Background: Breastfeeding among postpartum mothers has been a problem due to low milk supply. As a result, mothers often decide to give formula milk or other additional foods, which might affect to the infant’s growth and development.Objective: This study aims to investigate the effect of Moringa Oliefera on the levels of prolactin and breast milk production (baby’s weight and sleep duration) in postpartum mothers. Methods: Quasi-Experimental study with Non Equivalent control group design. There were 30 respondents recruited by purposive sampling, consisted of 15 respondents in intervention group and 15 respondents in the control group. This study was conducted from November until December 2016 in Four Midwive Independent Practice (BPM) in the working area of the Health Center of Tlogosari wetan Semarang. Data were analyzed using Independent t-test.Results: Findings showed that there was a mean difference of prolactin level in the intervention group (231.72 ng / ml), and the control group (152.75 ng / ml); and a significant effect on increasing the levels of prolactin (p = 0.002). The mean of baby’s weight in the intervention group was 3783.33 grams, and in the control group was 3599.00 grams. However, there was no significant effect of moringa oleifera on baby’s weight (p = 0.313> 0.05). While the mean difference on sleep duration was 128.20 minutes in the intervention group and 108.80 minutes in the control group. There was a significant effect on baby’s sleep duration (p= 0.000).Conclusion: There were significant effects of moringa oleifera on mother’s prolactin and sleep duration of the baby. However, there was no significant effect on baby’s weight. Thus, it can be suggested that moringa oleifera can be used as an alternative treatment to increase breast milk production and prolactin hormones. Midwives should promote the benefits of moringa leaves as one of alternative supplements.
Background: Pregnancy increases the risk of developing anxiety that may affect the fetus. Yoga is considered as an alternative therapy to reduce anxiety, blood pressure, and fetal heart rate.Objective: This study aimed to examine the effect of prenatal yoga on anxiety, blood pressure, and fetal heart rate in primigravida mothers.Methods: There were 39 primigravida mothers selected using purposive sampling, which divided to be an experiment group with four-times prenatal yoga and eight-times prenatal yoga, and a control group. The Hamilton Rating Scale For Anxiety (HRSA) was used. Data were analyzed using One way ANOVA and MANOVA.Results: There was a statistically significant difference of prenatal yoga on anxiety (P=0.005), systolic blood pressure (P=0.045), and fetal heart rate (P=0.010). However, there was no significant difference of prenatal yoga on diastolic blood pressure with p-value 0.586 (>0.05)Conclusion: There were significant effects of prenatal yoga on anxiety level, systolic blood pressure, and the fetal heart rates in primigravida mothers. The findings of this study can be an alternative treatment for midwife to deal with anxiety during pregnancy, and an input on the class program of pregnant women to improve the quality of maternal and fetal health.
Background:The lack of exclusive breastfeeding coverage is partly due to the low knowledge of mothers and families regarding the benefits and the right way to breastfeed and not maximally activities education, socialization, advocacy, and campaigns related to exclusive breastfeeding. The purpose of this study was to prove the effectiveness of education M-Health using the media application of smartphone Android-based "Mama ASIX" in third trimester pregnant women as preparations for exclusive breastfeeding mothers. Subjects and Method: This was a quasi experiment study with non-equivalent pretest posttest with control group design. This study was conducted at the Genuk and Pegandan health centers in Semarang, Central Java. The subjects of 36 pregnant women in the third trimester were selected by probability sampling technique were the type of purposive sampling. The independent variables were the application of "Mama ASIX" application and counseling with leaflet, while the dependent variable was the knowledge and attitude of breastfeeding. The instrument in the study is a questionnaire. Data were analyzed using Wilcoxon test and Mann-Whitney test.Results: Knowledge about breastfeeding increased (mean = 67.78 to 91.33, 95%CI, p< 0.001), breastfeeding attitudes by mothers increased (mean= 68.67 to 85.94 95%CI, p= 0.001), the application "Mama ASIX" is more effective in increasing knowledge of breastfeeding (difference in mean= 23.55, 95%CI, p= 0.030) and the attitude of breastfeeding (difference in mean = 17.27, 95%CI, p= 0.029). Conclusion:Education M-Health using the Android-based smartphone media application "Mama ASIX" in third trimester pregnant women can help mothers prepare exclusive breastfeeding by increasing the knowledge and attitude of breastfeeding for their babies.
Penggunaan pestisida yang tidak terkendali akan berakibat pada kesehatan petani dan lingkungan.Pemeriksaan kadar enzim kholinesterase darah pada petani Wonosobo tahun 2012 menunjukkan bahwa 89,8%petani menderita keracunan pestisida. Penelitian ini bertujuan untuk mengetahui hubungan antara status gizi,jumlah merk pestisida, dosis, lama kontak, frekuensi penyemprotan, masa kerja, dan penggunaan APD dengankejadian keracunan pestisida dan mengetahui hubungan antara keracunan pestisida dengan kejadian anemia padapetani kentang. Metode penelitian observasional dengan design crossectional. Jumlah sampel 29 petani kentang.Pengumpulan data dengan pengukuran, pemeriksaan laboratorium, observasi, wawancara, dan pengisiankuesioener. Analisis bivariat menggunakan regresi logistik metode enter dan multivariat menggunakan regresilogitsik metode backward-LR. Hasil uji statistik menunjukkan ada hubungan antara jumlah merk pestisida(p=0,001), penggunaan APD (p=0,049) dan tidak ada hubungan antara status gizi (p=0,571), lama kontak(p=0,166), frekuensi penyemprotan (p=0,476), masa kerja (p=0,571)dengan kejadian keracunan pestisida dan tidakada hubungan antara keracunan pestisida dengan kejadian anemia. Disimpulkan bahwa petani yang mengalamikeracunan 18 orang (62,1%) dan tidak ada yang menderita anemia. Disarankan perlu adanya pemeriksaan kadarenzim kholinseterase secara periodik, penyuluhan penggunaan pestisida yang aman, petani menggunakan APDyang lengkap saat bekerja dengan pestisida dan peniliti selanjutnya sebaiknya tidak memeriksa anemia pada petanidi dataran tinggi.
Diabetic ulcers are open sores on the skin layer to the dermis caused by hyperglycemia and neuropathy. Infection is a barrier to the wound healing process, the incidence of infection in wounds with modern treatments of hydrocolloid and hydrogel type dressings is still high. Ozone has high antibactericidal and antimicrobial properties, is able to penetrate bacterial capsid walls and is expected to kill bacteria on the wound surface.To find the right way to cure diabetic ulcers using a combination of modern methods of dressing and ozonetherapy bagging.Experimental, non-equivalent control group design pre test, post test, population and infinite sample of 25 respondents. Modern dressing used has antibacterial properties and ozone concentration of 60-100ug / ml for 15 minutes using a limb bag was carried out until the 13th day with five times the measurement of the number of bacterial colonies using themethod swab and colonicounter. Data processing using a computer system with the General Linear Model. There was an average difference in the number of bacterial colonies between groups (505.73 ± 172.069 vs 322.21 ± 132.778, p = 0.0061).A combination of modern dressing and ozonetherapy bagging can reduce the number of bacterial colonies and speed up the healing process of the inflammatory phase II diabetic ulcer so that it can be applied in nursing care for diabetic ulcer patients.
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