scholarly journals AN INFLUENCE OF ENDORPHIN MASSAGE ON THE IMPROVEMENT OF BREASTFEEDING PRODUCTION TO MOTHERS WHO DETECT POST PARTUM BLUES BY EDINBURGH POST PARTUM DEPRESSION SCALE (EPDS) SCREENING AT COMMUNITY HEALTH CENTER AROUND MATARAM

2018 ◽  
Vol 11 (1) ◽  
pp. 36 ◽  
Author(s):  
Baiq Eka Putri Saudia ◽  
Ni Nengah Arini Murni

Abstract : Post partum blues is phenomenon which occurs at the first week of postpartum, the peak of symptoms occurs on third to seventh day of postpartum with duration several hours to several days. Postpartum blues are categorized as mild mental disorders thus it often ignored, undiagnosed, and finaly untreated, this situation will create uncomfortable feelings for women who suffer from it, thus the impact gets worse and continue to postpartum depression. Postpartum blues can be detected by EPDS screening. One of the techniques to prevent the occurance of postpartum blues is endorphin massage which is a technique of touch and light massage. The research objective was to find out the effect of endorphin massage on the improvement of exclusive breastfeeding and the decrease of EPDS on mothers who detected postpartum blues. The research was pre experimental with an approach of non randomized control group pre-post test or non equivalen control group design. The sample was determined by purposive sampling. The research was conducted at community health center around Mataram for 5 months (June-October) in 2016. The total sample was 20 mothers with postpartum blues who were treated, and 20 mothers were in the control group. Mothers who detected postpartum blues would be examined their exclusive breastfeeding production by assesse the indicator from infant’s factors used observational questionnaire before and after conducting treatment. The treatment was endorphin massage that given as many as 5 times by researceher since the third day to seventh day after labor. The second assessment of breastfeeding production was done immediately after the fourth treatment to determine the increasing of breastfeeding production after given endorphin massage. The collected data was analyzed by using statistical analysis with SPSS. The findings was there was a significance influence of endorphin massage on the improvement of breastfeeding (p=0.000) and the decrease of EPDS score (p=0.000). The conclusion is endorphine massage can be alternative theraphy which is effective in increasing breastfeeding production and postpartum management. The results of this study concluded, endorphin massage can be used as an effective alternative therapy in increasing milk production and postpartum blues management.

2021 ◽  
Vol 3 (1) ◽  
pp. 55-64
Author(s):  
Salma Salma ◽  
Haniarti Haniarti ◽  
Nurhaeda Nurhaeda

Nutritional problems in Indonesia are getting more complex as the epidemiology transition occurs.  According to reports of posyandu weighing activities at Kabere Puskesmas in 2020 there were 28 malnourished toddlers. The purpose of this study was to determine the increase in body weight of malnourished toddlers by providing high nutritional food made from tempeh and cauliflower in the working area of Kabere Public Health Center, Enrekang Regency. This type of research is a quantitative method with a quasi-experimental design with a non-equivalent control group design. The population is malnutrition under five in the working area of Puskesmas Kabere, The samples of this research were children under five who were malnourished, 14 under five who were given treatment and 14 children who were not given treatment for under-nutrition who were in the working area of the Kabere Community Health Center by calculating zcore, Data analysis was performed using the independent sample t-test with the help of the SPSS version 20 program. The location of this research was conducted in the working area of the Kabere Community Health Center. The research was conducted in July-August 2020.The results showed that the provision of high nutritional food made from tempeh and cauliflower could significantly increase body weight in malnourished children under five. So it is recommended that parents of toddlers provide adequate nutritional intake for under-nutrition children so that their nutritional status can continue to improve.


2020 ◽  
Vol 8 (E) ◽  
pp. 494-497
Author(s):  
Salmiani Abdul Manaf ◽  
Cut Yuniwati ◽  
Silfia Dewi ◽  
Lili Kartika Harahap

BACKGROUND: Most postpartum mothers experience pain. Childbirth pain can cause anxiety, fear, tension, and stress. To increase comfort and reduce pain in maternity can be done using non-pharmacological methods by giving aromatherapy. AIM: The aim of the study was to analyze the effect of lavender and rose flower aromatherapy on the intensity of active phase childbirth pain in pregnant women in Manyak Payed Community Health Center, Aceh Tamiang Regency, Indonesia METHODS: A quasi-experimental design with a prospective cohort study with post-test control group design, which was conducted in the Manyak Payed Community Health Center working area from September to December 2019. A total of 54 women giving birth using accidental sampling techniques were selected as samples and divided into three groups. Each group numbered 18 people. In this sample using inclusion and exclusion criteria, data analysis uses univariable and bivariable using Kruskal–Wallis H test and Mann–Whitney test. RESULTS: The results obtained mean childbirth pain in the lavender group by 18.83, rose flower group by 26.21, and the control group by 37.06. The results of the crucial Willis H test show that there are differences ineffectiveness in the control group and the treatment group with the Sig. 0.001 (<0.05). In further tests of the post hoc test using the Mann–Whitney test, it was found that there was no difference in the effectiveness of the intensity of labor pain in the active phase I with a sig. 0.90 (p > 0.05). Lavender and rose flower groups were equally effective in the intensity of childbirth pain. CONCLUSION: There is a difference between lavender and rose flower aromatherapy on the intensity of pain in the association. Lavender and rose flower aromatherapy treatments are equally influential on the intensity of labor pain in the first phase of the active phase in labor. Lavender and rose flower groups were equally effective in the intensity of childbirth pain.


2021 ◽  
pp. 594-612
Author(s):  
Hadi Abdillah ◽  
Burhanuddin Basri

Ineffective nursing care at the community health center can, in part, be attributed to the lack of a proper supervision model. Supervision is a management function at the control stage which is carried out to direct nurses to work effectively and efficiently and reduce potential work problems. This study uses a quasi-experimental design with pre-test and post-test, together with a control group design. The aim of this study is to analyze the effect of supervision of the clinical model and supervision of academic models on the nursing service at the community health center in Sukabumi Regency. The sample was comprised of 40 people, and data analysis was performed using the General Linear Model Repeating Measure (GLM-RM). The results indicate that there was an increase in the value of nursing care following the intervention. The author saw that in the control group, although no intervention was carried out, they knew that they were being supervised by their supervisor, so that there was an increase in the value of nursing care, but the value was not as significant as that in the intervention group. Therefore, the study concludes that the academic method of supervision training is very effective in improving nursing care.   Keywords: Supervision of Clinical Models, Academic Models, Nursing Care


2018 ◽  
Vol 6 (1) ◽  
Author(s):  
Erike Yunicha Viridula

ABSTRAKGangguan pertumbuhan bayi pada usia dini menyebabkan bayi diberikan MP-ASI terlalu dini dan ibunya tidak memberikan ASI eksklusif selama 6 bulan pada awal kehidupan bayi. Dari hasil studi pendahuluan pada bayi berusia 6-11 bulan yang mendapatkan ASI eksklusif hampir sepenuhnya meragukan perkembangan. Jika ini terus berlanjut, bayi tidak dapat berkembang dengan baik di usia berikutnya. Tujuan penelitian ini untuk mengetahui perbedaan perkembangan pada bayi usia 6-11 bulan yang mendapat ASI eksklusif dan ASI non eksklusif di Puskesmas kecamatan kecamatan Durenan Trenggalek tahun 2017.Desain penelitian ini adalah studi inferensial dengan pendekatan cross sectional. Sampel yang diambil dalam penelitian ini adalah ibu dengan bayi 6-11 bulan pada bulan Oktober di Puskesmas kecamatan kecamatan Durenan Trenggalek pada tahun 2017 berjumlah 40 responden yang diambil menggunakan metode probability sampling dari jenis sistem simple random sampling. Data dianalisis dengan analisis univariat bahwa distribusi frekuensi variabel independen dan dependen dan analisis bivariat menggunakan Mann-Whitney U.Hasil penelitian menunjukkan bahwa dari 20 responden 95% yang mendapatkan ASI eksklusif memiliki perkembangan yang sesuai, 5% memiliki perkembangan yang meragukan, 0% mengalami gangguan perkembangan. Sementara 20 responden diberi 40% menyusui non eksklusif memiliki perkembangan yang sesuai, 60% memiliki perkembangan yang meragukan, dan 0% mengalami gangguan perkembangan. Hasil analisis statistik menunjukkan ada perbedaan perkembangan pada bayi usia 6-11 bulan yang mendapat ASI eksklusif dan ASI non eksklusif di Puskesmas kecamatan Durenan Trenggalek tahun 2017.Jadi dapat disimpulkan bahwa ada perbedaan perkembangan pada bayi usia 6-11 bulan yang mendapatkan ASI eksklusif dan ASI non eksklusif di Puskesmas kecamatan Durenan Trenggalek tahun 2017. Sehingga diharapkan bayi mendapat ASI eksklusif selama 6 bulan pertama dan dilanjutkan hingga 2 tahun dengan makanan pendamping (MP-ASI).Kata kunci : ASI eksklusif, ASI tidak eksklusif, pengembangan ABSTRACTDisorder of Infant growth in early life caused baby are given Complementary feeding (MP-ASI) too early and the mother didn’t give exclusive breastfeeding for 6 months in early life of baby. From the results of preliminary studies in infants aged 6-11 months who get non exclusive breastfeeding had almost entirely dubious developments. If this continues, the baby can’t develop properly in the next age. The purpose of this study to determine development differences in infants aged 6-11 months who get exclusive breastfeeding  and non- exclusive breasfeeding in community health center sub district Durenan Trenggalek district in 2017. The design of this study is inferential study with cross sectional approach.  Samples which taken in this study were mothers with infants 6-11 months in October in community health center sub district Durenan Trenggalek district in 2017 amounted to 40 respondents drawn using probability sampling method of the type system simple random sampling.  Data were analyzed by univariate analysis that the frequency distribution of independent and dependent variables and bivariate analysis using Mann-Whitney U. The results showed that of the 20 respondents 95% who get exclusive breastfeding had appropriate development, 5% had dubious developments, 0% had disorder development. While 20 respondents were given 40% non exclusive breastfeeding had appropriate development, 60% have dubious development, and 0% had disorder development. Statistical analysis showed there are differences development in infants aged 6-11 months who get exclusive breastfeeding and non-exclusive breasfeeding in community health center sub district Durenan Trenggalek in 2017. So can be concluded that there are differences development in infants aged 6-11 months who get exclusive breastfeeding and non-exclusive breasfeeding in community health center sub district Durenan Trenggalek in 2017.So expected the babies got exclusive breastfeeding for the first 6 months and continued to 2 years with complementary foods (MP-ASI).Key Words : exclusive breastfeding, non exclusive breastfeding, development


2022 ◽  
Vol 3 (1) ◽  
pp. 202-208
Author(s):  
Balqis Dwiyanti Haedar ◽  
Rauly Ramadhani ◽  
Andi Sitti Rahma

Exclusive breastfeeding is a condition in which infants are only given breast milk without the addition of other fluids and foods. until the baby reaches 6 months old. Breast milk strengthen the immune system in infants so they can avoid various diseases including diarrhea. This study aims to determine the relationship between exclusive breastfeeding and the incidence of diarrhea in infants aged 0-6 months in the Sudiang Community Health Center. This research is an analytical survey research with a cross-sectional design. This research was conducted at the Sudiang Health Center, Makassar City in the period November 1st to December 31st, 2019. The total respondents were 89 mothers with babies aged 0-6 months. The results showed that most of the respondents were mothers with male babies (61%), most of the mothers' education was high school graduates (46%), housewives (75%) with low economic background (56%). Exclusive breastfeeding related to the incidence of diarrhea in children aged 0-6 months in the Sudiang Community Health Center with a value of p <0.05 (p = 0.001). In addition, no significant relationship on maternal nipple hygiene to diarrhea in children aged 0-6 months p <0.05 (p = 0.075). In conclusion, this study showed there is a relationship between exclusive breastfeeding and the incidence of diarrhea in children aged 0-6 months in Sudiang Health Center. There is a relationship between hand hygiene and the incidence of diarrhea in children aged 0-6 months in Sudiang Health Center, Makassar.


2017 ◽  
Vol 3 (5) ◽  
pp. 508-514
Author(s):  
Yuli Sya’baniah Khomsah ◽  
Agus Suwandono ◽  
Ida Ariyanti

Background: Pain during pregnancy and childbirth is a physiological process, but it leads to discomfort without pain management. Acupressure and effleurage are considered to be effective in reducing labor pain.Objective: To examine the effect of acupressure and effleurage in reducing pain during in the active phase of the first stage of labor in the community health center of Kawunganten, Cilacap regency.Methods: This was a quasi-experimental study with pretest-posttest control group design. There were 33 respondents recruited using simple random sampling. Numerical rating scale was used to measure labor pain. Data were analyzed using one way anova, Post hoc anova and repeated anova for normal data distribution. Kruskal Wallis was also used for non-normal data distribution.Results: There was a statistically significant mean difference of pain scale before and after given acupressure and effleurage (p-value <0.05). However, acupressure treatment had a greater effect  in reducing pain compared with effleurage.Conclusion: Acupressure and efflurage had a significant effect in reducing pain in mothers in the active phase of the first stage of labor. The results of this study are expected to enrich and contribute to the development of science in the field of health promotion, and  serve as an additional input for midwives in order to carry out the care of mother during labor.


2018 ◽  
Vol 12 (02) ◽  
Author(s):  
Abdul Malik Lawira

ABSTRACTThis research aims to identify factors that can effect the behavior of mothers during exclusive breastfeeding for infants aged 0-6 months in Malei Community Health Center in Poso. The design of this research is observational analytic with Cross Sectional design. The sample of 82 respondents, who were the total of population, consisted of mothers who had babies aged 6-12 months. Data collection tool was questionnaires and techniques of data analysis were univariate data and bivariate data. The results showed age factors (p = 0.158), education (p = 0.360) and employment (p = 0.543), did not have a meaningful relationship on exclusive breastfeeding behavior. While the duration of breastfeeding factors (p = 0.007), family support (p = 0.005) and knowledge (p = 0.005), have a significant relationship with exclusive breastfeeding behavior in Malei Community Health Center, Poso. Conclusions, the duration of breastfeeding factors, family support and knowledge, have a relationship towards mother's exclusive breastfeeding behavior in Malei Community Health Center, Poso Regency. Thus, this study suggests to increase family support and duration of breastfeeding for each mother and providing knowledge about exclusive breastfeeding for antenatal activities and postnatal lactation support, both at the hospital and at the community health center up to six months after giving birth.Keywords: Duration of breastfeeding, Family support, knowledge, Exclusive breastfeeding


2017 ◽  
Vol 3 (6) ◽  
pp. 765-770
Author(s):  
Iin Wahyuni ◽  
Noor Pramono ◽  
Titi Suherni ◽  
Melyana Nurul Widyawati

Objective: This study aimed to examine the pregnancy exercise during the third trimester of pregnancy on duration of the first and second stage of labor in primigravida at the Community Health Center of Sukamaju, Bandar lampung, Indonesia.Methods: This study employed a quasy experimental design with posttest-only non-equivalent control group. This study was conducted from 8 January 2017 to 12 February 2017 at the Community Health Center of Sukamaju. Forty-eight primigravida mothers were selected using consecutive sampling, with 24 assigned in the experiment and control group. Data were analyzed using Mann whitney and Chi square test.Results: The average duration of the first stage of labor in the experiment group was 495 minutes and in the control group was 685 minutes (p= 0.000); while the average duration of the second stage of labor in the experiment group was 42.5 minutes and in the control group was 68.75 minutes (p=0.000).Conclusion: There was a statistically significant difference in the duration of the first and second stage of labor between experiment and control group. It is expected for midwives in the community health centers to implement pregnancy exercise program to help mothers in accelerating the delivery process.


Author(s):  
CITRA FEBRIONY ◽  
PURWANTYASTUTI . ◽  
MEANALDI RASMIN ◽  
VIVIAN SOETIKNO

Objective: Appropriate tuberculosis (TB) treatment guidelines are one of the many factors that influence the success of TB treatment. The patient’sdrug supervisor is a functional role that is part of the directly observed treatment short course, a program to support the success of TB treatment.The aim of this study was to analyze the TB treatment suitability in a community health center and the benefit of treatment compliance supervisionby the patient’s designated drug supervisor.Methods: We conducted a cross-sectional study in the Community Health Center of Pademangan subdistrict, North Jakarta, involving 205 subjects toanalyze appropriate fixed-dose combination (FDC) anti-TB drug administration and an experimental study involving 23 control group TB patients and23 intervention group TB patients to assess the benefit of supervision by each patient’s drug supervisor.Results: The association of FDC anti-TB drug side effects with the success of TB treatment was not statistically significant (p=0.173). There wasan increase in drug supervisor knowledge of 8.6% in the intervention group and 13% in the control group. There was no statistically significantassociation between the knowledge of the drug supervisor and the 2nd month (p=0.575) and the 6th month of sputum treatment.Conclusion: Minor side effects of FDC anti-TB drug did not affect the success of TB treatment; therefore, treatment was continued if these adverseevents occurred. There were no correlations between the drug supervisor knowledge level with medication compliance or with sputum conversion(months 2 and 6).


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