In line with the principles of Industry 4.0, the creation of innovative and interactive educational materials plays a pivotal role in advancing IT competencies. Consequently, the government initiated a curriculum outlined in PP No. 70 of 2013. This endeavor not only seeks to enhance the abilities of midwifery students in managing emergencies but also holds the potential for profound impacts on their competence and proficiency in executing clinical procedures, particularly in handling cases that support their work in the realm of midwifery and healthcare services. This research is aimed at assessing the proficiency of midwifery students in interactive obstetric emergency learning processes, providing valuable insights into their preparedness for responding to obstetric emergency cases in healthcare settings. The research design employed for this study is cross-sectional. The study population and sample encompassed 40 midwifery students at Adiwangsa University in Jambi. The findings pertaining to interactive learning resources for obstetric and uterine atony emergencies indicate that the majority of student and lecturer needs are adequately met. The results of prototype validation, as evaluated by students, lecturers, and media experts, demonstrate high validity values and excellent assessments from both lecturers and media experts, thereby confirming its suitability for educational use. Notably, several respondents expressed that the interactive YouTube MP4 video content was highly effective in enhancing the abilities and competencies of midwifery students. The results of the chi-square statistical test indicate a significant relationship between student needs and interactive learning resources (P-value = 0.000). However, for lecturers, there was no discernible relationship between their needs and the chosen learning resources (P-value = 0.091). In conclusion, the development of interactive educational resources for addressing emergency obstetric uterine atony, primarily based on YouTube MP4 videos, is evidently a valuable asset appreciated by midwifery students. Furthermore, it proves to be a suitable tool for lecturers aiming to enhance the abilities and competence of midwifery professionals in the realm of healthcare services, consistent with the scope of their practice. This educational resource is anticipated to be integrated into both theoretical and practical courses, facilitating the preparation of future professional midwives under the guidance of educators and supervisors.

Background: The number of human immunodeficiency virus (HIV)-positive cases is increasing every year. This will in turn increase the risk of mother-to-child transmission of HIV. Despite the efforts made and counseling from health workers, only a small proportion of pregnant women adhere to HIV screening and retests in the city of Jambi, Indonesia. This study aimed to determine factors associated with adherence of pregnant women to HIV screening at the Putri Ayu public health center, Jambi City, Indonesia. Methods: This cross-sectional study was done on 93 pregnant women who received antenatal care services at the Putri Ayu health center in Jambi City, Indonesia, from February to August 2020. The subjects were selected via a proportional quota sampling method. Data were collected using a 4-part questionnaire on demographic characteristics, vulnerability perception, knowledge of HIV, and adherence to HIV screening. The collected data were analyzed using the chi-square test and logistic regression analysis. A P-value of less than 0.05 was considered statistically significant. Results: The majority of subjects were young (66.3%), unemployed (59.8%) and with low education level (71.7%). Only 33.7% of the respondents had good adherence to HIV screening. Of these individuals, 22.8% had good knowledge of HIV, 28.3% were adults, 40.2% were employed, and 28.3% had high education level. Adherence to HIV screening had significant association with knowledge (P=0.0001), age (P=0.0001), perceptions of vulnerability (P=0.017), occupation status (P=0.017), and education level (P=0.020). Conclusion: Based on the results, knowledge, perception, age, education level, and occupation of pregnant women significantly affect their adherence to HIV screening at the Putri Ayu Health Center, Jambi City.

Background: Midwives are one of the main health workers at the frontline of health development to accelerate the decline in Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR). Therefore, competent and skilled midwives are needed in carrying out clinical procedures, especially in handling emergency cases of postpartum hemorrhage, with critical analysis skills. This study aims to determine the effectiveness of e-book application model uterine hypotonia management guide and pocket book in improving midwife knowledge and skills in basic care. Method: The research design used was pre-post study, which was carried out in February-April 2021. The population and sample in this study were all midwives who provided delivery assistance at the Jambi City Health Center, totaling 64 respondents. Data analysis used the Wilcoxon and Mann-Whitney tests. Results: In each intervention group, all variables, including knowledge and skills, are increased in both groups defined. The results showed that the educational media application of guidelines and pocketbooks on postnatal emergency management increased knowledge and skills. Conclusion: The two study groups had a significant effect on increasing the knowledge and skills of midwives in handling postnatal emergencies due to uterine atony.

Infants aged 0-6 months need adequate nutritional intake to support growth and development. These nutritional needs are highly dependent on breast milk (ASI). In breastfeeding mothers, problems often occur such as insufficient milk production and mothers do not understand the correct lactation management. Lactagogum and vitamin A play a role to help increase milk production. One of the fruits that contain laktagogum is young papaya, and carrots are foodstuffs that contain vitamin A. Young papaya and carrots are easily available foodstuffs. When the initial survey was conducted, most of the posyandu cadres and breastfeeding mothers in Kademangan village did not know the benefits of young papaya and carrots to help increase breast milk production for children. Community empowerment activities through posyandu are one solution to increase community knowledge in the use of young papaya and carrots to help increase production. This service activity was carried out in Kademangan Village, Jambi District outside the City, aiming to increase public knowledge in the use of young papaya and carrots to help increase breast milk production for breastfeeding mothers. The target of service is posyandu cadres (how many prang) and 30 nursing mothers. The flow of service before the activity was carried out by a pretest, then counseling and pocket books were given, followed by the practice of processing food made from young papaya and carrots, then a post test was carried out. The results of the activity showed an increase in the average score of knowledge in general before and after providing counseling to posyandu cadres and breastfeeding mothers. The average score of prior knowledge of posyandu cadres before the intervention was 7.60 increased to 9.80 and the average score of early knowledge of breastfeeding mothers was 7.60 increased to 9.86.

Salah satu risiko yang dapat terjadi pada ibu hamil jika tidak ada persiapan persalinan yaitu gangguan psikologis, pasca melahirkan ibu akan mengalami beberapa perubahan, baik perubahan fisik maupun perubahan psikologis. Sebagian ibu ada yang bisa menyesuaikan diri dan sebagian lainnya tidak bisa menyesuaikan diri dengan baik. Metode pengabdian masyarakat dilakukan dengan cara pemberian informasi melalui penyuluhan dengan metode ceramah, diskusi, dan Tanya jawab pada kelompok ibu hamil trimester III yang telah hadir sebanyak 25 orang. Ibu hamil mengikuti kegiatan sesuai dengan protokol kesehatan mencuci tangan, memakai masker, dan menjaga jarak satu dengan yang lainnya. Kegiatan dilakukan pada bulan Juni – Agustus 2022, tempat kegiatan dilakukan di Desa Penyengat Olak kecamatan Jambi luar Kota. Hasil pretest menunjukkan pengetahuan yang baik hanya 3 (12%) ibu hamil yang memiliki pengetahuan baik tentang persiapan persalinan di tengah pandemi coid-19 dan hasil post test terjadi peningkatan setelah diberikan penyuluhan dan diskusi menjadi 21 (84%) ibu hamil tentang persiapan persalinan ditengah pandemic COVID-19, hasil evaluasi melalui pengamatan tampak ibu hamil semangat dan antusias dalam berdiskusi. Berdasarkaan hasil tersebut dapat disimpulkan bahwa kegiatan pengabdian masyarakat mampu membuat perubahan masyarakat yang berpengetahuan kurang menjadi meningkat setelah diberikan penyuluhan dengan metoda diskusi dan Brain Storming serta meningkatkan kepedulian ibu hamil dalam persiapan persalinan pada masa pandemic COVID-19 di Desa penyengat olak Kecamatan Jambi luar kota.

Latar Belakang : Mortalitas janin salah satunya disebabkan oleh perpanjangan kala I, yaitu akibat panggul sempit dan bayi besar, akibatnya penurunan kepala lambat sehingga janin menjadi distress dan jika tidak segera ditangani maka bayi tersebut akan meninggal. Maka dari itu, upaya yang dilakukan agar proses persalinan kala I fase aktif lancar terutama pada ibu hamil primipara adalah peran bidan menganjurkan atau mengarahkan posisi ibu ke posisi miring kiri dan posisi setengah duduk, sehingga terasa nyaman dan membantu mempercepat pembukaan serviks serta penurunan kepala. Metode : Penelitian ini menggunakan rancangan penelitian analitik observasional dengan desain quasi eksperiment. Sampel penelitian adalah ibu bersalin primigravida di ruang bersalin RSUD Raden Mattaher dengan jumlah sampel sebanyak 40 responden. Teknik pengambilan sampel menggunakan teknik purposive sampling. Sampel dibagi 2 kelompok yaitu 20 orang sebagai kelompok (kontrol) posisi setengah duduk dan 20 orang kelompok (eksperimen) posisi tidur miring kiri.Teknik pengumpulan data dengan menggunakan lembar partograf untuk mengobservasi lamanya kala I fase aktif. Analisis data penelitian ini dilakukan secara univariat dan bivariat dengan menggunakan t-test independent. Hasil : Sebesar 75,0% responden inpartu kala I posisi miring kiri dengan lama persalinan ≤ 6 jam yaitu 211,70 menit (3,52 jam) dan 50,0% responden inpartu kala I posisi setengah duduk dengan lama persalinan ≥ 6 jam yaitu 323,25 menit (5,38 jam). Hasil analisis bivariat diperoleh nilai p=0,023 sehingga menunjukkan ibu yang diberi posisi miring kiri lebih efektif dibandingkan dengan posisi setengah duduk terhadap percepatan kemajuan persalinan kala I fase aktif. Kesimpulan : Posisi miring kiri lebih efektif jika dibandingkan dengan posisi setengah duduk terhadap percepatan kemajuan persalinan kala I fase aktif.

Introduction: Breast cancer is the most frequent type of cancer in women, and it is one of the major causes of mortality. Efforts should be made to prevent breast cancer by using the breast selfexamination (BSE) method of early diagnosis. This study aims to determine the effectiveness of the demonstration and audio visual methods on adolescent knowledge about breast self-examination at SMA Pertiwi 1 Jambi City, Indonesia. Methods. This study is a quasi-experimental study using a two-group pretest-posttest design at the private high school Pertiwi 1 Jambi City, involving 122 participants divided into two groups. Group 1 consisted of 61 participants given BSE material by demonstration, while group 2 consisted of 61 participants given material using audio-visual media. Data processing in this study used univariate and bivariate analysis, and the statistical test used was the Wilcoxon test. Results. The results showed that there was an increase in students' knowledge about BSE after the demonstration with p-value < 0.0001, and displayed audio-visually with p-value < 0.0001. Conslusion: demonstration and audiovisual methods proved effective in increasing adolescent knowledge about breast self-examination at at SMA Pertiwi 1 Jambi City, Indonesia.

One of the complaints that is often felt by mothers is pain during contractions and effleurage massage is one technique that can cause the effects of distraction and relaxion, thus helping the mother become more relaxed, creating a feeling of comfort, and pain response will decrease. The purpose of this study was to determine the effect of effleurage massage on labor pain in the first stage in the practice of Midwife Nuriman Rafida and Latifah Midwife Practice in 2019. The sampling technique used a total sampling technique that was as many as 30 women who had labor pain. The level of pain during the active phase I before the massage effleurage: 16 (53.0%) respondents experienced moderate pain levels and 14 (47.0%) respondents experienced severe pain levels, and none experienced mild pain. The level of pain during the first active phase after effleurage massage: most (57.0%) respondents felt mild pain, still some (33%) respondents who felt moderate pain, and only a small percentage (10%) of respondents felt severe pain. The results of the Wilcoxon test showed that giving effleurage massage had a significant effect on pain when I was active phase P value was 0.001 (p<0.05).

Health development organized through the efforts of the health of children since the children still in the womb until the first five years of life . The results of the activities of the National Children 's Day celebration in 2010 of 500 children who were given only 476 child care SDIDTK ( Stimulation , Detection and Early Intervention Developmental ) and found 57 children ( 11.9 % ) with abnormalities of growth and development . Early detection activities need to be done early because it influences the risk of developmental disorders , both fine and gross motor development , hearing impairment , intelligence and speech delay . This study was conducted with the observation aims to describe the development of early detection of children aged 48-72 months in kindergarten Aqsa Jambi city in 2012 . Univariate analysis of the data . The population in this study were all children aged 48-72 months as many as 135 children with a total sample of 57 children . Stratified sampling technique that proppartional random sampling . The data used is primary data using observation sheets . Data retrieval on July 28 to August 5, 2011. The results showed 31 (54.4 %) of respondents have a corresponding development of ( S ) age , 15 (26.3 %) of respondents have doubts development (AD) and 11 (19.3%) of respondents detected deviation (P). Based on the results of the study indicate that the development of children aged 48-72 months who attend school in the kindergarten AL Aqsa most have appropriate growth and development and there is still detected irregularities growth. It is expected that the City of Edinburgh Aqsa kindergarten can perform monitoring / detection , stimulation and early intervention , especially in children whose growth is different from the others with its collaboration with stakeholders such as health centers . Keywords : growth and development and SDIDTK

Uterine involution is the process of the return of the uterus after the baby is born until it reaches the pre- pregnant state . Uterine involution can be observed from the outside by checking the fundus uteri after delivery of the placenta . Within 2-4 hours after delivery , uterine fundus decreased 1 cm ( 1 finger ) every day . Early mobilization has proven successful in reducing thromboembolic events and uterine involusio accelerate the process , then after the first rest period and ended around 2 hours , the mother is expected to perform early mobilization . This study is a descriptive study with cross- sectional design which aims to determine the factors associated with maternal postpartum uterine involusio at the maternity hospital in Puskesmas Rawasari . The population is all postpartum women on the first day up to three with a sample of 44 respondents , sampling techniques accidental sampling . Collecting data using questionnaires tersruktur . Data processed by univariate and bivariate analysis with the chi-square statistical test . The results showed that 34 (77.3 %) of respondents did early mobilization immediately after 2-6 hours postpartum, on the third day involusio occur with decreased uterine fundus height 2 cm below the center of the largest occurred in 16 (36.4%) respondents. Statistical test results showed no significant relationship between early mobilization with uterine involusio with the p- value of 0.000 , there was a significant association between breast-feeding early to involusio uteri with p- value 0.041 and no significant relationship between parity against uterine involusio (p- value 0.355) Based on the above results it can be concluded that on the third day postpartum uterine involusio occur with decreased uterine height of about 2 cm below the center of the next there is a significant association between early mobilization and early breast feeding against uterine involusio , it is expected that the results of this study can be used as a reference in an effort improve the quality of obstetric care services especially early mobilization activities at 2 hours postpartum mothers. Keywords : Early mobilization , and uterine Involusio