Leave (Ipomoea reptans) in overcoming insomnia for pre menapouse women in Bengkulu City 2016. There were 40 pre menapouse women divided by two groups, 20 women were given boiled water of  putri malu leave  (Mimosa pudica Linn) and another 20 women were given boiled water kangkung leave (Ipomoea reptans). The average length of sleep per day in pre-menopausal women who consumed Putri Malu leaf (Mimosa pudica Linn) had longer than women   who consumed Kangkung leaf (Ipomoea reptans). The effectiveness differences among women  who consumed putri malu leaf (Mimosa pudica Linn) were seen from day 1 to day 7 with p = 0,00. While in the group of women who consumed kangkung leaf (Ipomoea reptans) did not significantly  approved (p&gt; 0.05) in overcoming insomnia