scholarly journals THE RELATIONSHIP BETWEEN BREAST CARE IMPLEMENTATION AND POST PARTUM MOTHER'S MILK PRODUCTION AT PMB VERONIKA SINAGA BATAM CITY

2021 ◽  
Vol 1 (4) ◽  
pp. 449-452
Author(s):  
Nurul Fajar Rina ◽  
Indah Mastikana ◽  
Sherly Mutiara

Breast care is one of the most important efforts for post partum mothers with the aim of facilitating the production of breast milk.In order to reduce child morbidity and mortality, the United Nations Children's Fund (UNICEF) and the World Health Organization (WHO) in 2005 recommended that infants be breastfed for at least six months.The success rate of breastfeeding in Indonesia in 2013 was 54.3%,(Kemenkes RI, 2014). The success rate of breastfeeding in the Riau Islands in 2013 was 52.6%,(Kemenkes RI, 2014).Exclusive Breast Milk Coverage in Batam City 47% in 2017. The low coverage of exclusive breastfeeding may be due to the low awareness of the importance of breast care to support the production of breast milk,(Dinas Kesehatan Kota Batam, 2018).The purpose of this study was to explain the relationship between the implementation of breast care and the expenditure of breast milk in post partum mothers.The method used by the author is a descriptive type, in the form of research with a case study method or approach, with visits during the postpartum period to respondents aged 25 years P2A1 at PMB Veronika Sinaga Batam City and carried out 3 times.From the results of the study, it was shown that the breast care provided to the respondents went smoothly and there was an increase in the expenditure of breast milk after breast care was carried out.The conclusion in this study based on the results of the assessment and examination it was found that breast care for postpartum mothers was very influential, respondents were able to carry out breast care independently well, and the authors were able to apply midwifery care through a midwifery management approach and documented by the SOAP method.

2021 ◽  
Vol 1 (4) ◽  
pp. 449-452
Author(s):  
Nurul Fajar Rina ◽  
Indah Mastikana ◽  
Sherly Mutiara

Breast care is one of the most important efforts for post partum mothers with the aim of facilitating the production of breast milk.In order to reduce child morbidity and mortality, the United Nations Children's Fund (UNICEF) and the World Health Organization (WHO) in 2005 recommended that infants be breastfed for at least six months.The success rate of breastfeeding in Indonesia in 2013 was 54.3%,(Kemenkes RI, 2014). The success rate of breastfeeding in the Riau Islands in 2013 was 52.6%,(Kemenkes RI, 2014).Exclusive Breast Milk Coverage in Batam City 47% in 2017. The low coverage of exclusive breastfeeding may be due to the low awareness of the importance of breast care to support the production of breast milk,(Dinas Kesehatan Kota Batam, 2018).The purpose of this study was to explain the relationship between the implementation of breast care and the expenditure of breast milk in post partum mothers.The method used by the author is a descriptive type, in the form of research with a case study method or approach, with visits during the postpartum period to respondents aged 25 years P2A1 at PMB Veronika Sinaga Batam City and carried out 3 times.From the results of the study, it was shown that the breast care provided to the respondents went smoothly and there was an increase in the expenditure of breast milk after breast care was carried out.The conclusion in this study based on the results of the assessment and examination it was found that breast care for postpartum mothers was very influential, respondents were able to carry out breast care independently well, and the authors were able to apply midwifery care through a midwifery management approach and documented by the SOAP method.


2018 ◽  
Vol 5 (1) ◽  
pp. 48-54
Author(s):  
Catur Wulandari

Breast care is an act of breast care performed, either by post partum mothers orassisted by others who performed starting on the first day or two after giving birth. Thesmoothness of breast milk and breast beauty after breastfeeding is also dependent care.The purpose of this study was to determine the relationship between breast care in postpartum mothers with a smooth expenditure of milk in Galak Village Slahung DistrictPonorogo Regency.The method used in this study is the description of the correlation, the population inthis study were all postpartum mothers on the third day to six weeks in February-March 2017as many as 31 postpartum mothers. Sampling was done by total sampling technique withsample 31 post partum mother on day 3-6 weeks. Data analysis using Chi-Square analysis.The results of the study most of the respondents (51.6%) have breast care during thepuerperal period is less good. Post partum mother in Galak Village, Slahung Sub-district,Ponorogo Regency mostly (51,6%) have smooth expenditure of breastfeeding. There is arelationship between breast care in post partum mother with the smooth expenditure of milkin Galak Village, Slahung Sub-district, Ponorogo Regency. with p = 0.007.


2021 ◽  
Vol 14 (1) ◽  
pp. 39
Author(s):  
Mariyatul Qiftiyah ◽  
Eva Silviana Rahmawati ◽  
Aris Puji Utami ◽  
Nur Maziyah Hurin’in

Abstrak. ASI memberi semua energi dan nutrisi yang dibutuhkan bayi selama 6 bulan pertama hidup bayi, sehingga dianjurkan untuk enam bulan pertama bayi hanya diberi ASI Ekslusif tanpa tambahan makanan atau minuman lain. Penelitian ini bertujuan untuk menganalisa hubungan frekuensi perawatan payudara dengan kelancaran produksi ASI pada ibu nifas hari ke 4. Metode penelitian yang digunakanan adalah analitik observasional dengan pendekatan cross sectional. Populasi dalam penelitian adalah seluruh ibu nifas hari ke 4 di BPS Asri dan Polindes Permata Bunda Tuban bulan Juli - AgustusTahun 2020, sampel penelitian adalah sebagian ibu nifas hari ke 4 di BPS Asri dan Polindes Permata Bunda Tuban bulan Juli – Agustus Tahun 2020. Teknik sampling yang digunakan dalam penelitian ini adalah simple random sampling. Variabel independen dalam penelitian ini adalah frekuensi perawatan payudara sedangkan variabel dependen dalam penelitian ini kelancaran produksi ASI. Analisis data dalam penelitian menggunakan korelasi Spearman dengan batasan signifikan jika p-value < 0,05. Analisa hasil penelitian menunjukkan p-value = 0,000 yang berarti terdapat hubungan antara frekuensi perawatan payudara dengan kelancaran produksi asi pada ibu nifas hari ke 4. Pentingnya ASI bagi bayi maka ibu nifas diharapkan selalu menjaga kelancaran ASI dengan cara melakukan perawatan payudara secara rutin dan benar.  Kata kunci. Perawatan payudara, ASI, Nifas   The Correlation between The Frequency of Breast Care and The Smooth Production of Breast Milk on Day 4 Postpartum  Abtract.Breastmilk provides all the energy and butrition a baby needs for the first 6 months of baby life. The firts six months only exclusive breastfeeding is provided for babies without any additional food or drink. This study aims to analyze the correlation between the breast care frequency and the smooth production of breastmilk in post-partum mothers on day 4. The research method was observational analytic with a cross-sectional approach. The study population was all-day 4 postpartum mothers and the study sample were some of the fourth days' postpartum mothers at BPS Asri and Polindes Permata Bunda Tuban in March-April 2020. The research sampling was simple random sampling. The independent variable was the frequency of breast care, while the dependent variable was the milk production smoothness. Data analysis used the Spearman correlation with significant limits of p-value <0.05. The analysis of the results showed a p-value=0.000, which means that there was a correlation between the breast care frequency and the breastmilk smooth production in postpartum mothers on day 4. The importance of breastfeeding for babies is that postpartum mothers are expected to always maintain the smooth running of breast milk by doing regular and correct breast care.  Keywords. Breast care, breast milk, postpartum


2019 ◽  
Vol 7 (1) ◽  
Author(s):  
Zulfikar Mardjun ◽  
Grace Korompis ◽  
Sefti Rompas

Abstract : Smooth breastfeeding is influenced by several factors, one of which ispsychological factors, namely anxiety. In general, postpartum mothers often experiencefatigue and mood swings such as anxiety; about themselves and about their new-born baby.This anxiety can affect the smoothness of breastfeeding in post partum mothers. The purposeof this study was to determine the relationship between anxiety and smooth release of breastmilk in post partum mothers while being treated at Mother and Baby Hospital, Kasih IbuManado. The method of this research uses cross sectional research design. The sampleconsisted of 68 respondents with a non probability sampling method with a purposivesampling technique. The results using the Chi-Square did not fulfill the requirements thuscontinued with the Fisher Exact test at the significance level of 95%, obtained by the value ρ -Value 0.001 smaller than the significant value of 0.05. In conclusion, there is a relationshipbetween anxiety and the smooth releasee of breast milk in post partum mothers while beingtreated at Kasih Ibu Hospital.Keywords : Anxiety, Smooth Release of Breast MilkAbstrak : Kelancaran pengeluaran ASI dipengaruhi oleh beberapa faktor, salah satunyafaktor psikologis yaitu kecemasan. Pada umumnya ibu pasca persalinan sering mengalamikelelahan dan perubahan mood seperti kecemasan, cemas terhadap dirinya dan cemasmemikirkan bayinya. Kecemasan tersebut yang dapat mempengaruhi kelancara pengeluaranASI pada ibu post partum. Tujuan untuk mengetahui hubungan antara kecemasan dengankelancaran pengeluaran air susu ibu pada ibu post partum selama dirawat di Rumah Sakit Ibudan Anak Kasih Ibu Manado. Metode menggunakan desain penelitian cross sectional.Sampel terdiri dari 68 responden dengan metode pengambilan sampelsecara non probabilitysampling dengan teknik purposive sampling. Hasil dengan menggunakan uji Chi – Squaretetapi tidak memenuhi syarat dan dilanjutkan dengan uji Fisher Exact pada tingkatkemaknaan 95%, didapatkan nilai ρ – Value 0,001 lebih kecil dari nilai signifikan 0,05.Kesimpulan ada hubungan antara kecemasan dengan kelancaran pengeluaran air susu ibupada ibu post partum selama dirawat di Rumah Sakit Ibu dan Anak Kasih Ibu Manado.Kata Kunci : Kecemasan, Kelancaran Pengeluaran ASI


2021 ◽  
Vol 4 (4) ◽  
pp. 969-976
Author(s):  
Lasma Rina Efrina Sinurat ◽  
Rosetty Rita Sipayung ◽  
Agnes Silvina Marbun

ABSTRAK Perawatan payudara sangat penting dilakukan selama hamil sampai masa menyusui. Hal ini karena payudara merupakan satu-satunya penghasil ASI yang merupakan makanan pokok bayi baru lahir sehingga harus dilakukan sedini mungkin. Breast care bertujuan untuk memelihara kebersihan payudara, memperbanyak atau memperlancar pengeluaran ASI.Tujuan pengabdian masyarakat ini adalah untukmempersiapkan ibu hamil dan nifas agar dalam kondisi baik saat menyusui bayinya dan agar mampu mendemontrasikan perawatan payudara dengan benar secara mandiri di rumah. Adapun metode pengabdian masyarakat ini dengan pendekatan edukatif tentang perawatan payudara pada ibu hamil dan nifas di klinik BPM Mariana Binjai dalam bentuk ceramah dan tanya jawab serta melakukan demonstrasi perawatan payudara. Hasil dari pengabdian masyarakat ini adalah menjaga kebersihan payudara terutama kebersihan puting susu, melenturkan dan menguatkan puting susu sehingga memudahkan bayi untuk menyusu, merangsang kelenjar-kelenjar air susu sehingga produksi ASI banyak dan lancar, dapat mendeteksi kelainan-kelainan payudara secara dini dan melakukan upaya untuk mengatasinya dan mempersiapkan mental (psikis) ibu untuk menyusui. Diharapkan setelah dilakukan pendekatan edukatif ini ibu hamil dan nifas pengetahuannya semakin meningkat dan mampu mempersiapkan pemberian ASI eksklusif kepada bayinya. Kata Kunci : edukasi, breast care, ibu hamil dan nifas  ABSTRACT Breast care is very important during pregnancy until breastfeeding. This is because the breast is the only producer of breast milk which is the staple food for newborns, so it must be done as early as possible. Breast care aims to maintain breast hygiene, increase or facilitate breastfeeding. The aim of this community service is to prepare pregnant and childbirth mothers to be in good condition when breastfeeding their babies and to be able to demonstrate proper breast care independently at home. The community service method uses an educational approach on breast care for pregnant and postpartum mothers at the BPM Mariana Binjai clinic in the form of lectures and questions and answers as well as conducting breast care demonstrations. The result of this community service is maintaining breast cleanliness, especially nipple hygiene, flexing and strengthening the nipple so that it makes it easier for babies to breastfeed, stimulating the milk glands so that milk production is large and smooth, can detect breast abnormalities early and make efforts to overcome it and prepare the mother mentally (psychologically) to breastfeed. It is hoped that after this educational approach, pregnant and post-partum women will have increased knowledge and be able to prepare exclusive breastfeeding for their babies. Keywords : education, breast care, pregnant women and postpartum


2021 ◽  
Vol 1 (2) ◽  
pp. 138-142
Author(s):  
Miftahul Jannah ◽  
Erlina Wanti Harahap ◽  
Razia Begum Suroyo

Berdasarkan data World Health Organization (WHO) tahun 2017, di dunia diperkirakan setiap menit wanita meninggal karena komplikasi yang terkait dengan kehamilan dan persalinan. Tujuan penelitian ini untuk mengetahui hubungan keaktifan ibu dalam mengikuti kelas ibu hamil dengan penurunan risiko persalinan di Puskesmas. Desain penelitian adalah penelitian survey analitik dengan pendekatan cross sectional. Populasi dalam penelitian ini adalah 54 ibu post partum pada bulan September-Oktober. Teknik pengambilan sampel menggunakan total sampling yaitu seluruh populasi dijadikan sampel sebanyak 54 responden. Analisis data menggunakan analisis univariat dan bivariat menggunakan uji chi-square. Hasil penelitian didapatkan bahwa terdapat hubungan Keaktifan ibu dalam mengikuti kelas ibu hamil dengan penurunan risiko persalinan di Puskesmas Pintu Padang tahun 2020 (p = 0,000 < 0,05). Disarankan agar tenaga kesehatan di Puskesmas untuk meningkatkan implementasi program puskesmas untuk memantau dan melakukan promosi kesehatan mengenai kelas ibu hamil.


2018 ◽  
Vol 10 (01) ◽  
pp. 11
Author(s):  
Herdini Widyaning Pertiwi ◽  
Hana Rosiana Ulfah

ABSTRAKLatar belakang : Kejadian Bendungan ASI akan sangat berpengaruh terhadap masa nifas karena ketidakberhasilan dalam memberikan ASI kepada bayinya, Salah satu tidak tercapainya  ASI  eksklusif yaitu bayi tidak mendapat ASI yang  cukup serta produksi ASI meningkat, terlambat  menyusukan, hubungan dengan bayi (bonding) kurang baik,  dan  dapat  pula  karena adanya pembatasan waktu menyusui. Di klinik Mulia Kasih Kecamatan Ngemplak Kabupaten Boyolali pada bulan Berdasarkan data studi pendahuluan yang di lakukan di klinik mulia kasih, Ngemplak, Boyolali pada bulan Nopember 2017 terhadap 10 orang ibu post partum, didapatkan 6 orang (60%) tidak mengerti tentang perawatan payudara, dan 4 orang (40%) sudah mengerti perawatan payudara. Dari  4 orang yang sudah mengerti perawatan payudara tidak ada yang mengalami bendungan ASI. Sedangkan dari 6 orang yang tidak mengerti perawatan payudara terdapat 1 orang (16,7%) yang mengalami bendungan ASI., karena sebagian besar ibu belum mengerti tentang perawatan payudara (breast care).. Jenis penelitian ini adalah survei analitik dengan pendekatan cross sectional. Populasi dalam penelitian ini 30 ibu menyusui yang masih masa nifas dibulan Januari 2018. Jumlah sampel sebanyak 30 responden. Analisis data menggunakan uji chi-square. Hasil penelitian Responden yang memiliki pengetahuan baik tentang  perawatan payudara (43,3%), responden tidak mengalami Bendungan ASI (66,7 %) Diperoleh nilai p 0,003 (p<0,05)bahwa ada hubungan antara pengetahuan ibu tentang perawatan payudara dengan kejadian bendungan ASI. Kesimpulan bahwa ada hubungan antara pengetahuan ibu tentang perawatan payudara dengan terjadinya bendungan ASI .Kata kunci : perawatan payudara,bendungan asiRELATIONSHIP BETWEEN KNOWLEDGE OF MOTHER ABOUT BREAST CARE WITH ENGORGEMENT ON THE POST PARTUMABSTRACTBackground: The incidence of breast milk damages will greatly affect the puerperium due to unsuccessful breastfeeding to the baby. One of the exclusion of exclusive breastfeeding is that the infant is not getting enough milk and the milk production is increased, belated, the relationship with the baby is not good enough, and can also be due to restrictions on breastfeeding time. In the clinic of Mulia Kasih, Ngemplak sub-district, Boyolali regency in the month Based on preliminary study data that was done in the noble clinic of love, Ngemplak, Boyolali in November 2017 to 10 post partum mothers, got 6 people (60%) did not understand about breast care, and 4 people (40%) already understand breast care. Of the 4 people who already understand breast care no one has breast dam. While 6 people who do not understand breast care there are 1 person (16,7%) who suffer from breast milk dam, because most of mothers do not understand about breast care (breast care) .. This research type is analytic survey with cross sectional approach. The population in this study were 30 breastfeeding mothers who were still in the month of January 2018. The number of samples were 30 respondents. Data analysis using chi-square test. Results Respondents who have good knowledge about breast care (43.3%), respondents did not experience milk dam (66.7%) obtained p value 0.003 (p <0.05) that there is a relationship between mother's knowledge about breast care with the incidence milk dam. The conclusion that there is a relationship between mother's knowledge about breast care with the occurrence of breast milk dam.keywords: breast care, engorgement


2021 ◽  
Vol 3 (3) ◽  
pp. 330-339
Author(s):  
Dainty Maternity ◽  
Rilyani Rilyani ◽  
Maissy Hardianti

Introduction: According to the World Health Organization (WHO, 2017), in terms of gender, the female group recorded the highest incidence of mood disorders which was 5.1%; compared to males 3.6% (WHO, 2017). in terms of age, the incidence of mood disorders is high in the environment of late adulthood between 55 years to 74 years (7.5% women: 5.5% men) (WHO, 2017). Mental mood disorders occur in Southeast Asian countries 27% compared to other overseas like Africa (9%), Eastern Mediterranean (16%), Europe (12%), America (15%), and the West Pacific (21%) (WHO, 2017)Objective: To find out the benefits of applying supportive therapy in postpartum with the occurrence of baby blues in Banjar Negoro Village, Kec. Wonosobo Kab. Lampung Province Tanggamus in 2019.Method: This type of research is quantitative. The research design of the Quasi-Experimental method is one group pretest-posttest one group pretest-posttest approach. The population and sample were 20 people. Data analysis uses univariate and bivariate using t-tests.Results: Postpartum blues in postpartum mothers before the application of supportive therapy in postpartum mothers obtained an average EPDS score of 25.47 with the lowest EPD score of 18 and the highest EPD value of 30, and after the application of supportive therapy in postpartum mothers obtained an average EPDS score of 14.29 with the lowest EPD score of 9, and the highest EPD score of 20, with a mean difference test of 12.100. The results of statistical tests using dependent tests obtained p-values of 0,000 (α <0.05).Conclusion: This means that there is an influence of the application of supportive therapy to the incidence of postpartum blues in the village of Banjar Negoro Kec. Wonosobo Tanggamus Lampung Province in 2019. The results of this study can be used as an alternative treatment for clinics or places of care if you find patients with postpartum blues can use effective supportive therapy given to reduce the anxiety suffered.Keywords: Supportive Therapy, Post Partum, Genesis Baby Blues Pendahuluan: Menurut World Health Organization (WHO, 2017)[U2] , dari segi gender golongan wanita mencatatkan kadar kejadian gangguan mental kemurungan paling tinggi yaitu 5.1%; berbanding lelaki 3.6% (WHO, 2017).  dilihat segi umur, kejadian gangguan mental kemurungan adalah tinggi dalam lingkungan umur dewasa akhir di antara 55 tahun hingga 74 tahun (7.5 % wanita : 5.5% lelaki) (WHO, 2017). Kejadian gangguan mental kemurungan terjadi di negara Asia Tenggara 27% berbanding lain-lain rantau seperti Afrika (9%), Timur Mediterranean (16%), Eropa (12%), Amerika (15%) dan Barat Pasifik (21%) (WHO, 2017)[U3] . Tujuan: Diketahui manfaat penerapan terapi suportif pada post partum dengan kejadian baby blues di Desa Banjar Negoro Kec. Wonosobo Kab. Tanggamus Provinsi Lampung Tahun 2019.Metode: Jenis penelitian ini adalah Kuantitatif. Desain penelitian metode Quasi Eksperimental pendekatan one group pretes-postes one group pretes-postes. Populasi dan sampel sebanyak 20 orang. Analisa data mengguanakan univariat dan bivariate dengan t-tes.Hasil : Post partum blues pada ibu post partum sebelum penerapan terapi suportif pada ibu post partum didapat nilai rata-rata skor EPDS sebesar 25,47 dengan skor nilai EPD terendah 18  dan nilai nilai EPD tertinggi 30, dan sesudah penerapan terapi suportif pada ibu post partum didapat nilai rata-rata skor EPDS sebesar 14,29 dengan skor nilai EPD terendah 9, dan skor nilai EPD tertinggi 20, dengan nilai uji beda mean 12,100. Hasil uji statistik menggunakan tes-dependen didapat nilai p-value 0.000 (α<0.05).Kesimpulan : Artinya terdapat pengaruh penerapan terapi suportif  terhadap kejadian post partum blues di Desa Banjar Negoro Kec. Wonosobo Tanggamus Provinsi Lampung Tahun 2019. Hasil penelitian ini dapat digunakan sebagai alternatif pengobatan bagi klinik atau tempat perawatan, jika menemukan pasien dengan post partum blues dapat menggunakan terapi suportif yang efektif diberikan untuk mengurangi cemas yang diderita.


Author(s):  
Tirta Anggraini

ABSTRAK Menurut data World Health Organization (WHO) tahun 2012 sebanyak 99 % kematian ibu akibat masalah persalinan atau kelahiran terjadi di negara–negara berkembang. Penyebab langsung kematian di Indonesia dan negara lainnya hampir sama yaitu akibat perdarahan (28%), eklamsia (24%) dan infeksi (11%). Kasus infeksi ini (25–55%) di sebabkan karena infeksi jalan lahir atau episiotomi. Tujuan penelitian untuk mengetahui hubungan pengetahuan sikap ibu nifas tentang perawatan luka perineum di Rumah Sakit Muhammadiyah Palembang tahun 2018. Jenis Penelitian ini berbentuk survey analitik dengan cross sectional, pengambilan sample menggunakan metode accidental sampling yaitu sebanyak 30 responden. Variabel yang dikaji dalam penelitian ini adalah pengetahuan dan sikap ibu nifas dengan perawatan luka perineum. Analisa yang digunakan adalah uji Chi-Square. Berdasarkan hasil penelitian, didapatkan responden yang melakukan perawatan luka perineum sebanyak 22 responden (73,3%) dan yang tidak melakukan perawatan luka perineum sebanyak 8 responden (26,7%). Responden yang berpengetahuan cukup sebanyak 13 responden (43,3%) lebih banyak dibandingkan dengan responden yang memiliki pengetahuan kurang sebanyak 11 responden (36,7%) dan responden yang berpengetahuan baik sebanyak 6 responden (20,0%). Responden yang memiliki sikap positif sebanyak 23 responden (76,7%) lebih besar dibandingkan dengan responden yang memiliki sikap negatif sebanyak 7 orang (23,3%). Dari hasil uji Chi-Square hubungan pengetahuan dengan perawatan luka perineum didapatkan hasil p value 0,001 dan hubungan sikap dengan perawatan luka perineum didapatkan hasil p value 0,002. Hasil dari penelitian ini ada hubungan bermakna antara pengetahuan dan sikap ibu nifas dengan perawatan luka perineum di Rumah Sakit Muhammadiyah Palembang tahun 2018. Kata kunci : Pengetahuan, Sikap, dan Perawatan Luka Perineum ABSTRACT Data from the World Health Organization (WHO) in 2012 as many as 99% of maternal deaths due to labor or birth problems occur in developing countries. The immediate causes of death in Indonesia and other countries are almost the same, bleeding (28%), eklampsia (24%) and infection (11%). Cases infection (25–55%) are caused due to birth canal infections or episiotomi. The study was to determine the relationship between knowledge of postpartum attitudes about perineum wound care at the Muhammadiyah Hospital in Palembang in 2018. The type of this study was an analytical survey with cross sectional,sample  using accidental sampling method which was 30 respondents. The variables studied in this study were the knowledge and attitudes of postpartum mothers with perineum wound care. The analysis used is the Chi-Square test. Based on the results of the study, there were 22 respondents (73.3%) and those who did not perform perineum wound care as many as 8 respondents (26.7%). Respondents who were sufficiently knowledgeable were 13 respondents (43.3%) more than respondents who had less knowledge as many as 11 respondents (36.7%) and respondents who were well-informed as many as 6 respondents (20.0%). Respondents who had a positive attitude were 23 respondents (76.7%) greater than respondents who had a negative attitude as many as 7 people (23.3%). From the results of the Chi-Square test, the relationship between knowledge with perineal wound care showed p value 0.001 and the relationship between attitudes and perineal wound care showed p value 0.002. The results of this study have a significant relationship between knowledge and attitude of postpartum mothers with perineum wound care at the Muhammadiyah Hospital Palembang in 2018. Keywords: Knowledge, Attitudes, and Care of Perineum Wounds.


Author(s):  
Tirta Anggraini Tirta Anggraini

ABSTRAK   Masa nifas (puerpenium) adalah masa sesudah melahirkan.yang berlansung selama kurang lebih 6 minggu,Perdarahan merupakan  salah  satu  sebab  utama  kematian  ibu  dalam  masa nifas`yaitu berkisar 5-15%. Penyebab dari perdarahan tersebut  yaitu  50-60%   tidak  adanya  kontraksi uterus, Data World health organization ((WHO), mencatat bahwa angka ibu nifas meningkat setiap tahunnya. Pada tahun 2010  sebanyak 10% ibu meninggal dunia ketika masa nifas terjadi dalam 24 jam pertama. Sementara pada tahun 2011 jumlah ibu nifas meninggal sebanyak  5%  menurun dari tahun sebelumnya, Salah satu cara yang dapat dilakukan untuk mencegah terjadinya perdarahan pasca persalinan adalah dengan merangsang  kontraksi miometrium maka salah satu upaya yang dilakukan adalah senam nifas, Senam nifas merupakan latihan jasmani yang berfungsi untuk mengembalikan kondisi kesehatan, untuk mempercepat penyembuhan, mencegah timbulnya komplikasi, memulihkan dan memperbaiki regangan pada otot-otot setelah kehamilan, terutama pada otot-otot bagian punggung, dasar panggul, dan perut. Tujuan dari penelitian ini adalah untuk mengetahui apakah ada pengaruh senam nifas terhadap penurunan tinggi fundus uteri pada ibu post partum.Penelitian ini menggunakan desain penelitian kuantitatif dengan pendekatan desain post test only desain. Sampel dalam penelitian ini adalah ibu  nifas yang berkunjung ke Klinik Budi Mulia Medika Palembang tahun 2018 Yang berjumlah 30 orang. Analisa data yang digunakan analisa univariat dan  bivariat. Hasil penelitian ini menunjukan responden yang melakukaan senam nifas  23 orang (76,7%) dan tidak senam nifas  7 orang (23,3%). Dan responden yang penurunan tinggi fundus baik 19 orang (63,3%) dan penurunan tinggi fundus kurang baik 16 orang (84,2%). Berdasarkan hasil uji Chi-Square didapatkan hubungan bermakna antara senam nifas dengan penurunan tinggi fundus ρ value=0,032. Diharapkan bidan dapat memberikan informasi lengkap mengenai manfaat senam nifas pada ibu  nifas dimulai sejak obu hamil. Sehingga ibu hamil mengetahui cara melakukan dan keuntungan dari senam nifas terhadap penurunan tinngi fundus uteri pada ibu nifas.       ABSTRACT Postpartum period (puerpenium) is the postpartum period which lasts for approximately 6 weeks, Bleeding is one of the main causes of maternal death in the period of nifas, which ranges from 5-15%. The cause of the bleeding is 50-60% in the absence of uterine contractions, Data World health organization ((WHO), notes that the number of postpartum mothers increases every year. In 2010 as many as 10% of mothers died when the puerperium occurred in the first 24 hours. While in 2011 the number of postpartum mothers died as much as 5% decreased from the previous year. One way that can be done to prevent the occurrence of postpartum hemorrhage is to stimulate myometrial contraction so one of the efforts taken is puerperal gymnastics, puerperal gymnastics is a functional physical exercise to restore health conditions, to accelerate healing, prevent complications, restore and improve strain on the muscles after pregnancy, especially in the muscles of the back, pelvic floor and abdomen.The aim of this study was to determine whether there were effects of puerperal gymnastics to decrease in fundal uterine height in post p mothers artum. This study uses a quantitative research design with a post test only design design approach. The sample in this study was postpartum mothers who visited the Budi mulia Palembang  clinic in 2018 which numbered 30 people. Data analysis used univariate and bivariate analysis. The results of this study showed that respondents who performed puerperal exercise 23 people (76.7%) and not postpartum gymnastics 7 people (23.3%). And respondents who decreased fundal height were 19 people (63.3%) and fundal height reduction was 16 people (84.2%). Based on the results of the Chi-Square test found a significant relationship between puerperal gymnastics with a decrease in fundal height ρ value = 0.032. It is expected that midwives can provide complete information about the benefits of postpartum gymnastics in postpartum mothers starting from a pregnant obu. So that pregnant women know how to do and benefit from puerperal gymnastics to decrease the fundus uterine energy in postpartum mothers.


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