scholarly journals Teknik Perawatan Tali Pusat terhadap Pelepasan Tali Pusat

2021 ◽  
Vol 7 (2) ◽  
pp. 54
Author(s):  
Sarita Komala Din'ni ◽  
Linda Meliati
Keyword(s):  
Umbilical Cord ◽  
Health Workers ◽  
Sampling Technique ◽  
Cord Care ◽  
Open Method ◽  
Umbilical Cord Care ◽  
Post Test ◽  
Postpartum Mothers ◽  
Test Result ◽  
Sterile Gauze

The incidence of infection in newborns (BBL) in Indonesia is 24%-34%. Infection in BBL is the number 2 cause of neonatal death by 49%-60%. Neonatal mortality in developing countries is 50% due to umbilical cord infection, sepsis and neonatal tetanus. The purpose of this study was to analyze the effectiveness of umbilical cord care in newborns using dry open technique and sterile gauze against umbilical cord rupture. The type of research was pre-experimental post-test only design and the sample of this study was 30 newborns at the Puskesmas with purposive sampling technique. The study was conducted for 3 months. The results showed that the umbilical cord care technique with the dry open method made the umbilical cord detach faster than the sterile gauze method. The time for releasing the umbilical cord with the dry open method took 123.8 hours and the time for releasing the umbilical cord with sterile gauze took 170.8 hours. The results of the analysis showed the significance value of 0.004 and the Levin test result of 138%. Conclusion there is no more effective between sterile gauze and dry open umbilical cord treatment against umbilical cord detachment. Suggestions for midwives and health workers can socialize postpartum mothers in umbilical cord care for newborns using open techniques and sterile gauze.

scholarly journals Perbedaan Lama Pelepasan Tali Pusat Berdasarkan Perawatan Tali Pusat Pada Bayi Baru Lahir

2018 ◽  
Vol 5 (1) ◽  
pp. 40-47
Author(s):  
Hariyanto Hariyanto ◽  
Eva Febriana
Keyword(s):  
Pregnant Women ◽  
Umbilical Cord ◽  
Experimental Research ◽  
Health Workers ◽  
Observation Data ◽  
Cord Care ◽  
Umbilical Cord Care ◽  
The Difference ◽  
Sterile Gauze

This study aimed at determining the difference in the length of umbilical cord releasebased on umbilical cord care. This research was conducted from February to April 2017.This type of research was an experimental research and the design used was crosssectional. The population in this study were 42 pregnant women estimated to give birth inFebruary-April 2017. The sample of the research was 30 newborns taken with porposivesampling technique. Data collected by observation. Data were analyzed using T Teststatistic test result.The results showed that most, 19 respondents (63,3%) had performed the umbilicalcord care technique correctly. Almost half of respondents, 13 respondents (43,3%) theumbilical cord was release fast. The significant level was 0,000 < 0,50, so it wasconcluded that there was a difference in the length of umbilical cord removal based onumbilical cord care techniques. If the umbilical cord care is correct, it was removed orhealed quickly.Based on the results of the study is expected health workers, especially midwives areencouraged to continue using the correct care of the umbilical cord or sterile gauzebecause it only covers the umbilical cord with sterile gauze, the cord will dry faster andthe cord will release quickly.

scholarly journals Pengaruh Pemberian Topikal ASI terhadap Pelepasan Tali Pusat di BPM Anatapura dan BPM Setia

2018 ◽  
Vol 1 (1) ◽  
pp. 44-50
Author(s):  
Dwi Yani Ratna Dewi ◽  
Muliani ◽  
Henrietta Imelda Tondong
Keyword(s):  
Treatment Group ◽  
Breast Milk ◽  
Umbilical Cord ◽  
Proteolytic Enzymes ◽  
Sampling Technique ◽  
Cord Care ◽  
Umbilical Cord Care ◽  
Study Population ◽  
And Control ◽  
Static Group

The background of cord care is to keep the umbilical cord clean, dry and help protect newborns from possible infections. The umbilical cord fades faster and reduces the risk of infection. The content of breast milk, namely leukocyte cells, proteolytic enzymes, and immunological substances that can help accelerate the release of the umbilical cord. The study aimed to determine the effect of topical breastfeeding on the length of umbilical cord release in newborns at BPM Anatapura and Setia Palu BPM. The method used was pre-experiment with Static Group Comparison. The study population was all newborns aged 0 days until the cord was released, born at BPM Anatapura and BPM Setia Palu. The sample was divided into 2 groups (intervention and control), the number of samples was 15 for each group, so that a total of 30 samples were taken by consecutive sampling technique. Data analysis used was univariate and bivariate with Independent t-test. The results showed that the mean cord release in the topical breastfeeding group (102.7+ 22.08 hours) was smaller than the open dry treatment group (145, 36+ 37.63 hours) in the 95% CI with ρ-value of 0.001. The topical ASI group had a chance of 1.42 times (42.66 hours) experiencing umbilical cord release more quickly than the open dry treatment group. The conclusion of the study was the effect of topical breastfeeding on the length of umbilical cord release. The results of the study can be used as reference references in providing health services, especially simple umbilical cord care using topical breast milk.

scholarly journals Influence Of Breastfeeding Giving Topical To Old Release Of Umbilical Cord At Midwife Independent Practice Anatapura And Setia In Palu

2018 ◽  
Vol 1 (1) ◽  
pp. 44
Author(s):  
Dwi Yani Ratna Dewi ◽  
Muliani Muliani ◽  
Henrietta Imelda Tondong
Keyword(s):  
Treatment Group ◽  
Umbilical Cord ◽  
Proteolytic Enzymes ◽  
Sampling Technique ◽  
Independent Practice ◽  
Cord Care ◽  
Umbilical Cord Care ◽  
Study Population ◽  
And Control ◽  
Static Group

The background of cord care is to keep the umbilical cord clean, dry and help protect newborns from possible infections. The umbilical cord fades faster and reduces the risk of infection. The content of breast milk, namely leukocyte cells, proteolytic enzymes, and immunological substances that can help accelerate the release of the umbilical cord. The study aimed to determine the effect of topical breastfeeding on the length of umbilical cord release in newborns at BPM Anatapura and Setia Palu BPM. The method used was pre-experiment with Static Group Comparison. The study population was all newborns aged 0 days until the cord was released, born at BPM Anatapura and BPM Setia Palu. The sample was divided into 2 groups (intervention and control), the number of samples was 15 for each group, so that a total of 30 samples were taken by consecutive sampling technique. Data analysis used was univariate and bivariate with Independent t-test. The results showed that the mean cord release in the topical breastfeeding group (102.7+ 22.08 hours) was smaller than the open dry treatment group (145, 36+ 37.63 hours) in the 95% CI with ρ-value of 0.001. The topical ASI group had a chance of 1.42 times (42.66 hours) experiencing umbilical cord release more quickly than the open dry treatment group. The conclusion of the study was the effect of topical breastfeeding on the length of umbilical cord release. The results of the study can be used as reference references in providing health services, especially simple umbilical cord care using topical breast milk.Keywords: Topical Breastfeeding, old release of the umbilical cord

UMBILICAL CORD CARE BOOKLET PROVISION ON KNOWLEDGE AND ATTITUDE OF POSTPARTUM MOTHERS ABOUT UMBILICAL CORD CARE IN AJIBARANG HOSPITAL BANYUMAS REGENCY, CENTRAL JAVA PROVINCE

2018 ◽  
Vol 1 (2) ◽  
pp. 122
Author(s):  
Sodikin Sodikin ◽  
ASiandi Asiandi ◽  
Dedy Purwito
Keyword(s):  
Umbilical Cord ◽  
Post Partum ◽  
Cord Care ◽  
Maternal Attitudes ◽  
Central Java ◽  
Before And After ◽  
Umbilical Cord Care ◽  
Knowledge And Attitude ◽  
Postpartum Mothers ◽  
Central Java Province

Introduction. The umbilical cord is a life line for the fetus during pregnancy, because through the umbilical cord is all the need for a fulfilled life. After the baby is born the umbilical cord is not needed, so it must be cut and clamped with the umbilical cord clamping. The rest of the umbilical cord is still attached to the umbilical stump or the baby’s stomach requires good care to avoid infection. The purpose of this study was to obtain the description about effectiveness umbilical cord care booklet provision on knowledge and attitude of postpartum mothers on caring for the umbilical cord in Ajibarang Hospital, Banyumas regency, Central Java Province. Methods. This study used a quasi-experimental with treatment of delivery ISBN 978-979-448-992-5 books about umbilical cord care directly to the subject of the study (samples). Results. The results of this study indicated that knowledge of postpartum mothers before and after delivery of booklet umbilical cord care showed no significant differences on how to care for the umbilical cord (p>0.05). While the attitude of post partum mothers before and after delivery of booklet umbilical cord care showed significant differences, respectively before the delivery of booklet p = 0.029 and after the delivery of booklet p = 0.025. The effect of umbilical cord care booklet to the maternal attitudes about umbilical cord care is having the effect of moderate (r = 0.29). Discussion. The booklet umbilical cord care influential moderate (moderate effect) on postpartum maternal attitudes about how to care for the umbilical cord. Keywords: Postpartum Mothers, Knowledge, Attitude, Umbilical Cord Care Booklet.

scholarly journals PENERAPAN METODE MASSAGE ENDORPHIN DAN OKSITOSIN TERHADAP PENINGKATAN PRODUKSI ASI PADA IBU MENYUSUI BAYI 0-6 BULAN DI DESA GADING KABUPATEN PROBOLINGGO

2019 ◽  
Vol 12 (1) ◽  
pp. 30-38
Author(s):  
Tutik Hidayati ◽  
Iis Hanifah
Keyword(s):  
Breast Milk ◽  
Milk Production ◽  
Health Workers ◽  
Design Method ◽  
Post Partum ◽  
Sampling Technique ◽  
Breast Milk Production ◽  
Post Test ◽  
Nursing Mothers ◽  
Postpartum Mothers

Milk is produced by releasing the hormone oxytocin through the ducts in the breast. The growth and development of a baby's brain nerve requires high-value nutrients by giving the mother's milk to the baby. One of the obstacles in giving ASI early is the production of less milk in the first days. The length of time spent breastfeeding is influenced by the hormone oxytocin and the hormone prolactin which can be released by means of endorphin and oxytocin masage is done by gentle caress first and then massage on the back. endorphin and oxytocin masage is an intervention that is expected to help post partum mothers facilitate breast milk production. Rusdiati's 2013 results show that there is an effect of oxytocin massage on breastfeeding in postpartum mothers. The results were obtained after oxytocin massage ASI out faster than not done oxytocin massage. This study used a pre-experimental design with one group pre test post test design method. The population is all mothers who breastfeed babies aged 0-6 months. The sampling technique used is total samling. Data analysis using Wilcoxon obtained the results of ρ = 0,000, so that ρ <α = 0.05, then there is the influence of the Application of Masage Endorphin and Oxytocin Method to Increased Breast Milk Production in Breastfeeding Mothers of Babies 0-6 Months in Gading Village. Health workers, especially midwives, are expected to provide health education and training on endorphin and oxytocin massage in nursing mothers.    

scholarly journals Perbedaan Lama Pelepasan Tali Pusat pada Metode Perawatan Tali Pusat Teknik Terbuka dan Tertutup di PMB “SF” Palangka Raya

2021 ◽  
Vol 7 (1) ◽  
pp. 204-208
Author(s):  
Eline Charla Sabtina Bingan
Keyword(s):  
Umbilical Cord ◽  
Sampling Technique ◽  
Treatment Method ◽  
Analytic Method ◽  
Cord Care ◽  
Clostridium Tetani ◽  
Chi Square ◽  
Study Results ◽  
Significant Difference ◽  
Umbilical Cord Care

Tetanus neonatorum is a disease in neonates caused by Clostridium Tetani spores that enter through the umbilical cord. Various attempts were made to reduce infection in the umbilical cord, one of which is the method of treatment performed on the umbilical cord. This study aims to determine the differences in the old cord release in cord care with open and closed techniques in PMB SF Palangka Raya City. This research design is a descriptive quantitative analytic method with the approach of the type of research used is "True Experiment" real experimental research using observation sheets. The samples used were babies born in SF PMB with 26 babies; the sampling technique used was the non-probability sampling technique, purposive sampling, while the analysis used was Chi-Square. From the study results, it was found that there was a significant difference in the length of umbilical cord release in the umbilical cord treatment method with open and closed techniques with an Exact Sig. (2-tailed) value of 0.011. So the Exact Sig. Value (2-tailed) 0.011 <0.05, then Ho is rejected. And umbilical cord care with the open method is 19 times more effective at accelerating the release of the umbilical cord than the closed umbilical cord treatment method.

scholarly journals The Effect of Counseling on the Ability of Caring for the umbilical cord at the Primigravida Nifas Mother in BPM Nihayatur Rohmah Karangsono Village KanigoroBlitar Regency

2017 ◽  
Vol 4 (2) ◽  
pp. 149-152
Author(s):  
Maria Ulfa ◽  
Andestia Imanita
Keyword(s):  
Umbilical Cord ◽  
Wilcoxon Test ◽  
Infant Mortality Rate ◽  
Test Results ◽  
Cord Care ◽  
Caring Behavior ◽  
High Infant Mortality ◽  
Umbilical Cord Care ◽  
Post Test ◽  
The Right

The high infant mortality rate due to improper umbilical cord care is increasing. Improper umbilical cord caring behavior is still found in postpartum primigravida, so it is necessary to increase postpartum knowledge of the importance of treating the umbilical cord in the right way to prevent infection. This study design is Quasy-eksperimental one group Pre-post-test-design. Population of this research is Primigravida Nifas Mother one day 2-7 days in BPM Nihayatur Rohmah. The sample in this research is 15 respondents by using total sampling.Data analysis using Wilcoxon test. Results of research on the ability of postpartum primigravida mother in caring for the correct umbilical cord before counseling 6,7% in the able category and after getting counseling there is a 93,3% increase that is 100% in the category capable. Based on the results of the study is expected to respondents more active again in increasing interest by increasing information about caring for the correct umbilical cord to prevent the occurrence of infection

scholarly journals Chlorhexidine for facility-based umbilical cord care: EN-BIRTH multi-country validation study

2021 ◽  
Vol 21 (S1) ◽  
Author(s):  
Sojib Bin Zaman ◽  
◽  
Abu Bakkar Siddique ◽  
Harriet Ruysen ◽  
Ashish KC ◽  
...  
Keyword(s):  
Umbilical Cord ◽  
Health Management ◽  
Qualitative Interviews ◽  
Public Hospitals ◽  
World Health ◽  
Health Management Information System ◽  
Cord Care ◽  
National Policies ◽  
Exit Survey ◽  
Umbilical Cord Care

Abstract Background Umbilical cord hygiene prevents sepsis, a leading cause of neonatal mortality. The World Health Organization recommends 7.1% chlorhexidine digluconate (CHX) application to the umbilicus after home birth in high mortality contexts. In Bangladesh and Nepal, national policies recommend CHX use for all facility births. Population-based household surveys include optional questions on CHX use, but indicator validation studies are lacking. The Every Newborn Birth Indicators Research Tracking in Hospitals (EN-BIRTH) was an observational study assessing measurement validity for maternal and newborn indicators. This paper reports results regarding CHX. Methods The EN-BIRTH study (July 2017–July 2018) included three public hospitals in Bangladesh and Nepal where CHX cord application is routine. Clinical-observers collected tablet-based, time-stamped data regarding cord care during admission to labour and delivery wards as the gold standard to assess accuracy of women’s report at exit survey, and of routine-register data. We calculated validity ratios and individual-level validation metrics; analysed coverage, quality and measurement gaps. We conducted qualitative interviews to assess barriers and enablers to routine register-recording. Results Umbilical cord care was observed for 12,379 live births. Observer-assessed CHX coverage was very high at 89.3–99.4% in all 3 hospitals, although slightly lower after caesarean births in Azimpur (86.8%), Bangladesh. Exit survey-reported coverage (0.4–45.9%) underestimated the observed coverage with substantial “don’t know” responses (55.5–79.4%). Survey-reported validity ratios were all poor (0.01 to 0.38). Register-recorded coverage in the specific column in Bangladesh was underestimated by 0.2% in Kushtia but overestimated by 9.0% in Azimpur. Register-recorded validity ratios were good (0.9 to 1.1) in Bangladesh, and poor (0.8) in Nepal. The non-specific register column in Pokhara, Nepal substantially underestimated coverage (20.7%). Conclusions Exit survey-report highly underestimated observed CHX coverage in all three hospitals. Routine register-recorded coverage was closer to observer-assessed coverage than survey reports in all hospitals, including for caesarean births, and was more accurately captured in hospitals with a specific register column. Inclusion of CHX cord care into registers, and tallied into health management information system platforms, is justified in countries with national policies for facility-based use, but requires implementation research to assess register design and data flow within health information systems.

scholarly journals Umbilical cord care through community-based distribution of chlorhexidine in rural Sindh, Pakistan

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
M Shah ◽  
Q Jamali ◽  
F Aisha
Keyword(s):  
Rural Communities ◽  
Data Collection ◽  
Umbilical Cord ◽  
Rural Areas ◽  
Health Workers ◽  
High Rate ◽  
Cord Care ◽  
Community Based ◽  
Sindh Province ◽  
At Home

Abstract Background Unsafe practices such as cutting umbilical cord with unsterilized instruments and application of harmful substances, are in practice in many rural areas of Pakistan, and associated with high risk of neonatal sepsis and mortality. Methods We conducted an implementation research in 2015 in Tharparkar district, in Sindh province of Pakistan to understand the feasibility and acceptability of community-based distribution of chlorhexidine (CHX) in rural Pakistan. For this cohort group-only study, 225 lady health workers (LHWs) enrolled 495 pregnant women. Enrolled women received 4% CHX gel and user’s instructions for newborn cord care. The LHWs also counseled women on the benefits and correct use of CHX. Study enumerators collected data from CHX receiving women 3 times: at around 2 weeks before delivery, within 24 hours after delivery, and on the 8th day after delivery. We implemented this study jointly in collaboration with Ministry of Health in Sindh province, Pakistan. Results Among enrolled participants, 399 women (81%) received only the first visit, 295 women (60%) received first two visits and 261 women (53%) received all three visits by enumerators. Among 399 women, who received CHX gel, counseling on its use and were respondent to the first round data collection, 78% remembered that the CHX gel to be applied to cord stump and surrounding areas immediately after birth; but less than a third (29%) forgot the need to keep the cord clean and dry. Among 295 respondents in the first two rounds of data collection, who delivered at home, 97% applied CHX to cord stump on the first day. Conclusions Community-based CHX distribution by LHWs, along with counseling to recipient women, resulted in a high rate of cord care with CHX among newborn delivered at home. Results from this study may help program implementers to consider expanding this intervention for improving newborn cord care on the first day of life in Pakistan. Key messages Community-based distribution of chlorhexidine for newborn cord care appears as highly acceptable and feasible in rural communities in Pakistan. Relevant program policy supporting community-based CHX distribution along with counseling by LHW may help expanding coverage of newborn cord care in rural communities in Pakistan.

The Effect of Breastfeeding Calendar Training on Knowledge and Attitudes of Mothers in Exclusive Breastfeeding

2021 ◽  
Vol 10 (1) ◽  
pp. 80-87
Author(s):  
Ari Indra Susanti ◽  
Aminarista Aminarista ◽  
Neneng Martini ◽  
Nur Rahmah ◽  
Sri Astuti
Keyword(s):  
Exclusive Breastfeeding ◽  
Health Workers ◽  
Sampling Technique ◽  
Wilcoxon Test ◽  
Test Design ◽  
Knowledge And Attitudes ◽  
Lactating Mothers ◽  
Before And After ◽  
Post Test ◽  
Quasi Experimental

Background: Lactating mothers were successful in giving exclusive breastfeeding as much as 42% based on SDKI (Survei Demografi Kesehatan Indonesia) in 2012. This is depend on the support of husbands and families as well as health workers. Thus, the husband or family should remind and motivate mothers as well as monitor the breastfeeding activity every day for 6 months using breastfeeding calendar.Objectives: This study aimed to determine the increase in knowledge and attitudes of mothers in providing exclusive breastfeeding after the exclusive breastfeeding calendar training.Materials and Methods: The research design used a quasi-experimental one group pre-test post-test design. This research was conducted on mothers who had babies (age 0-12 months) in Pasawahan Village and Pasawahan Kidul Village, Pasawahan District, Purwakarta Regency in April to November 2018, with 96 respondents. The sampling technique was conducted by purposive sampling. Data were collected by giving questionnaires to respondents, before and after the breastfeeding calendar training were given. The Wilcoxon test was used for the analysis of the data in this study.Results: The results showed that there were differences in the knowledge of mothers before and after training on breastfeeding calendar (p <0,000) and there were differences in the attitudes of mothers before and after the training on breastfeeding calendar (p <0,000).Conclusions: There was an increase in knowledge and changes in the attitude of mothers towards exclusive breastfeeding after being given the breastfeeding Calendar training. Therefore, suggestions for health workers, especially midwives and nutrition workers, can use the breastfeeding calendar as an educational medium to increase husband and family support in exclusive breastfeeding.

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