scholarly journals PENGARUH KOMBINASI PIJAT ENDORPHIN DAN MURROTAL TERHADAP NYERI PERSALINAN KALA I DI PMB NY. N PASPAN KABUPATEN BANYUWANGI

2021 ◽  
Vol 7 (2) ◽  
pp. 344-350
Author(s):  
Indah Christiana ◽  
Diana Kusumawati

Introduction: During labor, uterine contractions, cervical dilatation and stretching of the lower uterine segment cause pain. Pain during labor that is not resolved properly can affect the physiological mechanisms of a number of body systems. In addition to labor pain can be overcome with endorphin massage, can also be overcome with murottal therapy. Objective : To examine the effect of endorphin and Murrotal massage therapy on labor pain in the first stage at PMB Miss. N Paspan Banyuwangi Regency. Methods: The design of this study used Quasy Experimental with pre-test – post test control group. A sample of 20 mothers who gave birth were divided into 10 women who gave birth in the treatment group and 10 women who gave birth in the control group. The measuring tools used are questionnaires and observation sheets, the data collected is then tested with the Wilcoxon Signed Rank. Results: There is an effect of a combination of endorphin and Murrotal massage on labor pain in the first stage with a significant degree of < 0.05. Conclusion: The implication of this study is to reduce labor pain in the first stage of labor by using a combination of endorphin and murrotal massage.

2010 ◽  
Vol 1 (1) ◽  
Author(s):  
Sri Sumaryani ◽  
Indri Nurasa

PENGARUH PEMBACAAN DZIKIR PADA IBU MELAHIRKAN TERHADAP TINGKAT NYERI INTRA NATAL DI RUMAH BERSALIN FAJAR YOGYAKARTAEffect of Reading Dhikr Women On The Level Of Birth Pain Intra Christmas At Home Delivery Dawn YogyakartaSri Sumaryani1 & Indri Nurasa21, 2)Program Studi Ilmu Keperawatan Fakultas Kedokteran Universitas Muhammadiyah YogyakartaJl. Lingkar Barat Taman Tirto Kasihan Bantul Yogyakarta 55182*)e-mail: [email protected] atau yang biasa disebut dengan proses persalinan merupakan suatu proses membuka dan menipisnya serviks, dan janin turun ke dalam jalan lahir. Gejala awal persalinan akan menimbulkan nyeri yang sangat hebat karena adanya kontraksi uterus dan otot abdomen. Nyeri intra natal adalah suatu nyeri yang dirasakan saat terjadinya proses persalinan (melahirkan). Saat nyeri persalinan muncul, ada baiknya bagi ibu untuk membaca dzikir. Dzikir adalah mengingat Allah SWT dan menghadirkan apa yang tadinya ada di dalam benak untuk kemudian dilafadzkan atau disebut-sebut yang dapat dilakukan secara lisan dengan menggunakan lidah atau bisa juga diucapkan tanpa adanya keterlibatan lidah, yaitu melalui hati. Penelitian ini bertujuan untuk mengetahui pengaruh pembacaan dzikir pada ibu melahirkan terhadap tingkat nyeri intra natal. Teknik pengambilan sampel menggunakan purposive sampling. Desain penelitian pra eksperimen, dengan rancangan pre test-post test tanpa kelompok kontrol. Sampel penelitian berjumlah 30 responden. Pengumpulan data dilakukan dengan observasi langsung kepada responden untuk mengukur tingkat nyeri. Analisa data menggunakan uji statistik wilcoxon signed rank test dan regresi linier dengan menggunakan SPSS 14. Hasil penelitian menunjukkan bahwa hasil uji statistik untuk nilai pre test dan post test tingkat nyeri diperoleh nilai signifikansi 0,02 dengan p < 0,05.Kata kunci: pembacaan dzikir, melahirkan, nyeri intra natal, tingkat nyeriABSTRACTThe delivery or usually called labor process is a process open and thin the cervix, and descent of the fetus into the way of birth. The early symptom of delivery will be appearing very heavy because there are uterus contraction and abdomen muscle. In partum pain is a pain which feel when delivery process happening (labor). When labor pain appears, there is a good for the mother to read dzikir. Dzikir is remembering Allah SWT and make present what before in the mind and then pronounced or make cal can do spoken by tongue or pronounced without there are involving tongue, by heart. The purpose of this research is to know about the influence of reading dzikir to the delivery mother toward in partum level of pain. Technique sampling used purpose sampling. The research of design pre experiment, with pre test-post test without control group design. The sample in this research’s total is 30 respondents. The manner of data was did by direct observation to the respondents to measure pain level. Data analysis used statistic test wilcoxon signed rank test and regression linier in SPSS 14. The results of research showed that results of the statistic pretest and posttest of pain level show significance value 0,02 with p < 0,05.Keywords: reading dzikir, delivery, in partum pain, pain level


2020 ◽  
Vol 4 (2) ◽  
pp. 69-71
Author(s):  
Bilqees Akhtar Malik ◽  
Ambreen Shabbir ◽  
Zeb-Un-Nisa ◽  
Asma Ambreen

Objective: In our part of the world poverty and illiteracy has adversely affected our core objective of pregnancy i.e. healthy mother and healthy child. Exploring the role of a routinely used drug in reducing the duration of labor could be a breakthrough. Present study was planned accordingly to evaluate the effect of phloroglucinol (PHL). Materials and Methods: It was a Randomized controlled trial conducted at Department of Obstetrics & Gynecology, Combined Military Hospital, Bahawalpur from January 2019 to June 2019. This study included 60 cases of age 18 to 40 years, having singleton pregnancy and in active first stage of uncomplicated labor. Patients with history of multiple pregnancies, obstetrical and surgical complications and cardiorespiratory diseases were excluded. The cases were placed randomly into Group A & Group B and given intravenous PHL and a placebo respectively. After this, duration of the first stage of labor was recorded in minutes from when there was 3-4 cm cervical dilatation with regular uterine contractions to complete cervical dilation i.e. 10 cm and descent of the presenting fetal part. Results: Mean duration of active first stage of labor in experimental group A (230.20 ± 52.96 minutes) was significantly higher than that of control group B (345.30 ± 50.57 minutes). Conclusion: This study concluded that intravenous PHL has efficiently reduced the duration of active first stage of labor in these randomly selected nulliparous and multiparous women. PHL is a useful drug serving the purpose of a spasmolytic, analgesic and labor augmentation at the same time.


2017 ◽  
Vol 3 (1) ◽  
pp. 55
Author(s):  
Finta Isti Kundarti ◽  
Ira Titisari ◽  
Naning Tri Windarti

Pain in the labor are predisposition for anxiety, hyperventilation, thus causing oxygen requirements and increased blood pressure. Pain in the labor  can be reduced by non- pharmacological methods, one of which is using aromatherapy. Lavender as an aromatherapy effect relaxation, pain relief, reduces anxiety and causes calmness. The purpose of this research was to know the effect of lavender massage aromatherapy to the level of the first stage of labor pain in the active phase of first stage labor. The research design used quasi experiment with pre-test post-test with control group design. The population in this research that the whole maternal active phase of the first stage in BPM Blabak’s Community Health Center Kediri Regency. The research time is June 23 until July 19 sampling techniques. The research instrument used scale observation. Statistical tests in this study using the paired t test.The results showed t value (11,000) ; t table (2,262) and P value (0.000) ; α (0.05), then H0 is rejected, which means there is effect of lavender (Lavandula angustifolia) massage aromatherapy to the pain labor level of the active phase in the first stage of labor. So the conclusion of lavender massage aromatherapy down the level of pain  in the active phase of the first stage of labor. This method can be applied midwives to help reduce pain during childbirth.; Keywords: Lavender Aromatherapy, Pain, Labor, Massage


2021 ◽  
Vol 7 (1) ◽  
pp. 13-18
Author(s):  
Putri Novitasari ◽  
Dwi Ernawati ◽  
Sapto Dwi Anggoro

Pendahuluan : Physical distancing adalah salah satu cara untuk mencegah penularan dan memutus rantai penyebaran Covid-19.  Saat ini seluruh kegiatan anak usia sekolah harus berada di dalam rumah, sehingga mereka mengeluh bosan karena tidak bisa bermain dengan temannya hal ini juga bisa mengakibatkan anak mengalami stres. Salah satu cara untuk mengurangi stres yaitu terapi audiovisual. Tujuan: Untuk meneliti pengaruh terapi audiovisual terhadap tingkat stres pada anak usia sekolah yang menjalani physical distancing di RW 01 Desa Wage Kecamatan Taman Sidoarjo. Metode: Desain penelitian ini menggunakan desain penelitian Quasy-Eksperimental dengan metode pre-test - post test control group. Sampel penelitian ini berjumlah 50 anak, yang dibagi menjadi 25 anak pada kelompok intervensi dan 25 responden pada kelompok kontrol dengan menggunakan teknik Simple Random Sampling. Alat ukur yang digunakan adalah kuesioner melalui googleform. Analisa data menggunakan Wilcoxon Signed Rank dan uji Mann-Whitney (??0.05). Hasil: Hasil penelitian menunjukkan bahwa ada pengaruh terapi audiovisual (film kartun) terhadap tingkat stres pada anak usia sekolah yang menjalani physical distancing dengan derajat signifikan ??0,05. Kesimpulan: Implikasi penelitian ini adalah untuk menurunkan stres pada anak usia sekolah yang menjalani physical distancing dengan melakukan terapi setiap hari selama satu episode film kartun  


2019 ◽  
Vol 2 (2) ◽  
pp. 108-121
Author(s):  
Syarifah Faradina ◽  
Sarah Sisilya Az Badal ◽  
Meutia Natasya ◽  
Kamilah Kamilah ◽  
Elda Oviyani ◽  
...  

ABSTRAKKecemasan merupakan fenomena psikologis yang umum dirasakan oleh setiap individu. Mahasiswa sebagai penuntut ilmu tidak pernah lepas dari tuntutan tugas dan lingkungan, membuat mahasiswa sering dihadapkan pada situasi yang memicu timbulnya berbagai hambatan. Terdapat berbagai upaya untuk mengurangi kecemasan tersebut, salah satunya adalah dengan mewarnai mandala. Tujuan penelitian ini adalah untuk mengetahui pengaruh mewarnai mandala terhadap menurunnya kecemasan pada mahasiswa. Penelitian ini menggunakan metode quasi eksperimen dengan desain pre-test post-test control group. Responden terdiri dari 20 mahasiswa yang mengalami kecemasan ringan sampai sangat berat, yang terbagi atas kelompok eksperimen dan kelompok kontrol. Hasil analisis penelitian menggunakan wilcoxon signed rank test ditemukan perbedaan sebelum dan sesudah diberikan perlakuan mewarnai mandala dengan nilai Z = -2,831 dengan nilai signifikansi 0,005 (p0,05). Hasil analisis ini menunjukkan bahwa mewarnai mandala dapat menurunkan kecemasan. Selain itu, penelitian ini juga melakukan analisis antara kelompok kontrol dan kelompok eksperimen. Hasil analisis menggunakan ujiMann-Whitney diperoleh nilai signifikansi 0,404 (p0,05). Hasil analisis menunjukkan bahwa tidak ada perbedaan hasil penurunan tingkat kecemasan pada kelompok eksperimen maupun kelompok kontrol.Kata Kunci: Kecemasan, Mewarnai Mandala, MahasiswaABSTRACTAnxiety is a psychological phenomenon that is commonly felt by everyone. Students with various activities can also experience anxiety. Students in the academic environment, who have never been separated from the demands of the task, make students often faced with the situations that trigger anxiety. There are various efforts to reduce this anxiety, one of which is to color the mandala. The purpose of this study was to determine the effect of coloring mandalas on decreasing anxiety in students. This study uses a quasi-experimental method with a pre-test post-test control group design. Respondents consisted of 20 students who experienced mild to extremely severe anxiety, which was divided into experimental groups and control groups. The results of the study analysis using Wilcoxon signed rank test found differences before and after the mandala coloring treatment given with a value of Z = -2,831 with a significance value of 0,005 (p 0,05). The results of this analysis indicate that coloring mandalas can reduce anxiety. In addition, this study also conducted an analysis between the control group and the experimental group. The results of the analysis using the Mann-Whitney test obtained a significance value of 0,404 (p 0,05). The results of the analysis showed that there were no differences in the results of the decrease in anxiety levels in the experimental group and the control group.Keywords: Anxiety, Coloring Mandala, Student


2013 ◽  
Vol 03 (04) ◽  
pp. 104-107
Author(s):  
Reeja Mariam Joseph ◽  
Philomena Fernandes

AbstractThe study was conducted to assess the effectiveness of jasmine oil massage on labour pain during first stage of labour among 40 primigravida women. The study design adopted was true experimental approach with pre-test - post-test control group design. The demographic Proforma were collected from the women by interview and Visual analogue scale was used to measure the level of labour pain in both the groups. Data obtained in these areas were analysed by descriptive and inferential statistics. A significant difference was found in the experimental group(tcal 9.869, p<0.05). A significant difference was found between experimental group and control group. cal The pre-test ('tcal' 0.36, p>0.05) and the post-test (tcal 11.75, p<0.05). No significant association was found between the level of labour cal cal pain and demographic variables in the experimental group. In this study Jasmine oil massage proved to reduce first stage labour pain.


2019 ◽  
Vol 7 (3) ◽  
pp. 185-190
Author(s):  
Retty Nirmala Santiasari ◽  
Detty Siti Nurdiati ◽  
Wiwin Lismidiati

Backgraound: Labor process begins with the process of cervical dilatation, which is commonly accompanied by pain. Labor pain caused by uterine contractions can cause thinning of the cervix. Effects of labor pain includes inflammation in uterus and labor dystocia. Effleurage and counterpressure are complementary treatment to stimulate uterine contractions. Objective: To analyze the effectiveness of effleurage and counterpressure massages on the progress of cervical dilatation. Method: This was a quasi-experiment study with pre-post test nonequivalent control group. Population was the women in labor in stage I active phase. Research subjects were 68 people that were divided into two groups. Sampling technique was consecutive sampling. Instrument used in this study was the internal examination. Data were analyzed using Wilcoxon and Mann Whitney. Results: The progress of cervical dilatation before and after the intervention of the effleurage was 4.74±0.83 vs 7.47±1.21 with p=0.00 and the result for the counterpressure group was 4.59±0.66 vs 8.03±0.96 with p=0.00. The average improvement of cervical dilatation on the effleurage and counterpressure groups was 2.73 vs 3.44 with p=0.00. Conclusion: The counterpressure has the more significant effect than the effleurage on improving the cervical dilatation.   Keywords: Cervical dilatation, counterpressure, effleurage


2019 ◽  
Vol 7 (3) ◽  
pp. 185-197
Author(s):  
Retty Nirmala Santiasari ◽  
Detty Siti Nurdiati ◽  
Wiwin Lismidiati

Backgraound: Labor process begins with the process of cervical dilatation, which is commonly accompanied by pain. Labor pain caused by uterine contractions can cause thinning of the cervix. Effects of labor pain includes inflammation in uterus and labor dystocia. Effleurage and counterpressure are complementary treatment to stimulate uterine contractions. Objective: To analyze the effectiveness of effleurage and counterpressure massages on the progress of cervical dilatation. Method: This was a quasi-experiment study with pre-post test nonequivalent control group. Population was the women in labor in stage I active phase. Research subjects were 68 people that were divided into two groups. Sampling technique was consecutive sampling. Instrument used in this study was the internal examination. Data were analyzed using Wilcoxon and Mann Whitney. Results: The progress of cervical dilatation before and after the intervention of the effleurage was 4.74±0.83 vs 7.47±1.21 with p=0.00 and the result for the counterpressure group was 4.59±0.66 vs 8.03±0.96 with p=0.00. The average improvement of cervical dilatation on the effleurage and counterpressure groups was 2.73 vs 3.44 with p=0.00. Conclusion: The counterpressure has the more significant effect than the effleurage on improving the cervical dilatation. Keywords: Cervical dilatation, counterpressure, effleurage


2020 ◽  
Vol 14 (2) ◽  
pp. 226-231
Author(s):  
Noviyanti Noviyanti ◽  
Nurdahliana Nurdahliana ◽  
Fitri Munadya ◽  
Gustiana Gustiana

Advantage  of birth ball exercises on labour pain managementBackground: Maternal Mortality Rate (MMR) in Indonesia is still high. 2015 Census Survey, MMR ranged from 305 / 100,000 live births. The MMR in Banda Aceh in 2016 was 37 per 100,000 live births. Pain during labour  arises as a result of physical and psychological reflexes of the mother. Emotional tension due to anxiety will worsen the perception of pain felt by the mother during labour . Pain that occurs during labour requires proper pain management and this should be a concern for women, families and health workers. Pain labour during the first stage is severe pain that the mother feels in labor for a longer time. Non-pharmacological (Complementary) methods are proven to reduce labor pain, one of which is Birth Ball.Purpose: To analyze the effectiveness of birth ball exercises  on labour pain managementMethod: An experimental study with a Pre and Post-Test Control Group Design approach. The population was primigravida first stage active mothers with a sample of 15 participants. The study was conducted at clinic of Midwife Practices in Banda Aceh City. The instrument used in this study was an observation sheet about the intensity of labor pain using the Faces Pain Rating Scale scale.Results: Statistical tests were performed using the Wilcoxon Test and showed that the p value (0.001 <0.05) so it can be concluded that there was a significant difference in the intensity of labour pain before and after Birth Ball exercises.Conclusion: Birth ball exercises  is one of the complementary midwifery care which can be implementation easily, cheaply, simply, effectively, and without adverse effects. Birth ball  exercises had a significantly reduce labour pain in primigravida mother stage I.Keywords: Advantage; Birth ball exercises; Labour pain; Management Pendahuluan: Angka Kematian Ibu (AKI) di Indonesia masih tinggi. Survei Angka Sensus (Supas) tahun 2015, AKI berkisar 305/100.000 kelahiran hidup. AKI di Kota Banda Aceh pada tahun 2016 adalah 37 per 100.000 kelahiran hidup. Nyeri saat persalinan timbul sebagai akibat reflek fisik dan psikis ibu. Ketegangan emosi akibat rasa cemas akan memperburuk persepsi nyeri yang dirasakan oleh ibu saat melahirkan. Nyeri yang timbul saat persalinan, memerlukan manajemen pengelolaan nyeri yang tepat dan ini hendaknya menjadi perhatian bagi wanita, keluarga dan petugas kesehatan. Nyeri persallinan saat kala I merupakan nyeri berat yang dirasakan ibu bersalin dalam waktu yang lebih lama. Metode non farmakologis (Komplementer) terbukti dapat mengurangi nyeri persalinan salah satunya latihan Birth Ball. Tujuan : Menganalisis efektifitas latihan birth ball pada ibu bersalin kala I terhadap penurunan nyeri persalinan di Praktek Mandiri Bidan (PMB) “EM” di Kota Bada AcehMetode : Penelitian eksperimental dengan pendekatan Pre and Post-Test Control Group Design. Populasinya ibu bersalin primigravida kala I fase aktif dengan jumlah sampel 15 partisipan. Penelitian di lakukan di Praktek Bidan Mandiri (PMB) “EM” di Kota Banda Aceh. Instrumen yang digunakan dalam penelitian ini adalah lembar observasi tentang intensitas nyeri persalinan dengan menggunakan skala Faces Pain Rating Scale.Hasil : Uji statistik dilakukuan dengan menggunakan Uji Wilcoxon didapatkan nilai p-value (0,001<0,05) jadi dapat disimpulkan bahwa terdapat perbedaan yang bermakna pada intensitas nyeri persalinan sebelum dan sesudah diberikan latihan Birth Ball.Simpulan : Latihan Birth Ball adalah salah satu asuhan kebidanan komplementer yang dapat diberikan secara mudah, murah, simple, efektif, dan tanpa efek yang merugikan. Birth Ball secara signifikan dapat menurunkan nyeri persalinan pada ibu primigravida kala I. 


2017 ◽  
Vol 16 (3) ◽  
pp. 300-307
Author(s):  
Naciye Somuncu Demir ◽  
Pelin Aksüt ◽  
Dündar Yener ◽  
Fatih Aydın ◽  
Özge Subaşı ◽  
...  

The purpose of research is to examine the changes in attitudes towards astronomy following alternative astronomy education among pre-service teachers with different cognitive styles. Accordingly, it was thought to be appropriate to use pre-and post-test control group design among the experimental designs. The sample of the study included 4th year students at Abant İzzet Baysal University Department of Science Teaching during 2015-2016 spring term (N=64). In the treatment group, a process enriched with activity-based astronomy practices was followed, while the control group used a 12-week program designed as consistent with the program developed by Higher Education Council. The results seem to evidence that at undergraduate level there is an urgent need to intensify the efforts, education and practices that focus on increasing the levels of attitudes towards astronomy regardless of cognitive styles and on transferring these attitudes to skill areas and these kinds of studies need to be encouraged and extended. Keywords: attitude towards astronomy, cognitive style, pre-service teacher.


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