scholarly journals PERSALINAN NYAMAN DENGAN TEKNIK REBOZO

2021 ◽  
Vol 12 (2) ◽  
pp. 287
Author(s):  
Putri Yuriati ◽  
Etika Khoiriyah

Persalinan adalah proses dimana bayi, plasenta dan selaput ketuban keluar dari rahim ibu pada usia cukup bulan tanpa disertai penyulit. Pada proses persalinan kemampuan dan keterampilan penolong sangat mempengaruhi kenyamanan dan kelancaran persalinan. Asuhan yang diberikan dapat disesuaikan dengan kondisi ibu. Teknik rebozo dapat digunakan selama persalinan untuk membantu serat otot dalam ligament uterus rileks sehingga mampu mengurangi rasa sakit serta dapat menciptakan efek positif psikologis dan sosial, sehingga ibu yang melahirkan dalam keadaan rileks, semua lapisan otot dalam rahim akan bekerja sama secara harmonis sehingga persalinan berjalan lancar, mudah, dan nyaman. Penelitian ini bertujuan untuk mengetahui pengaruh tekhnik rebozo dengan lamanya kalai 1 dan tingkat nyeri pada proses persalinan. Desain penelitian ini menggunakan Pra Eksperiment dengan pendekatan satisfic group comparison desain untuk mengetahui pengaruh tekhnik rebozo terhadap pengurangan rasa nyeri dan lamanya kala I pada kelompok perlakuan dan untuk mengetahui tingkat nyeri dan lamanya kala I pada kelompok kontrol. Hasil analisa lama kala I dengan menggunakan teknik rebozo pada kelompok perlakuan sebesar1,20 dimana p-value 0,002. Sedangkan analisa tingkat nyeri sebesar 1,20 dengan p-value 0,000. Ada pengaruh dilakukan teknik rebozo dengan lamanya kala I dan tingkat nyeri pada proses persalinan. Teknik rebozo dapat diterapkan pada setiap proses persalinan normal. Kata kunci : Teknik Rebozo, Lama Kala I, Nyeri Persalinan  AbstractChildbirth is a process by which babies, placenta and amni-coated membranes emerge from the mother's womb at enough age without an embroiderer. In the delivery of helper skills and skills greatly affect the comfort and smoothness of delivery. The upbringing given can be tailored to the mother's condition. The rebozo technique can be used during labor to help the muscle fibers in the ligament of the uterus relax so that it helps to reduce pain and can create psychological and social positive effects, so that the relaxed birth of the mother works harmonically and thus function smoothly, easily, and comfortably. The study aims to identify the effects of rebozo's technique with length of time 1 and the level of pain in childbirth. This research design USES pre experiment with the satisfic group submission design to know the rebozo's impact on pain relief and length of time on treatment groups and to know the degree of pain and length of time on control groups. Ancient analysis of time I used a rebozo technique on a huge treatment group 1.20 where p-value 0.002. While the analysis of pain levels is 1.20 with p-value 0,000. Rebozo techniques have been affected by the length of time and the degree of pain in childbirth. Rebozo techniques can be applied to any normal childbirth process. Keywords: Rebozo Technique, Long Time I, Labor Pain

2018 ◽  
Vol 7 (09) ◽  
pp. 91-96
Author(s):  
Irmayanti. A.Oka

The research aimed at investigating the effect of giving counterpressure technique to decrease the intensity of pain in the first stage of labor in the delivery room of RSUD Sawerigading Palopo. This study was conducted in a preexperimental manner with static group comparison design, in subject static group comparison design divided into two groups, where the treatment group was followed by observation and observation result compared with the observation result in the control group which only received standard treatment. Data were analyzed using T test. Where t value hit 6.971> t table 2.05, so it can be concluded that the results obtained mean that there is influence of counterpressure technique is big enough to decrease the intensity of labor pain. Keyword: Counterpressure, Labor Pain, Kala I


2021 ◽  
Vol 1 (2) ◽  
pp. 55-67
Author(s):  
Werna Nontji ◽  
Dwi Kartika Sari ◽  
Sitti Maria Ulfa ◽  
Syafruddin Syarif ◽  
Inez Vravty Lestari ◽  
...  

Background: Educating mothers during their postpartum period could potentially help them to overcome some important phases after giving birth. The process of education is evaluated based on the mothers’ knowledge about their independent self-care. Independency is an activity that is started individually and is done based on self-capability. The independency in the postpartum care is not only important to decrease the mother’s mortality and morbidity rate, but it is also crucial to strengthen and improve the post-partum mother’s healthy behavior during the perineal care. Providing education using Android-based application called BUBI Care could be potential to facilitate a more dynamic transfer of knowledge to the postpartum mothers.Aims: To analyze the knowledge, skills, and independence of primipara postpartum mothers in independent perineal care before and after accessing BUBI Care app. Research Method: employing quasi experimental research with pre-test and post-test design with control group design. The sample for this research were 19 pregnant mothers TM III (pregnancy age of ? 38 weeks) on each group. The treatment group was educated using BUBI Care Android app that was conducted at one of Public Health Center. The control group was educated without BUBI Care that was conducted at a Midwife Practice Clinic. The research was conducted on September to October 2020. Study Result: According to the Wilcoxon test, there was a difference in the pre-test knowledge of the treatment and control groups with the similar median of 53 and p-value of 0.666, the treatment group showed their scores improved to 80 on the post-test while the control group stayed at 53 with the p-value of 0.000. It means that BUBI Care app education influences the post-test. On the other hand, the perineal care skill saw a difference between the intervention and control groups. The intervention group had a mean of 70.05 and 56.68 for the control group with the p-value of 0.002 which means that there was an influence from the BUBI Care app education. Additionally, Mann Whitney test showed that the intervention group had a mean score of 78.95, but the control group only had 49.26, the total difference between the two are 29.69 with the p-value of 0.000. It can be concluded that there is a significance in difference in the independency rate from the provision of BUBI Care Android app education.Conclusion:  there is a significance effect on the intervention group in terms of Android based usage.


2020 ◽  
Vol 53 (3) ◽  
pp. 115
Author(s):  
S. Sularsih

Background: Pore size of scaffolds affects cellular activity, stimulates angiogenetic factors of vascular endothelial growth factor (VEGF), synthesises new blood vessels to regulate migration and proliferation, and accelerates alveolar bone healing of tooth extraction. Purpose: This study aims to analyse the pore size of chitosan-Aloe vera scaffold and its effects on VEGF expression and woven alveolar bone healing of tooth extraction of Cavia cobaya. Methods: 36 male Cavia cobaya, aged 3-3.5 months were divided into six groups: negative control groups (without scaffold), positive control groups (chitosan scaffold), and treatment groups (chitosan-Aloe vera scaffold) on 7- and 14-day observations. Histopathological examination was performed to account the woven alveolar bone areas, and immunohistochemical examination was conducted to examine VEGF expressions on endothelial cells. Data was analysed using a one-way analysis of variance (ANOVA) and least significant difference (LSD) test (p<0.05). Scaffold pore size examination was performed with scanning electron microscope (SEM) with 250x and 500x magnification. Results: Chitosan-Aloe vera scaffold was found to have open pore interconnectivity, the largest pore size was 138.9 μm, while the smallest was 110.5 μm and average pore size was 134.85 μm. The highest expression of VEGF was observed in the treatment group on days 7 (11.5 ±1.39)  and 14 (15.28±1.78), while the largest woven alveolar bone was observed in the treatment group on days 7(17.83±1.47) and 14 (37.67±3.65). Statistically, there was a significant difference between control groups and the treatment groups (p=0.000; p<0.05). Conclusion: Chitosan-Aloe vera scaffold has pore characteristics increasing VEGF expressions and woven alveolar bone areas.


2020 ◽  
Vol 5 (1) ◽  
Author(s):  
Rosita Rosita ◽  
Maria Yasintha Lowa

Objecvtive : The pain felt during the delivery is a problem which is woring the delivery mothers. various attempts are used to reduce the pain caused bt delivery ; nevertheless there is a method which can be utilized and those are the deep back massage and the effelurage massage. This research aimed to compare which massage is more effective between deep back or effleurage massage. Methods: The research design was quantitative research by using a quasy experimen­tal design, two groups pre test and post test design. Results: The results of the bivariate analysis of the Wilcoxon Test  in the deep back massage treatment group obtained p-value 0.0001, while in the treatment group effleurage massage the results of p-value is 0.0001. The Mann-Whitney test results obtained p-value 0.006. Conclusion: The conclusion of this study shows that there is a comparison between the effectiveness of deep back massage with effleurage massage to reduce the intensity of labor pain in the active phase of the first phase of primipara women in the Jumpandang Baru Health Center Makassar.


2001 ◽  
Vol 20 (5) ◽  
pp. 257-267 ◽  
Author(s):  
Jeffrey W. Fisher ◽  
Stephen R. Channel ◽  
Jeffrey S. Eggers ◽  
Paula D. Johnson ◽  
Kathleen L. MacMahon ◽  
...  

Trichloroethylene (TCE), trichloroacetic acid (TCA), and dichloroacetic acid (DCA) are commonly found as groundwater contaminants in many regions of the United States. Cardiac birth defects in children have been associated with TCE, and laboratory studies with rodents report an increased incidence of fetal cardiac malformations resulting from maternal exposures to TCE, TCA, and DCA. The objective of this study was to orally treat pregnant CDR(CD) Sprague-Dawley rats with large bolus doses of either TCE (500 mg/kg), TCA (300 mg/kg), or DCA (300 mg/kg) once per day on days 6 through 15 of gestation to determine the effectiveness of these materials to induce cardiac defects in the fetus. All- trans retinoic acid (RA) dissolved in soybean oil was used as a positive control. Soybean oil is commonly used as a dosing vehicle for RA teratology studies and was also used in this study as a dosing vehicle for TCE. Water was used as the dosing vehicle for TCA and DCA. Fetal hearts were examined on gestation day (GD) 21 by an initial in situ, cardiovascular stereomicroscope examination, and then followed by a microscopic dissection and examination of the formalin-fixed heart. The doses selected for TCA and DCA resulted in a modest decrease in maternal weight gain during gestation (3% to 8%). The fetal weights on GD 21 in the TCA and DCA treatment groups were decreased 8% and 9%, respectively, compared to the water control group and 21% in the RA treatment group compared to soybean oil control group. The heart malformation incidence for fetuses from the TCE-, TCA-, and DCA-treated dams did not differ from control values on a per fetus or per litter basis. The rate of heart malformations, on a per fetus basis, ranged from 3% to 5% for TCE, TCA, and DCA treatment groups compared to 6.5% and 2.9% for soybean oil and water control groups. The RA treatment group was significantly higher with 33% of the fetuses displaying heart defects. For TCE, TCA, and DCA treatment groups 42% to 60% of the litters contained at least one fetus with a heart malformation, compared to 52% and 37% of the Utters in the soybean oil and water control groups. For the RA treatment group, 11 of 12 litters contained at least one fetus with a heart malformation. Further research is needed to quantify the spontaneous rates of heart defects for vehicle control rats and to explain the disparity between findings in the present study and other reported findings on the fetal cardiac teratogenicity of TCE, TCA, and DCA.


Author(s):  
Reginaldo Roque Mafetoni ◽  
Mariana Haddad Rodrigues ◽  
Flora Maria Barbosa da Silva ◽  
Lia Maristela da Silva Jacob ◽  
Antonieta Keiko Kakuda Shimo

ABSTRACT Objective: to evaluate the effectiveness of auricular therapy on pain in the active phase of labor. Method: a randomized, parallel and triple-blind clinical trial, conducted from April 2015 to June 2016. A total of 102 pregnant women with a gestational age ≥37 weeks, cervical dilatation ≥4 cm and two or more contractions within 10 minutes, randomly divided into three groups: intervention (auricular therapy), placebo (sham points) and control (without intervention). Auricular therapy was applied with crystal microspheres in four strategic points and pain intensity evaluated by a Visual and Analog Scale. For the analyses, the following tests were used: Kruskal-Wallis and Generalized estimating equations. Results: pain intensity averages were similar at admission (intervention: 7.2±1.6 vs placebo: 6.9±2.4 vs control: 7.5±1.8; p-value=0.4475), but with 60 minutes (intervention: 6.8±1.9 vs placebo: 7.5±2.4 vs control: 8.3±1.8; p=0.0060) and 120 minutes (intervention: 7.1±1.9 vs placebo: 8.0±2.4 vs control: 8.8±1.9; p-value=0.039), there was a significant increase in pain scores between parturients of the placebo and control groups. Conclusion: parturients who received auricular therapy during labor showed a reduction in pain intensity, which may characterize the effectiveness of the therapy in this phase. Registration: No. RBR-47hhbj.


Author(s):  
Rasrawee Chantrasiri ◽  
Chanane Wanapirak ◽  
Theera Tongsong

Background: Pain relief during labor is a part of standard care in modern obstetrics. Several modalities used for pain relief have their own disadvantages and benefits in terms of side effects, effectiveness, availability, and satisfaction. The objectives of this study are primarily to compare the effectiveness and patients’ satisfaction for pain relief during labor between pethidine and inhaled 50% nitrous oxide (Entonox®). Methods: Laboring women at 37–41 + 6 weeks of gestation were randomly allocated to receive pethidine (50 mg intravenously) or Entonox® for reducing labor pain. Pain scores were evaluated at 0, (baseline), 30, 60, 90, and 120 min after initiation, using the visual analog scale (VAS) and also satisfaction score after delivery using the verbal rating scale (VRS). The secondary outcomes were also assessed, including APGAR scores, labor course, side effects, and cesarean section rate. Results: A total of 136 laboring women underwent randomization into two groups, but only 58 and 65 in the pethidine group and the Entonox® group were available for analysis. The median pain scores at baseline, 30, 60, and 90 min were comparable between both groups (p-value > 0.05); however, pain score at 120 min in the pethidine group was significantly higher (p-value: 0.038). The median of satisfaction score was significantly higher in the Entonox® group (4 vs. 3; p-value 0.043). All of the secondary outcomes were comparable between the two groups. Conclusions: Both have comparable effectiveness, but Entonox® has a higher satisfaction score. Entonox® could be an alternative to pethidine for reducing labor pain, because of its efficacy, ease for self-adjustment for satisfaction, and no serious effects on the labor course and newborns.


2021 ◽  
pp. 194-202
Author(s):  
Hendri Busman ◽  
Nuning Nurcahyani ◽  
Yosi Dwi Saputra ◽  
Salman Farisi ◽  
Qotrunnada Salsabila

Tanaman Suruhan (Peperomia pellucida (L.,) Kunth.) merupakan tanaman obat yang memiliki senyawa metabolit sekunder seperti alkaloid, flavonoid, saponin, tanin, dan steroid. Berbagai senyawa kimia tersebut yang berpotensi sebagai obat tetapi perlu diperhatikan kemungkinan adanya efek samping terhadap organisme khususnya pada masa kehamilan. Penelitian ini bertujuan menguji efek teratogenik ekstrak tanaman suruhan terhadap fetus mencit (Mus musculus L.), meliputi mortalitas dan resorpsi. Penelitian ini menggunakan metode Rancangan Acak Lengkap (RAL) yang terdiri dari 4 perlakuan dengan  20 ekor mencit betina dibagi ke dalam 4 kelompok yaitu: K(+) (Aquabides), P1 diberi ekstrak tanaman suruhan dengan dosis (1,68 mg/g bb), P2 (3,36 mg/g bb), dan P3 (6,72 mg/g bb). Hasil penelitian terhadap persentase fetus yang mengalami mortalitas dan resorpsi fetus antara kontrol K(+) dan perlakuan dengan ekstrak etanol suruhan (P1, P2, dan P3) tidak menunjukkan perbedaan yang bermakna secara statistik berdasarkan uji ANOVA satu faktor (p value 0,418). Hasil penelitian yang didapat menunjukkan bahwa ekstrak etanol tanaman suruhan tidak menyebabkan mortalitas pada fetus mencit, namun menyebabkan resorpsi pada fetus mencit pada pemberian dosis sebesar 1,62 mg/g BB, 3,36 mg/g BB, dan 6,72 mg/g BB.   Pepper elder (Peperomia pellucida (L.,) Kunth.) is a medicinal plant that has secondary metabolites such as alkaloids, flavonoids, saponins, tannins, and steroids. The side effects for organisms of those chemical compounds, which are potentially beneficial for their medicinal use, still need to be considered especially in pregnancy. This study aims to determine the teratogenic effects of pepper elder extract on mortality and resorption of mice (Mus musculus L.) fetus. This study uses total random sampling design with 4 treatments consisting of 20 female mice divided into 4 groups: the control group (K(+)) which is given Aqua distillation and the treatment groups which are all given the pepper elder extract with different doses, where the first treatment group (P1) is given 1.68 mg/g body weight of the extract, the second treatment group (P2) is given 3.36 mg/g body weight of the extract, and the third treatment group (P3) is given 6.72 mg/g body weight of the extract. The results obtained of mortality and resorption percentage of mice fetus between the control group (K(+)) and the treatment groups (P1, P2, and P3) showed that there is no statistically meaningful difference based on one-way ANOVA test (p value 0,418). This study showed that ethanol extract of pepper elder causes no mortality in mice fetus, yet it causes resorption on mice fetus at given doses of 1,62 mg/g body weight, 3,36 mg/g body weight, dan 6,72 mg/g body weight.


2017 ◽  
Vol 3 (2) ◽  
pp. 75
Author(s):  
Lestari Puji Astutti

Latar Belakang : Mual dan muntah(emesis gravidarum) adalah gejala yang sering muncul pada kehamilan trimester 1.mual biasanya terjadi di pagi hari,tetapi dapat pula terjadi setiap hari dan malam hari, ini terjadi karena relaksasi pada otot-otot pencernaan antara lain peristaltik dilambung sehingga pencernaan makanan oleh lambung menjadi lebih lama dan mudah terjadi peristaltic balik ke esophagus, selain itu juga karena pengaruh dari homon HCG, Di Wilayah Puskesmas Kaliwungu sebanyak 87,9 % ibu hamil trimester 1 mengalami mual muntah, berbagai macam cara yang dilakukan untuk mengatasi mual muntah salah satunya adalah pemberian permen jahe.. Menurut Dr.Borelli dari University of  Naples Frederica di Itali mengatakan  bahwa jahe bisa menjadi terapi yang efektif untuk mengatasi mual dan muntah dalam kehamilan. Tujuan : untuk menganalisa pengaruh permen jahe terhadap penurunan emesis gravidarum pada ibu hamil trimester 1 di Wilayah Puskesmas Kaliwungu Kabupaten Kendal. Metode Penelitian : metode penelitiahan ini adalah penelitian pre eksperimen dengan desain static group comparison/ posttest only controlgroup design, menggunakan sampel 38 responden, masing-masing 19 responden untuk kelompok perlakuan dan 19 responden untuk kelompok kontrol. Instrumen yang digunakan untuk mengukur mual muntah adalah lembar observasi. Pengumpulan data dilakukan sendiri oleh peneliti dan data dianalisa secara univariat dan bivariat dengan menggunakan uji test mann whitney. Hasil Penelitian : Hasil penelitian menunjukkan ada pengaruh permen jahe terhadap emesis gravidarum pada ibu hamil trimester 1 dengan nilai p value (p=0,022, α = 0,05). Kesimpulan :  Ada pengaruh permen jahe terhadap penurunan mual muntah pada ibu hamil trimester 1 di Wilayah Puskesmas Kaliwungu Kabupaten Kendal. Diharapkan permen jahe bisa menjadi alternatif pilihan dalam mengatasi emesis gravidarum pada ibu hamil. Kata Kunci: Permen Jahe;  emesi;  gravidarum Trimester 1 THE EFECT OF GINGER CANDY TO REDUCING EMESIS GRAVIDARUM IN FIRST TRIMESTER OF PREGNANT IN KENDAL KALIWUNGU PUBLIC HEALTH DISTRICT 2016 AbstractBackground : Nausea and vomitus(emesis gravidarum) are symptoms that often arises in first trimester pregnancy, ussually occurs in the morning, but can also occurs everyday and night. This occurs due to the relaxztion of the muscles of the digestive include gastric peristaltis so digestion by the stomach longer and forth easily occur peristalsis to esophagus, and also efect from HCG hormone, Kaliwungu Public Health Distric in the region as much as 87,9% of the first trimester pregnant experience nausea and vomitus. Dr.Borelli dari University of Naples Frederica di Itali say that ginger may be an effective therapi to treat emesis gravidarum. Purpose : to identify the efect ginger candy to reducing emesis gravidarum in first trimester pregnant in Kaliwungu Public Health Kabupaten Kendal. .  Method : This reseach used pre eksperiment with static group comparison/ posttest only controlgroup design.each 19 respondent for intervention and control groups. Instrument used to measure emesis gravidarum is cheklist. Collected of the data was carried out by the researcher herself and the collected data was analyzed in univariate, bivariate by using test mann whitney. Result :The result of the research shows that efect ginger candy to reducing emesis gravidarum in first trimester one pregnant (p=0,022, α = 0,05). Conclusion: Ad a ginger candy effect to decrease nausea and vomiting in pregnant women in the first trimester Kaliwungu Regional Health Center Kendal. The expected ginger candy can alternative choice to reduce emesis gravidarum in first trimester pregnant. Key words ; Ginger candy, emesis gravidarum trimester 1


Author(s):  
Adeniran, A. T. ◽  

The Analysis of Variance (ANOVA) test has long been an essential tool for researchers conducting studies on multiple experimental groups with or without one or more control groups. This article encapsulates the fundamentals of ANOVA for an intended benefit of the reader of scientific literature who does not possess expertise in statistics. The emphasis is on conceptually-based perspectives regarding the use and interpretation of ANOVA results, with minimal coverage of the mathematical foundations. Data entry, checking basic parametric assumptions of ANOVA, descriptive statistics of the data by treatment groups, fitting ANOVA model, statistical significance of the test based on p-value, and post-hoc analysis are all explored using R-software.


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