scholarly journals EFEKTIVITAS RELAKSASI SELAMA KEHAMILAN TERHADAP PENURUNAN STRES, KECEMASAN IBU HAMIL DAN RESPON JANIN DALAM KANDUNGAN

2018 ◽  
Vol 8 (2) ◽  
Author(s):  
Yurike Septianingrum

Prenatal stress and anxiety are conditions that were commonly experienced by pregnant women during pregnancy which can be at risk of preterm birth, fetal growth restriction, and low birth weight (LBW). This study aims to do a literature review of some RCTs measuring the effectiveness of relaxation during pregnancy to reduce prenatal stress, anxiety, and fetal responses. Samples were 217 pregnant women with gestational age 32-34 weeks and single fetal. Variables focused on prenatal stress and anxiety level were measured by level of cortisol, ACTH, Norepinephrine (NE), Epinephrine (E), and Fetal Heart Rate (FHR). Guided Imagery (GI) and Progressive Muscle Relaxation (PMR) were generally effective to reduce prenatal stress and anxiety compared with control group, but there are no reduce levels of cortisol, ACTH, NE, and E. Fetal heart rate (FHR) can not be measured because the statistic datas were not shown on detail. Relaxation techniques such as GI and PMR were proved to be effective to reduce prenatal stress and anxiety during pregnancy. Nurses should promote the implementation of GI and PMR as safe relaxation techniques for pregnant women to reduce prenatal stress and anxiety during pregnancy.

2020 ◽  
Author(s):  
Abasali Delavari ◽  
Arezoo Esmailzadeh ◽  
Mahdi Dehgan ◽  
Marzieh Lak

Abstract Background: The pain of labor is very severe. Most women prefer painless labor to routine labor if they are aware of the methods of analgesia. The aim of this study was to evaluate the effect of Dexmedetomidine intravenous infusion on labor pain management in primipar term pregnant women. Methods: In this Non-randomized clinical trial with control group, all primipar term pregnant women were enrolled in the study. In the intervention group, after the active phase of labor, Dexmedetomidine was given according to the protocol and continued until phase two of labor. The control group received no intervention to reduce pain. Patients in both groups were evaluated for, fetal heart rate, Apgar scores, vital signs, pain intensity and sedation score. Results: There were no significant difference in primary fetal heart rate, primary maternal hemodynamics, and mean Apgar scores of 1 and 5 minutes, between the two groups (p>0.05). There was no significant difference in the mean of fetal heart rate in different stages between two groups. Intra-group analysis in the intervention group showed that mean systolic and diastolic blood pressure were significantly decreased after drug administration but were in normal range. The active phase of labor in the intervention group was significantly shorter than the control group (p = 0.002). The mean VAS score after Dexmedetomidine administration decreased significantly from 9.25 at baseline to 4.61 after drug administration, 3.88 during labor and 1.88 after placental expulsion. The mean RSS score after Dexmedetomidine administration increased significantly from 1 at baseline to 2.05 after drug administration, 2.22 during labor and 2.05 after placental expulsion. Conclusion: Based on results, it seems that administration of Dexmedetomidine to manage labor pain with careful monitoring of mother and fetus is recommended. Due to limited studies, further larger and multicenter studies are needed to be performed.Trial registration: This study was registered on Iranian registry of clinical trials, identification number IRCT20161022030421N5, registered on February 2, 2019, https://irct.ir/trial/40134.


PLoS ONE ◽  
2015 ◽  
Vol 10 (1) ◽  
pp. e0117043 ◽  
Author(s):  
Adeline A. Boatin ◽  
Blair Wylie ◽  
Ilona Goldfarb ◽  
Robin Azevedo ◽  
Elena Pittel ◽  
...  

Author(s):  
Shunsuke Tamaru ◽  
Seung Chik Jwa ◽  
Yoshihisa Ono ◽  
Hiroyuki Seki ◽  
Haruka Matsui ◽  
...  

Author(s):  
Ni Komang Ayu Juni Antari ◽  
Alex Pangkahila ◽  
Muh. Ali Imron ◽  
I Putu Adiartha Griadhi ◽  
Luh Made Indah Sri Handari Adiputra ◽  
...  

ABTSRACT Introduction: Physical exercise as anticipate of hypertension along with nutrition and medicines. One of physical exercise that can be applicated here is relaxation techniques which is showed positive impact in decreased blood pressure. Objective: Determine the difference between PMR intervention with SSBM intervention to reduce blood pressure for grade I hypertension patients whose consumed anti-hypertension medicine in badung regency. Methods: Experimental method Pre and post-test control group design and used 24 subjects, divided in to 2 groups, in which the experimental group I (n=12) received progressive muscle relaxation (PMR) while the treatment group 2 (n=12) received slow stroke back massage (SSBM). Intervention is given 3 times a week for 4 weeks. This study was using simple random sampling. Blood pressure was measured by sphygmomanometer and stethoscope. Result: Independent Sample T-test showed there was significant difference between Group 1 and Group 2 which (p<0.05) for systolic and diastolic blood pressure. Conclusion: Progressive muscle relaxation intervention decrease blood pressure more than slow stroke back massage intervention in patients grade I hypertension whose consumed anti-hypertension medicine in Badung Regency.Keywords: progressive muscle relaxation, slow stroke back massage, grade I hypertension, blood pressure


2017 ◽  
Vol 45 (4) ◽  
Author(s):  
Kyriaki Spyridou ◽  
Ioanna Chouvarda ◽  
Leontios Hadjileontiadis ◽  
Nikolaos Maglaveras

AbstractObjective:The objective of this study is to investigate the alterations caused by smoking on the features of fetal heart rate (FHR) tracings as well as to make a comparison between pregnant smokers and pregnant women with intrauterine growth restriction (IUGR).Study design:A number of established features derived from linear and nonlinear fields were employed to study the possible influence of maternal smoking on FHR tracings. Moreover, correlation and measures of complexity of the FHR were explored, in order to get closer to the core of information that the signal of FHR tracings conveys. Data included FHR tracings from 61 uncomplicated singleton pregnancies, 16 pregnant smoker cases, and 15 pregnancies of women with IUGR.Results:The analysis of FHR indicated that some parameters, such as mutual information (P=0.0025), multiscale entropy (P=0.01), and algorithmic complexity (P=0.024) appeared decreased in the group of pregnant smokers, while kurtosis (P=0.0011) increased. The comparison between pregnant smokers and pregnant women with IUGR indicated a reduction in Hjorth complexity (P=0.039) for the former.Conclusion:Smoking during pregnancy seems to induce differences in several linear and nonlinear indices in recordings of FHR tracings. This may be the consequence of an altered neurodevelopmental maturation possibly resulting from chronic fetal hypoxemia in cigarette-exposed fetuses.


Healthcare ◽  
2021 ◽  
Vol 9 (10) ◽  
pp. 1319
Author(s):  
Mei-Li Tsai ◽  
Tsan-Hwang Cheng ◽  
Yen-Kuang Yang ◽  
Chi-Jane Wang

(1) Background: A variety of stressors may be potentially harmful to adolescents’ health and well-being. Relaxation techniques have been recognized as a valid method for stress release, but the challenge is to apply them practically in schools to produce the desired effects. (2) Methods: This feasibility study used the Perceived Stress Scale (PSS) and hair cortisol concentration (HCC) to test the effects of an abbreviated progressive muscle relaxation (APMR) program on female adolescents. The participants were recruited from a high school and assigned by class cluster to either the experimental group (EG, n = 40) or the control group (CG, n = 35). Both received 4 weeks of stress-related lessons. The EG received 60 additional sessions of APMR over 12 weeks. (3) Results: The program dropout rate of the participants was 1.3%. The EG’s program adhesion rate was 99.1%, and nearly half felt satisfied with the program. After adjusting for the BMI and the pretest in the ANCOVA, it was found that the CG had a greater change in HCC between the pre- and post-tests than the EG, while the PSS did not change significantly in either group. (4) Conclusion: APMR is a valid practice for physiological homeostasis of HCC for female adolescents, but it has no significant effect on perceived stress.


2012 ◽  
Vol 61 (4) ◽  
pp. 55-60
Author(s):  
Zhanar Kuanishbaykizi Kurmangali ◽  
Gauri Billahanovna Bapaeyva ◽  
Talshyn Muhadesovna Ukibassova ◽  
Gulzhanat Nuratdinovna Aimagambetova

Application in obstetric practice of automated antenatal cardiotography method allows to eliminate subjectivity and to raise reliability of fetus condition estimation in group of pregnant woman of high obstetric and perinatal risk. It is established that in group of pregnant women with high risk of fetus condition infringement at cardiotocography dynamic supervision reveal already in II trimester. Herewith the earliest and authentic indicators of fetus condition infringement are: decrease variability basal rhythm fetal heart rate, absence of high variability or prevalence episodes of low variability over high, value of STV-short variability indicators less than 4.0. The obtained data allows to recommend application automated antenatal cardiotocography method in group of pregnant women with high perinatal risk for early diagnostics of fetus functional condition infringement. Possibility to estimate severity level of fetus metabolic acidosis will allow to solve in time issues of optimal obstetric tactics in pregnancy conducting, term and a method of delivery at this category of pregnant women


Author(s):  
Ifa Roifah ◽  
Amar Akbar

Hemodialysis is a renal replacement therapy for patients with cronic renal disease who are decline of renal fuction. The complex therapy and physical condition of chronic kidney disease and hemodialysis patient involve a severe stressor that lead to depression. Progressive muscle relaxation technique is one of nonpharmacoloical therapies that treat depression. This research aimed to prove the influence of progressive muscle relaxation technique to changes in depression level in cronic kidney disease with hemodialysis in Dr. WahidinSudiroHusodoMojokertohospital. In this research design used is Quasy experiment with pre-test post-test control group design. Sample of 30 people were taken by simple random sampling. 15 people from experimental group were given routine progressive muscle relaxation technique in 2 times a day of the week and 15 people from control group were given not routine progressive muscle relaxation techniques in 2 day one time in a week . The research instrument was Beck Depression Inventory. Wilcoxon  Signed Rank Test shows that p value (0.001) < α (0.05), so it is accepted  that there is an effect of progressive muscle relaxation on the depression level of cronic kidney disease patient undergoing hemodialysis. To test the U-Mann Whitney shows that p value (0.005) < α (0.05), so that H0 is rejected it means there is different of the channge depression level between experiment group and the control group.this therapy can increase the production of melatonin and serotonin, reduce stress hormone cortisol. PMR also, lowering the muscle tension ,do make positive thinking so,  throught that is influence to decrease in depression level. Routine muscle relaxationdistractify the stressor everyday in training.


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