Effects of Passive Hydrotherapy WATSU (WaterShiatsu) in the Third Trimester of Pregnancy: Results of a Controlled Pilot Study

Background. WATSU (WaterShiatsu) is a complementary therapeutic treatment method comprising passive stretches and massage techniques administered in 35°C warm water. Pregnant women claim safe methods to reduce pain, stress, and fatigue. Therefore, we conducted a pilot study evaluating the effects of WATSU on pregnancy-related complaints in third trimester pregnant women.Methods. Nine healthy pregnant women at gestational week ≥34 were included in an intervention group (receiving WATSU) and compared to eight women in a passive control group (receiving no treatment). WATSU was performed on days 1 and 4 of the study, accompanied by ultrasound examinations. Outcomes include physiological and psychometric as well as qualitative data. Participants in the control group completed questionnaires only.Results. WATSU was found to significantly lower participants’ levels of stress and pain and to improve their mental health-related quality of life and mood. In comparison to the passive control group, participants in the intervention group reported reduction in perceived stress from day 1 to day 8 (P=0.036, Cohen’sf=0.57). Qualitative data indicate that WATSU was appreciated as enjoyable and deeply relaxing. No negative side effects were reported.Conclusion. Our findings support the notion that WATSU yields therapeutic benefits for pregnant women and warrant further research. This study has been registered at ClinicalTrials.gov:NCT01708018.

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THE EFFECT OF PRENATAL GENTLE YOGA AND HYPNOTHERAPY ON ANXIETY LEVEL AND SLEEP QUALITY IN THE THIRD TRIMESTER PREGNANT WOMAN AT PUSKESMAS SUMBER CIREBON REGENCY IN 2019

International Seminar of Gender Equity Maternal and Child Health ◽

10.34305/gemic.v1i1.311 ◽

2021 ◽

Vol 1 (1) ◽

pp. 32-38

Author(s):

Nurlaela Kurnia Rahayu ◽

Pepi Hapitria ◽

Rani Widiyanti

Keyword(s):

Sleep Quality ◽

Pregnant Women ◽

Intervention Group ◽

Anxiety Level ◽

Control Group ◽

P Value ◽

Third Trimester ◽

Control Groups ◽

The Third ◽

And Control

As the pregnancy gets older, the attention and thoughts of pregnant women begin to focus on something that is considered as a climax, so that the anxiety experienced will intensify just before the childbirth. Excessive anxiety and sleep disorders during pregnancy can cause mental disorders in pregnant women and inhibit fetal growth. To determine the effect of prenatal gentle yoga and hypnotherapy on anxiety level and sleep quality in the third trimester pregnant women. This is a quasi-experimental study with a pre-post test with a control group. The sample was 32 respondents consisting of 16 respondents as an intervention group and 16 respondents as a control group taken by purposive sampling. The analysis used was the Paired T-test. There is a difference in the average of anxiety level in the third trimester pregnant women in the intervention and control groups with a p value 0,000; there is a difference in the average of sleep quality in the third trimester pregnant women in the intervention and control groups with a p value 0,000; and there is no difference in the average of anxiety level and sleep quality in the third trimester pregnant women in the intervention and control groups with a p value 0,64. Prenatal Gentle Yoga and Hypnotherapy have an effect in reducing the anxiety level and improving the sleep quality in the third trimester pregnant women.

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The Difference Of Comfort And Anxiety Level In Third Trimester Pregnant Women With Osoc And Conventional Assistance

Jurnal Ners dan Kebidanan Indonesia ◽

10.21927/jnki.2019.7(1).11-17 ◽

2019 ◽

Vol 7 (1) ◽

pp. 11

Author(s):

Arum Meiranny ◽

Muliatul Jannah

Keyword(s):

Pregnant Women ◽

Health Center ◽

Intervention Group ◽

Control Group ◽

Research Subjects ◽

Third Trimester ◽

Control Groups ◽

District Health ◽

Pregnancy Care ◽

The Third

Anxiety in pregnant women when facing labor is different. Midwives have to be able to increase the comfort to reduce anxiety. One of the ways is with OSOC assistance, this is an assistance during pregnancy, childbirth, postpartum, newborns until family planning in order to increase maternal and infant health. The aims of this study are to determine the differences in comfort and anxiety of third trimester pregnant women who were given OSOC assistance and conventional pregnancy care at Kendal District Health Center (Puskesmas Kendal) .This research is a quasi experimental study with non equivalent control group design. Samples in this study were 124 third trimester pregnant women at Kendal District Health Center (Puskesmas Kendal). The research subjects were divided into intervention and control groups. In the intervention group, pregnant women were give intervention by OSOC assistance, and the control groups were given conventional pregnancy care. This research was held on July-September 2018. The analysis design used Chi Square. The results showed that there were significant differences (p <0.05), and the influence of OSOC assistance on comforting pregnant women was 2.357, and there were significant differences between anxiety in the third trimester pregnant women with OSOC assistance and conventional pregnancy care, and the influence of OSOC assistance on anxiety pregnant women was 7,703. The conclusion of this study is that there are significant differences between the comfort and anxiety of the third trimester pregnant women with OSOC assistance and conventional pregnancy care.

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Pengaruh Senam Hamil Terhadap Berat Badan Dan Kadar Gula Darah Ibu Hamil Trimester III Di Kota Pekanbaru

Jurnal Sehat Mandiri ◽

10.33761/jsm.v14i2.111 ◽

2019 ◽

Vol 14 (2) ◽

pp. 18-25

Author(s):

Ilda Lindriyani ◽

Rully Hevrialni

Keyword(s):

Diabetes Mellitus ◽

Body Weight ◽

Pregnant Women ◽

Blood Sugar ◽

Intervention Group ◽

Bivariate Analysis ◽

Control Group ◽

P Value ◽

Third Trimester ◽

Sugar Levels

The prevalence of gestational diabetes mellitus in Indonesia is 1.8% in general pregnancy.One of the prevention of diabetes mellitus in pregnancy is sports interventions, including low impact aerobic exercise, such as swimming, jogging and pregnancy exercises. Benefits of pregnancy exercise reduces the risk of gestational obesity.The purpose of this study was to determine the effect of pregnancy exercise on body weight and blood sugar levels of third trimester pregnant women.The type of the study was a quasy experiment with a post test control group design.The study population was all trimester III pregnant women and the sample was 15 people for each intervention group and the control group was taken using a purposive sampling technique. Data collection in the form of weight measurements after pregnancy exercise which is measured 1 time / week for 3 consecutive weeks and measurement of blood sugar levels before and after pregnancy exercise. Bivariate analysis used the Independent T-test and Mann Whitney U. The results showed the influence of pregnancy exercises on body weight (p-value 0.04,) and there was no effect of pregnancy exercises on decreasing maternal blood sugar levels (p-value 0.404). It is recommended for midwives to socialize and improve health services, namely pregnancy exercises for pregnant women regularly and periodically, and provide counseling about the benefits and effects of pregnancy exercises on weight and blood sugar levels of third trimester pregnant women.

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Combination of Pectoralis Major Muscle Massage and Endorphine Massage in Trimester III Pregnant Women for the Removal of Post Partum ASI in Palu City

Window of Health Jurnal Kesehatan ◽

10.33368/woh.v0i0.147 ◽

2019 ◽

pp. 137-147

Author(s):

Rafika Uddin ◽

Sri Yanti Kusika

Keyword(s):

Breast Milk ◽

Pregnant Women ◽

Health Center ◽

Post Partum ◽

Pectoralis Major Muscle ◽

Intervention Group ◽

Pectoralis Major ◽

Control Group ◽

Third Trimester ◽

Average Volume

The inhibiting factor in breastfeeding is the production of breastfeeding it self. The production of breast milk which is less and slowly exits can cause the mother not to give enough milk to her baby. Stimulating breastmilk production can be done by trying to stimulate prolactin and oxytocin hormones including by carrying out breast care on the skin, through pectoralis major muscle massage and endorphine massage to accelerate oxygen and make the mother feel relaxed. The aim of the study was to determine the effect of the combination of pectoralis major muscle massage and endorphine massage in third trimester pregnant women on breast milk release in post partum mothers. This type of research is quasi-experimental with the design of the Static-Group Comparasion. The study was conducted in September-November 2018 in the area of the Kamonji Health Center in the City of Palu. The population consisted of an intervention group of 24 people combined treatment of pectoralis major muscle massage followed by endorphine massage, and a control group of 24 people not given treatment. Sampling using the executive sampling technique. Univariate analysis and bivariate analysis. The results of this study obtained by the intervention group had an average volume of breast milk of 1.36 cc, a minimum value of 05, cc and a maximum of 2.3 cc. while the control group has an average value of 0.38 cc, a minimum value of 0.1 cc and a maximum of 0.8 cc. it means there is a difference in the average volume of breast milk in the intervention group higher than the control group. This result is based on thestatistic Mann-Whitney Test obtained p value = 0,000. It was concluded, the combination of major pectoralis muscle massage and endorphine massage in third trimester pregnant women was effective against post partum breast milk release. Suggestion, the need for health center officers to apply this complementary therapy so that the target of exclusive breastfeeding is achieved.

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The Effect of Warm Compress on Low Back Pain during Pregnancy

Nursing and Health Sciences Journal (NHSJ) ◽

10.53713/nhs.v1i3.55 ◽

2021 ◽

Vol 1 (3) ◽

pp. 254-257

Author(s):

Shinta Novelia ◽

Rukmaini ◽

Siti Anisah

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Pregnant Women ◽

Intervention Group ◽

Control Group ◽

P Value ◽

Low Back ◽

Third Trimester ◽

Control Group Design ◽

Quasi Experimental

Back pain is one of the discomforts experienced by pregnant women in the third trimester. From some of the discomforts of pregnant women in Kilasah Village, 32 samples of TM III pregnant women who experienced back pain were taken. This study aims to observe the intensity of back pain before and after being given warm compresses. This study aimed to determine the effect of warm compresses on lower back pain among third trimester pregnant women who do pregnant exercise in Kilasah Village, Kilasah Health Center Work Area, Kasemen District, Serang City. This study used a quasi-experimental research design with a control group design. The sample in this study was pregnant women of third trimester in the village of Kilasah. The samples was 32 respondents who were divided into two groups; 16 intervention groups and 16 control groups. The results of this study indicate that there was a difference in the level of low back between the intervention group and the control group (p value = 0.000). It is hoped that the results of this study can become the basis for developing methods to reduce low back pain in third trimester pregnant women.

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Efektifitas Jus Buah Naga Terhadap Peningkatan Kadar Hemoglobin pada Ibu Hamil Trimester III

Jurnal SMART Kebidanan ◽

10.34310/sjkb.v8i1.430 ◽

2021 ◽

Vol 8 (1) ◽

pp. 54

Author(s):

Yenny Aulya ◽

Vivi Silawati ◽

Ega Margareta

Keyword(s):

Pregnant Women ◽

Fruit Juice ◽

Intervention Group ◽

World Health ◽

Control Group ◽

P Value ◽

Third Trimester ◽

Control Group Design ◽

Dragon Fruit ◽

Health Organization

ABSTRAK World Health Organization (WHO) tahun 2018 menyebutkan bahwa 41,8% penyebab kematian ibu di negara berkembang berkaitan dengan anemia dalam kehamilan. Salah satu komplikasi kehamilan yang sering terjadi adalah anemia dimana kisarannya antara 20% sampai 89% dengan menetapkan Hb 11 gr% sebagai dasarnya). Ibu hamil yang memeriksakan kehamilannya pada tahun 2019 di Puskesmas Teluk Naga dari 832 terdapat 82 (9,86%) menderita anemia ringan (8-11mg/dl) dan 9 (1,1%) mengalami anemia berat (<8mg/dl). Tujuan untuk mengetahui efektifitas jus buah naga terhadap anemia pada ibu hamil trimester III di Puskesmas Teluk Naga. Desain penelitian quasi eksperimentaL menggunakan rancangan pretest-posttest, control group design. Sampel berjumlah 15 responden kelompok intervensi dan 15 kelompok kontrol dengan purposive sampling. Instrumen penelitian menggunakan alat pengukur Hb digital, lembar observasi dan SOP pembuatan jus buah naga. Hasil uji Mann Whitney didapatkan sebelum diberikan jus buah naga diperoleh nilai rata-rata pretest 9,6 gr% dan rata-rata posttest 11,5 gr%. Pada kelompok kontrol nilai rata-rata pretest 9,5 gr% dan posttest 9,5 gr% dan p value 0,001<0,05 . Terdapat perbedaan kadar Hemoglobin pada ibu hamil trimester III dengan anemia pada kelompok intervensi sebelum dan sesudah diberikan jus buah naga.Kata Kunci : anemia; ibu hamil ; jus buah naga; kadar Hb The Effectiveness Of Dragon Fruit Juice To Increase Hemoglobin Levels On Pregnant Woman In The Third Trimester ABSTRACT The World Health Organization in 2018 stated that 41.8% of the causes of maternal death in developing countries were related to anemia in pregnancy. One of the complications of pregnancy that often occurs is anemia where the range is between 20% to 89% by setting Hb 11 g% as the base). Of the 832 pregnant women who checked their pregnancy in 2019 at Teluk Naga Health Center, 82 (9.86%) suffered from mild anemia (8-11mg/dl) and 9 (1.1%) had severe anemia (<8mg/dl). The purpose of this study was to determine the effectiveness of dragon fruit juice against anemia in third trimester pregnant women at Teluk Naga Health Center. Quasi-experimental research design was used with pretest-posttest design, control group design. The sample consisted of 15 respondents in the intervention group and 15 in the control group by purposive sampling. The research instrument used a digital Hb measuring device, observation sheets and SOPs for making dragon fruit juice. The results of the Mann Whitney test were obtained before being given dragon fruit juice, the average pretest value was 9.6 gr% and the posttest average was 11.5 gr%. In the control group the mean value of pretest was 9.5 gr% and posttest was 9.5 gr% and p value was 0.001 <0.05. There are differences in hemoglobin levels in third trimester pregnant women with anemia in the intervention group before and after being given dragon fruit juice. Keywords: anemia; pregnant mother ; dragon fruit juice; Hb level

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Effect of Pelvic Rocking Exercise Using the Birth Ball on Fetal Lie, Attitude, and Presentation

International Journal of Women s Health and Reproduction Sciences ◽

10.15296/ijwhr.2019.76 ◽

2019 ◽

Vol 7 (4) ◽

pp. 461-466

Author(s):

Supriatiningsih ◽

Herlina ◽

Lusia Asih Wulandari ◽

Sri Nowo Retno ◽

Mohammad Kanedi

Keyword(s):

Pregnant Women ◽

Intervention Group ◽

Control Group ◽

Inclusion Criteria ◽

Third Trimester ◽

Control Groups ◽

Abdominal Palpation ◽

Before And After ◽

And Control ◽

Exercise During Pregnancy

Objectives: For decades, scholars have debated the benefits of exercise during pregnancy. Birthing ball exercise is the latest among the antenatal exercises which pregnant women commonly perform in Indonesia. Therefore, the current study aimed to investigate whether pelvic rocking exercise using the birth ball is effective in correcting the fetal lie, presentation, and attitude in the late third trimester of pregnancy. Materials and Methods: To this end, pregnant women (n=114) enjoying the inclusion criteria were randomly divided into intervention (who were assigned to perform pelvic rocking using the birth ball) and control (without exercise) groups. Fetal lie, attitude, and presentation before and after the trials were determined in both groups by performing the abdominal palpation of Leopold’s maneuver. Results: Based on the results, the intervention group showed a higher proportion of fetus with flexed attitude (P<0.001) as compared to the control group. In addition, 49.1% of women in the intervention group indicated longitudinal lie compared to 29.8% of those in the control groups (P<0.001). Finally, 56 out of 57 women in the intervention group demonstrated head presentation whereas only 45 out of 57 women in the control group showed the same presentation (P<0.01). Conclusions: Overall, it is suggested that pelvic rocking exercises using the birth balls are useful for maintaining lies, fetal attitudes, and presentations and thus it is worth recommending for pregnant women.

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Teknik Alexander terhadap Tingkat Kenyamanan pada Ibu Hamil Trimester III

Jurnal Keperawatan Silampari ◽

10.31539/jks.v4i2.2300 ◽

2021 ◽

Vol 4 (2) ◽

pp. 671-682

Author(s):

Weni Apriyani ◽

Muhammad Hadi ◽

Idriani Idriani

Keyword(s):

Pregnant Women ◽

Intervention Group ◽

Comfort Level ◽

Control Group ◽

P Value ◽

Alexander Technique ◽

Third Trimester ◽

Control Group Design ◽

Test Analysis ◽

Before And After

This study aims to determine the effect of the Alexander technique on the comfort level of pregnant women in the third trimester. This research uses a quasi-experimental design approach with a pretest-posttest design with a control group design. The paired sample t-test analysis results showed that there was a difference in the average level of comfort in the intervention group before and after being given the intervention with a p-value of 0.000. In the control group, a p-value of 0.282 was obtained. This indicates that there is no difference in the level of comfort before and after. The results of the GLM-RM test showed that the greenhouse-geisser (Sig) value was 0.000 < 0.005, and the most significant partial eta square value was in the 7th measurement (0.454). In conclusion, the alexander technique can increase comfort in third-trimester pregnant women. Keywords: Third-Trimester Pregnant Women, Comfort, Alexander Technique

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Breastfeeding Training through Role-Play and Effects on Mother-infant Attachment Behaviours: A Randomised Controlled Trial

Africa Journal of Nursing and Midwifery ◽

10.25159/2520-5293/6232 ◽

2020 ◽

Vol 22 (1) ◽

Author(s):

Farokh Saljughi ◽

Mitra Savabi-Esfahani ◽

Shahnaz Kohan ◽

Soheila Ehsanpour

Keyword(s):

Pregnant Women ◽

Maternal Employment ◽

Controlled Trial ◽

Role Play ◽

Intervention Group ◽

Control Group ◽

Maternal Behaviour ◽

Infant Attachment ◽

Significant Difference ◽

History Of

Mother-infant attachment is an intimate, lasting and satisfying relationship that leads to better cognitive, emotional and social growth of the infant. The aim of this study was to determine the effects of breastfeeding training by role-play on mother-infant attachment behaviours. This research was a randomised clinical trial (parallel design). Inclusion criteria were: no history of mental disorders; ability to read and write the Persian language to complete the questionnaire; no history of drug and tobacco intake in primigravida women. The sample comprised 100 pregnant women (in 2 groups), selected through simple random sampling at healthcare centres. The researcher reviewed prenatal care registries of selected healthcare centres and extracted the names of pregnant women in their early third trimester. The data were imported into randomisation software. The control group received routine breastfeeding training, while the intervention group received routine training together with training through role-play. The data collection tool was the Maternal Behaviour Inventory Questionnaire. Consequently 75 samples were analysed in SPSS16. Independent t-tests and chi-square tests were used to examine the difference between the two groups. Results showed that the mean score of mother-infant attachment one week after delivery was significantly higher in the intervention group in comparison to that in the control group (p<0.001). No significant difference was observed between the two groups in maternal age, age of marriage, neonatal gender, maternal employment and education, number of parity, and number of abortions (P>0.05). Since breastfeeding training through role-play could affect mother-infant attachment, it is suggested that this type of training should be provided for pregnant women to promote mother-infant attachment and exclusive breastfeeding.

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POS0058-PARE INCREASING PREECLAMPSIA KNOWLEDGE IN SLE WITH A SPECIFIC EDUCATIONAL TOOL: PRELIMINARY RESULTS

Annals of the Rheumatic Diseases ◽

10.1136/annrheumdis-2021-eular.1480 ◽

2021 ◽

Vol 80 (Suppl 1) ◽

pp. 235.2-235

Author(s):

J. Y. E. Lee ◽

A. Mendel ◽

I. Malhamé ◽

S. Bernatsky ◽

E. Vinet

Keyword(s):

Systemic Lupus Erythematosus ◽

Pregnant Women ◽

Lupus Erythematosus ◽

Intervention Group ◽

Standard Of Care ◽

Vulnerable Population ◽

Control Group ◽

Educational Tool ◽

Second Trimester ◽

Systemic Lupus

Background:Pregnant women with systemic lupus erythematosus (SLE) are at high risk of preeclampsia, leading to substantial maternal and fetal morbidity. Aspirin reduces preeclampsia risk but recent studies suggest aspirin is used only in a minority of SLE pregnancies. There is an urgent need to improve preeclampsia counselling and management in this vulnerable population.Objectives:We are conducting the PREPARE (PREeclamPsia knowledge & Aspirin adheRence in lupus prEgnancies) trial, a randomized controlled trial (RCT) evaluating an educational tool on preeclampsia knowledge and aspirin adherence among pregnant women with SLE. We present preliminary analyses of the effect of this tool on preeclampsia knowledge.Methods:Consecutive pregnant SLE women are recruited until the 16th gestational week at 5Canadian Systemic Lupus International Collaborating Clinics centres (i.e. Montreal, Halifax, Quebec, Winnipeg, and Calgary) since 05/2018. Subjects are randomly assigned to receive either the specifically-designed educational tool (intervention group) or standard of care (control group). At baseline (i.e. first trimester) and second trimester visits, the participants complete self-administered preeclampsia knowledge questionnaires (scored out of 30 by the research team blinded to the intervention). We restricted the current analysis to participants enrolled in Montreal (accounting for nearly half of the total planned sample size). We performed a univariate linear regression analysis to assess the effect of the educational tool on preeclampsia knowledge (i.e. mean score difference between the two groups from baseline to second trimester visit).Results:Thirty-three pregnant SLE women were included in the study, among which 16 were exposed to the intervention and 17 were unexposed. Baseline characteristics were well balanced between the two groups with similar mean maternal age between intervention group (32.2 years, standard deviation, SD, 4.6) and control group (34.1 years, SD 4.2) and identical proportion of subjects with post-secondary education (i.e. 80%). The difference in mean preeclampsia knowledge scores between second trimester and baseline visits in the intervention group was 4.4 points (95% CI -0.1, 9.0) and in the control group was 1.5 points (95% CI -2.7, 5.7). The mean difference in knowledge scores (from baseline to second trimester) for those receiving the educational tool was 2.7 points higher (95% CI -1.5, 6.9) than those receiving standard of care.Conclusion:Approximately midway into the PREPARE trial, we observed a trend for improvement in preeclampsia knowledge from the baseline to the second trimester visit in pregnant women with SLE who received a specifically-designed educational tool compared to the control group, although the CIs included the null. Our RCT is well-poised to provide a new evidence-based approach to improve preeclampsia knowledge in pregnant women with SLE, which could help to optimize aspirin use and outcomes in this vulnerable population.References:[1]Schramm AM, Clowse ME. Aspirin for prevention of preeclampsia in lupus pregnancy. Autoimmune Dis. 2014;2014:920467. doi:10.1155/2014/920467[2]Bujold E, Roberge S, Lacasse Y, et al. Prevention of preeclampsia and intrauterine growth restriction with aspirin started in early pregnancy: a meta-analysis. Obstet Gynecol. 2010;116(2 Pt 1):402-414. doi:10.1097/AOG.0b013e3181e9322a[3]Andreoli L, Bertsias GK, Agmon-Levin N, et al. EULAR recommendations for women’s health and the management of family planning, assisted reproduction, pregnancy and menopause in patients with systemic lupus erythematosus and/or antiphospholipid syndrome. Ann Rheum Dis. 2017 Mar;76(3):476–85. doi: 10.1136/annrheumdis-2016-209770.[4]Mendel A, Bernatsky SB, Hanly JG, et al. Low aspirin use and high prevalence of preeclampsia risk factors among pregnant women in a multinational SLE inception cohort. Ann Rheum Dis. 2019;78(7):1010-1012. doi:10.1136/annrheumdis-2018-214434Disclosure of Interests:None declared.

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