METODE SPEOS (STIMULASI PIJAT ENDORPHIN, OKSITOSIN, DAN SUGESTIF) DALAM MENINGKATKAN PRODUKSI ASI IBU POST PARTUM

Background: Breast milk is the best food that babies need in the first 6 months of life. The success of exclusive breastfeeding is determined at the beginning of offering ASI on the first day of birth. Exclusive breastfeeding can be constrained by the limited production of breast milk. The SPEOS methods is an alternative to help increase breastfeeding. The SPEOS (Endorphin, Oxytocin, and Suggestive Massage Stimulation) methods is a combination of endorpine, oxytocin, and suggestive massage stimulation carried out sequentially which will feel relaxation that stimulates the brain to release endorphin, prolactin and oxytocin hormones, so that breast milk becomes smooth. In addition, it provides comfort to mothers, increases mother's confidence and removes blockages so that obstacles in breastfeeding can be resolved properly. Objective: To determine the effectiveness of the SPEOS methods in increasing breast milk production in post partum mothers. Method: A literature review through a review of nursing articles to identify SPEOS methods in increasing breast milk production. The databases used are Scopus, Medica Local Update, One Search and Google Schoolar. The journal source is obtained using a prism flow diagram as the database search flow. The article inclusion criteria used were articles related to the SPEOS methods and breast milk production in post partum mothers, articles in English and Indonesian, articles published in 2010 to 2020, and full text articles while the exclusion criteria were articles published over the past 10 years, the use of foreign languages other than English and Indonesian, not intervention studies and articles that are not full text. There were 7 articles that met the inclusion and exclusion criteria requirements. Results: This literature review shows that the SPEOS methods (Endorphin, Oxytocin, and Suggestive Massage Stimulation) effective in increasing breast milk production in post partum mothers. Conclusion: the SPEOS methods (Endorphin, Oxytocin, and Suggestive Massage Stimulation) effective in increasing breast milk production in post partum mothers.

PENDIDIKAN KESEHATAN MELALUI MEDIA ONLINE TERHADAP PENGETAHUAN DAN PERILAKU PENCEGAHAN KANKER SERVIKS PADA WUS DI SIKKA

Background: Reproductive health problems faced by women today are increasing infections in the reproductive organs, which in turn lead to cancer, one of that is cervical cancer. Lack of awareness to prevent cervical cancer is one of the problems that often occur in the health of Fertile Age Women. The effort that needs to be done to prevent cervical cancer is by providing health education through online media, to increase the knowledge and behavior of Fertile Age Women in preventing cervical cancer. The purpose of this research is to determine the effect of health education on early detection of cervical cancer through online media on the knowledge and behavior of Fertile Age Women in cervical cancer prevention in Nanga Public Health Center of Sikka Regency. Method of this research used a pre-experimental design with one group pre-test post-test design method, using a consecutive sampling technique, with as many as 199 respondents. The data collection tool used a questionnaire. Data were analyzed through the Wilcoxon Signed Rank Test with SPSS for windows version 20. Results of this research indicated that there was a very significant effect on the provision of health education through online media on early detection of cervical cancer on knowledge and behavior of cervical cancer prevention of Fertile Age Women in Nanga Public Health Center of Sikka Regency with a p-value of 0.000 (p < 0.05). Providing health education on early detection of cervical cancer with online media can increase knowledge and behavior of cervical cancer prevention of Fertile Age Women. It is hoped that the public health center will provide health education with online media, to support the prevention of covid-19 transmission and to increase the knowledge and behavior of Fertile Age Women in cervical cancer prevention.

PENGARUH TERAPI RELAKSASI BENSON TERHADAP SKALA NYERI DISMENORE PADA MAHASISWI KEPERAWATAN STIKES St. ELISABETH SEMARANG

Latar Belakang : Dismenore adalah nyeri pada abdomen bagian bawah yang sering dialami perempuan saat menstruasi, didapatkan rata-rata 50% perempuan disetiap negara mengalami dismenore dan Indonesia terdapat 55%. Salah satu cara untuk menggurangi dismenore adalah dengan melakukan relaksasi Benson. Terapi relaksasi Benson terbukti dapat menurunkan nyeri pasca bedah dan belum pernah diujikan untuk mengatasi nyeri dismenore.Tujuan dari penelitian ini untuk mengetahui pengaruh relaksasi Benson terhadap skala nyeri dismenore pada mahasiswi keperawatan STIKES St. Elisabeth Semarang

PENGARUH YOGA TERHADAP SKALA NYERI DISMINORE

Latar Belakang: Masa remaja merupakan masa peralihan dimana individu mengalami perubahan dari masa kanak-kanak menuju masa dewasa. Pada fase ini terjadi perubahan-perubahan baik secara biologis maupun psikologis. Perubahan biologis pada wanita ditandai dengan terjadinya menstruasi. Gangguan menstruasi yang sering dialami perempuan adalah nyeri pada abdomen atau sering disebut disminore. Prevalensi disminore di dunia sangat besar yaitu rata-rata lebih dari 50% perempuan disetiap negara mengalami disminore. Pada wanita yang mengalami disminore mereka melakukan berbagai cara untuk mengurangi rasa nyeri yang dirasakan. Salah satu yang dapat dilakukan adalah dengan melakukan yoga. Penelitian ini bertujuan untuk membuktikan adanya pengaruh yoga terhadap skala nyeri disminore.

PEMBERIAN AIR SUSU IBU (ASI) DAN DEXTROSE 5 % UNTUK MENGURANGI NYERI PEMASANGAN INFUS PADA NEONATUS (BREAST MILK AND DEXTROSE 5% TO REDUCE THE PAIN OF INFUSION IN NEONATES)

Neonates in perinatology room of Wongsonegoro Hospital were 879 babies from August 2019 to July 2020 and 459 (52%) had infusions attached. Total of 459 infants were given intravenous lines, found 11 (2,3%) cases of failure in infusion. Failure causes the neonates cry because of pain. Based on this, the purpose of this study was to determine the effect of giving breastmilk and dextrose 55 %% on the pain response during infusion in neonates. This type of research is quasi experiment. The design of this study used a posttest with control group design. Population was neonates who received infusion therapy. Sampel of 32 neonates. The treatment group was given breast milk for 16 neonates and the control group was given Dextrose 5% for 16 neonates. This study used purposive sampling. The statistical test used the Mann Whitnesy test. The pain response of the breast milk treatment group in neonates was the mean value of 3.19. Pain response in the control group was the mean value of 4.31. There is an effect of giving breast milk the pain response during infusion in nenates p value=0.002. So it can be concluded that giving breast milk is more effective in reducing pain during infusion in neonates when compared to dextrose 5%.

Perbedaan Pijat Counterprssure Dan Relaksasi Nafas Dalam Terhadap Adaptasi Nyeri Ibu Bersalin Di Bpm Ny.e Di Kecamatan Grabag Kabupaten Magelang

Latar Belakang : Rasa nyeri pada persalinan disebabkan oleh kombinasi peregangan segmen bawah rahim (selanjutnya serviks) dan iskemia (hipoksia) otot-otot rahim. Reaksi terhadap nyeri merupakan respons yang sifatnya sangat individual. Reaksi ini tergantung pada kepribadian, kondisi emosional serta tingkat pemahaman pasien, latar belakang kultural, keluarga serta pendidikannya, dan pengalaman sebelumnya. Penanganan secara non-farmakologis yaitu pijat dan relaksasi nafas dalam.Tujuan : Mengetahui perbedaan pijat counterpressure dan relaksasi nafas dalam terhadap adaptasi nyeri ibu bersalin.Metode Penelitian : Penelitian ini menggunakan rancangan quasi-eksperiment dengan desain metode penelitian 2 group pre and post-test design, yang mana penelitian ini melibatkan 2 kelompok 1 (kelompok pijat counterpressure) dan kelompok 2 (kelompok relaksasi nafas dalam). Teknik sampling yang digunakan adalah accidental sampling.Hasil : Hasil analisis penerapan pada kelompok pijat counterpressure terhadap penurunan nyeri ibu bersalin dengan uji Wilcoxon didapatkan hasil p = 0,001 (p < 0,05) dan pada kelompok relaksasi nafas dalam dengan uji Wilcoxon didapatkan hasil p = 0,083 (p > 0,005). Sehingga pada kelompok pijat counterpressure (p < 0,05) Ha diterima yang mengartikan bahwa ada perbedaan yang bermakna pada perlakuan pijat counterpressure dan relaksasi nafas dalam.Kesimpulan : pijat counterpressure lebih efektif dalam adaptasi nyeri ibu bersalin. Background: pain in labor is caused by a combination of stretching of the lower uterine segment (hereinafter the cervix) and ischemia (hypoxia) muscles of the uterus. Reaction to pain is a response that is very individual. This reaction depends on the personality, emotional state and the level of patient understanding, cultural background, family and education, and previous experience. Handling of non-pharmacological namely relaxation massage and deep breathing.Objective: To determine differences in massage counterpressure relaxation and deep breathing against maternal adaptation pain.Methods: This study used adesign quasi-experimental with the design of research method 2 group pre and post-test design,which this study involved two groups 1 massage (counterpressure group)and group 2 (deep breathing relaxation group). The sampling technique used was accidental sampling.Results: Analysis of the application of the massage group counterpressure against maternal pain reduction with the Wilcoxon test showed p = 0.001 (p <0.05) and the deep breathing relaxation group with the Wilcoxon test showed p = 0.083 (p> 0.005). So that the massage group counterpressure (p <0.05) Ha accepted which means that there are significant differences in treatment counterpressure massage and relaxation massage deep breath.Conclusion: counterpressure be more effective in pain adaptation birth mothers.

Pengaruh Terapi Massage Counterpressure Terhadap Nyeri Kala I Pada Ibu Inpartu Di BPS Desa Durjan, Bangkalan

Proses persalinan dimulai pada saat terjadi kontraksi uterus yang teratur dan progresif serta akan diakhiri dengan keluarnya janin. Massage counterpressure merupakan salah satu terapi non farmakologi, massage counterpressure dapat menimbulkan efek relaksasi dan menurunkan nyeri. Penelitian ini bertujuan untuk menganalisa pengaruh terapi massage counterpressure terhadap nyeri kala I pada ibu inpartu.Desain penelitian ini adalah quasy eksperiment dengan pendekatan the static group comparism. Sampel dalam penelitian ini adalah 23 responden yang dipilih secara accidental sampling. Instrumen penelitian menggunakan lembar kuisioner dan lembar observasi. Data analisa dengan uji Mann Whitney U-Test.Hasil penelitian menunjukkan bahwa massage counterpressure berpengaruh terhadap penurunan nyeri kala I pada ibu inpartu. Melalui uji statistik Man Whitney U-Test menunjukkan ada pengaruh yang signifikan ρ = 0,000 (α <0,05). Disimpulkan terapi masssage counterpressure berpengaruh terhadap nyeri kala I pada ibu inpartu.Implikasi penelitian ini adalah massage counterpressure berpengaruh terhadap nyeri kala I, sehingga BPS Desa Durjan, Bangkalan dapat memanfaatkan massage counterpressure dalam ngontrol nyeri kala I.

Pengaruh Pemberian Jus Buah Tomat (Solanum Lycopersicum) Terhadap Kadar Antioksidan Pada Ibu Hamil Trimester Ketiga Pascasenam Hamil

Senam merupakan olah raga terbaik yang dapat dilakukan oleh ibu hamil menjelang persalinannya. Salah satu jenis senam yang ditujukan bagi ibu hamil adalah senam hamil. Senam hamil adalah program kebugaran yang diperoleh bagi ibu hamil secara fisik dan mental pada peersalinan cepat, aman dan spontan. Selain untuk meningkat kesehatan ibu hamil, disatu sisi senam hamil dapat bedampak terhadap terbentuknya radikal bebas. Antioksidan (SOD) diperlukan untuk menetralisir radikal bebas ini, salah satu antioksidan eksogen yang dapat diberikan adalah jus buah tomat (Solanum lycopersicum). Penelitian ini bertujuan untuk mengetahui pengaruh pemberian jus buah tomat terhadap kadar antioksidan pada ibu hamil trimester ketiga pascasenam hamil. Background. The changed that occur in anatomically and physiologically in an expectant mother in the third trimester of gestation was a normal occurrence took place. Changed was often followed by complications, if not handled properly, can be harmful to the pregnant woman and the fetus she was carrying. Complications in the third trimester of pregnancy, associated with the presence of oxidative stress, in which the third trimester increased metabolic processes, leading to increased production of free radicals. One way to reduce the complications of pregnancy and childbirth was to do the pregnancy exercise. Pregnancy exercise was the best exercise that can be done by pregnant women in labor. Pregnancy exercise was recommended at 6 months gestation entered into on and have specific movement princioles adapted to the condition of pregnantwomen. By doing pregnancy exercise excessive oxygen or not metabolizer can be used to generate energy. At 4-5% of pregnant women are not rmetabolizer residual oxygen into water and energy. The residual oxygen was the main source of ROS, especially the formation of superoxide, hydroxyl, peroxyl and hydroperoxyl anions. One nonenzimatis natural antioxidants that can be easily obtained are tomatoes. Tomatoes are loaded with vitamin C, vitamin E and beta-carotene and phenolic compounds. Besides tomatoes contain vitamin C also contain lycopene, or often referred to as α-carotene was a carotenoid. Lycopene is a powerful antioxidant that prevents damage to the natural functioning of body cells. Ability to control free radicals 100 times more efficient than vitamin E or 12.500 times that of the gluthation. Method. This study was a randomized experimental study design using pretest posttest control group to see an increase in the levels of enzymatic antioxidants superoxide dismutase (SOD) in pregnant women with gestational age of 25-37 weeks. Samples that meet the inclusion and exclusion criteria consisting of 32 samples, ie 16 person control group who were not given the treatment and the treatment group was given 16 pieces of tomato juice. Result. There were influence of giving tomato juice to the antioxidation and reduced rate of Superoxide Dismutase after given tomato juice (408,39±139,05, p=304,58±79,53). Conclusion. There were side effects from tomato juice and the results of this study showed.

Faktor- Faktor Yang Memengaruhi Produksi ASI Pada Ibu Menyusui 0- 6 Bulan Di Wilayah Kerja Puskesmas Bangetayu

Background: Breast milk is food that is given to babies that is released directly from the mother's breast and contains several nutrients according to the needs of the baby as an antibody. There are several factors that affect milk production. Purpose: This study aimed to determine the factors that influence milk production in nursing mothers 0-6 months.Methods: This type of research is cross sectional .. The number of respondents was 105 people with consecutive sampling technique. The data obtained were processed statistically using multiple logistic regression statistical tests.Result: The results showed that the majority of respondents had multipara parity status of 58.1%, mothers did not work as much as 76.2%, used hormonal contraception as much as 65.7%, did regular breast care as much as 57%, age was not rested as many as 86, 7%, 51.4% IMD, 53.3% giving pralacteal food, 67.6% adequate breastfeeding frequency, 92.4% insufficient nutritional status, 53.3% pathological delivery, breastfeeding technique 67.6% less, higher education 68.6% and high family income 51.4%. Statistical test results show that the actor who most influences the production of breast milk in nursing mothers 0-6 months is IMD with an OR value of 3,469.Conclusion: There is an influence of parity status, contraceptive use, breast care, BMI, pralacteal feeding, frequency of breastfeeding and breastfeeding techniques on milk production. The most influential factor is IMD.

Pengaruh Pijat Perineum Terhadap Tingkat Kecemasan Ibu Trimester III Di Puskesmas Manyaran

Pendahuluan : Kehamilan merupakan periode krisis situasi yang menimbulkan stress oleh karena perubahan psikologi saat kehamilan. Ibu cemas akan adanya rasa nyeri proses persalinan serta cemas akan kondisi bayi yang dilahirkannya (Bobak,2006). Rasa cemas akan menimbulkan kondisi abnormal saat proses persalinan. Intervensi yang bisa diberikan adalah dengan memberikan penyuluhan kesehatan persiapan menjelang persalinan seperti pijat perineum. Pijat adalah intervensi yang masuk dalam pendekatan nonfarmakologi untuk mengurangi rasa sakit yang dilakukan saat kehamilan (Gadysa, 2009). Apabila pijat perineum dilakukan secara tepat akan menurunkan nyeri persalinan yang disebabkan karena nyeri robekan perineum dan jahitan sekaligus mengurangi rasa khawatir terhadap persalinan yang akan dihadapi (Indivara, 2009 dan Aprilia, 2010).Tujuan : Untuk mengetahui pengaruh pijat perineum terhadap tingkat kecemasan pada ibu hamil trimester 3Metode : Menggunakan metode penelitian analitik komparasi karena peneliti mencoba mengkaji adanya pengaruh pijat perineum terhadap kecemasan pada ibu trimester 3 dengan pendekatan cross sectional.Hasil : Responden penelitian rerata memiliki riwayat persalinan tidak bermasalah, pendidikan SLTA, Pekerjaan IRT, Kehamilan Pertama dan usia < 25 tahun. Uji statistik menggunakan Uji Mc Nemar menunjukan terdapat pengaruh pada ibu hamil trimester 3 yang melakukan pijat perineum terhadap penurunan tingkat kecemasan, ibu yang sebelum diajarkan pijat perineum dengan tingkat kecemasan ringan sebanyak 4 menurun menjadi 0 atau tidak memiliki kecemasan setelah ibu melakukan pijat perineum sedangkan ibu yang sebelumnya memiliki tingkat kecemasan sedang sebanyak 11 menurun menjadi kecemasan ringan sebanyak 3 setelah diajarkan pijat perineum.Diskusi : Hasil penelitian menyarankan bahwa pijat peineum bisa dijadikan intervensi keperawatan mandiri dalam menurunkan tingkat kecemasan pada ibu hamil trimester 3.Kesimpulan : Terdapat pengaruh pijat perineum terhadap tingkat kecemasan pada ibu hamil trimester 3. Introduction: Pregnancy is a period of crisis situations that cause stress due to psychological changes during pregnancy. Mother is worried about the pain of labor process and worry about the condition of the baby that she born (Bobak, 2006). Anxiety will cause abnormal conditions during labor. Interventions that can be given is to provide health education preparations before delivery like perineal massage. Massage is an intervention that enters the nonpharmacology approach to reduce pain during pregnancy (Gadysa, 2009). When proper perineal massage will reduce labor pain caused by perineal rupture and stitches pain while reducing the fear of delivery to be faced (Indivara, 2009 and Aprilia, 2010).Objective: To determine the effect of perineal massage on anxiety levels in pregnant women trimester 3Method: Using comparative analytic research method because the researcher tried to study the influence of perineal massage on anxiety in trimester mother 3 with cross sectional approach.Results: Average research respondents had a history of non-problematic delivery, high school education, IRT work, first pregnancy and <25 years of age. The statistical test using Mc Nemar Test showed that there was an effect on trimester pregnant women 3 who did perineal massage to decrease the level of anxiety, mother who before taught perineal massage with level of light anxiety as much 4 decreased to 0 or did not have anxiety after mother doing perineal massage while mother previously had a moderate anxiety level of 11 decreased to mild anxiety as much as 3 after being taught perineal massage.Discussion: The results suggest that perineum massage can be an independent nursing intervention in lowering anxiety levels in pregnant women of 3rd trimester.Conclusion: There is influence of perineal massage on anxiety level in pregnant mother of trimester 3.