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                <text>Buku ini terdiri dari 11 bab, pengantar asuhan kebidanan pada kesehatan reproduksi, asuhan pra konsepsi dan fertilitas, manajemen kehamilan awal, asuhan kehamilan trimester kedua dan ketiga, persiapan persalinan, manajemen persalinan dan kelahiran, asuhan pasca melahirkan, asuhan  neonatal dan menyusui, kesehatan seksual dan reproduksi, masalah kesehatan reproduksi khusus, ketrampilan komunikasi dan konseling.</text>
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                <text>Etni Dwi Astuti, Khairunnisa Situmorang, Ninik Azizah&#13;
Dimpu Rismawaty Nainggolan, Dahniar Dahlan, Julietta Hutabarat&#13;
Dodoh Khodijah, Anita, Nur Aliyah Rangkuti&#13;
Sumaifa, Arihta br Sembiring</text>
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                <text>Background: Pregnant women are one of the groups of people who are very vulnerable to nutritional problems, especially Chronic Energy Deficiency (CED). In 2020, the number of pregnant women experiencing Chronic Energy Deficiency (CED) was recorded at 1,200 people. This figure decreased to 1,000 people in 2021, and decreased again to 800 people in 2022. This decrease reflects efforts to improve health services for pregnant women in the area. The prevalence of Chronic Energy Deficiency (CED) in pregnant women in the work area of the Atu Lintang Health Center is still high&#13;
Methods: The type of research is an analytical survey with a Case Control approach. Population: all women aged 27-45 years at the Atu Lintang Health Center amounting to 60 people, the entire population is used as a sample. Bivariate analysis is an analysis to determine whether there is a relationship between independent variables can be used chi square test.&#13;
Result: The results of the study showed that there was a relationship between Education, Income, Parity and history of infectious diseases with the incidence of Chronic Energy Deficiency (CED) where the p-value was 0.008 for maternal education, 0.007 for occupation and Parity, and History of Infectious Diseases 0.016 ($p &lt; 0.05$)&#13;
Conclusion: The prevalence of Chronic Energy Deficiency (CED) in pregnant women in this area is still relatively high, indicating that chronic nutritional problems in pregnant women are a significant health issue in the area</text>
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                <text>Ibu hamil merupakan kelompok yang rentan mengalami permasalahan gizi, khususnya Kekurangan Energi Kronik (KEK), yang dapat berdampak negatif terhadap kesehatan ibu dan janin, termasuk meningkatkan risiko komplikasi kehamilan, bayi berat lahir rendah, dan stunting. Meskipun berbagai upaya perbaikan gizi telah dilakukan, kasus KEK masih ditemukan di BPM Deby Cintya Yun, yang menunjukkan bahwa program promotif dan preventif belum sepenuhnya efektif menjangkau kebutuhan masyarakat. Kondisi tersebut dipengaruhi oleh berbagai faktor, seperti rendahnya pengetahuan ibu hamil, kondisi sosial ekonomi keluarga, paritas, serta riwayat penyakit infeksi. Kegiatan pengabdian kepada masyarakat ini dilaksanakan dengan pendekatan edukatif dan partisipatif yang bertujuan meningkatkan pengetahuan dan kesadaran ibu hamil dalam pencegahan KEK. Sasaran kegiatan adalah 20 ibu hamil yang aktif melakukan pemeriksaan kehamilan di BPM Deby Cintya Yun. Metode pelaksanaan meliputi tahapan identifikasi masalah, pemberian edukasi gizi dan kesehatan, serta evaluasi kegiatan. Identifikasi awal dilakukan melalui wawancara terstruktur dan kuesioner sederhana untuk menggali karakteristik dan faktor risiko KEK. Hasil evaluasi pengetahuan ibu hamil sebelum dan sesudah kegiatan edukasi di BPM Deby Cintya Yun menunjukkan peningkatan yang signifikan. Pada pretest, mayoritas ibu hamil memiliki pengetahuan kurang (85%), sedangkan cukup 10% dan baik 5%. Setelah diberikan edukasi, jumlah ibu hamil dengan pengetahuan baik meningkat menjadi 80%, cukup 5%, dan kurang menurun menjadi 15%. Temuan ini menunjukkan bahwa edukasi kesehatan yang dilakukan secara partisipatif mampu meningkatkan pemahaman ibu hamil mengenai pencegahan Kekurangan Energi Kronik (KEK), sekaligus mendorong kesadaran dan kesiapan mereka dalam menerapkan perilaku gizi sehat selama kehamilan. Kegiatan ini menghasilkan pemetaan awal faktor risiko KEK yang dapat digunakan sebagai dasar tindak lanjut program kesehatan ibu secara berkelanjutan dengan melibatkan tenaga kesehatan setempat.</text>
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                <text>Eva Ratna Dewi ., SST., M.K.M, Rina Inayati, Devita Purnamasari, Juniara Fetriani</text>
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Hal. 39-45</text>
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                <text>Peran Kelas Ibu Balita Sebagai Media Peran Kelas Ibu Balita Sebagai Media Edukasi Dalam Meningkatkan Pengetahuan Pencegahan Stunting di Puskesmas Ketol</text>
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                <text>Menurut World Health Organization (WHO), stunting merupakan gangguan pertumbuhan kronis yang bersifat irreversible dan umumnya disebabkan oleh asupan nutrisi yang tidak memadai serta paparan infeksi berulang, terutama selama periode kritis 1000 hari pertama kehidupan. Berdasarkan data Dinas Kesehatan Kabupaten Aceh Tengah tahun 2021, prevalensi stunting tertinggi tercatat di wilayah kerja Puskesmas Kekuyang, Kecamatan Ketol, yaitu sebesar 30,8% (145 balita). Sementara itu, di wilayah Puskesmas Ketol pada kecamatan yang sama, angka stunting tercatat sebesar 10,1%, atau sekitar 74 balita. Penelitian ini bertujuan untuk mengkaji peran Kelas Ibu Balita sebagai media edukatif dalam meningkatkan pengetahuan ibu mengenai pencegahan stunting di wilayah kerja Puskesmas Ketol. Metode yang digunakan adalah quasi-experiment dengan desain one group pre-test and post-test, di mana pengukuran dilakukan sebelum dan sesudah intervensi pada satu kelompok yang sama. Desain ini memungkinkan peneliti untuk mengevaluasi dampak edukasi terhadap perubahan pengetahuan responden. Uji statistik yang digunakan adalah paired t-test guna mengetahui signifikansi perbedaan pengetahuan sebelum dan sesudah mengikuti kelas. Hasil penelitian menunjukkan bahwa terdapat pengaruh yang signifikan dari keikutsertaan dalam Kelas Ibu Balita terhadap peningkatan pengetahuan ibu mengenai pencegahan stunting. Dari total 42 responden yang terlibat, diperoleh nilai p-value sebesar 0,000, yang menunjukkan adanya hubungan yang bermakna secara statistik. Temuan ini mengindikasikan bahwa pelaksanaan Kelas Ibu Balita di Puskesmas Ketol efektif dalam meningkatkan kesadaran dan pemahaman ibu tentang pentingnya pencegahan stunting sejak dini. Oleh karena itu, diharapkan Puskesmas Ketol dapat terus mengembangkan dan mengoptimalkan kegiatan Kelas Ibu Balita sebagai bagian dari strategi promotif dan preventif dalam penanggulangan stunting. Penyuluhan dan layanan edukatif yang terstruktur dan berkelanjutan menjadi kunci dalam memperkuat peran ibu sebagai pengambil keputusan utama dalam praktik pengasuhan dan pemberian gizi yang optimal bagi balita.</text>
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                <text>Eva Ratna Dewi, Diaz Fauziah, Febriana Sari, Eka Purnamasari, Ingka Kristina Pangaribuan, Rosmey Linda</text>
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