The golden period is an extremely critical period or moment in the children’s life cycle. The golden period on children is an important and critical period where children’s brain and intelligence developing rapidly. The golden period for children lasted during the age of 0-3 years. The purpose of this research is to optimize the golden age period for toddlers. One of the activities is providing information and knowledge about how to optimize children’s intelligence in the golden age era by stimulating the right brain. The result of this study is to create a high-quality generation by preparing the mothers who can stimulate and optimize the development of children during the golden age period so that toddlers can achieve optimal development during the age of 0-3 years old.

ABSTRAK   Pendahuluan: Proses persalinan normal ditentukan oleh tiga faktor utama, yaitu power (his dan tenaga mengejan), passanger (janin, plasenta dan selaput ketuban) dan passage (jalan lahir). Ketiga faktor utama ini sangat menetukan jalannya persalinan. Upaya untuk meningkatkan kontraksi dapat dilakukan secara farmakologis dan non farmakologis. Salah satu upaya untuk menigkatkan kontraksi non farmakologis yaitu dengan stimulasi puting susu. WHO memperkirakan 70% mengalami peningkatan kontraksi uterus setelah dilakukan stimulasi dan 30% tidak mengalami peningkatan karena kurangnya penanganan gerakan putar-putar puting susu. Dinas Kesehatan Jawa Timur melaporkan adanya peningkatan karena rangsangan puting susu sebesar 29 orang atau 380/100.000 kelahiran hidup pada tahun 2010. Laporan studi kasus ini bertujuan untuk melaksanakan asuhan kebidanan pada ibu bersalin dengan rangsangan puting susu di BPM Lilik Kustono, Amd.Keb Desa Ceweng. Metode: Jenis penelitian studi kasus, lokasi studi kasus di BPM Lilik Kustono, Amd.Keb Desa Ceweng Kecamatan Diwek Kabupaten Jombang. Subjek kasus pada ibu bersalin fisiologi multigravida. Hasil: Setelah dilakukan asuhan kebidanan pada ibu inpartu kala I fase aktif yang diberikan rangsangan puting susu selama 2 menit didapat bahwa kedua pasien mengalami penambahan intensitas kontraksi uterus. Dari 2 kali dalam 10 menit 30 detik menjadi 2 kali dalam 10 menit 50 detik. Ibu dapat bersalin dengan normal tanpa ada komplikasi. Keadaan ibu dan bayi baik. Pembahasan: Kesimpulan yang didapat dari kedua pasien bahwa stimulasi puting susu hanya meningkatkan intensitas kontraksi uterus tetapi tidak cukup kuat untuk meningkatkan frekuensi nya. Diharapkan untuk kehamilan selanjutnya pasien dapat menggunakan rangsangan puting susu sebagai salah satu upaya untuk meningkatkan kontraksi.   Kata Kunci: Persalinan, Rangsangan Puting Susu, Kontraksi

In Indonesia, eclampsia is a major cause of maternal death. Eclampsia can be prevented by administering MgSO4 immediately after the diagnosis of severe preeclampsia. However, there are still pre-referral health facilities that do not provide MgSO4 to severe pre-eclampsia mothers. The purpose of this study was to determine the effect of giving MgSO4 to mothers giving birth with severe preeclampsia at the pre-referral health facility at RSUD Jombang on the prevalence of eclampsia. This study is an analytical study using a retrospective cohort design. Based on the estimated sample, 74 mothers were taken from the total population of 119 mothers. The sampling method used simple random sampling. Test analysis using chi square test and Fisher's exact test. Meanwhile, the chance of exposure to risk factors is assessed using Relative Risk (RR). The results of the analysis prove that 2 = 1.014; p = 0.000 which means that there is an effect of MgSO4 on the prevalence of preeclampsia. The results of further analysis obtained a relative risk value (RR) of 1.03, which means that the risk of eclampsia was 1.03 times greater in the group that was not given MgSO4 pre-referral at the site than the mother who was given MgSO4. The conclusion obtained in this study is that there is an effect of giving MgSO4 to mothers giving birth with severe pre-eclampsia at the pre-referral PONEK RSUD Jombang on the occurrence of eclampsia.

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The causes of death for newborns 0-6 days in Indonesia are 36.9% respiratory disorders, 32.4% premature birth, 12% sepsis, 6.8% hypothermia, and 6.6% neonatal jaundice. A preliminary study in Comprehensive Emergency Services Neonatal Obstetric (PONEK) of Jombang Regional Public Hospital (RSUD Jombang) reported that the incidence of asphyxia neonatorum was 295 cases in 2016 and 341 cases in 2015. There were 98 cases of preterm delivery in 2016. This study aims to prove the effect of corticosteroid administration on neonatal asphyxia in mothers with preterm delivery. This study was an analytical study using a one-group after only design. The population was all women giving birth at RSUD Jombang with preterm labor diagnosis in January-May 2017, while the sample was 82. The instruments utilized questionnaires and checklists. The bivariate analysis applied the chi-square association test. Based on the results of the chi-square test χ2= 4.622> χ2 table; p = 0.009 <α (0.05). There was a correlation between corticosteroid administration and the incidence of asphyxia neonatorum in women with preterm delivery. This study's results could be an input for primary health care facilities to prevent neonatal asphyxia. Further research should develop other similar variables and increase the number of respondents.