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"ABSTRAK Latar belakang: Data demografi dan survey kesehatan dunia mengemukakan bahwa 92-98% perempuan tidak ingin hamil dalam 2 tahun pertama setelah persalinan, dan 66,5% ingin menggunakan kontrasepsi dengan unmet need 40%. Kontrasepsi pascasalin yang dapat diandalkan, efektif, dan jangka panjang seperti Alat Kontrasepsi Dalam Rahim (AKDR) sangat dibutuhkan.Tujuan: Mengevaluasi penerimaan, efektivitas dan efek samping AKDR pascaplasenta pada persalinan pervaginam di RSCM selama periode 6 bulansetelah pemakaian.Metode: Penelitian observasional dengan disain kohort prospektif. Semua subjek yang memenuhi kriteria penelitian, dilakukan pemasangan AKDR Cu T380A pascaplasenta dan dicatat hingga mencapai jumlah sampel yang dibutuhkan.Penelitian dilakukan di RS Cipto Mangunkusumo Jakarta periode Agustus – Oktober 2012. Penerimaan, efektivitas dan efek samping termasuk angka ekspulsi dinilai pada kunjungan 40-42 hari pascasalin dan 6 bulan kemudian.Hasil: Jumlah total subjek 234 orang, dengan 19,2% tidak datang pada kunjungan ulang pertama dan kedua. Tidak terdapat perbedaan bermakna pada karakteristik subjek yang datang maupun tidak datang pada kunjungan ulang. Pada kunjungan I, 5,1% subjek mengalami ekspulsi dan 4,5 % subjek melakukan pelepasan AKDR. Pada kunjungan II, didapatkan 7,5% ekspulsi dan 4,8% subjek melepasAKDR di luar RS. Dari keseluruhan tersebut terdapat 8,5% yang bersedia dipasang ulang. Efektivitas AKDR mencapai 100% dengan 68,9% subjek masih menyusui hingga 6 bulan. Ekspulsi total pada kunjungan I dan kunjungan II adalah 4,1% dan 0,6%, sedangkan ekspulsi parsial adalah 1% dan 6,9%. Efek samping tersering lainnya adalah keputihan (23%), nyeri haid (4-21%) danperdarahan bercak (2-10%).Kesimpulan: Penerimaan dan efektivitas selama 6 bulan adalah 86,8% dan 100%.Efek samping ekspulsi secara kumulatif selama 6 bulan adalah 12,6%, dengan efek samping lain seperti keputihan, nyeri haid dan perdarahan bercak

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ABSTRAK Background: Current world demographics and health surveys show that 92-98% of women want to delay their future pregnancy for at least 2 years after giving birth. A majority (66,5%) of these mothers require contraception of which 40% are unmet (unmet needs).The Intra Uterine Contraceptive Device (IUCD) can be a reliable, effective long term option to fulfill these unmet needsObjectives: To evaluate the acceptability, effctivity and side effects of Postplacental IUCD after vaginal delivery at Cipto Mangunkusumo Hospital after 6 months period of insertionMethods: We conducted a prospective observational cohort study, Subjects were recruited in Cipto Mangunkusumo Hospital, Jakarta at August-October 2012.Postplacental IUCD was inserted intu the subjects’ uterus until it reached the fundus. The data for acceptibility, effectivty and side effects, including the expulsion rate was obtained at 40-42 days and 6 months after delivery.Result: A total of 234 women were included in this study, with 19,2% loss of follow up. There is no significant difference on subjects’ characteristics who came and loss of follow up in this study. At the first follow up, 5,1% subjectsexperienced IUCD expulsion, and 4,5% had the IUCD removed by request. On the second follow up, expulsion was found in 7,5% of the subjects and 4,8% had the IUCD removed by request or outside our hospital. Eight and a half percent of those subjects were willing to receive IUCD reinsertion. The IUCD effectivity in six months follow up was 100%, with 68,9% of the subjects were still breastfeeding at 6 months after delivery. Total expulsion rate on first follow up compared to 6 months follow up was 4,1% and 0,6%, and the partial expulsion was 1% and 6,9%. The most common side effects were vaginal discharge (23%), dysmenorea (4-21%), and spotting (2-10%).Conclusion: The acceptability and effectivity of postplacental IUCD after 6 months were 86,8% and 100%. Cummulative expulsion rate after 6 months were 12,6%, and the most common other side effects were vaginal discharge, dysmenorea, and spotting"

"Aspek kebahagiaan sangat penting bagi ibu hamil. Kebahagiaan ini dapat dibangun melalui kesejahteraan psikologis yang baik. Kesejahteraan psikologis pada ibu hamil adalah suatu kondisi di mana ibu hamil memiliki sikap yang positif terhadap dirinya sendiri, yang tergambar dalam penerimaan diri (self-acceptance), memiliki tujuan hidup (purpose in life), penguasaan lingkungan (environmental mastery), otonomi (autonomy), hubungan yang positif (positive relationship with others), dan pertumbuhan diri (personal growth).Buku ini dikembangkan untuk memandu ibu hamil untuk dapat meningkatkan kesejahteraan psikologisnya secara mandiri. Berisi tentang penugasan dan soal sederhana yang dapat membantu ibu hamil meningkatkan aspek penerimaan diri, tujuan hidup, penguasaan lingkungan, otonomi, hubungan yang positif dengan orang lain, dan pertumbuhan diri."

"Latar Belakang: Kader kesehatan dan ibu hamil Indonesia belum cukup menerima pelatihan khusus sehingga kurang pengetahuan tentang penyakit periodontal yang berisiko terhadap kehamilan dan kelahiran bayi.Model pelatihan berbasis teori 9 langkah mencakup tahapan identifikasi masalah hingga evaluasi yang dapat diterapkan pada program pendidikan kesehatan gigi dan mulut di puskesmas.Tujuan: Meningkatkan pengetahuan kader kesehatan tentang penyakit periodontal yang berisiko terhadap kehamilan dan kelahiran bayi. Metode: Kuantitatif pra-eksperimental dengan one group comparison pre test-post test design.Pelatihan 9 langkah diberikan pada 53 kader kesehatan Puskesmas Pulo Gadung Jakarta Timur oleh dokter gigi. 50 ibu hamil diberi pendidikan setelahnya oleh kader kesehatan. Hasil: Terdapat peningkatan pengetahuan kader kesehatan dan ibu hamil(α=0,05;p-value=0,000 dengan uji Wilcoxon). Tidak ada perbedaan bermakna antara flip chart dan kartu puzzle dalam meningkatkan pengetahuan kader(p-value = 0,969 dengan uji t-independent)dan ibu hamil (p=0,359 dengan uji Mann Whitney). Kesimpulan: Model pelatihan berbasis teori 9 langkah efektif meningkatkan pengetahuan kader kesehatan. Flip chart dan kartu puzzle sama efektif meningkatkan pengetahuan kader kesehatan dan ibu hamil.

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Background: Indonesian health cadres and pregnant women have not received enough specific training so there is a lack of knowledge about periodontal disease that are risk for pregnancy and childbirth.The 9 step theory based training model covers the stage of problem identification to evaluation that can be applied to dental and oral health education programs. Purpose: Increasing knowledge of health cadres about periodontal disease that are at risk for pregnancy and childbirth.

Methods: Quantitative pre-experimental with one group comparison pre test-post test design.9 step training was given to 53 health cadres by dentist in Puskesmas Pulo Gadung,East Jakarta.50 pregnant women were given education afterwards by health cadres.

Results: There is an increase of health cadres and pregnant women knowledge (α=0,05;p-value = 0,000).There is no significant difference between flip chart and puzzle card (health cadres p-value = 0,969 ; pregnant women p-value = 0,359). Conclusion: The 9 step theory based training model effectively increases knowledge of health cadres.Flip chart and puzzle card are equally effective."

"ABSTRAK

Latar Belakang: Kehamilan merupakan suatu proses yang membutuhkan asupan seng yang adekuat guna menunjang kesehatan ibu dan janin. Defisiensi seng akibat kurangnya asupan dan bioavailabilitas seng dalam diet masih merupakan masalah di negara berkembang termasuk Indonesia.

Tujuan: Tujuan dari penelitian ini adalah untuk melihat kadar seng serum dan hubungannya dengan asupan makanan dalam upaya perbaikan asupan seng pada kehamilan trimester tiga.

Desain: Penelitian dilakukan terhadap 51 subjek ibu hamil trimester tiga dengan menggunakan desain studi potong lintang dan consecutive sampling.

Hasil: Dari penelitian diperoleh hasil rerata kadar seng serum pada subjek penelitian adalah 39,32±6,28 µg/dl dengan frekuensi seng serum rendah dari normal sebesar 92,16%. Semua subjek penelitian tidak memenuhi asupan seng, serat, energi dan protein sesuai AKG. Asupan besi subjek penelitian melebihi AKG pada 96,1% subjek dan semua subjek memiliki rasio molar fitat lebih dari 15. Terdapat korelasi lemah yang tidak bermakna secara statistik antara asupan seng (r=0.068), besi (r=0,09), fitat (r=0,081), serat (r=0,026), energi (r=0,073) dan protein (r=0,033) dengan seng serum subjek penelitian.

Kesimpulan: Kesimpulan dari penelitian ini adalah tidak terdapat hubungan antara asupan seng, besi, fitat, serat, energi dan protein dengan seng serum subjek penelitian. Dibutuhkan edukasi tentang bahan makanan sumber yang baik untuk memperbaiki asupan seng, besi, fitat, serat, energi dan protein pada ibu hamil.

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ABSTRAK

Background: Pregnancy is a process that requires an adequate zinc intake to support maternal and perinatal health. However, zinc deficiency due to inadequate intake and zinc bioavailability in diet still remain a problem in developing countries, including Indonesia.

Objective: The aim of this study is to investigate serum zinc levels and its relation to food intake in order to improve zinc intake in late pregnancy.

Design: The method used in this study was cross sectional, consecutive sampling on 51 late pregnancy subjects.

Results: The study results mean serum zinc level was 39.32±6.28 µg/dl with prevalence of serum zinc below normal 92.16%. All of the subjects did not meet the RDI of zinc, fiber, energy and protein. As 96.1% subjects meet the RDI of iron and all subjects had phytate-zinc molar ratio more than 15. There was a weak correlation that not statistically significant between the intake of zinc (r=0.068), iron (r=0.09), phytate (r=0.081), dietary fiber (r=0.026), energy (r=0.073) and protein (r=0.033) with serum zinc.

Conclusion:This study conclude that there was no association between intake of zinc, iron, phytate, dietary fiber, energy and protein with serum zinc level in late pregnancy. Pregnant women need a nutritional education about good food source to improve zinc, iron, dietary fiber, energy, and protein intakes.

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"Prevalensi stunting di Indonesia berada pada posisi 115 dari 151 negara di dunia pada tahun 2020. Secara nasional, Indonesia menunjukkan penurunan namun masih diperlukan penurunan untuk mencapai target di tahun 2024. Menurut hasil SSGI tahun 2021 prevalensi stunting di Provinsi Jawa Barat sebesar 24,5%. Berdasarkan Buku Profil Informasi Kesehatan Kabupaten Bogor 2019, prevalensi stunting di Puskesmas Ragajaya sebesar 41,98% lebih tinggi daripada prevalensi Kabupaten Bogor yaitu sebesar 19,08%. Ibu hamil merupakan salah satu kelompok sasaran dalam pencegahan stunting. Pencegahan stunting dapat dilakukan sejak 1000 Hari Pertama Kehidupan (HPK) yaitu dari masa kehamilan hingga usia 2 tahun. Stunting dapat terjadi akibat asupan nutrisi ibu hamil kurang. Theory of Planned Behavior (TPB) mencakup strategi untuk meningkatkan kepercayaan ibu terhadap kemampuannya dalam memenuhi kebutuhan nutrisi selama kehamilan. Perilaku pencegahan stunting dapat dipengaruhi berbagai faktor seperti sikap, norma subjektif, dan persepsi kontrol perilaku. Penelitian ini bertujuan untuk mengetahui hubungan sikap, norma subjektif, dan persepsi kontrol perilaku dengan perilaku pencegahan stunting pada ibu hamil di wilayah kerja Puskesmas Ragajaya. Desain penelitian ini cross-sectional. Sampel penelitian sebanyak 90 ibu hamil. Pengambilan data dilakukan pada bulan Desember 2022. Hasil penelitian menunjukkan bahwa sebanyak 65.5% ibu hamil memiliki perilaku pencegahan stunting yang baik. Hasil analisis bivariat menunjukkan sikap (p=0.004), norma subjektif (p=0.045), dan persepsi kontrol perilaku (p=0.001) berhubungan dengan perilaku ibu hamil dalam mencegah stunting. Saran bagi fasilitas kesehatan diharapkan memberikan pendidikan kesehatan secara rutin sebagai salah satu langkah preventif baik melalui pelayanan konsultasi kesehatan ibu hamil, berbagai platform media sosial, serta kegiatan – kegiatan diskusi terkait dengan kesehatan ibu hamil terutama mengenai gizi ibu hamil dalam pencegahan stunting.

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In 2020, the prevalence of stunting in Indonesia will be the 115th highest out of 151 countries in the world. Nationally, Indonesia is showing a decline, but a gradual decrease is still needed to reach the target in 2024. According to the results of SSGI in 2021, the prevalence of stunting in West Java Province is 24.5%. Based on the 2019 Bogor Regency Health Information Profile Book, the prevalence of stunting in the Ragajaya Health Center is 41.98%, which is higher than the Bogor Regency prevalence of 19.08%. Pregnant women are one of the target groups in stunting prevention. Stunting can be prevented from the first 1000 days of life (HPK), or from pregnancy to the age of two. Stunting can occur due to the insufficient nutritional intake of pregnant women. The Theory of Planned Behavior (TPB) includes strategies to increase the mother's confidence in her ability to meet nutritional needs during pregnancy. Stunting prevention behavior can be influenced by various factors, such as attitudes, subjective norms, and perceptions of behavior control. This study aims to determine the relationship between attitudes, subjective norms, and perceptions of behavior control with stunting prevention behavior in pregnant women in the working area of the Ragajaya Health Center. The research design is cross-sectional. The research sample consisted of 90 pregnant women. Data collection was carried out in December 2022. The results showed that 65.5% of pregnant women had good stunting prevention behavior. The results of the bivariate analysis showed that attitude (p = 0.004), subjective norm (p = 0.045), and perceived behavioral control (p = 0.001) were related to pregnant women's behavior in preventing stunting. Suggestions for health facilities are expected to provide routine health education as one of the preventive measures both through pregnant women's health consultation services, various social media platforms, and discussion activities related to the health of pregnant women, especially regarding nutrition for pregnant women in preventing stunting."

"[ABSTRAKLatar Belakang penelitian adalah masih tingginya angka kejadian penurunan kadar Hb pada ibuhamil, yang akan berdampak pada ibu dan janin. Tujuan dari penelitian adalah untuk mengetahuihubungan perilaku (pengetahuan, keterampilan, dan sikap) dan dukungan keluarga dalam pemenuhankebutuhan nutrisi ibu hamil dengan kadar hemoglobin. Metode Penelitian yang digunakan adalahkuantitatif yang bersifat deskriptif korelasi dengan pendekatan cross sectional, dengan sampel 65.Tehnik pengambilan sample adalah simple random sampling. Hasil penelitian ada hubungan perilaku:pengetahuan (p: 0.001), keterampilan (p: 0.007), sikap (p: 0.010) dan dukungan emosional (p=0.004),intrumental (p= 0.021), informasional (p= 0.036), dan penghargaan (p=0.047) dengan kadar Hb ibuhamil. Kesimpulan penelitan adalah kadar Hb Ibu hamil depengaruhi oleh perilaku dan dukungankeluarga dalam pemenuhan nutrisi. Implikasi hasil penelitian diharapkan dapat mengembangkanprogram pemberian makanan kaya zat besi dengan melibatkan keluarga. Rekomendasi penelitianadalah melihat faktor-faktor yang mempengaruhi sikap pemenuhan nutrisi ibu hamil, untukmempertahankan kadar Hb normal.

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ABSTRACTBackground this study is still high incidence of decreased levels of hemoglobin in pregnant women,which will have an impact on the mother and fetus. The purpose of this study is to determine therelationship of behavior (knowledge, skills, and attitudes) and support the family in meeting thenutritional needs of pregnant women with hemoglobin (Hb). This study used descriptive correlationwith cross sectional approach. The sample of 65 was calculated using simple random sampling. Theresults of the study no relationship behaviors: knowledge (p: 0.001), skills (p: 0.007), attitude (p:0.010) and emotional support (p = 0.004), instrumental (p = 0.021), informational (p = 0.036), andawards (p = 0.047) with hemoglobin levels of pregnant women. Conclusion this study Hb influencedby the behavior of pregnant women and family support in nutrition. Implications of the results of thestudy are expected to develop a program of iron-rich foods with the family involved. Recommendationsthe study is looking at the factors that influence the attitude of nutrition of pregnant women, tomaintain normal hemoglobin levels;Background this study is still high incidence of decreased levels of hemoglobin in pregnant women,which will have an impact on the mother and fetus. The purpose of this study is to determine therelationship of behavior (knowledge, skills, and attitudes) and support the family in meeting thenutritional needs of pregnant women with hemoglobin (Hb). This study used descriptive correlationwith cross sectional approach. The sample of 65 was calculated using simple random sampling. Theresults of the study no relationship behaviors: knowledge (p: 0.001), skills (p: 0.007), attitude (p:0.010) and emotional support (p = 0.004), instrumental (p = 0.021), informational (p = 0.036), andawards (p = 0.047) with hemoglobin levels of pregnant women. Conclusion this study Hb influencedby the behavior of pregnant women and family support in nutrition. Implications of the results of thestudy are expected to develop a program of iron-rich foods with the family involved. Recommendationsthe study is looking at the factors that influence the attitude of nutrition of pregnant women, tomaintain normal hemoglobin levels;Background this study is still high incidence of decreased levels of hemoglobin in pregnant women,which will have an impact on the mother and fetus. The purpose of this study is to determine therelationship of behavior (knowledge, skills, and attitudes) and support the family in meeting thenutritional needs of pregnant women with hemoglobin (Hb). This study used descriptive correlationwith cross sectional approach. The sample of 65 was calculated using simple random sampling. Theresults of the study no relationship behaviors: knowledge (p: 0.001), skills (p: 0.007), attitude (p:0.010) and emotional support (p = 0.004), instrumental (p = 0.021), informational (p = 0.036), andawards (p = 0.047) with hemoglobin levels of pregnant women. Conclusion this study Hb influencedby the behavior of pregnant women and family support in nutrition. Implications of the results of thestudy are expected to develop a program of iron-rich foods with the family involved. Recommendationsthe study is looking at the factors that influence the attitude of nutrition of pregnant women, tomaintain normal hemoglobin levels, Background this study is still high incidence of decreased levels of hemoglobin in pregnant women,which will have an impact on the mother and fetus. The purpose of this study is to determine therelationship of behavior (knowledge, skills, and attitudes) and support the family in meeting thenutritional needs of pregnant women with hemoglobin (Hb). This study used descriptive correlationwith cross sectional approach. The sample of 65 was calculated using simple random sampling. Theresults of the study no relationship behaviors: knowledge (p: 0.001), skills (p: 0.007), attitude (p:0.010) and emotional support (p = 0.004), instrumental (p = 0.021), informational (p = 0.036), andawards (p = 0.047) with hemoglobin levels of pregnant women. Conclusion this study Hb influencedby the behavior of pregnant women and family support in nutrition. Implications of the results of thestudy are expected to develop a program of iron-rich foods with the family involved. Recommendationsthe study is looking at the factors that influence the attitude of nutrition of pregnant women, tomaintain normal hemoglobin levels]"