Mitra Husada Health Internasional Conference (MIHHICo)

ANALYSIS OF THE REFERRAL SYSTEM PROCESS IN MATERNAL AND NEONATAL EMERGENCIES IN THE WORKING AREA OF THE BEUTONG KEC HEALTH CENTER. THE CAB. THE NAME OF ACEH YEAR 2024

2025-08-12T04:46:52+00:00

Maternal and child health is one of the focuses of the SDGsi, which globallyi still face complexi situations. Government policies aimed at reducing maternal and child mortality rates are implemented through health care programs for mothers and children, which are expected to meet targets and reach all beneficiaries (equity)i with high quality (quality). The 2023 Maternal and Child Health Survey (SKI 2023) aims to provide an up-to-date overview of the current state of maternali and child health, particularly neonates, to support efforts to reduce maternal and child mortality rates through more appropriate and effective strategies. Previous research conducted by Dinda Nestelita, Antono Suryoputro, and Wulan Kusumastuti stated that there is a relationship between the limited understanding of health workers regarding SOPs, communication between health workers and the referral information system of community health centers (puskesmas) with referral recipients (hospitals), which is less than optimal, as the dominant factor in implementing an optimal referral system. The research method used in this study is qualitative with a descriptive analytical approach and an observational design. Based on the above research, the data required is primary data obtained throughi ini-depthi interviewsi withi informantsi selected according to inclusion and exclusion criteria. The research wasi conductedi fromi Februaryi to Marchi 2024. Thei sample used in this study consisted of 8 health workers at the community health center and 1 pregnant woman in the Sultan Daulat sub-district. There are two criteria: inclusion criteria and exclusion criteria. The characteristics of the informants in the study show that almost all informants are female, with varying ages and positions ranging from 22 to 47 years old. The informants' educational backgrounds vary, with the majority holding a bachelor's degree, and the highest educational level being a nursing profession. Almost all informants work at the Beutong Health Center in Beutong District, Nagan Raya Regency, Aceh, as health workers, except for the ambulance drivers. The informants are also patients who underwent pregnancy examinations at the Beutong Health Center in Beutong District, Nagan Raya Regency, Aceh, and have undergone the referral process. Based on the above description, the researcher selected informants who met the predetermined criteria using purposive non-probability sampling.

THE INFLUENCE OF POSTPARTUM MOTHERS’ UNDERSTANDING OF BREAST CARE ON THE SUCCESS OF BREASTFEEDING AT FAHRINI AMIN CLINIC, BLANGPIDIE SUBDISTRICT, SOUTHWEST ACEH REGENCY, ACEH PROVINCE IN 2025

2025-08-12T06:03:33+00:00

Perawatan payudara saat menyusui bertujuan untuk menjaga payudara tetap bersih dan mudah dihisap bayi. Oleh karena itu, perawatan payudara mencegah terjadinya infeksi payudara seperti mastitis (infeksi payudara). Penyakit infeksi yang paling sering terjadi pada payudara adalah mastitis puerperalis (Yupita, 2023). Berdasarkan data WHO (World Health Organization), 17.230.142 ibu di dunia mengalami masalah payudara saat menyusui. Terdapat sekitar (22,5%) ibu yang mengalami masalah pada puting, (18%) mengalami ASI yang tidak keluar secara normal atau tidak lancar, dan sekitar (38%) ibu mengalami pembengkakan dan nyeri pada payudara. Akibat dari masalah-masalah tersebut, bayi yang seharusnya mendapatkan ASI eksklusif tidak diperoleh, dan hanya diberikan susu formula (Rizal, 2022). Penelitian ini bertujuan untuk mengkaji pengaruh pengetahuan ibu nifas mengenai perawatan payudara terhadap keberhasilan menyusui di Klinik Fahrini Amin, Kecamatan Blangpidie, Kabupaten Aceh Barat Daya, Provinsi Aceh tahun 2025. Penelitian ini menggunakan pendekatan analitik observasional dengan rancangan single-group design dengan pengukuran dilakukan sebelum dan sesudah intervensi. Populasi dalam penelitian ini adalah seluruh ibu yang menjalani nifas setelah melahirkan di Klinik Fahrini Amin tahun 2025 yang berjumlah 30 orang. Pengambilan sampel dilakukan dengan teknik total sampling. Analisis data dilakukan dengan menggunakan uji-T berpasangan, untuk melihat ada tidaknya perbandingan data sebelum dan sesudah diberikan perhatian orang tua serta diperoleh selisih rerata antara pre-test dan post-test. Hasil penelitian menunjukkan bahwa pengetahuan ibu nifas mengenai perawatan payudara berpengaruh terhadap keberhasilan pemberian ASI di Klinik Fahrini Amin, Kecamatan Blangpidie, Kabupaten Aceh Barat Daya, Provinsi Aceh tahun 2025. Klinik Fahrini Amin diharapkan dapat memaksimalkan pengetahuan ibu nifas melalui promosi kesehatan tentang pentingnya perawatan payudara untuk menunjang kelancaran produksi ASI.

FACTORS AFFECTING SECOND AND THIRD TRIMESTER PREGNANT WOMEN’S READINESS FOR DELIVERY AT PMB SHINTA MEDAN JOHOR DISTRICT IN MEDAN CITY, NORTH SUMATRA PROVINCE IN 2025

2025-08-15T03:21:40+00:00

One of reason height number death mother (AKB) and figures death baby (AKB) is unpreparedness Mother pregnant in face her delivery . This is can happen consequence delay handling moment happen complications childbirth in mothers . Readiness Mother in face labor can prevent occurrence complications in mother and baby with notice factor risks to the mother during the pregnancy process . There is readiness labor can done with prepare plan birth and preparation plan If occurs during labor mother . Purpose study This is identify and analyze factor affecting Mother pregnant in the second and third trimesters of pregnancy readiness childbirth . Sort of research This is a cross-sectional design and is quantitative and survey analytical. The study sample 32 women in their second and third trimesters who are moms were selected using purposive sampling. The inquiry This was put into practice in 2025 in PMB Shinta Medan City in the province of North Sumatra. Instrument studies employ questionnaires and apply the chi-squared statistical test to analyze data. According to the study's findings, 18 moms, or 56.3% of the total number of deliveries at PMB Shinta, are not prepared.There is significant relationship between knowledge mother ( p. value 0.047<0.05), parity Mother with p. value 0.029<0.05) and exposed information ( p. value 0.016<0.05). The conclusion is expected in mothers pregnant especially TM II and III so that they can prepare her delivery use prevent occurrence risk complications. Recommended for officer health can give Mother education health and motivation Mother pregnant in readiness mother during childbirth .

Keywords: Pregnant Women, Readiness , Childbirth , Parity, Knowledge

THE RELATIONSHIP BETWEEN KNOWLEDGE LEVEL AND ATTITUDE OF ADOLESCENTS TOWARDS THE BEHAVIOR OF THREE BASIC THREATS TO ADOLESCENT REPRODUCTIVE HEALTH (TRIAD KRR) IN BANGUN REJO VILLAGE, TANJUNG MORAWA DISTRICT IN 2025

2025-07-18T11:51:52+00:00

Introduction : Teenagers is the growing period flower child transition from childhood into adulthood (Bawono, 2023) . According to WHO, the age teenagers aged 10-19 years However according to opinion other distribution teenager can until age 21 , namely teenager early 10-13 years , middle 14-17 and late 18-21 years . KRR is Reproductive Health Teenager that is all matters concerning tool reproduction teenager Good in terms of organs, processes, even function reproduction teenager in a way physical , social and psychological . The KRR Triad is 3 threats health reproduction that always felt teenager that is sexuality , HIV, drugs and sexuality . Objective : to analyze the knowledge, attitudes and behavior of the KRR Triad in Bangun Rejo Village in 2025. Method : This research is an analytical survey with a cross-sectional design . Population and Sample: all teenagers in Bangun Rejo village in 2025, namely 80 people. Sampling using the Slovin Formula, so the sample is 44 people, the sampling technique is accidental according to the inclusion and exclusion criteria. Place and time: Bangun Rejo Village Rejo, Tanjung Morawa District month February until May 2025. Results : Univariate : Majority age respondents be in range 14-17 years old as many as 19 people (43%). Reviewed from type sex majority Woman as many as 23 people (52%), the majority respondents knowledge not enough as many as 20 people (45%). Attitude respondents majority behave negative as many as 25 people ( 55 %), Respondents majority Behavior No preventing the KRR Triad from killing 20 people ( 45 %) Bivariate : Chi square test, namely the results analysis obtained with p -value = 0.000 ( p<0.05) then There is connection knowledge and attitudes teenager to Triad KRR behavior in Bangun Rejo Village in 2025. Conclusion There is a Relationship knowledge with attitude teenager in To KRR Triad Behavior in Village wake up rejo Subdistrict cape Morawa Suggestion : Need done education in increase knowledge and making attitude teenager the more positive to behavior KRR Triad prevention

THE EFFECT OF WARM COMPRESS ON THE INTENSITY OF LABOR PAIN IN THE ACTIVE PHASE OF THE FIRST STAGE IN THE PRATAMA CLINIC AFISYA PERCUT SEI TUAN DISTRICT IN 2025

2025-08-12T05:20:35+00:00

Pain in thel activel phasel of first stagel of labor is a physiological elxpelrielncel that can causel discomfort and anxielty in laboring mothelrs. Non-pharmacological pain managelmelnt such as warm comprelssels is bellielveld to bel elffelctivel in relducing pain intelnsity with minimal risk. This study aims to analyzel thel elffelct of warm comprelssels on thel intelnsity of pain in thel activel phasel of first stagel of labor at thel Villagel Helalth Post (Poskelsdels) in Pelnanggoan Dureln Villagel, Palelmbang City. Thel study useld a quasi-elxpelrimelntal delsign with a onel-group preltelst-posttelst delsign. Thel study samplel was 30 mothelrs in thel activel phasel of first stagel labor who welrel divideld into trelatmelnt groups (n=15) and control groups (n=15) with a total sampling telchniquel. Pain was melasureld using thel Numelric Rating Scalel (NRS) belforel and aftelr thel intelrvelntion. Data analysis was pelrformeld using a paireld t-telst. Thel relsults showeld a delcrelasel in thel pain scalel in thel trelatmelnt group from an avelragel of 3.93 to 3.53, with p=0.011 (p<0.05), which melans thelrel is a significant elffelct of warm comprelssels on relducing thel intelnsity of pain in thel activel phasel of first stagel of labor. Conclusion: Warm comprelssels can bel useld as an elffelctivel non-pharmacological intelrvelntion to relducel pain in thel activel phasel of first stagel of labor.

THE EFFECTIVENESS OF USING A WEARABLE BREAST PUMP TO INCREASE BREAST MILK PRODUCTION AND BREASTFEEDING COMFORT AMONG WORKING MOTHERS AT ROSALINA MUNTHE PRIMARY CLINIC, KWALA BEKALA, MEDAN JOHOR DISTRICT, NORTH SUMATRA PROVINCE IN 2025

2025-08-12T10:31:17+00:00

Many working mothers struggle to maintain exclusive breastfeeding because of time constraints and inadequate lactation facilities. The wearable breast pump is a technological innovation designed to improve breast milk production and breastfeeding comfort, especially for working mothers. Objective: To determine the effectiveness of wearable breast pump use in increasing breast milk production and breastfeeding comfort among working mothers at Klinik Pratama Rosalina Munthe, Kwala Bekala, Medan Johor. Methods: This study used a pre-experimental one-group pre-test and post-test design. A total of 40 breastfeeding working mothers were selected using accidental sampling. Instruments included breast milk volume logs and a breastfeeding comfort questionnaire. Data were analyzed using the Wilcoxon test and Spearman correlation. Results: Following the use of a wearable breast pump, there was a significant increase in both breast milk production (p=0.000) and breastfeeding comfort (p=0.000). A strong positive correlation was also observed between breastfeeding comfort and milk production (r=0.654; p=0.000). Conclusion: The wearable breast pump is effective in increasing breast milk production and breastfeeding comfort among working mothers. It serves as a strategic solution to support successful breastfeeding in the context of employment.

Keyword: wearable breast pump; working mothers; breast milk production; breastfeeding comfort