THE WOMEN'S CONDITION AFTER CHILDBIRTH UNDERGOES PHYSICAL AND PSYCHOLOGICAL CHANGES. CHANGES AFTER CHILDBIRTH CAUSE FATIGUE IN THE POSTPARTUM PERIOD. POSTPARTUM FATIGUE MAKES THE MOTIVATION OF BREASTFEEDING DECREASE. THIS STUDY AIMS TO FIND OUT THE RELATIONSHIP OF FATIGUE WITH MOTIVATION FOR BREASTFEEDING IN THE POSTPARTUM PERIOD. THE DESIGN OF THIS STUDY WAS A QUANTITATIVELY ANALYTICAL CORRELATION WITH A CROSSECTIONAL APPROACH PERFORMED ON 95 POSTPARTUM MOTHERS WITH PURPOSIVE SAMPLING TECHNIQUES. THE QUESTIONNAIRES USED ARE THE POSTPARTUM FATIGUE SCALE (PFS) AND BREASTFEEDING MOTIVATIONAL INSTRUCTIONAL MEASUREMENT SCALE (BMIMS). STATISTICAL ANALYSIS USES THE SPEARMAN RHO TEST WITH SIGNIFICANCE P<0.05. THE RESULTS OF THIS STUDY SHOWED THAT POSTPARTUM MOTHERS WHO EXPERIENCED HIGH LEVELS OF FATIGUE AS MUCH AS 91 (95.8%), MODERATE AS MUCH AS 2 (2.1%), LOW AS MANY AS 2 (2.1%) RESPONDENTS. THE MOTIVATION LEVEL OF BREASTFEEDING WAS LOW BY 50 (52.6%), AND THE MOTIVATION OF BREASTFEEDING WAS LOW AS MUCH AS 40 (47.4%) RESPONDENTS. THE CONCLUSION OF THIS STUDY THERE IS A SIGNIFICANT ASSOCIATION BETWEEN FATIGUE AND MOTIVATION OF BREASTFEEDING IN POSTPARTUM (P = 0.001). HEALTH SERVICE ARE EXPECTED TO IMPROVE THE QUALITY OF SERVICE IN THE POSTPARTUM PERIOD BY ASSESSING POSTPARTUM FATIGUE EARLY TO INCREASE MATERNAL MOTIVATION IN BREASTFEEDING.
Abstrak: Wanita beresiko mengalami masalah kesehatan reproduksi. Salah satu upaya pemeliharaan kesehatan reproduksi pada wanita adalah menjaga kebersihan pada organ reproduksi. Daun sirih memiliki kandungan antiseptik yang bermanfaat menjaga organ kewanitaan lebih sehat. Tujuan pengabdian masyarakat ini untuk memberdayakan kelompok Kader dalam peningkatan pengetahuan dan keterampilan membuat sabun daun sirih (BUNDARIH). Metode pelaksanaan kegiatan pengabdian ini adalah menggunakan model kerjasama kemitraan dengan Kader Kesehatan melalui penyuluhan dan pelatihan. Kegiatan ini dilaksanakan pada bulan April-Juni 2022 dengan diikuti sebanyak 37 peserta. Hasil kegiatan menunjukkan adanya peningkatan pengetahuan tentang masalah kesehatan reproduksi wanita dan penatalaksanaanya serta keterampilan pembuatan BUNDARIH sebesar 49,4% dengan rata-rata nilai pretest 56.89% menjadi 85% pada posttest. Kegiatan pemberdayaan masyarakat ini dapat digunakan sebagai promosi kesehatan dan pemanfaatan tanaman daun sirih dalam bentuk BUNDARIH sebagai upaya peningkatan kesehatan reproduksi wanita.Abstract: Women are at risk of developing reproductive health problems. One of the efforts to maintain reproductive health in women is to maintain cleanliness in the reproductive organs. Betel leaf has an antiseptic content that is useful for keeping the female organs healthier. The purpose of this community service is to empower the Cadre group in increasing the knowledge and skills of making betel leaf soap (BUNDARIH). The method of implementing this service activity is to use a partnership cooperation model with Health Cadres through counseling and training. This activity was carried out in April-June 2022 with 37 participants participating. The results of the activity showed an increase in knowledge about women's reproductive health problems and their management and roundabout manufacturing skills by 49.4% with an average pretest value of 56.89% to 85% on posttest. This community empowerment activity can be used as health promotion and utilization of betel leaf plants in the form of BUNDARIH as an effort to improve women's reproductive health.
Background: Pregnancy anxiety occurs due to the transition period of a woman's life due to the physical and emotional changes of pregnancy. About 20% of all pregnancies have a risk of pregnancy that causes a source of stress and anxiety for pregnant women at high risk. Spiritual well-being is a factor that contributes to the quality of life in mothers with high-risk pregnancies.The aims: This study aims to determine the association between spiritual well-being and anxiety among high-risk pregnant women.Methods: The type of this research is quantitative non-experimental with a cross-sectional approach involving 96 pregnant women was selected using a purposive sampling technique. The instrument used was a spiritual well-being questionnaire in the form of a modified Spiritual Well-Being Scale (SWBS) and a modified Hamilton Anxiety Rating Scale (HARS) questionnaire for high-risk pregnant women.Results: The results showed that spiritual well-being in the high category was 73 people (76 %), mild 22 people (22,9), and low 1 people (1%). The anxiety in the category of severe anxiety was 8 people (8,3%), moderate anxiety was 24 people (25%), mild anxiety was 31 people (32%), and no anxiety was 33 people (34,4%). The Spearman's rho analysis results obtained a p-value of 0,000 (p <0, 05) with a correlation coefficient of r of -0.448.Conclusion: There was a significant association between spiritual well-being and anxiety among high-risk pregnant women. The higher the spiritual well-being, the lower the anxiety of high-risk pregnant women.
ABSTRAKMasalah kesehatan reproduksi pada wanita akan berdampak luas dan mempengaruhi berbagai aspek kehidupan. Kurangnya edukasi tentang kesehatan reproduksi, kuatnya mitos-mitos negatif tentang kesehatan reproduksi dan menganggap tabu mendiskusikan masalah kesehatan reproduksi misalnya keluhan keputihan, gangguan menstruasi dan masalah infeksi menular seksual menjadi penyebab meningkatnya gangguan kesehatan reproduksi wanita. Informasi yang didapatkan oleh wanita usia subur rata-rata terbatas dikarenakan sebagian ibu tidak bekerja atau sibuk mengurus anak-anaknya sehingga membutuhkan pengetahuan tentang perawatan diri pada organ kewanitaan, mengenali masalah kesehatan reproduksi wanita dan mampu mendeteksi dini tanda bahaya masalah kesehatan reproduksi. Tujuan kegiatan ini adalah memberdayakan masyarakat untuk melakukan gerakan peduli sehat reproduksi wanita. Metode pelaksanaan kegiatan pengabdian ini adalah menggunakan model peningkatan kemitraan dengan kader Kesehatan dan ibu-ibu wanita usia subur dengan memberikan promosi kesehatan reproduksi dan screening kesehatan reproduksi. Hasil kegiatan ini terdapat peningkatan pengetahuan dan pemahaman tentang Kesehatan reproduksi dan perawatannya dari 70% menjadi 98%. Kesimpulan kegiatan ini adalah pemberdayaan masyarakat melalui gerakan peduli sehat reproduksi wanita dapat meningkatkan pengetahuan, pemahaman dan deteksi dini kesehatan reproduksi wanita. Kegiatan pengabdian masyarakat ini sebaiknya dilakukan monitoring secara berkala. Penyediaan media edukasi sebaiknya lebih lengkap dan partisipasi dari pihak masyarakat. Kata kunci: Edukasi, Kesehatan Reproduksi, Wanita Usia Subur ABSTRACT Reproductive health problems in women will have a wide impact and affect various aspects of life. Lack of education about reproductive health, strong negative myths about reproductive health and consider it taboo to discuss reproductive health problems such as complaints of vaginal discharge, menstrual disorders and sexually transmitted infection problems are the causes of increasing women's reproductive health disorders. Information obtained by women of average childbearing age is limited because some mothers do not work or are busy taking care of their children so they need knowledge of self-care in the female organs, recognize women's reproductive health problems and are able to detect early the danger signs of reproductive health problems. The purpose of this activity is to empower the community to carry out healthy reproductive care movements for women. The method of implementation of this devotional activity is to use a model of increasing partnerships with Health cadres and women of childbearing age by providing reproductive health promotion and reproductive health screening. The results of this activity are an increase in knowledge and understanding of reproductive health and its treatment from 70% to 98%. The conclusion of this activity is that community empowerment through the women's reproductive health care movement can improve knowledge, understanding and early detection of women's reproductive health. This community service activity should be monitored periodically. The provision of educational media should be more complete and participation from the community. Keywords: Education, Reproductive health, Women of Childbearing
Introduction: The increasing population growth has prompted the government to launch a family planning program. One of the family planning programs is the use of contraceptives. The government provides various contraceptives, one of which is injection contraception. Multiple factors influence the choice of injection contraceptives. The objective of this study was to analyze the factors that influence the choice of injection contraceptives for women of childbearing age (WCA).Methods: This study used a qualitative research method with a descriptive-analytic approach. The research respondents were nine people. The sampling technique was purposive sampling. This research was conducted on January 22 – February 06, 2021, in Brajan hamlet, Bantul. The instruments used in this study were interview guides, field notes and voice recorders.Results: There were six themes related to the factors influencing the choice of injection contraceptive methods for women of childbearing age in Brajan, Tamantirto, Kasihan, Bantul, Special Region of Yogyakarta. Mother's experience while using injectable contraceptives, mother's perception of injection contraceptive use, social support for mothers in choosing injectable contraceptives, advantages of injection contraceptives, sources of information related to injection contraception, mother's motivation to choose injectable contraceptives.Conclusion: The conclusion of this study is the mother's experience of using injectable contraceptives is comfortable and safe, mother's perception of injection contraceptives, mothers view that injection contraceptives have advantages, mild side effects, and easy installation methods, social support for mothers in choosing injection contraceptives is obtained from the help of their husbands, the experience of friends who use injectable contraceptives and the participation of midwives in choosing them, the advantages of injectable contraceptives include common side effects, low cost, easy installation, and safe breastfeeding, sources of information related to injection contraception are obtained from health workers, social media, relatives and friends, and than mother’s motivation to choose injectable contraceptives is to delay or regulate pregnancy spacing, provide comfort during use, and maintain a healthy body condition.
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