INTRODUCTION: Perineal massage is an effective approach to promote labor with an intact perineum. During pregnancy, mothers are advised to perform perineal massage so that the integrity of the perineum is maintained, so that the labor process does not caused perineal rupture. This study was conducted to determine the relationship between knowledge, motivation and perineal massage of third trimester pregnant women. METHODOLOGY: The design of this study was analytic with a cross sectional design. Respondents of this study were 27 third trimester pregnant women with purposive sampling method conducted in March - May 2020. RESULTS: The results of statistical tests using the Fisher's Exact Test to analyze knowledge of perineal massage obtained a value (α = 0.009) which indicates that trimester pregnant women III who is well-informed performs perineal massage, while the results of the motivation test using the Fisher's Exact Test score (α = 0.019) that with positive motivation third trimester pregnant women perform perineal massage. DISCUSSION: Midwive as a health worker need to improve the services for pregnant women with health education about perineal massage. Keywords: knowledge, motivation, pregnant women, perineal massage
Latar belakang: Kontrasepsi hormonal merupakan kontrasepsi yang mengandung hormon progestin saja maupun kombinasi dengan kandungan estrogen dan progestin. Metode kontrasepsi hormonal memiliki banyak efek samping, salah satunya gangguan siklus menstruasi, metrorhagia, menorhagia. Akseptor sering menghentikan kontrasepsi hormonal karena gangguan siklus menstruasi. Tujuan penelitian: Diketahuinya hubungan kontrasepsi hormonal dengan siklus menstruasi. Metode : Penelitian ini merupakan penelitian deskriptif kuantitatif dengan pendekatan cross sectional. Populasi yang digunakan adalah 80 ibu akseptor kontrasepsi hormonal, dimana pengambilan sampel secara total sampling. Analisa bivariat dengan uji chi-square (α) ≤ 0,05 dan Prevalence Ratio (PR). Hasil: Sebagian besar responden kontrasepsi hormonal progestin 36 (85,7 %) dan lebih dari setengah responden kontrasepsi hormonal kombinasi 20 (52,6 %) mengalami ketidaknormalan siklus menstruasi. Hasil uji statistik chi square menunjukkan bahwa ada hubungan antara kontrasepsi hormonal dengan siklus menstruasi (p=0,0030,05) dan PR 1,629 (CI=1,176-2,256) Simpulan: Terdapat hubungan antara penggunaan alat kontrasepsi hormonal dengan siklus menstruasi, akseptor kontrasepsi hormonal progestin beresiko 1,6 kali lebih besar mengalami ketidaknormalan siklus menstruasi dibanding akseptor kontrasepsi hormonal kombinasi.Background: Hormonal contraception is a contraceptive containing progestin-only hormones or a combination of estrogen and progestin content. Hormonal contraceptive methods have many side effects, one of which is menstrual cycle disorders, metrorhagia, menorhagia. Acceptors often stop hormonal contraception because of menstrual cycle disorders. Objectives: Knowed the relationship of hormonal contraception with the menstrual cycle. Method: This study is a quantitative descriptive study with cross sectional approach. The population used was 80 mothers of hormonal contraceptive acceptors, where total sampling was taken. Bivariate analysis with chi-square test (α) ≤ 0.05 and Prevalence Ratio (PR). Results: Most respondents of progestin hormonal contraception 36 (85.7%) and more than half of the respondents in combination hormonal contraception 20 (52.6%) experienced abnormal menstrual cycles. Chi square statistical test results show that there is a relationship between hormonal contraception with the menstrual cycle (p = 0.003 0.05) and PR 1.629 (CI = 1,176-2,256) Conclusion: There is a relationship between the use of hormonal contraception with the menstrual cycle, Progestin hormonal contraceptive acceptors are 1.6 times more likely to experience abnormal menstrual cycles than combined hormonal contraceptive acceptors.
Exclusive breastfeeding is very necessary until the baby is 6 months old. But until now only about 13% of mothers who give exclusive breastfeeding to their babies. The purpose of this study was to determine the factors that influence exclusive breastfeeding for breastfeeding mothers in the working area of the Mojosari Health Center. This research is quantitative analytic research with the cross-sectional approach. Factors identified include the mother's knowledge, husband's support, health worker support, and social culture. Data collection is done by questionnaire. The number of respondents was 37 mothers who had babies less than 6 months old with a simple random sampling technique. The data obtained were processed statistically using logistic regression tests to determine the factors that influence exclusive breastfeeding. Statistical test results show that variables that significantly influence exclusive breastfeeding are maternal knowledge (p-value = 0.01; OR 15.332 (95% CI (5,242-33,334)), husband's support (p-value = 0.03; OR 9,838 (95% CI (95% CI) 4,452-19,433)), cultural support (p value = 0.002; OR of 21,442 (95% CI (7,739-42,347)) and support of health workers (p value = 0.01; 11,453 (95% CI (3,533-29,452)). The success factor of exclusive breastfeeding in addition to knowledge is certainly accompanied by the mother's own will. The role of health workers is the biggest influence on mothers in the exclusive breastfeeding process. The success of exclusive breastfeeding also does not escape from family support because the family is the closest person who can encourage mothers to continue to give exclusive breastfeeding and also the culture around that encourages exclusive breastfeeding.
Hormonal changes due to the use of hormonal contraceptives are known to be one of the causes of sexual dysfunction. Impaired sexual function can affect the ability to establish and maintain intimate relationships with a partner, and interfere with mental health such as anxiety and depression. This descriptive study using a cross-sectional design aims to describe the sexual function of acceptors of hormonal contraception Depo Medroxyprogesterone Acetate (DMPA). The population of this study was women who used DMPA hormonal contraception. Sample selection is done by total sampling. The data was collected using the Female Sexual Function Index (FSFI) questionnaire, then the data were tabulated and analyzed descriptively. The results showed that most of the DMPA contraceptive acceptors experienced sexual dysfunction and most of the acceptors had used DMPA hormonal contraception for 2 years. DMPA's systemic hypo-estrogenic effect causes vaginal mucosal atrophy, vaginal dryness, and dyspareunia, causing sexual dysfunction. Midwives as health care providers need to have open discussions with hormonal contraceptive acceptors regarding their sexual function so that contraceptive acceptors continue to use effective contraception to prevent pregnancy and continue to provide emotional and sexual support in a woman's life. Keywords: Sexual Function, Acceptor, DMPA ABSTRAK Perubahan hormonal akibat penggunaan kontrasepsi hormonal diketahui menjadi salah satu penyebab disfungsi sexual. Gangguan fungsi seksual dapat mempengaruhi kemampuan untuk membangun dan mempertahankan hubungan intim dengan pasangan, dan mengganggu kesehatan mental seperti kecemasan dan depresi. Penelitian deskriptif ini menggunakan desain Cross Sectional bertujuan untuk mengetahui gambaran fungsi seksual akseptor kontrasepsi hormonal Depo Medroxyprogesterone Acetate (DMPA). Populasi penelitian ini adalah wanita yang menggunakan kontrasepsi hormonal DMPA. Pemilihan sampel dilakukan secara total sampling. Pengumpulan data menggunakan kuesioner Female Sexual Function Index (FSFI) selanjutnya data ditabulasi dan dianalisis secara deskriptif. Hasil penelitian menunjukkan bahwa sebagian besar akseptor kontrasepsi DMPA mengalami disfungsi seksual dan sebagian besar akseptor sudah ≥ 2 tahun menggunakan kontrasepsi hormonal DMPA. Efek hipo estrogenik sistemik DMPA ini menyebabkan mukosa vagina atrofi, kekeringan vagina dan dispareunia sehingga menyebabkan gangguan fungsi seksual. Bidan sebagai pemberi pelayanan kesehatan perlu melakukan diskusi secara terbuka dengan akseptor kontrasepsi hormonal terkait fungsi seksual mereka sehingga akseptor kontrasepsi tetap menggunakan kontrasepsi efektif untuk mencegah kehamilan dan tetap memberi dukungan secara emosional dan seksual di kehidupan seorang wanita. Kata kunci : Fungsi Seksual, Akseptor, DMPA
Kehamilan adalah waktu dari konsepsi sampai janin lahir, dengan lama waktul normal adalah 2780 hari atau 9 bulan 7 hari yang dihitung dari hari pertama haid terakhir. Tujuan penelitian ini adalah untuk mengetahui faktor-faktor yang melatarbelakangi primuda tidak melakukan ANC trimester I BPS Sri wardini Pagerumbuk- Sidoarjo, jenis penelitian ini adalah yaitu menggambarkan faktor-faktor yang melatarbelakangi primuda tidak melakukan ANC trimester I BPS Sri Wardini Pagerngumbuk- Sidoarjo. Pengambilan sampel penelitian menggunakan total populasi sampling sebanyak 20 responden, teknik pengumpulan data melalui pengumpulan data primer dan data sekunder. Hasil penelitian menunjukan ada beberapa faktor yang mempengaruhi primuda tidak melakukan ANCtrimester I BPS Sri Wardini Pagerngumbuk- Sidoarjo seperti ; tingkat pendidikan, pekerjaan pengetahuan dan sikap suami ibu primuda. Kata kunci: Ante natal care, primuda
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.