Abstrak: Cakupan imunisasi selama pandemi Covid-19 mengalami penurunan.Tujuan kegiatan ini yaitu menambah pengetahuan terkait prosedur pelayanan imunisasi selama pandemi Covid-19. Metode kegiatan ini berupa penyuluhan yaitu ceramah serta diskusi dengan ibu-ibu yang memiliki bayi maupun balita di RT 06 dan 07, Kelurahan Sangkrah, Kecamatan Pasar Kliwon, Kota Surakarta. Media yang digunakan yaitu poster dan leaflet. Sasaran kegiatan ini sejumlah 36 orang. Sebelum dan setelah pemberian edukasi peserta diberikan kuesioner terkait materi prosedur pelayanan imunisasi selama pandemi Covid-19. Hasil kegiatan pengadian masyarakat ini yaitu terdapat peningkatan pengetahuan peserta sebesar 24.8%, dimana hasil nilai pretest 71.7%, sedangkan nilai posttest 96.5%. Kegiatan ini terbukti dapat meningkatkan pengetahuan peserta terkait prosedur pelayanan imunisasi selama pandemi Covid-19. Adanya peningkatan pengetahuan ini diaharapkan peserta tidak memiliki kekhawatiran lagi untuk melakukan imunisasi selama pandemi Covid-19 sehingga capaian imunisasi di wilayah Kelurahan Sangkrah khususnya RT 06 dan 07 mengalami peningkatan.Abstract: The coverage of immunization during Covid-19 has decreased. The purpose of this activity is to increase knowledge related to immunization service procedures during Covid-19. The method of this activity is in the form of counseling, namely lectures and questions and answers to mothers who have babies or toddlers in RT 06 and 07, Sangkrah Village, Pasar Kliwon District, Surakarta City. The media used posters and leaflets. The targets of this activity were 34 peo. Before and after providing education, participants were given a questionnaire related to the material for immunization service procedures during the Covid-19 pandemic. The result in this activity is an increase in participants' knowledge by 24.8%, where the pretest score is 71.7%, while the posttest score is 96.5%. This activity has proven to be able to increase participants' knowledge regarding immunization service procedures during the Covid-19 pandemic. With this increase in knowledge, it is hoped that participants will no longer have to worry about immunizing during Covid-19 so that immunization achievements in the Sangkrah Village area, especially RT 06 and 07, have increased.

Progesterone-induced blocking factor (PIBF) is crucial to maintain pregnancy and the mother’s progesterone immunomodulation. Herbal medicine is widely used to induce immunity and treat pregnancy-related problems. Apigenin is a flavonoid type from Apium graveolens and could be a potential herbal medicine. The study aimed to evaluate the effective dose of A. graveolens in pregnant mice’s PIBF level on preclinical research and pregnant women on clinical research. Preclinical research used 32 pregnant mice divided into four groups randomly. The first group was the control group (P1), while P2, P3, and P4 groups were the treatment group. Pregnant mice were given 1mg/g (P2), 2mg/g (P3), and 4mg/g (P4) of A. graveolens extract orally for 14 days. Clinical research was completely randomized design. Thirty pregnant women at Mrs. Sri Lumintu Clinic, Surakarta, Indonesia divided into two groups. The treatment group was given A. graveolens capsule 534mg/50 kg BW, Fe, and calcium, while the control group was given Placebo, Fe, and calcium orally for 14 days. PIBF level in both preclinical and clinical was determined using enzyme-linked immunosorbent assay (ELISA). Our study showed that A. graveolens with 2mg/g (P3) was the most effective dose to increase PIBF level in pregnant mice. The PIBF level of pregnant women increased significantly in the treatment group compared to the control group (444.78pg/mL and 171.74pg/mL, p = 0.000). A. graveolens supplementation in pregnant women increased PIBF levels during pregnancy and could prevent inflammation during pregnancy.

<p><strong>Background:</strong> The outbreak of the corona virus (Covid-19) poses challenges for educational institutions, especially those based on clinical practice skills. E-learning is one of the best solutions for distance learning to protect students and teaching staff from the transmission of the Covid-19 virus. The DIII Midwifery Study Program curriculum consists of 40% theory and 60% practice. The study program manager determines practical learning using learning videos. The purpose of this study was to determine the effect of the practical e-learning model on K.A.P (Affective Psychomotor Cognitive) in midwifery students in the era of the Covid-19 pandemic.</p><p><strong>Methods</strong><strong>:</strong> This reseach was a cross-sectional conducted on May-July, 2021. Cognitive assessment used multiple choice questions (MCQ), affective assessment used a self-assessment scale questionnaire that was valid and reliable (0.877&gt; 0.235), Student psychomotor assessment was carried out using Skills checklist assessment sheet.</p><p><strong>Result:</strong> The results showed the significance value of each variable (0.001 &lt;0.05) which means that there is an influence of the practical e-learning model on the cognitive, affective and psychomotor domains of students in the course of maternity midwifery care.</p><p><strong>Conclusion: </strong>There is an effect of practical e-learning model on the cognitive, affective, and psychomotor domains of the students after the practical of e-learning model</p>

ABSTRAKLatar Belakang:Masalah kesehatan mental pada ibu postpartum perlu mendapatkan perhatian khusus dari semua pihak. Kebanyakan ibu yang mengalami depresi menemui kendala dalam mencari pengobatan, seperti tidak menemukan tempat yang sesuai atau tidak dapat mengakses perawatan, dan diperparah dengan adanya pandemi COVID-19. Continuity of care (COC) dan menyeluruh merupakan isu yang sangat penting bagi perempuan karena memberikan kontribusi rasa aman dan nyaman bagi mereka selama masa kehamilan, persalinan, nifas, neonatus, dan keluarga berencana. Tujuan penelitian: Tujuan penelitian ini adalah mengetahui pengaruh asuhan kebidanan Continuity of care (COC) terhadap kejadian depresi pada ibu post partum. Metode: Metode penelitian menggunakan one group pre and postest design. Pengambilan sample menggunakan infinite sampling sebanyak 30 responden dengan kriteria inklusinya yaitu Ibu dengan Berat lahir anak 2500-4000 gram, mampu membaca dan menulis, bersedia ikut dalam penelitian. Pengumpulan data menggunakan kuesioner Edinburgh Postpartum Depression Scale (EPDS). Analisis data menggunakan paired T-test. Hasil: Hasil penelitian menunjukkan bahwa terdapat perbedaan bermakna skore depresi postpartum antara sebelum dan sesudah dilakukan COC dengan p value 0,000. Kesimpulan: bahwa ada perbedaan asuhan kebidanan komprehensif pada depresi post-partum sebelum dan setelah dilakukan COC.

The huge benefits of exclusive breastfeeding have not been able to increase the number of exclusive breastfeeding coverage in Indonesia. This is due to the low knowledge of pregnant women on the importance of exclusive breastfeeding. Low support from families, communities and health workers, especially breastfeeding counselors, is one of the factors causing the low coverage of exclusive breastfeeding. Mothers need support from those around them for success of exclusive breastfeeding behavior. The role of health workers in health promotion is also needed so that the exclusive breastfeeding program runs optimally. This activity aims to increase the knowledge and skills of mothers in exclusive breastfeeding. The community service method used is assistance to mothers in exclusive breastfeeding with the concept of one student one client. It was carried out in the working area of the Surakarta City Health Office with 30 participants. It begins with counseling mothers about exclusive breastfeeding, observations about maternal assistance in exclusive breastfeeding, and an evaluation of the course of mentoring through filling out a questionnaire about exclusive breastfeeding and breastfeeding practices. The role of health workers in supported exclusive breastfeeding includes providing counseling on IMD and breastfeeding since pregnancy with husband, involving husbands in IMD implementation, posyandu with home visits involving cadres and providing counseling for pregnant women, providing lactation corners, counseling involving all puskesmas officers, distributing leaflets and posters, holding pregnancy classes, and involving cadresto hold Kelompok Pendukung Ibu (KP-Ibu). The failure of exclusive breastfeeding was generally because the mother works so that breastfeeding motivation decreased, family support was low, worried about insufficient breastfeeding, and low knowledge of breastfeeding. There was a relationship between knowledge and breastfeeding practice and it was statistically significant (p=0.004, OR: 25.14, CI95%:0.89-5.56). The role of health workers and cadres in supported exclusive breastfeeding through maternal assistance was quite good, however the failure of exclusive breastfeeding generally came from maternal factors. There was a relationship between knowledge and breastfeeding practice and statistically significant.