scholarly journals PELATIHAN CARA PERAWATAN PAYUDARA PADA IBU HAMIL TRIMESTER III DI DESA BANTARJAYA KECAMATAN PEBAYURAN KABUPATEN BEKASI TAHUN 2021

2021 ◽  
Vol 5 (1) ◽  
pp. 115
Author(s):  
Ika Kania Fatdo Wardani

ABSTRAKData Survei Demografi dan Kesehatan Indonesia tahun 2015 menyebutkan bahwa terdapat ibu nifas yang mengalami Bendungan ASI sebanyak 35.985 atau (15,60 %) ibu nifas (Meihartati, 2017). Hasil studi pendahuluan di Desa Bantarjaya tahun 2021 dengan wawancara dari 10 ibu menyusui, 7 ibu menyusui yang mengalami bendungan ASI dan penyebabnya pada saat hamil dan nifas tidak melakukan perawatan payudara. Perawatan payudara seharusnya dilakukan saat kehamila secara teratur agar produksi ASI saat menyusui cukup. Tujuan kegiatan ini adalah agar ibu hamil bisa melakukan perawatan payudara secara rutin untuk persiapan ibu saat menyusui karena pentingnya ASI maka dilakukan Pelatihan Perawatan Payudara Pada Ibu Hamil Trimester III Di Desa Bantarjaya Kecamatan Pebayuran Kabupaten Bekasi Tahun 2021.Kegiatan dilaksanakan pada hari Jumat 21 Mei 2021, bertempat di Balai Desa Bantar Jaya Kecamatan Pebayuran. Sasaran kegiatan ini adalah ibu hamil trimester III yang bertempat tinggal di Desa Bantar Jaya sebanyak 43 orang. Metode kegiatan yang digunakan dalam pengabdian ini ada berupa pelatihan cara perawatan payudara pada ibu hamil trimester III di Desa Bantarjaya Kecamatan Pebayuran Kabupaten Bekasi tahun 2021. Alat yang digunakan berupa alat peraga (phantom), video cara perawatan payudara, leafleat dan poster yang terkait materi yang akan disampaikan dalam pelatihan tersebut.Hasil nilai pretest dan posttest dari 43 responden memiliki pengetahuan sedang tentang cara perawatan payudara yaitu nilai rata-rata sebesar 75,96%, setelah penyuluhan nilai rata-rata menjadi 90,4% (Pengetahuan Baik). Berdasarkan nilai pretes dan posttest tersebut ada peningkatan pengetahuan dari responden (14,34%). Hasil nilai praktik menunjukkan sebelun dilakukan pelatihan, dari 43 responden memiliki keterampilan yang cukup dalam melakukan perawatan payudara (nilai rata-rata 75,2%), setelah evaluasi nilai rata-rata menjadi 97,7% (Keterampilan Baik). Ada peningkatan keterampilan dari responden setelah evaluasi (22,5%).Kegiatan pelatihan payudara pada ibu hamil trimester III untuk mempersiapkan ibu hamil dalam pemberian ASI Eksklusif pada masa nifas. Dalam kegiatan ini masih kurangnya pengetahuan dan kemampuan ibu hamil melakukan perawatan payudara. Dengan diadakannya pelatihan cara perawatan payudara bagi ibu hamil trimester III, dapat meningkatkan pengetahuan dan kemampuan ibu hamil dalam melakukan cara perawatan payudara. Kata Kunci : pelatihan; cara perawatan payudara; ibu hamil trimester III ABSTRACTAccording to the demography survey and Indonesian health in 2015, it stated that there were 35.985 or (15,60%) of the postpartum mothers encountered the dam breast milk (Meihartati, 2017). The preliminary study result in Bantar Jaya village, 2021 said that there were 7out 10 of Breast feeding mothers by interview had the dam breast milk. It was all because when they were pregnant and after the postpartum, they did not do the breast care treatment. In fact, the breast care treatment should be done regularly during the pregnancy in order to produce the enough breast milk. This activity aimed to encourage and support the pregnant women to do the breast care treatment regularly during the pregnancy. It was because breast milk was the important thing after the birth, so it required the training of breast care treatment to the third trimester of pregnant women in Bantar Jaya village Pabayuran district Bekasi regency 2021.The activity was conducted on Friday, 21st 2021 in village hall of Bantar Jaya, Pabayuran District. The target activity was 43 of third trimester of pregnant women who lived in Bantar Jaya Village. the method activity of this dedication applied the breast care training to the third trimester of pregnant women in Bantar Jaya Village, Pabayuran district, Bekasi Regency in 2021. The activity instruments were phantom, breast care treatment video, leaflet and poster which were filled by the training materials.The pretest and posttest result score stated that there 43 respondents which had the moderate knowledge of breast care, and it was 75, 96%. After the counseling, the 43 respondents’ knowledge increased to 90,4% (good knowledge). Based on the pretest and posttest, there was some enhancement of respondents’ knowledge to 14, 34%. The practical score showed that before having the counseling, the respondents only got the enough skill to do the breast care (the average score was 75,2%). However, after evaluating, the 43 respondents’ knowledge increased to 97, 7% (good skill). Furthermore, there was some skill enhancement of 43 respondents after having the evaluation (22, 5%).The breast care training activity to third trimester of pregnant women aimed to those pregnant women to get well prepared during pregnancy to do the exclusive breast feeding after the birth. In this activity, previously, they were still lack of breast care knowledge. By having this activity, there was enhancement of knowledge and capability of pregnant women in doing the breast care treatmentKeywords: counseling; breast care treatment; third trimester of pregnant women

2018 ◽  
Vol 13 (1) ◽  
pp. 61-68
Author(s):  
Lidia Widia

The high number of pregnant women who do not breast care during pregnancy, after childbirth will then encountered problems that harm the mother and the baby. The aim of research to find out if there is a relationship between breast care expenditure colostrum in the third trimester of pregnancy. The research method using the analytic survey with cross sectional approach. The primary data obtained with tools questionnaire answered by all respondents amounted to 29 people. Sampling technique using total sampling, data analysis techniques using Chi-Square. The results of the analysis we found the majority of respondents do breast care, and the majority of respondents spending colostrum. P values obtained value 0,002 <0,05 so Ho rejected, so that there is a very close relationship between breast care expenditure colostrum in the third trimester of pregnancy. The conclusion of this study there is a very close relationship between breast care expenditure colostrum in the third trimester of pregnancy on Poskesdes Kampung Baru. Expected health workers provide counseling to pregnant women about breast care so that colostrum can get out.


2021 ◽  
Vol 6 (4) ◽  
pp. 376-381
Author(s):  
Fitriani Ningsih ◽  
Rizki Muji Lestari ◽  
Siti Santy Sianipar

In breastfeeding, not all mothers can breastfeed exclusively. One of the main obstacles is the physical and psychological conditions of the postpartum mother. The low self-confidence of the mother about the success of breastfeeding can reduce the production of mother's milk. This condition greatly inhibits the release of breast milk, so that it impacts the risk of failure to achieve exclusive breastfeeding. The purpose of this activity is carried out as an effort to prepare pregnant women in the third trimester of exclusive breastfeeding. The methods used in this activity are lectures, demonstrations, and practices. The results of this activity were attended by 30 pregnant women in the third trimester. During the activity, the mothers were very enthusiastic; this was evident in the increase in their knowledge before and after being given information. In addition, during the hypnobreastfeeding and massage oxytocin training, the mother seemed comfortable and relaxed when participating in this activity


2020 ◽  
Vol 98 (3) ◽  
pp. 178-184
Author(s):  
T. V. Chernyakova ◽  
A. Yu. Brezhnev ◽  
I. R. Gazizova ◽  
A. V. Kuroyedov ◽  
A. V. Seleznev

In the review we have integrated all up-to-date knowledge concerning clinical course and treatment of glaucoma among pregnant women to help specialists choose a proper policy of treatment for such a complicated group of patients. Glaucoma is a chronic progressive disease. It rarely occurs among childbearing aged women. Nevertheless the probability to manage pregnant patients having glaucoma has been recently increasing. The situation is complicated by the fact that there are no recommendations on how to treat glaucoma among pregnant women. As we know, eye pressure is progressively going down from the first to the third trimester, so we often have to correct hypotensive therapy. Besides, it is necessary to take into account the effect of applied medicines on mother health and evaluate possible teratogenic complications for a fetus. The only medicine against glaucoma which belongs to category B according to FDA classification is brimonidine. Medicines of the other groups should be prescribed with care. Laser treatment or surgery may also be a relevant decision when monitoring patients who are planning pregnancy or just bearing a child. Such treatment should be also accompanied by medicines.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Nader Salari ◽  
Niloofar Darvishi ◽  
Behnam Khaledi-Paveh ◽  
Aliakbar Vaisi-Raygani ◽  
Rostam Jalali ◽  
...  

Abstract Background Sleep disorders, which are among the foremost important medical care issues, are prevalent in pregnancy. The present study is a meta-analysis of the prevalence of insomnia in the third trimester of pregnancy. This study aims to systematically review the overall prevalence of insomnia in the third trimester of pregnancy through conducting a meta-analysis. Method The literature used in this meta-analysis for the topic discussed above were obtained through searching several databases, including SID, MagIran, IranDoc, Scopus, Embase, Web of Science (WoS), PubMed Science Direct and Google Scholar databases without time limitation until December 2020. Articles developed based on cross-sectional studies were included in the study. The heterogeneity of studies was investigated using the I2 index. Also, the possible effects of heterogeneity in the studied studies are investigated using meta-regression analysis. Result In 10 articles and 8798 participants aged between11–40, the overall prevalence of insomnia in the third trimester of pregnancy based on meta-analysis was 42.4% (95% CI: 32.9–52.5%). It was reported that as the sample size increases, the prevalence of insomnia in the third trimester of pregnancy increases. Conversely, as the year of research increases, the prevalence of insomnia in the third trimester of pregnancy decreases. Both of these differences were statistically significant (P < 0.05). Conclusion Insomnia was highly prevalent in the last trimester of pregnancy. Sleep disorders are neglected among pregnant women, and they are considered natural. While sleep disturbances can cause mental and physical problems in pregnant women, they can consequently cause problems for the fetus. As a result, maintaining the physical and mental health of pregnant mothers is very important. It is thus recommended that in addition to having regular visits during pregnancy, pregnant women should also be continuously monitored for sleep-related disorders.


Rheumatology ◽  
2021 ◽  
Author(s):  
Rugina I Neuman ◽  
Hieronymus T W Smeele ◽  
A H Jan Danser ◽  
Radboud J E M Dolhain ◽  
Willy Visser

Abstract Objectives An elevated sFlt-1/PlGF-ratio has been validated as a significant predictor of preeclampsia, but has not been established in women with rheumatoid arthritis (RA). We explored whether the sFlt-1/PlGF-ratio could be altered due to disease activity in RA, and could be applied in this population to predict preeclampsia. Since sulfasalazine has been suggested to improve the angiogenic imbalance in preeclampsia, we also aimed to examine whether sulfasalazine could affect sFlt-1 or PlGF levels. Methods Making use of a nationwide, observational, prospective cohort study on pregnant women with RA, sFlt-1 and PlGF were measured in the third trimester. A total of 221 women, aged 21–42 years, were included, with a median gestational age of 30 + 3 weeks. Results No differences in sFlt-1 or PlGF were observed between women with high, intermediate or low disease activity (p= 0.07 and p= 0.41), whereas sFlt-1 and PlGF did not correlate with DAS28-CRP score (r=-0.01 and r=-0.05, respectively). Four (2%) women with a sFlt-1/PlGF-ratio ≤38 developed preeclampsia in comparison to three (43%) women with a ratio &gt; 38, corresponding to a negative predictive value of 98.1%. Sulfasalazine users (n = 57) did not show altered levels of sFlt-1 or PlGF in comparison to non-sulfasalazine users (n = 164, p= 0.91 and p= 0.11). Conclusion Our study shows that in pregnant women with RA, the sFlt-1/PlGF-ratio is not altered due to disease activity and a cut-off ≤38 can be used to exclude preeclampsia. Additionally, sulfasalazine use did not affect sFlt-1 or PlGF levels in this population.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Najmieh Saadati ◽  
Poorandokht Afshari ◽  
Hatam Boostani ◽  
Maryam Beheshtinasab ◽  
Parvin Abedi ◽  
...  

Abstract Background The COVID-19 pandemic has affected many countries around the world and Iran was no exception. The aim of this study was to evaluate health anxiety of Iranian pregnant women during the COVID-19 pandemic. Methods In this cross-sectional study, 300 pregnant women in different trimesters (n = 100 in each trimester) were recruited. A demographic questionnaire and the Health Anxiety Questionnaire were used to collect data. Scores of < 27, 27–34 and more than 35 were defined as low, moderate and high health anxiety, respectively. Due to nationwide restrictions, data were collected through social media groups. Chi-square tests, ANOVA and multiple linear regression were used to analyze the data. Results Mean (SD) total anxiety scores were 22.3 ± 9.5, 24.6 ± 9.3 and 25.4 ± 10.6 in the first, second and third trimesters of pregnancy, respectively. 9, 13 and 21% of women had severe anxiety in the first, second and third trimesters of pregnancy, respectively. Women in the third trimester had significantly higher health anxiety scores than those in the first trimester (p = 0.045). Conclusion At the time of the COVID-19 pandemic, women in the second and third trimesters of pregnancy were more worried about consequences of disease, but total health anxiety scores were significantly higher among women in the third trimester of pregnancy. Health care providers should pay more attention to the mental health of pregnant women in times of crises such as the COVID-19 pandemic.


2021 ◽  
Vol 10 (2) ◽  
pp. 304-312
Author(s):  
Nurfadillah S ◽  
Wardihan Sinrang ◽  
Suryani As'ad ◽  
Muh. Nasrum Massi ◽  
Mardiana Ahmad ◽  
...  

Background: According to 2018 World Health Organization (WHO) data globally, an estimated 17.3% of the population has inadequate zinc intake, with estimates ranging from 5.7% in Oceania to 7.6% in Europe, 9.6% in America and the Caribbean, highest in Africa (23.9%) and Asia (19.6%). Zinc is important for the function of a number of enzymes and growth hormones during pregnancy. In pregnant women, the relative zinc concentration decreases up to 35% due to the influence of hormonal changes and the transport of nutrients from mother to baby. Objectives: The purpose of this study was to identify the effect of giving zinc tablets to pregnant women with zinc deficiency in the third trimester on body weight and length of babies born at the Makassar City Health Center. Methods: This type of research is True Experimental with a pretest-posttest design with a control group. The sample in this study was 62 samples of third trimester pregnant women, and the sampling technique used was purposive sampling. Measurement of zinc levels in third trimester pregnant women using the Elisa reader kit at the Research Laboratory of the Hasanuddin University Teaching Hospital. The research instruments were in the form of a research explanation sheet, respondent's consent sheet, respondent's checklist sheet, and the mother's zinc tablet consumption control sheet for 14 days. Results: Judging from the average value of newborns in pregnant women who did not have zinc deficiency, the average value of birth weight in pregnant women with zinc deficiency was 15.70 g/dL and 18.95 g/dL. zinc deficiency with a value (p < 0.05), while pregnant women with zinc deficiency have an average birth length of 10.00 g/dL and mothers who do not have a deficiency of 19.87 g/dL with a value (p < 0.05). So, it can be concluded that giving zinc tablets to pregnant women in the third trimester has an effect on Birth Weight (BBL) and Birth Length (PBL). Conclusion: Giving zinc tablets has an effect on increasing zinc levels in third trimester zinc deficiency pregnant women and increasing birth weight and length of the baby.  


2021 ◽  
Vol 13 (02) ◽  
pp. 172
Author(s):  
Dyah Ayu Wulandari ◽  
Meika Jaya Rockhmana ◽  
Adelina Cahyaningrum

ABSTRAKAdaptasi fisik dan psikis kehamilan trimester III secara fisiologis dapat menimbulkan kecemasan ibu hamil. Adanya kecemasan pada ibu hamil trimester III dapat menyebabkan komplikasi ibu dan janin saat kehamilan, persalinan bahkan nifas. Terapi acupressure merupakan natural terapi dengan cara menekan acupoint  untuk merelaksasi tubuh, melancarkan sirkulasi darah serta memberikan rasa tenang dan nyaman. Acupoint KID 27 dan CV 17 adalah titik yang berhubungan dengan kecemasan, agitasi, penyimpangan kelenjar tiroid, keseimbangan tubuh dan pusat jantung. Penekanan pada titik ini menyeimbangkan kadar hormon tiroid dan mengatasi gangguan kecemasan. Tujuan penelitian mengetahui pengaruh acupressure depression points terhadap kecemasan ibu hamil trimester III. Metode: Jenis penelitian kuantitatif dengan metode penelitian pre-experimental One Group Pretest-Posttest Design. Penelitian dilakukan Bulan Februari-Agustus 2021. Populasi penelitian ibu hamil trimester III yang melakukan ANC bulan Juni 2021 dengan keluhan kecemasan. Sampel penelitian 22 ibu hamil trimester III dengan teknik purposive sampling. Instrumen penelitian menggunakan kuesioner PRAQ-R2. Analisa data univariat dan bivariat (Uji Wilcoxon) Hasil: Hasil analisa statistik dengan uji Wilcoxon diperoleh nilai P-value 0,000 pada tingkat kecemasan. Kesimpulan: Acupressure depression points berpengaruh terhadap tingkat kecemasan ibu hamil trimester III di Semarang.Kata kunci: kecemasan, ibu hamil trimester IIIREDUCE ANXIETY IN PREGNANT MOTHER TRIMESTER III WITH ACCUPRESSURE DEPRESSION POINTS METHODABSTRACTPhysical and psychological adaptation of the third trimester of pregnancy can physiologically cause anxiety for pregnant women. The existence of anxiety in third trimester pregnant women can affect the quality of sleep which causes maternal and fetal complications during pregnancy, delivery and even postpartum. Acupressure therapy is a natural therapy by pressing the acupoints to relax the body, improve blood circulation and provide a sense of calm and comfort. Acupoints KID 27 and CV 17 are points associated with anxiety, agitation, thyroid disorders, body balance and heart centers. Emphasis on this point balances thyroid hormone levels and treats anxiety disorders thereby improving sleep quality. Objective: to determine the effect of acupressure depression points on the level of anxiety and sleep quality of pregnant women in the third trimester. Methods: This type of research is quantitative with pre-experimental research method One Group Pretest-Posttest Design. The study was conducted in February-August 2021. The study population was pregnant women in the third trimester who performed ANC in June 2021 with complaints of anxiety. The study sample was 22 pregnant women in the third trimester with purposive sampling technique. The research instrument used the PRAQ-R2. Analysis of univariate and bivariate data (Wilcoxon test) Results: The results of statistical analysis using the Wilcoxon test obtained a P-value of 0.000 on anxiety levels. Conclusion: Acupressure depression points have an effect on the level of anxiety of pregnant women in the third trimester at Semarang.Keyword: Anxiety, Pregnant Women In The Third Trimester


2021 ◽  
Author(s):  
Fatemeh Sarhaddi ◽  
Iman Azimi ◽  
Anna Axelin ◽  
Hannakaisa Niela-Vilen ◽  
Pasi Liljeberg ◽  
...  

BACKGROUND Heart rate variability (HRV) is a non-invasive method reflecting autonomic nervous system (ANS) regulations. Altered HRV is associated with adverse mental or physical health complications. ANS also has a central role in physiological adaption during pregnancy causing normal changes in HRV. OBJECTIVE Assessing trends in heart rate (HR) and HRV parameters as a non-invasive method for remote maternal health monitoring during pregnancy and three months postpartum. METHODS Fifty-eight pregnant women were monitored using an Internet-of-Things (IoT)-based remote monitoring system during pregnancy and 3-months postpartum. Pregnant women were asked to continuously wear Gear sport smartwatch to monitor their HR and HRV. In addition, a cross-platform mobile application was utilized for collecting pregnancy-related information. The trends of HR and HRV parameters were extracted using reliable data. We also analyzed the trends of normalized HRV parameters based on HR to remove the effect of HR changes on HRV trends. Finally, we exploited hierarchical linear mixed models to analyze the trends of HR, HRV, and normalized HRV parameters. RESULTS HR increased significantly during the second trimester (P<.001) and decreased significantly during the third trimester (P<.01). Time-domain HRV parameters, average normal interbeat intervals (AVNN), standard deviation of normal interbeat intervals (SDNN), root mean square of the successive difference of normal interbeat intervals (RMSSD), normalized SDNN (nSDNN), and normalized RMSSD (nRMSSD) decreased significantly during the second trimester (P<.001) then increased significantly during the third trimester (P<.01). Some of the frequency domain parameters, low-frequency power (LF), high-frequency power (HF), and normalized HF (nHF) decreased significantly during the second trimester (P<.01), and HF increased significantly during the third trimester (P<.01). In the postpartum period, nRMSSD decreased (P<.05), and the LF to HF ratio (LF/HF) increased significantly (P<.01). CONCLUSIONS Our study showed that HR increased and HRV parameters decreased as the pregnancy proceeded, and the values returned to normal after the delivery. Moreover, our results show that HR started to decrease while time-domain HRV parameters and HF started to increase during the third trimester. Our results also demonstrate the possibility of continuous HRV monitoring in everyday life settings.


2021 ◽  
Vol 3 (1) ◽  
pp. 18-24
Author(s):  
Nilda Yulita Siregar ◽  
Cici Fitrayanti Kias ◽  
Nurfatimah Nurfatimah ◽  
Fransisca Noya ◽  
Lisda Widianti Longgupa ◽  
...  

Introduction: Fear and anxiety during pregnancy and childbirth can cause problems such as preterm labor and low birth weight. Purpose: The purpose of this study was to determine the level of anxiety of third-trimester pregnant women in dealing with labor. Methods: This type of research is a descriptive study and analyzed with frequency distribution. The population was all pregnant women in the third trimester who were in the working area of ​​the Mapane Community Health Center with a total of 37 people. The sampling technique used total sampling. The results showed that only 8.1% of pregnant women experienced mild anxiety, while 91.9% did not experience anxiety. pregnant women who experience mild anxiety are 20% in the risk age group, 20% with diploma education, 11.5% in mothers who do not work, 60% in primigravidas, and 15.8% in mothers who do not get support from their husbands. Anxiety occurs mostly in primigravida because it is the first experience of pregnancy. It suggested for village midwives providing information about pregnancy and childbirth, especially for primigravida mothers, and involving their husbands in posyandu activities for pregnant women.


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