Jurnal Kebidanan 2023-01-15T21:11:49+07:00 Siska Febrina Fauziah, S.ST, M.Tr.Keb. Open Journal Systems <p><strong>Jurnal Kebidanan (JBd)</strong> of Poltekkes Kemenkes Maluku publishes scientific articles as the result of research and case studies including following scope:&nbsp; Pregnancy, Labor and Birth, Newborn Baby, Postpartum, Reproductive Health and Family Planning, Maternal and Neonatal Emergency, Midwifery Education, Mother and Child Nutrition, Laboratory Examination on Mothers and Children, Health Environment and Lifestyle for Mothers and Children</p> <p>Jurnal Kebidanan (JBd) published regularly by Midwifery Department of Poltekkes Kemenkes Maluku twice a year in June and December.</p> <p>ISSN&nbsp;2827-962X (online)</p> STUDI KASUS: TERAPI ACUPRESSURE DALAM MENGATASI EMESIS GRAVIDARUM PADA IBU HAMIL TRIMESTER I 2023-01-15T21:11:48+07:00 Azizatul Khakimah Niken Grah Prihartanti Kolifah Kolifah <p><em>The increase of hormone HcG, progesterone, and estrogen in pregnancy period causes complaints of nausea called emesis gravidaruam. The case study results showed that 3 out of 10 pregnant women complain of nausea. If nausea occurs continuously until lose energy to carry out activities, it is possible that the pregnant woman has hyperemesis gravidarum. Appropriate treatment in reducing emesis gravidarum can be done non-pharmacologically by providing acupressure therapy which is carried out at the Pc 6, St 36, Lv 14, Ren 17 and Bl 21 meridians as well as counseling. Using the case study method by approaching midwifery care. The research subjects were 2 primigravida pregnant women with gestational age 6-12 weeks, nausea without interfering with activities, nausea, decreased appetite and weight loss &lt;5% of previous body weight. This study showed that in patient 1 after 7 days of midwifery care there was a decrease in the frequency of nausea by giving acupressure, counseling and giving crackers or biscuits and an increase in appetite so that the body weight increased by 1 kg, this was supported by the number of snacks consumed. Patient 2 after 2 days of midwifery care showed that acupressure and counseling could reduce the frequency of nausea. Giving acupressure therapy can be carried out in midwifery care in first trimester pregnant women with emesis gravidarum.</em></p> 2022-12-31T00:00:00+07:00 ##submission.copyrightStatement## STUDI KASUS: PENATALAKSANAAN TERAPI KOMPLEMENTER PADA IBU HAMIL TRIMESTER III DENGAN NYERI PUNGGUNG 2023-01-15T21:11:49+07:00 Viqy Lestaluhu <p><em>Various problems that arise in the third trimester of pregnancy are problems that are often complained of by pregnant women, such as anxiety and pain. Among these complaints, low back pain is the most commonly reported, occurring in 60% -90% of pregnant women, and is one of the causes of the incidence of cesarean delivery. Back pain is caused by pain in the lumbosacral area. The increase in intensity as the gestational age increases is caused by a shift in the center of gravity and changes in body posture. Back pain from sacroiliac/lumbar can be a long term back problem if not treated immediately. One of the complementary therapies that can reduce or relieve pain, reduce or prevent muscle spasms, provide a sense of comfort, namely with warm compresses and prenatal massage. This case study describes the management of complementary therapy consisting of warm compresses and prenatal massage in third trimester pregnant women with complaints of back pain. After midwifery care was implemented, Mrs. F experienced a decrease in back pain so that the problem could be resolved. </em></p> 2022-12-31T00:00:00+07:00 ##submission.copyrightStatement## STUDI KASUS: ASUHAN KEBIDANAN PADA IBU HAMIL YANG MENGALAMI KETIDAKNYAMANAN SERING BUANG AIR KECIL 2023-01-15T21:11:49+07:00 Hasnawati Nukuhaly Kasmiati Kasmiati <p><em>Pregnancy is a vulnerable period for a mother, problems that will arise will cause problems in her pregnancy. Complaints that often occur in pregnant women can be in the form of discomfort which is often experienced in the third trimester, such as frequent urination which will cause problems such as urinary tract infections, yeast, itching, redness of the genital organs, and even premature labor. To prevent this from happening, conference care with a Continuity of Care approach to Mrs. M, GIVPIIIAO, 33 years old at CH. M. Tiahahu Ambon from June 20 to June 28 2021. Efforts are being made Conduct discomfort education, explain the physiology of the causes of frequent urination in the third trimester, maintain the cleanliness of the genital organs, and do Kegel exercises while still consuming 8 glasses of water a day, which can overcome the frequent urination experienced by Mrs.M. Health workers are expected to explain the physiology of the discomfort of urinating in pregnant women and do Kegel exercises during pregnancy so that mothers are able to prevent and overcome the discomfort of urinating. </em></p> 2022-12-31T00:00:00+07:00 ##submission.copyrightStatement## PEMERIKSAAN KADAR HAEMOGLOBIN PADA IBU HAMIL DI LABORATORIUM PRODI KEBIDANAN AMBON POLTEKKES KEMENKES MALUKU 2023-01-15T21:11:49+07:00 Wa Ode Rahmawati Christina Lorince Ratulohain <p><em>Policies related to pregnancy are the integrated Antenatal Care (ANC) program for every pregnant woman, namely the 14T examination in which there is an examination of hemoglobin levels. Checking hemoglobin (Hb) levels is carried out in the laboratory to determine red blood cell levels in pregnant women to ensure Hb levels are above 11 g/dL. If the Hb level is below 11 g/dL, then the pregnant woman has anemia which can disrupt the growth and development of the fetus and can cause a risk of bleeding in the mother during delivery. The aim of this study was to determine the hemoglobin level of pregnant women. The type of research used is observational research with a prospective descriptive nature with a cross-sectional research design. The subjects of this study were third trimester pregnant women who had an examination at the Ambon Midwifery Study Program Laboratory. The result showed that 60% of the 20 respondents (12 pregnant women) had normal Hb levels, while 8 pregnant women (40%) had abnormal Hb levels. There are more pregnant women with Hb levels ≥ 11.0 g/dL than pregnant women with Hb levels &lt; 11.0 g/dL. It is recommended that pregnant women carry out routine pregnancy checks at the Public Health Center and take Fe tablets as recommended and consume nutritious food</em><em>.</em></p> 2022-12-31T00:00:00+07:00 ##submission.copyrightStatement## STUDI KASUS: ASUHAN KEBIDANAN PADA BAYI BARU LAHIR DENGAN CAPUT SUCCEDANEUM 2023-01-15T21:11:48+07:00 Laorina Regel <p><em>Caput Succedaneum is a birth scar that is seen in the head area sometime after the baby is born, this is due to the strong pressure on the head area when entering the birth canal resulting in damming of the peripheral circulatory and lymph which is accompanied by discharge of body fluids into the extravascular tissue which causes oedemas or lumps in the baby's head area, this abnormality is found during prolonged labor or by vacuum extraction, conditions that occur in newborns often cause concern for the family about the baby's condition, in some families the caput succedaneum can pose a danger to the baby because the lump is located in the head area, This case study describes a newborn girl, full term, with a lump in the left side of the head, the family is very anxious, worried about the condition of her baby. Efforts to deal with concerns in the family are provided by counseling and health education for the family and handling the caput in infants, providing adequate breastfeeding, keeping the baby warm, not picking the baby up, avoiding wearing hats, giving stimulation to the caput area slowly for 5-10 minutes to stimulate lymph vessels to absorb fluid. Comprehensive and ongoing support and assistance from health workers to obtain maximum care results, the results of care carried out by caput succedaneum disappear the second day, family anxiety is no longer there, there is family understanding about the condition of the baby, educational suggestions for caput care Involving the family is very effective for healing.</em></p> 2022-12-31T00:00:00+07:00 ##submission.copyrightStatement## STUDI KASUS: KONSELING LAKTASI PADA IBU POSTPARTUM UNTUK MENINGKATKAN BERAT BADAN BAYI 2023-01-15T21:11:49+07:00 Arvicha Fauziah Kasmiati Kasmiati <p><em>Neonates are newborns up to 28 days old, where there is a very big change from life inside the womb to outside the womb. Lactation counseling is most effective for increasing exclusive breastfeeding in infants. The success of exclusive breastfeeding cannot be separated from being influenced by several factors including age, level of education, experience and husband's support. Mothers who give birth for the first time do not have health information about breastfeeding, so midwives need to conduct lactation counseling. Lactation counseling about exclusive breastfeeding, how to care for breasts and proper breastfeeding techniques. This case study describes the management of midwifery care for Mrs. A, a 20-year-old primipara, who was confused about caring for a baby after giving birth. Handling efforts are carried out with a lactation counseling and guidance approach. Case studies use assistive devices in the form of a midwifery care format for normal newborns and status sheets or patient documentation and a list of interview questions. Data analysis used is data reduction, data presentation and conclusion. The result of the case study was that Mrs. A's baby's weight increased by 550 grams for 14 days after being given lactation counseling and breastfeeding guidance. Comprehensive midwifery care provided increases mothers' understanding of newborn care. </em></p> 2022-12-31T00:00:00+07:00 ##submission.copyrightStatement## STUDI KASUS: PENANGANAN PUTING LECET PADA IBU MENYUSUI 2023-01-15T21:11:48+07:00 Siska Febrina Fauziah Rahmawati Musiin <p><em>Exclusive breastfeeding is recognized as the single most effective preventive intervention to reduce child mortality in the world. Unfortunately, the success of this exclusive breastfeeding has still a lot of obstacles in daily practice. Breast pain due to nipple crack is one of the most common reasons for premature weaning of breastfeeding. This case study describes the management of midwifery care for Mrs. A, a 29-years-old primipara, who experienced nipple crack on the 19<sup>th</sup> day of postpartum. She was confused because her baby refused to be given milk formula while she had difficulty giving breastmilk because her nipple soreness. Expressed Breastmilk (EBM) was suggested to be applied topically on the nipple to heal the crack. Meanwhile correction of position and attachment as well as breast care were suggested to prevent repeated nipple trauma. The midwifery care provided in this case made Mrs. A was able to breastfeed her baby comfortably and the sores on her nipple had completely healed within 8 days. Single intervention is not enough to treat nipple crack for breastfeeding mothers. It is necessary to provide combination of continuous midwifery interventions so that the results are more effective. Interventions to prevent nipple trauma in breastfeeding mothers which include correct breastfeeding positions and techniques, breast care and EBM for topical use should be given as standard information provided by health workers in antenatal and postnatal counseling to ensure continuity of breastfeeding and the success of exclusive breastfeeding. </em></p> 2022-12-31T00:00:00+07:00 ##submission.copyrightStatement## STUDI KASUS: PENERAPAN PIJAT OKSITOSIN UNTUK MENGATASI KETERLAMBATAN ONSET LAKTASI PADA PERIODE AWAL POSTPARTUM 2023-01-15T21:11:49+07:00 Fasiha Fasiha Nur Umi Sahrani <p><em>Failure in the breastfeeding process is often caused by the emergence of several problems, both problems for the mother and the baby. Problems from mothers that arise during breastfeeding can start before delivery (antenatal period), in the early postpartum period, and after late labor. Problems with breastfeeding can also be caused by special circumstances, such as delayed onset of lactation on early postpartum period, the mother complaining that her baby often cries or refuses to breastfeed, which then means that the milk is not enough or not good enough to make the decision to stop breastfeeding. Anxiety caused by fear of not being able to produce milk and not having enough milk is the most common reason women fail to start breastfeeding, stop breastfeeding too soon, or start complementary feeding before it is needed. One alternative to help facilitate breast milk is to do oxytocin massage. In this case study, after full breast oxytocin massage before breastfeeding, the milk output was good, the baby showed a good sucking and swallowing response, after the oxytocin massage technique was carried out independently and assisted by the husband, the milk came out smoothly. Mother says that the baby is calm and sleeps soundly not fussy.</em></p> 2022-12-31T00:00:00+07:00 ##submission.copyrightStatement## STUDI KASUS: PENTINGNYA ASUHAN KEBIDANAN KOMPREHENSIF UNTUK MENCEGAH NYERI DAN INFEKSI PERINEUM PADA IBU POSTPARTUM 2023-01-15T21:11:49+07:00 Ratna Malawat Meilany Laisouw <p><em>Perineal rupture is a tear that occurs in the perineum during labour. Perineal rupture occurs in almost all first deliveries and is not uncommon in subsequent deliveries. The occurrence of perineal rupture is caused by maternal factors (parity, birth spacing and baby's weight), improper delivery leadership, history of delivery. Forceps extraction, vacuum extraction, device trauma and episiotomy. Perineal rupture occurs in almost all first deliveries and is not uncommon in subsequent deliveries. This case study describes how perineal rupture occurs and its healing process in Mrs. M, a 21 year old primipara. Efforts to handle or treat perineal wounds in this case are carried out by teaching how to do proper wound care, maintaining personal hygiene and providing education to increase client knowledge. Midwifery care provided can help clients accelerate the healing of perineal wounds. Comprehensive midwifery care regarding postpartum care needs to be carried out from the time of pregnancy until later in the puerperium. Thus, the client can prevent and deal with problems that occur independently so that there are no infections or complications during the puerperium. </em></p> 2022-12-31T00:00:00+07:00 ##submission.copyrightStatement## KARAKTERISTIK AKSEPTOR KB DALAM PEMILIHAN METODE ALAT KONTRASEPSI DI DESA OILIT RAYA KABUPATEN KEPULAUAN TANIMBAR 2023-01-15T21:11:48+07:00 Sitti Suharni Hermanses Vina Dwi Wahyunita Kristiova Masnita Saragih <p><em>The family planning program must consider the issue of gender equality in formulating its priority activities. The choice of using contraceptive methods is influenced by perceptions or previous experiences, knowledge, beliefs, influence factors, social factors and other factors, before making a decision the acceptor seeks information first by considering risk factors, choices and communication. The purpose of this study was to determine the characteristics of family planning acceptors in the selection of contraceptive methods in Olilit Raya village, Tanimbar Islands Regency. The method of this research is descriptive quantitative research with the type of research is retrospective. The study was conducted to determine the characteristics of the respondents, namely age, number of children, JKN participation, desire to have children, age of last child. The population in this study was used as a sample (total sampling), namely all the target family planning acceptors as many as 126 family planning acceptors. The results showed that 73 respondents (57.9%) of family planning acceptors chose to use injectable contraception, 92 respondents (73%) were aged 20-35 years, the highest parity of family planning acceptors was mothers who had multiparous children (90.5%) with the number of children between 2 to 4 people, 102 respondents (81.0%) family planning acceptors have National Health Insurance (JKN), 41 respondents (32.5%) family planning acceptors have children under five, children and adolescents. It is hoped that efforts to increase family planning participation need to be carried out on an ongoing basis with advocacy and KIE/Counseling for family planning services. </em></p> 2022-12-31T00:00:00+07:00 ##submission.copyrightStatement## PENANGANAN DISMENOREA PADA REMAJA PUTRI 2023-01-15T21:11:49+07:00 Anthoneta J. Hitipeuw Ismiyanti Achmad <p><em>One of the most common complaints felt by young women during menstruation is menstrual pain or dysmenorrhea, and has different degrees of pain in each person ranging from mild to severe. Dysmenorrhea is pain accompanied by pain and is a common problem experienced by women of different age levels, not a few women experience the discomfort of having menstruation. Dysmenorrhoea is a medical condition that occurs during menstruation or menstruation characterized by pain or pain in the abdominal and pelvic areas that can interfere with daily activities and require treatment. This situation is also accompanied by nausea, vomiting, and fainting.</em> <em>These complications can actually be prevented and treated but there is no awareness of adolescents seeking health services.&nbsp; In this case, in case of abdominal pain, the client Ms. A immediately buys an over-the-counter analgesic drug at the drugstore/dispensary. Treatment efforts are to encourage the client to give warm compresses, the curled up position like a fetus is the best sleeping position to relieve pain, distracting techniques, doing light exercise, Support from parents and health workers (midwives) is continuously needed to be able to overcome the problems experienced by the client.</em></p> 2022-12-31T00:00:00+07:00 ##submission.copyrightStatement## HUBUNGAN ANTARA DUKUNGAN KELUARGA, SIKAP DAN MOTIVASI IBU TERHADAP KETEPATAN PEMBERIAN MP-ASI PADA BAYI USIA 6-23 BULAN DI PUSKESMAS CISAUK TAHUN 2022 2023-01-15T21:11:48+07:00 Shinta Mona Lisca Riezka Putri Nabila <p><em>Early breastfeeding is one of the causes of the high infant mortality rate in Indonesia. The Cisauk District Health Center in 2021 achieved the target of exclusive breastfeeding in accordance with the target of the Tangerang District Health Office, which was 60%. This study aims to determine the relationship between family support, attitudes and mother's motivation to the accuracy of complementary feeding for breastfeeding aged 6-23 months at the Puskesmas Cisauk District, Tangerang Regency in 2022. The research design used a cross sectional. The sample is 80 respondents using probability sampling technique. The research instrument used a questionnaire. Data analysis used univariate and bivariate. The results showed that 27.5% of respondents did not provide complementary feeding, 39% of respondents did not receive family support, 35% of respondents had a negative attitude, 28% of respondents were not motivated. There is a significant relationship between family support (p =0,037), attitude (p =0,001) and motivation (p = 0.004) on the accuracy of giving complementary feeding aged 6-23 months at the Cisauk Public Health Center, Tangerang Regency in 2022. The accuracy of giving complementary feeding influenced by family support, mother's attitude and motivation, It is hoped that mothers will pay more attention to when the right time is in giving complementary feeding, starting from the age of 6-23 months, mothers can be motivated in giving complementary feeding such as seeking more information from health workers , the internet as well as family and closest people, get maximum support from every family member as well as a positive mother's attitude about giving the right and proper complementary feeding. </em><em>It is hoped that mothers can increase motivation related to accuracy in giving MP-ASI for infants aged 6-23 months by increasing knowledge and understanding about the importance of giving MP-ASI</em><em>.</em></p> 2022-12-31T00:00:00+07:00 ##submission.copyrightStatement##