Jurnal Kebidanan

HUBUNGAN FAKTOR RISIKO IBU HAMIL DENGAN KADAR GULA DARAH DI DESA OLILIT TAHUN 2025

Kristiova Masnita Saragih — 2025-06-29

IDF (International Diabetes Federation) stated that around 21.1 million (16.7%) live births to women in 2021 experienced hyperglycemia in certain pregnancies. Of these, 80.3% were caused by gestational diabetes mellitus (GDM), while 10.6% were caused by diabetes detected before pregnancy, and 9.1% were caused by diabetes (including type 1 and type 2) first detected in pregnancy. The purpose of this study was to determine the relationship between risk factors for pregnant women and blood sugar levels in Olilit village, Tanmbar Islands district. This research method is a quantitative descriptive study with a type of research is Cross Sectional using a questionnaire. The population of this study were all pregnant women who checked their pregnancy at the Olilit village Posyandu. The sample of this study was pregnant women who underwent ANC examinations, laboratory examinations of blood sugar levels 2 hours after eating >140 mg/dl in Olilit village, for the period January - April 2025, as many as 47 pregnant women. There are 21 pregnant women with abnormal blood sugar levels (44.68%), the majority are aged 21-35 years (9 people) (42.86%), 3rd trimester pregnancy age, 11 people (53.38%), have a family history of diabetes mellitus (5 people) (23.81%), abnormal blood pressure (12 people) (57.14%) Based on the results of bivariate analysis, the age and blood pressure of pregnant women have a relationship with blood sugar levels (p <0.001) in Olilit village. For that, every pregnant woman who checks her pregnancy, needs to have a blood sugar level check and counseling about gestational diabetes as an early detection of the dangers of diabetes in pregnancy

Keyword: risk factors for pregnant women, blood sugar levels

STUDI KASUS : PENATALAKSANAAN TERAPI RELAKSASI PADA IBU HAMIL TRIMESTER III DENGAN KRAM PERUT BAGIAN BAWAH

Imas Kurniawati — 2025-06-29

Abstrak

Kram perut bagian bawah adalah salah satu keluhan yang sering dialami oleh ibu hamil pada trimester III kehamilan, yang sering kali mengakibatkan ketidaknyamanan dan meningkatkan risiko stres. Salah satu pendekatan non-farmakologis yang efektif dalam mengurangi keluhan ini adalah terapi relaksasi. Penelitian ini bertujuan untuk mengevaluasi efektivitas terapi relaksasi dalam mengurangi intensitas kram perut pada ibu hamil trimester III. Metode yang digunakan adalah penelitian eksperimental dengan desain pra-eksperimen, di mana ibu hamil trimester III dengan keluhan kram perut bagian bawah diinstruksikan untuk melakukan beberapa teknik relaksasi, termasuk latihan pernapasan dalam dan visualisasi. Pengukuran intensitas kram dilakukan sebelum dan sesudah terapi menggunakan skala nyeri yang distandardisasi. Hasil penelitian menunjukkan adanya penurunan yang signifikan dalam intensitas kram perut setelah pelaksanaan terapi relaksasi. Terapi relaksasi terbukti aman, mudah diterapkan, dan memberikan efek positif dalam mengurangi keluhan kram perut bagian bawah pada ibu hamil trimester III. Diharapkan metode ini dapat diterapkan sebagai intervensi yang mendukung kesejahteraan ibu hamil pada fase akhir kehamilan.

Kata kunci: terapi relaksasi, trimester III kehamilan, kram perut bawah, ibu hamil, penatalaksanaan

STUDI KASUS : KEPUTUSAN OPERATIF PADA KASUS PANGGUL SEMPIT DENGAN PRESENTASI KEPALA: STUDI KASUS SEKSIO SESARIA

Anthoneta J. Hitipeuw — 2025-06-29

In the world of obstetrics and gynecology, narrow pelvis or narrow pelvimetry often causes a mismatch between the size of the fetus and the birth canal called cephalopelvic disproportion (CPD). A narrow pelvis is one of the main causes of CPD, which is often an indication for cesarean section. In cases like this with a head presentation and narrow maternal pelvis, the risk of prolonged labor and complications increases significantly. Cesarean section is the main intervention of choice to save the life of the mother/baby so that it has an impact on reducing morbidity and mortality rates. However, if the implementation is not carried out on time or is repeated, it has significant physiological and psychosocial impacts. Various studies have shown that cesarean section intervention in cases of narrow pelvis significantly reduces the risk of obstetric complications in both the mother and the baby. Although cesarean section is effective in preventing morbidity and mortality, this procedure can also be at risk of causing postoperative complications and perinatal disorders if not carried out in a timely manner.

This case study aims to describe the handling of cases of narrow pelvis with head presentation through cesarean section and the clinical impact on the mother and baby.

Cesarean section in cases of narrow pelvis with cephalic presentation has been proven effective in preventing labor complications. Early diagnosis and appropriate action decisions are essential to ensure the safety of the mother and baby.

STUDI KASUS : PERILAKU SUPPORTIF SUAMI TERHADAP KEBERHASILAN MENYUSUI DI MASA NIFAS

Fasiha Fasiha — 2025-06-29

Masa nifas adalah periode penting bagi ibu setelah melahirkan, dengan tantangan utama pada keberhasilan menyusui. Dukungan dari suami berperan signifikan dalam keberhasilan ini, karena dapat memengaruhi fisik dan psikologis ibu. Penelitian ini bertujuan untuk menggali pengaruh dukungan suami terhadap keberhasilan menyusui pada ibu nifas, melalui studi kasus terhadap Ny. A di wilayah kerja Puskesmas Air Besar Kota Ambon. Ny. A, seorang ibu berusia 26 tahun, mengalami kesulitan menyusui pada minggu pertama pasca melahirkan, dengan keluhan ASI yang belum lancar, nyeri pada puting, serta kelelahan emosional akibat kurangnya dukungan suami. Penelitian ini mengobservasi perkembangan menyusui ibu selama 7 hari pascapersalinan, dengan intervensi berupa edukasi menyusui, teknik pelekatan, serta pendekatan komunikasi dengan suami. Hasil observasi menunjukkan bahwa keterlibatan suami dalam pekerjaan rumah tangga dan dukungan emosional berperan penting dalam memperbaiki kondisi ibu. Pada hari pertama, ibu masih kesulitan menyusui, namun setelah pendekatan kepada suami, terjadi peningkatan signifikan pada produksi ASI, kenyamanan ibu, serta kualitas tidur ibu pada hari kelima dan ketujuh. Penelitian ini menegaskan pentingnya dukungan emosional dan praktis dari suami dalam mendukung keberhasilan menyusui, yang tidak hanya meningkatkan kesehatan ibu dan bayi, tetapi juga memperkuat hubungan emosional mereka. Dukungan suami yang optimal sangat berperan dalam mendukung kelancaran proses menyusui, mengurangi stres, dan meningkatkan kualitas kehidupan ibu pasca persalinan. Pendekatan keluarga dalam asuhan kebidanan komprehensif sangat diperlukan untuk meningkatkan kualitas layanan kesehatan ibu dan anak

MOTIVASI IBU NIFAS DALAM PEMBERIAN ASI EKSKLUSIF MENGGUNAKAN MOTIVATION FOR HEALTH BEHAVIOR SCALE (MHBS)

Rochmawati Rochmawati — 2025-06-29

This study aims to measure the motivation level of postpartum mothers in exclusive breastfeeding using the Motivation For Health Behavior Scale (MHBS), analyze the relationship between sociodemographic factors and motivation, and assess the relationship between motivation level and the sustainability of exclusive breastfeeding. A cross-sectional research design was used involving 228 postpartum mothers in Tangerang City and Regency selected through purposive sampling. Data collection utilized the MHBS instrument consisting of three dimensions: autonomous motivation, controlled motivation, and amotivation. The results showed that the majority of respondents (58.3%) had high motivation levels, with 65.8% having high autonomous motivation. Statistical analysis revealed significant relationships between education level and autonomous motivation (p=0.003), employment status and controlled motivation (p=0.021), and family support with all three motivation dimensions (p<0.05). Autonomous motivation had the strongest relationship with exclusive breastfeeding sustainability (OR=5.23; 95% CI: 3.12-8.75), followed by controlled motivation (OR=1.87; 95% CI: 1.09-3.21), while amotivation was negatively associated with exclusive breastfeeding (OR=0.31; 95% CI: 0.17-0.58). Mothers with high motivation were 4.18 times more likely to consistently provide exclusive breastfeeding. In conclusion, the motivation of postpartum mothers, especially autonomous motivation, plays an important role in the sustainability of exclusive breastfeeding. Interventions focusing on strengthening autonomous motivation through improved education and family support are needed to increase exclusive breastfeeding coverage. The use of MHBS as a motivation measurement instrument provides a more comprehensive approach in identifying determinants of exclusive breastfeeding.

STUDI KASUS : AFIRMASI POSITIF SEBAGAI UPAYA MENINGKATKAN KEPERCAYAAN DIRI IBU MENYUSUI

Viqy Lestaluhu — 2025-06-29

Masa menyusui merupakan periode penting yang membutuhkan kesiapan fisik dan mental dari seorang ibu. Namun, tidak sedikit ibu yang mengalami penurunan kepercayaan diri dalam menyusui, baik karena rasa cemas, kurangnya dukungan, maupun persepsi negatif terhadap kemampuannya. Studi kasus ini bertujuan untuk mengeksplorasi efektivitas afirmasi positif sebagai intervensi sederhana namun bermakna dalam meningkatkan kepercayaan diri ibu menyusui. Subjek dalam studi ini adalah seorang ibu postpartum yang mengalami keraguan dalam memberikan ASI eksklusif kepada bayinya. Intervensi afirmasi positif diberikan secara terstruktur selama dua minggu melalui pengulangan kalimat-kalimat positif yang disesuaikan dengan kondisi dan kebutuhan emosional ibu. Hasil observasi menunjukkan adanya peningkatan kepercayaan diri yang signifikan pada subjek, ditandai dengan sikap yang lebih optimis, berkurangnya rasa takut gagal, serta meningkatnya frekuensi dan kualitas menyusui. Temuan ini mengindikasikan bahwa afirmasi positif dapat menjadi pendekatan psikologis yang efektif dan mudah diterapkan dalam mendukung keberhasilan menyusui. Studi kasus ini menggambarkan penerapan afirmasi positif pada ibu menyusui. Setelah asuhan kebidanan diterapkan, Ny. K mengalami peningkatan kepercayaan diri dalam menyusui.

PENGARUH SIKAP WANITA USIA SUBUR TERHADAP KEPATUHAN DETEKSI DINI KANKER SERVIKS MELALUI PEMERIKSAAN IVA TEST DI PUSKESMAS HITU MALUKU TENGAH

Ratna Malawat — 2025-06-29

Cervical cancer in Indonesia is a big problem in health services because most patients come at an advanced stage. This is thought to be due to inadequate screening programs. IVA examination is a simple way to detect cervical cancer as early as possible with the aim of reducing the morbidity of the disease by early treatment of cases found to identify abnormalities in the cervix. However, the examination can be an obstacle due to the mother's lack of compliance with this examination. The public interest in this examination is that most women are afraid to undergo the examination, apart from being embarrassed about their intimate organs, women are also afraid of the results they will obtain during the examination. This study aims to determine the influence of WUS attitudes towards compliance in participating in early detection of cervical cancer through the IVA test at the Hitu Community Health Center, Central Maluku Regency. The type of research used was analytical observational with a cross sectional research design, while the data analysis used was univariate and bivariate analysis with the Chi Square test. The research results found were that the majority expressed a positive attitude of 72%, the majority were willing to undergo an IVA examination, namely 30 people (60%). Based on statistical tests using the Chi-Square test, the p value was 0.000, where the p value < α (0.000 < 0, 05). The conclusion in this study is that there is an influence between WUS attitudes on compliance in participating in early detection of cervical cancer through VIA examinations at the Hitu Community Health Center, Central Maluku Regency. It is recommended that WUS want to carry out an IVA test and that health workers continue to provide health education about preventing cervical cancer through a healthy lifestyle and early detection through an IVA test.

Keyword: Woman. Attitude. Compliance. IVA Test