Mitra Husada Health Internasional Conference (MIHHICo)

RELATIONSHIP BETWEEN MOTHER'S KNOWLEDGE AND COMPLETENESS OF ADVANCED IMMUNIZATION IN TODDLERS AT PMB RIBCA RIAU 2023

Wed, 24 Jan 2024 00:00:00 +0000

Background rear : Immunization with Insert weak antigen to stimulate antibody go out so that body can
resistant to disease certain . Immunization advanced is test immunization base For maintain level
immunity and for extend the protection period already child _ get immunization basic . Immunization
repetition (booster) means gift immunity after immunization base ( Atikah Proverawati ,2019). For
analyze Connection Mother Knowledge With Completeness Immunization Advanced In Toddlers At
Pmb Rebekah Saragih Siadari , S.Keb Batam City Riau Archipelago in 2023. Type study This is an
analytical survey use cross sectional design . Population study This is mother who has baby toddler at
Rsia Maharani Tanjung Morawa, totaling 31 people, were obtained sample of 31. The sampling technique
uses a total sample . Data analysis using Chi-Square. Characteristics respondent show that majority
respondent based on Age 21-35 Years that is of 19 respondents (59.4%), last education the majority of
high school ie by 14 respondents (45.2%) and Occupation show that majority respondent No Work that
is by 17 people (53.1%), Information about immunization advanced majority respondents who did not
Once that is by 20 people (62.5%), the majority knowledge Mother not enough amounted to 18 people
(56.3). Majority respondent majority Completeness Immunization Continuation which is not complete
that is as many as 22 people (68.8%). Analysis results chi square test statistics obtained p value : 0.008
<α: 0.05 so that Ho is rejected and Ha is accepted. Connection Mother Knowledge With Completeness
Immunization Advanced in Toddlers at Pmb Rebekah Saragih Siadari, S.Keb Batam City Riau
Archipelago in 2023. Need exists counseling about with do counseling and dissemination information
about immunization advanced in a manner complete with routine and periodic especially mother who has
toddler in di Pmb Rebekah Saragih Siadari , S.Keb Batam City Riau Archipelago in 2023.
Keywords: knowledge, mother, toddler, immunization, continuation

THE RELATIONSHIP BETWEEN ANC SERVICES WITH THE LEVEL OF PREGNANT WOMEN'S SATISFACTION IN PMB RATNA KUTALIMBARU DISTRICT DELI SERDANG DISTRICT

Wed, 24 Jan 2024 00:00:00 +0000

Antenatal care is an important opportunity for health care providers to provide care,
support and information to pregnant women. This includes promoting a healthy lifestyle,
including good nutrition, detecting and preventing disease, providing family planning
counseling and supporting women who may experience intimate partner violence.
Research purposes :to determine the relationship between ANC services and the level of
satisfaction of pregnant women. Pregnancy is something that is very important for all
expectant mothers, where expectant mothers will definitely give the best attention and care
for their womb. Determination of the sample size of 57 pregnant women respondents
starting from April-June 2023. The research design that will be used in this study is
quantitative. This study will analyze the relationship between ANC services and the level
of satisfaction of pregnant women in independent practice Midwife Rini is an analytic
study with a cross-sectional time approach. Research Results: Based on the analysis of
data that has been carried out by researchers regarding ANC services with the satisfaction
level of pregnant women at PMB Ratna, it can be concluded that there is a relationship
between ANC services and the level of satisfaction of pregnant women at PMB Ratna, this
is in accordance with the two variables tested statistically by using the chi-square test
obtained a p value of 0.029 below 0,
Keywords :Keywords: ANC services, level of satisfaction, pregnant women

FACTORS AFFECTING THE INCIDENCE OF ANEMIA IN THIRD TRIMESTER PREGNANT WOMEN IN THE WORKING AREA OF THE BELAWAN HEALTH CENTER

Wed, 24 Jan 2024 00:00:00 +0000

Background: Maternal Mortality Rate (MMR) is one indicator to see the success of maternal
health efforts. MMR is the ratio of maternal mortality during pregnancy, childbirth and
postpartum caused by pregnancy, childbirth, and postpartum or its management but not due to
other causes such as accidents in every 100,000 live births Methods: : The research method is
carried out in a descriptive-quantitative form in which the relationship between anemia and
other causative factors will be obtained. Results: the results of research can be described
regarding the Factors that affect the Incidence of Anemine in Third Trimester Pregnant
Women in the working area of the Belawan Health Center totaling 45 people in 2023.
Keywords : anemia

THE RELATIONSHIP OF MOTHER'S AGE AND PARITY WITH THE INCIDENT OF PREMATE LABOR AT THE ADAM MALIK HAJJ CENTER GENERAL HOSPITAL YEAR 2023

Fri, 26 Jan 2024 00:00:00 +0000

Preterm labor is delivery at a gestational age of less than 37 weeks or low birth weight
(LBW)500 -2499 grams.Preterm labor is a delivery that takes place at gestational age of 20-37 weeks
counting from the first day of the last menstruation.This study aims to determine The relationship
between maternal age and parity with the incidence of preterm labor at RSUP.H.Adam Malik in 2023.
This research is an analyt ical study using a cross sectional approach. The population is all preterm
mothers at RSUP.H.Adam Malik in 2023 totaling 100 people. The number of samples used is 50
people obtained using the Simple Radom Sampling Technique. The data analysis technique uses Chi
square .The results obtained in this study were that the prevalence of age<20-30 years was 40
people(80%) and 20-30 years, namely 10 people (20.0%). The statistical test results P_Value
0.002,This means that there is a relationship between maternal age and the incidence Premature
labor.From the incidence of pretrem labor the prevalence of Multipara parity was 34 people
(68.0%),Primipara 16 people(32%), with P-Value of 0.01,This means that there is a relationship
between parity and the incidence of preterm labor.There is a relationship between the variables of
maternal age and the incidence of preterm labour.There is a relationship between the parity variable
and the incidence of preterm delivery.It is recommended that health workers increase the scope of
knowledge of adolescents and WUS for good reproduction.
Key words : Premature Labor, Maternal age, Parity.

THE RELATIONSHIP OF MOTHER'S AGE AND PARITY WITH EVENT SEVERE ANEMIA IN PREGNANT WOMEN IN HOSPITAL H. ADAM MALIK IN 2023

Fri, 26 Jan 2024 00:00:00 +0000

Background: Anemia is a condition where the Hb level is below normal. Pregnancy
anemia has an adverse effect on the mother and also on the fetus she is carrying, both
during pregnancy, childbirth, and the postpartum and subsequent periods. This study
aims to determine the relationship between maternal age and parity with the incidence of
severe anemia in pregnant women at H. Adam Malik General Hospital in 2023.
Method: This type of research is a cross sectional study with a non-porbality sampling
method and a purposive sampling method . The population is all pregnant women who
experience anemia at H Adam Malik General Hospital, totaling 137 mothers. The
number of samples used was 58 mothers, obtained using non-probability sampling. The
data analysis technique used was chi square.
Results: The results obtained in this study are that there is a relationship between
maternal age and anemia with a p-value <0.05, and there is a relationship between parity
and the incidence of anemia with a p-value <0.05
Conclusion: There is a relationship between age and parity and the incidence of anemia
in pregnant women. Recommended for pregnant women increase awareness on Mother
pregnant For utilise information on what causes and what affects anemia during
pregnancy And can used as material reading in preventing anemia during pregnancy .
Keywords: Pregnant Women, Anemia, Age, Parity

SUSTAINABLE MIDWIFERY MANAGEMENT CARE Continuit Of Care (COC) IN NY.I AT PRATAMA CLINIC ROSNI ALIZAR MEDAN CITY YEAR 2022

Wilan Ayu Prastika, Rosmani Sinaga, Ingka Kristina Pangaribuan, Retno Wulandari — Fri, 26 Jan 2024 00:00:00 +0000

BACKGROUND:The aim of the maternal health program is measured through the maternal mortality
index or KIA with the maternal mortality indicator being concluded as all deaths during pregnancy,
childbirth and postpartum not due to the cause but rather as an accident or incident. It can be concluded
that the total maternal mortality rate (MMR) is all deaths in the room. scope with a total of 100,000 live
births (2020 Health Profile). Efforts to progress battery reduction can be carried out by every mother
gaining access to quality health services, such as health services for pregnant women and birth assistance
by competent health workers as well as care for women in labor and babies, referrals will be made if there
are problems and services for family planning including post - partum (Goals, 2019). The indicator for
reducing mortality in neonates aged (six to forty eight) hours after birth is carrying out an initial visit called
KN1. KN1 includes counseling for newborns on how to care for the umbilical cord, exclusive
breastfeeding and administration of vitamin K1 and giving Hepatitis B0 injections.
METHODOLOGY: The method used for comprehensive care for Mrs. I uses descriptive case
studies which systematically describe a phenomenon with the type of data used, namely
observational case studies to obtain an overview of health phenomena or cases related to life,
especially at the boundaries of context and unclear phenomenon. In this case, the author wants
to describe the midwifery care of Mrs. I.
RESULTS:Management of care for pregnant women, childbirth, postpartum, newborns and
family planning until there is a theoretical comparison between gaps.
CONCLUSION: Continuous care is provided starting from pregnancy, childbirth, postpartum,
newborns, and family planning using Yarney's 7 steps and Soap documentation. Gestation 37
weeks 1 day, live fetus, singleton, precept, intrauterine with TM 3 discomfort, managed
according to plan. Monitoring of the postpartum period is normal without any danger signs
with monitoring of data monitored from 6 hours to 6 weeks post-partum. Evaluations obtained
from the results of Pregnancy, Childbirth, Postpartum, BBl, and Family planning visits are in
accordance with the midwifery care that has been determined regarding visits.
KEYWORDS: Pregnancy, Childbirth, Postpartum, Family Planning, Family Planning

ANALYSIS OF THE RELATIONSHIP BETWEEN THE CHARACTERISTICS OF POSTPARTUM WOMEN AND THE INCIDENCE OF BABY BLUES IN THE WORKING AREA OF THE SIGOMPUL HEALTH CENTER, HUMBANG HASUNDUTAN DISTRICT

Asli Troin Hutasoit, Stevany Pangaribuan, Martaulina Sinaga, Lasria Simamora — Fri, 26 Jan 2024 00:00:00 +0000

Background: Postpartum Distress Syndrome or also often referred to as Baby Blues Syndrome
is a psychological reaction in the form of postpartum depression symptoms with mild levels.
This syndrome appears after childbirth and often occurs on the third or fourth postpartum day
and peaks on the fifth and fourteenth postpartum days (Medicastore, 2012).The population on
the incidence of postpartum blues in Indonesia is ranked fourth, which is about 31 births per
1000 population (USAID, 2016). While the incidence of postpartum blues in Indonesia
according to the Indonesian Ministry of Health (2018) from an average of 6.8%, where about
3% of the age of the mother at childbirth between 11-19 years. Methods: This study is a
correlational analytic observational study that looks for the relationship between the
independent variable and the dependent variable using a cross sectional approach. The
independent variable in this study is the characteristics of postpartum mothers while the
dependent variable is the incidence of baby blues syndrome. Result: The results of bivariate
analysis between parity and the incidence of baby blues obtained a p value of 0.003 (<0.05),
this indicates that parity is significantly associated with the incidence of baby blues. Experience
during labor, extreme pain during the birth process can be a precipitating factor, for example
in mothers who have to be induced several times, rupture of membranes before the opening
process, episiotomy which causes pain and pain or also surgical delivery. Familiarity with
childbirth plays an important role in the incidence of postpartum blues. Mothers who have just
given birth for the first time tend to experience postpartum blues more than mothers who have
experienced childbirth before. Mothers who have just given birth for the first time will adapt
to changes in roles that have never been passed before so that they are more likely to experience
postpartum blues.
Keywords: Charasteristics, Baby Blues, Post Partum

SUSTAINABLE MIDWIFERY MANAGEMENT CARE (Continuity Of Care) IN NY. S AT PMB SARFINA KEC. MEDAN CITY POLONIA YEAR 202 3

Fri, 26 Jan 2024 00:00:00 +0000

BACKGROUND: Factors that influence the level of public health which is still not optimal are influenced
by environmental conditions. Community behavior in health and genetic services, it is known that 38.7%
of households have practiced clean and healthy living behavior. In 2010-2014, the Ministry of Health set
a target for 70% of households to practice clean and healthy living behavior (PHBS) (Rachmawati, 2019).
Development Public health is an important aspect of overall national development. Maternal and child
health problems are health problems that need more attention because they have a big impact on
development in the health sector and improving the quality of human resources. One indicator of the level
of public health is the maternal mortality rate (MMR) and infant mortality rate (IMR). The higher the
maternal and infant mortality rates in a country, it can be confirmed that the country's health level is poor
(RI, 2018).
METHODOLOGY: The method used for comprehensive care for Mrs. S is descriptive
research, which systematically describes a phenomenon as it is. The type used is a case study,
which is an observational study that obtains an overview of health phenomena or current cases
related to life, especially at the boundaries of unclear contexts and phenomena. In this case, the
author wants to describe midwifery care for Mrs. S. (Riyanto, 2018).
RESULTS: Management of care for pregnant women, childbirth, postpartum, newborns and
family planning until there is a theoretical comparison between gaps.
CONCLUSION: Midwifery care during pregnancy for Mrs. S has been given but does not
comply with the 10 T standard at the Sarfina Sembiring clinic. So there is a gap between theory
and practice. Midwifery care for mothers giving birth has been carried out, Mrs. S gave birth
normally to a male, BB 3200 grams, PB 49 cm, the baby cried strongly and moved actively.
Midwifery care during the postpartum period Mrs. S went well, the mother did not experience
any danger signs during the postpartum period. Mother wants to carry out the recommendations
that have been given for maternal health during the postpartum period. All midwifery care
provided during pregnancy, childbirth, postpartum, newborn and family planning has been
documented.
KEYWORDS: Pregnancy, Childbirth, Postpartum, Family Planning, Family Planning

THE RELATIONSHIP BETWEEN THE USE OF 3-MONTH INJECTABLE BIRTH CONTROL WITH WEIGHT GAIN IN WOMEN BIRTH CONTROL ACCEPTORS AT PMB SARI MAHDALENI, BENGKONG DISTRICT, BATAM CITY IN 2023

Mon, 26 Feb 2024 00:00:00 +0000

According to the World Health Organization (WHO) (2018) contraceptive use has increased
in many parts of the world, especially in Asia and Latin America and lowest in Sub-Saharan
Africa. Globally, modern contraceptive use has increased significantly from 54% in 1990 to
57.4% in 2014. Regionally, the proportion of couples of childbearing age 15-49 years who
report the use of modern contraceptive methods has increased for at least the last 6 years. In
Africa from 23.6% to 27.6%, in Asia it has increased from 60.9% to 61.6%, while Latin
America from the Caribbean rose slightly from 66.7% to 67.0%. The coverage of new and
active family planning participants in Indonesia in 2021 with the number of couples of
childbearing age (PUS) is 47,019,002. New birth control comorbidities (16.15%) included
injections (49.67%), birth control pills (25.14%), condoms (5.68%), implants (10.65%). UID
(Intra Uterine Device) as much (7.15%), female surgical method (MOW) As. The purpose of
this study is to determine the effect of using 3-month injectable birth control with weight gain
in women birth control acceptors at PMB Sari Mahdaleni, Bengkong District, Batam City in
2023. The research design is an analytical survey with a cross sectional approach which is a
study of the relationship between two variables in a situation or a group of subjects carried
out to see the relationship between other variables (Notoadmodjo, 2010). Which aims to
determine the relationship between the use of 3-month injectable birth control with weight
gain in female birth control acceptors at PMB Sari Mahdaleni, Kec. Bengkong, Batam City in
2023
KEYWORDS: UID ,PUS AND MOW

THE RELATIONSHIP BETWEEN MATERNAL KNOWLEDGE AND THE ROLE OF HEALTH WORKERS ON STUNTING HANDLING IN THE UPT POLONIA HEALTH CENTER AREA IN 2023

Fri, 26 Jan 2024 00:00:00 +0000

Background: Toddlers, namely the golden age period, are important periods in the process of human
growth and development. According to the World Health Organization (WHO), stunting is a chronic
nutritional problem in toddlers characterized by shorter height compared to other children . One of the
factors that can influence the incidence of stunting is the lack of knowledge of mothers about stunting
which causes children to be at risk of failure to grow and develop.
Objective: This study aims to determine the picture of the level of knowledge of mothers about
stunting in the UPT Polonia Health Center Area in 2023.
Method: This research is qualitative with descriptive method. The respondents in this study were
mothers who had toddlers at the Posyandu of Madras Hulu sub-district
Results: The results of the study found that the average education of respondents was in the junior
high school category and the most dominant level of knowledge was at the medium level of
knowledge.
Keywords: Knowledge Level, Stunting, Mothers of toddlers.

FACTORS ASSOCIATED WITH COMPLICANCE IN PREGNANT WOMEN TAKING FE TABLET IN PUSKESMAS KUTA BAHARU,KOTA BAHARU DISTRICT,ACEH SINGKIL DISTRICT 2023

Rahmani Suriono, Yasrida Nadeak, Repi Mariska Purba — Mon, 12 Feb 2024 00:00:00 +0000

Pregnant women are the result of fertilization from sperm which causes the mother to carry a
fetus in her womb, namely in her uterus. In this study the number of samples based on the
formula with the total population and samples totaled 37 samples. Sampling using slovin
formula.
The results showed that there was a relationship between knowledge and adherence to
consuming Fe tablets in pregnant women with a p-value of 0.001 <0.05, the role of health
workers with a p-value of 0.009 <0.05, family support with a p-value of 0.006 <0. 05 and ANC
with a p-value of 0.002 <0.05 associated with adherence to consuming Fe tablets in pregnant
women.
There is a relationship between knowledge and adherence to consuming Fe tablets in pregnant
women with a p-value of 0.001 <0.05. There is a relationship between the role of health workers
and adherence to consuming Fe tablets in pregnant women with a p-value of 0.009 <0.05

FACTORS THAT INFLUENCE THE OCCURENCE OF ANEMIA IN PREGNANT WOMEN AT PMB ROHANA JAMBI PROVINCE IN 2023

Anis Lestari, Ernamari, Nurmalina Hutahaean — Thu, 29 Feb 2024 00:00:00 +0000

Title: factors that influence the occurrence of anemia in pregnant women at PMB Rohana
Jambi Province in 2023.
Background: anemia is a condition when the number of red blood cells or oxygen-
transporting concentrations (Hb) is insufficient for the physiological needs of the body. While
the effects of anemia on pregnancy include miscarriage, premature labor, bleeding shock,
inpartum infection and if anemia in Hb is less than 4%, heart trouble not only complicates
pregnancy and childbirth, it can even break. Kuragny maternal knowledge about anemia in
this study is due to the influencing factors such as: knowledge, age, education and
employment of the mother. The purpose of this study is " factors that influence the
occurrence of anemia in pregnant women at PMB Rohana Jambi Province in 2023 "
Method: This type of research is a research design that is used in this research is analytic
with a cross sectional approach. Samples in the study were taken by total sampling,
amounting to 34 respondents. Data collection using questionnaires and check lists. The data
analysis used was univariate analysis with percentage and bivariate analysis using Chi-Square
test
Results: The results of the study, the incidence of anemia was 58.8%, the majority had less
knowledge of 50.00%, those who had <20 years old, the majority was 52.9%, those who had
junior high school education, the majority were 11 32.4%, majority of 15 IRT jobs are 44.1%.
The bivariate analysis concluded that there was a relationship between knowledge, education
age, occupation and anemia in pregnant women at the PMB Rohana Jambi Province in 2023.
(p-value 0.002%)
Conclusion: from the study it can be concluded that there is a relationship between
knowledge, age, work education and anemia in pregnant women

The Relationship Between Knowledge And Colostrum Giving To Lbw Lbw At Rsia Maharani Tanjung Morawa

Wed, 24 Jan 2024 00:00:00 +0000

Colostrum is the first stage in which breast milk comes out. This slightly yellowish colored colostrum contains 10 - 17 times more antibodies than mature breast milk to protect babies from substances that can cause allergies or infections before receiving complete basic immunization (Rahmah, 2019). According to 2021 (RISKESDAS) data, the Early Breastfeeding Immunization (IMD) rate fell from 58.2 percent in 2019 to 48.6 percent in 2021. For to analyze the relationship between the knowledge of post-sectio caesarean mothers and the administration of colostrum to newborns at Rsia Maharani Tanjung Morawa. Type study This is survey analytic use cross sectional design . The population of this research is post partum mothers who have babies new born in Rsia Maharani Tanjung Morawa, amount 31 person, sample obtained as big 31 . Technique sampling using total sample . Analysis data using Chi- Square . The characteristics of the respondents showed that the majority of respondents were aged 21-35 years, namely 18 respondents (58.1%), the last education was the majority of high school, namely 14 respondents (45.2%) and employment showed that the majority of respondents worked, namely 15 people (48 .4%), the majority mother's knowledge is lacking both amounted to 17 people ( 54,8 ) . Majority respondent did not give colostrum to their babies totaling 22 people (29.0%) . There is a relationship between the knowledge of post section caesarea mothers by giving colostrum at RSIA Maharani Tanjung Morawa, with p value : 0.0 32 < α : 0.05 up Ho rejected and Ha accepted. There is a relationship between mother 's knowledge and giving colostrum to newborns . There needs to be counseling about the importance of Colostrum when the newborn is to stimulate the release of breast milk during the growth period baby at RSIA Maharani Tanjung Morawa.

Keywords: knowledge, mother, post, partum, colostrum

THE RELATIONSHIP OF FAMILY SUPPORT WITH ADVANCED IMMUNIZATION COMPLETENESS DPT-HB-Hib (PENTAVALENT) IN TODDLER IN LUMBAN HEALTH CENTER, JULU DISTRICT TOBA SAMOSIR NORTH SUMATRA YEAR 2023

Wed, 24 Jan 2024 00:00:00 +0000

Based on report UNICEF mention that 19.5 million child toddlers around the world yet
get service immunization complete . As a result , 2 -3 million death , and 30% death
consequence possible disease _ prevented with immunization . On average in ASIAN countries
89% received immunization . There are approximately 32,007 deaths per year including caused
by possible diseases _ prevented with immunizations , such as Diphtheria , Tetanus,
Tubercolosis , Polio, Measles and Pertussis (UNICEF, 2019 ). In 2014-2016, there were
1,716,659 children who did not get immunization and immunization No complete . Every year
more of 1.4 million children in the world die Because various actual disease _ can prevented
with immunization . So activities immunization expanded into a Development Program
Immunization (PPI) in frame prevention transmission to a number of Possible Diseases _
Prevented with Immunization (VPD), ie Tuberculosis , Diphtheria , Pertussis , Measles , Polio,
Tetanus, Hepatitis-B, and Pneumonia ( Riskesdas , 2018). Study This aim For For analyzing “
Relationships Support Family With Completeness Immunization Advanced Dpt -Hb-Hib
(Pentavalent) in Toddlers at Lumban Julu Community Health Center, Toba Samosir Regency,
North Sumatra in 2023 . Population in study This is all mother who has child the toddler did
visit Immunization Advanced 31 people received -Hb-Hib (Pentavalent) at the Lumban Julu
Community Health Center , Toba Samosir Regency, North Sumatra . taking sample using total
sampling. Instrument research used _ researcher in data collection is questionnaire.retrieval
sample using total sampling. Instrument research used _ researcher in data collection is
questionnaire . Results analysis statistics test chi square obtained p value : 0.044 < α: 0.05 so
that Ho is rejected and Ha is accepted, namely there is a relationship between family support
and the completeness of Dpt-Hb-Hib (Pentavalent) advanced immunization for toddlers at the
Lumban Julu Health Center, Toba Samosir Regency, North Sumatra in 2023.
Keywords : Immunization, Toddlers , Support family

INTERPROFESSIONAL COLLABORATION PRACTICE IN POSTPARTUM HEMORRHAGE MANAGEMENT IN DEVELOPED AND DEVELOPING COUNTRIES: A SCOPING REVIEW

Wed, 24 Jan 2024 00:00:00 +0000

Background: the main cause of death in pregnant women is postpartum hemorrhage. The
application of interprofessional collaboration practice is very important in implementing
PONED and referral hospitals, so that the interventions given are accurate and improve the
quality of service. Objective: To review current evidence of interprofessional collaboration
practice in the management of postpartum hemorrhage. Method: Scoping review using the
Arksey and O'Malley framework. Researchers used three databases namely Pubmed, Science
Direct, Ebsco and Gray literature (Google Scholar). Only full-text original articles published
in English between 2013 2023 met the inclusion criteria. Results: Of the 158 relevant articles,
five articles met the inclusion criteria with grades A and B. There were several themes, namely
the role of midwife in managing postpartum hemorrhage, Lack of competence in clinical
knowledge and skills, Inadequate health facilities, including infrastructure, Comprehensive and
specific evidence-based guidelines are not yet available, Referral system, and Lack of
Interpersonal communication between health workers and others, Health worker team training
in HPP, and Improved effective communication. Conclusion: The role of health workers in
the management of postpartum hemorrhage, Barriers to health workers in the management of
postpartum hemorrhage, Development of IPC in the management of postpartum hemorrhage
Keywords : Interprofesional Collaboration Practices; Management; Postpartum Hemorrhage

(THE RELATIONSHIP BETWEEN ANEMIA IN MATERNAL BIRTH AND POSTPARTUM HAEMORRHAGEAT BPM BETTI HERAWATI JAMBI IN 2023)

Nurbaiti, Nurmalina Hutahaean — Fri, 26 Jan 2024 00:00:00 +0000

Background: Postpartum hemorrhage is the most common cause of all deaths from obstetric
bleeding. Postpartum hemorrhage is bleeding that exceeds 500 ml after the baby is born in
vaginal delivery and exceeds 1000 ml in Caesarean section. The purpose of this study was to
determine the relationship between anemia in women giving birth and postpartum
hemorrhage at BPM Betti Herawati Jambi in 2023.
Method: this type of research is a research design that is used in research is to maximize a
control of several factors that can affect the validity of a result. The sampling technique used
in this research is purposive sampling technique. The sampling technique is taken by total
sampling, amounting to 36 people. respondent. Data collection uses secondary data, namely
by using patient registration book sources and medical records at BPM Betti Herawati Jambi.

Data analysis used was univariate analysis with percentages and bivariate with the Chi-
Square test

Results: Univariate analysis The results of the research that was conducted on 36
respondents obtained the majority of respondents who experienced non-anemic 17 people
(47.2%), who experienced Anemia of the minority 19 people (52.8%). Postpartum
hemorrhage the majority 17 people (47.2) %). The minority who did not experience
postpartum hemorrhage were 19 people (52.8%). Bivariate analysis concluded that of the 15
respondents (10.4%) who experienced anemia with no postpartum hemorrhage, anemia was
found in 4 respondents (8.6%) who are bleeding
postpartum, No Anemia found 4 respondents (6.6%) who did not bleed postpartum and No
Anemia obtained 13 Respondents (5.4%) who experienced Postpartum Bleeding.
Conclusion: from the study it can be concluded that there is a relationship between Anemia
and Postpartum Bleeding at BPM Betti Herawati Jambi in 2023 (p-value 0.001%).

Keywords: anemia in women giving birth with postpartum hemorrhage.

SUSTAINABLE MIDWIFERY MANAGEMENT CARE Continuity Of Care (COC) IN NY. N AGE 29 YEARS AT THE PRATAMA NIAR CLINIC, DISTRICT SANDING MEDAN IN 2023

Nurul Padilah, Riska Susanti Pasaribu, Ester Simanullang, Lisa Putri Utami — Fri, 26 Jan 2024 00:00:00 +0000

BACKGROUND : Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR) are
indicators that reflect the welfare of the people of a country. Development efforts in the
health sector aim to achieve Sustainable Development Goals (SDGs) with a focus on
improving the level of public health. The government is trying to improve the welfare of
mothers and children.
METHODOLOGY: This research uses a descriptive method with a case study approach.
Data was collected through direct interviews with Mrs. N at Pratama Niar Clinic, Jl. Pelita,
throughout November 2022. The data obtained consists of primary and secondary data, then
analyzed by reducing important data and providing a clear picture.
RESULTS: The research results show that there is a gap between practice and theory in the
management of pregnancy, postpartum, newborn care and family planning programs.
CONCLUSION: During pregnancy, Mrs. N underwent 4 visits to the clinic and 1 visit to the
doctor, which was not in accordance with the guidelines. During labor, the procedures are in
accordance with the theory. During the postpartum period, 4 visits are carried out, and there
are 3 visits for newborns. Mrs. N chose a 3-month family planning injection in the family
planning program.
Keywords: third trimester , baby birth , postpartum, and family planning

(THE RELATIONSHIP OF LABOR MOTHER AGE AND PARITY WITH PREECLAMSIA IN PRATAMA MARTUA SUDARLIS CLINIC MEDAN 2023)

Nurmalina Hutahaean, Merrygrace Simanjuntak, Siti Nurmawan Sinaga — Mon, 12 Feb 2024 00:00:00 +0000

Preeclampsia is a disease that arises with signs of hypertension, edema, and urine protein
arising from pregnancy and childbirth. Labor with preeclampsia is one of the most critical
issues in midwifery care. In Indonesia 30% of maternal deaths are due to hypertension in
pregnancy and in North Sumatra 9 the number of maternal mortality is always a danger caused
bypreeclampsia.The purpose of this study was to determine whether there is a relationship
between maternal age and parity with preeclampsia in Clinic Pratama Martua Sudarlis Medan
in 2023. This research is an analytical survey with cross sectional method approach. Sampling
technique using secunder data of 30 mothers who experienced preeclampsia from January to
July 2023 at Clinic Pratama Martua Sudarlis Medan in 2023. The results of research on 30
mothers with pre-eclampsia based on age 20-35 years majority did not risk as much as 22
people (73,3%). Based on primipara parity majority do not risk as many as 18 people (60,9%).
Based on severe preeclampsia the majority of 15 people (50.0%). The result of bivariate study
showed that there was a correlation between age and pre-eclampsia with p-value (p-0,001)
and there was a parity relationship with pre-eclampsia with p-value (p-0,003).These results
conclude that age and parity of maternal mothers are associated with preeclampsia In Pratama
Martua Sudarlis Medan Tahun 2023. It is expected that health workers, especially to Pratama
Martua Sudarlis Medan Clinic in order to provide complete information about the dangers of
preeclampsia, and health workers are expected to improve maternal midwifery care about
preeclampsia.
Keywords: Mother Age, Parity, Preelamsia

THE RELATIONSHIP BETWEEN FAMILY SUPPORT WITH VISITS OF POSTPARTUM MOTHERS IN THE WORKING AREA OF TANJUNG LEIDONG HEALTH CENTER, LABUHAN BATU UTARA DISTRICT

Sri Helda Sihombing, Veny Monica, Sri Deviani, Lasria Simamora, Lasria Simamora — Fri, 26 Jan 2024 00:00:00 +0000

Background:Maternal and child health efforts are one of the priorities for health development in
Indonesia. The Maternal Mortality Rate (MMR) is an indicator to see the success of maternal health
efforts. Therefore, mothers and children are family members who need to get priority in implementing
health efforts, because mothers and children are a vulnerable group. This is related to the phases of
pregnancy, childbirth and postpartum in the mother and the growth and development phase in the child.
Maternal death is defined as all deaths during the period of pregnancy, childbirth and the puerperium
caused by pregnancy, childbirth and the puerperium or their management but not due to other causes
such as accidents or incidentals. Maternal Mortality Rate (MMR) is all deaths within this scope in every
100,000 live births. The maternal mortality rate describes the level of awareness of healthy living
behavior, nutritional and health status, environmental health conditions, level of health services
especially for pregnant women, health services during childbirth and the postpartum period.
Methods:Based on a survey conducted by the author, the majority of postpartum mothers and husbands
think that they only need to be examined during the first 1 week of childbirth, when the wife is able to
do light activities at home, the husband feels that the wife no longer has to check with health services,
this can happen because people still have lack of knowledge and family support regarding the benefits
of postpartum visits. Results:The results of the analysis test show that the calculated p value is 0.013
(<0.05) which indicates a significant relationship between family support and the completeness of
postpartum visits. Family support is the attitude, action and acceptance of the family towards sick
sufferers. Family members view that people who are supportive are always ready to provide help and
assistance if needed. Family support has become a conceptualization of social support as family coping,
both internal and external family social support has proven to be useful. Husband and family can provide
important social support for neonatal mothers. According to Muslihatun (2010) in Darmawan (2011)
Mothers in the postpartum period need to receive support from husbands and family in caring for
neonates, a mother must always be accompanied by her family (husband) as a psychological moral
encouragement for the mother. Conclusion:The majority of respondents support postpartum mothers
as many as 19 people (47.5%),
Keywords: Family support, Postpartum, Community Health center

THE RELATIONSHIP OF PUTTER MOTHER'S FATIGUE AND BREASTFEEDING MOTIVATION IN THE WORKING AREA OF THE SIGOMPUL HEALTH CENTER, HUMBANG HASUNDUTAN DISTRICT

Joiseva Pardosi, Lasria Simamora, Henny Rista — Fri, 26 Jan 2024 00:00:00 +0000

Background: Based on data from the 2019 Health Profile of 186,460 babies aged <6 months,
it was reported that only 75,820 babies received exclusive breast milk (40.66%), this
achievement is still far from the target determined in the 2019 North Sumatra Provincial Health
Service Strategic Plan, namely 53 %. Referring to the Strategic Plan target of 53%, there are
10 regencies/cities that have achieved this target, namely North Nias, Sibolga, Samosir, North
Tapanuli, South Tapanuli, Mandailing Natal, Tebing-Tinggi, North Labuhanbatu, Dairi and
Humbang Hasundutan. The fatigue felt by the mother during breastfeeding reduces breast milk
production during the first month. Disorders that occur in the hormone oxytocin result in a
buildup of milk in the alveoli so that the breasts enlarge and pain occurs in the abscessed breast.
Therefore, the motivation of some postpartum mothers decreases to provide exclusive
breastfeeding on a regular basis. The type of research is Correlational Research with a quantitative
approach. The research was conducted in the Sigompul Community Health Center Working Area,
Humbang Hasundutan Regency, carried out from April - June 2022. Postpartum maternal fatigue is
related to the motivation to provide exclusive breastfeeding in breastfeeding mothers aged 0-6 months
in the Sigompul health center working area.
It is hoped that the results of this research can be used as a new and innovative method in
midwifery, in providing knowledge about the importance of recognizing postpartum fatigue
early so that it can increase mothers' motivation to breastfeed exclusively

Keywords: Fatigue, motivation, postpartum, breastfeeding

THE RELATIONSHIP BETWEEN PREGNANT WOMEN'S KNOWLEDGE ABOUT THE BENEFITS OF PREGNANCY EXERCISE AT PRATAMA KASIH BUNDA CLINIC, Jl. NEW PIONEER, LALANG VILLAGE, REGENCY. SERDANG DELI, NORTH SUMATRA IN 2023

Fistas Talenta Waoma, Nurmalina Hutahaean, Misniati, Vivi Abdiani Purba — Fri, 26 Jan 2024 00:00:00 +0000

Pregnancy gymnastics is physical exercise in the form of certain movements that are carried
out specifically to improve the health of pregnant women. Pregnancy exercise is part of one of
the activities in the antenatal class. This study aims to determine the relationship between
knowledge of pregnant women about the benefits of pregnancy exercise at the Kasih Bunda
Primary Clinic.The type of research used is quantitative, with an analytic research design. The
population is all pregnant women at the Pratama Kasih Bunda Clinic, Jl. New Pioneers,
Kampung Lalang, Kab. Deli Serdang, North Sumatra in 2023 with a research sample of 34
people. Data analysis technique using chi square.The results obtained in this study were that
the majority of pregnant women who had sufficient knowledge and less had the same number,
namely 14 people (41.2%). Methods of data collection using a questionnaire. The results of
bivariate analysis were obtained, there was a relationship between knowledge of pregnant
women about the benefits of pregnancy exercise with a p value (0.001) <0.05. It is
recommended that health workers provide pregnancy exercise education and training so that
they can increase the knowledge of pregnant women and be able to carry out routine pregnancy
exercise to maintain health and fitness during pregnancy and smooth delivery.
Keywords: Knowledge, Pregnant Women, Pregnancy Exercise

SUSTAINABLE MIDWIFE MANAGEMENT CARE (Continiuty Of Care) IN NY “D” CLINIC PRATAMA NIAR KEC. MEDAN AMPLAS MEDAN CITY NORT YEAR 2022

Sarmila Nasution, Nur Azizah, Rosmelina — Tue, 27 Feb 2024 00:00:00 +0000

Introduction Comprehensive midwifery care is care provided by midwives to clients starting
from pregnancy, childbirth, newborns, postpartum and contraception. The maternal mortality
rate in Indonesia is still relatively high and a big problem as a developing country. One of the
efforts to reduce the mortality rate is to provide antenatal care services for monitoring and
detection during pregnancy, maternal care during childbirth, detection of bleeding, infection
and hypertension. The purpose of this case study is to be able to provide Comprehensive
Midwifery Care to Mrs D at the Niar Clinic. Method The case study method used is an
observational case study using qualitative data, which was conducted at the Pratama Niar
Clinic. 25 years G1P0A0 starts from pregnancy, childbirth, newborn, postpartum and
contraception. The results of midwifery care carried out for Mrs “D” did not find any
complications or complications accompanying Mrs “D” both during pregnancy, childbirth,
childbirth, her baby and the use of contraception. Midwifery care during pregnancy was carried
out in two visits, delivery for 4 hours, postpartum visits 4 visits, newborns 3 visits and the
mother chooses to use a three-month contraceptive injection which does not interfere with milk
production for three months. Conclusion Midwifery care for Mrs “D” at the Pratam Niar Clinic
was carried out in accordance with midwifery care standards and there were no complications
or complications during pregnancy, childbirth, childbirth, newborns and contraception.

1 SUSTAINABLE MIDWIFERY MANAGEMENT CARE (Continuity Of Care) IN NY. S AT PMB SARFINA KEC. MEDAN CITY POLONIA YEAR 202 3

Fri, 26 Jan 2024 00:00:00 +0000

THE RELATIONSHIP BETWEEN THE USE OF 3-MONTH INJECTABLE BIRTH CONTROL WITH WEIGHT GAIN INWOMEN BIRTH CONTROL ACCEPTORS AT PMB SARI MAHDALENI, BENGKONG DISTRICT, BATAM CITY IN 2023

Tue, 27 Feb 2024 00:00:00 +0000

According to the World Health Organization (WHO) (2018) contraceptive use has increased
in many parts of the world, especially in Asia and Latin America and lowest in Sub-Saharan
Africa. Globally, modern contraceptive use has increased significantly from 54% in 1990 to
57.4% in 2014. Regionally, the proportion of couples of childbearing age 15-49 years who
report the use of modern contraceptive methods has increased for at least the last 6 years. In
Africa from 23.6% to 27.6%, in Asia it has increased from 60.9% to 61.6%, while Latin
America from the Caribbean rose slightly from 66.7% to 67.0%. The coverage of new and
active family planning participants in Indonesia in 2021 with the number of couples of
childbearing age (PUS) is 47,019,002. New birth control comorbidities (16.15%) included
injections (49.67%), birth control pills (25.14%), condoms (5.68%), implants (10.65%). UID
(Intra Uterine Device) as much (7.15%), female surgical method (MOW) As. The purpose of
this study is to determine the effect of using 3-month injectable birth control with weight gain
in women birth control acceptors at PMB Sari Mahdaleni, Bengkong District, Batam City in
2023. The research design is an analytical survey with a cross sectional approach which is a
study of the relationship between two variables in a situation or a group of subjects carried out
to see the relationship between other variables (Notoadmodjo, 2010). Which aims to determine
the relationship between the use of 3-month injectable birth control with weight gain in female
birth control acceptors at PMB Sari Mahdaleni, Kec. Bengkong, Batam City in 2023