Evidence Midwifery Journal http://journal.universitaspahlawan.ac.id/index.php/evidence <table> <tbody> <tr> <td width="15%">Title</td> <td width="85%">: Evidence Midwifery Journal</td> </tr> <tr> <td width="15%">Website</td> <td width="85%">: <a href="https://journal.universitaspahlawan.ac.id/index.php/evidence">https://journal.universitaspahlawan.ac.id/index.php/evidence</a></td> </tr> <tr> <td width="15%">ISSN</td> <td width="85%">: 2963-413X</td> </tr> <tr> <td width="15%">DOI Prefix</td> <td width="85%">: </td> </tr> <tr> <td width="15%">Subject</td> <td width="85%">:</td> </tr> <tr> <td width="15%">Frequency</td> <td width="85%">: Quarterly</td> </tr> <tr> <td width="15%">Language</td> <td width="85%">: Indonesia (id)</td> </tr> <tr> <td width="15%">Indexed at</td> <td width="85%">: Garuda, BASE, OneSearch, Moraref, etc.</td> </tr> <tr> <td width="15%">Citation</td> <td width="85%">: <a href="https://scholar.google.com/">https://scholar.google.com/</a></td> </tr> <tr> <td width="15%">OAI</td> <td width="85%">:https://journal.universitaspahlawan.ac.id/index.php/evidence/management/settings/context</td> </tr> </tbody> </table> <p>The <a href="https://journal.universitaspahlawan.ac.id/index.php/evidence/submissions">Evidance Midwifery Journal (EMJ)</a> is an electronic journal that contains research journals of research results and literature studies related to the health sector, especially midwifery related to health and midwifery problems, which are holistic, humanistic based on evidence based with a midwifery care management approach, and pay attention to the physical, psychological, emotional, socio-cultural, spiritual, economic and environmental that can affect women's reproductive health, including promotive, preventive, curative and rehabilitative efforts</p> <p><a href="https://journal.universitaspahlawan.ac.id/index.php/evidence/submissions">Evidance Midwifery Journal (EMJ)</a> is a National peer-reviewed journal dedicated to the exchange of high-quality research results in all aspects of health in particular midwifery. This journal publishes research results based on evidence-based scientific theory and practice with the proposed method systematically and based on research methods. The results of the publications in this study are a form of support, commitment and solutions to various problems in the health sector and to realize a high degree of maternal and child health. <a href="https://journal.universitaspahlawan.ac.id/index.php/evidence/submissions">Evidance Midwifery Journal (EMJ)</a> follows an open access policy that allows published articles to be available online.</p> LPPM Universitas Pahlawan Tuanku Tambusai en-US Evidence Midwifery Journal 2963-413X Asuhan Kebidanan Pada Ibu Hamil Dengan Preeklamsi Ringan Di PMB Husnel Hayati Wilayah Kerja Puskesmas Salo Tahun 2024 http://journal.universitaspahlawan.ac.id/index.php/evidence/article/view/34443 <p><em>Mild pre-eclampsia is a complication in pregnancy which is characterized by hypertension. Increased systolic blood pressure of 140/90 mmHg and high levels of protein in the urine that appear at a gestational age above 20 weeks. The aim of this research is to provide midwifery care to pregnant women with mild pre-eclampsia at the PMB Husnel Hayati Working Area of ??the Salo Community Health Center starting from 10 July to 16 July 2024. This case study research was given to Mrs. S with 4 visits a week, initially the patient said he had pain in his head, his body felt weak, he had no appetite. The midwifery care provided is in the form of health education about pre-eclampsia and how to deal with it. Based on the care provided, it was found that the condition of patients with mild pre-eclampsia had reduced and improved. And it can be concluded that the care that has been provided has been carried out well. It is hoped that for health workers, this research can be a reference or material to increase insight and can be used as knowledge in counseling pregnant women regarding mild pre-eclampsia.</em></p> Filza Hayati Nislawaty Nislawaty Miftahurrahmi Miftahurrahmi Copyright (c) 2024 Evidence Midwifery Journal https://creativecommons.org/licenses/by-sa/4.0 2024-12-13 2024-12-13 3 4 150 155 10.31004/emj.v3i4.34443 Asuhan Kebidanan Pada Ibu Nifas Dengan Puting Susu Terbenam Grade II Di PMB Nislawaty Wilayah Kerja Puskesmas Bangkinang Kota Tahun 2024 http://journal.universitaspahlawan.ac.id/index.php/evidence/article/view/36670 <p><em>Immersed nipples are nipples that cannot protrude and are pulled inward, which results in the milk not coming out smoothly due to shorter inward milk ducts (tied nipples), lack of early breast care, and the mother's lack of knowledge regarding breast care. Inverted nipples are divided into 3 grades. The care provided is in accordance with the grade of nipple immersion. The aim of the research is to provide midwifery care to postpartum mothers with grade II inverted nipples at the Nislawaty Independent Midwife Practice (PMB) in the Bangkinang City Community Health Center Work Area on 08-14 May 2024. The results of the case study research found that Mrs. C experienced inverted nipples grade II. Care was carried out seven times at home during 1 week. Midwifery care is provided in the form of counseling to mothers regarding inverted nipples, teaching mothers how to deal with inverted nipples using a syringe and the Hoffman technique, as well as teaching mothers breast care techniques. Based on the postpartum care provided to Mrs. C aged 25 years P1A0 found that the inverted nipples were starting to stand out. The conclusion is that the care provided was carried out well and produced positive results. It is hoped that this research can serve as a reference, add to discourse, and develop knowledge regarding midwifery care for postpartum mothers with grade II inverted nipples</em>.</p> Dea Angelita Nislawaty Nislawaty Dumasari Lubis Copyright (c) 2024 Evidence Midwifery Journal https://creativecommons.org/licenses/by-sa/4.0 2024-12-12 2024-12-12 3 4 7 13 10.31004/emj.v3i4.36670 Asuhan Kebidanan Pada Ibu Bersalin Normal Di PMB Nikma.Z, SST Wilayah Kerja Puskesmas Air Tiris Tahun 2024 http://journal.universitaspahlawan.ac.id/index.php/evidence/article/view/36586 <p><em>Normal Childbirth is delivery with a posterior presentation of the fetus that occurs spontaneously with a labor duration within normal limits, low risk from the beginning of labor until parturition with a gestation period of 37-42 weeks. The aim of this research is to provide normal delivery care to mothers giving birth at PMB Nikma. Z, SST Air Tiris Health Center Working Area on June 14 2024. Case Study Research Results given to Ny.D, by monitoring from stage I to stage IV, the mother said she was feeling sick, a little worried. Midwifery care is provided in the form of teaching correct breathing techniques, pushing techniques and telling the mother the best position to facilitate opening. Based on the midwifery care provided to Ny.D P3A0H3 40 weeks gravid results showed that the mother and baby were in good condition, with vital signs examination results within normal limits, good uterine contractions and no post partum bleeding. It can be concluded that the care provided was carried out well and obtained positive results. It is hoped that midwives and institutions will use this research as a reference or material to broaden their knowledge and develop knowledge about midwifery care for women giving birth normally according to evidence based.</em></p> Annisa Adelia Syukrianti Syahda Copyright (c) 2024 Evidence Midwifery Journal https://creativecommons.org/licenses/by-sa/4.0 2024-12-12 2024-12-12 3 4 1 6 10.31004/emj.v3i4.36586 Hubungan Pengetahuan Ibu tentang Buku Kesehatan Ibu dan Anak (Kia) dengan Kejadian Stunting pada Balita di Desa Kuapan Wilayah Kerja UPT Puskesmas Tambang http://journal.universitaspahlawan.ac.id/index.php/evidence/article/view/35893 <p><em>Mothers who have low knowledge about MCH tend not to realize if their children have nutritional disorders. The purpose of this study was to determine the relationship between mothers' knowledge of the Maternal and Child Health (MCH) book with the incidence of stunting in the working area of Puskesmas Tambang in 2023. This type of research is quantitative with a Cross Sectional design. The sample in this study were mothers of toddlers aged 24-60 months in Kuapan village in the working area of Puskesmas Tambang in 2023 as many as 194 people with the sampling technique was simple random sampling of 131 people. Data collection tools using questionnaires, weight measurement, height using microtoice. The results of univariate analysis showed that respondents had good knowledge about the MCH book as many as 104 people (79.4%), and did not experience stunting as many as 109 toddlers (83.2). The results of bivariate analysis on the relationship between maternal knowledge of the KIA book with the Chi Square test showed that there was a relationship between knowledge of the KIA book (p=0.00) with the incidence of stunting. In conclusion, there is a relationship between knowledge about the kia book and the incidence of stunting in toddlers in Kuapan Village in the working area of Puskesmas Tambang, Kampar Regency. It is expected that mothers of toddlers can increase the frequency of visiting the posyandu or puskesmas in order to get complete information from midwives and mothers can increase knowledge about the KIA book so that they can understand child growth and development.</em></p> <p> </p> Dewi Ariyanti Dewi Anggriani Harahap Dhini Anggraini Dhilon Copyright (c) 2024 Evidence Midwifery Journal https://creativecommons.org/licenses/by-sa/4.0 2024-12-13 2024-12-13 3 4 85 93 10.31004/emj.v3i4.35893 Hubungan Asupan Zat Gizi Dan body Image Dengan Kejadian Kekurangan Energi Kronis ( KEK) Pada Remaja Puteri Di SMAN 1 Bangkinang http://journal.universitaspahlawan.ac.id/index.php/evidence/article/view/35866 <p><em>Nutritional problems are prone to occur in the adolescent age group. Adolescents are an age group where specific nutritional problems occur, especially Anemia and Chronic Energy Deficiency (CED). Nutrient intake such as energy, protein and Body Image intake can affect the occurrence of chronic energy deficiency in adolescents. The purpose of this study was to determine the relationship between nutrient intake and Body Image with the incidence of Chronic Energy Deficiency (CED) in female adolescents at SMAN 1 Bangkinang. This type of research is quantitative using a cross-sectional study approach research design. The research tools are questionnaires and LILA. The study was conducted on June 10 - June 22, 2024 with a sample of 52 female students obtained by stratified random sampling. The results of the univariate analysis showed that out of 52 female students, 29 female students (55.8%) had insufficient energy intake, 32 female students (61.5%) had insufficient protein intake, 33 female students (63.5%) were dissatisfied with their body shape and 29 female students (55.8%) had CED status. The results of the bivariate analysis showed a relationship between energy intake (? = 0.000), protein (? = 0.008) and body image (? = 0.003). The conclusion is that there is a relationship between nutrient intake and body image with KEK. It is expected that female students consume food intake containing nutrients to prevent an increase in KEK and minimize the occurrence of KEK in adolescence.</em></p> Rani Chania Dewi Anggriani Harahap Wanda Lasepa Copyright (c) 2024 Evidence Midwifery Journal https://creativecommons.org/licenses/by-sa/4.0 2024-12-13 2024-12-13 3 4 122 130 10.31004/emj.v3i4.35866 Asuhan Kebidanan Pada Ibu Nifas Dengan Luka Laserasi Perineum Di PMB Dewi Sartika Wilayah Kerja Puskesmas Kuok http://journal.universitaspahlawan.ac.id/index.php/evidence/article/view/35019 <table width="667"> <tbody> <tr> <td width="327"> <p><em>A perineal wound is a tear that occurs in the perineal area spontaneously or deliberately by cutting (episiotomy) to make the birth of the baby easier. Efforts to care for perineal wounds are very important to prevent infection in the perineal wound. Acceleration in wound healing is highly expected, one of which is by consuming high protein, namely eggs. This research aims to provide care to postpartum mothers with perineal wounds at PMB Dewi Sartika in the working area of ??the Kuok Community Health Center in 2024. This research is in the form of a case study with a descriptive observational method carried out on </em><em>Ny. A</em> <em>at PMB Dewi Sartika on July 4</em><em>-10 </em><em>July</em> <em>in 2024. The results of the case study research given to </em><em>Ny. A</em><em> namely three visits over 1 week. The midwifery care provided is in the form of counseling on how to care for perineal wounds, teaching mothers personal hygiene in the perineum and genitalia area, giving mothers eggs to boil and consume twice every day. Based on the care given to</em><em> Ny. A</em><em> In conclusion, the care provided was carried out well and produced positive results. It is hoped that this research can become a reference for readers, researchers and increase insight and develop knowledge regarding care for postpartum mothers with perineal wounds.</em></p> </td> </tr> </tbody> </table> <p> </p> Silvi Lestari Endang Mayasari Copyright (c) 2024 Evidence Midwifery Journal https://creativecommons.org/licenses/by-sa/4.0 2024-12-10 2024-12-10 3 4 14 19 10.31004/emj.v3i4.35019 Asuhan Kebidanan Pada Ibu Hamil Trimester II Dengan Hipertensi Gestasional Di PMB Helni Ramzah, S.Tr.Keb Wilayah Kerja Puskesmas Sibiruang Koto Kampar Hulu Tahun 2023 http://journal.universitaspahlawan.ac.id/index.php/evidence/article/view/34978 <table width="667"> <tbody> <tr> <td width="327"> <p><em>Hypertension in pregnancy is one of the most important problems faced by public health because hypertension in pregnancy is a major cause of maternal and fetal morbidity and mortality. This study aims to determine midwifery care for pregnant women in the second trimester with gestational hypertension at PMB Helni Ramzah S.Tr.Keb in the Sibiruang Koto Kampar Hulu Community Health Center Work Area in 2023. The type of research used in the case study is descriptive research. The subject of this case study is a pregnant woman with gestational hypertension. The results of this research showed that midwifery care for pregnant women was provided by</em><em> Ny. </em><em>R, 24 years old, G1P0A0 experienced good changes from day to day, at the first visit the mother felt headache accompanied by nausea, pain scale 4, the pregnant woman's blood pressure was high, namely</em><em> TD </em><em>140/93 mmHg. At the second visit the mother still felt headache accompanied by nausea, pain scale 3, blood pressure was still high, namely</em><em> TD </em><em>140/90 mmHg. On the third visit, the mother stated that the headache had begun to decrease to the shoulders and nausea (+), appetite had begun to improve, the pain scale had dropped to 3 and blood pressure was still high at 138/90 mmHg. On the fourth visit, the mother felt that the headache and nausea had decreased, the pain scale had decreased to 2 and the blood pressure had also decreased or returned to normal to 135/80 mmHg. Pregnant women are expected to consume foods low in salt to keep blood pressure under control and avoid gestational hypertension.</em></p> </td> </tr> </tbody> </table> Rifka Mahera Endang Mayasari Copyright (c) 2024 Evidence Midwifery Journal https://creativecommons.org/licenses/by-sa/4.0 2024-12-13 2024-12-13 3 4 71 76 10.31004/emj.v3i4.34978 Asuhan Kebidanan Pada Ibu Hamil Trimester I Dengan Morning sickness Di PMB Helni Ramza, S.Tr.Keb di XIII Koto Kampar Tahun 2023 http://journal.universitaspahlawan.ac.id/index.php/evidence/article/view/34875 <table width="667"> <tbody> <tr> <td width="327"> <p><em>Morning sicknessis a very common condition that occurs in pregnant women, especially in the first trimester of pregnancy. In essence, morning sicknessis a normal thing, but it really needs to be given care or monitoring, because if left unchecked it can also be dangerous for the mother, including on the fetus. Factors that cause morning sicknessare hormonal changes in the body during pregnancy, namely increased estrogen and Human Chorionic Gonadotrophin (HCG) and psychological factors such as feelings of anxiety, husband's support, social environmental factors, culture and economic conditions. This research is in the form of a case study, with descriptive observational research methods carried out at the </em><em>PMB Helni Ramza</em><em> on 21-26 August 2023. With the results, </em><em>Ny.</em><em>R</em> <em>24 years old G1P0A0 UK 8 weeks with morning sickness, namely experiencing good changes from day to day, at the first visit the mother complained that she felt very often experiencing something called nausea and vomiting in the morning which made the mother weak and had no appetite, at the second visit the mother still complaining of nausea and vomiting but there has been a good change from the previous day and the results of the examination are within normal limits, on the 3rd visit the mother's condition is getting better and the mother says she no longer experiences significant nausea and vomiting or is no longer a problem like the previous condition, and from results of examination of the mother's condition. Thus it can be concluded that the care provided was carried out well and produced positive results.</em></p> </td> </tr> </tbody> </table> Dea Dea Endang Mayasari Joria Parmin Copyright (c) 2024 Evidence Midwifery Journal https://creativecommons.org/licenses/by-sa/4.0 2024-12-13 2024-12-13 3 4 143 149 10.31004/emj.v3i4.34875 Asuhan Kebidanan Pada Ibu Hamil Dengan Anemia Ringan Di PMB Nurhayati Wilayah Kerja Puskesmas Air Tiris 2024 http://journal.universitaspahlawan.ac.id/index.php/evidence/article/view/34587 <p><em>Anemia is one of the problems in pregnancy, a mother who experiences mild anemia during pregnancy will have a bad impact on herself and also the mother's fetus, such as causing abortion, premature labor, stunted growth and development of the fetus, during childbirth it can cause premature rupture of membranes (PROM) and can also cause hiss disorders and lack of strength when pushing. The aim of the research is to provide Midwifery Care to Pregnant Women with Mild Anemia in the PMB Nurhayati Working Area of the Air Tiris Community Health Center on 10 June - 23 June 2024. The results of the case study research given to Mrs. F with 14 home visits in 2 weeks, namely the mother's hemoglobin level is normal. Midwifery care is provided in the form of providing PENKES (health education) to the mother about the dangers of anemia in pregnancy and also encouraging the mother to maintain her diet and eating nutritious food, encouraging the mother to regularly consume Fe tablets, and also giving the mother green bean porridge twice a day for 14 days. Based on care for pregnant women carried out on Mrs. F aged 20 years G1P0A0H0, it was found that the hemoglobin level in the mother was normal. The conclusion is that the care provided was carried out well and had satisfactory results. It is hoped that subjects and the public can increase knowledge about pregnancy, especially regarding knowledge and treatment of mild anemia in pregnancy.</em></p> Jannatul Mawaddah Fitri Apriyanti Copyright (c) 2024 Evidence Midwifery Journal https://creativecommons.org/licenses/by-sa/4.0 2024-12-13 2024-12-13 3 4 131 135 Asuhan Kebidanan Pada Ibu Bersalin Dengan Tatalaksana Pijat Endorphin Dalam Membantu Mengurangi Intensitas Nyeri Dalam Persalinan Di Praktik Mandiri Bidan Husnel Hayati Wilayah Kerja Puskesmas Salo http://journal.universitaspahlawan.ac.id/index.php/evidence/article/view/34583 <p><em>The main problem that birthing patients can complain abouot and the active phase 1st stage card is pain in the birthing mother which can cause various pain problems that arise causing the mother to feel stressed and axcesisively worried. The aim of the rearch is to provide midwifery care to mother giving birth with labor pain at PMB Husnel Hayati. In the working area of the Salo community health center of June 2024. The results of the case study research given to Mrs. K with one visit or 1 day research at PMB Husnel Hayati, namely providing education first to the mother about labor pain and also providing care in the form of action by doing endhorphine massage on the mother in facing labor to relax the mother and transition the labor pain felt by the mother. The conclusion is that the care provided is carried out well and produces positive results. It is hoped that the subject and the community can increase knowledge about pain in labor and management of pain in labor.</em></p> Junia Junia Nislawaty Nislawaty Copyright (c) 2024 Evidence Midwifery Journal https://creativecommons.org/licenses/by-sa/4.0 2024-12-12 2024-12-12 3 4 66 70 10.31004/emj.v3i4.34583 Asuhan Kebidanan Pada Ibu Hamil Dengan Hipertensi Gestasional Di PMB Nurhayati Wilayah Kerja Puskesmas Air Tiris http://journal.universitaspahlawan.ac.id/index.php/evidence/article/view/34580 <p><em>Gestational hypertension is one of the problems during pregnancy. Pregnant women with gestational hypertension can experience adverse effects for themselves and their fetuses, such as intrauterine growth restriction (IUGR), intrauterine fetal death (IUFD), preterm labor, placental abruption, and organ failure. The objective of this research is to provide midwifery care for pregnant women with gestational hypertension at PMB Nurhayati in the working area of Air Tiris Health Center from June 4 to June 11, 2024. The results of the case study provided to Mrs. N, with eight home visits, showed that her blood pressure before care was 142/99 mmHg and after receiving care, her blood pressure decreased to 128/90 mmHg. The midwifery care provided included health education about a hypertension diet, therapy by recommending the mother read the Qur'an, and giving the mother cucumber juice mixed with sweet oranges twice a day for seven days. Based on the care provided to Mrs. N, a 28-year-old G2P1AOH1, it was found that her blood pressure decreased, and her complaints were resolved. In conclusion, the care provided was well implemented. It is hoped that pregnant women with gestational hypertension and the general public can increase their knowledge of pregnancy, particularly regarding the knowledge and management of gestational hypertension</em></p> Novita Indriani Fitri Apriyanti Copyright (c) 2024 Evidence Midwifery Journal https://creativecommons.org/licenses/by-sa/4.0 2024-12-12 2024-12-12 3 4 48 53 10.31004/emj.v3i4.34580 Asuhan Kebidanan Pada Bayi Baru Lahir Normal Di PMB Nelly Suryani Wilayah Kerja Puskesmas Kuok http://journal.universitaspahlawan.ac.id/index.php/evidence/article/view/34446 <table width="667"> <tbody> <tr> <td width="327"> <p><em>Normal newborns are babies born spontaneously with a percentage of the back of the head passing through the vagina without using tools, at a gestational age of 37 weeks-42 weeks, with a body weight of 2500 grams-4000 grams, an APGAR score of more than seven and no congenital disorders. The aim of the research is to provide midwifery care to normal newborn babies at (Independent Midwife Practice) PMB Nelly Suryani in the Kuok Health Center Work Area on June 14 – June 22 2024. The results of the case study research were given to By. A With 3 home visits in 8 days, the mother said the baby was healthy, the baby was moving strongly, there were no signs of infection and the baby was breastfeeding well. Midwifery care is provided in the form of providing care for newborns, umbilical cord care and providing IEC mothers with the importance of exclusive breastfeeding. Based on the care of newborns carried out at By. It was found that poor treatment of healthy newborns can cause abnormalities that can result in lifelong disabilities, even death. The conclusion is that the care provided was carried out well and produced positive results. It is hoped that the results of this case study can become a reference, and can develop knowledge regarding midwifery care for normal newborn babies.</em></p> </td> </tr> </tbody> </table> Nuraisyah Fadilah Dhini Anggraini Dhilon Copyright (c) 2024 Evidence Midwifery Journal https://creativecommons.org/licenses/by-sa/4.0 2024-12-13 2024-12-13 3 4 156 160 10.31004/emj.v3i4.34446 Hubungan Anemia dan Pendapatan Keluarga dengan Kejadian Kekurangan Energi Kronis (KEK) Pada Ibu Hamil Di Wilayah Kerja Puskesmas Batu Bersurat Kabupaten Kampar Tahun 2023 http://journal.universitaspahlawan.ac.id/index.php/evidence/article/view/24161 <p><em>The incidence of CED in pregnant women in Indonesia according to the results of basic health research (Riskesdas) in 2018 shows that the prevalence of CED risk in pregnant women is 17.3%. A person is said to be at risk of CED if the Upper Arm Circumference (LILA) is &lt;23.5 cm. LILA is a way to determine the risk of chronic energy deficiency (KEK) in pregnant women. The aim of the research is to analyze the relationship between anemia and family income with the incidence of chronic energy deficiency (KEK) in pregnant women in the Batu Bersurat health center working area, Kampar Regency in 2023. Type The research is a quantitative analytical research with a cross sectional design. The research was conducted on 02-09 October 2023 with a population of 180 pregnant women and a sample of 180 pregnant women in the working area of the Batu Bersurat Community Health Center, Kampar Regency, using total sampling data collection techniques. Data collection uses a questionnaire. The data analysis used was univariate and bivariate analysis with the Chi Square test. The results of the final assignment report found that there was a relationship between anemia and the incidence of CED in pregnant women in the working area of the Batu Bersurat Community Health Center, Kampar Regency in 2023 (p value = 0.002) and there was no relationship between income and the incidence of CED in pregnant women in the working area of the Batu Bersurat Regency Community Health Center. Kampar in 2023 (p value = 0.784). It is hoped that Batu Bersurat Community Health Center officers will need to provide nutritional education about CED and how to prevent CED in pregnant women.</em></p> Putry Septriani Fitri Apriyanti Endang Mayasari Copyright (c) 2024 Evidence Midwifery Journal https://creativecommons.org/licenses/by-sa/4.0 2024-12-13 2024-12-13 3 4 94 103 10.31004/emj.v3i4.24161 Asuhan Kebidanan Pada Ibu Hamil Dengan Kekurangan Energi Kronis (KEK) Di PMB Husnel Hayati Desa Siabu Tahun 2024 http://journal.universitaspahlawan.ac.id/index.php/evidence/article/view/34128 <p><em>Chronic Energy Deficiency (KEK) is a condition where a lack of calories and protein persists for a long time and can cause health problems in women of childbearing age and pregnant women. The aim of the research is to provide midwifery care to pregnant women with chronic energy deficiency (KEK) at (Independent Midwife Practice) PMB Husnel Hayati in Siabu Village on 26 May – 30 July 2024. The results of the case study research given to Mrs. Y, with 7 home visits in 10 weeks, the mother said she was gaining less weight, decreased appetite, body weakness so that the mother felt anxious about her pregnancy. Midwifery care provided consists of carrying out a physical examination using the 10T standard including assessing body weight and Upper Arm Circumference (LILA) according to the observation sheet, followed by providing counseling to the patient regarding healthy pregnancy and the pattern of nutritional intake needed during pregnancy, then providing food t addition (PMT). Based on the pregnancy care provided to Mrs. Y, aged 22 years G1P0A0, it was found that her appetite had returned to normal, the mother no longer felt anxious about her pregnancy and her weight, LILA, TFU had increased. The conclusion is that midwifery care provided from the second visit to the next visit always experiences significant progress, the care for these patients is carried out well. It is hoped that healtht woerkers can improve the quality of treatment and health service for pregnant women with cronic energy deficiency quickly, precisely and comprehensively.</em></p> Fany Vebri Andari Elvira Harmia Miftahurrahmi Miftahurrahmi Copyright (c) 2024 Evidence Midwifery Journal https://creativecommons.org/licenses/by-sa/4.0 2024-12-10 2024-12-10 3 4 20 26 10.31004/emj.v3i4.34128 Asuhan Kebidanan Pada Balita Dengan Gizi Kurang Di Desa Ranah UPT Puskesmas Air Tiris Tahun 2024 http://journal.universitaspahlawan.ac.id/index.php/evidence/article/view/34127 <p><em>The problem of malnutrition in toddlers is a condition where body weight is below the growth curve. There are still many growth problems with malnutrition and obesity. If this nutritional problem is not treated in the long term, it will cause wasting and stunting. The causes of malnutrition in toddlers are also influenced by socio-economic conditions, low maternal education, maternal employment, number of children, maternal knowledge and parenting patterns, and a poor environment. The aim of the research is to provide midwifery care to toddlers with malnutrition in Ranah Village UPT Air Tiris Health Center in 2024. This research is in the form of a case study with descriptive observational methods carried out in Ranah Village on 12-24 July 2024. Results case study research given to An. A, namely, 4 visits were carried out over 2 weeks. Midwifery care consists of providing counseling to mothers of toddlers regarding balanced diets for toddlers, the dangers of diarrhea for toddlers, the dangers of acute respiratory infections, toddlers with coughs and colds, dengue fever, and clean and healthy living behavior (PHBS). Providing additional food in the form of cassava flour pancakes and green bean porridge, teaching mothers how to make cassava flour pancakes, giving mothers vegetables, tofu, tempeh, eggs for toddlers, encouraging mothers to continue to provide balanced food, encouraging mothers to maintain diet and rest. Based on the malnutrition care provided to An. At the age of 3 years, it was found that the condition of malnourished toddlers was starting to return to normal. The conclusion is that the care provided was carried out well and produced positive results. It is hoped that this research can serve as a reference, add to discourse, and develop knowledge regarding midwifery care for toddlers with malnutrition</em></p> Norafni Sofia Dhini Anggraini Dhilon Copyright (c) 2024 Evidence Midwifery Journal https://creativecommons.org/licenses/by-sa/4.0 2024-12-12 2024-12-12 3 4 60 65 10.31004/emj.v3i4.34127 Asuhan Kebidanan Pada Ibu Hamil Dengan Emesis Gravidarum Di PMB Asnidar Wilayah Kerja Puskesmas XIII Koto Kampar 2 Tahun 2024 http://journal.universitaspahlawan.ac.id/index.php/evidence/article/view/34123 <p><em>Emesis gravidarum is a common complaint that accompanies pregnancy but causes discomfort, if excessive it can become hyperemesis which will have a bad impact on the mother and fetus. The aim of the research is to provide midwifery care to pregnant women with Emesis gravidarum at PMB Asnidar Working Area of ??Puskesmas XIII Koto Kampar on 14 June – 18 June 2024. The results of this case study research given to Mrs. J with 3 visits in 5 days were that the mother said that nausea and vomiting had reduced. The midwifery care provided is in the form of providing counseling about emesis gravidarum. Treatment consists of providing papermint aroma therapy. Based on the pregnancy care provided to Mrs. J aged 25 years G2P1A0H1, it was found that nausea and vomiting had reduced. The conclusion was that the care provided was carried out well and produced positive results. It is hoped that the results of this case study can add references that can be used for subsequent research</em></p> Nurnila Nurnila Nislawaty Nislawaty Copyright (c) 2024 Evidence Midwifery Journal https://creativecommons.org/licenses/by-sa/4.0 2024-12-12 2024-12-12 3 4 27 32 10.31004/emj.v3i4.34123 Faktor Perilaku Keluarga yang Berhubungan dengan Kejadian ISPA pada Balita di Wilayah Kerja UPT. Puskesmas Kampa Tahun 2024 http://journal.universitaspahlawan.ac.id/index.php/evidence/article/view/33994 <table width="667"> <tbody> <tr> <td width="327"> <p><em>One of the health problems in babies under 5 years (toddlers) is Acute One of the health problems in babies under 5 years (toddlers) is Acute Respiratory Infection (ARI). ISPA is the main cause of death in children under five in the world. The high incidence of ARI in toddlers can be caused by family behavior. The family behavior referred to is the behavior of families who smoke, the behavior of families who use mosquito repellent, especially mosquito coils and burn rubbish. The aim of the research is to determine family behavioral factors related to the incidence of ISPA in toddlers in the UPT Working Area. Kampa Community Health Center in 2024. The design of this research was to use a cross sectional method. The research results showed that there were 65 (70.7%) respondents who had bad family smoking behavior, there were 47 (51.1%) respondents who had bad behavior in using mosquito coils, there were 48 (52.2%) respondents who had bad waste burning behavior and there were 58 (63.0%) respondents who experienced ISPA. The conclusion is that there is a relationship between family smoking behavior, the behavior of using mosquito coils and the behavior of burning rubbish with the incidence of ISPA in toddlers in the UPT Working Area. Kampa Community Health Center in 2024. It is hoped that mothers of toddlers can create a safe environment for toddlers, such as avoiding smoking, not using mosquito coils and improving waste management methods, namely avoiding burning waste to prevent the occurrence of ISPA.</em></p> <p><em> </em></p> <p><strong><em> </em></strong></p> <p> </p> </td> </tr> </tbody> </table> Dela Mardhatillah Syukrianti Syahda Syafriani Syafriani Copyright (c) 2024 Evidence Midwifery Journal https://creativecommons.org/licenses/by-sa/4.0 2024-12-12 2024-12-12 3 4 33 42 10.31004/emj.v3i4.33994 Asuhan Kebidanan Pada Ibu Hamil Dengan Hipertensi Gestasional Di PMB Husnel Hayati Wilayah Kerja Puskesmas Salo 2023 http://journal.universitaspahlawan.ac.id/index.php/evidence/article/view/33832 <p><sub><em>Gestational hypertension is one of the problems in pregnancy. Mothers with gestational hypertension will have adverse effects on themselves and the fetus they are carrying, including low birth weight (LBW), neonatal asphyxia, and intrauterine fetal growth retardation (IUGR). The purpose of the study was to provide Midwifery Care for Pregnant Women with Gestational Hypertension at PMB Husnel Hayati, Salo Health Center Working Area in 2023. This study uses a descriptive observational research design with a case study approach to study midwifery care, namely research that describes and interprets something, such as existing conditions or relationships, developing opinions, ongoing processes, consequences and effects that occur, or ongoing trends. In this study, the assessment and collection of basic data were carried out using SOAP with Varney's thought pattern, namely subjective assessment, objective assessment, analysis and then management according to the problems experienced by Mrs. D, namely pregnant women with gestational hypertension. After an evaluation was conducted to analyze the patient's response to the intervention that had been given. The study provided care to the mother, namely consuming carrot juice for 7 consecutive days, reducing salt intake, consuming a balanced diet and implementing every recommendation and health education given by health workers so that the mother's blood pressure could return to normal.</em></sub></p> Elza Fitrah Syukrianti Syahda Marini Ariesta Copyright (c) 2024 Evidence Midwifery Journal https://creativecommons.org/licenses/by-sa/4.0 2024-12-15 2024-12-15 3 4 168 173 10.31004/emj.v3i4.33832 Hubungan Sanitasi Lingkungan Dengan Kejadian Stunting Pada Balita Di Desa Ranah Wilayah Kerja UPT Puskesmas Air Tiris Tahun 2023 http://journal.universitaspahlawan.ac.id/index.php/evidence/article/view/33745 <table width="667"> <tbody> <tr> <td width="327"> <table width="652"> <tbody> <tr> <td width="310"> <p>Stunting is a condition of failure to thrive in children due to chronic malnutrition and recurrent infections, especially in the first 1000 days of life (HPK), namely from the fetus to 24 months. The aim of this research was to determine the relationship between environmental sanitation and the incidence of stunting among toddlers in Ranah Village, the UPT working area. Air Tiris health center in 2023. This research is an analytical study with a cross sectional design. The population in this study were all mothers who had toddlers in Ranah Village, the working area of ??the Air Tiris Health Center UPT, namely 155 toddlers. The sample in this study was toddlers using random sampling technique. The data collection tool uses a questionnaire sheet. Data analysis in this study used univariate and bivariate analysis and the Fisher Exact Test. The results of research on unhealthy home environmental sanitation were 19 respondents (17.1%), most of the toddlers experienced stunting in the Stunting category, namely 18 toddlers (16.2%) and there was a significant relationship between environmental sanitation and the incidence of stunting among toddlers at the Air Tiris Health Center in 2023 ( ? value = 0.00). There is a significant relationship between environmental sanitation and the incidence of stunting in toddlers. Unhealthy home environmental sanitation will increase the risk of children suffering from stunting to a greater extent than children from families with healthy home environmental sanitation. So it can be concluded that the main problem of environmental sanitation is improving clean water facilities, healthy latrine facilities and providing rubbish bins.</p> <p><em> </em></p> </td> </tr> </tbody> </table> <p><em> </em></p> </td> </tr> </tbody> </table> Depni Desti Dewi Anggriani Harahap Endang Mayasari Copyright (c) 2024 Evidence Midwifery Journal https://creativecommons.org/licenses/by-sa/4.0 2024-12-13 2024-12-13 3 4 77 84 Asuhan Kebidanan Pada Bayi Baru Lahir Dengan Ikterus Fisiologis Di Pmb Nurhayati Air Tiris Tahun 2024 http://journal.universitaspahlawan.ac.id/index.php/evidence/article/view/33411 <p><em>Physiological jaundice is an increase in serum unconjugated bilirubin concentrations during the first week of life. Physiological jaundice is caused by high levels of unconjugated bilirubin in the body, and also due to a lack of breast milk in the first 2-3 days after the baby is born. The aim of the research was to provide midwifery care to newborns with physiological jaundice at PMB Nurhayati Air Tiris. This research took the form of a case study, which was conducted on June 10 – June 15 2024. The results of the case study research given to Mrs. F, namely, six home visits were carried out. Of the six visits, initially the baby's skin was yellow on the face and neck and there was still little breast milk, after midwifery care was carried out in the form of providing counseling about physiological jaundice, exposing the baby to the morning sun and providing breast care. Based on the care given to Mrs. F at 3 days old found that the baby's skin was no longer yellow and there was plenty of breast milk. Thus, it can be concluded that the care provided was carried out well and produced positive results. It is hoped that the results of this case study can become a reference, add to discourse and expand knowledge regarding midwifery care for newborns with physiological jaundice.</em></p> Nur Adinda Safitri Syukrianti Syahda Copyright (c) 2024 Evidence Midwifery Journal https://creativecommons.org/licenses/by-sa/4.0 2024-12-12 2024-12-12 3 4 43 47 10.31004/emj.v3i4.33411 Asuhan Kebidanan Pada Ibu Pasca Persalinan Dengan Luka Episiotomi Derajat Ii Ny.P Di Pmb Nurhayati Wilayah Kerja Puskesmas Air Tiris Tahun 2024 http://journal.universitaspahlawan.ac.id/index.php/evidence/article/view/32057 <p><em>Episotomy is an incision in the perineum which is carried out immediately before the birth of the baby/during the delivery process. Where this action aims to expand the surface. Efforts to care for episiotomy wounds are very important to prevent infection in the perineal wound. Acceleration in wound healing is highly expected, one of which is by consuming high protrins, namely eggs. This research aims to provide care to postpartum mothers with grade II episiotomy wounds at PMB Nurhayati in the working area of ??the Air Tiris Health Center in 2024. This research is in the form of a case study with a descriptive observational method carried out on Mrs. P at PMB Nurhayati on 09-15 June 2024. The results of the case study research given to Mrs. P, namely seven visits over 1 week. The midwifery care provided is in the form of counseling on how to care for perineal wounds, teaching mothers personal hygiene in the perineum and genitalia area, giving mothers eggs to boil and consume twice every day. Based on the care given to Ny.P, aged 29 years P2A0, it was found that the wound was clean and dry, the suture threads were not visible, there was no tenderness and there were no signs of infection in the perineal wound. In conclusion, the care provided was carried out well and produced positive results. It is hoped that this research can become a reference for readers, researchers and increase insight and develop knowledge regarding care for postpartum mothers with episiotomy wounds.</em></p> Noraini Noraini Syukrianti Syahda Copyright (c) 2024 Evidence Midwifery Journal https://creativecommons.org/licenses/by-sa/4.0 2024-12-12 2024-12-12 3 4 54 59 10.31004/emj.v3i4.32057 Hubungan Pola Asuh Ibu dalam Pemberian Makanan dengan Kejadian Obesitas pada Anak di SD Muhammadiyah 020 Kuok http://journal.universitaspahlawan.ac.id/index.php/evidence/article/view/31890 <p><em>Obesity is an excessive accumulation of fat due to an imbalance between the energy intake needed and the energy expended. Factors that cause obesity are genetics, fast food, soft drinks, lack of physical activity, socio-economic and parenting style factors. A child's eating pattern depends on his parents. If the mother gets used to a healthy eating pattern, the child will get used to it and avoid obesity. The aim of this research was to determine the relationship between maternal parenting patterns in providing food and the incidence of obesity in children at SD Muhammadiyah 020 Kuok in 2023. This type of research is quantitative, analytical in nature with a cross sectional design. The population in this study was all children and parents in grades III, IV, V and VI at SD Muhammadiyah 020 Kuok, namely 95 people. The sample in this study used total sampling. Data collection tools in this research were questionnaires, weight scales and centimeters. Data were analyzed Univariately and Bivariately using the Chi-Square test. The results of research on maternal parenting patterns in providing food to children in the permissive parenting category were 39 (41.1%) mothers and 88 (93.1%) mothers who were not obese. The results of statistical tests showed that there was a relationship between maternal parenting patterns in providing food and obesity in children, p value (0.001). For this reason, it is hoped that mothers will pay more attention to whether the food their children consume is healthy or not so that children avoid obesity</em></p> Radyah Saqina Dewi Anggriani Harahap Fitri Apriyanti Copyright (c) 2024 Evidence Midwifery Journal https://creativecommons.org/licenses/by-sa/4.0 2024-12-15 2024-12-15 3 4 136 142 10.31004/emj.v3i4.31890 Hubungan Pengetahuan Ibu dan Dukungan Suami Dengan Kelengkapan Imunisasi Dasar Pada Balita Di Wilayah Kerja Puskesmas Gunung Sahilan http://journal.universitaspahlawan.ac.id/index.php/evidence/article/view/31884 <p><em>Immunization is a way to protect the body's immunity against babies and children against certain diseases, and vaccines are germs or poisons that have been weakened and inserted into the baby's or child's body. The aim of this research is to determine the relationship between husband's knowledge and support and completeness of basic immunization in the Gunung Sahilan health center work area in 2023. This research is an analytical study with a cross sectional design. The population and sample in this study were 150 mothers with toddlers aged 12-24 months and the sample was 109 mothers with toddlers using a random sampling technique. Data collection uses a questionnaire. Data analysis used univariate and bivariate analysis and Chi Square. The results of the univariate analysis showed that 35 respondents had insufficient knowledge about immunization, 65 respondents did not receive support from their husbands and 75 respondents did not receive complete immunization. The results of the chi square test showed a relationship between maternal knowledge and completeness of immunization (P value = 0.001) and husband's support and completeness of immunization (P value = 0.002). There is a significant relationship between maternal knowledge and husband's support and completeness of basic immunization for toddlers in the Gunung Sahilan health center working area in 2023.</em></p> <p> </p> Intan Ardina Syukrianti Syahda Fitri Apriyanti Copyright (c) 2024 Evidence Midwifery Journal https://creativecommons.org/licenses/by-sa/4.0 2024-12-13 2024-12-13 3 4 10.31004/emj.v3i4.31884 Hubungan Pola Asuh Ibu Dalam Pemberian Makan Pada Balita Dengan Kejadian Stunting Di Desa IV Koto Setingkai tahun 2023 http://journal.universitaspahlawan.ac.id/index.php/evidence/article/view/28755 <table width="667"> <tbody> <tr> <td width="317"> <p><em>The implementation of maternal parenting regarding the provision of balanced nutritional food plays a very important role in children's growth and development. The aim of this research was to determine the relationship between maternal parenting patterns in feeding toddlers and the incidence of stunting in Village IV Koto Setingkai, the UPT work area. Lipat Kain Community Health Center in 2023. This research is an analytical study with a cross sectional design. The population in this study were all parents who had toddlers aged 12-60 months in IV Koto Setingkai Village, the working area of ??the Lipat Kain Community Health Center, namely 130 toddlers. The sample in this study was 130 toddlers using a total sampling technique. The data collection tool uses a questionnaire sheet. Data analysis in this study used univariate and bivariate analysis. The results of the research on maternal parenting patterns in feeding toddlers in the democratic parenting category were 97 (76.4%) respondents and 115 (88.5%) respondents were toddlers who did not experience stunting. The results of statistical tests showed that there was a relationship between maternal parenting in feeding toddlers and the incidence of stunting with a p-value (0.000). The conclusion is that there is a relationship between maternal parenting patterns in feeding toddlers and the incidence of stunting in IV Koto Setingkai village, the UPT work area. Lipat Kain Health Center in 2023. It is hoped that mothers of toddlers will always pay attention to fulfilling their children's nutrition. Fulfillment of nutrition is based on four key messages, including eating a variety of foods, a clean and healthy lifestyle, an active lifestyle and exercise, and regularly monitoring the child's weight and height.</em></p> </td> </tr> </tbody> </table> Putri Julisma Sari Dewi Anggriani Harahap Erlinawati Erlinawati Copyright (c) 2024 Evidence Midwifery Journal https://creativecommons.org/licenses/by-sa/4.0 2024-12-13 2024-12-13 3 4 104 112 10.31004/emj.v3i4.28755