Pada ibu bersalin akan timbul kontraksi yang menyebabkan nyeri. Nyeri pada proses persalinan dapat membuat ibu menjadi cemas. Kecemasan dapat menyebabkan psikologi ibu terganggu. Nyeri dapat menyebabkan hormon steroid dan katekolamin dilepaskan, sehingga dapat menimbulkan ketegangan otot polos dan vasokonstriksi pembuluh darah. Proses tersebut menyebabkan terjadinya penurunan kontraksi, aliran oksigen dan darah ke uterus berkurang, serta adanya iskemia pada uterus. Hal ini menimbulkan bertambahnya jumlah impuls nyeri. Bebagai cara komplementer dilakukan untuk menurunkan rasa nyeri pada ibu bersalin. Tujuan penelitian ini untuk mengetahui pengaruh terapi birth ball terhadap tingkat kecemasan dan penurunan intensitas nyeri pada ibu bersalin primipara kala I fase aktif. Penelitian ini menggunakan metode quasi eksperimen dengan rancangan one group pre test pos test design pada 20 ibu bersalin sebagai responden. Terapi birth ball dilakukan selama 20 menit. Analisis data menggunakan paired sample t-test dengan nilai alfa 0,05. Hasil penelitian menunjukan rata-rata skor kecemasan sebelum terapi birth ball adalah 80,95 dan setelah terapi birth ball adalah 55,40. Rata-rata skor  intensitas nyeri sebelum terapi birth ball adalah 7,45 dan setelah terapi birth ball adalah 3,80. Hasil paired sample t-test  menghasilkan nilai signifikansi (2-tailed) 0,000. Simpulan pada penelitian ini adalah terdapat perbedaan yang signifikan skor rata-rata tingkat kecemasan dan intensitas nyeri ibu sebelum dan setelah dilakukan terapi birth ball. Kata kunci: birth ball, ibu bersalin, kecemasan, nyeri,.

According to the World Health Organization (WHO), cancer incidence in 2008 to 2012 was increased from 12.7 million cases to 14.2 million cases. Cancer is the second leading cause of death in the world after cardiovascular disease. It is estimated that in 2030 the incidence of cancer will increase to 26 million people and 17 people die of cancer. This research aimed to determine the effect of BSE classes on knowledge and practice of BSE among female students in Senior High School 104 East Jakarta in 2020. This research was a quantitative study with an analytical survey method with the Quasi Experimental approach. The sample in this study was 30 people. The sampling technique was purposive sampling. The research instrument consisted of questionnaire data and BSE observation sheets. The results of the paired t test found that the effect of BSE Class on BSE Knowledge and Practice among female students where ρ <ά = (0,000 <0.05). There was an effect of BSE Classes on Student’s Knowledge and Practice. Adolescent girls are expected to increase their knowledge about breast self-examination and breast cancer which can be obtained from counseling in the nearest health services, namely about the benefits and how to practice breast self-exam.

ABSTRAK  World Health Organization (WHO) tahun 2018 menyebutkan bahwa 41,8% penyebab kematian ibu di negara berkembang berkaitan dengan anemia dalam kehamilan. Salah satu komplikasi kehamilan yang sering terjadi adalah anemia dimana kisarannya antara 20% sampai 89% dengan menetapkan Hb 11 gr% sebagai dasarnya). Ibu hamil yang memeriksakan kehamilannya pada tahun 2019 di Puskesmas Teluk Naga dari 832 terdapat 82 (9,86%) menderita anemia ringan (8-11mg/dl) dan 9 (1,1%) mengalami anemia berat (<8mg/dl). Tujuan untuk mengetahui efektifitas jus buah naga terhadap anemia pada ibu hamil trimester III di Puskesmas Teluk Naga. Desain penelitian quasi eksperimentaL menggunakan rancangan pretest-posttest, control group design. Sampel berjumlah 15 responden kelompok intervensi dan 15 kelompok kontrol dengan purposive sampling. Instrumen penelitian menggunakan  alat pengukur Hb digital, lembar observasi dan SOP pembuatan jus buah naga. Hasil uji Mann Whitney didapatkan sebelum diberikan jus buah naga diperoleh nilai rata-rata pretest 9,6 gr% dan rata-rata posttest 11,5 gr%. Pada kelompok kontrol nilai rata-rata pretest 9,5 gr% dan posttest 9,5 gr% dan p value 0,001<0,05 . Terdapat perbedaan kadar Hemoglobin pada ibu hamil trimester III dengan anemia pada kelompok intervensi sebelum dan sesudah diberikan jus buah naga.Kata Kunci : anemia; ibu hamil ; jus buah naga; kadar Hb   The Effectiveness Of Dragon Fruit Juice To Increase Hemoglobin Levels On Pregnant Woman In The Third   Trimester ABSTRACT  The World Health Organization in 2018 stated that 41.8% of the causes of maternal death in developing countries were related to anemia in pregnancy. One of the complications of pregnancy that often occurs is anemia where the range is between 20% to 89% by setting Hb 11 g% as the base). Of the 832 pregnant women who checked their pregnancy in 2019 at Teluk Naga Health Center, 82 (9.86%) suffered from mild anemia (8-11mg/dl) and 9 (1.1%) had severe anemia (<8mg/dl). The purpose of this study was to determine the effectiveness of dragon fruit juice against anemia in third trimester pregnant women at Teluk Naga Health Center. Quasi-experimental research design was used with pretest-posttest design, control group design. The sample consisted of 15 respondents in the intervention group and 15 in the control group by purposive sampling. The research instrument used a digital Hb measuring device, observation sheets and SOPs for making dragon fruit juice. The results of the Mann Whitney test were obtained before being given dragon fruit juice, the average pretest value was 9.6 gr% and the posttest average was 11.5 gr%. In the control group the mean value of pretest was 9.5 gr% and posttest was 9.5 gr% and p value was 0.001 <0.05. There are differences in hemoglobin levels in third trimester pregnant women with anemia in the intervention group before and after being given dragon fruit juice. Keywords: anemia; pregnant mother ; dragon fruit juice; Hb level

The Use of Leaflets in Providing Health Education towards The Motivation of Pregnant Mothers In Preventing StuntingABSTRAK Stunting merupakan salah satu kondisi pertumbuhan terlambat yang terjadi pada anak balita akibat kekurangan gizi seimbang dan kurangnya PHBS selama periode 1.000 HPK, sehingga memiliki indeks tinggi badan menurut umur dengan z-score kurang dari -2 SD. Data prevalensi balita stunting di Indonesia menurut WHO tahun 2020 berada pada posisi ke 115 dari 151 negara di dunia. Penelitian ini dimaksudkan untuk mengatahui pengaruh pendidikan kesehatan menggunakan leaflet terhadap motivasi ibu hamil dalam mencegah stunting di Puskesmas kecamatan Sawangan Depok. Penelitian ini menggunakan quasy eksperiment dengan desaign penelitin one group pretest-posttest desaign. Sampel yaitu ibu hamil terimester I dan II berjumlah 52 orang. Instrumen penelitian menggunakan leaflet dan kuesioner. Analisis bivariat menggunakan uji Wilxocon. Hasil: diperoleh rata-rata motivasi sebelum diberikan pendidikan kesehatan menggunakan leaflet adalah 59.02, motivasi setelah diberikan pendidikan kesehatan menggunakan leaflet adalah 78.12. Analisis bivariat diperoleh p-value = 0.000 (p < 0.005). Simpulan dan sara: Ada pengaruh pendidikan kesehatan menggunakan leaflet terhadap motivasi ibu hamil dalam mencegah stunting. Diharapkan tenaga kesehatan khususnya bidan dapat menggunakan media leaflet sebagai media sederhana dalam memberikan pendidikan kesehatan. Kata Kunci: stunting; pendidikan kesehatan; media leaflet, motivasi; ibu hamilABSTRACT Stunting is one of the conditions of delayed growth that occurs in children under five due to lack of balanced nutrition and lack of Clean and Healthy Living Behavior during the 1,000 days of birth period, so that they have a height index for age with a z-score of less than -2 SD. Data on the prevalence of stunting under five in Indonesia according to WHO in 2020 is in the 115th position out of 151 countries in the world. This study was intended to determine the effect of health education using leaflets on the motivation of pregnant women in preventing stunting at the Sawangan District Health Center, Depok. This study used a quasi-experimental research design with one group pretest-posttest design. The samples were 52 pregnant women in the first and second trimesters. The research instrument used leaflets and questionnaires. Bivariate analysis using Wilxocon test. Results: the average motivation before being given health education using leaflets was 59.02, motivation after being given health education using leaflets was 78.12. Bivariate analysis obtained p-value = 0.000 (p < 0.005). Conclusions and suggestions: There is an effect of health education using leaflets on the motivation of pregnant women in preventing stunting. It is expected that health workers, especially midwives, can use leaflet media as a simple medium in providing health education.Keywords: stunting; health education; leaflet media, motivation; pregnant mother

Anemia in pregnancy has a bad impact and can lead to death for both mother and baby. From the maternal side, a pregnant woman who suffers from anemia during pregnancy or antepartum is susceptible to abortion, premature delivery, antepartum bleeding and is also susceptible to infection. Regular consumption of tomatoes is said to help prevent anemia. The content of vitamin C in tomatoes is needed by the body to maximize the absorption of iron from other foods. This study aims to determine the effect of tomato juice consumption on the increase in hemoglobin levels in third trimester pregnant women with anemia in Ciawi Hospital. The design in this study was a quasi-experimental (quasi-experimental) using a two-group pre-test and post-test design. The population in this study were 45 pregnant women in the third trimester with anemia who performed ANC at Ciawi Hospital in 2022, taken by purposive sampling technique based on inclusion and exclusion criteria. The number of samples used is 30 respondents. The control group consisted of 15 respondents and the intervention group consisted of 15 respondents. Data analysis used paired sample T-Test. From the results of the study, it is known that the average initial hemoglobin level in the experimental group is 9.833 g/dl which is classified as mild anemia, while the final average hemoglobin in the experimental group is 12,913 g/dl which is classified as not anemic. The p-value of 0.000 < (0.05) means that Ho is rejected and Ha is accepted, namely the effect of consumption of tomato juice on the increase in hemoglobin levels of pregnant women. There is a significant effect of consumption of tomato juice on the increase in hemoglobin levels in third trimester pregnant women with anemia. It is hoped that this can be used as a lesson in preventing anemia using tomato juice as an alternative, especially for pregnant women