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The process of pregnancy affects psychological aspects significantly. This process may lead to anxiety and inconveniences. The previous research showed that anxiety might be contributing to the labor process. These can decreased baby birth weight and increased hypothalamic-pituitary-adrenal (HPA) hormone levels which cause changes in steroid hormone production and adult fertility rates. Besides, anxiety during pregnancy impacts emotional problems, disorders of hyperactivity, decentralization, and impaired child development. Nonpharmacological therapy that has been approved in reducing anxiety is religious copings. One of the religious copings is to contemplate (tadabbur) Al-Qur'an. Al-Qur'an can treat all kinds of diseases, including anxiety disorders. This study aims to examine the effect of Al-Qur'an tadabbur therapy on reducing nulliparous anxiety levels during labor. A quasi-experimental study was conducted with a pretest-postest control group design. The sampling technique was consecutive sampling. The number of 30 third trimester nulliparous women experienced moderate-severe anxiety levels in Tanjung Karang Public Health Center, Mataram was selected to participate in this study during July–September 2020. They were divided into two groups, the intervention and control groups. The intervention group received Al-Qur'an tadabbur therapy, while the control group was not. The statistical analysis used was univariate and bivariate analyses with an independent t test. The instrument was used as the Zung Self-Rating Anxiety Scale (SAS) questionnaire. This study showed that the decrease of anxiety score in the intervention group was 26.1% higher than the control group p=0.001 (p

Angka kematian ibu (AKI) yang tinggi masih menjadi masalah kesehatan prioritas di Indonesia. Berbagai upaya telah dilakukan untuk menurunkan AKI, namun hingga saat ini AKI masih tinggi, yaitu sebesar 305/100.000 kelahiran hidup. Peningkatan program kesehatan ibu dan anak (KIA) salah satunya dengan mencegah kematian maternal. Penelitian ini bertujuan mengetahui aspek sosial budaya dari keluarga dan masyarakat tentang kematian maternal di RSUD dr. Abdoer Rahem Kabupaten Situbondo. Jenis penelitian kualitatif dengan desain retrospektif pada kasus ibu yang meninggal di rumah sakit. Pengumpulan data dilakukan dengan wawancara mendalam terhadap informan yang terdiri atas keluarga dari bulan Januari–Juli tahun 2013. Hasil analisis menunjukkan terdapat 6 kasus kematian rujukan di rumah sakit selama bulan Januari–Juli tahun 2013. Masih ditemukan perkawinan usia muda, berpendidikan dari tidak lulus SD sampai SMA. Kepercayaan masyarakat masih menyembunyikan kehamilan sampai 3 bulan pertama. Sebagian besar masih memeriksakan kehamilan ke tenaga kesehatan walaupun terdapat seorang ibu yang memeriksakan kehamilan ke dukun bayi. Akses ke tempat pelayanan kesehatan baik di bidan desa, puskesmas, dan rumah sakit semuanya terjangkau. SOCIAL DETERMINANTS IN MATERNAL DEATHS AT DR. ABDOER RAHEM REGIONAL GENERAL HOSPITAL SITUBONDO DISTRICT High maternal mortality (MMR) is still a priority health problem in Indonesia. Various efforts have been made to reduce MMR, but up to now MMR is still high, that is 305/100,000 live birth. The decline in maternal mortality still has many challenges. Improved maternal and child health programs (MCH) one of them by preventing the occurrence of maternal deaths. This study aims to determine the socio-cultural aspects of family and society about maternal mortality in the dr. Abdoer Raheem Situbondo Regional General Hospital. Type of qualitative research with retrospective design in case of mother who died in hospital. The data were collected through in-depth interviews with informants consisting of families from January to July 2013. The analysis showed that there were 6 deaths in hospital during January to July 2013. There were still young marriages, educated from not graduating from elementary to high school. Public confidence still hides the pregnancy until the first 3 months. Most of them still check pregnancy to health workers even though there is one mother who checks to the traditional birth attendance. Access to health care in village midwives, public health centers and hospitals is all affordable.

Dampak negatif yang ditimbulkan pernikahan dini pada remaja adalah kurang siapnya psikologi, putusnya akses pendidikan dan komplikasi kehamilan dan persalinan. Kehamilan remaja akan meningkatkan resiko dua hingga empat kali lebih tinggi dibandingkan usia perempuan yang hamil pada usia lebih dari 20 tahun. Data dari United Nations International Children’s Emergency Fund (UNICEF) di Asia Selatan mendapati 48% dari 9,7 juta anak perempuan telah menikah sebelum usia 18 tahun sedangkan untuk tahun 2000 angka pernikahan dini hampir ditemukan di seluruh provinsi di Indonesia bahkan sekitar 10% remaja puteri melahirkan anak pertamanya pada usia 15-19 tahun. Tujuan penelitian ini adalah untuk mengetahui bagaimana hubungan pendidikan, tingkat ekonomi keluarga, dukungan keluarga dan sumber informasi dengan terjadinya pernikahan dini. Penelitian bersifat studi korelasi dengan pendekatan Cross Sectional dan jenis data primer. Populasi sebanyak 136 responden dan sampel sebanyak 37 responden dengan menggunakan metode accidental Sampling. Data dianalisis secara univariat dan bivariat menggunakan uji korelasi Sphearman. Hasil penelitian menunjukkan bahwa pernikahan dini memiliki hubungan cukup kuat dengan pendidikan dimana rho sebesar –0,369. Ditemukan hubungan cukup kuat dengan tingkat ekonomi keluarga dimana rho sebesar –0,476. Hubungan kuat dengan dukungan keluarga dimana rho sebesar –0,596 dan hubungan yang kuat juga ditemukan dengan sumber informasi dimana rho sebesar 0,691, sehingga dapat disimpulkan bahwa ada hubungan antara faktor pendidikan, tingkat ekonomi keluarga, dukungan keluarga, sumber informasi dengan terjadinya pernikahan dini.

Maternal nutritional needs aim to prevent fatigue marked by lactate accumulation. Mix juice is made for the needs of the mother's energy quickly and reduces the accumulation of lactate. The objective of this study was to find out the influence of mix juice during labor to the mother's blood lactate levels. This study used a randomized controlled trial pretest-posttest group design. This research was carried out at the Pelayanan Obstetri Neonatal Emergensi Dasar/PONED (Basic Emergency Obstetric and Neonatal Care/BEONC) Puskesmas (Public Health Center) Garuda, Puter, Pagarsih, Padasuka, and Ibrahim Aji in Bandung city in March–April 2017. The population was all mothers who gave birth in Bandung. Sampling was carried out randomization, the number of samples of 60 people in treatment and control group. The treatment group received mix juice during labor, while the control group was free to eat and drink. The result was analyzed using comparative-numerical categorical analysis test, and the mean difference was analyzed using unpaired t test. The results showed the average increased in blood lactate levels in the treatment group (1.9 mmol/L) was lower than in the control group (4.0 mmol/L). Statistically, there was a significant difference in elevated blood lactate levels after intervention between the treatment and control group. Mothers who did not receive the mix juice in labor have a risk of elevated blood lactate levels 4 times higher than the mothers who received the mix juice. Conclusion, giving mix juice to the labor process affects the prevention of maternal blood lactate levels. KONSUMSI MINUMAN MIX JUICE PADA PERSALINAN UNTUK KADAR LAKTAT DARAH IBU Kebutuhan nutrisi ibu bersalin bertujuan mencegah kelelahan yang ditandai dengan akumulasi laktat. Mix juice dibuat untuk memenuhi kebutuhan energi ibu bersalin secara cepat dan mengurangi penumpukan laktat. Penelitian ini bertujuan menganalisis pengaruh pemberian mix juice terhadap kadar laktat darah ibu. Penelitian ini menggunakan desain randomized controlled trial pretest-posttest group. Penelitian dilaksanakan di Puskesmas Pelayanan Obstetri Neonatal Emergensi Dasar (PONED) Garuda, Puter, Pagarsih, Padasuka, dan Ibrahim Aji di Kota Bandung pada Maret–April 2017. Populasi penelitian adalah semua ibu yang akan melahirkan di Kota Bandung. Penarikan sampel dilakukan secara acak yang berjumlah 60 orang pada kelompok perlakuan dan kontrol. Kelompok perlakuan mendapatkan mix juice selama persalinan, sedangkan kelompok kontrol dibebaskan untuk makan dan minum. Hasil dianalisis menggunakan uji analisis komparatif kategorik numerik dan perbedaan rerata dianalisis menggunakan uji t tidak berpasangan. Hasil penelitian didapatkan rerata kenaikan kadar laktat darah pada kelompok perlakuan (1,9 mmol/L) lebih rendah dibanding dengan kelompok kontrol (4,0 mmol/L). Secara statistik terdapat perbedaan bermakna dalam kenaikan kadar laktat darah setelah intervensi antara kelompok perlakuan dan kontrol. Ibu yang tidak mendapatkan mix juice pada persalinan memiliki risiko kenaikan kadar laktat darah 4 kali lebih tinggi dibanding dengan ibu yang mendapatkan mix juice pada persalinan. Simpulan, pemberian mix juice pada proses persalinan berpengaruh terhadap pencegahan peningkatan kadar laktat darah ibu.

The relationship with the mother's level of anxiety in the first stage of labor active phase in BPM Atik Suharijati Surabaya. Mothers who experienced the process of labor is a physiological thing, but in reality people still think childbirth is a life and death stakes. Mothers who give birth experience anxiety levels cause birth becomes pathological. This study aims to determine the relationship with the mother's level of anxiety in the first stage of labor active phase in BPM Atik Suharijati Surabaya. Design analytical research with cross sectional approach. The population around the third trimester pregnant women who face labor in BPS Atik Suharijati in April-May 2015 of 25 respondents. A sample of 12 respondents in October was taken with the technique of "purposive sampling". Independent variables and the dependent variable levels of anxiety long active phase. Collecting data using questionnaires and partograf. Data were analyzed using the Mann Whitney test with a significance level a = 0.05. The results showed nearly half (41.7%) had mild anxiety and the majority of respondents (75%) had active phase

Kecemasan adalah pengalaman tidak menyenangkan yang terjadi ketika seseorang merasa khawatir atau ketakutan. Diperkirakan 2%-4% diantara penduduk di suatu fase dari kehidupannya pernah mengalami kecemasan. Sebagai seorang perempuan, kehamilan dan menghadapi persalinan merupakan salah satu fase yang dapat menyebabkan kecemasan. Dibandingkan dengan primigravida, multigravida lebih berpengalaman dalam menghadapi persalinan. Tujuan penelitian ini adalah untuk membandingkan apakah terdapat perbedaan tingkat kecemasan primigravida dan multigravida dalam menghadapi persalinan. Penelitian dilaksanakan di Puskesmas Wirobrajan Yogyakarta. Jenis penelitian adalah observasional dengan teknik purposif sampling. Tingkat Kecemasan berupa data interval yang diukur menggunakan Analog Anxiety Scale (AAS). Sampel dengan jumlah 30 responden yang memenuhi kriteria inklusi. Data dianalisis dengan Independent-Sample T Test. Hasil penelitian diperoleh bahwa responden primigravida dengan kecemasan ringan sebanyak 4 responden (13,33%), cemas sedang sebanyak 3 responden (10%), dan cemas berat sebanyak 1 responden (3,34%). Untuk responden multigravida hanya mengalami cemas ringan dan cemas sedang masing-masing 1 responden (3,34%). Nilai signifikansi (P) 0,05. Disimpulkan bahwa primigravida memiliki tingkat kecemasan yang lebih tinggi dibandingkan multigravida dalam menghadapi persalinan. Anxiety is unpleasant experience that happen when someone feel worry or threatening. Approximately 2%-4% of population suffers from anxiety in one phase of their life. As a woman, pregnancy and facing the child birth is one phase that can caused anxiety. Compare with primigravida, multigravida have more experience in facing the child birth. This research was to know whether there was a differentiation of anxiety level between primigravida and multigravida in facing the child birth. The research was done in Wirobrajan Primary Health Care. The study was observational with purposive sampling technique. The anxiety level was interval data that measured using Analog Anxiety Scale (AAS). Samples with a number of 30 respondents who is appropriate with the inclusion criteria. Data was analyzed by Independent-Sample T Test. This research found that primigravida with mild anxious there were 4 respondents (13,33%), 3 respondents (10%) with moderate anxious, and 1 respondent (3,34%) with severe anxious. For multigravida, there were 1 respondent (3,34%) with mild anxious and moderate anxious. The (P) value was 0,05. It can be concluded that anxiety level of primigravida is higher than multigravida in facing the child birth.