PEMBERDAYAAN MASYARAKAT MATRILINEAL DALAM UPAYA MENINGKATKAN KUNJUNGAN IBU HAMIL

West Sumatra Province is one of the provinces with coverage of pregnant women visiting (K4) only reaching 73%. This condition needs to be considered considering that the maternal health program is a priority program in health. Tanah Datar Regency has the lowest K4 coverage and tends to decline in the last three years. The results of observations of servants in Sungayang village showed that the low coverage of K4 was caused by the inability of pregnant women to decide for themselves when to visit health care facilities, ignorance and also the lack of support from family and community. The results of interviews with several community leaders, it is known that public support for the health of pregnant women is less than optimal. The solution offered is the development of matrilineal community participation through empowerment and participation. The results of this community service are in the form of published articles in the Abdimas journal, training modules, and increasing knowledge of community groups about the management of pregnant wome

Suplementasi Daun Torbangun (Coleus Amboinicus Lour) Untuk Menurunkan Keluhan Sindrom Pramenstruasi Pada Remaja Putri (Supplementation of Torbangun Leaves [Coleus Amboinicus Lour] in Reducing the Complainst of Pre-menstrual Syndrome [Pms] Among Teenage G

Background: Torbangun leaves (Coleus ambonicus Lour) is one of type of species from Labiatae family which contains a lot of micronutrient and active element which have been examined as beneficial for human health and quality of life. The plants containing iridoid and flavonoid as well as phytochemical which deal with reproduction hormone is applicable to traditional medication toward PMS cases. Methods: The present study was aimed to assess the efficacy of CAL leaves in the management of PMS. An experimental clinical trial was conducted in 35 teenagers with PMS. Three intervention groups were defined: CAL leaves; commercial preparation; and placebo. Participants were followed-up individually for 1 month. Result: The results showed average menarche occurred around age 13 years, with menstruation lasting 5 days. During each successive treatment cycle, participants experienced a lower pain intensity score. Chi Square test, after adjusting each cycle for baseline pain, treatment compliance and other variables, showed that the group receiving CAL extract had significantly reduced pain intensity (p<0.05) compared with commercial preparation and placebo. Conclusion: The torbangun leaves supplement can be used as treatment to relief symptoms of the premenstrual syndrome. [Penel Gizi Makan 2010, 33(2):180-194

PEMBENTUKAN DAN PELATIHAN FORUM PEDULI KIA DI KELURAHAN KURAO PAGANG KOTA PADANG

Kehamilan merupakan peristiwa yang sangat membahagiakan bagi ibu hamil yang merencanakan dan menantikan kehamilannya. Kehamilan juga dapat menimbulkan kecemasan dan kekhawatiran apabila mengalami komplikasi yang mengancam jiwa. Salah satu upaya pemerintah dalam rangka menurunkan angka kematian ibu adalah mencanangkan Program Perencanaan Persalinan dan Pencegahan Komplikasi (P4K). Program ini dapat memantau ibu hamil oleh seluruh komponen masyarakat, baik suami, keluarga dan bidan secara cepat dan tepat. Indikator P4K adalah dengan pemasangan stiker P4K yang terdiri dari nama ibu hamil, taksiran persalinan, penolong persalinan, tempat persalinan, transportasi dan calon donor darah. Strategi P4K dengan stiker ini merupakan suatu kegiatan yang di fasilitasi oleh Bidan di desa/kelurahan dalam rangka membuat suami, keluarga dan masyarakat ikut berperan aktif dalam merencanakan persalinan yang aman dan persiapan menghadapi komplikasi bagi ibu hamil, termasuk perencanaan penggunaan KB pasca persalinan dengan menggunakan stiker sebagai media notifikasi sasaran dalam rangka meningkatkan cakupan dan mutu pelayanan kesehatan bagi ibu dan bayi baru lahir. Salah satu kelurahan di wilayah kerja Puskesmas Nanggalo Kota Padang adalah Kelurahan Kurao Pagang, dengan cakupan pelayanan kesehatan ibu hamil baru mencapai 67,39%. Salah Satu upaya untuk meningkatkan pencapaian pelayanan kesehatan ibu hamil di Kelurahan Kurao Pagang, dengan kegiatan pembentukan forum peduli KIA, kemudian forum dan kader dilatih tentang stiker P4K dan dilakukan aksi pemasangan stiker P4K tersebut di rumah ibu hamil

SUPLEMENTASI DAUN TORBANGUN (COLEUS AMBOINICUS LOUR) UNTUK MENURUNKAN KELUHAN SINDROM PRAMENSTRUASI PADA REMAJA PUTRI (SUPPLEMENTATION OF TORBANGUN LEAVES [COLEUS AMBOINICUS LOUR] IN REDUCING THE COMPLAINST OF PRE-MENSTRUAL SYNDROME [PMS] AMONG TEENAGE G

ABSTRACT Background: Torbangun leaves (Coleus ambonicus Lour) is one of type of species from Labiatae family which contains a lot of micronutrient and active element which have been examined as beneficial for human health and quality of life. The plants containing iridoid and flavonoid as well as phytochemical which deal with reproduction hormone is applicable to traditional medication toward PMS cases. Methods: The present study was aimed to assess the efficacy of CAL leaves in the management of PMS. An experimental clinical trial was conducted in 35 teenagers with PMS. Three intervention groups were defined: CAL leaves; commercial preparation; and placebo. Participants were followed-up individually for 1 month. Result: The results showed average menarche occurred around age 13 years, with menstruation lasting 5 days. During each successive treatment cycle, participants experienced a lower pain intensity score. Chi Square test, after adjusting each cycle for baseline pain, treatment compliance and other variables, showed that the group receiving CAL extract had significantly reduced pain intensity (p&lt;0.05) compared with commercial preparation and placebo. Conclusion: The torbangun leaves supplement can be used as treatment to relief symptoms of the premenstrual syndrome. [Penel Gizi Makan 2010, 33(2):180-194]   Keywords: Torbangun leaves (Coleus amboinicus Lour), pre-menstrual syndrome (PMS), teenage girls</p

SUPLEMENTASI DAUN TORBANGUN (COLEUS AMBOINICUS LOUR) UNTUK MENURUNKAN KELUHAN SINDROM PRAMENSTRUASI PADA REMAJA PUTRI (SUPPLEMENTATION OF TORBANGUN LEAVES [COLEUS AMBOINICUS LOUR] IN REDUCING THE COMPLAINST OF PRE-MENSTRUAL SYNDROME [PMS] AMONG TEENAGE G

ABSTRACT Background: Torbangun leaves (Coleus ambonicus Lour) is one of type of species from Labiatae family which contains a lot of micronutrient and active element which have been examined as beneficial for human health and quality of life. The plants containing iridoid and flavonoid as well as phytochemical which deal with reproduction hormone is applicable to traditional medication toward PMS cases. Methods: The present study was aimed to assess the efficacy of CAL leaves in the management of PMS. An experimental clinical trial was conducted in 35 teenagers with PMS. Three intervention groups were defined: CAL leaves; commercial preparation; and placebo. Participants were followed-up individually for 1 month. Result: The results showed average menarche occurred around age 13 years, with menstruation lasting 5 days. During each successive treatment cycle, participants experienced a lower pain intensity score. Chi Square test, after adjusting each cycle for baseline pain, treatment compliance and other variables, showed that the group receiving CAL extract had significantly reduced pain intensity (p&lt;0.05) compared with commercial preparation and placebo. Conclusion: The torbangun leaves supplement can be used as treatment to relief symptoms of the premenstrual syndrome. [Penel Gizi Makan 2010, 33(2):180-194]   Keywords: Torbangun leaves (Coleus amboinicus Lour), pre-menstrual syndrome (PMS), teenage girl

Clinical Diagnosis and Early Medical Management for Endometriosis: Consensus from Asian Expert Group

This work provides consensus guidance regarding clinical diagnosis and early medical management of endometriosis within Asia. Clinicians with expertise in endometriosis critically evaluated available evidence on clinical diagnosis and early medical management and their applicability to current clinical practices. Clinical diagnosis should focus on symptom recognition, which can be presumed to be endometriosis without laparoscopic confirmation. Transvaginal sonography can be appropriate for diagnosing pelvic endometriosis in select patients. For early empiric treatment, management of women with clinical presentation suggestive of endometriosis should be individualized and consider presentation and therapeutic need. Medical treatment is recommended to reduce endometriosis-associated pelvic pain for patients with no immediate pregnancy desires. Hormonal treatment can be considered for pelvic pain with a clinical endometriosis diagnosis; progestins are a first-line management option for early medical treatment, with oral progestin-based therapies generally a better option compared with combined oral contraceptives because of their safety profile. Dienogest can be used long-term if needed and a larger evidence base supports dienogest use compared with gonadotropin-releasing hormone agonists (GnRHa) as first-line medical therapy. GnRHa may be considered for first-line therapy in some specific situations or as short-term therapy before dienogest and non-steroidal anti-inflammatory drugs as add-on therapy for endometriosis-associated pelvic pain