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"[ABSTRAKKesehatan reproduksi merupakan masalah yang perlu diperhatikan dalam meningkatkan kesehatan perempuan. Ners spesialis keperawatan maternitas mempunyai peranan untuk mencapai upaya tersebut. laporan ini bertujuan menggambarkan praktik residensi ners spesialis keperawatan maternitas meliputi asuhan keperawatan pada masa prenatal, intranatal, dan post natal serta masalah reproduksi perempuan. Residen juga melakukan asuhan keperawatan dengan fokus penerapan model konsep need for help Wiedenbach dan Lost and grief Kubler Ross pada ibu bersalin dengan IUFD. masalah keperawatan yang mungkin muncul diakitkan dengan tahapan persalinan yang dibutuhkan klien. perbedaan yang terjadi pada klien berkaitan dengan psikologisnya yaitu dapat beradaptasi dengan cepat dan mengalami tahap penerimaan lebih cepat, dan ada yang proses penerimaannya membutuhkan waktu yang lama dan mengalami tahap tawar menawar serta penolakan yang lebih lama. selama praktik residensi ini kompetensi yang tercapai menjadikan pengalaman yang berarti dalam peningkatan keterampilan residen maternitas.

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ABSTRACTReproductive health is an issue that needs to be consideredto improve women's health. maternity nursing specialist has a role to achieve this goal. this report aimed to describe the residency practice of maternity nursing specialist, including prenatal, intranatal, and post natal nursing care and female reproductive problems. resident also performed nursing care focussed on the aplication of wiedenbach need for help and kubler ross lost and grief conceptual model on intrapartum mother with IUFD. nursing problems that arose were associated with the stages of labor complained of by the client. the diffrencess that occur on the clients were related to their psycological condition, some clients were able to adapt quickly and experience a faster acceptance stage, while some clients look a long process of acceptance and experiened a longer bargaining and refusal phase. during this residency practice the achieved competencies become a mainingful expeience in improving the skills of maternity resident., Reproductive health is an issue that needs to be consideredto improve women's health. maternity nursing specialist has a role to achieve this goal. this report aimed to describe the residency practice of maternity nursing specialist, including prenatal, intranatal, and post natal nursing care and female reproductive problems. resident also performed nursing care focussed on the aplication of wiedenbach need for help and kubler ross lost and grief conceptual model on intrapartum mother with IUFD. nursing problems that arose were associated with the stages of labor complained of by the client. the diffrencess that occur on the clients were related to their psycological condition, some clients were able to adapt quickly and experience a faster acceptance stage, while some clients look a long process of acceptance and experiened a longer bargaining and refusal phase. during this residency practice the achieved competencies become a mainingful expeience in improving the skills of maternity resident.]"

"Persalinan kala dua memanjang merupakan kondisi yang memerlukan penanganan perawat agar tidak terjadi dehidrasi atau kelelahan pada ibu dan mencegah gawat janin. Penatalaksanaan keperawatan pada ibu yang mengalami persalinan kala dua memanjang dengan memberikan asuhan keperawatan secara fisik dan psikologis. Metode yang digunakan adalah studi kasus dengan fokus penerapan teori need for help Wiedenbach dan comfort Kolcaba pada asuhan keperawatan ibu yang mengalami persalinan kala dua memanjang. Aplikasi teori need for help Wiedenbach dan comfort Kolcaba efektif diterapkan pada kelima kasus yang berfokus pada masa intranatal baik secara fisik dan psikologis, mencegah dampak persalinan kala dua memanjang terhadap kondisi ibu dan janin serta mengkaji pernyataan klien tentang bantuan yang dibutuhkan kepada perawat. Dengan intervensi keperawatan yang sesuai dengan bantuan yang dibutuhkan klien maka masalah klien dalam keadaan emergency teratasi dan kebutuhan rasa nyaman dapat terpenuhi.

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Prolonged second stage of labor is a condition requiring nurse handling to avoid dehydration or fatigue of the mother and prevent fetal distress. Management of nursing in mother who experience prolonged labor by giving physical and psychological nursing care. The method used is case study with focus on the application of the theory of need for help Wiedenbach and comfort Kolcaba on nursing care in mother who experienced prolonged second stage of labor. The application of need for help Wiedenbach and comfort Kolcaba theories effectively applied to the five cases that focused on intranatal phase both physically and psychological, prevent the impact of prolonged second stage of labor in mother and fetus condition, as well as reviewing the clients statement about the assistance needed to the nurse. Appropriate nursing interventions can address client problems in an emergency and comfort needs can be met."

"Tidur merupakan kebutuhan fisiologis manusia, perempuan mengalami perubahan pola tidur dan kehilangan waktu tidurnya di malam hari setelah melahirkan. Penelitian ini bertujuan mengidentifikasi hubungan karakteristik responden, kelelahan, kecemasan, dukungan suami, temperamen bayi dengan kualitas tidur ibu postpartum. Desain penelitian cross sectional dengan sampel 168 yang diambil dengan consecutive sampling di wilayah Kecamatan Prambanan dan Jogonalan. Pengambilan data menggunakan intrumen kelelahan, kecemasan, dukungan suami, Infant Characteristic Questionnaire (ICQ), dan Pittsburg Sleep Quality Index (PSQI). Hasil uji regresi logistik sebagian besar ibu postpartum mengalami kualitas tidur buruk dan faktor yang paling mempengaruhi kualitas tidur adalah temperamen bayi. Pemberian intervensi yang untuk membantu istirahat tidur pada ibu postpartum terutama pada ibu yang memiliki bayi dengan temperamen sulit.

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Sleep is one of human physiological needs. Women experience changes in sleep patterns and decreased sleep duration at night after childbirth. This study aimed to identify the correlation between the respondents’ characteristics, fatigue, anxiety, the husband’s support, the infant temperament and sleep quality in postpartum mothers.

The study design was cross-sectional. The samples were 168 postpartum mothers, selected by consecutive sampling in Prambanan and Jogonalan District. Data were collected using the instruments of fatigue, anxiety, the husband's support, the Infant Characteristic Questionnaire (ICQ), and the Pittsburg Sleep Quality Index (PSQI).

The result of logistic regression test showed that most postpartum mothers experience poor sleep quality and the most influencing factor was the infant temperament. It is recommended to provide interventions to promote sleep and rest in postpartum mothers, especially in women who have difficult temperament babies."

"[ABSTRAKNyeri dan kecemasan merupakan hal yang normal ketika ibu menghadapipersalinan, namun jika mengalami nyeri dan kecemasan yang berlebihan akanmenimbulkan komplikasi selama proses persalinan. Penelitian ini bertujuan untukmengetahui pengaruh paket Touching, Massage, Acupressure (T.M.A) olehkeluarga terhadap nyeri persalinan dan proses persalinan. Penelitian inimerupakan operasional research. Sampel dalam penelitian ini 94 ibu hamil yangdibagi menjadi dua kelompok yaitu 47 orang sebagai kelompok intervensi dan 47kelompok kontrol yang diambil dengan teknik consecutive sampling.Pengumpulan data menggunakan kuesioner FPRS, FAS, lembar observasi prosespersalinan dan wawancara. Hasil wawancara keluarga mengatakan bahwapengetahuan keluarga bertambah dan adanya manfaat setelah penerapan paketT.M.A. Hasil uji statistik dengan menggunakan Chi Square menunjukan bahwaada perbedaan yang bermakna pada proses persalinan (power, p=0,028);passanger p=0,006; passageway p=0,048; position p=0,048; psikologis p=0,000)dan nyeri persalinan (p=0,003) antara kedua kelompok intervensi dan kontrol. Halini menunjukan bahwa pendampingan keluarga dengan menggunakan paketT.M.A berpengaruh terhadap proses persalinan dan nyeri persalinan. Paket T.M.Adiharapkan menjadi intervensi non farmakologis dalam keperawatan untukmenurunkan nyeri dan kecemasan pada ibu bersalin.

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ABSTRAKPain and anxiety is normal when a mother facing labor. Excessive pain andanxiety will cause complications during childbirth. This research aimed to knowthe effect of touching package, Massage, Acupressure (TMA) by the family to thepain of labor and delivery process. This research operasional research. Thesample were 94 pregnant women that divided into two groups: 47 as interventiongroup and 47 control group that taken with consecutive sampling technique.Collection data using questionnaires FPRS, FAS and observation sheet deliveryprocess. The results obtained in the interview, participant said that familyknowledge has increased and they feel the benefit of the TMA package. Thequantitatif result showed there was a significant difference in labor process(power, p=0,028); passenger p=0,006; passageway p=0,048; position p=0,048;psychological response p=0,000) and pain (p=0,003) between the intervention andcontrol groups. This shows that the family what used TMA package influence onlabor process and pain. Touching package, Massage, Acupressure (TMA) isexpected as an intervention non farmakologis in decreased pain and anxietymaternal.;Pain and anxiety is normal when a mother facing labor. Excessive pain andanxiety will cause complications during childbirth. This research aimed to knowthe effect of touching package, Massage, Acupressure (TMA) by the family to thepain of labor and delivery process. This research operasional research. Thesample were 94 pregnant women that divided into two groups: 47 as interventiongroup and 47 control group that taken with consecutive sampling technique.Collection data using questionnaires FPRS, FAS and observation sheet deliveryprocess. The results obtained in the interview, participant said that familyknowledge has increased and they feel the benefit of the TMA package. Thequantitatif result showed there was a significant difference in labor process(power, p=0,028); passenger p=0,006; passageway p=0,048; position p=0,048;psychological response p=0,000) and pain (p=0,003) between the intervention andcontrol groups. This shows that the family what used TMA package influence onlabor process and pain. Touching package, Massage, Acupressure (TMA) isexpected as an intervention non farmakologis in decreased pain and anxietymaternal.;Pain and anxiety is normal when a mother facing labor. Excessive pain andanxiety will cause complications during childbirth. This research aimed to knowthe effect of touching package, Massage, Acupressure (TMA) by the family to thepain of labor and delivery process. This research operasional research. Thesample were 94 pregnant women that divided into two groups: 47 as interventiongroup and 47 control group that taken with consecutive sampling technique.Collection data using questionnaires FPRS, FAS and observation sheet deliveryprocess. The results obtained in the interview, participant said that familyknowledge has increased and they feel the benefit of the TMA package. Thequantitatif result showed there was a significant difference in labor process(power, p=0,028); passenger p=0,006; passageway p=0,048; position p=0,048;psychological response p=0,000) and pain (p=0,003) between the intervention andcontrol groups. This shows that the family what used TMA package influence onlabor process and pain. Touching package, Massage, Acupressure (TMA) isexpected as an intervention non farmakologis in decreased pain and anxietymaternal., Pain and anxiety is normal when a mother facing labor. Excessive pain andanxiety will cause complications during childbirth. This research aimed to knowthe effect of touching package, Massage, Acupressure (TMA) by the family to thepain of labor and delivery process. This research operasional research. Thesample were 94 pregnant women that divided into two groups: 47 as interventiongroup and 47 control group that taken with consecutive sampling technique.Collection data using questionnaires FPRS, FAS and observation sheet deliveryprocess. The results obtained in the interview, participant said that familyknowledge has increased and they feel the benefit of the TMA package. Thequantitatif result showed there was a significant difference in labor process(power, p=0,028); passenger p=0,006; passageway p=0,048; position p=0,048;psychological response p=0,000) and pain (p=0,003) between the intervention andcontrol groups. This shows that the family what used TMA package influence onlabor process and pain. Touching package, Massage, Acupressure (TMA) isexpected as an intervention non farmakologis in decreased pain and anxietymaternal.]"

"[ABSTRAKNyeri dan kecemasan merupakan hal yang normal ketika ibu menghadapipersalinan, namun jika mengalami nyeri dan kecemasan yang berlebihan akanmenimbulkan komplikasi selama proses persalinan. Penelitian ini bertujuan untukmengetahui pengaruh paket Touching, Massage, Acupressure (T.M.A) olehkeluarga terhadap nyeri persalinan dan proses persalinan. Penelitian inimerupakan operasional research. Sampel dalam penelitian ini 94 ibu hamil yangdibagi menjadi dua kelompok yaitu 47 orang sebagai kelompok intervensi dan 47kelompok kontrol yang diambil dengan teknik consecutive sampling.Pengumpulan data menggunakan kuesioner FPRS, FAS, lembar observasi prosespersalinan dan wawancara. Hasil wawancara keluarga mengatakan bahwapengetahuan keluarga bertambah dan adanya manfaat setelah penerapan paketT.M.A. Hasil uji statistik dengan menggunakan Chi Square menunjukan bahwaada perbedaan yang bermakna pada proses persalinan (power, p=0,028);passanger p=0,006; passageway p=0,048; position p=0,048; psikologis p=0,000)dan nyeri persalinan (p=0,003) antara kedua kelompok intervensi dan kontrol. Halini menunjukan bahwa pendampingan keluarga dengan menggunakan paketT.M.A berpengaruh terhadap proses persalinan dan nyeri persalinan. Paket T.M.Adiharapkan menjadi intervensi non farmakologis dalam keperawatan untukmenurunkan nyeri dan kecemasan pada ibu bersalin.

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ABSTRACTPain and anxiety is normal when a mother facing labor. Excessive pain andanxiety will cause complications during childbirth. This research aimed to knowthe effect of touching package, Massage, Acupressure (TMA) by the family to thepain of labor and delivery process. This research operasional research. Thesample were 94 pregnant women that divided into two groups: 47 as interventiongroup and 47 control group that taken with consecutive sampling technique.Collection data using questionnaires FPRS, FAS and observation sheet deliveryprocess. The results obtained in the interview, participant said that familyknowledge has increased and they feel the benefit of the TMA package. Thequantitatif result showed there was a significant difference in labor process(power, p=0,028); passenger p=0,006; passageway p=0,048; position p=0,048;psychological response p=0,000) and pain (p=0,003) between the intervention andcontrol groups. This shows that the family what used TMA package influence onlabor process and pain. Touching package, Massage, Acupressure (TMA) isexpected as an intervention non farmakologis in decreased pain and anxietymaternal.;Pain and anxiety is normal when a mother facing labor. Excessive pain andanxiety will cause complications during childbirth. This research aimed to knowthe effect of touching package, Massage, Acupressure (TMA) by the family to thepain of labor and delivery process. This research operasional research. Thesample were 94 pregnant women that divided into two groups: 47 as interventiongroup and 47 control group that taken with consecutive sampling technique.Collection data using questionnaires FPRS, FAS and observation sheet deliveryprocess. The results obtained in the interview, participant said that familyknowledge has increased and they feel the benefit of the TMA package. Thequantitatif result showed there was a significant difference in labor process(power, p=0,028); passenger p=0,006; passageway p=0,048; position p=0,048;psychological response p=0,000) and pain (p=0,003) between the intervention andcontrol groups. This shows that the family what used TMA package influence onlabor process and pain. Touching package, Massage, Acupressure (TMA) isexpected as an intervention non farmakologis in decreased pain and anxietymaternal., Pain and anxiety is normal when a mother facing labor. Excessive pain andanxiety will cause complications during childbirth. This research aimed to knowthe effect of touching package, Massage, Acupressure (TMA) by the family to thepain of labor and delivery process. This research operasional research. Thesample were 94 pregnant women that divided into two groups: 47 as interventiongroup and 47 control group that taken with consecutive sampling technique.Collection data using questionnaires FPRS, FAS and observation sheet deliveryprocess. The results obtained in the interview, participant said that familyknowledge has increased and they feel the benefit of the TMA package. Thequantitatif result showed there was a significant difference in labor process(power, p=0,028); passenger p=0,006; passageway p=0,048; position p=0,048;psychological response p=0,000) and pain (p=0,003) between the intervention andcontrol groups. This shows that the family what used TMA package influence onlabor process and pain. Touching package, Massage, Acupressure (TMA) isexpected as an intervention non farmakologis in decreased pain and anxietymaternal.]"

"[Perempuan pasca melahirkan adalah kelompok yang berisiko mengalami perubahan pada fungsi seksual. Penelitian ini untuk mengetahui perbedaan fungsi seksual ibu postpartum pervaginam dengan atau tanpa episiotomi dan pasca bedah sesar. Penelitian ini merupakan studi deskriptif dengan desain cross sectional. Sampel berjumlah 225 ibu postpartum yang diambil secara consecutive sampling dari bulan April-Mei 2015. Fungsi seksual dinilai dengan Sexual Function Questionnaire (SFQ). Hasil penelitian menunjukkan tidak ada perbedaan yang bermakna antara fungsi seksual pada semua jenis persalinan (p=0,977), begitupun hasrat seksual, gairah seksual, dan orgasme. Penelitian ini dapat digunakan untuk meningkatkan kesehatan seksual ibu pada perawatan postpartum yang berkualitas.;The postpartum women is one of group who experience sexual function changes. The aims of the study is to know the comparation sexual function woman after vaginal delivery without episiotomi and post caesarean section. The study was a descriptive study of cross-sectional design. The sample was 225 womanpostpartum was taken by consecutive sampling from April-May 2015. Sexual function was assessed by the Sexual Function Questionnaire (SFQ) score. The results of this study showed there were no significant differences between sexual function and types of delivery (p=0.977), including sexual desire, sexual arousal and orgasm. The results of the study can be used to increase nurses’s service sexual postpartum women for reach quality postpartum care., The postpartum women is one of group who experience sexual function changes.The aims of the study is to know the comparation sexual function woman aftervaginal delivery without episiotomi and post caesarean section. The study was adescriptive study of cross-sectional design. The sample was 225 womanpostpartum was taken by consecutive sampling from April-May 2015. Sexualfunction was assessed by the Sexual Function Questionnaire (SFQ) score. Theresults of this study showed there were no significant differences between sexualfunction and types of delivery (p=0.977), including sexual desire, sexual arousaland orgasm. The results of the study can be used to increase nurses’s servicesexual postpartum women for reach quality postpartum care.]"

"[ABSTRAKPerawat maternitas merupakan tenaga kesehatan yang berwenang dan mampumemberikan perawatan kesehatan reproduksi perempuan khususnya antenatalcare. Namun masyarakat belum mengenal peran dan fungsi perawat spesialismaternitas dalam pelayanan antenatal care. Penelitian ini bertujuan untukmenggali pengalaman ibu hamil dalam melakukan kunjungan antenatal padapraktik mandiri perawat maternitas. Penelitian ini menggunakan desain kualitatiffenomenologi. Enam orang partisipan berpartisipasi dalam penelitian ini. Analisisdata dilakukan dengan tematik konten analisis. Teridentifikasi tujuh tema yangmenggambarkan pengalaman ibu hamil dalam melakukan kunjungan ANC dipraktik mandiri perawat. Tema tersebut antara lain, pengalaman mencaripelayanan ANC bersama suami melalui media sosial dan survey langsung, alasanibu hamil mencari tempat ANC baru karena pelayanan tempat sebelumnya tidaksesuai keinginan, ibu hamil merasakan komunikasi petugas yang baik dalammelayani, ibu hamil merasakan pelayanan yang berpusat pada keluarga, baikwaktu pelayanan, jenis pelayanan, biaya pelayanan dan fasilitas sesuai keinginanibu hamil. Ibu hamil berharap klinik dilengkapi USG dan bekerjasama denganasuransi kesehatan, perawat di klinik maternitas berperan sebagai care provider,manager, educator dan counselor. Hasil penelitian ini menganjurkan bahwaperawat harus meningkatkan kemampuannya dalam memberikan pelayanan padakesehatan reproduksi perempuan sesuai dengan kebutuhan klien.

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ABSTRACTA maternity nurse provides women?s reproductive health care include antenatalcare. But people are not familiar with the role and function of maternity nurse inantenatal care. This study aims to explore pregnant women?s experience aboutantenatal care visit in nursing practice. This study used a qualitative researchdesign with phenomenology. Six participants have participated. Seven themeswere derived from this study. The themes are the pregnant women were lookingfor ANC with her husband through social media and direct surveys, the pregnantwomen looking for a new antenatal service because previous experiences of ANCdid not match their needs, the pregnant women experienced that the care providershave good communication style, the pregnant women experienced the familycenteredcare system in the clinic including time of services, type of service, costof service and facilities. Pregnant women hope that the clinic will provalultrasound service and make collaboration with the health insurance. They alsosaid the nurses in the clinic have provide care and role as care provider, manager,educator and counselor. This research recommend that nurses have to improvetheir knowledge and skill in nursing care to the women?s reproductive healthbased on the client?s needs;A maternity nurse provides women?s reproductive health care include antenatalcare. But people are not familiar with the role and function of maternity nurse inantenatal care. This study aims to explore pregnant women?s experience aboutantenatal care visit in nursing practice. This study used a qualitative researchdesign with phenomenology. Six participants have participated. Seven themeswere derived from this study. The themes are the pregnant women were lookingfor ANC with her husband through social media and direct surveys, the pregnantwomen looking for a new antenatal service because previous experiences of ANCdid not match their needs, the pregnant women experienced that the care providershave good communication style, the pregnant women experienced the familycenteredcare system in the clinic including time of services, type of service, costof service and facilities. Pregnant women hope that the clinic will provalultrasound service and make collaboration with the health insurance. They alsosaid the nurses in the clinic have provide care and role as care provider, manager,educator and counselor. This research recommend that nurses have to improvetheir knowledge and skill in nursing care to the women?s reproductive healthbased on the client?s needs;A maternity nurse provides women?s reproductive health care include antenatalcare. But people are not familiar with the role and function of maternity nurse inantenatal care. This study aims to explore pregnant women?s experience aboutantenatal care visit in nursing practice. This study used a qualitative researchdesign with phenomenology. Six participants have participated. Seven themeswere derived from this study. The themes are the pregnant women were lookingfor ANC with her husband through social media and direct surveys, the pregnantwomen looking for a new antenatal service because previous experiences of ANCdid not match their needs, the pregnant women experienced that the care providershave good communication style, the pregnant women experienced the familycenteredcare system in the clinic including time of services, type of service, costof service and facilities. Pregnant women hope that the clinic will provalultrasound service and make collaboration with the health insurance. They alsosaid the nurses in the clinic have provide care and role as care provider, manager,educator and counselor. This research recommend that nurses have to improvetheir knowledge and skill in nursing care to the women?s reproductive healthbased on the client?s needs, A maternity nurse provides women’s reproductive health care include antenatalcare. But people are not familiar with the role and function of maternity nurse inantenatal care. This study aims to explore pregnant women’s experience aboutantenatal care visit in nursing practice. This study used a qualitative researchdesign with phenomenology. Six participants have participated. Seven themeswere derived from this study. The themes are the pregnant women were lookingfor ANC with her husband through social media and direct surveys, the pregnantwomen looking for a new antenatal service because previous experiences of ANCdid not match their needs, the pregnant women experienced that the care providershave good communication style, the pregnant women experienced the familycenteredcare system in the clinic including time of services, type of service, costof service and facilities. Pregnant women hope that the clinic will provalultrasound service and make collaboration with the health insurance. They alsosaid the nurses in the clinic have provide care and role as care provider, manager,educator and counselor. This research recommend that nurses have to improvetheir knowledge and skill in nursing care to the women’s reproductive healthbased on the client’s needs]"

"[ABSTRAKPenelitian ini bertujuan untuk mengidentifikasi kesadaran ibu hamil risiko tinggiterhadap tanda bahaya pada kehamilan dan faktor yang memengaruhi. Penelitiancross sectional ini melibatkan 107 ibu hamil risiko tinggi yang tersebar diPuskesmas di kota Depok, dipilih dengan consecutive sampling. Instrumen yangdigunakan adalah Birth Preparedness and Complication Readiness (BPCR) toolsversi Bahasa Indonesia. Hasil penelitian menunjukkan bahwa kesadaran ibu hamilrisiko tinggi terhadap tanda bahaya pada kehamilan kurang (54.8%) dan faktoryang memengaruhi adalah jumlah kunjungan pemeriksaan kehamilan, kualitaspelayanan, keterpaparan informasi, paritas dan perencanaan kehamilan (p=0.001,p=0.000, p=0.000, p=0,025, dan p=0,011). Faktor yang paling berpengaruh adalahketerpaparan informasi (OR=11.565; 95% CI=2.419-55.293). Kesadaran ibuhamil risiko tinggi terhadap tanda bahaya pada kehamilan perlu di tingkatkandengan komunikasi informasi dan edukasi (KIE) sampai terjadi perubahanperilaku.

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ABSTRACTThe aim of this study was to identification the influencing factors of the awarenessof danger signs of obstetric complications among of high risk pregnant women.The cross sectional study involved 107 high risk pregnant women in Depok andusing Birth Preparedness and Indonesian version of Complication Readiness(BPCR) tools. The findings showed that awareness of danger signs of obstetriccomplication among high risk pregnant women are less (54.8%) and antenatalcare visits, quality of services, information exposure, parity, and plannedpregnancy (p=0.001, p=0.000, p=0.000, p=0.025, and p=0.011) are theinfluencing factors and the dominant factor is information exposure (OR=11.565;95% CI=2.419-55.293). The pregnant women need to be aware of danger signs ofobstetric complication through providing proper information, education andcommunication.;The aim of this study was to identification the influencing factors of the awarenessof danger signs of obstetric complications among of high risk pregnant women.The cross sectional study involved 107 high risk pregnant women in Depok andusing Birth Preparedness and Indonesian version of Complication Readiness(BPCR) tools. The findings showed that awareness of danger signs of obstetriccomplication among high risk pregnant women are less (54.8%) and antenatalcare visits, quality of services, information exposure, parity, and plannedpregnancy (p=0.001, p=0.000, p=0.000, p=0.025, and p=0.011) are theinfluencing factors and the dominant factor is information exposure (OR=11.565;95% CI=2.419-55.293). The pregnant women need to be aware of danger signs ofobstetric complication through providing proper information, education andcommunication., The aim of this study was to identification the influencing factors of the awarenessof danger signs of obstetric complications among of high risk pregnant women.The cross sectional study involved 107 high risk pregnant women in Depok andusing Birth Preparedness and Indonesian version of Complication Readiness(BPCR) tools. The findings showed that awareness of danger signs of obstetriccomplication among high risk pregnant women are less (54.8%) and antenatalcare visits, quality of services, information exposure, parity, and plannedpregnancy (p=0.001, p=0.000, p=0.000, p=0.025, and p=0.011) are theinfluencing factors and the dominant factor is information exposure (OR=11.565;95% CI=2.419-55.293). The pregnant women need to be aware of danger signs ofobstetric complication through providing proper information, education andcommunication.]"

"[ABSTRAKAngka kematian ibu saat ini masih tinggi yang disebabkan karena komplikasi pada kehamilan dan persalinan, oleh karena itu perlunya peran tenaga kesehatan yang terkait termasuk perawat maternitas untuk memberikan pelayanan kesehatan profesional. Perawat spesialis maternitas dituntut mampu menjalankan perannya secara komprehensif. Laporan ini bertujuan untuk menggambarkan praktik residensi ners spesialis maternitas meliputi asuhan keperawatan pada masa prenatal, intranatal, dan postnatal normal dan berisiko serta bayi baru lahir normal dan berisiko, serta perempuan dengan masalah reproduksi dan ginekologi. Residen juga melakukan asuhan keperawatan dengan focus penerapan teori need for help dan comfort pada ibu bersalin dengan persalinan memanjang. Hasil menunjukkan bahwa kedua model efektif dapat diterapkan pada keenam kasus ibu bersalin dengan persalinan memanjang. Pencapaian kompetensi perawat spesialis maternitas dilakukan dengan penerapan peran perawat secara komprehensif.

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ABSTRACTMaternal mortality rate is still high due to pregnancy and labor complication, therefore the role of health professionals including maternity nurses is needed to provide a professional health care. Maternity nursing specialists are demanded to be able to perform their roles comprehensively. This report aimed to describe the residency practice of maternity nursing specialist including nursing care of normal and high risk prenatal, intranatal, and postnatal as well as normal and high risk newborns, and women with reproductive and gynecological problems. Resident also performed nursing care focused on the application of Wiedenbach Need for Help and Kolcaba Comfort Theory on intrapartum mothers with prolonged labor. Results showed that both models could be applied effectively to the six cases of intrapartum mothers with prolonged labor. The achievement of maternity nursing specialist competencies was conducted by the implementation of the nurse's roles comprehensively., Maternal mortality rate is still high due to pregnancy and labor complication, therefore the role of health professionals including maternity nurses is needed to provide a professional health care. Maternity nursing specialists are demanded to be able to perform their roles comprehensively. This report aimed to describe the residency practice of maternity nursing specialist including nursing care of normal and high risk prenatal, intranatal, and postnatal as well as normal and high risk newborns, and women with reproductive and gynecological problems. Resident also performed nursing care focused on the application of Wiedenbach Need for Help and Kolcaba Comfort Theory on intrapartum mothers with prolonged labor. Results showed that both models could be applied effectively to the six cases of intrapartum mothers with prolonged labor. The achievement of maternity nursing specialist competencies was conducted by the implementation of the nurse's roles comprehensively.]"

"Ibu hamil, melahirkan dan pasca persalinan bedah sesar dengan HIV/AIDS memiliki tantangan yang lebih unik dan kompleks jika dibandingkan penderita HIV/AIDS lainnya. Hal ini mengharuskan perawat untuk dapat lebih menyadari kebutuhan mereka yang khusus dan komprehensif. Penelitian fenomenologi ini menggunakan analisis data Stevick-Colaizzi. Penelitian ini mengidentifikasi enam tema sebagai intisari dari pengalaman ibu dengan HIV positif pasca bedah sesar dalam merawat diri dan bayinya yaitu Ibu terlambat mengetahui status diri dan anak; Ibu merawat kehamilan melalui program Pervention Mother to Child Transmision (PMTCT); Ibu memutuskan persalinan sesar meskipun ditawari opsi persalinan normal; Ibu mendapatkan perlakuan berbeda dari tenaga kesehatan; Ibu melakukan perawatan khusus bagi diri dan bayi-nya pasca bedah sesar; Ibu merasakan respon emosional saat merawat bayi. Hasil temuan merekomendasikan perawat maternitas untuk mengoptimalkan peran agar dapat memberikan dampak nyata dalam penanganan ibu dengan HIV dalam merawat diri dan bayinya.Mothers during pregnancy, birth and postpartum cesarean section with HIV has a more problems and complex when compared to people with HIV / AIDS. This requires nurses to be more aware of their specific and comprehensive need. This phenomenological study used data analysis Stevick-Colaizzi. This study identified six themes as the essential meaning of the experience with HIV-positive mothers in taking care of themselves and the babies post cesarean delivery. The six themes namely become late to know their status ; Participants took pregnancy care through Prevention Mother to Child Transmission program (PMTCT); Decided cesarean eventhough they have been other a normal delivery; Mother were being treated differently by healthcare provider; Mother took special care of herself and her baby after cesarean section; Participant?s emotional response feeling during giving care for the baby. The findings recommended a maternity nurse to optimize their role in order to have a real impact in treatment of women living with HIV who dealing with themselves and their babies."