The education about the reproductive health of pregnancy is needed to increase knowledge and reduce anxiety in adolescent primigravida, one of them is by conducting flashcard media. Flashcards are pictorial media in the form of cards that have words; it’s proven to be able to create fun learning, attracts attention, and stimulates critical thinking. The purpose of the study was to analyze the effect of education with flashcard media on knowledge and anxiety degree in adolescent primigravidas. The research method used in this study was a one-group pretest-posttest quasi-experimental design. The number of samples as many as 30 people (<20 years old) at Sawah Lebar Public Health Center and Padang Serai Public Health Center in Bengkulu city from May to July 2018, by using consecutive sampling. The data of this study obtained from pretest and posttest questionnaires of knowledge, and Zung Self-rating Anxiety Scale (ZSAS), Shapiro-Wilk, Wilcoxon, and chi-square test statistics. The results showed a significant increase in knowledge before and after the intervention of p value=0.001 (p<0.05), an increase in the average score of knowledge of series one card amounts to 35.0% and knowledge of series 2–3 card amounted to 30%. A significant decrease in anxiety degree of 9.2% after the treatment (p<0.05). In conclusion, flashcards can increase knowledge and reduce the anxiety of adolescents primigravida mothers so that health workers use this educational approach appropriately. PENGARUH EDUKASI KESEHATAN DENGAN MEDIA FLASHCARD TERHADAP PENINGKATAN PENGETAHUAN DAN PENURUNAN DERAJAT KECEMASAN PADA PRIMIGRAVIDA REMAJAThe education about the reproductive health of pregnancy is needed to increase knowledge and reduce anxiety in adolescent primigravida, one of them is by conducting flashcard media. Flashcards are pictorial media in the form of cards that have words; it’s proven to be able to create fun learning, attracts attention, and stimulates critical thinking. The purpose of the study was to analyze the effect of education with flashcard media on knowledge and anxiety degree in adolescent primigravidas. The research method used in this study was a one-group pretest-posttest quasi-experimental design. The number of samples as many as 30 people (<20 years old) at Sawah Lebar Public Health Center and Padang Serai Public Health Center in Bengkulu city from May to July 2018, by using consecutive sampling. The data of this study obtained from pretest and posttest questionnaires of knowledge, and Zung Self-rating Anxiety Scale (ZSAS), Shapiro-Wilk, Wilcoxon, and chi-square test statistics. The results showed a significant increase in knowledge before and after the intervention of p value=0.001 (p<0.05), an increase in the average score of knowledge of series one card amounts to 35.0% and knowledge of series 2–3 card amounted to 30%. A significant decrease in anxiety degree of 9,2% after the treatment (p<0.05). In conclusion, flashcards can increase knowledge and reduce the anxiety of adolescents primigravida mothers so that health workers use this educational approach appropriately.

Asphyxia is one of the causes of neonatal death. The causes of asphyxia neonatorum consist of maternal factors, placental factors, fetal factors and labor factors. The purpose of this study was to determine the determinants of the incidence of asphyxia neonatorum in Dr. M. Yunus hospital Bengkulu. Design of this study uses a case control study with a retrospective approach. The population in this study were all newborns recorded in the perinatology room register at Dr. M. Yunus hospital Bengkulu in 2020 and 2021, as many as 577 newborns. The case sample in the case sampling technique was total sampling with a total of 186 newborns with asphyxia. The control sample was taken with a ratio of 1:1 so that the control sample was 186 newborns who did not have asphyxia. The results of statistical tests showed that maternal age, amniotic fluid mixed meconium, prolonged labor and type of delivery with p value <0.05, which means that there are a relationship with the incidence of asphyxia in newborns. The results of statistical tests on breech position and placenta previa showed p value >0.05, which means that there are no relationship to the incidence of asphyxia in newborns. The most influential factor with the incidence of asphyxia was amniotic fluid mixed meconium with an OR value of 3.798. It is necessary to increase the ability of midwives in providing services and delivery assistance, especially in the event of amniotic fluid mixed meconium through education and training both internally and externally through seminars or special training.  

Rasa nyeri persalinan disebabkan proses kontraksi dari Rahim dalam usaha untuk mengeluarkan buah kehamilan. Dalam persalinan, nyeri yang timbul menyebabkan stress, dan rasa khawatir berlebihan. Mengatasi rasa nyeri persalinan yaitu dengan terapi farmakologis dan non-farmakologis. Terapi non-farmakologi berupa pijat endorphin dapat menjadi salah satu pilihan dan dapat diterapkan untuk mengurangi intensitas nyeri persalinan. Tujuan penelitian ini untuk diketahui intensitas nyeri persalinan dan pengaruh pengaruh pijat endorphin terhadap penurunan intensitas nyeri persalinan dengan melakukan literature review beberapa artikel terkait. Metode yang digunakan adalah literatur review dengan desain penelitian eksperiment design. Sumber Pencarian literatur menggunakan empat database yaitu: Google Scholar, Portal Garuda, Indonesia One Search dan SINTA dengan tahun terbit 2016-2020. Seleksi studi sesuai kriteria inkulsi dengan prisma checklist dari judul, abstrak, full text dan dinilai kelayakan studi selanjutnya dianalisis dari temuan studi.Hasil pencarian terdapat 10  jurnal yang  memenuhi kriteria inkulsi. Setelah ditabulasi dan dianalisis 10 studi menggunakan eksperiment design dan secara keseluruhan menunjukkan bahwa ibu bersalin mengalami nyeri persalinan dengan intensitas nyeri ringan, nyeri sedang, nyeri berat dan secara keseluruhan studi menunjukkan bahwa terapi pijat endorphin memberikan pengaruh terhadap internsitas nyeri persalinan. Kesimpulan pijat endorphin merupakan intervensi yang layak diberikan untuk penurunan intensitas nyeri persalinan.   Kata Kunci: Pengaruh, Pijat Endorphin, Nyeri, Persalinan kala I

Luka perineum merupakan luka karena adanya robekan pada jalan lahir maupun karena episiotomi pada saat melahirkan janin. Dalam penyembuhan luka perineum, terdapat beberapa faktor yang mempengaruhi lamanya penyembuhan luka perineum pada seorang ibu postpartum antara lain adalah usia ibu, pengetahuan ibu mengenai perawatan luka perineum, indeks massa tubuh (IMT), serta proses mobilisasi yang dilakukan oleh ibu. Penelitian ini bertujuan untuk mengetahui faktor yang berhubungan dengan penyembuhan luka perineum pada ibu nifas di Kota Bengkulu tahun 2022.                 Desain penelitian yang digunakan adalah observational analytic dengan pendekatan cross-sectional. Populasi dalam penelitian ini adalah seluruh ibu nifas di PMB “F”, PMB “O”, dan PMB “H” di Kota Bengkulu yang berjumlah 239 ibu nifas. Sampel dalam penelitian ini sebanyak 40 responden yang diambil secara Purposive Sampling. Data dianalisis menggunakan uji Fisher Exact.       dari 40 responden terdapat 15 (37,5%) memiliki usia berisiko dan 25 (62,5%) responden memiliki usia tidak berisiko. Responden dengan IMT normal sebanyak 27 (67%) responden dan IMT tidak normal sebanyak 13 (32,5%). Responden yang memiliki Riwayat mobilisasi dini baik sebanyak 25 (60%) dan responden memiliki riwayat kurang baik sebanyak 16 (40%) responden. Sebagian besar responden memiliki pengetahuan yang baik yaitu sebanyak 30 (75%). Pengetahuan kurang sebanyak 6 (15%) responden. Ada hubungan mobilisasi dini terhadap penyembuhan luka perineum dengan nilai p value variabel mobilisasi dini sebesar 0,005 (<,05). Tidak ada hubungan antara usia ibu, pengetahuan dan IMT terhadap penyembuhan luka perineum dengan nilai p value variabel usia ibu sebesar 1,000 (>0,05), nilai p value variabel pengetahuan adalah 1,000 (>0,05) dan variabel IMT nilai p value 0,812.        Diharapkan bagi PMB “F”, PMB “O” dan PMB “H” mampu memperhatikan faktor yang berhubungan dengan penyembuhan luka perineum untuk mencegah terjadinya infeksi pada luka.

The complexity of health problems in adolescents needed requires an comprehensive and integrated treatment that involves all elements across the programs and related sectors. Youth Posyandu was a solution that can be offered to community. This activities aims as a forum that brings together adolescent or youth in managing and facilitating them to getting informations which is about healthy lifestyle, adolescent reproductive health and other health problems. The methods used include 3 steps: preparation, actions, and evaluation. The location was in Lempuing, Ratu Agung District, Bengkulu City, and involving 25 adolescents. The results of the activity showed that the establishment of the youth Posyandu in Lempuing had a positive impact on partners. In conclusion, this youth Posyandu makes it easier for teenagers to obtain information related to a healthy lifestyle, forms youth support groups, and becomes a forum that facilitates youth in understanding their daily problems.