Educating Post-Partum Women: Interventions to Improve Engagement

2021 ◽  
pp. 105477382110183
Author(s):  
Pamela C. Spigelmyer ◽  
Austin Winberg ◽  
Michael Heyd

Women giving birth in in-patient maternity units are required to complete certain education. The aim of this study was to investigate the effects of prompting on post-partum women’s education engagement (time from assignment to completion) while testing the feasibility of staff nurses assisting in research. A quasi-experimental design was used with 141 women allocated by admission date to one of three groups (usual care and two intervention) between September 2014 and December 2015. Intervention group I women were quickest to engage in their education and had the shortest length of stay. Significance was found for academic attainment ( df = 1, F = 6.218, p = .014), partial eta squared = 0.053 and R2 = 0.124. Women who had attended college engaged more quickly in all groups than those who had not. This statistically significant finding indicates how nurses can identify patients needing more assistance. Nurses reported no adverse effects on care.

Crisis ◽  
2016 ◽  
Vol 37 (6) ◽  
pp. 415-426 ◽  
Author(s):  
Yik-Wa Law ◽  
Paul S. F. Yip ◽  
Carmen C. S. Lai ◽  
Chi Leung Kwok ◽  
Paul W. C. Wong ◽  
...  

Abstract. Background: Studies have shown that postdischarge care for self-harm patients is effective in reducing repeated suicidal behaviors. Little is known about whether volunteer support can help reduce self-harm repetition and improve psychosocial well-being. Aim: This study investigated the efficacy of volunteer support in preventing repetition of self-harm. Method: This study used a quasi-experimental design by assigning self-harm patients admitted to the emergency departments to an intervention group with volunteer support and treatment as usual (TAU) for 9 months and to a control group of TAU. Outcome measures include repetition of self-harm, suicidal ideation, hopelessness, and level of depressive and anxiety symptoms. Results: A total of 74 cases were recruited (38 participants; 36 controls). There were no significant differences in age, gender, and clinical condition between the two groups at the baseline. The intervention group showed significant improvements in hopelessness and depressive symptoms. However, the number of cases of suicide ideation and of repetition of self-harm episodes was similar for both groups at the postintervention period. Conclusion: Postdischarge care provided by volunteers showed significant improvement in hopelessness and depression. Volunteers have been commonly involved in suicide prevention services. Further research using rigorous methods is recommended for improving service quality in the long term.


2019 ◽  
Vol 2 (1) ◽  
pp. 28
Author(s):  
Hastuti Usman

ABSTRACT One of the failures of exclusive breastfeeding is the lack of a mother's level of confidence that her mother's milk cannot fulfill her baby's nutritional needs. Efforts that can be made to stimulate the hormone prolactin and oxytocin in the mother after childbirth is to provide a relaxed sensation in the mother by doing Woolwich massage and rolling massage (back). The purpose of this study was to determine the effect of a combination of Woolwich massage methods and Rolling Massage on Asi production in post partum mothers. Research site in the Work Area of Mapane Health Center, Poso Regency. The type of research used was Quasi Experimental. Data analysis was performed by the chi squre test. The results of the study showed that 95.8% of the intervention group respondents had enough baby weight while in the group without intervention it was 70.8% with a value of p = 0.048. Frequency of BAK: 87.5% of respondents in the intervention group had sufficient frequency while in the group without intervention it was 45.8% with a value of p = 0.006. BAB frequency in the intervention group 100% frequency is sufficient while in the group without intervention is 91.7% with a value of p = 0.015. This research is expected to be applied by midwives and taught to mothers and families so as to increase ASI production so that the coverage of exclusive breastfeeding is achieved in the area of the Research Health Center. Keywords: Combination of Woolwich Massage and Rolling Massage, ASI Production


2013 ◽  
Vol 8 (5) ◽  
pp. 204
Author(s):  
Wiwin Renny Rahmawati ◽  
Siti Arifah ◽  
Anita Widiastuti

Rasa nyeri persalinan yang tinggi dapat menimbulkan kecemasan pada ibu, terutama pada ibu primigravida. Nyeri yang tidak bisa diadaptasi oleh ibu yang akan melahirkan dapat meningkatkan perasaan cemas pada ibu, rasa cemas tersebut dapat menyebabkan terjadinya persalinan yang lama, sehingga kekuatan ibu akan habis saat persalinan yang berakibat terhadap kejadian perdarahan serta kala II lama. Tujuan penelitian ini untuk mengetahui pengaruh pijat terhadap pengurangan rasa nyeri persalinan fase aktif, lama kala II, dan perdarahan persalinan pada primigravida di Puskesmas Magelang Selatan. Penelitian ini merupakan penelitian desain kuasi eksperimental bentuk perbandingan kelompok statistik, yaitu memberikan perlakuan atau intervensi, kemudian dilakukan pengukuran atau observasi. Hasil pengukuran pada kelompok perlakuan dibandingkan dengan kontrol. Skala rasio digunakan. Subjek penelitian sebanyak 40 orang. Analisis data dengan uji Mann Whitney didapatkan hasil ada pengaruh pijat punggung terhadap adaptasi rasa nyeri persalinan fase aktif, lama persalinan kala II dan perdarahan persalinan pada primigravida dengan nilai p= 0,001.Severe labour pain can cause anxiety especially in primigravida. Many mothers who experience labour have not got action yet to minimize labour pain, If labour pain cannot be decreased, it will cause mother anxiety, that anxiety result in long labour, so energy will decrease that can cause labour bleeding. Therefore it is needed to take action to minimize labour pain. One of that action was back massage that could stimulate endorphine, so the pain will decrease. The objectives of this study was to know the influence of massage towards the decrease of labour pain in active fase, lenght of stage II, and labour bleeding in primigravida at Publich Health Center Magelang Selatan. Quasi-experimental design was applied with static group comparation. The design gave intervention, then measurement and observation was conducted. The intervention group result was compared to control. Ratio scale was used. Subject of this research was 40 person. After analizing data by man Whitney test, here are the influence of back massage toward the decrease of pain labour in active fase, lenght of labour kala II and labour bleeding in primigravida with p value= 0.001.


2020 ◽  
Vol 9 (3) ◽  
pp. 95-100
Author(s):  
Ibnu Malkan Bakhrul Ilmi ◽  
Rimbawan Rimbawan ◽  
Katrin Roosita ◽  
Zakiudin Munasir

Penelitian ini bertujuan untuk mengetahui pengaruh pemberian cookies galohgor terhadap kadar β-karoten dan retinol ASI ibu nifas. Penelitian ini menggunakan quasi-experimental design yang terdiri atas dua kelompok, yaitu kelompok kontrol (n=9) dan kelompok intervensi (n=9). Kelompok intervensi diberikan cookies galohgor 4 keping ~ 40 g/ hari, sedangkan kelompok kontrol diberikan cookies dengan jumlah yang sama namun cookies tersebut tanpa penambahan galohgor. Pemberian cookies dilakukan selama 40 hari pascamelahirkan. Sampel ASI diambil pada hari ke-14 dan hari ke-40 untuk dianalisis kadar β-karoten dan retinol ASI. Analisis konsumsi pangan juga dilakukan bersamaan dengan pengambilan sampel ASI. Hasil penelitian ini menunjukkan tidak terdapat perbedaan pada kadar β-karoten dan retinol ASI antara kelompok kontrol dan intervensi, baik pada hari ke-14 maupun hari ke-40 pascamelahirkan (p>0,05), akan tetapi pemberian cookies galohgor relatif dapat mempertahankan kadar β-karoten ASI selama masa nifas. Oleh karena itu, penelitian ini menyimpulkan cookies galohgor dapat menjadi sumber β-karoten ASI.Effect of Galohgor Cookies on Vitamin A Content in Breast Milk of Postpartum MothersAbstractThis study was aimed to analyze the effect of galohgor cookies on β-carotene and retinol in breast milk of postpartum mothers. This study used quasi-experimental design consisting of two groups, the control group (n = 9) and the intervention group (n = 9). The intervention group was given galohgor cookies (4 pieces ~ 40 g / day), while the control group was given cookies without galohgor as many as the intervention group. Cookies were given for 40 days after giving birth. Breast milk samples were taken on the 14th day and 40th day to analyze β-carotene and retinol content in breast milk along with the interview of food consumption. The results showed β-carotene and retinol content in breast milk did not differ significantly between the groups, both on the 14th day and the 40th day after giving birth (p>0.05). However, galohgor might maintain the β-carotene concentration in breast milk. Therefore, as conclusion, galohgor cookies may be provided as the source of β-carotene in breast milk.


2014 ◽  
Vol 19 (4) ◽  
pp. 504-512
Author(s):  
Eun Sun Ji ◽  
Sally P Lundeen ◽  
Jia Lee

The purpose of this study was to investigate the effects of prenatal Qi exercise on mother–infant interaction and the behavioral state of the infant. A prospective, quasi-experimental design was used in 70 healthy pregnant women of more than 18 weeks of gestation. Pregnant women in the intervention group received 90 minutes of prenatal Qi exercise twice a week for 12 weeks. Prenatal Qi exercise group’s Nursing Child Assessment of Feeding Scale scores was higher in mother’s sensitivity to cues, responses to distress, socioemotional growth fostering, and cognitive fostering and for children in responsiveness. There was no significant difference in Anderson Behavioral State Scoring System scores between groups. The results suggested that prenatal Qi exercise is a valuable approach to positively influence mother–infant interaction postdelivery.


2019 ◽  
Vol 4 (2) ◽  
pp. 97-107
Author(s):  
Yuliani Budiyarti

Background: One of the actions that can be taken to accelerate labor and widen the birth canal is episiotomy. If the post episiotomy wound does not receive treatment measures such as exercice, it can cause negative effects such as the length of time the wound heals is at high risk of infection. The purpose of this study is to prove the effectiveness of Kegel Exercise on the healing process of episiotomy wounds in the inflammatory and proliferation phases of post partum mothers. Method: This type of quantitative research with a quasi experimental design of posttest only non-equivalent control group. The research sample of post partum mothers with episiotomy as many as 40 people were divided into two groups: 20 mothers of the intervention group and 20 mothers of the control group, using purposive sampling techniques and Mann Whitney analysis test. Results: p value 0,000 ≤ value α = 0.05 so that Kegel Exercise is effective in the healing process of episiotomy wounds in the inflammatory and proliferative phases in post partum mothers. Conclusion: Kegel exercise can be used as an alternative action that is easy and safe to accelerate the healing process of episiotomy wounds in post partum mothers.


2019 ◽  
Vol 4 (2) ◽  
pp. 149
Author(s):  
Ratna Dewi

Perineal injury is a predisposing factor for postpartum infections. This form of infection varies and is local until sepsis and postpartum death occur. One of the risk factors for perineal infection is healing of old perineal wounds. The study aims to measure the effect of broiler chicken eggs on healing of perineal wounds in puerperal mothers. The study was used a quasi experimental design method with a control group approach. Conducted for postpartum mothers in the district of Ingin Jaya from July to November 2018. The sample consisted of 15 intervention group mothers (receiving broiler eggs) and 15 control group mothers. Data collection by interview, 24 hour recall. Analysis using the Man Whitney test. The results showed that mothers who were given broiler eggs had a faster healing process in perineal wounds (p <0,05) with an average healing of 5-6 days. Mothers who were not given eggs had an average wound healing of 10-12 days in postpartum mothers. Conclusion, giving broiler chicken eggs significantly influence the healing of perineal wounds in puerperal mothers in district of Ingin Jaya. It is recommended, that the puerperal woman with perineal wounds to be able to consume 2 boiled eggs/day in an effort to accelerate wound healing and to avoid postpartum infections.Luka perineum merupakan faktor predisposisi terjadinya infeksi masa nifas. Bentuk infeksi ini bervariasi dan bersifat lokal sampai terjadi sepsis dan kematian masa nifas. Salah satu faktor resiko terjadinya infeksi perineum adalah penyembuhan luka perineum yang lama. Penelitian bertujuan untuk  mengukur pengaruh pemberian telur ayam broiler terhadap penyembuhan luka perineum pada ibu nifas. Penelitian menggunakan metode quasi experimental design dengan pendekatan  control group. Dilakukan pada ibu nifas di Kecamatan Ingin Jaya mulai Juli – Nopember 2018. Sampel terdiri 15 ibu kelompok intervensi (mendapat pemberian telur broiler) dan 15 ibu kelompok kontrol. Pengumpulan data secara wawancara, recall 24 jam. Analisis menggunakan uji Man Whitney. Hasil penelitian menunjukkan ibu yang diberikan telur broiler lebih cepat proses penyembuhan pada luka perineum (p< 0,05) dengan rata-rata penyembuhan yaitu 5-6 hari. Ibu yang tidak diberikan telur mempunyai rata-rata penyembuhan luka yaitu 10-12 hari pada ibu nifas. Kesimpulan, pemberian telur ayam broiler berpengaruh signifikan terhadap penyembuhan luka perineum pada ibu-ibu nifas di Kecamatan Ingin Jaya. Disarankan, supaya ibu nifas dengan luka  perineum untuk dapat mengkonsumsi telur rebus 2 butir per hari dalam upaya percepatan penyembuhan luka serta menghindari infeksi masa nifas.


2020 ◽  
Vol 9 (2) ◽  
pp. 970-975
Author(s):  
Yunik Windarti ◽  
Rizki Amalia

Exclusive breastfeeding is one of programs that grabs attention, where it is known that its achievements have never been successful according to the target that has been announced by the Indonesian government. Intensive care it is hoped that it will encourage mothers to provide exclusive breastfeeding. The aim to analyze effect of puerperium intensive care on the achievement of exclusive breastfeeding. Quasi experimental design, nonequivalent control group. Independent variables puerperium intensive care, dependent variable exclusive breastfeeding. Population of post-partum mothers using incidental sampling for 6 months in Wonokromo, instrument a questionnaire. Analyzed using chi-square test. Of the 31 respondents who received puerperium intensive care, most (58.06%) gave exclusive breastfeeding, of the 31 respondents who did not receive puerperium intensive care, most (67.74%) did not provide exclusive breastfeeding. The p value = 0.041 <α = 0.05 means there is an effect of puerperium intensive care on the achievement of exclusive breastfeeding


2018 ◽  
Vol 5 (07) ◽  
pp. 65-72
Author(s):  
Irmayanti. A.Oka

The research aimed at investigating the effect of the cork fish extract delivery on the interleukin-6 content change on the parturition women with the rupture perineum in the Specific Hospital of Mother and Child, Sitti Fatimah, Makassar. This was the quasi experimental research with the pre-post tes group design taken from the parturition women with the rupture perineum. Sample were as many as 30, in wich 15 the parturition women with the rupture perineum of degree II who were given the cork fish extract as the intervention were give Health Education as the control group. The measurement of IL-6 content was conducted one day post partum and after 7 das treatment. The data were analysed using Wilcoxon test and Mann-Whitney test. The research result indicated that there is the significant effect of the cork fish extract delivery on the decrease of IL-6 content namely: the intervention group is p= 0.02 and control group is p=1.00. Keyword : Cork fish extract, IL-6 content, parturition women


2018 ◽  
Vol 6 (1) ◽  
pp. 55
Author(s):  
Feriyal Salim Bawazir

Anemia terjadi di seluruh dunia, terutama di negara berkembang dan pada kelompok sosio-ekonomi rendah, yaitu pada 45 % wanita. Anemia merupakan salah satu penyebab tidak langsung kematian ibu. Berbagai upaya dilakukan, namun belum menunjukkan hasil maksimal. Perlu upaya lain berupa pemberian jus alpukat untuk mengatasi anemia kehamilan. Penelitian ini bertujuan mengetahui pengaruh pemberian jus alpukat terhadap kadar hemoglobin dan jumlah eritrosit ibu hamil. Jenis penelitian Quasi experimental design, dilaksanakan bulan November s.d. Desember 2017 di Puskesmas Sindang. Jumlah responden 33 ibu hamil trimester II, kadar Hb < 11 g/dL ditentukan dengan purposive sampling. Responden mengisi kuesioner, kemudian dilakukan pemeriksaan kadar Hb dan jumlah eritrosit 3 kali yaitu pre, hari ke-7, dan 14 setelah intervensi. Analisis data dilakukan secara deskriptif, analisis bivariat menggunakan independent dan paired sample t-test serta analisis mulitivariat menggunakan repeated measures ANOVA. Mengonsumsi jus alpukat selama 14 hari efektif meningkatkan kadar Hb dan jumlah eritrosit. Hasil uji beda tidak terdapat perbedaan kadar Hb dan jumlah eritrosit antara kelompok kontrol dengan intervensi. Hb rata-rata kelompok kontrol 10,375 g/dL sedangkan intervensi 10,653 g/dL (nilai p=0,986). Jumlah eritrosit rata-rata pada kelompok kontrol yaitu 3,455 juta/mm3 sedangkan intervensi 3,614 juta/mm3 (nilai p=0,763). Uji multivariat terlihat perbedaan antara kelompok kontrol dengan intervensi. Pada kelompok kontrol kadar Hb rata-rata (p=0,441) sedangkan intervensi (p=0,023). Untuk jumlah eritrosit rata-rata pada kelompok kontrol (p=1,000) sedangkan intervensi (p=0,043). Simpulan peneltian adalah terdapat pengaruh positif pemberian jus alpukat selama 14 hari terhadap peningkatan kadar Hb dan jumlah eritrosit rata-rata, namun tidak ada perbedaan antara kelompok intervensi dan kelompok kontrol. Abstrak Anemia occurs worlwide, especially in developing countries and in low socioeconomic groups. i.e. in 45% of women. Anemia is one of the causes of bleeding. Various attempts have been made, but have not shown the maximum results. Need other efforts in the nutrition form of avocado juice to overcome the anemia of pregnancy. This research aims to determine the effect of avocado juice on hemoglobin and erythrocyte levels of pregnant women. The type of this research is Quasi Experimental design which implemented in November to December 2017 with 33 respondents of trimester II pregnant women who have HB<11g/dL and determined by purposes sampling. Repondents filled out questionnaires to determine their characteristics and performed laboratorium checkup 3 times, pre, on day 7 and 14 after intervention. The data analysis was done descriptively, hypothesis testing using independent sample t-test, to know the effectiveness of avocado juice using paired sample t-test and to know the difference of mean of Hb and erythrocytes using ANOVA repeated measures test. Consuming avocado juice for 14 days was effective in increasing the average of Hb and erythrocyte levels. LSD post hoc test results showed significant differences in Hb and erythrocytes mean (Hb p-value = 0.023 and erythrocytes p-value = 0.043) in the intervention group between pre and day 14 post intervention. While in the control group p-value p= 0.441 for Hb and erythrocytes p=1.000. The conclusion of this research that there was a positive effect of consuming avocado juice for 14 days in increasing the average of Hb and erythrocyte levels, but the hypothesis test result showed that there was no significant difference between the intervention group and the control group.


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