AbstrakRuptur perineum merupakan salah satu komplikasi persalinan kala II yang dapat menyebabkan disfungsi organ reproduksi wanita, perdarahan dan laserasi. Sebanyak 85% wanita melahirkan pervaginam dapat mengalami ruptur perineum. Salah satu cara mengurangi ruptur perineum adalah dengan melakukan pemijatan perineum untuk meningkatkan kesehatan, aliran darah dan elastisitas perineum. Tujuan penelitian ini adalah untuk menentukan pengaruh pemijatan perineum pada primigravida terhadap kejadian ruptur perineum saat persalinan di Bidan Praktek Mandiri di Kota Bengkulu Tahun 2014. Penelitian ini merupakan penelitian quasi eksperimen dengan metode post test only control group design. Penelitian dilakukan di Bidan Praktek Mandiri (BPM) kota Bengkulu dengan subjek 28 orang primigravida usia kehamilan 36 minggu yang terdiri dari 14 orang kelompok intervensi dan 14 orang kelompok kontrol.Penelitian dilakukan dari 10 Maret 2014 hingga 10 Mei 2014, kemudian data dianalisis dengan uji Chi Square.Kejadian ruptur perineum pada kelompok intervensi setelah dilakukan pemijatan perineum hanya 21,4% sementara pada kelompok kontrol 71,4%. Hasil penelitian membuktikan ada pengaruh pemijatan perineum pada primigravida terhadap kejadian ruptur perineum (p<0,05). Penelitian ini menyimpulkan bahwa pemijatan perineum pada primigravida berpengaruh terhadap kejadian ruptur perineum pada saat persalinan. Kata kunci: pemijatan perineum, primigravida, ruptur perineum AbstractPerineal rupture is one of the second stage of labor complications that can lead to dysfunction of the female reproductive organs, bleeding and lacerations. As many as 85% of women give birth vaginally may experience rupture of the perineum. A method of reduce perineal rupture is a perineal massage to promote health, blood flow and elasticity of the perineum. The objekctive of this study was to determine the effect of perineal massage on the incidence of perineal rupture in primigravid during childbirth in Independent Practice of Midwifery in the city of Bengkulu year 2014. This study was a quasi-experimental study with the method of post test only control group design.The study was conducted in independent practice of midwifery) in Bengkulu city including subject of 28 primigravida with 36 weeks of gestation consisting of 14 intervention group and 14 control group. The study was done from March 10th untill may 10th 2014, then the data were analyzed with chi-square test. Perineal rupture in the intervention group after perineal massage performed only 21.4% while in the control group was 71.4%. this study showed that there was effect of perineal massage on the incidence of perineal rupture of primigravida (p<0.05). This study concludes that perineal massage in primigravida can effected the incidence of perineal rupture at delivery.

Data from the Bengkulu Provincial Health Office, Bengkulu Province is included in 10 provinces that have low coverage in clinical breast examination (SADANIS) and IVA examinations below 5%, Based on data from the Bengkulu City Health Office in 2020 of 62,160 WUS SADANIS examinations and IVA tests only 1967 person.The working area of ​​the Padang Serai Health Center, Kampung Melayu Subdistrict, is the highest area that has the highest incidence of suspicion and tumors or breast lumps in Bengkulu City. The working area of ​​the Padang Serai Health Center, Kampung Melayu Subdistrict, has 3 sub-districts, namely Sumber Jaya sub-district, Padang Serai sub-district and Teluk Sepang sub-district. The Padang Serai Health Center Working Area, Kampung Melayu District has 3,356 WUS, of which 331 people were examined.For suspicious data12 people had breast cancer and 13 people had tumors or breast lumps. The incidence of breast cancer is in Sumber Jaya Village.Adolescent reproductive health problems in Indonesia do not receive enough attention because knowledge about early detection and breast self-care skills have not been socialized properly. Because of that, there is a need for awareness and participation from various related agencies to be able to provide knowledge as early as possible about the importance of early detection of breast cancer and breast self-care skills. This can be done in real terms through counseling efforts. In this community service activity there will be socialization, counseling, mentoring and group formation using the peer group method at WUS in Sumber Jaya Village, Kampung Melayu District.

Hepatitis B in pregnant women causes coagulation effects, organ failure, and increased maternal mortality, while in newborns, it causes asphyxia and low birth weight. Pregnant women need to know about Hepatitis B and have a positive attitude to prevent transmission to pregnant women. It can be improved through health education. This study aims to determine the effect of individual method health education with leaflet media on increasing knowledge and attitudes of pregnant women about Hepatitis B at the Sidodadi Health Center Bengkulu Tengah in 2022. The research design was quasi-experimental with a non-equivalent control group design, with a pre-test post-test control group approach. The population is all pregnant women in the area of the Sidodadi Health Center in 2022, amounting to 37 people, using the Lemeshow formula, a sample of 34 respondents (17 in intervention groups and 17 in comparison). Data were analyzed using the dependent T-test, and Wilcoxon signed rank test. There is a difference in the average knowledge score and attitudes before and after being given individual method health education with leaflet media. There is a significant difference between the two groups with ?= 0.000. It means that there is a significant effect on individual method health education with leaflet media on knowledge and attitudes of pregnant women about Hepatitis B at the Sidodadi Health Center in 2022, with a mean difference of 3.47 on the knowledge variable and 5.65 on the attitude variable. A diversity of counseling methods is needed to increase the knowledge and attitudes of pregnant women about Hepatitis B. Health workers must increase their role in improving methods and media in providing counseling to pregnant women to prevent transmission of Hepatitis B.  

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.

Latar belakang: Penyumbang ledakan penduduk salah satunya adalah pernikahan usia anak yaitu pernikahan di bawah usia 18 tahun. Pernikahan anak di dunia tertinggi yaitu negara Niger (75%). Di Indonesia provinsi dengan pernikahan usia anak tertinggi adalah Sulawesi Barat(19,43%). Provinsi Bengkulu (14,33%) urutan ke-1 tertinggi di pulau Sumatera. Data Kantor Urusan Agama (KUA) Argamakmur tahun 2020 terdapat 32 pendaftaran pernikahan usia anak. Dampak pernikahan usia anak pada remaja berdampak negatif baik segi sosial ekonomi, mental/psikologis fisik, trauma bagi kesehatan reproduksi. Faktor terjadinya pernikahan anak adalah faktor internal dan ekternal seperti pendidikan, kemiskinan, pergaulan bebas, budaya dan ekonomi. Tujuan penelitian: untuk mengetahui faktor penyebab pernikahan usia anak di desa Karang Anyar 2 Kabupaten Bengkulu Utara. Metode: jenis penelitian kualitatif deskriptif dengan pendekatan fenomenologi. Teknik pengumpulan data berupa wawancara mendalam (indepth interview) dengan Instrumen penelitian adalah peneliti sendiri. Hasil: menunjukkan bahwa pernikahan anak terjadi karena faktor Internal dan faktor Eksternal. Faktor internal terdiri dari faktor atas kemauan sendiri, Pendidikan, pengetahuan, dan perilaku seks. Sedangkan faktor eksternal terdiri dari faktor budaya dan faktor Ekonomi. Simpulan: faktor yang mempengaruhi pernikahan anak lebih dominan karena faktor internal faktor internal anak.