Abstract:Background: Healing perineal wounds in postpartum mothers is an essential aspect of recovery after childbirth. These wounds can cause discomfort and potentially disrupt daily activities as well as the mental health of the…
e mother. The presence of perineal wounds may lead to infection; Therefore, wound care is necessary to reduce the risk of infection and accelerate the healing process. Betel leaves are known for their antiseptic and anti-inflammatory properties that can support the healing process. Objective: This study aims to describe the healing of perineal wounds in postpartum mothers with the administration of betel leaf decoction. Method: This research employs a qualitative descriptive method with a case study approach. Results: After implementing perineal care using betel leaf decoction, which was applied regularly in the morning and evening after bathing for 5 days, there was a noticeable acceleration in the healing process of the wounds and an increase in maternal satisfaction regarding wound care. Conclusion: Wound care for perineal injuries using betel leaf decoction is effective for healing perineal wounds in postpartum mothers .
Abstract:Obesity in mothers is a major worldwide health issue that significantly raises the need for obstetric procedures, especially cesarean sections. Numerous difficulties for both mothers and newborns have been linked to elevated…
ated pre-pregnancy and gestational body mass indexes (BMI). The purpose of this study is to characterize the distribution of delivery methods among pregnant women who are obese at Dr. H. Abdul Moeloek Regional Hospital in Lampung Province, Indonesia. Total sampling was used to perform a quantitative, descriptive retrospective analysis. 58 pregnant women with a BMI of 30 kg/m² or above who gave birth between 2017 and 2023 were included. SPSS version 27.0 was utilized for data analysis. Findings out of the 58 instances that could be analyzed, 69.0% of obese pregnant women gave delivery via cesarean section, 27.6% gave birth spontaneous vaginally, and 3.4% had a vacuum induction. The majority (31.0%) were between the ages of 35 and 39, and 77.6% were multiparous. The type of delivery was found to be strongly influenced by maternal age, parity, and obesity. Being obese greatly raises the risk of having a cesarean section, especially for older and multiparous women. Reducing needless cesarean rates and improving mother and newborn outcomes may be possible with early treatments such as lifestyle modification education, prenatal counseling, and BMI-based risk assessment.
Abstract:On a world scale, the main cause of high maternal mortality is post-partum infection. Of the 500 million incidents of postpartum infections, there are 75,000 deaths, in Purbalingga the incidence of perineal infections will…
ll reach 5.7% in 2023. One of the factors is the high rate of postpartum infections, namely low knowledge about infection prevention. One effective management is perineal wound care using NaCl 0.9%. This study aims to determine the effectiveness of wound treatment using 0.9% NaCl in normal primiparous post partum mothers with indications of perineal rupture in Kejobong Village. This research uses a qualitative method with a case study approach. After treating the wound twice for 3 days using 0.9% NaCl, it was found that the wound looked better and there were no signs of infection as indicated by a decrease in the REEDA score from 11 categories of unhealed wounds to 2 categories of moderate wounds. This is supported by cleanliness of the wound area and choosing the right food. Wound treatment using 0.9% NaCl is effective for healing perineal ruptures.
Abstract:Background: Diarrhea is the second-leading cause of mortality in children under the age of five. Based on data from the Pontianak City Health Office in 2021, the number of findings was 727 in toddlers. And in 2022, there…
were as many as 918 findings of diarrhea in toddlers at Gang Sehat Health Center. Mother's factor also affects the occurrence of diarrhea in toddlers. Knowledge is one of the factors causing the high mortality rate due to diarrhea. The importance of maternal knowledge and attitudes in handling diarrheal diseases needs to be discussed because diarrhea that is delayed or improperly handled can cause pain and adverse effects on children, namely infant mortality. Objective: To determine the relationship between mothers' knowledge and attitudes about diarrhea management and the classification of diarrhea in toddlers at the Gang Sehat Health Center. Methods: This study used the accidental sampling method with bivariate analysis using the Chi-Square test. Results: The Chi Square test resulted in a value of 0.934, meaning that the P value > 0.05 indicates that there is no relationship between maternal knowledge and diarrhea classification in toddlers. With the results of the value of 0.443, meaning that the P value > 0.05, there is no relationship between the mother's attitude and diarrhea classification about diarrhea management in toddlers. Conclusion: There is no relationship between knowledge and attitude of mothers with diarrhea classification regarding diarrhea management in toddlers
Abstract:Abstract: Active Family Planning (FP) participants are one of the indicators of the success of the FP program. This study aims to cluster the level of activity of active FP participants in Asahan Regency using the K-Means…
s method. The data used is data on active FP participants in Asahan Regency in 2021. The results of the study showed that there are three groups of active FP participants based on their level of activity, namely the group with a low level of activity, the group with a medium level of activity, and the group with a high level of activity. The group with a low level of activity consists of 7 districts, namely B.P Mandoge, Pulau Rakyat, Tanjung Balai, Air Batu, Sei Dadap, Pulo Bandring, and Kisaran Barat. The impact of low active FP participants in a district is an increase in the number of unwanted births, an increase in the number of maternal and child deaths, and an increase in population density. The group with a medium level of activity consists of 15 districts, namely Bandar Pulau, Aek Songsongan, Rahuning, Aek Kuasan, Aek Ledong, S. Kepayang, S. Kepayang Barat, S. Kepayang Timur, Teluk Dalam, Buntu Pane, Tinggi Raja, Setia Janji, Meranti, R. Panca Arga, and Silau Laut. The group with a high level of activity consists of 3 districts, namely Simpang Empat, Air Joman, and Kisaran Timur. The impact of the high number of active FP participants in a district is an increase in maternal and child health, an increase in family economy, and an increase in family welfare. The results of this clustering analysis can be used by the National Population and Family Planning Agency (BKKBN) of Asahan Regency to improve public understanding of the importance of birth control. This can be done through socialization throughout the regency, especially in districts where the results of the analysis show that the number of active FP participants is quite large.
Keywords: Family Planning, K-Means, Cluster
Abstrak: Peserta Keluarga Berencana (KB) aktif merupakan salah satu indikator keberhasilan program KB. Penelitian ini bertujuan untuk melakukan klasterisasi tingkat keaktifan peserta KB aktif di Kabupaten Asahan menggunakan metode K-Means. Data yang digunakan adalah data peserta KB aktif di Kabupaten Asahan tahun 2021. Hasil penelitian menunjukkan bahwa terdapat tiga kelompok peserta KB aktif berdasarkan tingkat keaktifannya, yaitu kelompok dengan tingkat keaktifan rendah, kelompok dengan tingkat keaktifan sedang, dan kelompok dengan tingkat keaktifan tinggi. Kelompok dengan tingkat keaktifan rendah terdiri dari 7 Kecamatan, yaitu B.P Mandoge, Pulau Rakyat, Tanjung Balai, Air Batu, Sei Dadap, Pulo Bandring, dan Kisaran Barat. Dampak dari rendahnya peserta aktif KB di suatu Kecamatan yaitu meningkatnya angka kelahiran tidak diinginkan, meningkatnya angka kematian ibu dan bayi, dan meningkatnya kepadatan penduduk. Kelompok dengan tingkat keaktifan sedang terdiri dari 15 Kecamatan, yaitu Bandar Pulau, Aek Songsongan, Rahuning, Aek Kuasan, Aek Ledong, S. Kepayang, S. Kepayang Barat, S. Kepayang Timur, Teluk Dalam, Buntu Pane, Tinggi Raja, Setia Janji, Meranti, R. Panca Arga, dan Silau Laut. Kelompok dengan tingkat keaktifan tinggi terdiri dari 3 Kecamatan, yaitu Simpang Empat, Air Joman, dan Kisaran Timur. Dampak dari tingginya peserta aktif KB di suatu Kecamatan yaitu meningkatnya kesehatan ibu dan anak, meningkatnya ekonomi keluarga, dan meningkatnya kesejahteraan keluarga. Hasil analisis klasterisasi ini dapat dimanfaatkan oleh Badan Kependudukan dan Keluarga Berencana Nasional (BKKBN) Kabupaten Asahan untuk meningkatkan pemahaman masyarakat tentang pentingnya pengendalian kelahiran. Hal ini dapat dilakukan melalui sosialisasi di seluruh wilayah kabupaten, khususnya di kecamatan-kecamatan yang hasil analisisnya menunjukkan jumlah peserta KB aktif cukup banyak.
Kata kunci: Keluarga Berencana, K-Means, Klaster
Abstract:Abstract: First level public health efforts are carried out to essential communities and community health development efforts. Essential health efforts include health promotion services, environmental health, maternal health,…
alth, child and family planning, nutrition and disease prevention. The phenomenon obtained when researchers conducted a survey of nursing care for high-risk families in the working area of the Rawang Panca Arga Health Center, obtained one family with hypertension health problems. Information obtained from the health center supervisor said that there were many hypertension cases at the Rawang Panca Arga Puskesmas. Almost every month there are new cases of hypertension. Puskesmas Rawang Panca Arga, shows that in 2019 hypertension ranks first in the top 10 diseases at Puskesmas Rawang Panca Arga with the number of new and old sufferers reaching 1239. Based on these data the researcher wants to forecast using a single exponential smoothing (SES) analysis. The incidence of hypertension is based on data on the number of incidence of hypertension in the previous year at Puskesmas Rawang Panca Arga, by first identifying patterns of hypertension at Puskesmas Rawang Panca Arga and then forecasting the number of incidence of hypertension at Puskesmas Rawang Panca Arga..
Keywords: SES Method; New Cases of Hypertension Patients; PHP and MySQL
Abstrak: Upaya kesehatan masyarakat tingkat pertama dilaksanakan kepada masyarakat esensial dan upaya pengembangan kesehatan masyarakat. Upaya kesehatan esensial diantaranya meliputi pelayanan promosi kesehatan, kesehatan lingkungan, kesehatan ibu, anak dan keluarga berencana, gizi serta pencegahan penyakit. Fenomena yang diperoleh pada saat peneliti melakukan survey asuhan keperawatan pada keluarga resiko tinggi di wilayah kerja Puskesmas Rawang Panca Arga, diperoleh satu keluarga dengan masalah kesehatan hipertensi. Keterangan yang diperoleh dari pembimbing puskesmas mengatakan bahwa kasus hipertensi di Puskesmas Rawang Panca Arga tergolong banyak. Hampir setiap bulan terjadi kasus baru hipertensi. Puskesmas Rawang Panca Arga, menunjukkan bahwa pada tahun 2019 hipertensi menempati urutan pertama pada 10 besar penyakit di Puskesmas Rawang Panca Arga dengan jumlah penderita baru dan lama mencapai 1239. Berdasarkan data tersebut peneliti ingin melakukan peramalan (forecasting) menggunakan analisa Single Exponential Smoothing (SES) pada angka kejadian hipertensi berdasarkan data jumlah kejadian hipertensi pada tahun sebelumnya di Puskesmas Rawang Panca Arga, dengan terlebih dahulu mengidentifikasi pola penyakit hipertensi yang ada di Puskesmas Rawang Panca Arga untuk kemudian dilakukan peramalan jumlah kejadian hipertensi di Puskesmas Rawang Panca Arga.
Kata kunci: Metode SES; Kasus Baru Penderita Hipertensi; PHP dan MySQL
Abstract:Abstract: Preeclampsia is one of the leading causes of maternal mortality in East Lombok Regency. In 2023, 2,689 cases of preeclampsia were recorded among 108,035 pregnant women. Limited competence of midwives in early detection,…
etection, midwifery care, and preventive strategies remains a major challenge. This community service program aimed to improve midwives’ knowledge and skills through a workshop consisting of seminars and case-based learning (CBL). The activity was conducted on August 25, 2025, at the East Lombok District Health Office Hall, involving 35 midwives from 35 primary health centers (34 respondents were analyzed as one participant did not complete the pre- and post-tests). The workshop covered preeclampsia screening, midwifery care, MgSO₄ administration, and the use of local natural resources as preventive strategies. Evaluation using pre- and post-tests showed a significant increase in the mean score from 78.23 to 94.85, with an average improvement of 16.62 points. Notably, 44.1% of participants achieved a perfect score of 100. These findings confirm that interactive and practical workshop approaches effectively enhance midwives’ competencies. Therefore, this program contributes to strengthening primary health care services and supporting maternal mortality reduction efforts in East Lombok.
Keywords: early detection; maternal mortality; midwives competence; preeclampsia; primary health care
Abstrak: Preeklampsia merupakan salah satu penyebab utama tingginya angka kematian ibu di Kabupaten Lombok Timur. Data tahun 2023 menunjukkan terdapat 2.689 kasus preeklampsia dari 108.035 ibu hamil. Keterbatasan kompetensi bidan dalam deteksi dini, asuhan kebidanan, dan pemanfaatan strategi preventif menjadi tantangan utama. Kegiatan pengabdian kepada masyarakat ini bertujuan meningkatkan pengetahuan dan keterampilan bidan melalui workshop yang terdiri dari seminar dan praktik berbasis kasus (Case Based Learning/CBL). Kegiatan dilaksanakan pada 25 Agustus 2025 di Aula Dinas Kesehatan Lombok Timur, dengan peserta 35 bidan dari 35 Puskesmas. Materi workshop mencakup skrining preeklampsia, asuhan kebidanan, pemberian MgSO₄, serta pemanfaatan bahan alam lokal sebagai strategi preventif. Evaluasi menggunakan pre-test dan post-test menunjukkan peningkatan signifikan skor rata-rata dari 78,23 menjadi 94,85, dengan rata-rata peningkatan sebesar 16,62 poin. Sebanyak 44,1% peserta mencapai skor sempurna 100. Hasil ini membuktikan bahwa workshop interaktif dan aplikatif efektif meningkatkan kompetensi bidan. Dengan demikian, program ini berkontribusi pada penguatan layanan primer dan upaya penurunan angka kematian ibu di Lombok Timur.
Kata kunci: angka kematian ibu; deteksi dini; kompetensi bidan; pelayanan kesehatan primer; preeclampsia
Abstract:Abstract: Pregnancy and toddlerhood are crucial periods that determine a child’s future growth and development. In Wonosari Village, the nutritional intake of pregnant women and toddlers is below the recommended dietary…
y allowance. One of the specific nutritional interventions that can be implemented is the provision of supplementary food (PMT) based on local food. This community service activity aimed to improve the knowledge and skills of posyandu cadres regarding the PMT based on local food for toddlers and pregnant women. The program involved training 40 cadres in the working area of Dalu Sepuluh Health Center, Tanjung Morawa District, Deli Serdang Regency, on May 28, 2025. The training consisted of delivering material on the concept of local food-based PMT and hands-on practice in processing supplementary food. Knowledge was evaluated through pre- and post-tests. Skills were evaluated through observation during processing practices. The results indicated an increase in cadres’ knowledge, with the average score rising from 95.4 to 99.4. Skills also improved, particularly in the accuracy of ingredient measurement and appropriate portion determination. These findings imply that local food-based PMT training can enhance the capacity of posyandu cadres and contribute to strengthening community-based efforts in improving maternal and child nutrition.
Keywords: cadres; PMT; pregnant women; toddlers
Abstrak: Masa kehamilan dan balita merupakan fase penting yang menentukan kualitas tumbuh kembang anak. Di Desa Wonosari, asupan gizi ibu hamil dan balita di bawah angka kecukupan gizi yang dianjurkan, sehingga diperlukan intervensi gizi spesifik melalui PMT berbasis pangan lokal. Kegiatan pengabdian ini bertujuan untuk meningkatkan pengetahuan dan keterampilan kader posyandu mengenai pengolahan makanan tambahan berbasis pangan lokal untuk balita dan ibu hamil. Metode yang digunakan adalah pelatihan dengan sasaran 40 orang kader posyandu di wilayah kerja Puskesmas Dalu Sepuluh, Kecamatan Tanjung Morawa Kabupaten Deli Serdang. Pelatihan dilaksanakan pada 28 Mei 2025, terdiri dari penyampaian materi tentang PMT berbasis pangan lokal dan praktik pengolahan makanan tambahan untuk balita dan ibu hamil. Evaluasi pengetahuan melalui pre-test dan post-test menggunakan kuesioner. Keterampilan dievaluasi dengan observasi pada saat praktik pengolahan. Pelatihan menghasilkan peningkatan skor pengetahuan kader posyandu dari 95,4 menjadi 99,4, dan peningkatan keterampilan tentang ketepatan penggunaan jumlah bahan pangan dan porsi PMT untuk ibu hamil dan balita.
Kata kunci: balita; ibu hamil; kader; PMT
Abstract:Teenage pregnancy is a complex global issue with a significant impact on maternal mental health. This study aims to conduct a Systematic Literature Review (SLR) analysis of the relationship between teenage pregnancy and…
maternal mental health, with a focus on the impact, influencing factors, and variations in findings based on geographic and cultural context. Literature searches were carried out through scientific databases such as PubMed, Google Scholar, and several international journals. Inclusion criteria included studies that addressed the impact of teenage pregnancy on maternal mental health, with analysis of factors influencing this relationship as well as variations in findings based on geographic and cultural context. This SLR analysis identified that teenage pregnancy consistently has a negative impact on maternal mental health, including increasing the risk of stress, anxiety and depression. Factors such as social support, social stigma, and economic conditions play an important role in influencing the mental health of teenage mothers. The variety of findings suggests that cultural norms, family structure, and global crises such as the COVID-19 pandemic may significantly influence the experience and impact of teen pregnancy. These findings highlight the need for a holistic approach in supporting the mental health of teenage mothers, including increasing access to affordable mental health services, strong social supports, and educational programs that strengthen community awareness. Evidence-based policy implications can help reduce the negative impact of teenage pregnancy on maternal mental health, by integrating cultural and contextual perspectives in interventions aimed at improving the well-being of teenage mothers worldwide.
Abstract:The Family Planning program has long been known as an important intervention in efforts to reduce maternal and child mortality rates. This research aims to analyze the effectiveness of the Family Planning Program in reducing…
cing maternal and child mortality rates using the Systematic Literature Review (SLR) method. This research uses the SLR method by collecting and analyzing literature from various academic databases. Inclusion criteria included studies evaluating the impact of Family Planning programs on maternal and child mortality rates, published between 2019 and 2024. The literature selection process was carried out in two stages: initial screening and quality assessment using PRISMA guidelines. A total of 15 studies met the inclusion criteria and were analyzed in this study. The findings show that the Family Planning Program is effective in reducing maternal mortality through increasing access to reproductive health services, health education, and use of contraception. Apart from that, the Family Planning program is also effective in reducing child mortality by improving maternal health and preventing unwanted pregnancies. Challenges identified include limited access to health services in remote areas, cultural barriers, and lack of policy support. Family Planning programs have proven effective in reducing maternal and child mortality rates. To increase its effectiveness, it is necessary to increase accessibility, service quality, and adequate policy support. It is hoped that these recommendations will help in improving the implementation of Family Planning programs and maternal and child health policies in the future.