scholarly journals PENGARUH PIJAT PERINEUM PADA KEHAMILAN TRIMESTER III TERHADAP ROBEKAN PERINEUM PRIMIGRAVIDA DI PUSKESMAS JAGIR SURABAYA

2019 ◽  
Vol 5 (1) ◽  
pp. 80-87
Author(s):  
Fritria Dwi Anggraini ◽  
Yasi Anggasari
Keyword(s):  
Community Health ◽  
Health Center ◽  
Health Workers ◽  
Community Health Center ◽  
Control Group ◽  
Group Model ◽  
Third Trimester ◽  
The Third ◽  
Perineal Massage ◽  
Pregnant Mothers

Abstract                : Perineal rupture may occur spontaneously (ruptured) or deliberately (episiotomy). An attempt to Flex the perineum perineum massage among others who haven't performed in clinics jagir. The objective of this research was to find out the effect of perineal massage during the third trimester of pregnancy on the prevention of primigravida perineal rupture in Community Health Center in Jagir -Surabaya. The research design was Quasi-experimental with post-test only group model. The population was all pregnant mothers - of primigravida physiologic category of the third trimester - who delivered at Community Health Center in Jagir Surabaya with its sample of 20 respondents, that is, 10 respondents of the treatment group and 10 respondents of the control group. The independent variable was perineal massage, and the dependent variable was perineal rupture. The data collection was carried out using SOP and partographic sheet / medical record. The data were analyzed by Mann Whintney test with α = 0.05. The Result of the research showed that almost all respondents (80.0%) did not experience perineal rupture in treatmen group and most (60.0%) of those respondents experiencing torn perineum were suffering from perineal tear in control group. The result of the statistic test using Mann Whitney showed p = 0.001 <α = 0.05, then Ho was refused, meaning there was effect of perineal massage during the third trimester pregnancy on the prevention of primigravida perineal rupture at Community Health Center in ​​Jagir surabaya. Respondents who do the massage the perineum almost everything does happen rips therefore massage the perineum can Flex the perineum so as not happening rips the perineum. Therefore it was suggested that the health workers encourage the pregnant mothers to have perineal massage treatment during theperiod of maternity preparation.

scholarly journals EFFECT OF PREGNANCY EXERCISE ON DURATION OF THE FIRST AND SECOND STAGE OF LABOR IN PRIMIGRAVIDA MOTHERS DURING THE THIRD TRIMESTER OF PREGNANCY

2017 ◽  
Vol 3 (6) ◽  
pp. 765-770
Author(s):  
Iin Wahyuni ◽  
Noor Pramono ◽  
Titi Suherni ◽  
Melyana Nurul Widyawati
Keyword(s):  
Community Health ◽  
Health Center ◽  
Average Duration ◽  
Community Health Center ◽  
Control Group ◽  
Third Trimester ◽  
Second Stage Of Labor ◽  
Second Stage ◽  
The Third ◽  
And Control

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.

scholarly journals EFFECT OF YOGA AND ACUPRESSURE ON PAIN AND FUNCTIONAL CAPABILITY OF LOWER BACK IN PREGNANT MOTHERS DURING THE THIRD TRIMESTER OF PREGNANCY

2017 ◽  
Vol 3 (6) ◽  
pp. 722-728
Author(s):  
Dewi Candra Resmi ◽  
Suharyo Hadisaputro ◽  
Runjati Runjati
Keyword(s):  
Back Pain ◽  
Pregnant Women ◽  
Community Health ◽  
Health Center ◽  
Lower Back Pain ◽  
Community Health Center ◽  
Control Group ◽  
Functional Capability ◽  
The Third ◽  
Lower Back

Objective: To examine the effect of yoga and acupressure in lower back pain and functional capability in pregnant women during the third semester of pregnancy.Methods: A quasy experimental design with pretest posttest with non-equivalent control group. The research was conducted at the Community Health Center of Kalikajar I, Selomerto I and Garung I in Wonosobo regency in January 2017. The samples of this research were 42 pregnant women in trimester III selected using purposive sampling, which 14 samples assigned in the yoga group, acupressure group, and control group. A Visual Analog Scale (VAS) was used to measure pain level, and Oswestry Disability Index to measure functional capability of lower back. Data were analyzed using paired t-test and one-way ANOVA.Results: Findings showed that there was a statistically significant effect of yoga, acupressure, and pregnancy exercise (control group) in reducing lower back pain and lower back functional capability with p <0.05. Pregnancy exercise (mean=-1.43) was more effective in reducing lower back pain compared with yoga (mean=-2.29) and acupressure (mean=-2.71); and acupressure (mean=-14.29) was more effective in improving lower back functional capability than yoga (mean=-6.57) and pregnancy exercise (mean= -13.29).Conclusion: There were significant effects of yoga, acupressure, and pregnancy exercise in reducing pain and in improving the functional ability of the lower back. It is recommended for midwife to use these interventions as an alternative to deal with back pain and functional capability in pregnant women, especially in the Community Health Center in Wonosobo regency. 

scholarly journals The Effect of Perineal Massage on Perineal Status and Duration of Labor

2019 ◽  
Vol 14 (2) ◽  
Author(s):  
Priyani Haryanti
Keyword(s):  
Community Health ◽  
Health Center ◽  
Community Health Center ◽  
Control Group ◽  
Singleton Pregnancy ◽  
High Dependency ◽  
Study Results ◽  
Quasi Experimental ◽  
Postpartum Mothers ◽  
Perineal Massage

<pre>Perineal rupture in postpartum mothers causes bleeding, pain, and high dependency on others after the birth. The preliminary study results showed that 68.81% of postpartum mothers experienced perineal rupture. The aim of this study was to determine the effect of perineal massage on perineal status and length of labor. It was quasi-experimental research with control group post-test only design. The population were all expectant mothers in the Yogyakarta Community Health Center. A sample of 60 respondents were divided into control and intervention groups using a random sampling method. The inclusion criteria were 20-35 years old, singleton pregnancy, spontaneous labor, and gestational age of 34-36 weeks. The study instrument used was an observation sheet. Data were analyzed using descriptive, t-test independent, Mann-Whitney’s, and linear regression test. Results. The results showed that perineal massage affects perineal status (p &lt; 0.001) and the duration of stage I and  stage II of labor (p &lt; 0.001). Perineal massage affects perineal status and the duration of labor in the Yogyakarta City Community Health Center.</pre>

The Effectiveness of Rosella Flowers to the Changes of Hemoglobin Levels of Third Trimester Pregnant Women in The Area of The RatuAgung Community Health Center in 2020

2021 ◽  
Vol 8 (1) ◽  
pp. 038-042
Author(s):  
Rifi Wulandari ◽  
Afrina Mizawati
Keyword(s):  
Pregnant Women ◽  
Community Health ◽  
Health Center ◽  
Community Health Center ◽  
T Test ◽  
Control Group ◽  
P Value ◽  
Third Trimester ◽  
And Control ◽  
Paired T Test

Anemia during pregnancy is one of the most common disorders in pregnant women in Indonesia. The Government has made efforts to overcome this problem, however, the rate of anemic mothers remains high. Rosella (Hibiscus Sabdariffa) is considered able to increase the hemoglobin levels in pregnant mothers. To analyze the effect of Rosella flower on the increase of Hemoglobin level in pregnant women receiving Fe tablet. This study was a quasy experiment with pretest-posttest control group design conducted in January 2020 in the working area of Ratu Agung Community Health Center. Thirty-two participants were selected using accidental sampling, which assigned in the experiment and control group. All samples were pregnant women in the third trimester and receiving iron tablets. Independent t-test and paired t-test were used for data analysis. The paired t-test obtained a p-value of 0.00 (<0.05), indicated that there was an increase of hemoglobin levels in both experiment and control group. The mean increase of hemoglobin levels in the control group was 0.59 gr and in the experiment group was 1.11. The hemoglobin levels in the experiment group were higher than the levels in the control group. The independent t-test obtained a p-value of 0.241 (> 0.05) indicating that there wasn't a significant difference of mean of hemoglobin levels between the control group and the treatment group. The consumption of rosella combined with Fe tablet showed a significant increase of hemoglobin levels compared of pregnant women. Therefore,

scholarly journals The INFLUENCE OF HYPERTENSION EXERCISE ON BLOOD PRESSURE IN ELDERLY HYPERTENSION IN THE KEDATON COMMUNITY HEALTH CENTER PENENGAHAN RAYA VILLAGE BANDAR LAMPUNG

2019 ◽  
Vol 7 (1) ◽  
pp. 564-579
Author(s):  
Novita Verayanti Manalu
Keyword(s):  
Blood Pressure ◽  
Community Health ◽  
Health Center ◽  
Health Workers ◽  
Community Health Center ◽  
The Elderly ◽  
Control Group ◽  
P Value ◽  
Pharmacological Management ◽  
Quasi Experimental

Introduction: Blood pressure can increase when one is aged 45 – 55 years old. The artery walls become thick due to the collagen acumulation in the muscle layers. As a result, the blood vessels will gradually narrow and become rigid. Elderly exercise is a mild exercise. It is easy to do wothour burdensome, which is dedicated to the elderly. The objective of this research is to analyze the effect of the elderly exercise on the blood pressure of the hypertension elderly at Kedaton Community Health Center. Method: This reseach used the quasi experimental method with pre and post test design. The population of research consisted of 64 respondents, 32 as the experimental group and the rest 32 as the control group. The former was exposed to the intervention of the elderly hypertension exercise. The data of research were analyzed by using T test. Result: There was an effect of the elderly hypertension exercise on the systolic blood pressure and dyastolic blood pressure of the hypertension respondents at Kedaton Community Health Center as indicated by the p value = 0,000. So H0 rejected and H1 accepted. Discussion: The health workers are required to conduct socialization and training of the elderly hipertention exercise need to socialize and train the performance skill of hipertension exercise. So, they can manage the elderly whom have hypertension by using non-pharmacological management to control blood pressure on hypertension patients.

scholarly journals Factor Affecting the Utilization of Family Planning Program Services

2021 ◽  
Vol 2 (2) ◽  
pp. 41-50
Author(s):  
Melda Andriani ◽  
Megawati Megawati ◽  
Asriwati Asriwati ◽  
Lucia Lastiur
Keyword(s):  
Family Planning ◽  
Community Health ◽  
Health Center ◽  
Mixed Methods Research ◽  
Quantitative Methods ◽  
Family Planning Program ◽  
Health Workers ◽  
Community Health Center ◽  
Planning Program

Family planning to spacing or planning the number and distance of pregnancies using contraception. Data on active family planning participants based on the type of contraception at the Pasie Raya Community Health Center in 2019 was 39.4%, there was no increase in the coverage of active KB participants based on the type of contraception in 2018 of 49.4%. The aim is to find out what are the factors that influence the use of family planning program services for women in the working area of ​​the Pasie Raya Community Health Center. This type of research is a combination research (mixed methods research) combining or combining quantitative methods and qualitative methods with Accidental Sampling sampling techniques on 90 samples and 5 informants. Quantitative data were analyzed using univariate, bivariate and multivariate logistic regression tests. The results of the study showed the influence of knowledge, information sources, culture, family support and support from health workers on the utilization of family planning program services. Based on the multivariate analysis, the support variable for health workers is the dominant variable, while the results of the qualitative analysis on key informants and supporters can be concluded that women have taken advantage of the Kb service program, but most of the women do not understand and understand the benefits that are obtained from the family planning program. The conclusion from the health workers is very important in the utilization of family planning program services. It is recommended that the Health Office conduct more evaluations of family planning services at the Puskesmas. It is necessary to improve the quality of Kb services by including health workers in training.

scholarly journals Kompetensi Bidan Puskesmas dalam Meningkatkan Pelayanan Antenatal (Studi Kasus di Puskesmas Tambak Rejo, Surabaya)

2019 ◽  
Vol 7 (1) ◽  
pp. 1-8
Author(s):  
Andy Asmara
Keyword(s):  
Community Health ◽  
Health Center ◽  
Community Health Centers ◽  
Health Workers ◽  
Perinatal Care ◽  
Community Health Center ◽  
Community Empowerment ◽  
District Health ◽  
Soft Skill ◽  
Birth Attendance

The daily facts indicated that an individual is the key factor to achieve organization’s success. Every organization with its best performance is always related to its human resources’ balanced competency. The midwife has role, function, and competencies to provide maternal services for women. The midwife’s role is not only a doer, but also an organizer, an educator, and a researcher. Therefore, the midwife is expected to focus on prevention and health promotion aspect with basis of partnership, and community empowerment collaboration with other health workers in order to be readily prepare the health services for anyone who is in need.This was qualitative research method with case study approach. The informant was the midwives of Tambakrejo Community Health Center of Surabaya. According to the data of antenatal care attendance, trained birth attendance, and perinatal care, there were 859 pregnant women, 581 persons on phase of K1 (67.64%), and 551 persons on phase of K4 (64.14%). The birth attendances by trained birth attendants are 513 people (62.56%), while perinatal care recorded 570 people attending the health service (69.51%). The data indicated the performance by the midwives of Tambakrejo Community Health Center categorized in the lowest position among 63 community health centers in Surabaya. The result showed poor soft skill competency and poor hard skill competency on midwives. In conclusion, poor soft skill competency including personal competence and social competence should be trained and developed by obstetrics and gynecology specialist of Soewandhi Public Hospital of Surabaya. The study suggested Surabaya District Health Office needs to conduct training of technology information and computer in order to increase the service quality and to solved the problem related to hard skill competencies on technology and computer skill. 

scholarly journals THE EFFECT OF ACUPRESSURE AND EFFLEURAGE ON PAIN RELIEF IN THE ACTIVE PHASE OF THE FIRST STAGE OF LABOR IN THE COMMUNITY HEALTH CENTER OF KAWUNGANTEN, CILACAP, INDONESIA

2017 ◽  
Vol 3 (5) ◽  
pp. 508-514
Author(s):  
Yuli Sya’baniah Khomsah ◽  
Agus Suwandono ◽  
Ida Ariyanti
Keyword(s):  
Community Health ◽  
Health Center ◽  
Rating Scale ◽  
Numerical Rating Scale ◽  
Community Health Center ◽  
Active Phase ◽  
Labor Pain ◽  
Control Group ◽  
P Value ◽  
First Stage Of Labor

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.

scholarly journals ANALYSIS OF TUBERCULOSIS TREATMENT SUITABILITY AND THE DRUG SUPERVISOR’S ROLE IN A COMMUNITY HEALTH CENTER IN PADEMANGAN SUBDISTRICT, NORTH JAKARTA

2019 ◽  
pp. 272-276
Author(s):  
CITRA FEBRIONY ◽  
PURWANTYASTUTI . ◽  
MEANALDI RASMIN ◽  
VIVIAN SOETIKNO
Keyword(s):  
Side Effects ◽  
Community Health ◽  
Health Center ◽  
Treatment Guidelines ◽  
Community Health Center ◽  
Intervention Group ◽  
Treatment Compliance ◽  
Fixed Dose ◽  
Control Group ◽  
Tb Treatment

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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