Midwifery Student Journal (MS Jou)

Studi Kasus: Asuhan Kebidanan Berkelanjutan Berbasis Pencegahan Stunting Pada Ny. M G4P3A0H3 Usia Kehamilan 32 Minggu Sampai Masa Nifas

2026-07-08T14:34:08+07:00

Latar Belakang: Di Indonesia, jumlah kematian ibu terdapat 4.005 pada tahun 2022 dan meningkat menjadi 4.129 pada tahun 2023. Sementara, jumlah kematian bayi mencapai 20.882 pada tahun 2022 dan meningkat 29.945 pada tahun 2023.sedangkan AKI melahirkan mencapai 189 per 100.000 kelahiran hidup dan AKB mencapai 16,85 per 1.000 kelahiran hidup, angka kematian ibu di NTB sebesar 257 per 100.000 kelahiran hidup. Tujuan : Mampu melakukan asuhan kebidanan berkelanjutan pada Ny M di Puskesmas Suranadi Periode 13 Februari s.d 20 Mei 2024, dengan menggunakan metode pendokumentasian 7 langkah varney pada pengkajian awal dan selanjutnya menggunakan metode pendokumentasian SOAP pada catatan perkembangan. Metode : metode studi penelahaan kasus (case study). Lokasi di Puskesmas Suranadi subyek Ny M G4P3A0H3 Teknik pengumpulan data menggunakan data primer dan data sekunder. Hasil : Setelah di lakukan asuhan kebidanan berkelanjutan pada Ny M di Puskesmas Suranadi ibu sudah menyikuti anjuran yang di berikan dan keluhan ibu teratasi, keadaan ibu sehat sehingga masa hamil sampai nifas berjalan normal Tetapi pada saat neonatal terdapat kelainan yaitu Atresia Ani. Kesimpulan: penulis telah melakukan Asuhan Kebidanan Berkelanjutan pada Ny M dari masa kehamilannya dalam keadaan sehat proses persalinan normal, masa nifas involusi berjalan normal, bayi sehat dan konseling KB, ibu memilih alat kontrasepsi KB Implan.

Abstract

Background : In Indonesia, the number of maternal deaths was 4,005 in 2022 and increased to 4,129 in 2023. Meanwhile, the number of infant deaths reached 20,882 in 2022 and increased to 29,945 in 2023. While the maternal mortality rate reached 189 per 100,000 live births and IMR reached 16.85 per 1,000 live births, the maternal mortality rate in NTB was 257 per 100,000 live births. Objective : To be able to perform continuous midwifery care on Mrs. M at the Suranadi Health Center from February 13 to May 20, 2024, by using the Varney 7-step documentation method in the initial assessment and then using the SOAP documentation method in the progress notes. Method : case study method. Location at the Suranadi Health Center subject Mrs. M G4P3A0H3 Data collection techniques using primary data and secondary data. Results : After doing continuous midwifery care on Mrs. M at the Suranadi Health Center, the the mother complied with the recommendations the recommendations given and the mother's complaints are resolved, the mother's condition is healthy so that the pregnancy until the postpartum period runs normally but at the time of neonatal there is an abnormality, namely Atresia Ani. Conclusion : the author has carried out Continuous Midwifery Care on Mrs. M from her pregnancy in a healthy state, the normal delivery process, the postpartum period of involution runs normally, the baby is healthy and family planning counseling, the mother chooses the implantable contraceptive.

Pengaruh Alat Peraga BIDAR terhadap Pengetahuan dan Keterampilan SADARI pada Remaja Putri

2026-05-04T09:52:28+07:00

Latar Belakang: Bidar (Bra Trampil SADARI) merupakan alat peraga yang dirancang menyerupai payudara manusia untuk melatih pemeriksaan payudara sendiri (SADARI). Tujuan: Menganalisis pengaruh penggunaan Bidar terhadap pengetahuan dan keterampilan SADARI pada remaja putri. Metode: Penelitian kuantitatif dengan desain quasi-experimental posttest only control group. Sampel sebanyak 30 remaja putri dipilih menggunakan purposive sampling, terdiri atas 15 responden kelompok Bidar dan 15 kelompok phantom payudara. Data dianalisis menggunakan uji Mann–Whitney. Hasil: Rerata pengetahuan kelompok intervensi lebih tinggi dibanding kelompok kontrol (89,71 vs 82,51), demikian pula keterampilan (90,00 vs 81,45). Uji Mann–Whitney menunjukkan perbedaan bermakna pada pengetahuan (p=0,022) dan keterampilan (p=0,016). Kesimpulan: Penggunaan Bidar lebih efektif dibandingkan phantom payudara dalam meningkatkan pengetahuan dan keterampilan SADARI pada remaja putri, sehingga berpotensi menjadi media edukasi inovatif untuk mendukung deteksi dini kanker payudara.

Abstract

Background: BIDAR (Bra Trampil SADARI) is an educational teaching aid designed to resemble the human breast for training breast self-examination (BSE) skills. Objective: This study aimed to analyze the effect of using BIDAR on knowledge and BSE skills among adolescent girls. Methods: This quantitative study employed a quasi-experimental design with a posttest-only control group. A total of 30 adolescent girls were selected using purposive sampling, consisting of 15 participants in the BIDAR intervention group and 15 participants in the breast phantom control group. Data were analyzed using the Mann–Whitney test. Results: The mean knowledge score in the intervention group was higher than that in the control group (89.71 vs. 82.51), as was the mean BSE skill score (90.00 vs. 81.45). The Mann–Whitney test showed statistically significant differences in knowledge (p = 0.022) and BSE skills (p = 0.016). Conclusion: The use of BIDAR was more effective than the breast phantom in improving knowledge and BSE skills among adolescent girls, indicating its potential as an innovative educational medium to support the early detection of breast cancer.

Pengaruh Scrapbook terhadap Perilaku Personal Hygiene Menstruasi pada Remaja Putri

2026-05-04T09:27:14+07:00

Latar Belakang: Perilaku personal hygiene saat menstruasi penting untuk mencegah infeksi pada remaja putri, namun praktiknya masih rendah akibat kurangnya pendidikan kesehatan. Tujuan: Menganalisis pengaruh pendidikan kesehatan reproduksi menggunakan media scrapbook terhadap perilaku personal hygiene saat menstruasi pada remaja putri. Metode: Penelitian menggunakan desain pre-experimental one-group pretest–posttest pada 46 siswi kelas VII dan VIII. Data dianalisis menggunakan uji Wilcoxon. Hasil: Sebagian besar responden berusia 13 tahun (52,2%), mengalami menarche pada usia 12 tahun (80,4%), lama menstruasi 5–7 hari (63,0%), dan memperoleh informasi dari keluarga (37,0%). Rata-rata skor perilaku personal hygiene meningkat dari 44,91 sebelum intervensi menjadi 59,89 setelah intervensi. Uji Wilcoxon menunjukkan perbedaan yang bermakna (p=0,001). Kesimpulan: Pendidikan kesehatan menggunakan scrapbook efektif meningkatkan perilaku personal hygiene saat menstruasi pada remaja putri.

Abstract

Background: Adolescence is characterized by biological changes, including menstruation. Adolescent girls need to maintain good personal hygiene during menstruation to prevent reproductive tract infections. A preliminary study at SMP IT Al-Kamal NW Narmada found that many female students did not change sanitary pads regularly and had inadequate personal hygiene practices due to limited health education. Scrapbook media, as a visual educational tool, is considered attractive and easy to understand, making it a potential medium for improving such behaviors. Objective: To determine the effect of reproductive health education using scrapbook media on menstrual personal hygiene behavior among adolescent girls. Methods: This study employed a pre-experimental one-group pretest–posttest design involving 46 female students from grades VII and VIII. Data were analyzed using the Wilcoxon signed-rank test. Results: Most respondents were 13 years old (52.2%), experienced menarche at the age of 12 years (80.4%), had a menstrual duration of 5–7 days (63.0%), and had previously received information about menstruation and personal hygiene (63.0%), primarily from their families (37.0%). The mean personal hygiene behavior score increased from 44.91 before the intervention to 59.89 after the intervention. The Wilcoxon test showed a statistically significant difference (p = 0.001). Conclusion: Reproductive health education using scrapbook media was effective in improving menstrual personal hygiene behavior among adolescent girls.