AbstrakKader kesehatan merupakan ujung tombak pelaksanaan Posyandu di masyarakat. Kader kesehatan mempunyai tugas untuk mengelola pelaksanaan Posyandu, mulai dari persiapan, pelaksanaan dan pasca pelaksanaan Posyandu di setiap bulan. Banyak Posyandu yang mati suri atau keberadaannya ada tetapi tidak berfungsi sebagaimana yang diharapkan. Hal ini dapat dilihat dari strata Posyandu yang kebanyakan masih ada dalam strata Madya dan Purnama. Keberadaan kader kesehatan memegang peran utama dalam pelaksanaan Posyandu. Tetapi yang menjadi kendala adalah kinerja kader Posyandu yang dianggap masih kurang dan banyak kader yang memutuskan berhenti menjadi kader. Tujuan penelitian ini adalah untuk mengetahui kinerja kader dalam pelaksanaan Posyandu di Kabupaten Kudus. Metode penelitian menggunakan penelitian kualitatif dengan pendekatan fenomenologi. Jumlah informan ada 11 orang kader . Pengambilan data dilakukan secara wawancara mendalam menggunakan panduan wawancara dengan pertanyaan bersifat terbuka. Triangulasi dilakukan dengan melakukan wawancara dengan Bidan Desa.Penelitian dilaksanakan pada bulan Maret-April 2018 di wilayah Kabupaten Kudus. Hasil penelitian didapatkan bahwa kader kesehatan sudah mengetahui tugas dan tanggungjawabnya sebagai kader kesehatan. Pemberian insentif bagi kader dianggap dapat meningkatkan motivasi kader dalam menjalankan tugas. Pengakuan resmi dari pemerintah atau desa dianggap sebagai suatu bentuk penghargaan bagi kader. Kelengkapan sarana prasarana serta dukungan dari pemerintah desa sangat membantu pelaksanaan tugas kader. Perlu adanya pelatihan bagi kader untuk meningkatkan kompetensi kader terutama bagi kader kesehatan baru. AbstractCommunity health workers are the spearhead of Posyandu implementation in the community. Community Health workers have some duties starting from the preparation, implementation and postimplementation of Posyandu every month. Many Posyandu are exists but does not work as expected. This can be seen from the strata's of Posyandu, most of them are madya and Purnama. The competencies of community health workers have a main role in Posyandu. The problem is some of the community health workers have a low performance, and they decided to not working again. The aim of this study is to determine the performance of community health workers in Kudus regency. The method is used qualitative research with phenomenology approach. There are 11 informans from community health workers. The data collection use in-depth interviews with open questionnaire. Triangulation is done by interview with the Midwife. The study was held on March-April 2018 in Kudus Regency. The result shows that community health workers are aware of their duties and responsibilities. Incentives can elevate the motivation of community health workers to do their duties. Official recognition from the government or village is considered as a appreciation for the community health workers. The completeness of infrastructure and support from the village government is very helpful for the implementation of their duti...

Secara fisiologis tiap wanita bersalin akan mengalami nyeri persalinan. Intervensi untuk mengurangi rasa sakit, cemas dan ketidaknyamanan selama persalinan merupakan  bagian utama dari pelayanan kebidanan modern pada ibu bersalin. Pengalaman nyeri persalinan tidak hanya terkait dengan kemajuan proses persalinan, tetapi juga terkait dengan fisik dan latar belakang psikososial ibu. Dari berbagai studi, karakteristik individu dikaitkan sebagai modulator respon terhadap nyeri kronis. Penelitian terkait nyeri persalinan merupakan upaya pengembangan keilmuan kebidanan dalam manajemen persalinan dan dapat memudahkan membuat pilihan terbaik masing-masing individu wanita dalam merencanakan kehamilan dan persalinan. Tujuan penelitian untuk mengetahui apakah karakteristik ibu berpengaruh terhadap penerimaan respon nyeri pada ibu bersalin. Penelitian ini merupakan jenis penelitian kuantitatif, dengan rancangan observasional analitik. Menggunakan desain pendekatan cross sectional. Populasi dalam penelitian ini adalah seluruh ibu bersalin di RB Fatimah Kudus. Penelitian dilakukan pada bulan Maret sampai April 2017. Tehnik pengambilan sampel dilakukan secara consecutive sampling dengan jumlah sampel sebanyak 50 orang.  Tehnik analisis statistik data univariat dan analisis bivariat menggunakan uji korelasi  Somers’d . Hasil penelitian menunjukkan bahwa dari beberapa karakteristik maternal yakni umur ibu, pendidikan, umur kehamilan dan paritas yang dikaji dengan nyeri persalinan, didapatkan hasil bahwa terdapat korelasi yang bermakna antara paritas dengan nyeri persalinan (p<0.05) dengan nilai korelasi r=-0.263 yang menunjukkan bahwa korelasi lemah dengan arah korelasi negatif. Besar resiko mengalami nyeri persalinan dengan tingkatan lebih berat pada primipara adalah sebesar 2,63 kali (95% CI 0,96-7,20) dibandingkan dengan multipara. Penting bagi bidan untuk mengeksplorasi berbagai strategi guna mengurangi atau mengelola kecemasan dan nyeri persalinan. Kata Kunci : Karakteristik maternal, nyeri persalinan.

Perineal massage is one of the way to reduce maternal morbidity and reduce the risk of bleeding caused by laceration of the perineum. Not only Virgin Olive Oil, but also Virgin Coconut Oil becomes the alternative thing that easily absorbed by the skin. This study aims to examine the effect of Virgin Coconut Oil and Virgin Olive Oil on perineal massage on the degree of perineal laceration. This research was Quasi experimental designs, with the subjects were pregnant women with gestational age ≥34-35 weeks. The data used the Mann-Whitney test and tested 2 proportions to assess the effectiveness of the essential oils used. The result showed that there was influence of perineal massage with perineal laceration (p <0,05). Therefore, there is influence of VCO and VOO on perineal massage against the perineal laceration event. Further research is needed to assess the determinants of perineal laceration with different variables or interventions.

Berdasarkan data Badan Pelaporan dan Statistik (BPS) Propinsi Jawa Tengah tahun 2016 sebanyak lebih dari 20 % anak usia sekolah ditemukan mengalami masalah kesulitan makan. Gangguan kesulitan makan berpengaruh pada pemenuhan gizi, pertumbuhan fisik biomedik otak dan imunitas anak. Ketiga hal ini penting untuk menunjang kualitas hidup bagi anak sebagai generasi penerus bangsa. Gangguan sulit makan dapat diakibatkan karena semakin bertambahnya aktivitas seperti bermain, sekolah dan kurangnya peranan lingkungan sekitar anak sehingga terkadang mereka menjadi malas makan dan jajan sembarangan. Tujuan: Mengetahui korelasi antara variasi jenis makanan dan dukungan lingkungan dengan pola makan pada anak usia sekolah. Metode: Jenis penelitian analitik korelasional dengan pendekatan waktu cross sectional. Besar sampel 70 responden dengan teknik pengambilan sampel purposive sampling. Instrumen yang digunakan adalah kuesioner tentang jenis makanan, dukungan lingkungan dan pola makan. Analisis data uji statistik Spearman Rho. Hasil Penelitian : Mayoritas jenis makanan responden adalah kurang sehat sebanyak 54,3%, lingkungan yang mendukung sebanyak 54,3% dan mayoritas mengalami kesulitan makan tingkat sedang sebanyak 48,6%. Simpulan : Terdapat korelasi variasi jenis makanan (p=0,002 ; r = -0,698) dan lingkungan (p=0,001 ; r = -0, 687) dengan pola makan anak usia sekolah.

Pain due to labor contraction will cause discomfort therefore pain management is needed to avoid negative effects on both mothers and fetuses. There are some methods in pain management. Pharmacological method has side effects meanwhile non-pharmacological method is more efficient and has minimal side effects. Massage is a non-pharmacological method which may overcome the pain of delivery (p <0.05). There is an easy method to use and support the delivery assistance for Mother’s Day Care, namely Circular Hip and Knee Press Massage. The aim of this study is to know the effectiveness of Circular Hip Massage and Knee Press Massage on the intensity of labor pain with the experimental quasi design. Thr research subjects were 52 pregnant mothers in March to July 2018 at the Maternity Home (RB) and Practice Midwives (BPM) in the Kudus Regency.. Based on the Wilcoxon test, the Circular Hip and Knee Press Massage methods are effective to overcome the pain of delivery (p <0.05). From Mann-Whitney Test can be concluded that there is a difference in the effectiveness of Circular Hip and Knee Press Massage on the Intensity change of labor Pain. The intensity change of labor Pain with Circular Hip Massage (CHM) is 0.9, median of 1 (SD 0.445). Meanwhile, the intensity change of labor Pain with Knee Press Massage (KPM) is 0.38, median of 0.5 (SD 0.697). The results of the study are expected to be a reference for the development of scientific health knowledge for mothers and children related to labor pain management.

The high maternal death cases in Indonesia especially from indirect cases come from delay to identify the dangers of labor, to make a decision, to refer the patient and to get a medical intervention. These cases because of unpreparedness of pregnant women to face the labor and the complication. There are 78% people use gadget, including the pregnant women. It can be potential thing to increase the preparedness of the pregnant woman to face the labor and complication by get information from internet. This study aims to identify the effectiveness of gadgets to increase the preparedness of pregnant women facing labor and complications. Method: This research is a quasiexperimental design with 60 respondents. This study used quota sampling method, conducted on April-May 2019 in Kudus. The intervention was the use of gadgets as a source information of pregnancy and preparation of labor that carried out 5-30 minutes 1-2 times per day for 1 month. The instrument was modified Birth Preparedness and Complication readiness (BPCR). The data analysis used ttest. Results: Gadgets can be used to increase the preparedness of pregnant women facing labor and complication. It was proven by the results of statistical tests with a value of p = 0.04. Conclusion: The use of gadgets to increase the readiness to face labor and complications is recommended for pregnant women but it must be balance with awareness of the negative effects, such as impaired vision and concentration, decrease quality of sleep and make gadget addiction.

Safe and satisfied parturition are influenced by anxiety suffered by mothers during maternity. Anxiety and pain during maternity cause stress responses. It increases catecholamine causing vasoconstriction which influences to womb contraction, pain, and parturition length. Multi-sensory stimuli are identified to be able in decreasing anxiety and facilitating maternal physiology. Multi-sensory stimuli are stimuli interventions on several human senses which are able to be responded by brain. It fosters influential perceptions to behaviors and emotions so it has indirect potency to parturition process. This research aims to analyze multi-sensory stimulus on maternity to parturition. This quasi-experimental research used nonequivalent control group design. The sample consisted of 60 people. The bivariable analysis design used Mann Whitney test and non-paired T-test. Two proportion test assisted by SPSS was used to find out the influence strength. The results showed that there was an influence of Multi-sensory stimulus to pain and length of parturition. The average of the pain during 6-8 aperture was on scale 7 (SD=1.73) meanwhile on control group it was on scale 8 (SD=1.7). The average of the parturition was 331.67 (SD=97.001) while the control group was 400.00 minutes (SD=163.87). It is important for midwifery to explore various non-pharmacological effort to support parturition process and outcomes.