In order to reduce and prevent back pain complaints and to form safe and comfortable daily activities during pregnancy, pregnant women need proper body mechanics. The purpose of this research is to know the influence of the application of mechanical body mechanics with lower back pain of the III trimester of pregnant women. This type of research is pre-experimental with one group Pretest posttest design. This research was conducted in the working area of Puskesmas Sangurara. The population in this study is all III-trimester pregnant mothers with a sample number of 31 people, taken with a consecutive sampling technique. The treatment given is the technique of body mechanics observed during 1 week. Data collection using an observation sheet. The results showed before performing mechanical body mechanics there were 71% of respondents experienced moderate pain and after conducting mechanical body mechanics there were 74.2% of respondents experienced mild pain. Based on the Wilcoxon test obtained a p-value <0.001, with an average decrease in pain, is 7.50. The conclusion is the application of body mechanics techniques significantly affect the lower back pain of the III trimester of pregnant women.
Breastfeeding is one of the global health issues in the 21st century, given that breastfeeding has a significant effect on infant mortality. The absence of breastfeeding in the first days after giving birth is one of the reasons for not creating exclusive breastfeeding. The inhibition of breastmilk secretion can be caused by inhibition of oxytocin secretion which is very instrumental in smoothing out ASI expenditure. Stimulation of the hormone prolactin and oxytocin can be done through breast care and oxytocin massage. Kamonji Health Center is the health center with the lowest exclusive breastfeeding coverage in Palu City, which is 57.3%. The purpose of this study was to find out the comparative time of mother's milk delivery which was given oxytocin massage and breast care within 2 hours postpartum in the Kamonji Community Health Center work area. This study is a quasi-experimental study with the design of The posttest-only control group. The number of samples was 30 people, taken by consecutive sampling technique and divided by 15 respondents into the oxytocin and breast care massage groups. The intervention was carried out within 2 hours postpartum and then observed when the first ASI was discharged after the third stage ended. Data normality test using Shapiro-Wilk test, data analysis using Mann Whitney test obtained a significance value of 0.044, with the average time of mother's breastmilk given oxytocin massage was 14.19 hours and breast care 5.57 hours. The conclusion of the study is that there is a difference in the time of mother's milk to be given oxytocin massage and breast care in the fourth stage of labor. Based on the results of this study it is recommended to do breast care to help accelerate the release of breast milk.
Kasus stunting di Kecamatan Labuan menempati urutan ketiga tertinggi di Kabupaten Donggala. Tahun 2021 terdapat 142 kasus dari 1.125 balita. Tujuan penelitian ini adalah untuk mengetahui upaya pencegahan dan penanganan stunting di Kecamatan Labuan Kabupaten Donggala Sulawesi Tengah. Penelitian ini menggunakan strategi fenomenologi. Informan berjumlah 12 orang terdiri dari 7 kepala desa di Kecamatan Labuan, 1 petugas gizi Puskesmas Labuan, 1 bidan koordinator Puskesmas Labuan, dan 3 orang tua balita stunting. Penelitian ini dilaksanakan dari tanggal 23 Juni hingga 23 Juli 2021 di Kecamatan Labuan Kabupaten Donggala. Hasil eksplorasi upaya pencegahan dan penanganan stunting oleh pemerintah di Kabupaten Donggala adalah: penyediaan air bersih bagi masyarakat, penyediaan jamban umum, pembuatan selokan pembuangan limbah, sampah belum dikelola, akses layanan kesehatan, bidan pendamping bidan desa, jaminan kesehatan bagi warga yang kurang mampu, belum ada pendidikan pengasuhan orang tua, penimbangan balita di posyandu tidak rutin, edukasi kesehatan seksual dan reproduksi remaja belum dilakukan, pernikahan dini, serta belum ada tindakan spesifik perbaikan gizi balita yang mengalami stunting. Program belum maksimal dilakukan baik pada intervensi sensitif maupun pada intervensi spesifik. Kepala desa dan pihak puskesmas diharapkan dapat memaksimalkan upaya pencegahan dan penangan sesuai program.
BACKGROUND: Neonatal integrative developmental care model (NIDCM) is a holistic model of premature baby care referring to seven basic neuroprotective developmental cares (DCs) by involving the family. AIM: This study aimed to assess the effect of the application of NIDCM on the stress response of premature babies. METHODS: The research design used was quasi-experimental with a non-equivalent control group pre- and post-test. The study was conducted in the neonatal care room of Dr. Wahidin Sudirohusodo Makassar Hospital from January 2020 to April 2021. The sample was 76 subjects consisting of 38 premature babies (19 controls and 19 interventions) and 38 mothers (19 controls and 19 interventions). The collected samples were taken to the Medical Research Laboratory of Universitas Hasanuddin (HUMRC) for testing. Furthermore, baby stress was assessed from salivary cortisol levels by enzyme linked immunosorbent assay. In addition, the effect of initial cortisol, final cortisol, and birth weight on changes in salivary cortisol in premature babies was determined using the Chi-square test. RESULTS: Neither NIDCM intervention nor routine DC has been shown to descriptive statistically decrease the stress response of premature babies in the neonatal care room, some of which are even increased. However, specifically in premature babies with a birth weight of <1800 g, NIDCM showed a better effect in lowering cortisol after treatment than regular DC. CONCLUSIONS: The application of NIDCM intervention reduces the stressor felt by the babies in the neonatal care room, besides the condition of babies with a birth weight of fewer than 1800 g needs special attention with the NIDCM intervention.
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