Jurnal Kesehatan Siliwangi

PENGETAHUAN DAN PARITAS IBU BERHUBUNGAN DENGAN PENGGUNAAN KB SUNTIK 1 BULAN TAHUN 2021

2025-06-05T16:49:21+08:00

Globally, in 2022, the prevalence of contraceptive use was recorded at 65%. The purpose of this study is to determine the relationship between knowledge and maternal parity with the use of 1-month injectable birth control at PMB Hj. Zuniawaty Palembang in 2021. The research design used is a quantitative research that is an analytical survey with a cross-sectional design. The independent variable is knowledge and parity, the dependent variable is the use of 1-month Injectable Birth Control. The population is all mothers who came to PMB Hj. Zuniawati Palembang from November – December 2021 which amounted to 32 people. The sampling technique uses the accidental sampling technique, which is a sampling method by selecting respondents who happen to be there/found. The instrument useD a questionnaire. The data analysis carried out was univariate and bivariate. The chi-square test showed a significant relationship between knowledge (p=0.001) and parity (p=0.004) with the use of 1-month injectable birth control. Suggestions for PBMs can improve services, especially services for mothers who use 1-month injectable birth control and provide complete information about good knowledge of good 1-month injectable contraceptives and are willing to use injectable contraceptives as an effective contraceptive.

ASUHAN KEBIDANAN KELUARGA BERENCANA AKSEPTOR BARU KB IUD: SEBUAH LAPORAN KASUS

2025-07-10T14:43:06+08:00

The Intrauterine Device (IUD) was the effective, safe, and reversible long-term contraceptive method. Despite its numerous advantages, IUD adoption still faces challenges such as a lack of information about IUDs, negative public perceptions, misconceptions, and side effects. If IUD side effects are not properly managed, they can cause anxiety and unpreparedness, potentially leading to complications, leading to premature IUD removal. The purpose of this Final Project Report is to provide family planning midwifery care to Mrs. S, 39 years old, P3A0, a new IUD recipient.This report uses a midwifery care approach with documentation using the SOAP (Subjective, Objective, Analysis, and Management) approach. Data were collected through history taking, physical examination, observation, documentation, and literature review.The subjective data assessment revealed that Mrs. S complained of vaginal discharge, no itching, no odor, and abdominal pain three days after IUD insertion. The pain scale used a Numeric Rating Scale (NRS) instrument with a scale of 5. Objective data from a genital examination revealed a white, watery vaginal discharge. Mrs. S, 39 years old, P3A0, a new IUD acceptor, was analyzed. The management provided included providing information about IUDs, conducting genital and IUD examinations, explaining the causes of vaginal discharge and abdominal pain, advising on maintaining personal hygiene, teaching deep breathing relaxation techniques, and recommending warm compresses on the painful abdominal area. The conclusion from the care provided to Mrs. S was that the mother understood the IUD, no longer experienced vaginal discharge or abdominal pain, and was not worried about her condition.

A COMPREHENSIVE REVIEW: DYSREGULATION OF GLUCOSE METABOLISM IN PREGNANCY AND INNOVATIVE STRATEGIES FOR PREVENTION-FOCUSED MIDWIFERY CARE

2025-09-16T02:44:12+08:00

Pregnancy triggers complex metabolic changes, particularly in glucose homeostasis. This vital adaptation, marked by physiological insulin resistance in the second and third trimesters, ensures an adequate glucose supply for the fetus. However, a failure of pancreatic beta-cell compensation can lead to Gestational Diabetes Mellitus (GDM), a significant obstetric complication. GDM shares pathophysiological similarities with type 2 diabetes (T2D) and poses substantial risks, including adverse perinatal outcomes (e.g., macrosomia and preeclampsia) and long-term consequences such as increased maternal T2D risk and offspring susceptibility to obesity via fetal programming.

Despite these known impacts, GDM diagnosis remains challenging due to a lack of uniform diagnostic standards and often-delayed screening. This review, therefore, aims to comprehensively examine the physiological adaptations, factors influencing glucose dysregulation, and clinical implications of GDM. Furthermore, it evaluates current management strategies and identifies future research directions, emphasizing the crucial role of midwives in developing innovative, prevention-based approaches from preconception through the breastfeeding period to improve overall maternal and child health. Key words: Gestational Diabetes, Glucose Metabolism, Midwife, Prevention