Vaginal laceration (perineal tears) is one of the risks that often occurs in the process of vaginal delivery, because of the intense stretching and pressure in the birth canal when the mother pushes to deliver her baby, causing tears in the skin and muscle tissue around the birth canal. Treating birth perineal laceration is very important to accelerate healing and prevent infection of the birth canal and bladder in postpartum mothers. The leaves have a composition that can be used as an antimicrobial and antiseptic. This study aims to determine the effectiveness of a solution of extracts of the leaves of Coleus amboinicus on pain and healing of perineal lacerations in postpartum mothers. This type of quantitative research with experimental design. The research sample of postpartum mothers met the inclusion criteria, pain observation using the UPAT scale and wound healing using the REEDA scale, data analysis with the WMean Score. The results showed that postpartum pain decreased on the 5th day with an average of 1.97 (mild pain), and the healing time of perineal lacerations occurred on the 5th day, with a mean of 2.90 (good). Wax leaf extract solution is effective in reducing pain and healing time for second-degree perineal lacerations in postpartum mothers

Stunting is a nutritional problem characterized by chronic growth and development disorders in children, has an impact on the physical (short/dwarf stature), and interferes with brain development, affecting children's abilities and achievements, productivity, and creativity. Based on SSGI data for 2021 in North Tapanuli Regency, the percentage of stunting is around 26.7% of the number of children under five. This figure is still below the national stunting rate target of below 24%. The purpose of this study was to determine the risk factors associated with stunting. This analytic cross-sectional study was conducted from February to April 2022. The sample in this study consisted of 96 toddlers divided into 2 groups, namely the toddler group with stunting of 48 people and the group of toddlers with normal nutritional status of 48 people. Sampling was taken by purposive sampling, namely those who came to be brought by their mothers to monitor growth and development at posyandu in the North Tapanuli Regency area. The inclusion criteria were toddlers aged 24-59 months, domiciled in North Tapanuli Regency, lived with their parents, and had a mother and child health record book (KIA). Data were obtained using questionnaires, and the MCH handbook and based on the results of anthropometric examinations. Based on the results of logistic regression, it showed that the most dominant risk factor was a history of chronic infection in toddlers with stunting (OR=24.8; 95% CI 4.43 - 140.11; p<0.000), mother's knowledge (OR=18.2; 95%CI 3.62 – 91.24;p<0.000), history of exclusive breastfeeding (OR=10.7; 95%CI 2.15 – 53.92;p<0.004) and maternal weight during pregnancy (OR = 8.1; 95% CI 1.62 – 40.36; p <0.01). It is hoped that the active participation of the family, especially mothers of toddlers, will prevent stunting by fulfilling nutrition during pregnancy and nutrition for toddlers, preventing chronic infections, and provide exclusive breastfeeding.

Pendahuluan : Masalah  malnutrisi yang mendapat banyak perhatian akhir-akhir ini adalah masalah kurang gizi kronis dalam bentuk anak pendek atau stunting. Stunting adalah masalah kurang gizi kronis yang disebabkan oleh asupan gizi yang kurang dalam waktu cukup lama akibat pemberian makanan yang tidak sesuai dengan kebutuhan gizi. Tujuan : Melakukan pemeriksaan deteksi dini faktor resiko stunting pada ibu hamil melalui pemeriksaan Hb pada ibu hamil, penimbangan Berat Badan ibu hamil, pengukuran Lingkar Lengan Atas (LILA), serta pemberian suplemen zat besi. Metode : Melaksanakan pre test tentang stunting pada ibu hamil sebelum diberikan penyuluhan, Memberikan penyuluhan dengan metode ceramah dan media poster tentang stunting, Melaksanakan post test untuk mengukur pengetahuan tentang stunting sebelum penyuluhan. Hasil : Berdasarkan hasil pre test dan post test dapat dilihat ada peningkatan jumlah ibu hamil yang berpengetahuan baik dari 50 orang (65,8%) pada saat pre test menjadi 69 orang (90,80%). Ibu yang berpengetahuan cukup pada saat pre test ada 15 orang (19,7%) menjadi 7 orang (9,20%) pada saat post test dan tidak di temukan lagi ibu yang berpengetahuan kurang. Kesimpulan : Kegiatan penyuluhan tentang stunting berlngsung sangat antusias dimana banyak peserta bertanya dan semangat mengikuti setiap kegiatan pada pengabdian kepada masyarakat. Saran : Diharapkan kepada para ibu hamil agar dapat memahami dan mengerti tentang stunting yang telah diberikan dan diajarkan oleh pelaksana pengabdi kepada masyarakat untuk mempersiapkan ibu hamil dalam menjaga kehamilan dan proses persalinannya.

The problem of under-five nutrition is one of the highest health problems in Indonesia with "three burdens of malnutrition" long before Covid-19. More than 2 million children are underweight toddlers. Although there is a tendency to decrease the malnutrition rate from 5.7% in 2013 to 3.9% in 2018, this figure is still quite high compared to countries in the ASEAN region. This situation has been exacerbated by the COVID-19 pandemic. The significant impact of Large-Scale Social Restrictions (PSBB) is related to the economic sector and all aspects of children's lives, both in terms of health, welfare, development and future of children. Based on the results of Riskesdas (2018), the proportion of very thin and thin children under five in Indonesia decreased significantly from 12.1 percent in 2013 to 10.2 percent in 2018, while the proportion of thin and very thin toddlers in North Tapanuli in 2017 was 10.1 percent. It takes hard work and maximum effort to maintain this achievement by regularly monitoring the nutritional status of toddlers so that they get immediate treatment and do not become chronic nutritional problems. This research method is an analytic survey with a cross sectional research design, aiming to determine the relationship between the independent variables, namely maternal education, family income, knowledge of parenting patterns, number of family members and food consumption, with the dependent variable being the nutritional status of toddlers Weight according to Height (BB/TB). Education is not related to the nutritional status of toddlers with p value 0.15 > 0.05, family income in this study is related to the nutritional status of toddlers where p value is 0.008 < 0.05, there is a relationship between mother's knowledge about parenting patterns and nutritional status of toddlers. The results of this study indicate that there is a relationship between mother's knowledge about parenting with p-value 0.015 <0.05. Those with low knowledge are 5.9 times more at risk of having under-fives with underweight nutritional status. The number of family members is not related to the nutritional status of children under five where the p value is 0.698 > 0.05. Food consumption is related to nutritional status where p value is 0.008 <0.05, multivariate test, where toddlers with a history of poor food consumption will be at risk 4.5 times compared to toddlers with a history of good food consumption. Family income, mother's knowledge, food consumption is related to the nutritional status of toddlers, education and the number of family members are not related to the nutritional status of under five years.

The world is currently undergoing changes in all fields including lifestyle and mindset. This change is further caused by the spread of covid in the last two years, which makes all parties have to make the best decisions. One of the goals is to provide knowledge to the elderly about the importance of socialization of coexistence with covid 19. Counseling on the socialization of coexistence with covid 19 in the elderly and health checks (Uric Acid, KGD and Blood Pressure) in Dolok Nauli Village / Lobupining Adiankoting District 20 people. Counseling and discussion about the socialization of coexistence with covid 19 in the elderly went well and smoothly and the elderly group was enthusiastic and excited in responding to the counseling that was carried out.