Effleurage Against Uterine Contractions in Active Phase First Stage Labor

The progress of labour at active phase I is the most tiring, continuous, and most mothers begin to feel the pain. During this time many of the efforts to streamline the uterine contractions among other things with the touch of a massage. Massage on the abdomen (effleurage) is a form of stimulation of the skin which is used during the process of childbirth can induce a relaxing effect. The purpose of the study is to know the influence of massage effect against uterine contractions in parturients active phase I.Quasi-experimental research draft with the design of the pretest-posttest with a control group. The sample was used for each group of 37 respondents with a purposive sampling technique. The results of the research there is a difference in the duration of uterine contraction before and after the intervention done by p <0.05, and the duration of the contractions of the uterus in the intervention group longer 10.270 seconds in the control group of 2,297 seconds. Effleurage massage has a significant influence on the duration of uterine contraction on at parturient active phase I.

Download Full-text

The Influence of Acupressure Li4 and Sp6 Techniques to the Endorphins Level And Progress of Labor in Period I Active Phase

Jurnal Ilmiah PANNMED (Pharmacist, Analyst, Nurse, Nutrition, Midwivery, Environment, Dentist) ◽

10.36911/pannmed.v16i1.1055 ◽

2021 ◽

Vol 16 (1) ◽

pp. 229-234

Author(s):

Uliy Iffah

Keyword(s):

Quantitative Research ◽

Intervention Group ◽

Sampling Technique ◽

Active Phase ◽

Routine Care ◽

Control Group ◽

Effective Technique ◽

Uterine Contractions ◽

Significant Difference ◽

Before And After

Pain in labor is physiological because the pain comes from the cervical dilatation and uterine contractions that needed for labor (Potter & Perry, 2005). Research conducted by Brown, Douglas and Flood (2001) using 10 nonpharmacological methods performed on 46 people found that acupressure technique is the most effective technique to reduce pain during labor through the increased of endorphins and shorten the length of labor. The purpose of this study is to know the influence of acupressure method on endorphin levels and the progress of labor in the first period. This type of research is quantitative research by using quasi experiment design with pretest approach and posttest design with control group by performing acupressure on primipara maternal mother during period I active phase. The study was conducted at Bidan Praktik Mandiri. The population of this study is primipara mother inpartu period I active phase using Non Probability sampling technique with Consecutive Sampling. The results showed a significant difference in endorphin levels before and after receiving acupressure in the intervention group (p = 0.048) and there was a significant difference in the progress of labor before and after receiving acupressure in the intervention group (p = 0.001). Acupressure can be used as a routine care in every care of normal childbirth thus mother's care and baby care can be created well.

Download Full-text

EFEKTIVITAS PIJAT EFFLEURAGE DAN COUNTERPRESSURE TERHADAP KEMAJUAN DILATASI SERVIKS PADA KALA I FASE AKTIF

Media Ilmu Kesehatan ◽

10.30989/mik.v7i3.293 ◽

2019 ◽

Vol 7 (3) ◽

pp. 185-190

Author(s):

Retty Nirmala Santiasari ◽

Detty Siti Nurdiati ◽

Wiwin Lismidiati

Keyword(s):

Sampling Technique ◽

Active Phase ◽

Labor Pain ◽

Cervical Dilatation ◽

Control Group ◽

Research Subjects ◽

Uterine Contractions ◽

Average Improvement ◽

Before And After ◽

Post Test

Backgraound: Labor process begins with the process of cervical dilatation, which is commonly accompanied by pain. Labor pain caused by uterine contractions can cause thinning of the cervix. Effects of labor pain includes inflammation in uterus and labor dystocia. Effleurage and counterpressure are complementary treatment to stimulate uterine contractions. Objective: To analyze the effectiveness of effleurage and counterpressure massages on the progress of cervical dilatation. Method: This was a quasi-experiment study with pre-post test nonequivalent control group. Population was the women in labor in stage I active phase. Research subjects were 68 people that were divided into two groups. Sampling technique was consecutive sampling. Instrument used in this study was the internal examination. Data were analyzed using Wilcoxon and Mann Whitney. Results: The progress of cervical dilatation before and after the intervention of the effleurage was 4.74±0.83 vs 7.47±1.21 with p=0.00 and the result for the counterpressure group was 4.59±0.66 vs 8.03±0.96 with p=0.00. The average improvement of cervical dilatation on the effleurage and counterpressure groups was 2.73 vs 3.44 with p=0.00. Conclusion: The counterpressure has the more significant effect than the effleurage on improving the cervical dilatation. Keywords: Cervical dilatation, counterpressure, effleurage

Download Full-text

PENGARUH TERAPI AKUPRESUR PADA TANGAN TERHADAP NYERI PERSALINAN KALA I FASE AKTIF DI PMB RATRI RESTUNI S.ST SAMARINDA

Jurnal Kebidanan Mutiara Mahakam ◽

10.36998/jkmm.v7i1.35 ◽

2019 ◽

Vol 7 (1) ◽

pp. 1-11

Author(s):

Ririn Ariyanti ◽

Aulia

Keyword(s):

Intervention Group ◽

Resistance Mechanism ◽

Sampling Technique ◽

Active Phase ◽

Pain Scale ◽

Labor Pain ◽

Control Group ◽

P Value ◽

Before And After ◽

Average Pain

Pain is a natural process in labor. The response of pain is different between one and another it is influenced by factors depended in body’s resistance mechanism since labor process. The factors are age, gender, pain’s mean, attention, previous experience, coping style, family’s support, afraid, worried, personality, fatigue, culture and social. Acupressure is one of the best non-pharmacology techniques in easiest management of labor pain, cheapest, and can be done by all of people because needs only two hands in therapy implementation. The objective of this research is to identify the influence af acupressure therapy on hands to labor pain of active phase in period I. This research was queasy experiment with non-equivalent pretest-posttest design. The population of this research was inpartu woman at PMB. Ratri Restuni, S.ST Samarinda. The sampling technique used non random sampling technique; it was the sampling quota of 15 people in intervention group and 15 people in control group. Data collection was obtained by doing interview and giving acupressure. The research finding shows that there is significant differences between pain scale before and after intervention in intervention group with t-value = 11,117 and p-value 0,05, in average pain scale of intervention group before and after intervention is 68.7, it decreases to 4.37, control group is 6.80 and there is no decreasing; the average period of this is 13 minutes and then increasing again. Acupressure therapy has to be applied in giving inpartu care in period I of active phase to decrease labor pain. For next researchers, they are expected to do more research by taking other variables that can influence labor pain; which are coping, family support, and personality.

Download Full-text

EFEKTIVITAS PIJAT EFFLEURAGE DAN COUNTERPRESSURE TERHADAP KEMAJUAN DILATASI SERVIKS PADA KALA I FASE AKTIF

Media Ilmu Kesehatan ◽

10.30989/mik.v7i3.240 ◽

2019 ◽

Vol 7 (3) ◽

pp. 185-197

Author(s):

Retty Nirmala Santiasari ◽

Detty Siti Nurdiati ◽

Wiwin Lismidiati

Keyword(s):

Sampling Technique ◽

Active Phase ◽

Labor Pain ◽

Cervical Dilatation ◽

Control Group ◽

Research Subjects ◽

Uterine Contractions ◽

Average Improvement ◽

Before And After ◽

Post Test

Download Full-text

THE EFFECT OF DHIKR ON ANXIETY AND DEPRESSION LEVEL IN HEMODIALYSIS PATIENTS AT PURWOKERTO ISLAMIC HOSPITAL

International Journal of Islamic Medicine ◽

10.37275/ijim.v2i1.17 ◽

2021 ◽

Vol 2 (1) ◽

pp. 15-25

Author(s):

Muhammad Anggun ◽

Titik Kusumawinakhyu ◽

Irma Finurina Mustikawati ◽

Wiharto Wiharto

Keyword(s):

Intervention Group ◽

Depression Scale ◽

Sampling Technique ◽

Hemodialysis Patients ◽

Anxiety And Depression ◽

Control Group ◽

Control Group Design ◽

Hemodialysis Unit ◽

Before And After ◽

The Mean

Hemodialysis is a routinely performed therapy on chronic kidney patients, leading to psychological problems among subjects who undergo hemodialysis, such as anxiety and depression. One of the efforts to overcome anxiety and depression is with the dhikr intervention. Dhikr presents hearts to remember and be obedient to Allah followed by the words and actions in various conditions. Discover dhikr's influence on the level of anxiety and depression in patients on hemodialysis in Purwokerto Islamic Hospital. It was a quantitative study using quasi experiment with a non-quivalent control group design. The number of samples was 12 subjects consisting of 6 subjects in the control group and six subjects in the intervention group with the purposive sampling technique. Instruments were used to measure anxiety and depression are the HADS ( Hospital Anxiety and Depression Scale ) before and after dhikr intervention as much as 12 times. Research is carried out in Hemodialysis Unit of Purwokerto Islamic Hospital. Test statistics on research are used paired t-test and independent t-tests. This study showed a decrease in the mean level of anxiety from 5, 83 to 1.67 in the experimental group ( p = 0.003). The mean level of depression experienced a decline of 9, 67 becomes 4.67 on a group experiment ( p = 0.003). Dhikr reduces the level of anxiety and depression in hemodialysis patients at the Purwokerto Islamic Hospital.

Download Full-text

EFFECT OF HEALTH PROMOTION AND WHATSAPP REMINDER TO SELF EFFICACY OF ADHERENCE CONSUME FE TABLETS PREGNANT WOMEN

Journal of Health Technology Assessment in Midwifery ◽

10.31101/jhtam.682 ◽

2019 ◽

Vol 2 (1) ◽

Author(s):

Dyah Dyah Dewi ◽

Wiwik Wiwik Kusumawati ◽

Ismarwati Ismarwati Ismarwati

Keyword(s):

Health Promotion ◽

Pregnant Women ◽

Self Efficacy ◽

Intervention Group ◽

Sampling Technique ◽

Control Group ◽

Control Group Design ◽

Significant Difference ◽

Before And After ◽

The Government

Background: Maternal Mortality Rate (MMR) as an indicator of maternal health during pregnancy, childbirth, and childbirth. Anemia contributes 20% to the incidence of maternal deaths caused by bleeding during labor. The government prevents anemia by giving iron tablets at least 90 tablets for pregnant women. However, the prevalence of anemia remains high, because of the low adherence in consuming Fe tablets every day. Self-efficacy adherence is a predictor of health behavior and adherence to treatment.Objective: To improve adherence with self-efficacy in consuming Fe tablets in pregnant women with health promotion and WhatsApp reminder in Yogyakarta City Health Center.Method: This study used a quasi-experiment method with a pre-test post-test non-equivalent control group design. The sample amounted to 59, the sampling technique used was consecutive sampling which was taken by random sampling technique in which samples were taken alternately to determine the intervention group and the control group.Results: There were significant differences in the self efficacy score between the intervention groups (Mean = 6.30, SD = 8.11) and the control group (Mean = 0.89, SD = 7.83) with t-test = 2.60 and ρ = 0.012.Conclusion: There is a significant difference in self-efficacy adherence with consuming Fe tablets in pregnant women before and after being given health promotion and WhatsApp reminder intervention and control groups. Health service agencies can consider the combined service between health promotion and WhatsApp reminder to improve self-efficacy in adhering to consuming Fe tablets in increasing Hb levels in anemic pregnant women.

Download Full-text

EFEKTIFITAS METODE SIMULASI DAN FEEDBACK YANG KONSTRUKTIF DALAM PELATIHAN CARDIOPULMONARY RESPIRATORY UNTUK MENINGKATKAN PENGETAHUAN DAN KETERAMPILAN MAHASISWA

DINAMIKA KESEHATAN JURNAL KEBIDANAN DAN KEPERAWATAN ◽

10.33859/dksm.v10i1.299 ◽

2020 ◽

Vol 10 (1) ◽

pp. 388-401

Author(s):

Sugiarto Sugiarto ◽

Sri Sundari ◽

Lisa Musharyanti

Keyword(s):

Intervention Group ◽

Sampling Technique ◽

T Test ◽

Control Group ◽

P Value ◽

Simulation Methods ◽

Knowledge And Skills ◽

Paired Sample ◽

Constructive Feedback ◽

Before And After

Constructive feedback is an effort to increase knowledge and skills so that instructors can find out how to provide constructive feedback. Constructive feedback of simulation methods needs to be given to students in order that they are motivated to increase their knowledge and skill. The objective of this study is to understand increasing of student’s knowledge and skill in simulation methods with and without constructive feedbacks. Methods used in this study is Quasi Experiment using pretest and posttest with control group. Total respondents used in this study are 77 respondents with 40 students of intervention group and 37 students of control group using purposive sampling technique. Respondents were given interventions such as constructive feedback.The results of study using paired sample t-test indicate that there was significant effect on giving constructive feedback to students before and after giving interventions with p-value result of 0.05. It is expected that feedback is continuously given by an educator to grow learning spirit and self-introspection to students.

Download Full-text

EFFECT OF INVOCATION (DO’A) ON PAIN-COPING BEHAVIORS OF PRIMIPAROUS MUSLIM WOMEN DURING THE FIRST THREE HOURS OF THE ACTIVE PHASE OF LABOR

Belitung Nursing Journal ◽

10.33546/bnj.28 ◽

2016 ◽

Vol 2 (5) ◽

pp. 99-106

Author(s):

Desmawati Desmawati

Keyword(s):

Coping Behavior ◽

Intervention Group ◽

Muslim Women ◽

Active Phase ◽

Routine Care ◽

Control Group ◽

P Value ◽

Pain Coping ◽

Coping Behaviors ◽

Before And After

Background: Pain-coping behavior of primiparous women may have adverse effects on the mother and fetus. In Tangerang, the majority of pregnant women have negative experiences of pain and pain-coping behaviors during labor.Objective: The purpose of this study was to examine the effect of the invocation (do’a) on pain-coping behaviors of primiparous Muslim women during the first 3 hours of the active phase of labor.Methods: It was an experimental study with pre-posttest design. Ten primiparos women were randomly selected and assigned to the control and intervention group. Each group conssisted of 5 participants. Pain-coping behavior was measured by the Pain Behavior Observation Scale (POBS).Results: Findings revealed that pain-coping behaviors were increased for those who received the invocation (do’a) with p-value < .05 than those who received the routine care. The effectiveness of do'a could be seen from the average difference of scores of pain-coping behaviors before and after intervention. The intervention group significantly had higher pain-coping behaviors than the control group during three hours of posttest, while controlling for the pretest measure, F (3.24) = 15.68, p< .001.Conclusions: The invocation (do’a) program for primiparos women during labor is feasible to be conducted, and effective to increase pain-coping behaviors. Therefore, it is suggested to provide this program for primiparos women during the first 3 hours of active phase of labor.

Download Full-text

Effect of health promotion and Whatsapp reminder to self-efficacy of the consumption of Fe tablets adherence among pregnant women

Journal of Health Technology Assessment in Midwifery ◽

10.31101/jhtam.683 ◽

2019 ◽

Vol 2 (1) ◽

pp. 23-32

Author(s):

Dyah Tri Kusuma Dewi ◽

Wiwik Kusumawati ◽

Ismarwati Ismarwati

Keyword(s):

Health Promotion ◽

Pregnant Women ◽

Self Efficacy ◽

Intervention Group ◽

Sampling Technique ◽

Control Group ◽

Control Group Design ◽

Significant Difference ◽

Before And After ◽

The Government

Maternal Mortality Rate (MMR) as an indicator of maternal health during pregnancy, childbirth, and childbirth. Anemia contributes 20% to the incidence of maternal deaths caused by bleeding during labor. The government prevents anemia by giving iron tablets at least 90 tablets for pregnant women. However, the prevalence of anemia remains high, because of the low adherence in consuming Fe tablets every day. Self-efficacy adherence is a predictor of health behavior and adherence to treatment.To improve adherence with self-efficacy in consuming Fe tablets in pregnant women with health promotion and WhatsApp reminder in Yogyakarta City Health Center.This study used a quasi-experiment method with a pre-test post-test non-equivalent control group design. The sample amounted to 59, the sampling technique used was consecutive sampling which was taken by random sampling technique in which samples were taken alternately to determine the intervention group and the control group.There were significant differences in the self efficacy score between the intervention groups (Mean = 6.30, SD = 8.11) and the control group (Mean = 0.89, SD = 7.83) with t-test = 2.60 and ρ = 0.012.There is a significant difference in self-efficacy adherence with consuming Fe tablets in pregnant women before and after being given health promotion and WhatsApp reminder intervention and control groups. Health service agencies can consider the combined service between health promotion and WhatsApp reminder to improve self-efficacy in adhering to consuming Fe tablets in increasing Hb levels in anemic pregnant women.

Download Full-text

INFLUENCE OF IMPLEMENTATION OF NIFAS COUNSELING MODULES ON KNOWLEDGE, ATTITUDES AND SKILLS ENHANCEMENT MIDWIFE COUNSELING

Jurnal Medikes (Media Informasi Kesehatan) ◽

10.36743/medikes.v7i1.205 ◽

2020 ◽

Vol 7 (1) ◽

pp. 73-82

Author(s):

Risna Fazlaini

Keyword(s):

Treatment Group ◽

Postpartum Period ◽

Intervention Group ◽

Sampling Technique ◽

Control Group ◽

Counseling Skills ◽

Percentage Increase ◽

Average Increase ◽

Control Group Design ◽

Before And After

One of the competencies of midwife is responsible to give care during the postpartum period according to women’s individual need. In providing postpartum care, midwives should be able to detect of complications, thereby reducing morbidity and maternal mortality. Counseling is one of the interventions that can be given to the mother. Postpartum counseling module is a module that was designed and compiled based on literature review as a guide to help midwives provide counseling on postpartum mothers. The aim of the study is to analyze the effect of implementation of postpartum counseling module to increase knowledge, attitudes and counseling skills of midwives. The study is analitic with quasi experimental with pretest-posttest control group design. A sample size of 42 people that divided into two groups, 21 people in intervention group and 21 people in control group using stratified random sampling technique in the period January 16-February 25, 2017 conducted in Tegal. Data were analyzed by using t-test to examine the average increase scores of knowledge, attitudes and skills before and after training module on intervention group and before and after submission of KIA book in the control group. Mann-Whitney test to analyzed the comparison of the average increase score of knowledge, attitude and skills of midwives between the two groups. Instrument which is used in this study were questionnaire to measure knowledge and attitudes and observation sheet to assess the counseling skills of midwives The result showed that the average increase in score of knowledge 50% (p<0,05), attitude 40% (p<0,05), and midwife counseling skill 99,7% (p<0,05) in the treatment group is higher than control group with percentage increase of 0% (p>0,05) on knowledge, 0% (p>0,05) on attitude and 0% (p>0,05) on skills. The conclusion is score of knowledge, attitudes and skills of midwife counseling in the treatment group higher than control group. The optimal use of the postpartum counseling module by midwife is expected to improve the quality care in counseling during postpartum period. Keyword: Attitude, Counseling, Module, Knowledge, Skill, Postpartum

Download Full-text