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    EARLY STRESS DETECTION DURING PREGNANCY USING E-HEALTH IN THE PANDEMIC

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    Background: Women are more prone to stress during pregnancy than during the postpartum period. Stress during pregnancy is correlated with pregnancy and birth outcomes. Early detection using the e-health system is an alternative to health services during the pandemic. Aims: The research objective was to produce innovation in early stress detection using an information system based on the e-Health system. Methods: This study was conducted in the Ngaliyan Primary Healthcare Centre with 34 pregnant women. This study utilized both qualitative and quantitative research. Qualitative research used the System Development Life Cycle (SDLC), while quantitative research used an experimental design with a one-shot case study approach. Results: The e-Health system could automatically identify stress during pregnancy, with the TAM questionnaire yielding a very effective result of 85.4%. The average time needed to detect pregnant women's stress was 230.94 seconds. This system can analyze 374 pregnant women within one day (24 hours), provide services, and report pregnant women's stress detection results. Conclusions: The e-Health system effectively conserves time and can be used to record and report early stress in pregnant women. Keywords: early detection, information system, pregnancy, smartphone, stres

    ANTIMICROBIAL ACTIVITY OF KERSEN (Muntingia calabura L.) LEAVES: A SYSTEMATIC REVIEW

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    Background: Many kinds of antibiotics are being used for treating the infections, but bacterial resistance is a main therapeutic problem. Medicinal plants are one of sources of therapeutic aid for relieve human illness. Muntingia Calabura is a medicinal plant that might have pharmacological value. Muntingia Calabura, is called throughout the world as "Jamaican cherry” and in Indonesia, it is known as "Kersen” or "Talok”. This study aims to analyze the antimicrobial activity of Muntingia calabura leaves. Methodology: This systematic review was conducted from December 2018 to February 2019 using PRISMA reporting guidelines. Literature has been retrieved from MEDLINE, Science Direct, Google Scholar, PubMed, Springer Link, and IEEE Xplore, use key words Muntingia calabura, phytochemical, pharmacological, and antimicrobial. The articles written by English. Results: From 9 studies, the antibacterial test for Muntingia calabura leaves was carried out on 18 types of microorganisms. Muntingia calabura leaves proved to be effective against S. aureus and P. aeruginosa bacteria. 4 studies showed negative results use Muntingia calabura in certain types of bacteria. Conclusion: Therefore, this plant can be used for treatment of bacteria. This study is also presented to help guide researchers to plan their future studies related to this plant for preventing the bacterial infection, especially in obstetrics and gynecology. Keywords: Muntingia calabura, antimicrobial activity, pharmacological activitie

    The influence of smart mother classes toward stress, childbirth self-efficacy and birth outcomes

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    Coping efforts during pregnancy are significant in influencing better pregnancy and birth outcomes. This study aimed to prove the influence of smart mother classes (SMC) on stress, childbirth self-efficacy (CBSE), and birth outcomes. This research used an experimental design, pre and post-test control group design. The population was all pregnant women at 28-35 weeks of pregnancy in Semarang City, Indonesia. The sample was chosen by cluster random sampling, where 35 health centers in 12 regions were randomized as six regions (n=60) as intervention group (antenatal class and coping skill as smart mother classes) while the other six regions (n=60) as the control group (antenatal class only). Each region runs one class with 10 pregnant women. The groups were treated four times in four weeks. The measurement was before the treatment, fourth week, and at birth. This study used repeated-measures ANOVA. The results showed that the SMC was influenced significantly in reducing stress (p=0.012), and increasing CBSE but not statistically significant (p>0.05). The SMC also had a significant impact on the outcomes of birth (p<0.05), except the time of the first stage of labor (p>0.05). The study suggested a need for the provision of continuity and holistic midwifery care

    Keikutsertaan Bidan Praktik Mandiri terhadap Program Jaminan Kesehatan Nasional

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    The aim of the research was to analyze the factors that affect participation of Independent Midwives Practice in the National Health Insurance in Semarang City. The research design used analytic observational research. The subjects of the study were 73 IMP and taken by simple random sampling. The data collected using questionnaires. Data were analyzed using Chi Square and multiple logistic regression. The results showed the IMP participation on JKN were 52.1%. There were some relationship between socialization, resources, attitudes and bureaucracy. Attitude and resources had influence with participation on National Health services. IMP who had good attitude had opportunities participate 6 times compare with who did not participate. Resources BPM good opportunity to participate JKN 4.9 times than did not participate.  Midwives need to prepare a good attitude and its resources and cooperation partners being able to support and provide IMP to be able to follow the program of National Health Insurance

    Pengaruh Baby SPA terhadap Kenaikan Berat Badan dan Perkembangan Bayi Umur 3-6 bulan

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    The purpose of research was to analyze differences in body weight gain and development of infants aged 3-6 months. Type of study was pre-experimental research with Posttest Only Design. The population were infants aged 3-6 months who visited Ananda Home Birth in Ambarawa. The subjects were SPA treatment group and control respectively 17 babies by simple random sampling. Data collection used SPA treatment group 4 times for 8 weeks . Before and after measured weight gain and development with KPSP . Data were analyzed with the Mann Whitney test. The results mean score KPSP development of infants before and after the treatment group SPA was 8,12 into 9,59. The mean weight gain infants before and after the SPA was 5705 grams to 7188 grams. There was no differencess in development progress after the SPA between the treatment group and the control group and there were any differences the increase in weight gain between treatment and control groups (p value = 0.018 ). It is important for midwives to develop midwifery care to infants and toddlers with holistic care which one of them with a baby SPA

    Pengaruh Metode Quantum Ikhlas Terhadap Perubahan Kadar Imunoglobulin G Pada Ibu Nifas

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    The prevalence of low birth weight babies (LBW) is around 6.2% and they die during the neonatal period. Separated baby care affects the psychology of postpartum mothers and negative coping mechanisms. The purpose of this study was to prove the effect of giving the Quantum Ikhlas Method (MQI) on IgG levels in postpartum women. Types of research design was Quasi experimental Research, Pretest and posttest with control group design. The population was all postpartum women who gave birth to LBW at Tugurejo Semarang Hospital and Semarang City Hospital from August to October 2019. The total sample was 25 divided into 2 groups, taken stratified random sampling. Methods of data collection for group I MQI treatment and group 2 control according to hospital standards. The research was held after obtained the consent of the respondent, a pretest was to measure the level of IgG in the treatment and control groups, the treatment was carried out 3 times in two weeks postpartum and  posttest. Data was analyzed with test-dependent and independent tests. The results showed that the average age of the respondents was in the range of 22.5 years to 23.9 years. The education in the treatment and control groups was secondary.  7 increased to 5.9 mg/ml, and the control group averaged 6.07 mg/ml decreased to 5.28 mg/ml. Conclusion of the study was there was an effect of MQI on changes in Ig G. All postpartum mothers can increase their gratitude and acceptance for the conditions of their baby's birth by applying MQI

    PENGARUH PENDIDIKAN KESEHATAN DENGAN METODE CERAMAH TERHADAP PENGETAHUAN DAN SIKAP PEMBERIAN ASI EKSKLUSIF PADA IBU HAMIL PRIMIGRAVIDA DI PUSKESMAS KAPUAN TAHUN 2016

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    Best nutrition for babies is breast milk which contains a source of nutrition that perfectly suits the needs for growth and development of infants. In exclusive breastfeeding there are some things that hinder the provision of exclusive breastfeeding among mothers is the lack of knowledge, lack of lactation couneling services and support from health, social and cultural factors, lack of adequate conditions for mothers who work and incessant marketing of formula milk.The purpose of this study was to determine the effect of health education with the lecture method to the knowledge and attitudes of exclusive breastfeeding to primigravida pregnant women at health centers Kapuan.This study uses a quantitative research with quasi-experimental method with pre - experimental research design using one-group pretest - posttest design. The study population is primigravida pregnant women at health centers Kapuan with a sampling technique using total sampling with total sample of 46 respondents.The results showed that there was the influence of health education with the lecture method to the level of knowledge and attitude of exclusive breastfeeding to primigravida pregnant women at health centers Kapuan with p-value = 0.001 ( 0.05) and p-value = 0.003 ( 0.05).Suggested pregnant women were able to foster a positive attitude about exclusive breastfeeding through health education to mothers during pregnancy and after childbirth, families and communities

    Pengaruh Formulasi Sosis Ikan Kembung dan Kacang Tanah terhadap Berat Badan pada Batita Gizi Kurang

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    ABSTRACT Malnutrition poses a global challenge. Potentially threatening the quality of future generations. Direct and indirect factors influence children’s nutrition. Prevalence of malnutrition in Indonesia has increased to 7,7%, despite government efforts. Providing supplementary foods such as mackerel and peanut sausage is one potential solution to increase nutrient intake and impact children's weight. This study aims to analyze the effects of the formulation of mackerel (Rastrelliger Kanagurta) and peanut (Arachis Hypogaea L.) sausage on weight gain in malnutrition toddlers. The research method used true experiment with a pretest-posttest with control group design. The sample size consisted of 38 respondents divided into two groups: the intervention group received mackerel and peanut sausage formulation for 14 days, while the control group received MT biscuits as standard care for 14 days. The sampling technique used simple random sampling. Data analysis using Wilcoxon test and Mann Whitney test. The results showed that giving the formulation of mackerel and peanut sausage had a significant effect on weight gain in malnutrition toddlers. The mean difference in weight gain was 0.453 kg for the intervention group and 0.142 kg for the control group (p=0.002). It can be concluded that giving the formulation of mackerel and peanut sausage formulation significantly increases weight gain in malnutrition toddlers. Keywords: Malnutrition, Sausage, Mackerel, Peanut, Weight  ABSTRAK Malnutrisi menjadi tantangan global yang berpotensi mengancam kualitas generasi mendatang. Faktor langsung dan tidak langsung memengaruhi gizi anak. Prevalensi gizi kurang di Indonesia mengalami peningkatan mencapai 7,7%, meskipun telah dilakukan upaya pemerintah. Pemberian makanan tambahan seperti sosis ikan kembung dan kacang tanah menjadi salah satu solusi potensial untuk meningkatkan asupan gizi yang berdampak pada berat badan anak. Penelitian ini bertujuan untuk menganalisis pengaruh formulasi sosis ikan kembung (Rastrelliger Kanagurta) dan kacang tanah (Arachis Hypogaea L.) terhadap berat badan pada batita gizi kurang. Metode penelitian yang digunakan adalah true experiment dengan rancangan pretest-posttest with control group design. Jumlah sampel penelitian 38 responden dibagi menjadi 2 kelompok yaitu kelompok intervensi diberikan formulasi sosis ikan kembung dan kacang tanah selama 14 hari, sedangkan kelompok kontrol diberikan biskuit MT balita sebagai asuhan standar selama 14 hari. Teknik sampling menggunakan simple random sampling. Analisis data menggunakan Wilcoxon test dan Mann Whitney test. Hasil penelitian menunjukkan pemberian formulasi sosis ikan kembung dan kacang tanah berpengaruh secara signifikan terhadap berat badan pada batita gizi kurang. Selisih rata-rata berat badan kelompok intervensi 0,453 kg dan kelompok kontrol 0,142 kg (p=0,002). Dapat disimpulkan bahwa pemberian formulasi sosis ikan kembung dan kacang tanah memberikan hasil yang signifikan dalam peningkatan berat badan pada batita gizi kurang. Kata Kunci: Gizi Kurang, Sosis, Ikan Kembung, Kacang Tanah, B
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