scholarly journals THE IMPACTS OF STIMULATION IN PROTRACTED LABOR TO CORTISOL LEVELS AND INCIDENCE OF POST-PARTUM BLUES

2017 ◽  
Vol 53 (1) ◽  
pp. 7
Author(s):  
Soetrisno Soetrisno ◽  
Supriyadi Hari Respati ◽  
Sri Sulistyowati ◽  
Hendro Kurniawan
Keyword(s):  
Post Partum ◽  
Serum Levels ◽  
Study Groups ◽  
Control Group ◽  
Vacuum Extraction ◽  
Chi Square ◽  
Normal Delivery ◽  
Baby Blues ◽  
Postpartum Blues ◽  
Cortisol Levels

Delivery, induction, stimulation, cesarean section with the aid of a vacuum extraction, for example, can reduce maternal confidence on the smooth delivery process, as well as improve postpartum stress. These stressors stimulate the HPA axis (hypothalamus-pituitary-adrenal), so that the adrenal cortex produces more cortisol hormone, it can increase postpartum blues. The objective of this study was to analyze the effect of delivery stimulation on protracted labor on cortisol levels and the occurrence of postpartum baby blues. This was an experimental study of non-randomized post-test control group. The subject of the study 30 patients in labor taken consecutive sampling, divided into 2 groups (normal delivery and stimulation) each group consist of 15 patients. In stimulation delivery group, it is examined of cortisol serum levels after five days and then continued for postpartum blues occurrence measurement. Statistical analysis using t-test for differences in levels of cortisol and chi square for analyzing the effect on the occurrence of post-partum blues (a=0.05). Mean  level of cortisol in delivery stimulation group is 40.29 ± 5.58, in normal delivery is 33.59 ± 11.17, with p=0.047, meaning there are significant differences both study groups. Stimulation delivery increases the occurrence of post-partum blues 5.50 times compared to normal delivery (OR=5.50 and p=0.028). Mean cortisol levels on post-partum blues higher at 42.90 ± 6.97 compared to no post-partum blues 30.14 ± 6.66, p=0:00, which means there are significant differences both groups. In conclusion, there was significant relationship between stimulation in protrated labor that increases cortisol serum level and post partum blues incidence.

scholarly journals Relationship of Serum Cortisol Levels with Postpartum Blues on Dystocia Labor

2019 ◽  
pp. 34
Author(s):  
Andree Hartanto ◽  
John J. E. Wantania ◽  
Joice M.M. Sondakh
Keyword(s):  
Significant Relationship ◽  
Elevated Serum ◽  
Serum Cortisol ◽  
Serum Cortisol Level ◽  
Control Group ◽  
Case Group ◽  
Normal Delivery ◽  
Postpartum Blues ◽  
Cortisol Levels ◽  
Relationship Of

Abstract Objective: To determine the relationship of elevated serum cortisol levels in the mother with dystocia labor Methods :this study was a prospective cohort, with mother who had dystocia labor as case group and mother with normal delivery as control group at RSUP Prof.DR.RD Kandou, and affiliation hospitals from October 2016 until March 2017. Data were analyzed With SPSS version 2.0 to see the significancy level. Results: from 32 cases, 16 cases with dysocystia labor and 16 cases with normal delivery. Of all cases with abnormal postpartum serum cortisol levels, the most were housewives with 14 cases (70%), based on educational level, most of whom below bachelor degree were 18 cases (90%). While cases with EPDS(Edinburgh postpartum depresson scale) score ≥10, found the most patients who underwent a cesarean section as many as 11 cases (68.75%). In the Mann-Whitney statistical test, it showed that serum cortisol levels (p=0.007) and EPDS score (p=0.001) had a significant relationship for risk of postpartum blues in dystocia labor. Conclusions: there was a significant relationship between serum cortisol levels and EPDS score with risk of postpartum blues on dystocia labor. Keywords: dystocia labor, EPDS score, postpartum blues, serum cortisol level.   Abstrak Tujuan : mengetahui adanya hubungan peningkatan kadar kortisol serum pada ibu dengan  persalinan distosia. Metode : penelitian ini adalah jenis kohort prospektif (cohort prospective), dengan kelompok ibu yang melahirkan dengan persalinan distosia sebagai kelompok kasusdan ibu yang melahirkan tanpa komplikasi persalinan sebagai kelompok kontrol di Bagian Kebidanan dan Kandungan Rumah Sakit Umum Pusat (RSUP) Prof.DR.R.D Kandou, dan RS jejaring mulai Oktober 2016 sampai Maret 2017.Data dianalisa dengan SPSS versi 2.0 untuk melihat tingkat kemaknaannya. Hasil : dari 32 subjek penelitian, 16 subjek dengan persalinan distosia dan 16 subjek dengan persalinan normal. Dari seluruh subjek penelitian yang mempunyai kadar kortisol serum postpartum abnormal,berdasarkan jenis pekerjaan, paling banyak adalah ibu rumah tangga dengan 14 subjek (70 %).Berdasarkan tingkat pendidikan, didapatkan paling banyak adalah SD,SMP,SMA sebanyak 18 subjek (90%). Sedangkan subjek yang mempunyai skor EPDS ≥ 10, ditemukan paling banyak subjek yang menjalani prosedur bedah sesar sebanyak 11 pasien (68,75%). Dalam uji statistik Mann-Whitney, menunjukkan bahwa kadar kortisol serum .(p=0.007) dan skor EPDS (p=0.001) mempunyai hubungan yang kuat untuk terjadinya postpartum blues pada persalinan distosia. Kesimpulan : terdapat hubungan bermakna kadar kortisol serum dan skor EPDS dengan postpartum blues pada persalinan distosia. Kata kunci :   kadar kortisol serum, persalinan distosia, postpartum blues, skor EPDS.

Success Rate of Obturation of Root Canals by Different Techniques in Primary Molars: A Comparative Clinical Study

2020 ◽  
Vol 2 (1) ◽  
pp. 36-44
Author(s):  
Satyawan G. Damle ◽  
Ritika Bansal ◽  
Dhanashree D. Sakhare
Keyword(s):  
Success Rate ◽  
Study Groups ◽  
Primary Molars ◽  
Control Group ◽  
Second Primary ◽  
Chi Square ◽  
Exact Test ◽  
Root Canals ◽  
Significant Difference ◽  
Comparative Clinical Study

Objective: To compare the success rate of different obturation procedures in primary mandibular second molars clinically and also by digital radiovisiography. Methods: A total of 40 children aged between 4-8 years with deeply carious mandibular second primary molars indicated for single session pulpectomy were selected. Canals were obturated with Metapex. The 3 study groups (Endodontic plugger, Handheld lentulospiral, Navi Tip syringe) were compared with the control group (reamer) both clinically and radiovisiographically. The data collected were statistically analyzed using Pearson’s Chi-square and Fisher’s exact test. Results: The use of Navi tip syringe led to the least number of voids followed by Endodontic plugger and Reamer and the highest number of voids was reported with Lentulospiral. Navitip presented maximum number of optimally filled cases followed by Endodontic plugger and Lentulospiral and least number of optimally filled cases with reamer. However, there was no statistically significant difference (p>0.05) in any of the groups with clinical (pain and tenderness to percussion) and radiographic parameters (presence or absence of voids and length of obturation). Conclusion: Within the limitations of the present study, though the clinical outcome was statistically insignificant, Navitip syringe exhibited encouraging results and is a promising option for obturation in primary teeth.

scholarly journals EFEKTIVITAS PIJAT OKSITOSIN TERHADAP PRODUKSI ASI

2019 ◽  
Vol 3 (2) ◽  
pp. 223-227
Author(s):  
Hidayatun Nufus
Keyword(s):  
Post Partum ◽  
Control Group ◽  
Chi Square ◽  
Control Group Design ◽  
Purposive Sampling ◽  
Group Design

Tahun 2018 Jumlah kematian bayi sebanyak 199 bayi dari 19.353 Kelahiran Hidup, atau dengan kata lain angka AKB Kabupaten Jombang tahun 2018 sebesar 10 per 1.000 KH. Keberhasilan ini dikarenakan adanya beberapa pogram akselerasi AKB di jalankan dengan serius diantaranya adalah program IMD (inisiasi menyusui dini) dan ASI eksklusif. ASI bermanfaat untuk menjaga ketahanan tubuh bayi karena mengandung zat anti infeksi. Diharapkan semua ibu bisa memberikan ASI eksklusif pada bayinya, tetapi ketika saat kontrol hari ke 7 , 50 % ibu sudah membawa botol dengan susu formula untuk bayinya. Oleh karenanya dibutuhkan usaha yang intensif untuk membantu ibu nifas normal agar menyusui bayinya, salah satunya dengan pijat oksitosin yang dapat membantu produksi ASI. Tujuan Penelitian ini adalah untuk mengetahui efektivitas pijat oksitosin terhadap produksi ASI pada ibu post partum normal. Metode penelitian ini menggunakan desain quasy eksperimenT dengan rancangan penelitian eksperimen semu atau dengan rancangan non randomized posttest without control group design. Pengambilan sampel dengan purposive sampling. Sampel berjumlah 50 orang ibu post partum normal yang dibagi dalam 2 kelompok, yaitu 25 responden pijat oksitosin dan 25 responden  tanpa pijat oksitosin Hasil menunjukkan usia rata-rata ibu 20-35 tahun (92,5%), multipara (70%). Berdasarkan hasil analisis dengan uji statistik chi-square didapatkan bahwa nilai t hitung 9,22 > t tabel 3,84 dengan demikian Ho ditolak dan H1 diterima.Simpulan mayoritas produksi ASI pada ibu post partum normal adalah cukup dan ada perbedaan antara produksi ASI ibu post partum setelah mendapatkan pijat oksitosin dan tidak. Pijat oksitosin adalah salah satu cara untuk memperlancar dan meningkatkan produksi ASI. Pijat oksitosin merupakan salah satu contoh intervensi mandiri bidan dan dengan mudah dipilih dalam penatalaksanaan  merangsang produksi ASI Kata kunci : Pijat oksitosin, Produksi ASI

scholarly journals HUBUNGAN DUKUNGAN KELUARGA DENGAN KEJADIAN POST PARTUM BLUES

2021 ◽  
Vol 7 (2) ◽  
pp. 116-123
Author(s):  
Sri Yunita Suraida Salat ◽  
Arisda Candra Satriaawati ◽  
Dian Permatasari
Keyword(s):  
Correlation Coefficient ◽  
Post Partum ◽  
Cross Sectional ◽  
Spearman Rank ◽  
Baby Blues ◽  
Postpartum Blues

Memiliki seorang bayi merupakan momen yang selalu dinanti dan diharapkan oleh setiap pasangan yang sudah menikah. Namun adakalanya momen kebahagiaan ini justru berubah menjadi kondisi stress tersendiri bagi ibu, yang dikenal dengan postpartum blues atau baby blues syndrome. Tujuan penelitian ini untuk mengatahui apakah ada hubungan antara dukungan keluarga dengan kejadian postpartum blues di Desa Marengan Laok kecamatan Kalianget Kabupaten Sumenep. Penelitian ini merupakan jenis survey analitik  dengan desain cross sectional. Teknik sampling yang digunakan dalam penelitian ini adalah total sampling dengan jumlah responden sebanyak 13 ibu postpartum. Analisa data yang digunakan adalah uji statistik  sperman rank dengan tingkat kemaknaan 5% (0,05). Hasil penelitian menunjukkan bahwa 77% ibu postpartum mengalami postpartum blues, dan 38% diantaranya mengalami postpartum blues ringan. Dari 13 Ibu postpartum hampir separuhnya yaitu 46% mendapatkan dukungan keluarga yang kurang. Hasil analisis data dengan uji spearman rank menunjukkan ? value= 0,000 yang bermakna bahwa ada hubungan antara Dukungan Keluarga dengan Kejaidan Postpartum blues di Desa Marengan Laok Kecamatan Kalianget Kabupaten Sumenep. Correlation coefficient menunjukkan angka -0,875 yang berarti bahwa hubungan antara dukungan keluarga dengan kejadian postpartum blues adalah sangat kuat. Oleh sebab itu, dibutuhkan adanya dukungan keluarga yang sangat baik untuk ibu postpartum, karena dukungan yang baik dari keluarga akan memberikan kekuatan emosi tersendiri bagi ibu postpartum.

scholarly journals Kombinasi Herbal Steam Bath dan Massage Terapi pada Ibu Nifas dalam Mencegah Post Partum Blues

2019 ◽  
Vol 2 (2) ◽  
pp. 123-133
Author(s):  
Kristina Maharani ◽  
Choirul Anwar ◽  
Agus Suwandono
Keyword(s):  
Post Partum ◽  
Alternative Therapy ◽  
Massage Therapy ◽  
Steam Bath ◽  
Control Group ◽  
P Value ◽  
Postpartum Blues ◽  
Post Test ◽  
Postpartum Mothers ◽  
Test Control

The purpose of this study was to analyze the effectiveness of a combination of herbal steam bath and massage therapy as a way to prevent post partum blues of postpartum mothers. This type of quasi experiment research design with pre-test and post-test control group. The results of the study, herbal steam bath and massage therapy are more effective than conventional puerperal care in the prevention of post partum blues with a p-value <0.05. Conclusion, Herbal steam bath and massage therapy can be used as an alternative therapy in the prevention of post partum blues.   Keywords: Herbal Steam Bath, Massage therapy, Postpartum Blues, Postpartum Blues

scholarly journals Dental anomalies and clinical features in patients with maxillary canine impaction

2012 ◽  
Vol 83 (1) ◽  
pp. 22-28 ◽  
Author(s):  
Emanuele Mercuri ◽  
Michele Cassetta ◽  
Costanza Cavallini ◽  
Donatella Vicari ◽  
Rosalia Leonardi ◽  
...  
Keyword(s):  
Clinical Features ◽  
Study Groups ◽  
Control Group ◽  
Dental Arch ◽  
Dental Anomalies ◽  
Maxillary Canine ◽  
Chi Square ◽  
Facial Profile ◽  
Chi Square Test ◽  
Orthodontic Patients

Abstract Objective: To analyze the prevalence, distribution, clinical features, and relationship with dental anomalies of maxillary canine impaction. Materials and Methods: The complete pretreatment records of 1674 orthodontic patients were examined. Subjects with maxillary impacted canines were divided into two study groups: a palatally displaced canine (PDC) group (114 patients) and a buccally displaced canine (BDC) group (37 patients). These were compared to a control group of 151 patients who were randomly selected from the initial sample without maxillary canine impaction. The significance of associations between canine impaction and dental and clinical features and anomalies was examined with the chi-square test. Results: PDC patients presented with normal overjet and facial profile and a lower degree of dental arch crowding in comparison to the control patients. PDC patients showed a higher prevalence of impaction of other teeth, dental aplasia, transposition, and peg-shaped maxillary lateral incisors (odds ratios 3.3, 2.6, 8.3, and 5.8, respectively). Conclusion: PDC was frequently the only orthodontic problem of patients. BDC group patients did not present with notable differences in clinical and dental features or dental anomalies compared to control subjects.

Pengaruh Pendidikan Kesehatan dengan Lembar Balik Terhadap Perilaku Pemberian Asi pada Ibu Post Partum

2017 ◽  
Vol 3 (2) ◽  
pp. 40
Author(s):  
Luluk Fajria Maulida
Keyword(s):  
Health Education ◽  
Healthy Lifestyle ◽  
Post Partum ◽  
Intervention Group ◽  
Average Score ◽  
Control Group ◽  
Chi Square ◽  
Group A ◽  
And Control ◽  
Breastfeeding Attitude

 One of the obstacles in breastfeeding attitude is the lack of lactation communication and counseling. Breastfeeding health education is designed to enforce healthy lifestyle of breastfeeding by delivering proof based information. Flipchart media usage can be easily understood by health counsellors and clients. The study is to investigate the influence of health education using flipchart over breastfeeding attitude in post-partum mothers. This research was used a quasi experiment design with posttest only design with control group. A random assignment sampling design was used to 42 respondents which were divided into 2 groups; intervention group and control group. The samples were randomized using numbers and were divided into intervention and control group. The intervention group was given health education after delivery and questionnaires were given in intervention and control group a week after postpartum. The average score postpartum maternal behavior in the intervention group (18,43) is higher than the control group (15,14). The results of chi square test p = 0.00; RR = 3.16; CI = 1,58-6,31. External variables related to the behavior of breastfeeding is the education level of p = 0.02. Health education using flipchart significantly affects breastfeeding behavior in postpartum mothers.

scholarly journals One Abutment One Time: A Multicenter, Prospective, Controlled, Randomized Study

2020 ◽  
Vol 17 (24) ◽  
pp. 9453
Author(s):  
José Vicente Ríos-Santos ◽  
Gregorio Tello-González ◽  
Pedro Lázaro-Calvo ◽  
Francisco Javier Gil Mur ◽  
Blanca Ríos-Carrasco ◽  
...  
Keyword(s):  
Bone Loss ◽  
Statistical Significance ◽  
Randomized Study ◽  
Study Groups ◽  
Control Group ◽  
Implant Stability ◽  
Chi Square ◽  
Implant Placement ◽  
Qualitative Variables ◽  
Bone Level

Aim: (PRIMARY) Assess the changes in bone level (6 and 12 months after implant placement) between the test (definitive abutment (DEF)) and control (healing abutment (HEA)) groups. (SECONDARY) Assess the changes in bone level (6 and 12 months after implant placement) between the 1 mm high abutment group and 2 mm abutment group. Evaluate changes in implant stability recorded with analysis of the resonance frequency (RFA) Osstell system, at 6 and 12 months after implant placement, between the control group (HEA) and test (DEF). For the DEF group, the abutment was placed at the time of the surgery and was never removed. For the HEA group, the abutment was removed three times during the manufacture of the crowns. The abutments used were 1 mm high (Subgroup A) and 2 mm high (Subgroup B). Materials and methods: A total of 147 patients were selected between 54.82 ± 11.92 years old. After implant placement, patients were randomly distributed in the DEF and HEA group. After the implant placement, a periapical radiograph was taken to assess the peri-implant bone level; the same procedure was carried out 6 and 12 months post-placement. To compare the qualitative variables between the groups (HEA/DEF), the Chi-square test was used; for quantitative (MANOVA). Results: After a year, the accumulated bone loss was 0.48 ± 0.71 mm for the HEA group and 0.36 ± 0.79 mm for the DEF group, without statistical significance. Differences were only found due to timing (time) between 0 and 6 months (=0.001) and 0 and 12 months (0.001), with no differences attributable to the study groups (DEF and HEA). The accumulated bone loss (1 year) was 0.45 ± 0.78 mm for the 1 mm abutment group and 0.41 ± 0.70 mm for the 2 mm abutment group (p = 0.02). No differences were observed in implant stability between groups. Conclusions: The “One Abutment—One Time” concept does not reduce peri-implant bone loss compared to the connection–disconnection technique. The height of the abutment does influence bone loss: the higher the abutment, the lower the bone loss.

The Effect Of Oxytosin Massage Through The Back On The Production Of Breast Milk In Post Partum Mother In The Mother Of Permata Bunda Subdistrict Babat

2019 ◽  
Vol 1 (1) ◽  
Author(s):  
Dwi Kurnia purnama Sari
Keyword(s):  
Breast Milk ◽  
Milk Production ◽  
Health Workers ◽  
Statistical Tests ◽  
Post Partum ◽  
Significant Degree ◽  
Control Group ◽  
P Value ◽  
Chi Square ◽  
Chi Square Test

Every minute of one baby indonesia died because they did not to obtain breast milk (BM) in the first hour of birth, problems in the provision of breastfeeding can because production breastfeeding not out.One way to overcome the incomplete milk production is by doing a massage of oxytocin through the back. This message can relax the mother’s so that stimulate oxcytocin reflex and milk production also smoothly. The purpose of this research to know the influence of massage oxytocin through the back to production breastfeeding on the post partum. This research using design Quasy experimental that involves 30 respondents taken with systematic random sampling. Respondents divided into 2 groups, namely the control group were 15 respondents and group experimental were 15 respondents.Data collection use observation checklist.Data analyzed using chi-square test with a significant degree α ≤ 0.05. The results of statistical tests chi square obtained p value = 0,028 (α< 0,05)thus H1 accepted that mean there are influence massage oxytocin through the back to production breastfeeding on the post partum. The research at the clinic Permata BundaSubdistrict Babat that is the massage oxytocin through the back to production breastfeeding. Because massage oxytocin through the back can stimulate reflexes oxytocin hormone. Expected for health workers can provide health education about massage oxytocin through the back to the community so later expected all the community be able to apply massage oxytocin through the back to overcome it swift sailboat production breastfeeding.

scholarly journals KARAKTERISTIK IBU DAN POST NATAL TREATMENT (PNT) BERHUBUNGAN DENGAN TERJADINYA POSTPARTUM BLUES IBU NIFAS

2019 ◽  
Vol 7 (2) ◽  
pp. 69
Author(s):  
Yuliyanik Yuliyanik
Keyword(s):  
Mental Disorder ◽  
Post Partum ◽  
Secondary Data ◽  
Primary Data ◽  
Observational Methods ◽  
Chi Square ◽  
Postpartum Blues ◽  
Chi Square Test ◽  
Breast Care ◽  
Postpartum Mothers

This study aimed at examining the occurrence of postpartum blues in postpartum mothers. Post partum blues is categorized as a mild mental disorder syndrome for it is often ignored so that it is undiagnosed and not treated as it should, which finally leads to a difficult and unpleasant problem that may create feelings of discomfort for women who experience it. The study is intended to prevent the occurrence of Post partum blues in postpartum mothers. Post Partum Blues can be prevented by doing ANC and Post Natal Treatment routinely. Post Natal Treatment is a series of treatments performed specifically for postpartum mothers, which include massage, breast care, oxytocin massage, postpartum spa and full-blooded face. The research employed observational methods. The population of all puerperal mothers was 20 people, using total sampling. Data is obtained from primary data and secondary data, then the data is processed using SPSS 16 with chi square test. The conclusion of the value of p = 0.01 is that there is a relationship between the characteristics of postpartum mothers and PNT with the occurrence of postpartum blues. Age, education and occupation of postpartum mothers are associated with the insidence of postpartum blues. PNT that had been received by postpartum mothers was also related to the insidence of postpartum blues. Researcher's suggestion is for postpartum mothers to carry out ANC and PNT routinely to prevent the occurrence of post partum blues.

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