Women are more at risk to stress in pregnancy than during the puerperium. One method of coping with stress is through physical exercise. Maryam Exercise can be used as an alternative to the development of pregnancy exercises in Indonesia because it covers the holistic aspects and easy to do. It is a combination of basic pregnancy exercises, Islamic prayer (Salat) movements and dhikr. The purpose of this study was to examine the impact of Maryam exercise on the stress levels and cortisol serum levels among primiparous pregnant women. This study used a quasi-experimental study design, pre-test and post-test with non-equivalent control group. In the third trimester of 40 primiparous women were randomly assigned into two groups such the experimental group (n=20) and the control group (n=20). The experimental group received the Maryam exercise while the control group received the standard antenatal exercise. There was a significant difference in stress levels between the intervention group and the control group before and after receiving the intervention (p <0.05). The cortisol levels also showed the significance difference between the intervention group and the control group before and after receiving the intervention (p <0.05). The findings of this study suggest that Maryam Exercise has a positive impact on stress levels and cortisol serum levels of primiparous pregnant women.
Pain in the active phase of labor will be felt heavier, sharper, and crampy and result in the spread of pain sensations. Pain and stress during labor can trigger the release of the hormone adrenaline. This hormone can cause the oxygen supply to the fetus to decrease, weaken uterine contractions to prolong the labor process. Prolonged labor pain can cause prolonged labor. The purpose of this study was to determine the differences in the effectiveness of lavender and red lemongrass aromatherapy in reducing pain intensity during the active phase in primiparous mothers. This research is quasi-experimental using pre and post-design without a control group. The study population was primiparous mothers who gave birth at the Brati Health Center and met the inclusion criteria. The sampling technique was non-probability sampling using a simple random sampling method. The study showed that the average pain intensity before giving lavender aromatherapy was 5.14 from 8, while the average labor pain intensity in the red lemongrass group before the intervention was 6.14 from 7.86. This indicates that lavender aromatherapy is more effective. when compared with the decrease in the intensity of physiological pain in primiparas by obtaining data for a mean rank of 19.25. In the red lemongrass group, the mean rank was 9.75. With a p-value of 0.001 (<0.05). From the results of the study, it is hoped that lavender aromatherapy and lemongrass aromatherapy can be applied in health care settings as a therapy to reduce pain intensity during labor.
<p><strong><em>Background: </em></strong><em>Breastmilk production on the 2nd to 3rd day after delivery is still low and it can lead to breastfeeding adequacy problem. Hormonal constitute one of many factors that causing this condition. Therefore, there is a need for non-pharmacological interventions to increase breastmilk production in primpipara postpartum mothers. </em></p><p><strong><em>Objectives: </em></strong><em>The purpose of the study was to determine the effect of the SPEOS method (stimulation of endorphins, oxytocin, and suggestive massage) and classical music therapy on breastmilk production in primipara postpartum mothers. </em></p><p><strong><em>Methods: </em></strong><em>This study was a quasi-experiment with pretest and post-test with control group design. A total of 34 postpartum mothers from the first day to the fourth day were selected in this study randomly and were divided into an experimental group (EG) and control group (CG). Wilcoxon and Mann Whitney test was used for statistical analysis. </em></p><p><strong><em>Results: </em></strong><em>The average breastmilk production after the administration of the SPEOS method and music therapy interventions was increased significantly from 4.35 ml to 46.66 ml (p=0.0001) compared to control group 5.48 ml to 19.07 ml (p=0.0001). </em></p><p><strong><em>Conclusions: </em></strong><em>The combination of the SPEOS method and music therapy is effective in increasing breastmilk production in primipara postpartum mothers.</em></p>
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