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                <text>Determinasi Faktor Kejadian Anemia Pada Ibu Hamil di Klinik Bersalin Suriani Kecamatan Medan Johor Kelurahan Kwala Bekala Provinsi Sumatera Utara Tahun 2025</text>
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                <text>Determinasi Faktor Kejadian Anemia Pada Ibu Hamil di Klinik Bersalin Suriani Kecamatan Medan Johor Kelurahan Kwala Bekala Provinsi Sumatera Utara Tahun 2025&#13;
&#13;
Damayanti S¹, Marta Armita Silaban², Ade Rachmat Yudiyanto³, Erin Padilla Siregar⁴, Sri Rezeki⁵, Hazizah Sabilah Siagian⁶&#13;
¹,² Pendidikan Profesi Bidan Program Profesi STIKes Mitra Husada Medan&#13;
³,⁴,⁵,⁶ Prodi Kebidanan Program Sarjana STIKes Mitra Husada Medan&#13;
Email: maydamayanti24@gmail.com, martaslabon50@gmail.com, aderachmatyudiyanto@gmail.com, erinpadillasiregar1986@gmail.com, srirejeki64044@gmail.com&#13;
&#13;
ABSTRAK&#13;
Anemia ditandai dengan kadar hemoglobin (Hb) darah di bawah normal. Fungsinya terganggu akibat kekurangan oksigen. Misalnya, gejala seperti kesulitan berkonsentrasi dan kurangnya kebugaran untuk melakukan aktivitas dapat disebabkan kekurangan oksigen otak dan otot. Penelitian ini menggunakan metode analitik observasional dengan survei retrospektif dengan melihat catatan rekam medis pasien di klinik bersalin. Sampel pada penelitian ini adalah 54 orang dengan menggunakan total sampling ibu hamil yang mengalami anemia dengan kriteria inklusi dan eksklusi. Dari hasil uji chi square terhadap usia ibu nilai p=0,016 (p&lt;0,05). Dari hasil uji chi square terhadap paritas ibu nilai p=0,032 (p&lt;0,05). Dari hasil uji chi square terhadap jarak kehamilan nilai p=0,017 (p&lt;0,05). Faktor yang paling dominan menunjukkan bahwa KEK mempengaruhi kejadian anemia pada ibu hamil dengan OR sebesar 5,578 (95% CI 1,731-17,979, p=0,003) ketika wanita hamil dengan KEK lebih mungkin mengalami anemia dibandingkan mereka yang tidak mengalami KEK. Kesimpulan: pemberian makanan tambahan (PMT) berbasis pangan lokal kaya zat besi, protein, dan vitamin C untuk ibu hamil KEK atau dengan risiko tinggi anemia, LILA, pemeriksaan Hb minimal 2 kali selama kehamilan. </text>
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be carried out throughout the world (1). Mental health is very vulnerable to teenagers. WHO data (2022) states that 1 in 7 children aged 10-19 years are known to experience psychological problems. The prevalence rate for mental health disorders in Asia ranges from 1.81% to 23.3%. (2) Data in Indonesia shows that 6.1% of the Indonesian population aged &#13;
15 years and over experiences mental health disorders. According to the 2022 Indonesian National Adolescent Mental Health Survey (I-NAMHS), as many as 15.5 million or 1 in 3 adolescents (34.8%) in Indonesia experience mental health. This research aims to analyze the development of health promotion-based education methods to increase the accessibility of adolescent mental health in Bangun Rejo Village. (b) To determine the feasibility of health promotion-based education &#13;
methods to increase the accessibility of adolescent mental health in Bangun Rejo Village. The research method used is Research and Development, with stages of analyzing the method to be developed, the method development process, product testing, and the revision and evaluation stage to improve method weaknesses. The research results on developing health promotion-based education methods to increase mental health accessibility among adolescents in Bangun Rejo &#13;
Village show that the results of the first hypothesis test are accepted, namely that there is an influence between self awareness and self-awareness. Emotional and mental regulation of teenagers in Sudi Rejo Village, Tanjung Morawa District, means higher self-awareness. A person has higher emotional and mental regulation, and the development of Health Promotion-Based Education Methods, namely self-awareness and self-efficacy, increases the accessibility of adolescent mental health. </text>
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                <text>One of the elements in not attaining good health in the globe still is mental health diseases and depression, According to WHO in 2022, one in seven youngsters between the ages of 10 and 19 struggle psychologically. In Indonesia, mental health issues affect about 6.1% of teenagers fifteen years of age and above. Consequently, health promotion has to be developed in order to make teenagers more easily accessible for mental health education. The project intends to establish the creation of a Health Promotion-based Education Method for Increasing Accessibility of Adolescent Mental Health in Bangs Rejo Village. (b) to ascertain the Feasibility of a Hath Promotion-based Education Method for Rising Adolesdent Mental Health Accessibility in Bangun Rejo Village is a quantitative research approach. The method of sampling is accidental one. There were 302 teenagers in all, Anno table data analysis combined with one-sample Kolmogorov-Smirnov Test. According to the study, 191 (63.2%) youth reported moderate emotional and mental health. There were 252 youths in all with intermediate self-awareness and 245 with moderate self-efficacy. With a P value of 0.416, self-awareness and self-efficacy clearly affect emotional and mental control. Self-awareness with a P value of 0.000 influences mental and emotional control. The accessibility of adolescent mental health is influenced by the development of health promotion-based education strategies, mostly self-awareness and self-efficacy. Health professionals should be able to provide parents with sources of information on how to raise teenagers, particularly in terms of developing self-awareness and self-efficacy so that appropriate emotional and mental control results.&#13;
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                <text>Differences in the Effectiveness of Pelvic Rocking and Rebozo &#13;
Movements in the Lowering of the Fetal Head during First Stage &#13;
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                <text>and physiological event. Despite the inherent pain experienced by the mother and the extended duration of complete opening, some opt for alternative interventions, such as cesarean sections. &#13;
Additionally, pharmacological drugs may be administered to facilitate the timely expulsion of the &#13;
fetus and placenta. Aim: The purpose of this study was to analyze the effectiveness of pelvic rocking and rebozo movements in lowering the fetal head in women in the first stage of labor. Methods: This study used a quantitative analytic method with a quasi-experimental research design with a two&#13;
group comparison of pretest-posttest design. Results: The results of the study showed that before and after the pelvic rocking movement was carried out, the asymptote sig value was obtained. The 2-tailed &#13;
was found to be 0.000 less than the alpha level of 5% (0.05), so it can be concluded that there is a significant difference in decreasing the fetal head. An asymptote sig value was found for the rebozo &#13;
movement. The fetal head's descent varied significantly before and after the rebozo movement, as &#13;
shown by the 2-tailed statistic's finding that it was 0.003 less than the 5% alpha threshold (0.05). &#13;
Conclusion: The conclusion of this study was that the significance value of pelvic rocking was 0.000, &#13;
which was smaller than the rebozo significance value of 0.003, which means that the pelvic rocking &#13;
group was more effective in decreasing the fetal head compared to the rebozo group. So, it is very useful if the pelvic rocking movement service is carried out when passing through the first stage of labour.&#13;
 Keywords: First Stage of Labour; Pelvic Rocking; Rebozo </text>
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                <text>DISEASE SURVEILLANCE &#13;
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