Advantage of birth ball exercises on labour pain managementBackground: Maternal Mortality Rate (MMR) in Indonesia is still high. 2015 Census Survey, MMR ranged from 305 / 100,000 live births. The MMR in Banda Aceh in 2016 was 37 per 100,000 live births. Pain during labour arises as a result of physical and psychological reflexes of the mother. Emotional tension due to anxiety will worsen the perception of pain felt by the mother during labour . Pain that occurs during labour requires proper pain management and this should be a concern for women, families and health workers. Pain labour during the first stage is severe pain that the mother feels in labor for a longer time. Non-pharmacological (Complementary) methods are proven to reduce labor pain, one of which is Birth Ball.Purpose: To analyze the effectiveness of birth ball exercises on labour pain managementMethod: An experimental study with a Pre and Post-Test Control Group Design approach. The population was primigravida first stage active mothers with a sample of 15 participants. The study was conducted at clinic of Midwife Practices in Banda Aceh City. The instrument used in this study was an observation sheet about the intensity of labor pain using the Faces Pain Rating Scale scale.Results: Statistical tests were performed using the Wilcoxon Test and showed that the p value (0.001 <0.05) so it can be concluded that there was a significant difference in the intensity of labour pain before and after Birth Ball exercises.Conclusion: Birth ball exercises is one of the complementary midwifery care which can be implementation easily, cheaply, simply, effectively, and without adverse effects. Birth ball exercises had a significantly reduce labour pain in primigravida mother stage I.Keywords: Advantage; Birth ball exercises; Labour pain; Management Pendahuluan: Angka Kematian Ibu (AKI) di Indonesia masih tinggi. Survei Angka Sensus (Supas) tahun 2015, AKI berkisar 305/100.000 kelahiran hidup. AKI di Kota Banda Aceh pada tahun 2016 adalah 37 per 100.000 kelahiran hidup. Nyeri saat persalinan timbul sebagai akibat reflek fisik dan psikis ibu. Ketegangan emosi akibat rasa cemas akan memperburuk persepsi nyeri yang dirasakan oleh ibu saat melahirkan. Nyeri yang timbul saat persalinan, memerlukan manajemen pengelolaan nyeri yang tepat dan ini hendaknya menjadi perhatian bagi wanita, keluarga dan petugas kesehatan. Nyeri persallinan saat kala I merupakan nyeri berat yang dirasakan ibu bersalin dalam waktu yang lebih lama. Metode non farmakologis (Komplementer) terbukti dapat mengurangi nyeri persalinan salah satunya latihan Birth Ball. Tujuan : Menganalisis efektifitas latihan birth ball pada ibu bersalin kala I terhadap penurunan nyeri persalinan di Praktek Mandiri Bidan (PMB) “EM” di Kota Bada AcehMetode : Penelitian eksperimental dengan pendekatan Pre and Post-Test Control Group Design. Populasinya ibu bersalin primigravida kala I fase aktif dengan jumlah sampel 15 partisipan. Penelitian di lakukan di Praktek Bidan Mandiri (PMB) “EM” di Kota Banda Aceh. Instrumen yang digunakan dalam penelitian ini adalah lembar observasi tentang intensitas nyeri persalinan dengan menggunakan skala Faces Pain Rating Scale.Hasil : Uji statistik dilakukuan dengan menggunakan Uji Wilcoxon didapatkan nilai p-value (0,001<0,05) jadi dapat disimpulkan bahwa terdapat perbedaan yang bermakna pada intensitas nyeri persalinan sebelum dan sesudah diberikan latihan Birth Ball.Simpulan : Latihan Birth Ball adalah salah satu asuhan kebidanan komplementer yang dapat diberikan secara mudah, murah, simple, efektif, dan tanpa efek yang merugikan. Birth Ball secara signifikan dapat menurunkan nyeri persalinan pada ibu primigravida kala I.
BACKGROUND: The third stage of active management has become a standard practice in delivery management. Implementation of childbirth care requires accelerated release of the placenta to avoid bleeding. Placental drainage can shorten the duration of the three stages and reduce blood loss during labor. AIM: The aim of the study is to analyzing the effectiveness of placental drainage in the third stage active management of the third stage of delivery at the midwife’s independent practice (PMB) in the city of Banda Aceh. METHODS: This study used a Quasi Experiment design with a post-test control design. This research was carried out for 12 weeks at the PMB in Banda Aceh City, namely mothers who gave birth at the Erni Munir PMB and the Independent Practice Midwife Mutia Yacob. The sampling technique was purposive sampling. The sample in this study amounted to thirty mothers giving birth, divided into two groups, namely, the treatment group with placental drainage as many as 15 mothers and respondents with cord clamping as many as 15 mothers. With the inclusion criteria, the mother is willing to be a respondent, the vital signs of normal mothers, single and live fetuses, term pregnancy, and an interpretation of average fetal weight ≥ 2500 g. Data analysis used the MannWhitney test, with a confidence level of 95%. RESULTS: The results showed a difference in effectiveness between the placental drainage group and the umbilical cord clamping group, as evidenced by a statistical test with p = 0.001. The length of three stages required by mothers to give birth with placental drainage has a mean value of 4.47 min with a standard deviation of 0.516. The average length of time required by the mother to give birth with umbilical cord clamping is 5.40 min with a standard deviation value of 0.828. CONCLUSION: Placental drainage was more effective than umbilical cord clamping to shorten the third stage length in the Independent Practice of Midwives in Banda Aceh City.
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