Kehamilan merupakan sumber stres khususnya bagi ibu muda dan merupakan episode dramatis terhadap kondisi biologis, psikologis, dan adaptasi dari wanita yang pernah mengalaminya. Sebagian kaum wanita menganggap bahwa kehamilan adalah kodrat yang harus dilalui, tetapi sebagian lagi menganggapnya sebagai peristiwa yang menentukan kehidupan selanjutnya. Kekhawatiran dan kecemasan pada ibu hamil apabila tidak ditangani dengan serius akan membawa dampak dan pengaruh terhadap fisik dan psikis, baik pada ibu maupun janin. Jika hal ini dibiarkan terjadi, maka angka morbiditas dan mortalitas pada ibu hamil akan semakin meningkat. Kecemasan meningkat menjelang persalinan terutama pada trimester III. Di Indoneisa sekitar 28,7% dari 107.000.000 mengalami kecemasan dan di Pulau jawa, sebesar 52,3% atau 355.873 dari 679.765 ibu hamil trimester III yang mengalami kecemasan dalam menghadapi persalinan. Penelitian ini bertujuan untuk mengetahui tingkat kecemasan menghadapi persalinan berdasarkan status kesehatan, graviditas dan usia. Metode penelitian menggunakan deskriptif analitik dengan rancangan cross sectional study. Lokasi penelitian dilaksanakan di wilayah kerja Puskesmas Jombang. Populasi dalam penelitian ini adalah semua ibu hamil sedangkan pengambilan sampel dengan teknik accidental sampling yaitu ibu hamil trimester III sejumlah 123 responden. Instrument penelitian yang digunakan adalah kuesioner. Hasil penelitian menunjukkan tingkat kecemasan menghadapi persalinan didapatkan sebanyak 87% ibu hamil mengalami cemas ringan dan 13% ibu hamil mengalami cemas sedang. Analisis bivariate menggunakan uji Chi-Square. Terdapat Status hubungan yang signifikan antara tingkat kecemasan menghadapi persalinan dengan status kesehatan p=0.000, graviditas p=0.001 dan usia p=0.032. Tingginya tingkat kecemasan menghadapi persalinan dan adanya hubungan yang signifikan antara status kesehatan, graviditas dan usia terhadap tingkat kecemasan maka diharapkan adanya penyuluhan tentang usia reproduksi sehat, ruang konseling khusus bagi ibu hamil yang mengalami kecemasan dan menambah jadwal kelas ibu hamil, sehingga ibu hamil dapat lebih rutin memeriksakan kehamilannya dan menjadi tempat berbagi pengalaman guna mengurangi tingkat kecemasan menghadapi persalinan.
Stres merupakan respon tubuh tidak spesifik terhadap kebutuhan tubuh yang terganggu. Status nutrisi dapat diukur dari indeks massa tubuh. Kondisi psikologis sseeorang seringkali menyebabkan individu cenderung melakukan mekanisme coping mechanism. Penelitian ini merupakan penelitian analitik observasional dengan pendekatan cross sectional. Subjek penelitian berjumlah 92 responden. Penelitian dilakukan di Institusi Pendidikan Tinggi Kesehatan di Kabupaten Jember. Berdasarkan analisis statistik diperoleh nilai signifikansi (p) yang didapatkan adalah 0,458 (p>0,05) yang artinya tidak ada hubungan yang bermakna antara tingkat stres psikososial dengan status gizi pada mahasiswa. Perubahan nutrisi pada kondisi stress dapat terjadi melalui adanya gangguan makan atau gangguan penyerapan gizi dalam tubuh. Kondisi psikologis seorang mahasiswa yang penuh stress akan menyebabkan individu cenderung melakukan mekanisme koping. Mekanisme koping dapat berupa positif dan negatif. Peneliti berpendapat bahwa stress psikososial tidak secara langsung berpengaruh pada status nutrisi, melainkan pada pola perilaku dalam pemenuhan nutrisi atau pola makan. Selain itu dampak stress psikososial akan dapat dinilai apabila kondisi stress berlangsung lama atau bersifat kronis.Kata kunci : stress psikososial, status nutrisi
Anemia in pregnancy is potentially harmful to the mother and child. Based Riskesdas 2013 the prevalence of anemia among pregnant women in Indonesia amounted to 37.1%, this indicates the incidence of pregnancy anemia in Indonesia is still quite high, this study aims to Know the knowledge before and after getting a health education about the link between diet and the incidence of high risk in pregnancy puskesmass District, Ciputat timur.Metode this research is descriptive analysis with cross sectional study design. Location of the research conducted at the health center subdistrict, Ciputat east, Rengas, Pisangan, Pondok Ranji. Samples in this study were 84 maternal sample is taken by accidental sampling technique. The research instrument used was a questionnaire and book ANC. Data analysis using Chi Square Results of the study of 84 pregnant women, obtained 20.9% experienced anemia There is a significant correlation between regularity of the diet and the incidence of anemia, with p value 0.002. There is a significant relationship between the processing of foodstuffs with anemia, with p value 0,007. There is a significant relationship between the type of food in consumption with anemia, with p value 0.002.Keyword: Diet, Anemia, Pregnancy
The problem of stunting is one of the nutritional problems faced in the world, especially in poor and developing countries. Toddlers with stunting are more at risk of having a low Intelligence Quotient compared to toddlers who are growing well. In 2018, the prevalence of stunting in Tangerang Regency (38%) was higher than the national prevalence (30.8%). This study aims to determine the most dominant factor in the incidence of stunting in the Tangerang District Public Health Center. The research method used was descriptive analytic with a cross sectional study approach. Research Location at the Rajeg Community Health Center, Tangerang Regency. The population in this study were all toddlers who were stunting as many as 211 and a sample of 138 respondents. Sampling using accidental sampling technique. The results showed that stunting was very short at 28.2%. Bivariate analysis using the Chi-Square test. There was a significant relationship between age (p = 0.000), knowledge (p = 0.000), history of ANC (p = 0.023), LBW (p = 0.005) exclusive breastfeeding (p = 0.001), dietary habits (p = 0.005) and history of disease (p = 0.005) with incidence of stunting. The multivariate results showed that the most dominant factor in the incidence of stunting was the high risk age at pregnancy with an OR of 9,333. It is hoped that government programs through related agencies, health workers provide counseling about high-risk age during pregnancy, run the 4T program so that women do not get pregnant when they are too young, too old, too close to birth distances and too many children, other government programs such as Age Maturation Marriage
The policy of early initiation of breastfeeding has been socialized in Indonesia since August 2007 (Roesli, 2008). The World Health Organization (WHO) has recommended that all babies get colostrum, namely breast milk on the first and second days to fight various infections and get exclusive breastfeeding for 6 months (Ministry of Health 2012). The IMD implementation policy is also expected to reduce infant mortality (IMD). In infant mortality, 40% occurs in the first month of life and early initiation of breastfeeding can reduce these risk factors for death, thereby reducing 22% for 28-day infant mortality. The research design was a cross sectional study using primary data (questionnaire). This sample uses accidental sampling method. The results showed that of the 87 respondents at Puskesmas Palmerah, the age of 20-35 years old mothers who had good knowledge about IMD were 30 respondents (34.5%), respondents with high education (SMA-PT) had good knowledge about IMD as many as 51 respondents ( 58.62%), respondents who work and have good knowledge about IMD are 24 respondents (27.59%), respondents who are experienced and have good knowledge about IMD are 42 respondents (48.28%), respondents who receive information and have Good knowledge about IMD was 69 (79.31%), while the related variables included age, education and experience with a P value of 0.384 greater than α, namely 0.05. Conclusion. Characteristics of age, education level, experience are closely related to the knowledge possessed by pregnant women, especially those related to knowledge of IMD. Meanwhile, the factor that is not related to the success of IMD is the source of information. Suggestion. There needs to be an effort to do outreach activities on Early Initiation of Breastfeeding (IMD) or supporting facilities to increase the knowledge of pregnant women, especially in the third timester.Keywords: Knowledge, IMD, Characteristics
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