scholarly journals KAJIAN METODE PERSALINAN NORMAL DENGAN BANTUAN CERMIN PADA PERSALINAN KALA II IBU PRIMIGRAVIDA

2019 ◽  
Vol 7 (2) ◽  
pp. 61
Author(s):  
Rokhamah Rokhamah

The success of labor is influenced by several factors, namely maternal factors (power, passage, psychology), fetal factors (placenta) and helping factors. Using mirror aids in the process of progress in labor at a second time can increase maternal motivation psychologically and emotionally, this preventing and or decreasing pathological labor prevalence. The purpose of this study was determining the difference in time in mothers who had labor in the second time using a mirror and who did not use a mirror. The design of this study used True - experiment with post test only Control design, the sample of study were 40 physiologically 20 primigraphic delivery mothers who were treated, 20 were not treated and taken randomly. The purpose of this study was determining the time difference in labor mothers when second uses a mirror and does not use a mirror. Observation data collection techniques, it used unpaired T test. This research was conducted in 2018 in the Poncokusumo Malang Health Center. The results showed that labor with the help of a mirror could accelerate the second stage of labor in primigravida mothers. This is evidenced by the average time used by maternity in group I (using mirrors) is 7.05 minutes and the average time used by group II maternity women (without using a mirror) is 16.15 minute . The use of a mirror aid can be used as an instrument complement labor in order to reduce maternal morbidity and mortality in Indonesia.

2019 ◽  
Vol 2 (2) ◽  
pp. 189-200
Author(s):  
Yestiani Norita Joni ◽  
Busjra M Nur ◽  
Fitrian Rayasari

The purpose of this study is to know the effectiveness of intradialysis exercise using barbells and Range of Motion (ROM) on the adequacy of hemodialysis in patients with chronic kidney disease in the hemodialysis room of RSIJ Sukapura in 2018. The design of this study uses a design with non-probability pre and post test two groups without control design . The result of the difference in the effectiveness of the adequacy values between the two intervention groups after the intervention was given was the barbell intervention obtained 1,33 with a standard deviation of 0.485, an error standard of 0.114. Whereas in the ROM intervention group 1.67 the standard deviation was 0.485, the standard error was 0.114 and the p-value was 0.047 (> 0.05). Conclusion, there was no significant difference in the value of hemodialysis adequacy between the barbellROM intervention groups after the intervention.   Keywords: Hemodialysis Adequacy, Barbell, Exercise Effectiveness, Intradialysis, Range Of Motion (ROM)


Author(s):  
Pooja Singh ◽  
Sandhya Jain ◽  
Shalini Rajaram ◽  
Vinita Rathi ◽  
Bindiya Gupta ◽  
...  

Background: Squatting posture may appear outdated and primitive, but in the antenatal period, it is an important resistance exercise to strengthen the abdominal and pelvic floor muscles which are believed to potentially prepare the women for a more natural delivery. No study till date has evaluated the effect of type of toilet seat regularly used during pregnancy. This was a pilot study to assess obstetric outcomes in antenatal women using squat versus western style sitting toilet seat.Methods: In an observational prospective pilot study, low risk primigravida at 28-32 weeks gestation were recruited from the outpatient department and divided into two groups after matching baseline characteristics. Group I (n=50) included women regularly using squatting type toilet seat and group II (n=50) comprised women using western style toilet seat. Pregnancy was followed till delivery; obstetric and neonatal outcomes were noted.Results: Squatting group, as compared to sitting type seat users, had lower incidence of vaginal discharge (10% vs 16%), urinary tract infection(12% vs. 24%), constipation (2% vs. 6%), labor induction (52% vs. 58%), shorter second-stage duration (0.60 vs. 1.24 hours) and a higher incidence of normal vaginal delivery (94% vs. 86%), albeit not statistically significant. NICU admissions (16% vs. 20%) and mean birth weight (2.83 vs. 2.97 kg) were comparable in the two groups.Conclusions: Squatting type toilet seat users had many favourable obstetric outcomes, especially a higher incidence of normal vaginal delivery; although, the difference was not statistically significant. Large community based surveys in this regard can reveal the true effects of squatting type toilet seat on pregnancy and labour outcomes.


2015 ◽  
Vol 28 (1) ◽  
pp. 70 ◽  
Author(s):  
José Manuel Costa-Martins ◽  
Cláudia Camila Dias ◽  
Marco Pereira ◽  
Jorge Tavares

<p><strong>Background:</strong> Patient-controlled epidural analgesia with low concentrations of anesthetics is effective in reducing labor pain. The aim of this study was to assess and compare two ultra-low dose regimens of ropivacaine and sufentanil (0.1% ropivacaine plus 0.5 μg.ml-1 sufentanil vs. 0.06% ropivacaine plus 0.5 μg.ml-1 sufentanil) on the intervals between boluses and the duration of labor.<br /><strong>Material and Methods:</strong> In this non-randomized prospective study, conducted between January and July 2010, two groups of parturients received patient-controlled epidural analgesia: Group I (n = 58; 1 mg.ml-1 ropivacaine + 0.5 μg.ml-1 sufentanil) and Group II (n = 57; 0.6 mg.ml-1 ropivacaine + 0.5 μg.ml-1 sufentanil). Rescue doses of ropivacaine at the concentration of the assigned group without sufentanil were administered as necessary. Pain, local anesthetic requirements, neuraxial blockade characteristics, labor and neonatal outcomes, and maternal satisfaction were recorded.<br /><strong>Results:</strong> The ropivacaine dose was greater in Group I (9.5 [7.7-12.7] mg.h-1 vs. 6.1 [5.1-9.8 mg.h-1], p &lt; 0.001). A time increase between each bolus was observed in Group I (beta = 32.61 min, 95% CI [25.39; 39.82], p &lt; 0.001), whereas a time decrease was observed in Group II (beta = -1.40 min, 95% CI [-2.44; -0.36], p = 0.009). The duration of the second stage of labor in Group I was significantly longer<br />than that in Group II (78 min vs. 65 min, p &lt; 0.001).<br /><strong>Conclusions:</strong> Parturients receiving 0.06% ropivacaine exhibited less evidence of cumulative effects and exhibited faster second stage progression than those who received 0.1% ropivacaine.<br /><strong>Keywords:</strong> Analgesia, Obstetrical; Analgesia, Patient-Controlled; Labor Pain; Ropivacaine; Sufentanil.</p>


2017 ◽  
Vol 2 (1) ◽  
pp. 20
Author(s):  
Agusthinus Wali ◽  
Sri Widiati ◽  
Niken Widyanti Sriyono

ABSTRACT: The difference increased knowledge and attitudes of mothers about oral hygiene through dental health education lecture with discussion groups and lectures with hands on. Dental health education will be more effective when started from the family by teaching the mothers about the importance of oral health maintenance. This study aims to determine the difference in the increased knowledge and the attitudes of mothers about oral hygiene through dental health education lecture with discussion groups and lectures with hands on. This study was a quasi-experimental design with pretest and post-test group design. The subjects of research were 95 mothers of children aged 6-8 years who met the inclusion criteria and divided into two groups. Group I in PPA IO-497 Benjamin Oebufu, Kupang (53 subjects) were given a lecture with discussion groups and group II in PPA IO-495 Alfa Omega Bakunase 2, Kota Kupang with total of 42 subjects were given a lecture with hands on. Measuring tool was a questionnaire. The analysis of data using Statistic Program for Social Science (SPSS) for a different test testing the T-test for normal distribution of data, while the Mann-Whitney test and the Wilcoxon Signed Rank test were for abnormal distribution data. The initial analysis on knowledge and attitudes obtained some comparable results in which there were no differences between treatment groups I and II (p > 0.05). The results of the analysis of mean differences between groups on post-test 1 and 2 showed some significant differences knowledge and attitudes in the treatment group II of the treatment group I (p < 0.05). The results of the analysis of the average increase showed the increased knowledge and attitudes were significant in both treatment groups. Delta analysis results from pre-test to post-test 1 and pre-test to post-test 2 showed the treatment group improved knowledge and attitudes II is higher than in the treatment group I (p < 0.05). Dental health education using lecture with hands on increased knowledge and attitudes about the subject of oral hygiene of the a lecture with discussion groups.   ABSTRAKPenelitian ini bertujuan untuk mengetahui perbedaan peningkatan pengetahuan dan sikap ibu tentang kebersihan gigi dan mulut melalui pendidikan kesehatan gigi metode ceramah disertai diskusi kelompok dan ceramah disertai hands on. Penelitian dilakukan pada subjek penelitian sebanyak 95 ibu dari anak umur 6-8 tahun yang memenuhi kriteria inklusi dan terbagi dalam dua kelompok. Kelompok perlakuan I di PPA IO-497 Benyamin Oebufu, Kota Kupang sebanyak 53 subjek diberikan ceramah disertai diskusi kelompok dan kelompok II di PPA IO-495 Alfa Omega Bakunase 2, Kota Kupang sebanyak 42 subjek diberikan ceramah disertai hands on. Alat ukur dalam penelitian adalah kuesioner. Analisis data menggunakan Statistik Program for Social Scince (SPSS) untuk uji beda yaitu uji T-test untuk data distribusi normal, sedangkan Mann-Whitney test dan Wilcoxon Signed Ranks test untuk data distribusi tidak normal. Hasil analisis perbedaan rerata antar kelompok pada post-test 1 dan 2 terdapat perbedaan pengetahuan dan sikap yang signifikan pada kelompok perlakuan II lebih tinggi dari pada kelompok perlakuan I (p < 0,05). Hasil analisis rerata peningkatan terdapat peningkatan pengetahuan dan sikap yang signifikan pada kedua kelompok perlakuan. Hasil anal isis delta dari pre-test ke post-test 1 dan pre-test ke post-test 2 menunjukkan pada kelompok perlakuan II peningkatan pengetahuan dan sikap lebih tinggi dari pada kelompok perlakuan I (p < 0,05). Pendidikan kesehatan gigi dengan metode ceramah disertai hands on lebih meningkatkan pengetahuan dan sikap subjek tentang kebersihan gigi dan mulut dari pada metode ceramah disertai diskusi kelompok.


2019 ◽  
Vol 11 (3) ◽  
pp. 270
Author(s):  
Maksimus Bisa

ABSTRACT This study is to determine the difference in intervention of mulligan mobilization with movement with anemia in exercise to improve the functional knee joint in the case of chondromalacia patella. This research was conducted at the Sukmajaya Physio Clinic in East Depok from April to July 2018. Methods: This study was quasi-experimental with a comparative approach to pre and post test group control design with a sample of 30 people, where sampling was done with allocation random sampling that met the inclusion criteria. Samples were grouped into two groups, namely treatment group I consisting of 15 people given intervention mulligan mobilization with movement and ultra sound and treatment group II consisting of 15 people given semisquat exercise dan ultra sound. Data analysis: using statistical tests. The results of the normality and homogeneity test of the two groups showed normal distribution and homogeneous data with a value of ρ> 0.05. The research hypothesis test was conducted by independent simple t-test comparative test using the difference between lower extremity functional scale (LEFS) and test stand between the treatment groups with treatment group II after intervention, it got ρ = 0.023. Results: There were significant differences in the combination intervention of Mulligan Mobilization With Movement and ultrasound with a combination of Semi-squat exercise and ultrasound on functional improvement of the knee in the case of chondromalacia patella. Keywords: mulligan mobilization, squat exercise, and chondromalacia patella. ABSTRAK Penelitian ini bertijuan untuk mengetahui perbedaan intervensi mulligan mobilization with movementdengansemisquat exercisedalam meningkatkan fungsional sendi lutut pada kasus chondromalacia patella. Penelitian ini dilaksanakan di Klinik Fisio Sukmajaya Depok Timur bulan April hingga Juli 2018. Metode: penelitian ini bersifat quasi experimental dengan pendekatan komparatif pre dan post test group control design dengan jumlah sampel 30 orang, dimana pengambilan sampel dilakukan dengan allocationrandom sampling yang memenuhi kriteria inklusi. Sampel dikelompokkan menjadi dua kelompok yaitu kelompok perlakuan I terdiri dari 15 orang diberikan intervensi mulligan mobilization with movementdan ultra sounddan kelompok perlakuan II terdiri dari 15 orang diberikan semisquat exercisedan ultra sound. Analisis data: menggunakan uji statistik. Hasil uji normalitas dan homogenitas kedua kelompok menunjukkan data berdistribusi normal dan homogendengan nilai ρ > 0,05.Uji hipotesis penelitian dilakukan dengan uji komparasi independent simple t-testmenggunakan data selisih nilai lower extremity functional scale (LEFS)dan strok blance stand testantara kelompok perlakuan I dengan kelompok perlakuan II sesudah intervensididapatkan ρ = 0,023. Hasil penelitian:ada perbedaan yang signifikan intervensi kombinasi Mulligan Mobilization With Movement dan ultrasound dengan kombinasi Semi squat exercise dan ultrasound terhadap peningkatan fungsional lutut pada kasus chondromalacia patella. Kata kunci: mulligan mobilization, squat exercise, dan chondromalacia patella.  


Author(s):  
Luh Putu Ayu Vitalistyawati ◽  
I Wayan Weta ◽  
Muthiah Munawaroh ◽  
Ida Bagus Ngurah ◽  
I Putu Adiartha Griadhi ◽  
...  

Introduction: Productive women who’s working in static potition can cause stiffness back muscle. The stiffness of back muscle can decrease lumbal flexibility. When lumbal flexibility was decreased, it can cause low back pain during activities. Yoga and pilates exercise are recommended program for increase lumbal flexibility.. Purpose: This study aims to prove the pilates exercise is more effective to increase lumbal flexibility comparing with yoga on adult woman. Method: Design of this study uses research methods experimental study pre and post test design. Total sampel of this research study are 30 adult women at Banjar Kelod Ungasan, whose age are 30-45 years old and have 0-20 cm flexibility score. The sampel devided into two groups which the group I (n=15) was given pilates exercise ,while group II (n=15) was given yoga twice a week in 6weeks. This research was using sit and reach test as measured flexibility. Result: Based on Paired Sample t-Test statistical analysis the results of this study research shown that the difference in the mean of lumbal flexibility in group I was obtained 21.34±3.13cm with p<0.001 , while the mean of lumbal flexibility in group II was obtained 19.11±2.39cm with p<0.001. The difference lumbal flexibility in group I and group II was obtained 5.36±1.48cm with p<0.001. Conclusion: The conclusion that the pilates exercise was more effective to increase lumbal flexibility comparing with yoga on adult woman.


2018 ◽  
Vol 6 (1) ◽  
Author(s):  
Kadek Desy Wahyuningsih . ◽  
Drs. I Wayan Sujana, S.Pd, M.Pd. . ◽  
Luh Ayu Tirtayani, S.Psi.,M.Psi. .

Penelitian ini bertujuan untuk mengetahui mengetahui perbedaan sebelum dan sesudah penerapan gesture guru terhadap perilaku disiplin anak Kelompok B1 di TK Widya Kumara Sari Kecamatan Denpasar Selatan Tahun Ajaran 2017/2018. Jenis penelitian ini adalah pra eksperimen dengan desain one-group pretest-posttest. Sampel dalam penelitian ini adalah 27 anak. Pengumpulan data dilakukan dengan menggunakan metode non-test dalam bentuk observasi. Data dianalisis menggunakan uji-t. Hasil penelitian menunjukkan nilai rata-rata post-test (83,74) lebih tinggi dari pada nilai rata-rata pre-test (63,72). Nilai thitung = 16,852, berdasarkan taraf signifikansi 5% dengan (dk = 26), maka diperoleh nilai ttabel = 2,056. Ini menunjukkan bahwa nilai thitung > ttabel, sehingga Ha yang berbunyi terdapat perbedaan sebelum dan sesudah penerapan gesture guru terhadap perilaku disiplin anak Kelompok B1 di TK Widya Kumara Sari Denpasar Selatan Tahun Ajaran 2017/2018, diterima. Dengan demikian, terdapat perbedaan sebelum dan sesudah penerapan gesture guru terhadap perilaku disiplin anak Kelompok B1 di TK Widya Kumara Sari Kecamatan Denpasar Selatan Tahun Ajaran 2017/2018. Berdasarkan simpulan tersebut, maka disarankan kepada peneliti lain mengenai penerapan gesture guru dalam meningkatkan perilaku disiplin, lebih dikembangkan dengan penggunaan strategi pembelajaran jenis lain atau mengadakan penelitian sejenis lebih lanjut dengan mengambil wilayah penelitian yang lebih luas, sehingga bisa digeneralisasikan pada wilayah yang lebih luas. Kata Kunci : Kata-kata kunci: perilaku disiplin, gesture guru, pendidikan anak usia dini This research aimed to find out the difference before and after the application of teacher gesture to discipline behavior of children of Group B1 in TK Widya Kumara Sari, South Denpasar District School Year 2017/2018. This type of research is pre-experiment with one-group pretest-posttest design. The sample in this study were 27 children. Data collection was done by using non-test method in the form of observation. Data were analyzed using t-test. The results showed the average post-test value (83.74) was higher than the average pre-test value (63.72). The value of tcount = 16.852, based on the significance level of 5% with (dk = 26), then obtained the value of t table = 2.056. This indicates that the value of tcount> ttable, so that Ha that there are differences before and after the application of teacher gesture to discipline behavior of children of Group B1 in TK Widya Kumara Sari South Denpasar Academic Year 2017/2018, accepted. Thus, there are differences before and after the application of teacher's gesture towards the discipline behavior of children in Group B1 in TK Widya Kumara Sari, District of South Denpasar 2017/2018 Academic Year. Based on these conclusions, it is suggested to other researchers on the application of teacher gesture in improving disciplinary behavior, more developed by using other types of learning strategies or conducting further similar research by taking a broader research area, so that it can be generalized to a wider area. keyword : Keywords: disciplinary behavior, teacher gesture, early childhood education


2021 ◽  
Vol 4 (1) ◽  
pp. 56
Author(s):  
Silvi Zaimy ◽  
Ika Yulia Darma ◽  
Meldafia Idaman

 ABSTRAK  Anemia merupakan suatu keadaan dimana konsentrasi hemoglobin (Hb) di dalam darah lebih rendah dari pada nilai normal menurut umur dan jenis kelamin. Angka kejadian anemia di Indonesia terbilang masih cukup tinggi. Berdasarkan data Riskesdas 2018, prevalensi anemia pada remaja sebesar 32 %, artinya 3-4 dari 10 remaja menderita anemia. Tujuan dari penelitian ini yaitu diketahuinya pengaruh pemberian sari kacang hijau terhadap kadar haemoglobin pada remaja putri di asrama putri Stikes Syedza Saintika. Penelitian ini menggunakan rancangan Quasy-Eksperiment Design dengan rancangan Two Group Pre and Post Test with Control Design. Populasi dalam penelitian ini berjumlah 30 responden. Teknik pengambilan sampel yang digunakan Total Sampling yang berjumlah 30 sampel yang di bagi menjadi dua kelompok yaitu 15 kelompok intervensi dan 15 kelompok kontrol. Pengumpulan data dilakukan melalui observasi. Data di analisa secara univariat dan bivariat dengan menggunakan SPSS. Hasil uji statistik dengan menggunakan uji Independence Sample  t test untuk perbedaan  kadar  haemoglobin didapatkan p value = 0,000 (p < 0,05), terdapat perbedaan yang signifikan kadar haemoglobin sebelum dan setelah pemberian sari kacang hijau, artinya ada pengaruh pemberian sari kacang hijau terhadap kadar haemoglobin pada ramaja putri di asrama putri Stikes Syedza Saintika Padang. Kesimpulan pada penelitian ini adalah Ada pengaruh pemberian sari kacang hijau terhadap kadar haemoglobin ramaja putri. Saran diharapkan tempat penelitian dapat memberikan sosialisasi melalui penyuluhan tentang penggunaan sari kacang hijau sebagai pencegahan anemia pada remaja putri. Kata kunci : Kadar haemoglobin, sari kacang hijau, remaja putri       ABSTRACT  Anemia is a condition in which the hemoglobin (Hb) concentration in the blood is lower than normal values according to age and sex. The incidence of anemia in Indonesia is still quite high. Based on Riskesdas 2018 data, the prevalence of anemia in adolescents is 32%, meaning that 3-4 out of 10 adolescents suffer from anemia. The purpose of this research is to know the effect of giving mung bean juice to hemoglobin levels in female adolescents at the Stikes Syedza Saintika female dormitory. This study used a Quasy-Experiment Design with a Two Group Pre and Post Test with Control Design. The population in this study amounted to 30 respondents. The sampling technique used was total sampling totaling 30 samples which were divided into two groups, namely 15 intervention groups and 15 control groups. Data collection was carried out through observation. Data were analyzed by univariate and bivariate using SPSS. The results of statistical tests using independent t test and Paired Sampel T test for differences in hemoglobin levels obtained p value = 0.000 (p <0.05), there was a significant difference in hemoglobin levels before and after giving mung bean juice, meaning that there was an effect of giving mung bean juice on hemoglobin levels. for female youth in the female dormitory at Stikes Syedza Saintika Padang. The conclusion of this study is that there is an effect of giving mung bean juice to hemoglobin levels in female ramaja. Suggestions are expected that the research site can provide socialization through counseling on the use of green bean juice as a prevention of anemia in adolescent girls. Key words: Hemoglobin levels, green bean extract, adolescent girls


Author(s):  
Esty Puji Rahayu ◽  
◽  
Lailatul Khusnul Rizki ◽  

ABSTRACT Background: The Indonesia Demographic and Health Survey (IDHS) 2017 reported a high maternal mortality rate (MMR) in Indonesia. Safe and effective management of the second stage of labor presents a clinical challenge for laboring women and practitioners of obstetric care. This study aimed to examine effect of affirmation flashcards on level of anxiety in second stage of labor at midwifery clinic, East Java. Subjects and Method: This was a quasi-experiment with pre and post-test design was conducted at Mei Kurniawati, Amd.Keb midwifery clinic, Surabaya from July to September 2020. A sample of 30 pregnant women who planned to give birth normally at Mei Kurniawati, Amd.Keb midwifery clinic was selected by simple random sampling. The dependent variable was anxiety in second stage of labor. The independent was flashcard affirmation treatment. The data were analyzed by Paired T test. Results: Effect of Flashcard Affirmation treatment on anxiety, control variable (Mean=-3.70; SD= 1.48; p< 0.001) was higher than treatment variable (Mean= -2.15; SD= 1.44; p< 0.001). Effect of flashcard affirmation on the duration of second stage of labor, control variable was higher (Mean= -8.88; SD= 3.81; p< 0.001) than treatment variable (Mean=-1.02; SD= 1.17; p< 0.001). Conclusion: Maintaining the mother’s psychological condition can be done by giving positive affirmations to the mother, besides that the support of husband and family is also an important point, for that research that may be carried out to develop this research is the role of husband support in the smooth delivery of labor. Keywords: flashcard affirmation, second stage of labor, anxiety Correspondence: Esty Puji Rahayu. Universitas Nahdlatul Ulama Surabaya. Jl. SMEA no.57, Surabaya. Email: [email protected] Mobile: 085755196600. DOI: https://doi.org/10.26911/the7thicph.03.49


Performance ◽  
2021 ◽  
Vol 28 (01) ◽  
pp. 54
Author(s):  
Ascaryan Rafinda ◽  
Timea Gal ◽  
Ascariena Rafinda ◽  
Putri Purwaningtyas

The purpose of this paper is to examine the effect of monetary incentives on unattractive task. Pre-test and post-test were conducted to examine the effect of monetary incentives on unattractive task. The data generated from University Student in Indonesia. Total 53 participant follow two stages of the experiment to do the assignment. The first stage to examine individual performance in the assignment without incentives and the second stage is the treatment group. One group with financial incentives while another group without financial incentives. The T-Test was examining to evaluate the difference between pre-test and post test result. The result shows that monetary incentives could not change people perceived of unattractive task become attractive and could not increase individual performance in unattractive task. But people that perceived the assignment as attractive, they improve the performance when there are monetary incentives. This research found that money could not shift people perception on task attractiveness.


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