Kusumastuti, K
Stikes Muhammadiyah Gombong

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KOMBINASI PIJAT WOOLWICH DAN OKSITOSIN TERHADAP PRODUKSI ASI IBU POST PARTUM ,, kusumastuti; laelatul Qomar, umi; Mutoharoh, Siti
Jurnal Ilmiah Kesehatan Vol 12 No 1 (2019): Februari 2019
Publisher : Universitas Nahdlatul Ulama Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (168.281 KB) | DOI: 10.33086/jhs.v12i1.553

Abstract

Abstract: Lactation is the whole breastfeeding process from breastmilk produced to the baby's process of sucking and swallowing milk. The process of lactation is strongly influenced by the hormone prolactin and oxytocin. Expulsion of prolactin and oxytocin hormones can be stimulated by massage one of them with woolwich massage and oxytocin massage. Determine the effect of combination of Woolwich and oxytocin massages on breast milk production of postpartum mother. Thepresent study used quasi non-equivalent control group design experiment with data analysis using chi-square. The study revealed the differences of breast milk production of the Woolwich massage group and the oxytocin massage compared to the control group. The subjects were0-7 days post-partum mothers who breastfed their baby exclusively, amounting to 22 respondents in each group. Variables of breast milk production, the combination of Woolwich and oxytocin massage have p-value of  higher than 0.05 so it is not statistically significant but clinically it showed that the breast milk production of intervention group had 17% higher than the control group. Although there was no significant effect of the combination of Woolwich and oxytocin massage on breast milk production but there was clinically differenceof outcomes that is visible in intervention groups.  
ANALISIS FAKTOR – FAKTOR YANG BERHUBUNGAN DENGAN PERILAKU PELAYANAN KONTRASEPSI OLEH BIDAN DI KABUPATEN KEBUMEN Kusumastuti, K; Purnami, Cahya Tri; Tjondrorini, T
Jurnal Ilmiah Kesehatan Keperawatan Vol 11, No 2 (2015): JURNAL ILMIAH KESEHATAN KEPERAWATAN
Publisher : LPPM STIKES MUHAMMADIYAH GOMBONG

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (102.672 KB) | DOI: 10.26753/jikk.v11i2.107

Abstract

IUD is one of the long term contraceptions which its usage is still below the target of Kebumen goverment on 11%. The local government has done a workshop of Contraception Technology Update (CTU) for the midwives in the Kebumen regency so the numbers of the IUD acceptors had increased to 6.57% in June 2012 but however, this is still below the government's target. Some efforts have been done by the local governement but it still can not show a good of IUD contraveption good services. Objective of the research is to give clear descrpition of the analysis of factors  relate to intra Uterine Device (IUD) contraception services by midwives in  Kebumen Regency.This study   this is an observational research with analytic survey method and cross sectional approach. The data were collected using interview consited of strutured questioners to 80 midwives in Kebumen area. The data were analyzed using univariat, bivariat and multivariat analyses techniques.The results show that the variables of knowledge, motivation, acces, human resource availability and policy are in good category but there are still 40% of midwives who have low motivation so they still prefer to give the other more practical contraceptions instead of IUD, and 31% of the places for the IUD services still have not been provided with flipcharts. The variable of IUD contraception has correlation with the variables of knowledge with (p=0.037), motivation (p=0.045), and the availability of the human resources (p=0.021). Meanwhile the variables of service acces (p=0.691) and policy (p=1.000) have no correlation with the behaviour of IUD contraception service. Togetherly the variables of motivation and human resource availability have influenced the behaviour of IUD contraception service p≤ 0.05 with Exp.(B) > 2.It is recomended to midwives to motivate them selves in giving more rasionally Family Planning service and it is necessary to hold an Up to date Contraception Technology Workshops for midwives to increase the quality of IUD contraception services. Keywords     :  IUD Contraception Services, CTU for midwives
GAMBARAN PERAN KADER DALAM PELAKSANAAN PROGRAM PERENCANAAN PERSALINAN DAN PENCEGAHAN KOMPLIKASI (P4K) DI WILAYAH KERJA PUSKESMAS PADURESO KABUPATEN KEBUMEN Kusumastuti, K; Novyriana, Eka; Utami, Dwi
Jurnal Ilmiah Kesehatan Keperawatan Vol 11, No 3 (2015): JURNAL ILMIAH KESEHATAN KEPERAWATAN
Publisher : LPPM STIKES MUHAMMADIYAH GOMBONG

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (67.642 KB) | DOI: 10.26753/jikk.v11i3.110

Abstract

Mortality and morbidity is a big problem in a developing  country such as Indonesia. Minister of Health in 2007 planned a program of labor Planning and Complications Prevention (Indonesian=P4K) by using stickers as efforts to accelerate the decline in infant mortality rate (IMR) and maternal mortality rate (MMR). By implementation of this Program, there should be a good role of midwives, kader, religious leaders, community leaders, husbands, pregnant women and families.This study is to find out the overview of kader’s role in labor planning program and complication Prevention in Padureso Kebumen.This is a descriptive research using observasional design. There are 37 respondents as the samples research by using simple random sampling. The instruments are questioner and interview.The  overview of kader’s role in labor planning program and complication Prevention in Padureso Kebumen is categorized good (43.2%), kader’s role in filling sticker format is categorized bad (27.0%), kader’s role in facilitating the family is categorized good (32.4%), kader’s role in gaining agreement is categorized (54.1%), monitoring result is categorized bad (62.2%), kader’s role in evaluating result is categorized bad (67.6%), and kader’s role in performing report is categorized bad (59%). Keywords:    kader’s role, labor planning program and complication Prevention implementation
Analisis Faktor-Faktor Yang Berhubungan dengan Perilaku Pelayanan Kontrasepsi oleh Bidan di Kabupaten Kebumen Kusumastuti,; Kartasurya, Martha Irene; Purnami, Cahya Tri
Jurnal Keperawatan Soedirman Vol. 08 No. 1 (2013)
Publisher : Jurusan Keperawatan FIKES UNSOED

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.jks.2013.8.1.462

Abstract

Pemerintah Kabupaten Kebumen telah mengadakan pelatihan Contraception Technology Update (CTU) bagi Bidan. Namun tetap saja pemakaian kontrasepsi Intra Uterine Device IUD) masih di bawah target. Penelitian ini merupakan penelitian observasional dengan metode survey analitik dengan pendekatan kuantitatif dan pendekatan waktu cross sectional. Pengumpulan data menggunakan kuesioner terstruktur pada 80 responden bidan di wilayah Kabupaten Kebumen. Analisa data dilakukan dengan analisis univariat, bivariat dan multivariate. Pengetahuan, motivasi, akses, ketersediaan sumberdaya dan kebijakan dalam kategori baik, namun masih terdapat 40% bidan yang motivasinya kurang karena lebih memilih melayani kontrasepsi yang praktis, dan 31% tempat pelayanan responden tidak terdapat lembar balik. Pelayanan kontrasepsi IUD berhubungan dengan pengetahuan bidan, motivasi bidan, dan ketersediaan sumberdaya. Sedangkan akses pelayanan dan kebijakan tidak berhubungan dengan pelayanan kontrasepsi IUD. Motivasi bidan dan ketersediaan sumberdaya berpengaruh terhadap pelayanan kontrasepsi IUD.