Background: Kangaroo mother care (KMC) and lullaby music methods have been considered as the alternative treatment for vital sign changes in low birth weight infants. However, little is known about the combination of the two methods.Objective: To identify effectiveness of combinations of Kangaroo mother care and Lullaby music methods on changes in vital signs in low birth weight infants.Methods: A quasi experiment with non-equivalent control group design. This study was conducted on October– December 2016 at the General Hospital of Ambarawa and General Hospital of Ungaran, Semarang. There were 36 samples selected using consecutive sampling divided into three groups, namely: 1) a group of LBW infants with the combination of KMC and lullaby music, 2) a LBW infant group with the lullaby music intervention, and 3) a control group given standard care in LBW infants by KMC method. Paired t-test and MANOVA test were used to analyzed the data.Results: Findings revealed that there were significant differences between the combination group, lullaby music group, and control group in temperature (p=0.003), pulse (p=0.001), respiration (p=0.001), and oxygen saturation (p=0.014) with significant value of <0.05, which indicated that there was a statistically significant difference in vital sign changes among the three groups.Conclusion: The combination of KMC method and Lullaby music intervention was effective on vital sign changes (temperature, pulse, respiration, and oxygen saturation) compared with the lullaby music group alone and control group with KMC method in low birth weight infants. It is suggested that the combination of KMC and Lullaby music methods can be used as an alternative to improve LBW care for mothers in the NICU and at home and to reach the stability of the baby's vital signs.

Background: Perineal laceration during childbirth is very common among mothers; however some of them may suffer from its complication if not treated properly.Objective: To prove the effectiveness of breast milk as an alternative topical ingredient in the treatment of perineal wound in postpartum mothers.Methods: This was a quasi-experimental study with non-equivalent control group posttest only design. There were 30 respondents selected in this study, with 15 assigned in the intervention and control group. Accidental sampling was used to select the samples with the criteria that the respondents had perineal laceration in level 1 and 2. Data were analzed using Mann Whitney test.Results: Effective wound healing process can be seen in the intervention group from 80% of poor category in 6-10 hours (1st period) of postpartum became 86.7% of good category in 7 days of postpartum (4th period). Different from the control group that showed the slow progress of wound healing, which was 86.7% of poor category in the 1st period to only 33.3% of good category in the 4th period. Mann Whitney test showed that there was a significant mean difference of the perineal wound healing process between the intervention group (11.23) and the control group (19.77) with p-value 0.002 (<0.05).Conclusion: Breast milk was more effective than povidone iodine in the treatment of perineal wound. It is suggested for health workers, especially midwife to apply this intervention to accelerate the healing of perineal wound in midwifery care.

Background: Labor and childbirth is an extremely painful process. Aromatherapy is considered as one of the nonpharmacological methods to reduce labor pain.Objective: To determine the effect of Lavender (Lavandula Angustifolia) aromatherapy on the level of pain in primipara in the first stage of labor.Methods: A quasy-experimental research with pretest and posttest design with control group conducted between October until November 2016. Forthy respondents selected using consecutive sampling, which 20 assigned in each group. a Numerical Rating Scale (NRS) pain scale was used. Paired and independent t-test were used for data analyses.Results: The results showed that the p-value of labor pain after intervention was 0.000 (<0.05), which indicated that there was statistically mean difference of labor pain between intervention (6.10) and control group (4.05) in primipara in the first active stage of labor.Conclusion: The women in the lavender aromatherapy group reported lower intensity of labor pain. The intervention study could be practiced in the community health centers for pregnant women in order for them to apply this healing method.

Background: Pain during menstruation is not uncommon, especially in young women, which has an impact on their life activities.Objective: To examine the effect of abdominal stretching exercise and cold compress therapy on decreasing intensity of menstrual pain in teenage girls at SMK Bakti Indonesia Medika.Design: A Quasy Experimental Study with two group comparison pretest-postest design. There were 46 respondents selected in this study by consecutive sampling that consisted of 23 samples in the abdominal stretching exercise group and 23 samples in the cold compress group. The menstrual pain was measured using VAS (visual analog scale). Data were analyzed using Mann-Whitney, Chi-Square, and Wilcoxon test.Results: Findings showed that the mean of menstrual pain before intervention in the abdominal stretching exercise was 7.04 and in the cold compress therapy was 6.74 with p-value 0.211 (<0.05), which indicated that there was no mean difference of pain between both groups. However, after intervention, the menstrual pain was reduced from 7.04 to 1.91 (5.09 difference) in the abdominal stretching exercise group; and from 6.74 to 5.52 (1.22 difference) in the cold compress group with p-value 0.000 (<0.05), which indicated that there was statistically significant difference of menstrual pain before and after intervention, both abdominal stretching exercise and cold compress therapy.Conclusion: There were statistically significant effects of abdominal stretching exercise and cold compress therapy on menstrual pain in teenage girls. The abdominal stretching exercise is more effective than cold compress therapy in reducing menstrual pain intensity. Thus, it is suggested that abdominal stretching exercise can be an alternative choice of management of dysmenorrhea in teenage girls, and can be a part of subject in the education as non-pharmacological medicine.

Background: Problems that inhibit breastfeeding in the first week include less breast milk production. Increasing breast milk production can be done by stimulating or massage the breast. Breast massage can be done by lactapuncture massage. This study aimed to examine the effect of lactapuncture massage on prolactin hormone levels and breast milk production among primiparous mothers. Subjects and Method: This was a quasy experiment study conducted at Dr. M. Ashari hospital, Pemalang, Central Java, Indonesia. A sample of 32 primiparous postpartum mothers was selected by simple random sampling. The dependent variable was breast milk production. The independent variables were lactapuncture massage for 7 consecutive days. The data were analyzed by t-test.Results: Prolactin hormone level in intervention group (mean= 313.80; SD= 45.54) was higher than in control group (mean= 292.09; SD= 97.87) but it was statistically non-significant (p= 0.428). Breast milk production in intervention group was higher (mean= 9.36; SD= 0.71) than in control group (mean= 7.39; SD= 0.23) and it was statistically significant (p<0.001). Conclusion:The lactapuncture massage on 2-3 times clockwise at each point for 7 consecutive days increasing prolactin hormone levels and on breast milk production.

Background: The incidence of perineal tear is still high in Indonesia. It is therefore the intervention to acceleate wound healing is needed. The use of turmeric and tamarind is considered as the alternative treatment for wound healing. However, little is known about the effect of the combination of turmeric and tamarind.Objective: To determine the effect of consuming turmeric and tamarind on the duration of perineal wound healing.Methods: The study was a quasi-experimental study with one group post-test only design conducted in the working area of the Community Health Center of Ngesrep and Srondol, Semarang City, Central Java in December 2016 until January 2017. There were 28 respondents recruited using consecutive sampling, with 14 randomly assigned in each group. The REEDA scoring system was used to measure the wound healing. Data were analyzed usig Independent t-test.Results: The results revealed that The average duration of wound healing in the intervention group was 6.25 days, while in the control group was 8.57 days with p-value 0.000 (<0.05), which indicated that there was statistically significant effect of tamarind turmeric drink of the duration of perineal wound healing in postpartum mothers.Conclusion: There is a significant effect of turmeric tamarinds drink on the duration of perineal wound healing in postpartum mothers. It is therefore suggested to the health providers, especially midwives, to apply this intervention the accelerate healing of perineal wound in postpartum mothers.

Background: Anxiety among primigravida mothers should be handled to avoid the risks during pregnancy. Hypnotherapy is considered to be a solution, however, there is limited studies to see its effect for anxiety, especially in primipara mothers.Objective: To examine the effect of hypnoanxiety on the level of anxiety in primigravida.Methods: This was a Randomized Controlled Trials (RCTs) with pretest-posttest design, conducted between September – October 2016 in the working area of the Health Center of Bergas Semarang, Indonesia. There were 40 respondents recruited using simple random sampling, which divided into intervention and control group. Hypnoanxiety was performed 8 times for 4 weeks. The Zung Self-Rating Anxiety Scale (ZSAS) was used to measure anxiety in pregnant women. Data were analyzed using Mann Whitney test and Kruskal waliis test.Results: Findings showed that after four weeks intervention, there was a decrease of the level of anxiety in the intervention group, consisted of 25% of moderate anxiety, 40% of mild anxiety, and 35 % of respondents had no anxiety. The p-value was 0.005, which indicated that there was mean difference of anxiety level between intervention and control group.Conclusions: There was a significant effect of hypnoanxiety on the level of anxiety in pregnant women. It is suggested that hypnoanxiety could be one of the alternative therapies to reduce the anxiety among prenant women. This could be considered to be included in the standard of midwifery care in Indonesia.

Background: The prevalence of anemia among pregnant mothers is still high in Indonesia. Fe-fortified tempe is a traditional soy product originating from Indonesia considered able to increase hematologic status.Objective: This study aims to determine the effect of Fe-fortified tempe on hemoglobin, hematocrit, and erythrocyte levels in pregnant women with anemia.Methods: This was a true-experimental study with randomized pretest and posttest control group design, conducted on November - December 2016 in Bandarharjo Health Center, Semarang. Sixty eight respondents were selected using simple random sampling, with 34 respondents were randomly assigned to each group. Blood examination was performed in each respondent. Mean, percentage, and frequency distribution of respondents were described. Paired t Test and independent t test with α = 0.05 were performed to analyze the data.Result: Findings showed that hemoglobin, hematocrit, and erythrocyte levels before and after intervention in the treatment group showed p-value 0.000 (< 0.05), which means there was a significant effect of Fe-fortified on the increase of hemoglobin, hematocrit, and erythrocyte levels.Conclusion: There was an increase in hemoglobin, hematocrit, and erythrocyte levels after given Fe-fortified tempe for 10 consecutive days. It is suggested that pregnant women can consume Fe-fortified tempe.