Objective This study aimed to analyse the effects of green tea in inhibiting uterine atrophy and vascular changes due to the use of depot medroxy progesterone acetate (DMPA). Methods Twenty-five female Wistar rats aged one to two months were randomly assigned to five treatment groups: control group, DMPA-induced group, and DMPA-induced group orally treated with green tea extract (at 10.8 mg/day, 21.6 mg/day, or 43.2 mg/day). Histologic analysis of uterine and vascular tissues was performed with haematoxylin-eosin staining. Results DMPA decreased the thickness of endometrium and tunica adventitia, as well as significantly decreased endothelial cell count ( p < 0.05). DMPA-induced decreases in the thickness of tunica adventitia and endothelial cell count could be significantly inhibited by green tea extract ( p < 0.05). Conclusion This study concluded that DMPA triggered the depletion of uterine endometrium and vascular tunica adventitia and decreased endothelial cell count. Green tea extract at the highest dose normalized tunica adventitia and endothelial changes to the basal value.
BACKGROUND: Depomedroxyprogesterone acetate (DMPA) is one of the most effective contraceptive methods currently widely used. Injectable contraceptives, including DMPA, are growing in popularity because of their ease of use, effectiveness and affordability. The use of DMPA also has advantages such as not interfering with sexual relations, does not need male participation, does not require storage space, and is easy to obtain and helps increase body weight. AIM: The aim of the study was to analyze the effect of the duration of use of DMPA on the thickness of the vaginal epithelium of mice. METHODS: The research design used in this study was true experimental with a post-test only control group design approach. This research was carried out treatment at a dose of 0.39 mg/mouse/day DMPA exposure in mice. The phenomenon observed in this study was the thickness of the vaginal epithelium of mice. This study used mice with the completely randomized design method and was carried out at the Pharmacology Laboratory and the Anatomical Pathology Laboratory, FKH Unsyiah. The collection of data technique was conducted by observation with a light microscope to calculate the average thickness of the vaginal epithelium of mice injected with DMPA in the four groups. The data analysis technique was carried out in five stages, namely, the normality test of the sample data with the Shapiro–Wilk test, the homogeneity test of variance with the Levene test, and comparing the thickness of the vaginal epithelium in each of the two treatment groups using the independent t-test. RESULTS: The finding revised that there was a significant difference in the thickness of the vaginal epithelium in the two treatment groups 10 days and 15 days of DMPA exposure which was indicated by a p = 0.003 (p < 0.05). DMPA exposure levels cause thinning of the vaginal epithelial thickness. The average thickness of vaginal epithelium exposure to DMPA for 10 days in the control group was 182536.33 ± 5773.465. In the treatment group, exposure to DMPA for 10 days, the thickness of the vaginal epithelium was 168322.33 ± 7611.300. The mean vaginal epithelial thickness in the 15-day DMPA exposure group in the control group was 177242.83 ± 9689.558. In the 15-day DMPA exposure treatment group, the thickness of the vaginal epithelium was 138674.83 ± 17176.124. CONCLUSION: The application of social marketing has not been effective in changing the smoking behavior of students in Aceh. The application of social marketing needs to be supported by internal and external Islamic Boarding Schools.
Background: Labor is a physiological process experienced by women through a series of natural processes starting from uterine contractions to be able to give birth to the fetus. Research shows that during normal delivery mothers are still allowed to eat and drink because there is no strong evidence that causes aspiration. Nutrition during labor as an energy source can be obtained from dates (Phoenix Dactilifera). Research shows dates have good nutritional value for carbohydrate-rich bodies and have been shown to influence the progress of labor and increase labor, and reduce postpartum hemorrhage.Objective: to prove whether there is an effect of the administration of date palm juice (Dactilifera Phoenix) to first-time mothers on the duration of labor in the Langsa Baro Health Center.Method: This research is a quasi experiment with a nonequivalent posttest only control group design approach. This research was conducted in the Work Area of the Langsa Baro Health Center from July 11 to September 22 2017 with the place of delivery in the Polindes. The number of samples for each group was 15 people in the intervention group and 15 people in the control group. To avoid drop outs, the number of samples is added by 10% (2 people) so that each group is 17 people. Data analysis Data normality test uses the Shapiro-Wilk test and Parametric Test uses the Independent T-Test for normal distribution data to look for differences in the average of the control group with treatment.Results: The results of the study with the data normality test with the Shapiro-Wilk test showed that the duration of labor in the two groups had a p-value of 0.247 (p> 0.05) meaning that the data were normally distributed. And the Independent T-Test shows the difference in the average duration of labor in the two groups. In the control group the average duration of labor was 12.09 while in the treatment group it was 11.23, showing no significant difference in the mean values in the two groups with p-value = 0.011. This shows that statistically the administration of date palm juice cannot accelerate the duration of labor.Conclusion: There were differences in the average duration of labor in the control and treatment groups. In the control group the average duration of labor was 12.09 hours and the treatment group was 11.23 hours. And the date palm juice did not significantly speed up the duration of labor (p-value = 0.011).
ABSTRAKMual muntah merupakan hal yang paling sering dialami oleh ibu selama kehamilan Trimester I. Dari seluruh kejadian mual muntah, 60-80% terjadi pada primigravida dan 40-60% pada multigravida. Sedangkan frekuensi ibu yang hanya mengalami mual sebanyak 27-30% dan muntah 28-52%. Jeruk bali dan Jeruk Lemon dapat dijadikan alternatif untuk mengatasi mual muntah selama kehamilan. Kandungan Flavonoid, B6 dan limonene yang dapat mengatasi mual muntah. Tujuan kegiatan pengabdian ini dilakukan untuk meningkatkan pengetahuan ibu hamil dalam mengatasi mual muntah selama kehamilan di Desa Karang Anyar Kec. Langsa Baro. Metode pelaksanaan kegiatan diawali dengan mengukur frekuensi mual muntah dan pengetahuan menggunakan kuesioner dan selanjutnya memberikan edukasi pemanfaatan jeruk bali dan jeruk lemon kepada 20 orang ibu hamil trimester I. Hasil kegiatan diperoleh bahwa mayoritas frekuensi mual muntah ibu hamil mengalami penurunan dari 16 orang (80%) menjadi 2 orang (10%). Pengetahuan tentang cara mengatasi mual muntah dan pemanfaatan jeruk bali dan jeruk lemon meningkat dari sebelum diberi edukasi dengan rata 4,7 dan setelah diberi edukasi menjadi 8,7. Kata Kunci: Mual, muntah, jeruk bali, jeruk lemon ABSTRACTNausea and vomiting is the most common thing experienced by mothers during pregnancy trimester I. Of all incidents of nausea and vomiting, 60-80% occur in primigravidas and 40-60% in multigravidas. Meanwhile, the frequency of mothers who only experienced nausea was 27-30% and vomiting was 28-52%. Citrus Grandis and Citrus Limon can be used as an alternative to treat nausea and vomiting during pregnancy. The content of flavonoids, B6 and limonene that can treat nausea and vomiting. The purpose of this service activity is to increase the knowledge of pregnant women in overcoming nausea and vomiting during pregnancy in Karang Anyar Kec. Langsa Baro. The method of implementing the activity began by measuring the frequency of nausea and vomiting using a questionnaire and then providing education on the use of pomelo and lemon to 20 trimesters I pregnant women. to 2 people (10%). Knowledge of how to deal with nausea and vomiting and the use of citrus Grandis and citrus Limon increased from 4.7 before education and after education to 8.7 Keywords: Nausea, Vomiting, Citrus Grandis, Citrus Limon
Infeksi nifas menjadi salah satu penyebab kematian ibu di negara berkembang termasuk Indonesia. Beberapa penyebab pemicu terjadinya infeksi nifas seperti pelayanan kebidanan, daya tahan tubuh, perawatan nifas, gizi, anemia dan kebersihan genetalia. Pada masa nifas penting untuk merawat luka perineum karena kuman bisa masuk melalui luka bekas jahitan pada perineum agar tidak menyebabkan infeksi. Salah satu alternatif terapi nonfarmakologis yang dapat digunakan untuk penyembuhan luka perineum masa nifas adalah daun binahong. Tujuan penelitian ini menguji pengaruh daun binahong dalam mempercepat penyembuhan luka perineum pada masa nifas. Penelitian ini menggunakan rancangan quasi experimental dengan pendekatan posttest only control group design. Posttest only control group design merupakan pengumpulan data dilakukan sesudah perlakuan. Total sampel yang digunakan dalam penelitian ini adalah 32 orang ibu nifas sesuai dengan kriteria inklusi. Data diobservasi berupa derajat kesembuhan luka perineum dengan menggunakan instrumen lembar observasi penyembuhan luka perineum pada skala REEDA (Redness, Edema, Ecchymosis, Discharge dan Approximation). Hasil penelitian menunjukan terdapat pengaruh pemberian rebusan Daun binahong terhadap penyembuhan luka perineum pada ibu nifas. Rerata hasil uji Uji statistik Mann Whitney, pada kelompok perlakuan adalah 11,83 lebih rendah dibandingkan pada kelompok kontrol, yaitu 21,8 (p-value = 0,001). Penelitian ini menunjukan bahwa ada pengaruh pemberian rebusan daun binahong mampu mempercepat penyembuhan luka perineum dibandingkan iodine povidone 10%. Daun binahong dapat menjadi alternatif terapi komplementer pada ibu nifas yang mengalami luka robekan perineum. One of the main causes of maternal death in developing countries is puerperal infection. Midwifery care, body immunity, postnatal care, nutrition, anemia and genetalia hygiene are factors that trigger puerperal infections. The perineal rupture if not treated properly will cause an infection in the suture wound in the perineum. Wound care is important because germs can enter through the suture marks on the perineum and cause infection. Non-pharmacological therapies that can be used to accelerate wound healing are Anredera cordifolia. The research design was quasi experimental with posttest approach Only Control Group Design, namely data collection was done after treatment. The total sample was 32 postpartum mothers according to inclusion criteria. The data observed in this study were the degree of healing of perineal wounds using the REEDA scale perineal wound healing observation sheet instrument (Redness, Edema, Ecchymosis, Discharge and Approximation). Based on the results of the Mann Whitney test, the mean rank of the results in the treatment group was 11.83 lower than the control group, namely 21.8 (p-value = 0.001). Effect of giving Anredera cordifolia leaves on the healing of perineal wounds in postpartum mothers significantly. Care with giving Anredera cordifolia leaves can accelerate the healing of perineal wounds compared to 10% iodine povidone. Anredera cordifolia leaves can be used as a complementary therapy for postpartum mothers who experience perineal torn wounds.
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