scholarly journals ONSET PENGELUARAN KOLOSTRUM PADA IBU POST PARTUM DENGAN PERSALINAN NORMALVLEBIH CEPAT DARIPADAVPERSALINAN SECTIO CAESARIA

2016 ◽  
Vol 5 (3) ◽  
pp. 193-199
Author(s):  
Maria NSW Kause ◽  
Yanita Trisetiyaningsih ◽  
Anastasia Suci Sukmawati

Background : Lactation onset is a term of multiplying breast milk until the release of breast milk for the first time or mothers’ perception on when her breast milk will be released which is marked by a bit hard breast, inflammed, and full of breast milk or the release of colostrum. Colostrum is the first liquid secreted by breast milk gland since the first day until the fourth day. One of factors which influences lactation onset is labor method and early breastfeeding initiation (IMD). Mothers who undergo sectio caesaria surgery will feel painful and the effect of prolonged usage of anesthesia so that early breastfeeding initiation cannot be implemented compared to mothers with normal labors and the usage of anesthesia which slows down lactation onset. Objective : To find out the difference between colostrum releasing onset in post partum mothers with normal labors and sectio caesaria in Panembahan Senopati General Hospital, Bantul. Method : The design of this study was cross sectional. The number of samples were 80 respondents selected with purposive sampling technique. Study instrument was observational sheets. Data analysis applied Mann-Whitney test. Result : The majority of respondents who had normal labors and sectio caesaria experienced different colostrum onset. In normal labors, the time of colostrum release was 1 day. In sectio caesaria labors, the time of colostrum release was 2 days. The average duration of post partum mothers with normal labors was 13,6 hours and post partum mothers with sectio caesaria was 22,6 hours. The result of Mann-Whitney test was that there was a difference between colostrum release onset of post partum mothers with normal labors and sectio caesaria with p value 0,001 (p<0,05) which implied that Ho was rejected. Conclusion : Normal labors and sectio caesaria labors had different colostrum onset.   Keyword : Colostrum, Normal labors, Sectio Caesaria labors.

2019 ◽  
Vol 5 (3) ◽  
pp. 193-199
Author(s):  
Maria NSW Kause ◽  
Yanita Trisetiyaningsih ◽  
Anastasia Suci Sukmawati

Background: Lactation onset is a term of multiplying breast milk until the release of breast milk for the first time. It is also perceived by mothers as a bit hard breast, inflammed, and full of breast milk or the release of colostrum. Colostrum is the first liquid secreted by breast milk gland since the first day until the fourth day of labour. One of the factors that influences lactation onset is labour methods. Mothers who undergo sectio caesaria surgery will experience pain and prolonged effects of anesthesia compared to mothers with normal labors. Objective: To investigate the difference of colostrum releasing onset in post partum mothers with normal labors and sectio caesaria in Panembahan Senopati General Hospital, Bantul. Method: This study was quantitative with cross sectional design. The number of samples were 80 respondents selected with purposive sampling technique. Study instrument was observational sheets. Data analysis applied Mann-Whitney test. Result: The majority of respondents who had normal labors and sectio caesaria experienced different colostrum onset. In normal labors, the time of colostrum release was 1 day. In sectio caesaria labors, the time of colostrum release was 2 days. The average duration of post partum mothers with normal labors was 13,6 hours and post partum mothers with sectio caesaria was 22,6 hours. The result of Mann-Whitney test was that there was a difference between colostrum release onset of post partum mothers with normal labors and sectio caesaria with p-value of 0,001 (p<0,05). Conclusion: Colostrum onsets were different in normal labors and sectio caesaria labors. Keyword: Colostrum, Normal labors, Sectio Caesaria labors.


Author(s):  
Vina Rahmatika ◽  
Musa Ghufron ◽  
Nenny Triastuti ◽  
Syaiful Rochman

Background: The birth rate by caesarean section method is getting higher. Risk data for 2013 shows the method of birth with the operation method of 9.8 percent of the total 49,603 births during 2010 to 2013. Being in practice the mother must be given anesthetic before the surgery begins. This anesthesia will later affect the pain that will occur after SC. Purpose: The purpose of this study was to determine the correlation between regional anesthetic drugs and the smoothness of breast milk in women born in sectio caesarea at Muhammadiyah Gresik Hospital. Method: Method with Cross Sectional approach. The population in this study mothers who gave birth in a caesarean section at Muhammadiyah Hospital Gresik in December 2019 to January 2020. The sampling technique in this study is probability / random simple sampling. The sample in this study was a portion of mothers who gave birth in a caesarean section at Muhammadiyah Gresik Hospital. The instrument used was primary data collection in the form of questionnaires and secondary data in the form of patient medical records. Result: The data obtained in this study were processed using spearman correlation statistics. From the statistical test the Correlation coefficient value was 0.807, and obtained P-Value equal to 0,000 this value is less than 0.05. Conclusion: The conclusion of this study is that there is a correlation between the administration of a regional anesthetics and the smoothness of breast milk in mothers of post partum caesarea at Muhammadiyah Gresik Hospital.


2021 ◽  
Vol 9 (1) ◽  
pp. 58
Author(s):  
PRICILYA MARGARETHA WARWURU ◽  
Siska Sibua ◽  
Novia Mokoagow

Abstract Breast Milk (ASI) is given directly by the mother to the baby without going through the ASI. Breast Milk also has the content as an antibody that can protect baby from various diseases. The impact happened of hospital general Kotamobagu about family support mother also breastfeeding becomes an obstacle in success of breastfeeding to her baby. The aim of this study is to know and giving breast milk to postpartum mothers of hospital general Kotamobagu. Kind of research is analytic descriptive by using the approach cross sectional that is to looking for relationship between independent and dependent variables, sampling technique that is accidental sampling a sample of 32 respondents includ in the research criteria. Statistical test results by using chi-squere (X2) at the level of significance (?: 0.05) the results obtained p value = 0,000 means that Ho is rejected, so the conclusion is that there is a significant relationship between the relationship of family support with breastfeeding at Kotamobagu Regional General Hospital. That is, there is a relationship between family support and breastfeeding in post partum mothers at Kotamobagu Regional General Hospital. Keywords: family support, breastfeeding, postpartum


2019 ◽  
Vol 2 (2) ◽  
pp. 17-25
Author(s):  
Rais Sholeh ◽  
Agrina Agrina ◽  
Safri Safri

Early breastfeeding initiation was the began of early breastfeeding with the mother at least one hour after birth. This research aims to determine correlation between husband's support for the implementation of early breastfeeding. The research method used is quantitative by using a research design that is descriptive correlation with cross sectional approach. Sampling method using accidental sampling technique with total sample 30 respondents. This research used questionnaires and observation sheet as measuring instrument. The inclusion criteria in this studied were normal birth mothers without any indication and complications such as Pre Eclampsia Severe and Hemoraghic Post Partum, normal-born infants who did not experience Low Birth Weight and Asphyxia, and mothers was accompanied by the husband during labor.Research results will of analyzed using alternative test Fisher Exact. The results showed significant correlatied between husband’s supported for implementation of early breastfeeding (p value 0,030). Healthcare workers can be still develop related to IMD in post partum with the of husband's supported so that implementation of IMD for children can be perfect.


2021 ◽  
Vol 3 (1) ◽  
pp. 46
Author(s):  
Dini Hartiningsih ◽  
Helfi Agustin

The Yogyakarta City Government launched an innovation in health promotion at mosques, named the "healthy inside and outside"  in 2015. This program is a partnership with the mosque keeper to promote clean and healthy living habits. No studies have yet evaluated the extent of the success of the program. This study aims to see the effectiveness of the program in changing people's healthy behaviour. This type of research is an analytic survey with a cross-sectional study approach.  The research location is in the working area of the Umbulharjo Community Health Center. The population is 4608 families. The number of samples is 108 people who live around the mosque. The inclusion criteria is housewives because they have a lot of time at home, so there are more opportunities to be exposed to Compact Disc (CD) in mosques than other people who work outside the home. The exclusion criteria were people who were unwilling and deaf. The sampling technique is a probability proportionate to size, namely by taking the sample referring to mosques that play CDs and those that do not play with 2: 1 ratio. The control variables are age and level of education. Data were collected through a questionnaire and analyzed by Mann Whitney-test. The results showed a difference in the community's mean knowledge and attitudes around the mosque playing  (69.44) and not playing the health promotion CD (60.14). The Mann Whitney-test results obtained a p-value of 0.00, which means there is an effect of CD health promotion playing on the level of public knowledge about PHBS. The playing CD  health promotion at mosques in Umbulharjo District, Yogyakarta, has benefited from increasing housewives' knowledge about healthy and clean behaviour.


2020 ◽  
Vol 1 (2) ◽  
Author(s):  
Majesty P. Umboh ◽  
Cicilia Pali ◽  
Lydia E. V. David

Abstract: This study was aimed to obtain the difference in optimism between the first and the final semester students of Faculty of MedicineThis was an analytical and observational study. Subjects were students of the first and the final semester of Faculty of Medicine Sam Ratulangi University Manado obtained by using total sampling technique. The instrument of this study was Alat ukur yang digunakan ialah kuesioner LOT-R questionnaire consisting of 10 items. Data were analyzed by using the Mann-Whitney test that obtained a p-value of 0.001 for the difference in optimism level. In conclusion, there was a significant difference in the optimism level between the students of the first and the final semesters of Faculty of MedicineKeywords: optimism, medical students Abstrak: Penelitian ini bertujuan untuk mengetahui adanya perbedaan tingkat optimisme pada mahasiswa semester awal dan mahasiswa semester akhir Fakultas Kedokteran. Jenis penelitian ialah analitik observasional. Subjek penelitian berjumlah 100 mahasiswa semester awal dan 100 mahasiswa semester akhir Fakultas Kedokteran Universitas Sam Ratulangi Manado yang diperoleh dengan menggunakan teknik total sampling. Alat ukur yang digunakan ialah kuesioner LOT-R (10 aitem). Data dianalisis secara statistik menggunakan uji Mann-Whitney yang mendapatkan nilai p=0,001 untuk perbedaan tingkat optimisme. Simpulan penelitian ini ialah terdapat perbedaan tingkat optimisme pada mahasiswa semester awal dan mahasiswa semester akhir Fakultas Kedokteran.Kata kunci: optimisme, mahasiswa Falultas Kedokteran


2018 ◽  
Vol 10 (1) ◽  
Author(s):  
R. Khairiyatul Afiyah

Most patients with Cancer cannot adapt to their disease because they assume that it is a deadly disease. The purpose of this study was to find out the correlation between family support and adaptability of patients suffered from Cancer found at Yayasan Kanker Indonesia (Indonesian Cancer Foundation) located in East Java. This analytic study using cross sectional design involved the population of all people with Cancer found at Yayasan Kanker Indonesia located in East Java, totaling 30 patients. The samples of 27 patents were collected using simple random sampling technique. The independent variable was family support, whereas the dependent variable was adaptability. Questionnaires were used to collect the data analyzed using Mann-Whitney test with the level of significance α = 0.05. The result of study showed that most of the patients (70.4%) received good family support, whereas most of them (63.0%) had ability to adapt to their disease. Moreover, the result of Mann-Whitney test showed that p = 0.001 and the level of significance α = 0.05 so that H1 was accepted because p < 0.05. It showed that there was a correlation between family support and adaptability of patients suffered from Cancer found at Yayasan Kanker Indonesia located in East Java.The more family support, the more adaptive the patients with Cancer adapt to their disease. Hence, nurses are expected to give health education about the importance of family support to the family of patients with Cancer.


2017 ◽  
Vol 9 (01) ◽  
pp. 68
Author(s):  
Mulyati Priyantini ◽  
Yuli Trisnawati

ABSTRAKFokus utama asuhan persalinan adalah pencegahan komplikasi untuk mengurangi angka kesakitan dan kematian ibu. Salah satu upaya adalah mencegah terjadinya ruptur perineum. Posisi tangan yang dipakai penolong persalinan kala II untuk mencegah ruptur perineum antara lain posisi tangan APN dan Varney. Penelitian ini bertujuan untuk mengetahui efektivitas antara posisi tangan penolong menurut APN dan menurut Varney dalam mencegah ruptur perineum spontan pada kala II persalinan di RSIA ‘Bunda arif’ Purwokerto. Penelitian ini merupakan penelitian observasional analitik, menggunakan pendekatan cross sectional dengan populasi seluruh persalinan spontan di RSIA ‘Bunda arif’ Purwokerto. Sampel yang digunakan adalah quota sampling  sebanyak 30 sampel yang memenuhi kriteria inklusi. Metode analisis data menggunakan uji U Mann-Whitney. Hasil penelitian ini adalah Kejadian ruptur perineum pada posisi tangan menurut APN sebanyak 93,3%, sedangkan menurut Varney sebanyak 86,7%. Hasil analisa statistik uji U Mann-Whitney didapatkan p value = 0,550 (p>0,005) sedangkan U value  = 33,000 (Uh < U t ), artinya tidak ada perbedaan bermakna, tetapi posisi tangan Varney lebih baik dengan selisih ruptur 6,6%. Posisi tangan penolong menurut Varney lebih efektif daripada posisi tangan menurut APN dalam pencegahan ruptur perineum spontan pada kala II persalinan, tetapi keduanya tidak memberikan perbedaan yang bermakna terhadap kejadian ruptur perineum. Penolong persalinan dapat menemukan metode yang paling tepat dalam meminimalisir kejadian ruptur perineum spontan untuk menurunkan angka kesakitan dan kematian ibu.Keyword : Posisi tangan penolong, ruptur perineumEFFECTIVENESS OF HANDLING POSITION IN PREVENTION OF PERINEUM RUPTURE IN NORMAL LABORABSTRACTMain focus of delivery care is preventing the complication to reduce the maternal morbidity and mortality. One of the efforts to prevent the occurance of perineal rupture. The position hand which is used birth attendant in the second stage of labor to prevent perineal rupture among others APN and Varney hands position. The goal of this reasearch is to know the effectiveness between APN and Varney hands position to prevent spontanoeus perineal rupture in the second stage of labor in RSIA ‘Bunda arif’ Purwokerto. This reasearch was observational analytic by approachment cross sectional with population of this reasearch was all of spontaneous delivery in RSIA ‘Bunda arif’ Purwokerto and the sample used quota sampling, it’s about 30 sample can be a inclusion criteria. The analyze method data used U Mann-Whitney test. The result of this experiment are precentage of spontaneous perineal rupture by  APN hands position is 93,3%, while by Varney is 86,7%. Result of statistic analysis used U Mann-Whitney test is p value = 0,550 (p>0.005) and U value  = 33,000 (Uh < U t). It means, not significant difference, but Varney hands position better by a margin of 6.6%. the conclusion are varney hands position is more effective than APN hands position in  prevention spontaneous perineal rupture in the second stage of labor, but both not significant for perinel rupture. Suggestion : Birth attendants can find the most appopriate method to minimize perineal ruptured to reduce maternal morbidity and mortalityKeyword : APN & Varney hands position, and perineal rupture.


2017 ◽  
Vol 6 (1) ◽  
pp. 15-20
Author(s):  
Fatima Bichi ◽  
Dr. Shumaila Hanif

Diastasis Recti (DR) is a common muscular condition often present during and after pregnancy. This cross-sectional correlational study investigated the prevalence of DR among pregnant and postpartum women. A total of 250 pregnant and postpartum women were recruited using convenience sampling technique from obstetrics and gynaecology department, Aminu Kano Teaching Hospital, Kano, Nigeria. Age, body mass, height, BMI, parity, trimester, duration of DR postpartum, location of DR and DR status was recorded for each participant. Presence of DR was confirmed using the finger width method. Descriptive statistics of mean, SD, percentage were used to describe the data and determine the prevalence. Inferential statistics of Pearson’s and Spearman’s correlation were used to analyse the relationship between prevalence of DR and age, parity and duration of DR postpartum. Chi square was computed to determine the difference in prevalence of DR across trimesters. The result of this study indicated high prevalence of DR in post-partum and pregnant women (84% and 64.7% respectively); the most common location of DR was at the umbilicus in both pregnant and postpartum women. Prevalence of DR was high among the multigravida; and a significant relationship was found between prevalence of DR and age and parity of participants. There was a significant difference in prevalence of DR across the trimesters. It can be concluded that prevalence of DR among pregnant and postpartum women is high; age and parity are determinants of DR prevalence. Evaluation of DR should be considered as routine assessment in both pregnant and postpartum women.


2021 ◽  
Vol 4 (1) ◽  
Author(s):  
Made Widhi Gunapria Darmapatni ◽  
◽  
Ni Nyoman Suindri ◽  
Ni Gusti Kompiang Sriasih

Back Massage technique combined with holistic aromatherapy treatment can be an effective therapy for postnatal mothers to increasing breast milk production. This study aims to analyze the effect of Miyik-miyikan aromatherapy on back massage. The increase of breast milk production in postpartum mothers can be seen from the baby’s weight gain. This study was conducted at an inpatient Primary Health Center in Denpasar, in June-October to 30 mothers. This study was designed in a quasi-experimental pre-posttest control group with a time series approach. The observation of the baby’s weight gain and breastfeeding satisfaction starts from day 1, day 7, and day 14 after delivery. This study was analyzed using the Kruskal Wallis Test and the Mann Whitney test. The result of the study showed that the Kruskal Wallis test is p <0,05, meaning that there was a difference in breast milk production in the two groups of intervention. Additionally, the Mann Whitney test showed the difference of baby weight on the 7th day to those in the Miyik-miyikan and Cananga group, and on the 14th day in the Cananga, Miyik-miyikan, and Champak group. Thus, the use of Miyik-miyikan aromatherapy on a back massage can be done earlier after delivery


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