scholarly journals Pengaruh Pijat Oksitosin Terhadap Pengeluaran ASI Pada Ibu Post Partum Primipara Di RSIA Srikandi IBI

2019 ◽  
Vol 7 (2) ◽  
pp. 15-27
Author(s):  
Kholisotin Kholisotin ◽  
Zainal Munir ◽  
Lina Yulia Astutik

Mother's milk (ASI) is the first and best food that must be given to babies because it contains nutrients that are needed in the process of growth and development of children's intelligence. One of the causes of failure to support breast milk has not been released from breast milk after the mother receives it. Expenditures of breast milk can be accelerated by non-pharmacological actions, namely through oxytocin massage which can be done by massaging the area around the back (vertebra pars thoratica) to stimulate the release of breast milk. Objective: This study aimed to determine the effect of oxytocin massage on the release of breast milk in primipara postpartum mothers at RSIA Srikandi IBI. Method: this study is a pre-experimental study with a static group comparison design: randomized control group only design,  the number of respondents in this study were 36 consisting of 18 experimental groups and 18 control groups. Results: this study used a paired t-test t test obtained P = 0.001 (P <0.05). Keywords  : Oxytocin Massage, Primiparous Post Partum M/other

2018 ◽  
Vol 3 (1) ◽  
pp. 76
Author(s):  
Elvika Fit Ari Shanti

Abstrak: Produksi ASI yang kurang dan lambat keluar dapat menyebabkan ibu tidak memberikan ASI pada bayinya dengan cukup. Selain hormon prolaktin, proses laktasi juga bergantung pada hormon oksitosin, yang dilepas dari hipofise posterior sebagai reaksi terhadap penghisapan putting. Rolling massage salah satu terapi relaksasi yang bertujuan menstimulasi saraf pusat pada hipofisis posterior dan anterior sehingga dapat meningkatkan produksi ASI khususnya pada ibu post partum dan memberikan kenyamanan dan rileksasi setelah persalinan. Adapun tujuan penelitian adalah mengetahui efektifitas produksi ASI pada ibu post partum dengan massage rolling (punggung) di BPM Sri Sukeni Sleman. Metode penelitian ini adalah Quasi Experimental Design dengan rancangan penelitian two group post test design. Kelompok kontrol adalah ibu postpartum tanpa dipijat Massage roliing dan kelompok perlakuan adalah kelompok ibu postpartum yang dipijat masssage Roliing. Analisis data menggunakan uji independent t test dan paired sample t test. Hasil penelitian uji t sampel menunjukkan bahwa ada perbedaan yang bermakna (p=0.023<) produksi ASI (berat badan bayi) antara kelompok kontrol ( 2687,07 ± 160,155) dengan kelompok perlakuan (2846,13± 198,968). Perbedaan ini terlihat pada rerata berat badan bayi pada kelompok perlakuan lebih besar dibandingkan dengan kelompok. Massage rolling memengaruhi produksi ASI di BPM Sri Sukeni Sleman Tahun 2017. Abstract: The inadequate, slow production of breast milk makes mothers unable to provide enough breast milk to their babies. Besides the prolactin hormone, the lactation process also depends on oxytocin hormone which is secreted from the posterior hypophysis as a reaction on nipple suckling. Rolling massage is one of the relaxation therapy which aims to stimulate the central nerve on posterior and anterior hypophysis, so the breast milk production can be increased, particularly in the postpartum mothers, and comfort and relaxation after childbirth can be provided. This research aims to investigate the effectiveness of breast milk production in the postpartum mothers with massage rolling (back) in Sri Sukeni Community Empowerment Agency, Sleman. The methodology in this research is Quasi-Experimental Design with two-group posttest design. The control group is postpartum mothers without massage rolling and the treatment group is postpartum mother treated with the massage rolling. Data analysis used the independent t-test and the paired sample t-test. The research shows the result that in samples of t-test, there is a meaningful difference (p = 0.023<) in breast milk production (weight of baby) between control group (2,687.07 ± 160.155) and treatment group (2,846.13 ± 198.968). This difference is shown in the average weight of baby in treatment group which is higher compared with the control group. Massage rolling affects breast milk production in Sri Sukeni Community Empowerment Agency, Sleman in 2017.


2020 ◽  
Vol 6 (4) ◽  
pp. 523-530
Author(s):  
Henny Prihatni ◽  
Yuistiana Evayanti ◽  
Devi Kurniasari ◽  
Sunarsih Sunarsih

PERINEUM WOUND HEALING WITH POSSIBLE EXERCISES Background Labor and delivery are physiological events. Often childbirth causes birth canal injuries so that it must be cared for properly and properly The maternal mortality rate in Lampung in 2017 is still high, namely 115.8 per 100,000 live births. The results of the initial survey in January 2019 at BPM Siti Hajar, S.ST, Desa Merak Batin Natar District, South Lampung Regency, that in January there were 52 post partum mothers, of the 52 post partum mothers 40 of them had perineal injuries, 37 due to spontaneous rupture and 3 due to episiotomy.Purpose was to determine the effect of postpartum gymnastics on the healing of perineal wounds in postpartum mothers at BPM Siti Hajar, S.ST, Merak Batin Village, Natar District, South Lampung Regency in 2019.Methods Quantitative research type methods, pre-experimental research design with a static group comparison approach. The population was 52 postpartum mothers. The research sample was 30 people divided into 2 groups, namely 15 people as the experimental group and 15 people as the control group. With a purposive sampling technique. Data analysis with dependent T-test.The results of univariate and bivariate analysis showed that the average duration of healing of perineal wounds in postpartum women who did postpartum exercise at BPM Siti Hajar, S.ST, Merak Batin Village, Natar District, South Lampung Regency in 2019, was 1.33 and in the control group was 4 , 60.The conclusion is that there is an effect of postpartum gymnastics on the healing of perineal wounds in post-partum mothers at BPM Siti Hajar, S.ST, Merak Batin Village, Natar District, South Lampung Regency in 2019. The t test results obtained p value 0.000 <α (0.05).Suggestion it is recommended for health workers, especially midwives, to advise postpartum mothers to do postpartum exercise as an alternative to accelerate the healing of perineal wounds.  Keywords: Postpartum exercise, Perineal Wound Healing ABSTRAK Latar Belakang Persalinan dan kelahiran merupakan kejadian fisiologis. Seringkali persalinan menyebabkan perlukaan jalan lahir sehingga harus dirawat dengan baik dan benar Angka kematian ibu di Lampung tahun 2017 masih tinggi yaitu sebesar 115,8 per 100.000 kelahiran hidup.Hasil survey awal pada Bulan Januari 2019 di BPM Siti Hajar, S.ST Desa Merak Batin Kecamatan Natar Kabupaten Lampung Selatan, bahwa pada bulan januari terdapat 52 ibu post partum, dari 52 ibu post partum tersebut 40 diantaranya mengalami luka perineum, 37 dikarenakan rupture spontan dan 3 karena episiotomi.Tujuan untuk mengetahui pengaruh Senam  Nifas Terhadap Penyembuhan Luka Perineum Pada Ibu Nifas di BPM Siti Hajar, S.ST Desa Merak Batin Kecamatan  Natar Kabupaten Lampung Selatan Tahun 2019.Metode Jenis Penelitian Kuantitatif, rancangan penelitian pre-eksperimen dengan pendekatan static group comparison. Populasi sebanyak 52 ibu nifas. Sampel penelitian  30 orang yang di bagi dalam 2 kelompok yaitu 15 orang sebagai kelompok eksperimen dan 15 orang sebagai kelompok kontrol. Dengan teknik sampling purposive sampling. Analisa data dengan uji T-test dependent.Hasil analisa univariat dan bivariate didapatkan rata-rata lama penyembuhan luka perineum pada ibu nifas yang melakukan senam nifas di BPM Siti Hajar, S.ST Desa Merak Batin Kecamatan  Natar Kabupaten Lampung Selatan Tahun 2019, yaitu sebesar 1,33 dan pada kelompok kontrol sebesar 4, 60. Kesimpulan diketahui ada Pengaruh Senam Nifas Terhadap Penyembuhan Luka Perineum Pada Ibu Nifas di BPM Siti Hajar, S.ST Desa Merak Batin Kecamatan  Natar Kabupaten Lampung Selatan Tahun 2019. Hasil uji t didapat p value 0,000 < α (0,05).Disarankan bagi tenaga kesehatan khususnya bidan agar menganjurkan kepada ibu nifas agar melakukan senam  nifas sebagai salah satu alternatif mempercepat penyembuhan luka perineum.  Kata Kunci            : Senam nifas, Penyembuhan Luka Perineum


2019 ◽  
Vol 8 (1) ◽  
pp. 8-15
Author(s):  
Luh Yunita Yunita ◽  
Ni Nengah Arini Murni ◽  
Mutiara rachmawati Suseno

In order to achieve success in exclusive breastfeeding care is needed for postpartum care in the first days of post partum to help maximize breast milk production. There are various ways that can be done to help increase milk production by using certain massage techniques, especially in the back area such as the SPEOS Method (Endorphin, Oxytocin and Suggestive Massage Stimulation) and the Marmet Technique. The purpose of this study is knowing the differences in the SPEOS Method (Stimulation of Endorphin, Oxytocin and Suggestive Massage) with the Marmet Technique on the milk production of postpartum mothers in the working area of ​​Karang Pule Health Center. This study uses quasi experimental with a post test only design with control group. This research was conducted in April 2019. The study population was all postpartum mothers in the working area of ​​Karang Pule Health Center. The research sample was 34 people. Data analysis using Independent T-test. The characteristics of this study which postpartum mothers were mostly aged 20-35 years with 88.2% presentation, the education level of most senior high schools with a presentation of 47.1%, most mothers did not work with presentations at 76.5% and mostly multiparous parity that is equal to 82.4%. After a statistical test using Independent T-Test significance value (p) of 0.043 <0.05 means that there is a difference between the use of the SPEOS method and the Marmet Technique. The Conclusion this study there is a difference between the SPEOS Method and the Marmet Technique of Breast milk Production in the work area of ​​Karang Pule Health Center


2020 ◽  
Vol 2 (2) ◽  
pp. 269-276
Author(s):  
Juwariah Juwariah ◽  
Yetty Dwi Fara ◽  
Ade Tyas Mayasari ◽  
Abdullah Abdullah

Breast milk is the best natural fluid that is needed by babies. Based on exclusive breast milk coverage in Indonesia on 2018 in the amount of 65,16 percent. The breast milk that came out a little will affect the breastfeeding process which will make exclusive breast milk unsuccessful. One effort that can be done to expedite breastfeeding in postpartum mothers is with oxytocin massage. The purpose of this research is to determine the effect of oxytocin message to the improvement of breastmilk production in postpartum mothers in PMB Langgeng Sri Asih on 2020. The type of this research uses a Quasi Experiment with the expansion of the non-equivalent control group pretest-posttest. The population of this research is postpartum mother 3-10 days in PMB Langgeng Sri Asih which amounted to 26 respondents. The sampling technique uses total sampling which is divided into 2 groups, namely 13 treatment group respondents and 13 control group respondents. This research is implemented on February 25 – March 25, 2020. The data analysis method uses a statistic analysis technique paired t-test and independent t-test. The result of this research obtained from 13 respondent carried out oxytocin message the average of milk production is 24,0 ml while 13 respondent did not do oxytocin message the average of milk production is 11,7 ml with significance (p = 0,001 less than 0,005), The conclusion of this study is that there is an effect of oxytocin massage on increasing milk production in postpartum mothers.


2020 ◽  
Vol 13 (1) ◽  
pp. 27
Author(s):  
Gangsar Indah Lestari ◽  
Muhamad Ridwan ◽  
Firda Fibrila

<p><strong>Background</strong>: The management of the perineum wound is not good to cause infections that affect the prolonged healing of perineum wounds. <strong>Purpose</strong>: Research aims to determine the effect of giving propolis on the length of healing of perineum wounds in postpartum mothers. <strong>Method</strong>: This study used a quasi-experimental design. The subject of the study was the postpartum mother who suffered perineum wounds. Sample cases as much as 39 and control samples as much as 39, the total samples of 79 postpartum mothers. Samples taken in the Non-Random sample in the form of Accidental sampling initiated a sample group of cases then sample control group according to criteria of inclusion and exclusion of research. Data analysis using T-Test (Paired T-Test). <strong>Result</strong>: Research shows the average degree of wound perineum in mothers group given propolis of 1.82 whereas in mothers who are not given propolis of 1.85. The average length of wound healing of perineum in mothers group given Propolis is 3.38 day while on a mother who is not given propolis of 1.85 and obtained p-value = 0.000 (≤ alpha 0.05). <strong>Conclusion</strong>: Perineum wound in postpartum mothers given propolis will be healed faster than those who are not given propolis. Midwives while giving care to the mother postpartum with perineum wounds can utilize propolis to accelerate the healing process while observing nutrition, personal hygiene, and consider the economic and ethical aspects.</p><p><strong>Latar belakang</strong>: Penatalaksanaan luka perineum tidak baik menyebakan infeksi yang berpengaruh terhadap lama penyembuhan luka perineum. <strong>Tujuan</strong>: Penelitian bertujuan mengetahui pengaruh pemberian propolis terhadap lama penyembuhan luka perineum pada ibu postpartum. <strong>Metode</strong>: Penelitian menggunakan rancangan <em>quasi eksperimen</em>. Subyek penelitian adalah ibu post partum yang mengalami luka perineum. Sampel kasus sebanyak 39 dan sampel kontrol sebanyak 39, total sampel 79 ibu postpartum. Sampel diambil secara <em>n</em><em>on </em><em>r</em><em>andom </em><em>s</em><em>ample </em>berupa <em>a</em><em>cidental sampling </em>dimulai sampel kelompok kasus lalu sampel kelompok kontrol sesuai kriteria inklusi dan eksklusi penelitian. Analisis data mengunakan <em>T-</em><em>t</em><em>est</em> (<em>paired t-test</em>). <strong>Hasil</strong>: Penelitian menunjukkan rata-rata derajat luka perineum pada kelompok ibu yang diberi propolis sebesar 1,82 sedangkan pada ibu yang tidak diberi propolis sebesar 1,85. Rata-rata lama penyembuhan luka perineum pada kelompok ibu yang diberi propolis adalah 3,38 hari sedangkan pada ibu yang tidak diberi propolis sebesar 1,85 dan didapatkan p <em>value</em> = 0,000 (≤ alpha 0,05). <strong>Simpulan</strong>: Luka perineum pada ibu postpartum yang diberi propolis akan lebih cepat sembuh dibanding dengan yang tidak diberi propolis. Bidan saat memberikan asuhan pada ibu post partum dengan luka perineum bisa memanfaatkan propolis guna mempercepat proses penyembuhan dengan tetap memperhatikan  nutrisi, personal hygiene dan mempertimbangkan aspek ekonomis dan etika.</p>


2014 ◽  
Vol 1 (3) ◽  
pp. 184-190
Author(s):  
Zaenal Fanani ◽  
Bisepta Prayogi

Indonesian peoples is a multicultural society. Each region has a distinct culture that is embraced by the trust from the previous generation ( Tommey and Alligood ,2006) . Based on a preliminary study of 20 post partum mothers, there are 17 people did not want to eat chicken dishes, meat and eggs for fear of the seams are not cured and itching . Protein is needed in the process of wound healing episiotomy and in breastfed infants, these conditions need to be an intervention . The purpose of this study was to determine the effect mother class of pregnant women to the knowledge, attitudes and behavior of post partum continence. Method: Research design was pretest and posttest nonequivalent control group with a sample of 40 people, who were divided into 20 groups and 20 controls of the treatment group. Sampling technique by using consecutive. The treatment group got mother class while the control group got health education as usual in health centers. In both groups was measured knowledge , attitudes , and behaviors " post partum continence”. Results: The result of this study showed that on paired t test p = 0.000, that mean at treatment group change on knowledge before and after mother class. On control group showed that not change in knowledge with paired t test p = 0.083. In indepedent  t test p = 0.000 there is a difference of knowledge between treatment groups and control groups. Paired t test p = 0.000 at the attitude shown that there is a change in attitude before and after treatment. In control group paired t test p = 0.163 indicates that there is no change in attitude. Independent t test p = 0.000 shows that there are differences in attitudes between the treatment and control groups . Chi-square test p = 0.000 on the behavior of incontinence, there are differences in the proportion of incontinence behavior between the treatment and control groups. Discussion:The research recommended mother class intervention for enhance knowledge, attitude and behavior for pregnant women of post partum incontinence culture.


2020 ◽  
Vol 9 (1) ◽  
pp. 275-279

The problem of breastfeeding is part of the problem of discomfort in postpartum mothers for 2 hours after giving birth. This problem often causes trauma to postpartum mothers during breastfeeding, psychological disturbances, and increases morbidity in the mother and baby due to inadequate breast milk. The practice of Oxytocin massage, Moringa leaves and Katuk leaves at the same time can improve the quantity and quality of breast milk in maternal patients with 36-40 weeks' gestation. This type of research is quantitative research. Respondents numbered 30 were selected by determining purposive sampling in each group consisting of 10 mothers. Data were analyzed using a Paired t-test and Independent sample t-test with an α level of 0.05. The results showed that there was an increase in the quantity of breastfeeding. On the 3rd day, the quantity of breast milk with volume of 45 cc. In the week I with a volume of 10.50 cc, week II 86.50 cc, week III 168.50 cc and week IV as much as 275 cc. It shows that there are differences in quality on days 3 to week IV. The results of data analysis also showed that the 3rd day the quality of breast milk is rather yellow and rather thick, then the first week to the third week rather yellow and thin. At week IV, the quality of breast milk is white and runny. There is an increase in the quality and quantity of breast milk in all three groups.


2020 ◽  
Vol 8 (4) ◽  
pp. 416
Author(s):  
Anita Liliana ◽  
Melania Wahyuningsih

Abstract Adequacy of milk production in the newborns will affect the success of exclusive breastfeeding. Not all postpartum mothers are able to increase milk production in the postpartum period. Acupressure at the meridian points is one way to increase milk production in postpartum mothers. This study aims to determine the effect of acupressure therapy on increasing breast milk production in postpartum mothers at PKU Muhamadiyah Bantul. This study was a quantitative study  a quasi-experimental research design with pre-test and post-test nonequivalent control group. The number of respondents in each group was 17 people. The treatment given was acupressure at the meridian points for 5 minutes on days 2 and 3of poatpartum. Breastfeeding adequacy was assessed before treatment and on day 4 postpartum. Data were analyzed by Mc Nemar analysis. The results showed that there was a significant difference in breast milk production before and after acupressure with p value of 0.000 (p value <0.05). There was a significant difference in breast milk production in the control group before and after being given the breastfeeding technique leaflet p value 0.001 (p value <0.05). Conclusion: There is no significant difference in breast milk production after being given acupressure and after being given leaflets about breastfeeding techniques at PKU Muhamadiyah Bantul p value 0.100 (p value> 0.05).  Keywords: acupressure, breast milk production, postpartum


2015 ◽  
Vol 4 (4) ◽  
pp. 585-592
Author(s):  
Rusdaina Rusdaina ◽  
Ahmad Syauqy

Latar Belakang : Prevalensi pra sindrom metabolik meningkat di negara maju dan berkembang. Faktor risiko pra sindrom metabolik salah satunya ialah hipertrigliseridemia. Serat prebiotik seperti inulin dan pati resisten mampu menurunkan kadar trigliserida. Inulin dan pati resisten terdapat dalam buah pisang seperti pisang kepok (Musa paradisiaca forma typical). Penelitian ini bertujuan untuk mengkaji pengaruh pisang kepok (Musa paradisiaca forma typical) terhadap kadar trigliserida tikus Sprague Dawley pra sindrom metabolik.Metode : Penelitian ini merupakan true experimental dengan pre-posttest randomized control group design yang menggunakan 28 ekor tikus jantan Sprague Dawley. Pengelompokan dilakukan secara acak menjadi 4 kelompok: kelompok K(-) (hanya diberi pakan standar), K(+) (diberi pakan standar dan induksi STZ), P1 dan P2 (diberi pakan standar, induksi STZ dan pisang kepok (Musa paradisiaca forma typical) dengan dosis masing-masing 4,5 dan 9 gram selama 3 minggu). Data dianalisis dengan paired t-test dan Kruskal Wallis.Hasil : Pisang kepok (Musa paradisiaca forma typical) dengan dosis masing-masing 4,5 dan 9 gram dapat menurunkan kadar serum trigliserida dari 83,6 ± 9,70 mg/dl menjadi 66,2 ± 4,85 mg/dl dan 79,2 ± 6,76 mg/dl menjadi 47,2 ± 4,42 mg/dl, secara berturut-turut (p<0,05). Perubahan kadar trigliserida pada kelompok K(-), K(+), P1 dan P2, secara berturut-turut 1 (p=0,001); 12 (p=0,005);  -17,4 (p=0,007); dan -31,99 (p=0,000).Simpulan : Pemberian pisang kepok (Musa paradisiaca forma typical) dengan dosis 9 g/200 g BB tikus/hr mampu menurunkan kadar serum trigliserida lebih tinggi (p=0,000) sekitar 40,4%.


2018 ◽  
Vol 4 (2) ◽  
pp. 219-238
Author(s):  
Naning Ma'rifatul Faiqoh ◽  
Nurul Huda

The present study aims to: (1) know the vocabulary learning process through field trip method, (2) know the significant differences in the increase of Arabic vocabulary in the experimental and control groups. This study uses qualitative experimental approach. As for the data collection technique, this study uses interview, observation, documentation, and tests, such as pretest and posttest. The pretest uses experimental design. The result shows that (1) the result of the learning class which uses experiment experiences enhancement between the average values of pretest and posttest which are 30.76 to become 55.54. And the result of the control group shows improvement with the average posttest score from 34.00 to 56.16. This indicates that the average value of experimental posttest class is higher compared to the average values of control class posttest. (2) There are significant differences in the experimental and control groups while learning vocabulary of 11th graders of MAN 1 Sleman. It is based on on the data analysis results through -T test Paired T-test with the significance of 0.000<0.05 that the results of vocabulary learning process of experimental and control groups are considered significantly different. Abstrak Penelitian ini bertujuan untuk: (1) Mengetahui bagaimana proses pembelajaran kosa kata melalui metode karyawisata. (2) Mengetahui perbedaan yang signifikan pada peningkatan kosa kata bahasa Arab kelompok eksperimen dan kontrol. Penelitian ini menggunakan pendekatan kuantitatif dengan jenis penelitian Eksperimental Research (penelitian eksperimen). Adapun teknik pengumpulan data dalam penelitian ini adalah menggunakan teknik wawancara, observasi, dokumentasi dan tes, adapun tes dalam penelitian ini meliputi pretest dan posttest. Penelitian ini menggunakan true eksperimental design (eksperimen yang betul-betul) sebagai desain penelitian. Hasil penelitian ini menunjukkan bahwa: (1) Hasil belajar kelas eksperimen mengalami peningkatan antara rata-rata nilai pretest dan postest yaitu 30.76 menjadi 55.45 dan hasil belajar kelas kontrol mengalami peningkatan antara rata-rata nilai posttest dan pretest yaitu 34.00 menjadi 56.16. hal ini menunjukkan rata-rata nilai posttest kelas eksperimen lebih tinggi dibandingkan dengan rata-rata nilai posttest kelas kontrol. (2) Ada perbedaan yang signifikan pada kelompok eksperimen dan kelompok kontrol dalam pembelajaran kosa kata di kelas XI MAN 1 Sleman. Hal tersebut didasarkan pada hasil analisis data melalui uji-T Paired T-test dengan signifikansi 0.000 < 0.05, sesuai dengan pedoman pengambilan keputusan maka diputuskan bahwa terdapat perbedaan signifikan pada hasil pembelajaran kosa kata siswa kelas eksperimen dan kontrol. Kata Kunci: Pembelajaran, Metode Karyawisata, Pembelajaran Kosa Kata


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