JURNAL KEBIDANAN https://akbid-dharmahusada-kediri.e-journal.id/JKDH <p><strong>JKDH (Journal Kebidanan Dharma Husada)</strong> welcomes a diverse range of articles and texts focusing on relevant original research findings, case reports, and meta-analyses within the field of midwifery. As a policy, this journal exclusively accepts original manuscripts that have not been previously published in other journals or concurrently submitted to other publications. Authors are required to sign a statement confirming the originality and exclusivity of their submissions. Any instance of previously published material in other journals will result in disqualification from consideration in subsequent editions.</p> <p>To ensure a collaborative and well-informed approach, the main author must verify that all co-authors have thoroughly reviewed and consented to the submitted manuscript. The selection process of manuscripts for publication in JKDH involves a rigorous peer-review system. All received texts undergo evaluation by experts in the scientific domain, in coordination with the editorial board.</p> <p>Manuscripts that necessitate improvement in terms of format or content are returned to the authors for revision. To uphold ethical standards and maintain the integrity of research, all research submissions to JKDH must adhere to established ethical guidelines and research principles, ensuring accountability and validity.</p> en-US dealovanining@gmail.com (Nining Istighosah) niningistighosah@gmail.com (Nining Istighosah) Sat, 04 May 2024 12:53:55 +0000 OJS 3.1.2.1 http://blogs.law.harvard.edu/tech/rss 60 Kejadian Ketuban Pecah Dini terhadap Infeksi Neonatorum di Ruang Perinatologi RSUD Kota Madiun https://akbid-dharmahusada-kediri.e-journal.id/JKDH/article/view/311 <table style="font-weight: 400;" width="619"> <tbody> <tr> <td width="500"> <p>Premature Rupture of Membranes (PRM) the rupture of the amniotic membrane before delivery can have consequences for the mother and baby, and can result in neonatal infections. The aim of the study was to determine the relationship between the incidence of premature rupture of membranes and the incidence of neonatal infections in Perinatology at the Madiun City General Hospital. Type of research is correlation analytic, retrospective cohort research design with a documentation study approach. The population was all newborn babies whose mothers experienced PROM from July 2022 to July 2023. The sample was 158 mothers who gave birth using simple random sampling. Research in the Perinatology Room at Madiun City Regional Hospital starting in August 2023. Independent variable is premature rupture of membranes. Neonatal infection research variables. Analysis tests using the Chi Square Test. The results of the research that almost all respondents had a duration of KPD ≥ 12 hours, 146 people (92.4%), almost all respondents experienced neonatal infections, 124 people (78.5%), the Chi Square test produced Sig. (2-tailed) is 0.013, meaning there is a relationship between the incidence of premature rupture of membranes and the incidence of neonatal infection in the Madiun City Regional Hospital with a very weak relationship level because the relationship value is 0.195. Mothers who gave birth to KPD ≥ 12 hours did not cause neonatal infections, namely that health workers increased their self-protection to prevent infection in newborns by not frequently carrying out internal examinations on women who gave birth who experienced KPD, giving antibiotics and you need to wash your hands properly</p> <p>&nbsp;</p> <p>&nbsp;</p> </td> </tr> </tbody> </table> Wahyu Nuraisya, Peni Wulandari Copyright (c) 2024 JURNAL KEBIDANAN https://akbid-dharmahusada-kediri.e-journal.id/JKDH/article/view/311 Sat, 04 May 2024 12:38:47 +0000 Pengaruh Kombinasi Stimulasi Pijat bayi dan Esensial Oil Lavender Terhadap Motorik Kasar dan Motorik Halus Pada Bayi Usia 3-12 Bulan di Kota Bengkulu https://akbid-dharmahusada-kediri.e-journal.id/JKDH/article/view/309 <p><strong>Background:</strong><span style="font-weight: 400;"> The growth and development period of infants needs special attention because the process is very fast. There are still toddlers who experience gross motor and fine motor disorders. World Health Organization (WHO) 2016 globally states that around 20-40% of infants aged 0-2 years experience problems with delays in the development process, 5-25% of toddlers who experience gross motor and fine motor disorders. The impact of delays in infant gross motor development causes a decrease in creativity in the adaptation period while the impact of delays in fine motor development causes obstacles in the child's learning process. Efforts that can be made in optimizing the growth and development of fine motor and gross motor in infants in addition to nutrition provided by the mother and one of the other ways needs stimulation. The combination of stimulation of baby massage and lavender essential oil is one of the stimulations to improve gross motor and fine motor in infants aged 3-12 months.&nbsp;</span></p> <p><strong>Objective:</strong><span style="font-weight: 400;"> Proving the effect of a combination of baby massage stimulation and lavender essential oil on improving gross motor and fine motor in infants aged 3-12 months.</span></p> <p><strong>Methods:</strong><span style="font-weight: 400;"> Pre-experimental quantitative research design with one group pretest-postest design. Sample 40 infants aged 3-12 months. Analysis used to assess the effect on the improvement of gross motor and fine motor in 2 PMB using t test.&nbsp; Results: Hypothesis testing in this study using the Wilcoxon test. Obtained a probability value (p value) of (p value) 0.02 or &lt; 0.05, which means that there is a combined effect of baby massage stimulation and lavender essential oil on improving gross motor and fine motor in infants aged 3-12 months. The intervention was given for 4 weeks, twice a week the intervention was given a combination of baby massage and lavender essential oil, then an evaluation was carried out using the Pre-Developmental Screening Questionnaire (KPSP), consisting of 10 assessment items, starting from gross motor, fine motor, socialization and independence assessments. as well as speech and language skills.</span></p> <p><strong>Conclusion:</strong><span style="font-weight: 400;"> The combination of baby massage stimulation and lavender essential oil has an effect on improving gross motor and fine motor in infants aged 3-12 months. Suggestion: parents who have babies are expected to routinely provide baby massage stimulation.</span></p> Rina Rina, Elly Wahyuni , Mike Rositarini Copyright (c) 2024 JURNAL KEBIDANAN https://akbid-dharmahusada-kediri.e-journal.id/JKDH/article/view/309 Sat, 04 May 2024 12:40:31 +0000 Hubungan Peran Suami Dengan Sikap Ibu Dalam Proses Menyusui Bayi Usia 0-6 Bulan https://akbid-dharmahusada-kediri.e-journal.id/JKDH/article/view/335 <p><em><span style="font-weight: 400;">Feeding babies directly from the mother's own breast is breastfeeding. When breastfeeding, mothers need the support&nbsp; of their husband because breastfeeding is not carried out by the mother and baby alone. A husband who is not supportive can affect the mother's emotions, leading&nbsp; baby blues. Emotional support is needed by couples / wives because emotional support affects thoughts, feelings, and sensations that greatly affect the release of oxytocin. Therefore, a husband has a very important role to keep the oxytocin reflex smooth This study aims to determine the relationship between the husband's role and the mother's attitude in the process of breastfeeding babies aged 0-6 months.</span></em></p> <p><em><span style="font-weight: 400;">The research design uses correlational research with a cross-sectional approach. The population and sample were all mothers breastfeeding babies aged 0-6 months at Posyandu in Tales Village. Using a total sampling technique, 30 respondents were obtained. The variables consist of the independent variable, namely the husband's role in mothers breastfeeding babies aged 0-6 months and the dependent variable, namely the mother's attitude in the process of breastfeeding babies aged 0-6 months.</span></em></p> <p><em><span style="font-weight: 400;">Data were collected using a questionnaire on the husband's role in mothers breastfeeding babies aged 0-6 months and the mother's attitude in the process of breastfeeding babies aged 0-6 months. Data processing uses univariate and bivariate analysis with the Chi Square test</span></em></p> <p><em><span style="font-weight: 400;">The research results showed that 13 respondents (43.3%) supported their husband's role with a positive maternal attitude. The statistical test results show that the calculated </span></em><em><span style="font-weight: 400;">χ</span></em><em><span style="font-weight: 400;">2</span></em><em><span style="font-weight: 400;"> is 4.41 which is greater than the table </span></em><em><span style="font-weight: 400;">χ</span></em><em><span style="font-weight: 400;">2</span></em><em><span style="font-weight: 400;"> of 3.841, so H1 is accepted.</span></em></p> <p><em><span style="font-weight: 400;">Based on the data above, it can be concluded that there is a relationship between the husband's role and the mother's attitude in the process of breastfeeding babies aged 0-6 months. From the results of this research, it is hoped that health workers can provide health education through classes for pregnant women by involving their husbands when attending classes for pregnant women. From the statistical test, </span></em><em><span style="font-weight: 400;">χ</span></em><em><span style="font-weight: 400;">2</span></em><em><span style="font-weight: 400;"> calculated 9.03. When compared with </span></em><em><span style="font-weight: 400;">χ</span></em><em><span style="font-weight: 400;">2</span></em><em><span style="font-weight: 400;"> table with a significant level of 5% and n = 30 which is 3.841 it is found that </span></em><em><span style="font-weight: 400;">χ</span></em><em><span style="font-weight: 400;">2</span></em><em><span style="font-weight: 400;"> counts &gt; </span></em><em><span style="font-weight: 400;">χ</span></em><em><span style="font-weight: 400;">2</span></em><em><span style="font-weight: 400;"> table</span></em></p> Lia Agustin, Dian Rahmawati Copyright (c) 2024 JURNAL KEBIDANAN https://akbid-dharmahusada-kediri.e-journal.id/JKDH/article/view/335 Sat, 04 May 2024 12:33:38 +0000 Perilaku Manajemen Laktasi Pada Ibu Menyusui yang Bekerja https://akbid-dharmahusada-kediri.e-journal.id/JKDH/article/view/340 <p>Manajemen laktasi merujuk pada serangkaian tindakan yang dirancang untuk memastikan keseluruhan proses menyusui berjalan dengan sukses. Kurangnya pemahaman ibu dalam pelaksanaan manajemen laktasi dapat menyebabkan gagalnya pemberian ASI eksklusif. Dengan menerapkan manajemen laktasi dengan benar, ibu dapat memenuhi kebutuhan nutrisi anak, meningkatkan kekebalan tubuh, dan mendukung proses tumbuh kembang anak. Penelitian ini bertujuan untuk mengidentifikasi praktik manajemen laktasi yang dilakukan oleh ibu menyusui yang bekerja. Penelitian ini menggunakan desain deskriptif dengan pendekatan cross sectional. Penelitian dilaksanakan di Posyandu Bonto, Desa Sumberkepuh, Kecamatan Tanjunganom, Kabupaten Nganjuk pada bulan April 2023. Populasi dalam penelitian ini adalah semua ibu menyusui yang bekerja di Posyandu Bonto, Desa Sumberkepuh, Kecamatan Tanjunganom, Kabupaten Nganjuk, dengan jumlah responden 25 orang. Sampel diambil dengan menggunakan teknik total sampling. Penelitian ini menggunakan data primer yang dikumpulkan melalui kuesioner. Hasil pengukuran diklasifikasikan dalam skala ordinal. Analisis data yang digunakan adalah analisis univariat. Hasil penelitian menunjukkan sebagian besar responden memiliki perilaku manajemen laktasi pada kategori cukup, yaitu sebanyak 14 responden (56%). Penelitian ini menyimpulkan bahwa sebagian besar ibu menyusui yang bekerja memiliki perilaku manajemen laktasi yang cukup. Tenaga kesehatan memiliki peran penting dalam memberikan pendidikan kesehatan yang tepat tentang manajemen laktasi kepada ibu.</p> Aprilia Nurtika Sari Copyright (c) 2024 JURNAL KEBIDANAN https://akbid-dharmahusada-kediri.e-journal.id/JKDH/article/view/340 Sat, 04 May 2024 12:30:09 +0000 Pelaksanaan Pendampingan Ibu Hamil Resiko Tinggi Oleh Kader Di Kelurahan Mojoroto Kota Kediri https://akbid-dharmahusada-kediri.e-journal.id/JKDH/article/view/341 <p><span style="font-weight: 400;">Angka kematian ibu (AKI) merupakan satu indikator kesehatan , di Indonesia AKI masih tinggi apabila dibandingkan Negara di ASEAN lainnya. Ibu&nbsp; hamil mempunyai&nbsp; resiko terjadinya kematian akibat faktor resiko tinggi, pendampingan kader merupakan salah satu upaya&nbsp; untuk meningkatkan status kesehatan ibu hamil sampai bersalin. Tujuan penelitian ini adalah untuk mengetahui gambaran pelaksanaan pendampingan kader terhadap kunjungan antenatal care (ANC) ibu hamil resiko tinggi di Kelurahan Mojoroto . Jenis penelitian ini korelasional dengan pendekatan Cross Sectional. Subyek penelitian 44 ibu hamil resiko tinggi skor SPR ≥10 pada usia kehamilan trimester 2 dan 3. Variabel bebas adalah tugas kader yaitu sebagai fasilitator, motivator, mediator dan pendamping yang diperoleh dengan wawancara dan buku catatan kader. Variabel terikat adalah kunjungan ANC dari buku KIA ibu hamil. Data dianalisis dengan distribusi frekuensi, bivariate dengan uji pearson product moment, dan multivariate dengan uji regresi logistik. Gambaran tugas kader sebagian besar sebagai fasilitator aktif (85%), hampir seluruhnya sebagai motivator aktif (89%), hampir seluruhnya sebagai mediator aktif (89%) dan sebagian besar sebagai pendamping yang aktif (57%). Kunjungan ANC ibu hamil resiko tinggi sebagian besar (77 %) teratur. Ada pengaruh secara bersama sama antara tugas kader terhadap kunjungan ANC ibu hamil resiko tinggi. Variabel yang paling berpengaruh adalah tugas kader sebagai pendamping. Keterlibatan masyarakat yaitu kader, tokoh masyarakat dan tokoh agama dalam melaksanakan program kesehatan sangat diperlukan sehingga pencapain target kesehatan dapat maksimal.</span></p> Lely Khulafa'ur Rosidah, Susiani Endarwati Copyright (c) 2024 JURNAL KEBIDANAN https://akbid-dharmahusada-kediri.e-journal.id/JKDH/article/view/341 Sat, 04 May 2024 00:00:00 +0000 Perbedaan Perawatan Perineum Metode Sitz Bath Ekstrak Daun Pegagan (Centella Asiatica) dan Ekstrak Bunga Telang (Clitoria Ternatea) Terhadap Penyembuhan Luka Perineum Pada Ibu Postpartum https://akbid-dharmahusada-kediri.e-journal.id/JKDH/article/view/324 <p>The puerperium is the time between the birth of the placenta and return of organs to their pre-pregnancy state.&nbsp; The postpartum period generally lasts 6-12 weeks after delivery.&nbsp; During the postpartum period, mothers need more attention, because as many as 50% of postpartum mothers experience tears in the birth canal.&nbsp; It is very important to do perineal care because the suture scars of the birth canal can be the entry point for germs and can cause infection. The purpose of this study was to determine the differences in perineal wound healing using the Sitz Bath method using Centella Asiatica leaf extract and butterfly pea flower extract (Clitoria Ternate) in Postpartum Mother. This research is a quantitative research with the type of pre-experimental research with the design of the research design used is the One Shoot Case Study design. The results of this study showed that perineal treatment using the sitz bath method using gotu kola leaf extract and pelang flower extract had a significant difference in perineal wound healing with a significance value (0.043 &lt;0.05), The application of perineal care using the sitz bath method using gotu kola leaf extract and butterfly pea flower extract has been shown to be effective in healing perineal wounds.&nbsp; It is hoped that midwifery services need to develop postpartum care by applying several complementary therapies to help accelerate wound healing.</p> Shafira Ramadhanty, Rahajeng Siti Nur Rahmawati, Susanti Pratamaningtyas, Indah Rahmaningtyas Copyright (c) 2024 JURNAL KEBIDANAN https://akbid-dharmahusada-kediri.e-journal.id/JKDH/article/view/324 Sat, 04 May 2024 12:36:28 +0000 Pengaruh Endorphine Massage Terhadap Kualitas Tidur Ibu Hamil Usia Kehamilan 37- 40 Minggu https://akbid-dharmahusada-kediri.e-journal.id/JKDH/article/view/323 <p>The decrease sleep duration during pregnancy increases in the third trimester. Giving non-pharmacological therapies that can be done to help improve sleep quality is to do an endorphine massage. The aim of this study was to determine the effect of endorphine massage on the sleep quality of pregnant women 37-40 weeks in the Working Area of the Mojo Health Center, Kediri Regency. The method of this research is Pre-Experiment with One Group Pretest-Posttest Design without a control group, using a total sampling technique with a total sample of 30 respondents. Endorphine massage intervention will be carried out 2 times in a row with the duration of 15-20 minutes each session. Data collection used the questionnaire PSQI, analysis used Mc Nemar test obtained P-Value 1 &gt; 0.05, it can be concluded that statistically, there is no effect of endorphine massage on the sleep quality of pregnant women 37-40 weeks in the Working Area of the Mojo Health Center, Kediri Regency. Poor sleep quality in pregnant women due to frequent awakening from sleep. This makes it difficult for pregnant women to achieve deep sleep. So it is necessary to do endorphine massage regularly by paying attention to disturbing factors, so that pregnant women can experience better quality sleep.</p> Anya Unida, Dwi Estuning Rahayu, Susanti Pratamaningtyas Copyright (c) 2024 JURNAL KEBIDANAN https://akbid-dharmahusada-kediri.e-journal.id/JKDH/article/view/323 Sat, 04 May 2024 12:37:44 +0000 Hubungan Teman Sebaya dan Media dengan Perilaku Seksual Remaja https://akbid-dharmahusada-kediri.e-journal.id/JKDH/article/view/338 <p><em>The level of sexual behavior in adolescents has increased significantly, especially in several developing countries. Survey results in Bengkulu Province showed that 83.4% of teenagers held hands when dating, 34.2% hugged, 15.6% kissed, and 3.3% touched or stimulated sensitive body parts. This research aims to find out the relationship between peers and the media with adolescent sexual behavior. The design used in the research is cross sectional. Adolescent population at SMPN 20 Bengkulu City. The sample obtained was 87 teenagers taken using stratified random sampling technique. The research data was subjected to statistical tests using the SPSS program. The results of statistical tests showed that there was a relationship between peers (p = 0.000) and information media (p = 0.015) on adolescent sexual behavior at SMPN 20 Bengkulu City. It is hoped that schools can limit teenagers' exposure to risky sexual information media, namely by providing space for teenagers to do physical activities at school and collaborating with health agencies in the area to be able to carry out reproductive health assistance and counseling activities for teenagers so that teenagers can adapt to the process of change. towards adulthood.</em></p> Elvi Destariyani, Yuniarti Copyright (c) 2024 JURNAL KEBIDANAN https://akbid-dharmahusada-kediri.e-journal.id/JKDH/article/view/338 Sat, 04 May 2024 12:31:55 +0000 Perilaku Caring Perawat terhadap Peningkatan Kesejahteraan Psikologis Lansia di Pondok Lansia Al Islah Malang https://akbid-dharmahusada-kediri.e-journal.id/JKDH/article/view/334 <p>Lansia merupakan kelompok masyarakat yang rentan mengalami perubahan dalam segi fisik dan psikologis, dan salah satu masalah yang sering dialami oleh lansia adalah kesepian dan isolasi sosial. Menurut laporan World Health Organization lebih dari 20% lansia di seluruh dunia mengalami kesepian dan hal ini dapat berdampak buruk pada kesejahteraan psikologis mereka. Tujuan penelitian ini adalah menganalisa pengaruh antara perawatan penerapan caring terhadap peningkatan kesejahteraan psikologis lansia dengan perlakuan pemberian pelatihan terlebih dahulu. Desain penelitian adalah <em>pra eksperimen one group pre-post-test desaign</em> dengan jumlah populasi 29 lansia dipondok lansia Al Ishlah Malang, pendekatan total sampling. Kreteria respoden adalah bersedia dilakukan penelitian, mampu komunikasi dengan jelas, bersedia diteliti: menandatangai informed consent. Variable <em>independent</em> perilaku caring perawat dan variabel <em>dependent</em> adalah kesejahteraan psikososial lansia. Instrument kuesioner <em>Scale of Psychological well-being (SPWB) </em>disusun Ryff (1989). Dilaksanakan pre-test diberikan pelatihan perilaku caring kemudian melaksanakan pelayanan langsung pada lansia sesuai standar perilaku caring yang diinginkan dan pada akhir minggu kedua dilakukan <em>post-test</em>. Skala data numerik rasio di lakukan uji nurmalitas One-Sample menggunakan <em>Kolmogorov-Smirnov Test</em>, dan uji pengaruh mengunakan uji anova yaitu&nbsp;<em>Analysis of Varian</em>&nbsp;untuk menguji perbedaan mean (rata-rata) pada data pretest dan pos test dengan bantuan aplikasi SPSS. Hasil, pemberian perilaku caring memberikan pengaruh terhadap kesejahteraan psikologis lansia diPondok Al-Islah dengan nilai signifikansi adalah 0.000, yaitu skor alpha kurang dari 0.05, dengan tingkat pengaruhnya sangat kuat. Hal ini menunjukkan bahwa perilaku caring dapat memberikan dampak positif terhadap kesejahteraan psikologis. Oleh karena itu penting bagi staf perawat dan orang-orang di sekitar lansia untuk terus menerapkan perilaku caring yang semakin baik, untuk membantu meningkatkan kesejahteraan psikologis mereka.</p> Amin Zakaria, Heny Nurmayunita, Fajar Rinawati Copyright (c) 2024 JURNAL KEBIDANAN https://akbid-dharmahusada-kediri.e-journal.id/JKDH/article/view/334 Sat, 04 May 2024 12:35:08 +0000 Pengaruh Wheel Yoga Terhadap Penurunan Gejala Kecemasan Premenstrual Syndrome pada Siswa SMPN 05 Kota Bengkulu Tahun 2023 https://akbid-dharmahusada-kediri.e-journal.id/JKDH/article/view/303 <p><em>Premenstrual Syndrome (PMS)</em> terjadi sekitar 75%&nbsp; terjadi pada wanita usia reproduksi. Dampak dari gejala kecemasan yang dialami pada saat PMS yaitu dapat mengganggu aktivitas sehari-hari baik masalah akademik, pekerjaan, keluarga dan sosial. Keadaan ini dapat menyebabkan remaja mengalami masalah dalam hal prestasi di sekolah dan hubungan sosial dengan teman sebayanya atau gangguan aktivitas sehari-hari apabila PMS tersebut tidak tertangani dengan baik. Penelitian ini bertujuan untuk mengetahui Pengaruh Wheel Yoga Terhadap Penuruanan Gejala Kecemasan Premsntrual Syndrome Pada Siswa SMPN 05 Kota Bengkulu. Metode Penelitian ini adalah <em>Quasi Experimental </em>dengan rancangan <em>Pretest</em><em>-Pottest With Control Design.</em> Populasi dalam penelitian ini siswi kelas VIII di SMP Negeri 05 Kota Bengkulu dengan sampel sebanyak 40 norang dan untuk pengambilan sampel pada penelitian ini adalah siswi dengan cara pengambilan sampel secara <em>purposive sampling</em> dan analisis data dalam penelitian menggunakan uji <em>wilcoxon.</em> Hasil penelitian ini didapatkan bahwa nilai rata rata nyeri <em>dismenore </em>sebelum diberikan <em>wheel yoga</em>&nbsp;adalah 5,74 dan rata rata nyeri sesudah diberikan <em>wheel</em> yoga adalah 3,44.Hasil uji <em>wilcoxon </em>diperoleh <em>p-value </em>0,000 dengan beda mean 2,3.Maka ada pengaruh <em>wheel</em> yoga terhadap penurunan gejala kecemasan <em>premenstrual syndrome</em> di SMP Negeri 05 &nbsp;Kota Bengkulu tahun 2023.</p> <p>&nbsp;</p> Suci Sholihat, Rolita Efriani Copyright (c) 2024 JURNAL KEBIDANAN https://akbid-dharmahusada-kediri.e-journal.id/JKDH/article/view/303 Sat, 04 May 2024 12:41:36 +0000