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

Rita Mustika Ayu — 2025-08-14

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

Sri Rezeki — 2025-08-14

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

Marta Armita Silaban — 2025-08-14

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

PERSUASIVE LEAFLET PROMOTION MEDIA AND ITS IMPACT ON KIDNEY HEALTH

Herry Prasetyo — 2025-08-29

Background: Kidney health is greatly influenced by lifestyle, especially eating and drinking patterns. Lack of self-awareness in the student group due to practical and economic reasons, health education using persuasive leaflets is very important to be carried out to increase awareness and change healthy living behavior.

Research objective: To determine the use of promotional media in the form of persuasive leaflets in increasing compliance with kidney health behavior in students.

Method: This study used a pre-experimental design with a one group pretest-post-test approach. The subjects of the study were 45 students at one of the health colleges in the city of Purwokerto. The intervention was in the form of providing persuasive leaflets designed with the principles of visual communication and simple language. Data were analyzed using a paired t-test to see changes before and after the intervention.

Research results: There was an increase in compliance with kidney health behavior in the student group where before the intervention there were 21 people to only 5 people after the intervention. The level of correlation based on the paired t-test statistical test obtained a value of 0.64 which means it has a moderate correlation coefficient. The p value = 0.000 <0.005 indicates that there is a significant difference before and after the intervention

Conclusion and suggestion: Persuasive leaflet promotion media can influence student behavior to maintain kidney health. Students must continue to maintain healthy living behavior because they can be role models and agents of change in society.

ASSOCIATION OF SPOUSAL SUPPORT AND SOCIOECONOMIC STATUS WITH MATERNAL ANEMIA

Sharfina Haslin — 2025-09-08

Anemia dalam kehamilan merupakan salah satu komplikasi yang paling umum ditemui dalam perawatan antenatal dan tetap menjadi kontributor utama morbiditas ibu dan hasil kehamilan yang buruk. Di Indonesia, prevalensi anemia di antara wanita hamil telah mencapai 48,9%, memberikan kontribusi yang signifikan terhadap morbiditas ibu dan janin. Penelitian ini bertujuan untuk menguji hubungan antara dukungan pasangan dan status sosial ekonomi dengan kejadian anemia pada wanita hamil. Sebuah studi potong lintang dilakukan dari Mei hingga Juni 2025 di PMB Misykah. Total sampling diterapkan pada 45 wanita hamil di trimester kedua dan ketiga mereka yang memenuhi kriteria inklusi. Data dikumpulkan menggunakan kuesioner terstruktur dan data sekunder dari buku KIA. Variabel termasuk dukungan pasangan, status sosial ekonomi, dan status anemia berdasarkan kadar hemoglobin terakhir yang tercatat. Data dianalisis menggunakan analisis Chi-square dengan tingkat signifikansi p<0,05. Hasil penelitian menunjukkan bahwa 55,6% responden mengalami Anemia. Ditemukan hubungan yang signifikan antara dukungan pasangan dan anemia (p=0,014), serta antara status sosial ekonomi dan anemia (p=0,008). Temuan ini menunjukkan bahwa determinan sosial dan ekonomi merupakan faktor kunci yang berkontribusi terhadap anemia ibu. Oleh karena itu, program kesehatan ibu sebaiknya tidak hanya berfokus pada intervensi klinis, tetapi juga melibatkan suami dalam perawatan antenatal dan meningkatkan ketahanan ekonomi keluarga. Penelitian lebih lanjut diperlukan untuk mengeksplorasi mekanisme yang mendasarinya melalui studi longitudinal atau metode campuran.

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

Mesrida Simarmata — 2025-08-14

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

Khairunnisa Situmorang — 2025-08-14

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

Anna Waris Nainggolan — 2025-08-14

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

THE EFFECT OF LEMON AROMATHERAPY PILLOW ON ANXIETY IN POST HAEMODIALYSIS PATIENTS

handoyo — 2025-08-29

ABSTRAK

Hemodialisis merupakan terapi penunjang ginjal bagi pasien yang menderita penyakit ginjal kronis. Prosedur hemodialisis terkadang menimbulkan dampak psikologis pada pasien tersebut. Kondisi yang umum muncul adalah kecemasan. Penanganan non-medis yang dapat mengurangi kecemasan pasca hemodialisis adalah dengan menggunakan aromaterapi lemon (Citrus Aurantium) yang bersifat sedatif dan limonene yang dapat melancarkan peredaran darah. Unsur aromatik dalam lemon akan menstimulasi memori dan respons emosional di hipotalamus sehingga menimbulkan perasaan tenang, rileks, serta mengurangi kecemasan, stres, dan resistensi perifer pembuluh darah. Tujuan penelitian ini adalah untuk mengetahui pengaruh bantal aromaterapi lemon terhadap kecemasan pada pasien pasca hemodialisis. Penelitian ini menggunakan desain penelitian kuantitatif quasi eksperimen dengan rancangan pre-post test one group design. Sampel dalam penelitian ini adalah seluruh pasien pasca hemodialisis di panti jompo paliatif Purwokerto Timur dengan total sampling sebanyak 35 responden. Instrumen yang digunakan untuk mengukur kecemasan adalah kuesioner Hamilton Anxiety Rating Scale (HARs). Analisis data menggunakan uji t berpasangan. Hasil uji statistik menunjukkan adanya efek bantal aromaterapi lemon terhadap kecemasan pada pasien pasca hemodialisis (p = 0,000 < α = 0,05). Kesimpulan penelitian ini adalah bantal aromaterapi lemon dapat menjadi terapi komplementer nonfarmakologis pada pasien pasca hemodialisis.

THE RELATIONSHIP BETWEEN THE HABIT OF CONSUMING FOODS CONTAINING IRON WITH THE INCIDENCE OF ANEMIA IN PREGNANT WOMEN AT THE SULTAN DAULAT DISTRICT HEALTH CENTER IN 2025

Ira Sanjaya — 2025-09-11

Anemia in pregnancy is a major health problem in developing countries with high morbidity rates in pregnant women. The average pregnancy caused by anemia in Asia is estimated at 72.6%. The high prevalence of anemia in pregnant women is a problem currently being faced by the Indonesian government because it is related to morbidity and mortality in pregnant women. The purpose of this study was to determine the relationship between the habit of consuming foods containing iron and the incidence of anemia in pregnant women at the Sultan Daulat District Health Center. This type of research is an analytical survey study using a cross-sectional approach. The population of this study was all pregnant women who visited in January - December 2023 as many as 115 people. The sampling technique was purposive sampling with a sample size of 32 respondents. Data collection using questionnaires and Data analysis using the Chi-square test at a 95% confidence level. The results of the study obtained a pattern of habits of consuming foods containing iron, the majority of which were lacking as many as 20 people (62.5%) and the majority of pregnant women in the third trimester were anemic as many as 19 people (59.4%). The conclusion is that there is a significant relationship between the habit of consuming foods containing iron and the incidence of anemia in pregnant women at the Sultan Daulat District Health Center p-value = 0.001. Advice to pregnant women to maintain their intake of foods containing iron from vegetables, fish or meat every day to prevent anemia and pregnant women should consume iron tablets (Fe) during pregnancy regularly.