Program Studi Kebidanan Fakultas Ilmu Kesehatan Universitas Malahayati
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Analysis Of The Number Of Bacteria In Baby Bottles And The Incidence Of Diarrhea In Toddlers
Latar Belakang Diare merupakan salah satu penyebab morbiditas dan mortalitas pada balita di seluruh dunia. Data World Health Organization (2023) kejadian diare mencapai 10% dari seluruh kematian anak dibawah lima tahun. Kasus diare Indonesia 2022 prevalensi mencapai 10,2% (Kemenkes RI, 2023). Menurut Survey Kesehatan Indonesia (2023) prevalensi diare pada bayi ≤ 1 tahun 6,4% dan pada Balita 1-4 tahun mencapai 7,4% pada kelompok usia 12-59 bulan terdapat 5,8% kasus. Kota Cirebon mendapatkan 8.563 kasus diare dan 30.706 kasus diare di Kabupaten Cirebon (2021). Tingginya angka ini menjadikan diare sebagai salah satu penyebab kematian balita setelah pneumonia. Salah satu penyebab utama penularan agen penyebab diare adalah melalui kontaminasi botol susu yang dapat menyebabkan infeksi gastrointestinal. Tujuan Penelitian menganalisis hubungan bakteri pada botol susu dengan kejadian diare pada balita. Metode penelitian ini merupakan Penelitian ini merupakan penelitian kuantitatif observassional analitik dengan pendekatan cross sectional. Tahapan penelitian ini dilakukan mulai dari uji laboratorium swab botol susu, dan pengumpulan data kejadian diare pada balita dalam 2 bulan terakhir. Populasi adalah seluruh Ibu Balita (8-24 bulan) Sampel menggunakan Acidental Sampling dengan pengambilan sampel dibatasi pada sampel minimal korelasi sebanyak 30 ibu balita. Teknik analisis data yang digunakan adalah analisis univariat dan bivariate dengan bantuan SPSS. Hasil penelitian menunjukkan jumlah bakteri dengan kejadian diare diperoleh p-value = 0,200 (≥ 0,05). Kesimpulan tidak terdapat hubungan antara jumlah bakteri botol susu dengan kejadian diare. Saran menjaga kebersihan botol susu dengan mencuci dan mensterilkan secara benar serta tetap memberikan ASI eksklusif untuk meningkatkan daya tahan tubuh anak. Kata kunci: Bakteri, Balita, Bayi, Botol Susu, Diare ABSTRACT Background Diarrhea is one of the causes of morbidity and mortality in toddlers worldwide. Data from the World Health Organization (2023) shows that diarrhea accounts for 10% of all deaths in children under five years of age. The prevalence of diarrhea cases in Indonesia in 2022 reached 10.2% (Ministry of Health of the Republic of Indonesia, 2023). According to the Indonesian Health Survey (2023), the prevalence of diarrhea in infants ≤ 1 year was 6.4% and in toddlers 1-4 years old reached 7.4%, with 5.8% of cases in the 12-59 month age group. Cirebon City experienced 8,563 cases of diarrhea and Cirebon Regency 30,706 cases (2021). These high numbers make diarrhea one of the leading causes of infant mortality after pneumonia. One of the main causes of transmission of diarrhea-causing agents is through contaminated milk bottles, which can cause gastrointestinal infections. The purpose of this study was to analyze the relationship between bacteria in baby bottles and diarrhea in toddlers. This study used a quantitative, observational, and analytical cross-sectional approach. The research phase began with laboratory testing of baby bottle swabs and data collection on diarrhea in toddlers over the past two months. The population was all mothers of toddlers (8-24 months). The sample used acid-identical sampling, with a minimum sample size of 30 mothers. Univariate and bivariate analyses were used using SPSS. The results showed that the number of bacteria in baby bottles correlated with diarrhea, with a p-value of 0.200 (≥ 0.05). Conclusion: There is no relationship between the number of bacteria in baby bottles and diarrhea. Suggestions include maintaining bottle hygiene by washing and sterilizing them properly, and continuing to provide exclusive breastfeeding to boost children's immune systems. Keywords: Bacteria, Toddler, Baby, Milk Bottle, Diarrhea
Copyright (c) 2025 JKM (Jurnal Kebidanan Malahayati)
Breast Milk Retention Caused By Inverted Nipples And Breastfeeding Techniques For Postpartum Mothers
Latar Belakang: Bendungan ASI merupakan pembengkakan pada payudara akibat peningkatan aliran vena dan limfe yang menyebabkan bendungan ASI. Menurut data Badan Kesehatan Dunia (WHO) terungkap di dunia ibu yang mengalami masalah menyusui sekitar 17.230.142 juta jiwa yang terdiri dari 56,4% puting lecet, 36,12% bendungan payudara dan 7,5% mastitis. Tujuan: Tujuan penelitian adalah untuk mengetahui hubungan antara posisi menyusui dengan puting terbenam pada ibu nifas dengan bendungan ASI di Klinik Nirmala Medan tahun 2025. Metode: Desain penelitian yang digunakan adalah survei analitik dengan pendekatan cross sectional. Populasi dalam penelitian ini adalah seluruh ibu menyusui yang berjumlah 35 responden. Teknik pengambilan sampel adalah total populasi yaitu jumlah keseluruhan yang dijadikan sampel sebanyak 35 responden. Analisis data yang digunakan analisis univariat dengan menggunakan distribusi frekuensi dan analisis bivariat dengan menggunakan uji chi square. Hasil: Hasil penelitian menunjukkan bahwa hasil uji chi square diperoleh nilai sig p-value 0,005 yang berarti = dari x-value 0,05 dan hasil uji chi square diperoleh nilai sig p-value 0,011 < 0,05 yang berarti ada hubungan antara posisi menyusui puerperium dengan bendungan ASI dan hasil uji chi square diperoleh nilai sig p-value 0,003 < 0,05 yang berarti ada hubungan puting tenggelam pada ibu nifas dengan bendungan ASI di Klinik Nirmala Medan tahun 2025. Kesimpulan: Berdasarkan hasil penelitian dapat disimpulkan bahwa ada hubungan antara posisi menyusui dengan puting terbenam pada ibu nifas dengan bendungan ASI di Klinik Nirmala Medan tahun 2025. Diharapkan kepada Klinik Nirmala Medan dapat meningkatkan penyuluhan tentang pemberian ASI yang baik dan benar. Kata Kunci: Posisi menyusui, Puting susu terbenam, Bendungan ASI ABSTRACT Background: The breast milk dam is a swelling in the breast due to an increase in venous and lymph flow which causes the breast milk dam. According to the World Health Organization (WHO) data revealed in the world of mothers who experience breastfeeding problems around 17,230,142 million people consisting of 56.4% scuffed nipples, 36.12% breast dams and 7.5% mastitis. Objective: The purpose of the study was to determine the relationship between breastfeeding position and the nipples are immersed on postpartum mothers with breast milk dam at the Nirmala Clinic Medan in 2025. Methode: The research design used was analytic survey with cross sectional approach. The population in this study were all breastfeeding mothers totaling 35 respondents. The sampling technique was the total population, namely the total number used as a sample of 35 respondents. Data analysis used univariate analysis using frequency distribution and bivariate analysis using chi square test. Result: The results showed that the results of the chi-square test obtained sig p-value 0.005, which means that = from x-value 0.05 and the results of chi-square test obtained sig p-value 0.011 <0.05 which means there is a relationship between breastfeeding position puerperium with breast milk dam and the results of chi-square test obtained sig p-value 0.003 <0.05, which means there is a relationship of drowned nipples in postpartum mothers with breast milk dam at the Nirmala Clinic Medan in 2025. Conclusion: Based on the results of the study, it can be concluded that there is a relationship between breastfeeding position and sunset nipples in postpartum mothers with breast milk dam at Nirmala Clinic Medan in 2025. It is expected that the Nirmala Clinic Medan can improve counseling about good and right breastfeeding. It is hoped that health workers will provide education to postpartum mothers to provide breast milk as often as possible to prevent breast engorgement. Keywords: Breast Milk Dam, Nipples are Immersed, Position of breastfeeding
Effectiveness Of Ginger Aromatherapy On Nausea And Vomiting In Pregnant Women As A Preventive Effort Against Stunting : An Experimental Study
Latar Belakang : Mual muntah merupakan salah satu ketidaknyamanan yang dialami oleh ibu hamil pada trimester pertama. Di Indonesia jumlah ibu hamil trimester 1 yang melakukan kunjungan K1 sebanyak 4.873.441 ibu hamil dan sekitar 2.436.721 ibu hamil atau sekitar 50% ibu mengalami mual muntah pada kehamilan. Dampak dari mual muntah sangat berpengaruh terhadap penambahan berat badan saat hamil, hal tersebut berhubungan dengan jumlah asupan makanan yang akan diterima janin. Penambahan berat badan dan status gizi ibu hamil berhubungan dengan kejadian stunting. Tujuan penelitian : Penelitian ini bertujuan untuk mengetahui Efektivitas Aromaterapi Jahe Terhadap Mual Muntah Pada Ibu Hamil dalam Upaya Pencegahan Stunting di Wilayah Harjamukti Kota Cirebon. Metode penelitian : Dalam penelitian ini metode yang digunakan adalah Pre eksperimen one group pretest posttest design dengan pengambilan sampel purposiv sampling dan analisis uji Wilcoxon Signed Ranks Test. Populasi pada penelitian ini yaitu ibu hamil di wilayah Harjamukti Kota Cirebon sebanyak 162. Dengan jumlah sample 44 orang. Hasil penelitian Skor mual muntah sebelum diberikan aromaterapi jahe sebanyak 24 orang ibu hamil (55%) mengalami mual muntah sedang dengan rentang skor 8-11, sehingga setelah diberikan aromaterapi jahe menjadi menurun sebanyak 23 orang ibu hamil (52%) mengalami mual muntah ringan dengan rentang skor 4-7. Didapat nilai Sig. (2-tailed) = 0.000 dengan nilai α = 0,05. Kesimpulan : Berdasarkan hasil penelitian dapat diketahui bahwa ada pengaruh pemberian aromaterapi jahe terhadap skor mual muntah pada ibu hamil di wilayah Harjamukti Kota Cirebon ada pengaruh efektifitas aromaterapi. Saran : Diharapkan bidan dan tenaga kesehatan lain dapat menerapkan aromaterapi jahe dalam menangani mual muntah pada ibu hamil sebagai terapi non farmakologi dalam pencegahan stunting. Kata Kunci : Mual, Muntah, Ibu Hamil, Aromaterapi Jahe ABSTRACT Background : Nausea and vomiting are among the most common discomforts experienced by pregnant women during the first trimester. In Indonesia, the number of first-trimester pregnant women attending their first antenatal visit (K1) is 4,873,441, and approximately 2,436,721 (around 50%) of them experience nausea and vomiting during pregnancy. Nausea and vomiting can significantly affect maternal weight gain during pregnancy, which is closely related to the amount of nutritional intake received by the fetus. Maternal weight gain and nutritional status are strongly associated with the incidence of stunting. This study aimed to determine the effectiveness of ginger aromatherapy in reducing nausea and vomiting among pregnant women as a strategy to prevent stunting in the Harjamukti area, Cirebon City. In this research, This study employed a pre-experimental design with a one-group pretest-posttest approach. The sampling technique used was purposive sampling, and data were analyzed using the Wilcoxon Signed Ranks Test. The study population consisted of 162 pregnant women in the Harjamukti area of Cirebon City, with a total sample of 44 respondents.. The results of research, Before the administration of ginger aromatherapy, 24 pregnant women (55%) experienced moderate nausea and vomiting with a score range of 8–11. After the intervention, the number decreased, with 23 pregnant women (52%) experiencing mild nausea and vomiting with a score range of 4–7. Statistical analysis showed a significance value of Sig. (2-tailed) = 0.000 with α = 0.05. The findings indicate that ginger aromatherapy has a significant effect on reducing nausea and vomiting scores among pregnant women in the Harjamukti area, Cirebon City. This demonstrates the effectiveness of ginger aromatherapy as a complementary intervention. Midwives and other healthcare providers are encouraged to implement ginger aromatherapy as a non-pharmacological approach to manage nausea and vomiting in pregnant women, thereby contributing to stunting prevention efforts. Keyword : Nausea, Vomiting, Pregnant Women, Ginger Aromatherapy
Effectiveness Of Giving Cucumber And Carrot Juice To Reducing Hypertension During Pregnancy
Latar Belakang: Hipertensi dalam kehamilan menduduki peringkat kedua tertinggi penyebab kematian ibu di Indonesia setelah perdarahan. Proporsi hipertensi dalam kehamilan di Indonesia semakin meningkat, hampir 30% kematian ibu di Indonesia disebabkan oleh hipertensi. Jawa Barat menempati urutan kedua dalam prevalensi hipertensi dalam kehamilan dengan angka sekitar 10,57%. Sementara itu di Kabupaten Sukabumi dari tahun tercatat pada tahun 2023 ada 9 ibu hamil yang meninggal karena hipertensi dalam kehamilan. Tujuan: penelitian ini adalah untuk mengetahui Efektivitas Pemberian Jus Mentimun Dan Jus Wortel Terhadap Penurunan Hipertensi Dalam Kehamilan Pada Ibu Hamil Trimester 3 Di Rs. Bhakti Medicare Tahun 2025. Metode: Jenis penelitian ini merupakan penelitian kuantitatif dengan desain penelitian menggunakan quasi eksperiment two group control pretest-posttest design. Penelitian akan dilaksanakan di RS Bhakti Medicare pada bulan Agustus 2025 dengan sampel yang diambil pada penelitian ini berjumlah 30 orang ibu hamil dengan hipertensi dalam kehamilan yang dibagi menjadi 2 kelompok intervensi, 15 orang diberikan intervensi jus mentimun, dan 15 orang diberikan jus wortel. Penelitian dilakukan selama 7 hari kemudian hasil penelitian akan dilakukan analisis data berupa analisis univariat dan bivariat menggunakan uji Paired Sample T Test. Hasil: Uji Paired Sample T Test diperoleh nilai Sig (2-tailed) sebesar 0,000 atau < 0,005 untuk jus mentimun, dan nilai Sig (2-tailed) sebesar 0,001 atau < 0,005 untuk jus wortel. Kesimpulan: Jus mentimun lebih efektif menurunkan tekanan darah Pada Ibu Hamil Dengan Hipertensi Pada Kehamilan di RS Bhakti Medicare Sukabumi. Saran: Diharapkan tenaga kesehatan yang ada di RS untuk lebih aktif memberikan penyuluhan atau KIE, memasang media poster, serta memberikan leaflet yang berkaitan dengan penanganan hipertensi pada kehamilan, sehingga dapat membangkitkan kesadaran dalam menjaga kesehatan ibu dalam penanganan angka kesakitan untuk ibu hamil. Kata Kunci : Hipertensi dalam kehamilan, mentimun, wortel ABSTRACT Background: Hypertension in pregnancy ranks second highest cause of maternal death in Indonesia after hemorrhage. The proportion of hypertension in pregnancy in Indonesia is increasing, almost 30% of maternal deaths in Indonesia are caused by hypertension. West Java ranks second in the prevalence of hypertension in pregnancy with a figure of around 10.57%. Meanwhile, in Sukabumi Regency from the year recorded in 2023 there were 9 pregnant women who died due to hypertension in pregnancy. Purpose: Determine the effectiveness of giving cucumber juice and carrot juice on reducing hypertension in pregnancy in pregnant women in the third trimester at Bhakti Medicare Hospital in 2025. Methods: This type of research is a quantitative study with a research design using a quasi-experimental two-group control pretest-posttest design. The study will be conducted at Bhakti Medicare Hospital in August 2025 with the sample taken in this study was 30 pregnant women with hypertension in pregnancy who were divided into 2 intervention groups, 15 people were given cucumber juice intervention, and 15 people were given carrot juice. The study was conducted for 7 days then the results of the study will be analyzed using univariate and bivariate analysis using the Paired Sample T Test. Results: The results of the Paired Sample T Test obtained a Sig (2-tailed) value of 0.000 or <0.005 for cucumber juice, and a Sig (2-tailed) value of 0.001 or <0.005 for carrot juice. Conclusion: Thus it can be stated that cucumber juice is more effective in lowering blood pressure in pregnant women with hypertension in pregnancy at Bhakti Medicare Hospital Sukabumi. Suggestions: Based on this, it is hoped that health workers in hospitals will be more active in providing counseling or IEC, putting up posters, and providing leaflets related to the management of hypertension in pregnancy, so that they can raise awareness in maintaining maternal health in handling morbidity rates for pregnant women. Keywords : Carrot, cucumber, hypertension in pregnancy
Effectiveness Of Pregnancy Exercises On Reducing Back Pain In Third Trimester Pregnant Women
Latar Belakang: Nyeri punggung merupakan salah satu keluhan umum pada ibu hamil, khususnya trimester III yang dapat menurunkan kualitas hidup dan mengganggu aktivitas sehari – hari. Perubahan anatomi tubuh, peningkatan berat janin, serta perubahan hormonal berperan besar memicu munculnya nyeri ini. Penelitian ini bertujuan menganalisis efektivitas senam hamil terhadap penurunan nyeri punggung pada ibu hamil trimester III. Metode: Penelitian ini menggunakan desan pre eksperimental, desain one group pretest posttest design dengan jumlah sampe sebanyak 28 ibu hamil trimester III ditentukan berdasarkan Teknik purposive sampling. penelitian ini dilaksanakan di TPMB Asmak Mukhayah pada bulan Juni dan Juli tahun 2024. Instrumen penelitian berupa NRS untuk mengukur nyeri punggung dan SOP senam hamil. Data dianalisis menggunakan uji wilcoxon sign rank test. Hasil: Hasil penelitian menunjukkan sebelum diberikan intervensi sebagian besar responden mengalami nyeri sedang sebanyak 22 ibu hamil (78,6%), sesudah diberikan intervensi menunjukkan sebagian besar mengalami nyeri sedang sebanyak 16 ibu hamil (57,1%). Hasil uji wilcoxon menunjukkan nilai p = 0,000, yang berarti senam hamil efektif terhadap penurunan nyeri punggung pada ibu hamil trimester III. Kesimpulan: Senam hamil terbukti efektif dalam menurunkan nyeri punggung pada ibu hamil trimester III. Saran: Bidan diharapkan mengintegrasikan senam hamil ke dalam program antenatal care secara rutin sebagai upaya promotif dan preventif untuk meningkatkan kenyamanan ibu hamil dan mempersiapkan kondisi fisik menghadapi persalinan. Kata Kunci: Ibu hamil trimester III, Nyeri punggung, Senam hamil ABSTRACT Background: Back pain is one of the most common complaints among pregnant women, particularly in the third trimester, which can reduce quality of life and interfere with daily activities. Anatomical changes in the body, increased fetal weight, and hormonal alterations play a major role in triggering this pain. This study aimed to analyze the effectiveness of pregnancy exercise (senam hamil) in reducing back pain among third-trimester pregnant women. Methods: This study employed a pre-experimental design with a one-group pretest–posttest approach involving 28 third-trimester pregnant women selected using purposive sampling. The research was conducted at TPMB Asmak Mukhayah in June–July 2024. The instrument used was the Numeric Rating Scale (NRS) to measure back pain, and a standardized pregnancy exercise protocol was applied. Data were analyzed using the Wilcoxon signed-rank test. Results: The findings showed that before the intervention, most respondents experienced moderate pain (22 pregnant women, 78.6%), whereas after the intervention, the majority experienced mild pain (16 pregnant women, 57.1%). The Wilcoxon test results indicated a p-value of 0.000, demonstrating that pregnancy exercise was effective in reducing back pain among third-trimester pregnant women. Conclusion: Pregnancy exercise is proven effective in reducing back pain in third-trimester pregnant women. Recommendation: Midwives are encouraged to integrate pregnancy exercise into routine antenatal care programs as a promotive and preventive measure to enhance maternal comfort and prepare the mother’s physical condition for childbirth. Keywords: Third trimester pregnant women, Back pain, Pregnancy exercise
Factors Influencing Early Complementary Feeding (ECF) Among Infants Aged 6-12 Months At Independent Midwifery Practice (IMP) Dian Mustika, Natar Sub-District, South Lampung Regency
Latar belakang : Pemberian Air Susu Ibu (ASI) eksklusif di dunia masih rendah. Rata- rata pemberian ASI eksklusif di dunia berkisar 38%, di Indonesian tahun 2021 sebesar 56,9%, di Provinsi Lampung yaitu 73,6%, di Kabupaten Lampung Selatan yaitu 57,5%, sedangkan di Puskesmas Natar Kabupaten Lampung Selatan sebesar 48,6%. PMB Dian Mustika merupakan salah satu PMB di wilayah kerja Puskesmas Natar Kabupaten Lampung Selatan, dimana di PMB tersebut paling sering dijumpai bayi usia 0-6 bulan yang telah diberikan MP-ASI dini. Untuk itu tujuan penelitian ini adalah diketahui faktor-faktor yang mempengaruhi pemberian Makanan Pendamping ASI (MP-ASI) dini pada bayi usia 6-12 bulan di PMB Dian Mustika Tahun 2023”. Metode Penelitian : Jenis penelitian ini adalah kuantitatif. Rancangan survey analitik dengan pendekatan waktu cross sectional. Populasi dalam penelitian ini adalah seluruh ibu yang memiliki bayi usia 6-12 bulan yang berkunjung di PMB Dian Mustika, dengan jumlah sampel sebanyak 63 orang, dan teknik pengambilan sampel menggunakan total sampling. Uji stastistik menggunakan uji chi-square. Hasil penelitian : Diperoleh.terdapat hubungan pengetahuan (p-value = 0,000 dan OR= 8,286), pendidikan (p-value = 0,001 dan OR = 7,043), sosial budaya (p-value = 0,002 dan OR= 6,494), peran petugas kesehatan (p-value = 0,002 dan OR= 6,494) dengan pemberian MP-ASI dini. Untuk itu diharapkan tenaga kesehatan dapat meningkatkan edukasi kepada masyarakat terutama ibu yang memiliki bayi dibawah usia 6 bulan tentang resiko pemberian MP-ASI dini pada bayi melalui penyuluhan kesehatan saat kegiatan posyandu. Saran : Diharapkan tenaga kesehatan dapat meningkatkan edukasi kepada masyarakat terutama ibu yang memiliki bayi dibawah usia 6 bulan tentang resiko pemberian MP-ASI dini pada bayi melalui penyuluhan kesehatan saat kegiatan posyandu. Kata Kunci : faktor MP-ASI dini, pengetahuan, pendidikan, sosial budaya, peran petugas kesehatan ABSTRACT Background: Exclusive Breastfeeding (EBF) rates worldwide remain low. The global average for exclusive breastfeeding is around 38%, 56.9% in Indonesia in 2021, 73.6% in Lampung Province, 57.5% in South Lampung Regency, and 48.6% in Natar Primary Health Care (“Puskesmas”), South Lampung Regency. IMP Dian Mustika is one of the Independent Midwifery Practices (IMPs) in the working area of Natar Community Health Center, South Lampung Regency, where infants aged 0-6 months who have been introduced to early complementary feeding (ECF) are frequently encountered. Therefore, the aim of this study is to identify the factors influencing early complementary feeding (ECF) in infants aged 6-12 months at IMP Dian Mustika in 2023. Research Method: This study employed a quantitative approach with an analytic survey design and cross-sectional time frame. The population includes all mothers with infants aged 6-12 months visiting IMP Dian Mustika, with a sample size of 63 individuals using total sampling technique. Chi-square test was employed for statistical analysis. Research Findings: The results indicate a significant association between knowledge (p-value = 0.000 and OR = 8.286), education (p-value = 0.001 and OR = 7.043), socio-cultural factors (p-value = 0.002 and OR = 6.494), and the role of healthcare providers (p-value = 0.002 and OR = 6.494) with early complementary feeding (ECF) practices. Therefore, it is recommended that healthcare professionals enhance education, particularly for mothers with infants under 6 months, regarding the risks of early complementary feeding through health education during integrated health post (posyandu) activities. Recommendations: It is advised that healthcare providers enhance education, particularly for mothers with infants under 6 months, regarding the risks of early complementary feeding through health education during integrated health post (“posyandu”) activities. Keywords: ECF factors, knowledge, education, socio-cultural factors, healthcare provider role
Copyright (c) 2025 Jurnal Kebidanan Malahayati
Factors Influencing Pregnant Women'S Compliance In Attending Pregnancy Women'S Classes
According to WHO data (2020), prenatal classes have been shown to reduce maternal mortality, as they provide information on pregnancy outcomes and prevent pregnancy-related complications. The WHO explains that approximately 287,000 women experience high-risk pregnancies. Data from the Sarulla Community Health Center (Puskesmas) indicates that 67.4% of those attending prenatal classes are far from the 100% target. The purpose of this study was to determine factors influencing pregnant women's adherence to prenatal classes in the Sarulla Community Health Center's work area in North Tapanuli Regency. The research design was analytical research using a cross-sectional approach. The population was all 67 pregnant women. The sample size was 67 pregnant women in their third trimester. Primary and secondary data were used. Data analysis used univariate, bivariate, and multivariate analysis using binary regression tests.The results of the study, obtained using a chi-square test, showed an effect of education on the participation of pregnant women in pregnancy classes, knowledge on the participation of pregnant women, distance to health facilities, the role of health workers, and family support. The most dominant factor was knowledge, which significantly influenced pregnant women's adherence to pregnancy classes in the Sarulla Community Health Center, North Tapanuli Regency. Conclusion: Education, knowledge, health workers, and family support influence the participation of pregnant women in pregnancy classes in the Sarulla Community Health Center. Health workers are expected to be more active in promoting the importance of pregnancy classes through various media such as integrated health posts (Posyandu), community health centers, social media, and other community activities. Keywords: Education, Knowledge, Distance to Facilities, Role of Health Workers, Family Support, Pregnancy Classes
Factors Influencing The Implementation Of “Isi Piringku” Complementary Feeding For Infants Aged 6–23 Months In The Prevention Of Stunting
Latar Belakang: Stunting merupakan gangguan pertumbuhan dan perkembangan anak akibat kekurangan gizi kronis dan infeksi berulang, yang ditandai dengan panjang atau tinggi badan anak berada di bawah standar. Stunting disebabkan oleh asupan gizi yang kurang dalam waktu cukup lama akibat pemberian makanan yang tidak sesuai dengan kebutuhan gizi. Stunting berpotensi memperlambat perkembangan otak, dengan dampak jangka panjang berupa keterbelakangan mental, rendahnya kemampuan belajar, dan risiko serangan penyakit kronis. Pemberian MPASI isi piringku pada bayi 6-23 bulan dapat menjadi jalan keluar untuk mengatasi stunting jika diaplikasikan sesuai dengan pedoman yang benar. Tujuan penelitian: Tujuan dari penelitian ini untuk mengetahui faktor-faktor apa saja yang dapat mempengaruhi dalam pemberian MPASI isi piringku pada bayi 6-23 bulan. Metode penelitian: Metode penelitian yang digunakan adalah metode analitik korelasi dengan pendekatan cross-sectional dan pengambilan sampel dengan accidental sampling. Populasi pada penelitian ini adalah seluruh ibu yang memiliki bayi 6-23 bulan di Wilayah Kecamatan Harjamukti Kota Cirebon sebanyak 346 orang, dengan jumlah sampel 114 orang. Hasil analisis data dengan uji chi square didapatkan hasil terdapat hubungan yang signifikan antara pengetahuan, jumlah anak, pendapatan keluarga dan media informasi dengan pemberian MPASI isi piringku. p-value pengetahuan (0,000), jumlah anak (0,008), pendapatan keluarga (0,000) dan media informasi (0,000). Kesimpulan: Hasil penelitian menunjukkan bahwa pemberian MPASI sesuai pedoman isi piringku pada ibu dengan bayi usia 6–23 bulan dipengaruhi oleh beberapa faktor, antara lain jumlah anak (paritas), pendapatan keluarga, paparan media informasi, serta pengetahuan ibu. Saran: Diharapkan agar tenaga kesehatan dan kader posyandu meningkatkan edukasi gizi kepada ibu melalui penyuluhan maupun media informasi yang mudah dipahami. Kata Kunci : Faktor-Faktor; MPASI; Isi Piringku; Bayi; Stunting. ABSTRACT Background: Stunting is a growth and developmental disorder in children caused by chronic malnutrition and recurrent infections, characterized by a child’s length or height being below the standard. Stunting occurs due to prolonged inadequate nutritional intake resulting from the provision of food that does not meet nutritional requirements. It has the potential to hinder brain development, with long-term consequences such as cognitive delays, low learning capacity, and an increased risk of chronic diseases. The implementation of complementary feeding based on the “Isi Piringku” guidelines for infants aged 6–23 months can serve as an effective strategy to prevent stunting when applied appropriately. The objective of this study is to identify the factors that influence the implementation of complementary feeding based on the “Isi Piringku” guidelines among mothers with infants aged 6–23 months. The research employed a correlational analytic method with a cross-sectional approach, and the sampling technique used was accidental sampling. The study population consisted of all mothers with infants aged 6–23 months in the Harjamukti District, Cirebon City, totaling 346 individuals, with a sample size of 114 respondents. The results of data analysis using the Chi-square test showed a significant relationship between knowledge, number of children, family income, and information media with the practice of complementary feeding based on the “Isi Piringku” guidelines. The p-values were as follows: knowledge (0.000), number of children (0.008), family income (0.000), and information media (0.000). Conclusion: The results of the study indicate that the implementation of complementary feeding in accordance with the “Isi Piringku” (My Plate) guidelines among mothers with infants aged 6–23 months is influenced by several factors, including the number of children (parity), family income, exposure to information media, and maternal knowledge. Suggestion: It is recommended that healthcare workers and posyandu (community health post) cadres enhance nutrition education for mothers through counseling sessions and easily understandable information media. Keyword : Factors; MPASI; Isi Piringku; Baby; Stunting.
Factors Related To Chronic Energy Deficiency (CED) In Pregnant Women At Baradatu Health Center
Latar Belakang: Kekurangan Energi Kronik (KEK) pada ibu hamil berisiko menimbulkan anemia, persalinan prematur, dan gangguan perkembangan janin. Prevalensi KEK di Puskesmas Baradatu, Way Kanan, tahun 2025 mencapai 14,08%. Tujuan: Penelitian ini bertujuan mengidentifikasi faktor-faktor yang berhubungan dengan kejadian KEK pada ibu hamil di wilayah tersebut. Metode: Penelitian kuantitatif dengan desain case-control dilakukan pada Agustus 2025, melibatkan 67 sampel ibu hamil dari 206 populasi, dipilih melalui purposive sampling (margin error 10%). Hasil: Analisis chi-square menunjukkan adanya hubungan signifikan antara KEK dengan asupan gizi (p=0,000), jarak kehamilan (p=0,002), pendapatan (p=0,020), dan pengetahuan (p=0,039). Sebaliknya, tidak ditemukan hubungan signifikan dengan penyakit infeksi (p=0,392), paritas (p=0,267), pendidikan (p=0,743), dan aktivitas fisik (p=0,587). Kesimpulan: Dapat disimpulkan bahwa asupan gizi, jarak kehamilan, pendapatan, dan pengetahuan merupakan faktor utama terkait KEK. Hasil ini dapat menjadi dasar intervensi kesehatan untuk mencegah KEK, meskipun generalisasi temuan terbatas pada populasi lain. Saran: Upaya pencegahan disarankan difokuskan pada perbaikan gizi, edukasi kesehatan, dan konseling jarak kehamilan. Kata Kunci : Asupan gizi, jarak kehamilan, kejadian KEK, pendapatan, pengetahuan. ABSTRACT Bacground of study: Chronic Energy Deficiency (CED) in pregnant women is at risk of causing anemia, premature delivery, and fetal developmental disorders. The prevalence of CEDs at the Baradatu Health Center, Way Kanan, in 2025 reach 14.08%. Objective: This study aims to identify factors related to the incidence of CEDs in pregnant women in the region. Methods: A quantitative study with a case-control design was conducted in August 2025, involving 67 samples of pregnant women from 206 populations, selected through purposive sampling (margin of error 10%). The Result: Chi-square analysis showed a significant relationship between CEDs and nutritional intake (p=0.000), pregnancy distance (p=0.002), income (p=0.020), and knowledge (p=0.039). On the other hand, no significant associations were found with infectious diseases (p=0.392), parity (p=0.267), education (p=0.743), and physical activity (p=0.587). Conclusion: It can be concluded that nutritional intake, pregnancy distance, income, and knowledge are the main factors related to CEDs. These results may be the basis for health interventions to prevent CEDs, although the generalization of the findings is limited to other populations. Recommendation: Prevention efforts are recommended to be focused on improving nutrition, health education, and pregnancy distance counseling. Keywords : Incidence of CED, income, knowledge, nutritional intake, pregnancy distance.
Factors That Influence Adolescent Sexual Behavior
Latar Belakang: Perilaku seksual merupakan segala tingkah laku yang didorong oleh hasrat seksual, baik terhadap lawan jenis maupun sesama jenis. Tujuan: Mengetahui faktor-faktor yang mempengaruhi perilaku seksual remaja di MA Terpadu Suwargi Buwana Djati Kabupaten Cirebon Tahun 2024. Metode: Penelitian ini menggunakan metode Cross Sectional dengan jumlah populasi 188 orang dan sampel 72 orang sesuai dengan kriteria inklusi. Pengambilan sampel menggunakan proportionate stratified random sampling. Instrumen penelitian menggunakan kuesioner. Analisis data menggunakan Spearman Rho dan multivariat dengan menggunakan Regresi Logistik. Hasil: Hasil penelitian menunjukkan bahwa ada hubungan yang signifikan antara pengetahuan (p-value 0,000), sikap (p-value 0,006), peran orang tua (p-value 0,006), peran teman sebaya (p-value 0,042), media sosial (p-value 0,034) dengan perilaku seksual remaja di MA Terpadu Suwargi Buwana Djati Kabupaten Cirebon. Variabel yang paling dominan dengan perilaku seksual remaja di MA Terpadu Suwargi Buwana Djati Kabupaten Cirebon adalah Pengetahuan dengan OR 4,776 Kesimpulan: terdapat hubungan yang sangat signifikan antara pengetahuan, sikap, peran orang tua, peran teman sebaya dan media sosial dengan perilaku seksual. Saran: Bagi pihak sekolah adalah melakukan inovasi dan memberikan pendidikan, pengetahuan, pemahaman dan pembinaan mengenai kesehatan reproduksi dan perilaku seksual remaja. Kata Kunci: Media Sosial, Pengetahuan, Peran Orang Tua, Peran Teman Sebaya, Perilaku Seksual, Sikap ABSTRACT Background: Sexual behavior is any behavior driven by sexual desire, whether toward the opposite sex or the same sex. Objective: To determine the factors influencing adolescent sexual behavior at Suwargi Buwana Djati Integrated Islamic High School, Cirebon Regency, in 2024. Method: This study used a cross-sectional method with a population of 188 students and a sample of 72 students meeting the inclusion criteria. Sampling was conducted using proportionate stratified random sampling. The research instrument was a questionnaire. Data analysis used Spearman's Rho and multivariate analysis using logistic regression. Results: The study showed a significant relationship between knowledge (p-value 0.000), attitude (p-value 0.006), parental role (p-value 0.006), peer role (p-value 0.042), and social media (p-value 0.034) and adolescent sexual behavior at Suwargi Buwana Djati Integrated Islamic Elementary School, Cirebon Regency. The most dominant variable associated with adolescent sexual behavior at Suwargi Buwana Djati Integrated Islamic Elementary School, Cirebon Regency was knowledge with an OR of 4,776 Conclusion: There is a highly significant relationship between knowledge, attitude, parental role, peer role, and social media and sexual behavior. Recommendation: Schools should innovate and provide education, knowledge, understanding, and guidance regarding reproductive health and adolescent sexual behavior. Keywords: Attitude, Knowledge, Parental Role, Peer Role, Sexual Behavior, Social Media.
The Effect Of Aloe Vera Compress On Reducing Body Temperature In Children With Fever After Pentavalent Dpt Immunization
Background: The incidence of Adverse Events Following Immunization (KIPI) at Kalibagor Public Health Center from January to October 2022 reached 10 cases, distributed across eight villages in Kalibagor Subdistrict. All cases were managed properly without resulting in permanent physical disability. The most common AEFI was fever in children following DPT-Pentavalent immunization. Efforts to reduce fever after DPT-Pentavalent immunization include pharmacological and non-pharmacological therapies. One of the non-pharmacological interventions is compress therapy, which can be independently applied by nurses or parents. Compresses do not necessarily require warm water; an alternative method is aloe vera compress. Aloe vera compress works through conduction, as the water content in aloe vera gel absorbs body heat, transferring heat from the child’s body into the aloe vera. Conduction occurs between the aloe vera and surrounding tissues, including blood vessels, thereby lowering body temperature. The cooled blood then circulates throughout the body, continuing the conduction process until the body temperature decreases. Objective: To analyze the effect of aloe vera compresses on reducing body temperature in children experiencing fever after DPT-Pentavalent immunization, to describe body temperature before and after aloe vera compress application, and to examine the significance of the intervention on temperature reduction. Methods: This study employed a quantitative approach with a quasi-experimental design using a one-group pretest–posttest method. Body temperature was measured twice, before and after aloe vera compress application. The study population consisted of all infants aged 2–4 months in January 2023 who received DPT-Pentavalent immunization in Kaliori Village, Kalibagor Public Health Center, Banyumas Regency. In April 2023, there were 32 infants aged 2–4 months, all of whom were included as the research sample. Research instruments included a digital thermometer, informed consent forms, observation sheets, and standard operating procedures (SOPs) for aloe vera compress application. Results: Prior to aloe vera compress application, all infants developed fever (temperature >37.5°C) after DPT-Pentavalent immunization. Following the intervention, most infants (20 infants; 62.5%) returned to normal body temperature, while 12 infants (37.5%) still had fever. The Kolmogorov–Smirnov normality test showed a significance value of 0.000, indicating non-normal data distribution (p < 0.05). Therefore, the Wilcoxon signed-rank test was applied, yielding a p-value of 0.0001 (p < 0.005). This result indicates a significant difference in body temperature before and after aloe vera compress application. Conclusion: Aloe vera compress application significantly reduces body temperature in children with fever following DPT-Pentavalent immunization.
The Effect Of Culture Lifeways-Based Midwifery Education On The Duration Of Perineal Wound Healing During The Postpartum Period
Latar Belakang: Luka perineum merupakan salah satu masalah kesehatan yang umum dialami ibu pada masa nifas, terutama akibat persalinan pervaginam. masih banyak ibu nifas yang mengalami keterlambatan penyembuhan luka perineum karena kurang optimalnya perawatan mandiri. Keterlambatan penyembuhan luka dapat meningkatkan risiko infeksi, menimbulkan rasa nyeri berkepanjangan, hingga mengganggu aktivitas ibu dalam merawat bayi. Tujuan: Menganalisis pengaruh edukasi kebidanan berbasis culture lifeways terhadap lama penyembuhan luka perineum Metode: Jenis penelitian pre – eksperimental dengan desain one group pretest posttest design. Populasi pada penelitian ini seluruh ibu nifas mengalami luka perineum, jumlah sampel sebanyak 32 ibu nifas dengan Teknik purposive sampling. Penelitian ini dilaksanakan di TPMB Riesma Dwi Mayantie pada bulan Juni – Juli tahun 2024. Data dkumpulkan menggunakan lembar observasi dan SOP edukasi kebidanan berbasis culture lifeways. Data dianalisis menggunakan uji Wilcoxon sign rank test. Hasil: Sebelum diberikan edukasi kebidanan berbasis culture lifeways sebagian besar responden dengan penyembuhan cukup sebanyak 25 ibu nifas (78,1%), sesudah diberikan edukasi kebidanan berbasis culture lifeways sebagian besar responden dengan penyembuhan baik sebanyak 24 orang (75%). Hasil analisis menggunakan uji Wilcoxon sign rank test menunjukkan nilai p-value 0,000 < α = 0,05. Kesimpulan: Terdapat pengaruh edukasi kebidanan berbasis culture lifeways terhadap lama penyembuhan luka perineum pada ibu nifas. Saran: Edukasi kebidanan berbasis culture lifeways perlu diterapkan dalam pelayanan kebidanan karena terbukti efektif mempercepat penyembuhan luka. Kata Kunci: Culture lifeways, Edukasi, Luka perineum, Masa nifas ABSTRACT Background: Perineal wounds are a common health problem experienced by mothers during the postpartum period, especially as a result of vaginal delivery. Many postpartum mothers still experience delayed perineal wound healing due to suboptimal self-care. Delayed wound healing can increase the risk of infection, cause prolonged pain, and interfere with the mother’s activities in caring for the baby. Purpose: To analyze the effect of culture lifeways-based midwifery education on the duration of perineal wound healing. Methods: This research used a pre-experimental design with a one-group pretest-posttest approach. The population consisted of all postpartum mothers with perineal wounds, with a total sample of 32 postpartum mothers selected through purposive sampling. The study was conducted at TPMB Riesma Dwi Mayantie in June–July 2024. Data were collected using observation sheets and standard operating procedures for culture lifeways-based midwifery education. Data analysis was performed using the Wilcoxon sign rank test. Results: Before receiving culture lifeways-based midwifery education, most respondents (25 postpartum mothers, 78.1%) showed moderate healing. After the intervention, most respondents (24 postpartum mothers, 75%) demonstrated good healing. Statistical analysis using the Wilcoxon sign rank test showed a p-value of 0.000 < α = 0.05. Conclusion: Culture lifeways-based midwifery education has a significant effect on the duration of perineal wound healing in postpartum mothers. Recommendation: Culture lifeways-based midwifery education should be implemented in midwifery care services as it is proven effective in accelerating wound healing. Keywords: Culture lifeways, Education, Perineal wound, Postpartum period
The Effect Of Lemon Aromatherapy On Section Caesarea Surgery Pain
Latar belakang: Operasi sectio caesarea (SC) adalah melahirkan janin melalui sayatan dinding perut dan dinding rahim. WHO menyatakan nilai ideal operasi SC adalah 10-15%, berdasarkan Riskesdas 2018 angka SC di Provinsi Lampung 13,6%. Nyeri akibat tindakan SC dapat diatasi dengan memberikan aromaterapi lemon, karena jika tidak segera ditangani dapat menyebabkan postpartum blues. Tujuan: Mengetahui pengaruh aromaterapi lemon terhadap nyeri luka SC di ruang kebidanan RSUD Dr. H. Abdul Moeloek Bandar Lampung. Metode: Jenis penelitian ini adalah kuantitatif, menggunakan pendekatan quasy eksperimen dengan rancangan one grup pretest-posttest design, dilaksanakan dari Januari sampai dengan Juni di RSUD Abdul Moeloek Bandar Lampung. Penelitian ini menggunakan data primer dan sekunder dengan jumlah sampel sebanyak 30 orang ibu bersalin dengan operasi SC. Instrumen penelitian mengunakan Numeric Rating Scale dan lembar observasi. Analisis data dengan cara analisis univariat dan bivariat menggunakan uji Wilcoxon. Hasil: Didapatkan nilai rata-rata nyeri sebelum intervensi sebesar 6,13 dengan standar deviasi 1,137. Sedangkan nilai rata-rata nyeri sesudah intervensi sebesar 2,80 dengan standar deviasi 1,243. Analisis bivariat mendapatkan bahwa nilai perbedaan rata-rata nyeri sebelum dan sesudah intervensi sebesar 3,33 dengan Uji Wilcoxon mendapatkan p=0,000, yang berarti ada pengaruh aromaterapi lemon dalam menurunkan nyeri luka operasi SC. Kesimpulan: Aromaterapi lemon terbukti menurunkan nyeri post sectio caesarea. Saran: Dapat diberikan aromaterapi lemon pada pasien yang mengalami nyeri post sectio caesarea. Kata Kunci : Aromaterapi lemon, Nyeri luka, Sectio caesarea. ABSTRACT Background: Sectio Caesarea (SC) surgery is giving birth to a fetus through an incision in the abdominal wall and uterine wall. WHO states that the ideal value for SC surgery is 10-15%, and based on the Basic Health Research 2018, the SC rate in Lampung Province is 13.6%. Pain due to the SC procedure can be overcome by giving lemon aromatherapy, because if it is not treated immediately it can cause postpartum blues. Purpose: To determine the effect of lemon aromatherapy on SC wound pain in the obstetric room at RSUD Dr. H. Abdul Moeloek Bandar Lampung. Methods: This type of research is quantitative, using a quasi-experimental approach with a one-group pretest-posttest design, it was carried out from January to June at RSUD Abdul Moeloek Bandar Lampung. This study used primary and secondary data with a total sample of 30 mothers who gave birth through SC surgery. The research instrument used the Numeric Rating Scale and observation sheets. Data analysis used univariate and bivariate analysis using the Wilcoxon test. Result: The average pain value before the intervention was 6.13 with a standard deviation of 1.137. While the average value of pain after the intervention was 2.80 with a standard deviation of 1.243. The bivariate analysis found that the mean difference in pain before and after the intervention was 3.33 with The Wilcoxon test obtained p = 0.000, which means that lemon aromatherapy has an effect in reducing the pain of SC surgical wounds. Conclusion: Lemon aromatherapy has an effect in reducing the pain of SC surgical wounds Suggestion: They hope to use non-pharmacological therapies such as lemon aromatherapy to reduce SC surgical wound pain as a complement to pharmacological therapy. Keywords: Lemon aromatherapy, Wound pain, Sectio caesarea
The Effect Of Peer Group Education On The Knowledge And Attitudes Of Adolescents Regarding HIV/AIDS Prevention
Latar Belakang : Remaja merupakan kelompok usia yang rentan terhadap penyebaran HIV/AIDS akibat kurangnya pengetahuan dan masih rendahnya sikap preventif terhadap perilaku berisiko. Data Kementerian Kesehatan menunjukkan bahwa proporsi kasus HIV pada kelompok usia 15–24 tahun masih cukup tinggi. Prevalensi di usia 15–24 tahun pernah mencapai 25% di beberapa wilayah, sehingga dibutuhkan strategi edukasi yang efektif dan relevan dengan karakteristik remaja. Edukasi peer group menjadi salah satu pendekatan yang diharapkan mampu meningkatkan pemahaman dan membentuk sikap positif terhadap pencegahan HIV/AIDS. Tujuan : Mengetahui apakah edukasi peer group meningkatkan pengetahuan dan sikap preventif remaja SMA N 7 Kota Cirebon tentang HIV/AIDS, mengetahui faktor pendukung dan penghambat pelaksanaan edukasi peer group dan mengetahui model pendidikan yang paling efektif diterapkan untuk remaja di wilayah Cirebon. Metode : Penelitian dilakukan dengan quasi-eksperimental dengan kelompok intervensi dan kontrol, serta pendekatan pre-test dan post-test. Sampel diambil secara purposive dari siswa kelas X hingga XII, dengan jumlah masing-masing kelompok 30 siswa. Intervensi dilakukan dalam bentuk edukasi oleh peer educator, yang memberikan materi pencegahan HIV/AIDS selama satu minggu menggunakan modul edukatif yang tervalidasi. Kuesioner penelitian ini telah teruji validitas dan reliabilitasnya. Hasil : Uji Wilcoxon menunjukkan adanya perbedaan signifikan yang bermakna antara pre test dan post test pada kelompok intervensi dengan nilai Z = -4,630 dan p = 0,000 (p < 0,05). Edukasi peer group terbukti efektif dalam meningkatkan pengetahuan siswa tentang HIV/AIDS. Adanya peningkatan sikap positif siswa pada kelompok intervensi setelah diberikan edukasi peer group antara pre test dan post test. Uji Wilcoxon memperlihatkan perbedaan yang signifikan (Z = -4,626; p = 0,000). Faktor pendukung edukasi peer group di sekolah meliputi rasa solidaritas, kebersamaan, motivasi tinggi terkait rasa ingin tahu, keinginan untuk mendengar dan pengembangan diri, berbagi pengalaman dan dukungan dari sekolah. Faktor penghambat yang muncul dari peer group, seperti kesulitan menerima individu yang berbeda, sikap tertutup, munculnya rasa iri antar anggota, adanya persaingan, hingga timbulnya pertentangan atau jarak antar kelompok sebaya. Pendekatan peer group dinilai lebih efektif diterapkan pada remaja karena siswa cenderung percaya diri, lebih terbuka, nyaman, saling memotivasi dan mampu mengembangkan solidaritas ketika berdiskusi dengan teman sebaya. Kesimpulan : Edukasi peer group memiliki pengaruh terhadap peningkatan pengetahuan dan sikap remaja tentang pencegahan HIV/AIDS di SMA Negeri 7 Kota Cirebon. Kata Kunci : HIV AIDS, Pengetahuan, Remaja, Sikap, Teman Sebaya ABSTRACT Background : Adolescents represent an age group that is vulnerable to the spread of HIV/AIDS due to limited knowledge and a low level of preventive attitudes toward risky behaviors. Data from the Ministry of Health indicate that the proportion of HIV cases among individuals aged 15–24 years remains relatively high. The prevalence within this age group has reached up to 25% in several regions, highlighting the need for effective educational strategies that are relevant to adolescent characteristics. Peer group education is considered one of the approaches that may enhance understanding and foster positive attitudes toward HIV/AIDS prevention. Purpose: This study aims to determine whether peer group education improves the knowledge and preventive attitudes of students at SMA Negeri 7 Cirebon regarding HIV/AIDS, to identify supporting and inhibiting factors in the implementation of peer group education, and to determine the most effective educational model to be applied among adolescents in the Cirebon area. Method: This research employed a quasi-experimental design with intervention and control groups, using a pre-test and post-test approach. Samples were purposively selected from students in grades X to XII, with 30 students in each group. The intervention consisted of educational sessions delivered by peer educators, who provided HIV/AIDS prevention materials over the course of one week using a validated educational module. The research questionnaire had been tested for validity and reliability. Results: The Wilcoxon test indicated a statistically significant difference between the pre-test and post- test results in the intervention group, with Z = -4.630 and p = 0.000 (p < 0.05). Peer group education was proven to be effective in increasing students’ knowledge about HIV/AIDS. There was also an improvement in positive attitudes among students in the intervention group after the peer group education, as shown by a significant difference in the Wilcoxon test results (Z = -4.626; p = 0.000). Supporting factors for peer group education in schools included solidarity, togetherness, high motivation driven by curiosity, willingness to listen and develop oneself, sharing experiences, and school support. Inhibiting factors identified within peer groups included difficulties in accepting individual differences, closed attitudes, feelings of jealousy among members, competition, and the emergence of conflicts or distance between peer groups. The peer group approach was considered more effective for adolescents because students tended to be more confident, open, comfortable, motivated, and capable of developing solidarity when discussing with peers. Conclusion: Peer group education has a significant effect on improving adolescents’ knowledge and attitudes regarding HIV/AIDS prevention at SMA Negeri 7 Cirebon. Keywords : Peer Group, Knowledge, Adolescent Attitude, HIV/AIDS.
The Effect Of Postnatal Yoga Intensity On The Mental Health Of Postpartum Mothers
Latar Belakang: Perubahan fisik, hormonal, dan emosional yang terjadi pada masa ini sering kali mempengaruhi kesehatan mental ibu. Aktivitas fisik dapat mengurangi stres dan meningkatkan kesehatan. Ibu nifas sangat rentan terjadi gangguan psikologis karena adanya perubahan peran dan tanggung jawab. Gangguan psikologis yang tidak dikelola maka akan berdampak buruk terhadap ibu nifas. Dalam upaya menjaga keseimbangan mental selama masa nifas, berbagai pendekatan telah dikembangkan, salah satunya adalah melalui aktivitas fisik seperti yoga. Tujuan: untuk mengetahui pengaruh intensitas postnatal yoga terhadap kesehatan mental ibu nifas Metode: Desain penelitian ini menggunakan desain quasi experimental dengan menggunakan model nonequivalent control group design. Instrumen penelitian kuesioner Edinburgh Postnatal Depression Scale. Teknik pengumpulan data adalah memberikan kuesioner sebagai pretest pada responden pada hari pertama pertemuan, kemudian selama 2 minggu responden mengikuti postnatal yoga, selanjutnya responden mengisi kuesioner sebagai posttest pada responden pada hari terakhir pertemuan. Hasil: Secara statistik didapatkan P-value =0,000 (<0,05). Terdapat perbedaan yang signifikan secara statistik antara skor kesehatan mental ibu nifas sebelum (Pretest) dan sesudah (Posttest) diberikan Terapi Yoga Postnatal. Kesimpulan: Terapi Yoga Postnatal terbukti sangat efektif secara signifikan dalam mengurangi tingkat gejala depresi pascapersalinan (menurunkan skor EPDS) pada kelompok ibu nifas. Saran: Disarankan perlu penelitian lanjutan tentang minat, motivasi dan faktor penghambat ibu nifas dalam mengikuti postnatal yoga. Kata Kunci : Ibu Nifas, Kesehatan Mental, Postnatal, Yoga ABSTRACT Background: Physical, hormonal, and emotional changes that occur during this time often affect a mother's mental health. Physical activity can reduce stress and improve health. Postpartum mothers are highly vulnerable to psychological disorders due to changes in roles and responsibilities. Psychological disorders that are not managed can have negative effects on postpartum mothers. In efforts to maintain mental balance during the postpartum period, various approaches have been developed, one of which is through physical activities such as yoga. Purpose: to determine the effect of postnatal yoga intensity on the mental health of postpartum mothers Methods: This research design uses a quasi-experimental design with a nonequivalent control group design model. Edinburgh Postnatal Depression Scale (EPDS) research questionnaire instrument. The data collection technique involved administering the questionnaire as a pretest to respondents on the first day of the meeting, then the respondents participated in postnatal yoga for 2 weeks, and finally, the respondents completed the questionnaire as a posttest on the last day of the meeting. Results: Statistically, a P-value of 0.000 (<0.05). There is a statistically significant difference between the mental health scores of postpartum mothers before (Pretest) and after (Posttest) receiving Postnatal Yoga Therapy. Conclusion: Postnatal Yoga Therapy has been proven to be significantly effective in reducing the level of postpartum depression symptoms (lowering EPDS scores) in the group of postpartum mothers. Suggestions; It is recommended that further research be conducted on the interests, motivations, and inhibiting factors for postpartum mothers in participating in postnatal yoga. Keywords: : Mental Health, Postpartum Mothers, Postnatal, Yoga
The Effect Of Prenatal Yoga On The Mental Health Of Third Trimester Pregnant Women
Latar Belakang: Ibu hamil adalah salah satu golongan kelompok yang rentan terkena masalah kesehatan mental karena perubahan yang dialami pada berbagai tahapan yang mempengaruhi kesehatan mentalnya. Kesehatan mental termasuk kecemasan kehamilan terbukti dapat dikurangi atau dihilangkan melalui latihan fisik yang direkomendasikan adalah yoga karena biaya rendah, mudah untuk dilakukan dan sangat bermanfaat untuk kebugaran fisik dan psikologi. Tujuan: Menganalisis pengaruh prenatal yoga terhadap kesehatan mental ibu hamil trimester III di wilayah kerja Puskesmas Tekarang Kabupaten Sambas. Metode: Metode penelitian menggunakan desain penelitian dengan quasi eksperimental menggunakan rancangan pre-post-test design. Sampel penelitian ini yaitu ibu hamil trimester III yang berkunjung saat pemeriksaan ANC berjumlah 20 orang yang terbagi menjadi 10 orang kelompok kontrol dan 10 orang kelompok intervensi. Teknik pengambilan sampel dengan teknik purposive sampling. Intrumen penelitian menggunakan kuesioner Hospital Anxiety and Depression Scale (HADS). Analisis bivariat menggunakan uji paired sample t-test Hasil: Hasil penelitian didapatkan nilai Sig. (2-tailed) adalah 0.000, yang lebih kecil dari 0.05 (batas signifikansi) sehingga p-value yang sangat kecil ini menunjukkan bahwa ada perbedaan yang signifikan antara hasil pretest dan posttest. Kesimpulan: Ada pengaruh prenatal yoga terhadap kesehatan mental ibu hamil trimester III di wilayah kerja Puskesmas Tekarang Kabupaten Sambas. Saran: Diperlukan survey minat ibu hamil dalam mengikuti prenatal yoga, beserta faktor pendukung dan penghambatnya. Kata Kunci : Prenatal yoga; kesehatan mental; ibu hamil; trimester III ABSTRACT Background: Pregnant women are a group vulnerable to mental health problems due to the changes experienced across various stages that affect their mental well-being. Mental health issues, including pregnancy-related anxiety, have been shown to be reduced or eliminated through recommended physical exercise, specifically yoga. This is because yoga is low-cost, easy to perform, and highly beneficial for both physical and psychological fitness. Purpose: To analyze the effect of prenatal yoga on the mental health of third-trimester pregnant women in the working area of Tekarang Public Health Center, Sambas Regency. Methods: The research method employed a quasi-experimental design using a pre-post-test design. The study sample comprised 20 third-trimester pregnant women who attended Antenatal Care (ANC) examinations. The sample was divided into 10 individuals for the control group and 10 for the intervention group. The sampling technique used was purposive sampling. The research instrument was the Hospital Anxiety and Depression Scale (HADS) questionnaire. Bivariate analysis was conducted using the paired sample t-test. Results: The results of the study showed a Sig. (2-tailed) value of 0.000, which is smaller than 0.05 (the significance threshold). This very small p-value indicates a significant difference between the pretest and posttest scores. Conclusion: There is an effect of prenatal yoga on the mental health of third-trimester pregnant women in the working area of Tekarang Public Health Center, Sambas Regency. Suggestions: A survey should be conducted to determine pregnant women's interest in participating in prenatal yoga, along with the identifying supporting and inhibiting factors. Keywords: prenatal yoga; mental health; pregnant women; third-trimester
The Effect Of Tapeto Patty (Tofu, Tempeh, Tomato) Consumption On Hemoglobin Level Improvement In Adolescent Girls
Background:Adolescence is a critical phase in growth and development, especially for adolescent girls who begin preparing for reproductive functions. Anemia remains a major health issue among adolescent girls in Deli Serdang Regency, with a prevalence reaching 71% in rural areas. One of the causes is low intake of nutrients, including iron and supporting vitamins. Objective : This study aims to determine the effectiveness of administering TAPETO fritters (Tofu, Tempeh, Tomato) in increasing hemoglobin (Hb) levels in adolescent girls. Methode: This study used a quantitative method with a pre-experimental one-group pretest-posttest design without a control group. Samples were selected using purposive sampling, and the intervention was carried out by providing TAPETO fritters for 21 consecutive days. Hb levels were measured five times: once before, three times during, and once after the intervention. Result : Statistical analysis showed a p-value of 0.000 < 0.05, indicating that the administration of TAPETO fritters significantly increased Hb levels in adolescent girls in Sei Baharu Village (Ha accepted and Ho rejected). Conclusion : The provision of TAPETO shows potential as a healthy and nutritious food alternative to increase Hb levels. This study is expected to produce an innovative food product for anemia management. Keywords: Adolescent Girls, Hemoglobin, Tofu, Tempeh, Tomato ABSTRAK Latar Belakang : Masa remaja merupakan fase penting dalam pertumbuhan dan perkembangan, terutama bagi remaja puteri yang mulai mempersiapkan diri untuk fungsi reproduksi. Anemia masih menjadi masalah kesehatan utama pada remaja puteri di Kabupaten Deli Serdang, dengan prevalensi mencapai 71% di daerah pedesaan. Salah satu penyebabnya adalah ren dahnya asupan zat gizi, termasuk zat besi dan vitamin pendukung. Tujuan : Penelitian ini bertujuan untuk mengetahui efektivitas pemberian perkedel TAPETO (Tahu, Tempe, Tomat) dalam meningkatkan kadar hemoglobin (Hb) pada remaja puteri. Metode : Penelitian ini menggunakan metode kuantitatif dengan desain pre-eksperimental one group pretest-posttest tanpa kelompok kontrol. Sampel dipilih menggunakan teknik purposive sampling, dan intervensi dilakukan dengan pemberian perkedel TAPETO selama 21 hari berturut-turut. Pengukuran kadar Hb dilakukan lima kali: satu kali sebelum, tiga kali selama, dan satu kali setelah intervensi. Hasil : Dari hasil uji statistic didapatkan bahwa nilai p-value 0,000 < 0,05 sehingga ada pengaruh pemberian perkedel Tahu Tempe dan Tomat (TaPeTo) terhadap Peningkatan Kadar Hb pada Remaja Puteri di Desa Sei Baharu (Ha diterima dan Ho ditolak). Kesimpulan : Pemberian TAPETO menunjukkan potensi sebagai alternatif makanan sehat dan bergizi untuk meningkatkan kadar Hb. Penelitian ini diharapkan menghasilkan produk pangan inovatif dalam penanganan anemia. Kata Kunci : Hemoglobin, Remaja Puteri, Tahu, Tempe, Tomat, ,.
The Influence Of The Marmet Technique On Breast Flow In Post Partum Mothers At Rosita'S Private Midwife Practice
Latar belakang : Masalah pada ibu menyusui seperti ASI tidak keluar di awal kelahiran sering ditemukan, upaya yang dapat dilakukan adalah memerah atau memompa ASI hingga bayi dapat menyusui. Salah satu teknik untuk melancarkan ASI yaitu menggunakan teknik marmet. Tujuan : tujuan penelitian ini adalah untuk mengetahui pengaruh teknik marmet terhadap kelancaran ASI pada ibu post partum. Metode : Jenis penelitian ini adalah penelitian pre eksperimental dengan rancangan post test only design control group. Populasi dalam penelitian ini adalah seluruh ibu post partum normal 6 jam sampai 3 hari post partum yang mengeluhkan ASI nya belum keluar, ibu yang ingin memberikan ASI ekslusif kepada bayinya, berat badan lahir bayi normal (2500-4000 gram) yang berada di wilayah Bidan Praktik Swasta Rosita Kota Pekanbaru pada bulan Maret s/d Juni 2018. Pengambilan sampel menggunakan purposive sampling berjumlah 10 orang kelompok yang dilakukan teknik marmet dan 10 orang kelompok yang tidak dilakukan teknik marmet. Hasil : Hasil uji mann whitney menunjukkan ada pengaruh teknik marmet terhadap kelancaran ASI pada ibu post partum dengan nilai (ρ = 0,001) < α = 0,05. Hasil penelitian pada ibu post partum yang dilakukan teknik marmet memiliki nilai median lebih tinggi yaitu 12,00 dengan nilai minimum 11 dan maximum 12 dibandingkan ibu post partum yang tidak dilakukan teknik marmet memiliki nilai median 6,00 dengan nilai minimum 5 dan maximum 12. Kesimpulan : Ada pengaruh teknik marmet terhadap kelancaran ASI pada ibu post partum di bidan praktik swasta Rosita kota pekanbaru tahun 2018. (Nilai ρ-value 0,001 < α 0,05). Saran : diharapkan bagi bidan untuk memberikan edukasi pada ibu post partum tentang teknik marmet yang berguna untuk kelancaran ASI Kata kunci : Kelancaran ASI, Teknik Marmet. ABSTRACT Background: Problems in breastfeeding mothers such as not having breast milk come out at the beginning of birth are often found, efforts that can be made are expressing or pumping breast milk. until the baby can breastfeed. One of the techniques to promote breastfeeding is using the marmet technique. Purpose: the purpose of this research is to find out the influence of the marmet technique on the flow of breast milk in postpartum mothers. Method: This type of research is descriptive research.pre-experimentalwith a plan post test only design control group. The population in this study were all normal postpartum mothers 6 hours to 3 days postpartum who complained that their breast milk had not come out, mothers who wanted to give exclusive breast milk to their babies, normal birth weight babies (2500-4000 grams) who were in the area of Rosita Private Midwife Practice, Pekanbaru City in March to June 2018. Sampling usedpurposive sampling totaling 10 people in the group that did the marmet technique and 10 people in the group that didn't do the marmet technique. Results: Test resultsmann whitney shows that there is an influence of the marmet technique on the smoothness of breast milk in postpartum mothers with a value of (ρ = 0.001) < α = 0.05. The results of the study on postpartum mothers who used the marmet technique had a higher median value, namely 12.00 with a value ofminimum 11 andmaximum 12 compared to post partum mothers who did not perform the marmet technique had a median value of 6.00 with a value of minimum 5 andmaximum 12. Conclusion: There is an influence of the marmet technique on the smooth flow of breast milk in postpartum mothers at the private midwife practice Rosita in Pekanbaru City in 2018. (ρ-value 0.001 < α 0.05). Suggestion: It is hoped that midwives will provide education to postpartum mothers about the Marmet technique which is useful for smooth breast milk flow. Keywords: Fluency of Breastfeeding, Marmet Technique.
The Relationship Between Body Mass Index and Anemia with Primary Dysmenorrhea in Adolescent Girls
Background: Primary dysmenorrhea is menstrual pain that occurs without any organic disorder and is often experienced by adolescent girls. The global prevalence reaches 60–90%, while in Indonesia, approximately 64.25% of adolescents report it. Risk factors include nutritional status (Body Mass Index/BMI) and anemia. An abnormal BMI (either underweight or overweight) is associated with hormonal disorders that can worsen pain, while iron deficiency anemia exacerbates uterine contractions through endometrial tissue hypoxia. Objective : To determine the relationship between BMI and anemia and the incidence of primary dysmenorrhea in adolescent girls. Methods: This study was conducted from January to May 2020 in Babussalam Village, Rokan Hulu Regency. This study was an observational analytic study with a cross-sectional approach. The population in this study were adolescent girls aged 12-16 years in Babussalam Village, Rokan Hulu Regency. Sampling used a total sampling technique of 50 adolescent girls who met the inclusion criteria. Results: The study found that 64.0% of adolescent girls experienced primary dysmenorrhea. Most of the adolescent girls were not anemic (58.0%), and 62.0% had a normal body mass index. The chi-square test analysis with a 95% confidence interval showed a significant relationship between body mass index (p=0.001) and anemia (p=0.003) and the incidence of primary dysmenorrhea in adolescent girls. Conclusion : BMI and anemia are significantly associated with the incidence of primary dysmenorrhea in adolescent girls, with anemia as the most influential factor. Recommendations: Adolescent girls are advised to maintain ideal nutritional status and regularly consume nutritious foods and iron supplements to prevent anemia. Schools and health workers need to increase education on reproductive health, menstrual pain management, and anemia prevention. Further research is recommended, including longitudinal designs and nutritional interventions. Keywords: Adolescents, Body Mass Index (BMI), Anemia, Dysmenorrhea
The Relationship Knowledge And Attitude Of Women Of Reproductive Age (WUS) To Early Marriage In The Village Area Of Pendada District Bandar Lampung City
Pernikahan dini merupakan pernikahan yang dilakukan oleh pria dan wanita yang masih berada dibawah umur. Pemerintah menetapkan usia ideal menikah diatas 19 tahun. Namun dalam praktiknya didalam masyarakat sekarang ini masih banyak dijumpai sebagian masyarakat yang melangsungkan pernikahan di usia muda atau di bawah umur. Berdasarkan data badan pusat statistik menurut Provinsi tahun 2022 proporsi WUS yang berstatus kawin atau berstatus hidup bersama sebelum umur 18 tahun di Provinsi lampung sebanyak 8,14%, sehingga Provinsi Lampung berada di urutan ke 8 dari 34 Provinsi. Tujuan penelitian ini untuk mengetahui hubungan pengetahuan dan sikap Wanita Usia Subur (WUS) terhadap Pernikahan Usia Dini di Wilayah Kelurahan Pidada Kecamatan PanjangKota Bandar Lampung. Desain penelitian dilakukan secara kuantitatif dengan pendekatan cross sectional. Dilakukan dari mei sampai dengan juni terhadap 109 orang responden dimana pengumpulan data menggunakan kuesioner kemudian dianalisa dan disajikan dalam bentuk tabel distribusi karakteristik, pengetahuan dan sikap. Data dianalisis menggunakan uji Chi Square. Hasil penelitian yang dilakukan oleh penulis berdasarkan hasil analisis bivariat bahwa ada hubungan yang signifikan pengetahuan di dapatkan nilai (p value=0,000 dan sikap di dapatkan nilai (p value=0,000) terhadap pernikahan usia dini.Pengetahuan yang kurang dan sikap negatif dari WUS berhubungan dengan terjadinya pernikahan usia dini di wilayah kelurahan pidada kecamatan panjang kota Bandar lampung. Saran diharapkan puskesmas wilayah setempat dapat mengedukasi Wanita Usia Subur (WUS) khususnya yang berada di wilayah kelurahan pidada kecamatan panjang tentang dampak negatif yang akan terjadi dari pernikahan yang dilakukan di usia dini. Kata Kunci : Pengetahuan, Sikap ,Pernikahan Usia Dini, WUS ABSTRACT Early marriage is a marriage carried out by men and women who are underage. The government's ideal age to marry is over 19 years. However, in practice in today's society there are still many people who marry at a young age or underage. Based on statistical center data by Province in 2022 the proportion of WUS who were married or living together before the age of 18 in Lampung Province was 8.14%, so that Lampung Province was ranked 8th out of 34 Provinces. The purpose of this study was to determine the relationship between knowledge and attitudes of women of childbearing age (WUS) towards early marriage in the Pidada Village area, Panjang District, Bandar Lampung City. The research design was carried out quantitatively with a cross sectional approach. It was carried out from May to June for 109 respondents where data was collected using a questionnaire and then analyzed and presented in the form of a distribution table of characteristics, knowledge and attitudes. Data were analyzed using the Chi Square test The results of the research conducted by the authors based on the results of bivariate analysis show that there is a significant relationship between knowledge and values (p value = 0.000) and attitudes (p value = 0.000) to early marriage. Lack of knowledge and negative attitudes from WUS are related to the occurrence of early marriages in the Kelurahan Pidada Panjang sub-district, Bandar Lampung cit Suggestions are that local community health centers can educate women of childbearing age (WUS), especially those in the Pidada sub-district, Panjang subdistrict, about the negative impacts that will happen from marriages carried out at an early age. Keywords: Knowledge, Attitudes, Early Marriage, WUS