AbstrakBayi lahir cukup bulan memiliki naluri menyusu 20 -30 menit setelah dilahirkan. Namun, fakta menunjukkan produksi dan ejeksi air susu ibu (ASI) yang sedikit di hari-hari pertama menyebabkan banyak ibu yang mengalami ketidakefektifan proses menyusui. Tidak terproduksinya ASI diakibatkan karena kurangnya rangsangan hormon prolaktin. Teknik marmet merupakan perpaduan memerah dan memijat payudara pada ibu nifas yang dapat merangsang hormon pada proses menyusui. Penelitian ini bertujuan untuk mengetahui perbedaan pengaruh teknik marmet dengan masase payudara pada ibu nifas tiga hari postpartum terhadap kelancaran ASI dan kenaikan berat badan bayi. Penelitian ini menggunakan desain pre-experimental bentuk perbandingan kelompok statistik yang dilakukan di Puskesmas Grabag Kabupaten Magelang. Sampel yang digunakan adalah 40 responden postpartum pada September -November 2014. Uji statistik menggunakan uji Mann Whitney U. Teknik marmet dan masase payudara dalam memengaruhi kelancaran ASI secara statistik terdapat perbedaan (nilai p = 0,047). Sedangkan perbedaan dalam memengaruhi berat badan bayi diperoleh nilai p = 0,038 sehingga secara statistik tidak terdapat perbedaan. Pemberian perlakuan teknik marmet menyebabkan pengeluaran ASI lebih lancar, tetapi tidak terdapat perbedaan teknik marmet dengan masase payudara dalam memengaruhi kenaikan berat badan bayi. Kata kunci: Air susu ibu, berat badan bayi, teknik marmet Abstract Vigorous babies have suckling instinct for 20 -30 minutes after born. However, the fact shows that low production and ejection of breastfeed in first days cause many mothers have ineffective breastfeeding problem. The lack of prolactin hormone stimulus affects breastfeed cannot be produced. Marmet technique is a combination of breast dairy and massage in puerperium mothers that can stimulate hormone during breastfeeding. This study aimed to compare effects of both marmet technique and breast massage in three-day postpartum mothers on the smoothness of breastfeeding and baby weight gain. This study used pre-experimental design with statistical group comparison conducted in Grabag Primary Health Care, Magelang District. The samples used were 40 postpartum mother respondents on September -November 2014. The statistical test used Mann Whitney U-Test. Marmet technique and breast massage affecting the smoothness of breastfeeding were statistically different (p value = 0.047). Meanwhile, the difference in affecting baby weight gain reached p value = 0.038, so statistically no difference found. The treatment of marmet technique affects breastfeeding smoother, yet no difference found between marmet technique and breast massage in affecting the baby weight gain.
The maternal mortality rate (MMR) in Indonesia is far from being the target of sustainable development goal's (SDG's), with one of the dominant causes being hypertension in pregnancy (HDK) such as preeclampsia. Pregnant women with preeclampsia are prone to experience anxiety, which if left untreated will have an effect on the welfare of the mother and baby. Anxiety can also cause blood pressure to raise. One relaxation technique to reduce anxiety and blood pressure is with murottal therapy. The purpose of this study was to determine the effect of murottal therapy in reducing anxiety and blood pressure in pregnant women with preeclampsia and to find out how to apply it to the case study. The research design used is literature review and case study. Samples for literature review were obtained from electronic databases, namely Google Scholar of 6 articles about the theme of Murottal and anxiety therapy (5 national and 1 international) and 8 articles on the theme of murottal therapy and blood pressure. Samples for case studies of 2 pregnant women with preeclampsia. The results obtained from the literature review include a decrease in anxiety scores before and after treatment with a mean reduction in anxiety scores 6,297, there is an effect of murottal therapy on blood pressure or there is a difference in blood pressure before and after getting treatment, the average decrease in mean systole 12,188 and average mean decrease in mean diastolic 6,233. Whereas the results obtained from the case study include risk factors for preeclampsia in the respondent is a history of hypertension, obesity and primipara; lack of knowledge or information and lack of optimal application of therapeutic communication is a factor that aggravates anxiety and; anxiety scores dropped after receiving murottal therapy and blood pressure also fell relative.
The healthy generation is passed down from the previous healthy generation. For that we need good preparation so that when a pregnant woman is in optimal healthy condition. Healthy conditions will give birth to a healthy generation. Long before becoming pregnant, young women must be prepared to have good health habits. The purpose of this study was to determine compliance with the consumption of added blood tablets in adolescent girls between urban and regional areas. This type of research is descriptive which illustrates adherence of young women in consuming blood- added tablets. The population / research subjects in this study were young women who were targeted by the Fe supplementation delivery program. Schoolgirls have received an added blood packet. In its development there are students who are obedient and there are students who are less obedient in consuming Fe supplementation. For schools in the regions, the consumption of blood added tablets 100% of respondents spend the added blood tablets that have been received. While for students who are in urban areas who spend less than 50% add blood tablets. The conclusion that there are still many cases of anemia in schoolgirls who are taking the program added to the tablet added blood. This can be attributed to the awareness that is still lacking in consuming blood-added tablets. It is recommended for schools to be able to help make students aware of consuming blood added tablets that have been given from the government.
Pengabdian kepada masyarakat di Politeknik Kesehatan Kemenkes Semarang adalah kegiatan civitas akademika dengan cara memanfaatkan potensi yang ada di Politeknik Kesehatan Kemenkes Semarang sebagai kontribusi dalam mewujudkan masyarakat yang sehat dan berkeadilan. Bentuk pengabdian masyarakat yang diselenggarakan menyesuaikan dengan kegiatan civitas akademika sehari-hari. Salah satu program pengabdian masyarakat yang dilaksanakan Prodi DIII Kebidanan Purwokerto adalah pelatihan skrining antenatal menggunakan instrument bantu kartu skor poedji rochjati (KSPR). Kegiatan bertujuan meningkatkan pengetahuan dan keterampilan Tim Penggerak PKK dalam mendeteksi dini factor risiko pada ibu hamil. Pelatihan memakai pendekatan partisipatif serta praktek lapangan. Sasaran kegiatan pengabdian ini adalah anggota dan pengurus tim penggerak PKK Kecamatan Baturraden. Hasil pengabdian didapatkan pemahaman tentang alat skrining antenatal berbasis keluarga guna menemukan faktor risiko ibu hamil, yang selanjutnya dilakukan upaya terpadu untuk menghindari dan mencegah kemungkinan terjadinya upaya komplikasi obtetrik pada saat persalinan. Diharapkan pengurus tim penggerak PKK Kecamatan Baturraden. dapat membantu melaksanakan pemantauan tersebut bekerja sama dengan tenaga kesehatan, dan kader posyandu. Tim penggerak PKK Kecamatan Baturraden ini tidak merasa kesulitan untuk melakukan tindaklanjut dari pelatihan. Mereka dengan pendampingan dari pengabdi menyebarluaskan hasil pelatihan kepada anggota / pengurus tim penggerak PKK Desa di Kecamatan Baturraden.
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