Onset laktasi tertunda tidak jarang ditemukan pada ibu postpartum karena pengeluaran ASI merupakan suatu interaksi yang sangat komplek antara rangsangan mekanik, saraf dan bermacam-macam hormon yang berpengaruh terhadap pengeluaran oksitosin. Data keterlambatan onset laktasi di salah satu PMB di Kota Metro tahun 2018 dialami oleh 73% ibu postpartum. Metode untuk mempercepat onset laktasi dengan cara melakukan pijat oksitosin dan aromatrapi clary sage. Jenis penelitian kuantitatif, rancangan yang digunakan adalah quasi eksperimen dengan pendekatan non equivalent control group. Populasi pada penelitian ini adalah seluruh ibu postpartum yang belum mengeluarkan kolostrum 2 jam setelah melahirkan dengan jumlah sampel sebanyak 38 orang yang dibagi dalam dua kelompok. Cara pengumpulan data menggunakan kuesioner dengan wawancara dan observasi. Penelitian ini menghitung rata-rata onset laktasi pada uji univariat dan melihat perbedaan efektivitas pijat oksitosin dan aromaterapi clary sage dibanding pijat oksitosin terhadap onset laktasi pada uji bivariat. Uji statistik yang digunakan adalah Mann-Whitney. Hasil penelitian meunjukan rata-rata onset laktasi pada kelompok pijat oksitosin dan aromaterapi clary sage adalah 4,21 jam, sedangkan pada kelompok pijat oksitosin adalah 6,37 jam. Hasil uji statistik bivariat menunjukkan hasil p value 0.000 (p≤α0.05). Kesimpulan dari penelitian ini adalah pijat oksitosin dan aromaterapi clary sage lebih efektif dibanding pijat oksitosin. Saran untuk tenaga kesehatan terutama bidan agar menerapkan teknik pemberian pijat oksitosin dan aromaterapi clary sage untuk mempercepat onset laktasi.Kata kunci: clary sage, onstel laktasi, pijat oksitosin, salvia sclarea
Abstrak Praktik melakukan pijat oxytosin dalam rangka peningkatan produksi Air Susu Ibu (ASI) untuk kesehatan bayi dan anak dan pemberian makan yang baik dan tepat sangat penting untuk kelangsungan hidup, pertumbuhan, perkembangan, kesehatan dan gizi bayi dan anak batita.Metode yang digunakan (1) Pre-post tes (2) Ceramah dan tanya jawab pentingnya pijat oxytosin, (3) Demonstrasi dan simulasi pijat oksitosin,(4) redemonstrasi oleh kader.Hasil dari pelaksanaan kegiatan berdasarkan pre dan post tes terjadi peningkatan pengetahuan kader tentang pijat oksitosin dari rata-rata 42 menjadi 75. Dapat disimpulkan bahwa pada prinsipnya pelatihan telah berhasil menambah pengetahuan dan ketrampilannya tentang tekhnik komplementer: Pijat Oxytosin pada ibu menyusui Abstract: The practice of doing oxytocin massage to increase the production of breast milk for infant and child health and good and proper feeding is very important for the survival, growth, development, health, and nutrition of infants and toddlers. Methods used (1) Pre-post tests (2) Lectures and discussion about the importance of oxytocin massage, (3) Demonstration and simulation of oxytocin massage, (4) re-demonstration by health cadres. The results of the implementation of activities based on pre and post-tests occur increasing health cadre's knowledge about oxytocin massage from the average averaged 42 to 75. It can be concluded that in principle the training has succeeded in increasing knowledge and skills about complementary techniques: Oxytocin massage in breastfeeding mothers.
The problem that often occurs in post-partum mothers after giving birth is the occurrence of breast swelling where there is a narrowing of the lactiferous ducts or the glands are not completely emptied or due to abnormalities in the nipples such as blisters or sinking nipples. Aloe vera gel compresses and cabbage leaves are useful to help reduce pain, swelling, and tenderness in wounds. This study aims to analyze aloe vera compresses and breast care compared to cabbage leaf compresses and breast care on breast swelling in postpartum mothers. This study used a quasi-experimental design with a pre-test post-test non-randomized control group design. The non-probability sampling technique is a consecutive sampling type. The research sample for each group was 15 respondents at one of the Central Lampung Health Centers in June-October 2020. The type of data analysis was the Mann-Whitney test. The results showed that the average swelling of the breasts before being given an aloe vera compress was 4.53 and the average after being given an aloe vera compress was 2.47. The mean breast swelling before compressing cabbage leaves was 5.00 and after compressing cabbage leaves was 3.60. Giving aloe vera compresses is effective in preventing breast swelling in postpartum mothers with a p-value <α (0.018<0.005). Conclusion Hₒ is rejected and Ha is accepted, aloe vera compresses are effective in preventing breast swelling in postpartum mothers.
Pendahuluan Salah satu program meningkatkan kesehatan ibu hamil adalah kelas ibu hamil merupakan sarana belajar bersama tentang kesehatan ibu hamil. Laporan kunjungan ibu hamil di Puskesmas Margorejo tahun 2020: Jumlah kunjungan ibu hamil di kelas ibu masih sangat rendah. Pertemuan kelas ibu hanya dihadiri 2-5 orang ibu hamil setiap poskeskel dan sebagian besar ibu hamil yang datang tidak didampingi oleh suami atau pendamping. Ketidakhadiran ibu hamil dengan alasan situasi covid-19 saat ini, banyak ibu hamil yang merasa khawatir dan takut tertular korona. Berdasarkan survei pendahuluan yang dilakukan dari 6 orang ibu hamil, didapatkan hasil 36,7% mengikuti kelas ibu hamil dan 63,3% ibu hamil tidak mengikuti kelas ibu hamil. Adapun alasan ibu tidak mengikuti kelas ibu hamil karena ibu bekerja sebanyak 42,6%, tidak ada yang mengantar 21%, malas mengikuti kelas ibu hamil sebanyak 21%, dan sebanyak 15,4% ibu mengatakan tidak tahu ada kelas ibu hamil.Tujuan kegiatan PKM ini adalah untuk memberikan pengetahuan dan keterampilan pada ibu hamil dan pendampingnya tentang kegiatan kelas ibu selama hamil, bersalin, nifas, termasuk kesehatan bayi yang baru dilahirkannya dan kebutuhan akan KB pasca persalinan. Metode kegiatan ceramah, diskusi, praktik melalui simulasi dan demonstrasi, serta evaluasi. Periode kegiatan selama delapan bulan di Puskesmas Margorejo Kecamatan Metro SelatanMetode Kegiatan kelas ibu hamil dilaksanakan di 4 kelurahan yang berada di Poskeskel masing-masing kelurahanHasil Kegiatan pendampingan suami/keluarga di setiap poskeskel mengalami peningkatan, dengan rata-rata kehadiran pendampingan suami atau keluarga ibu hamil sebesar 100% pada pertemuan terakhir. Suami/keluarga mengatakan sangat antusias pada kegiatan ini, karena selain menambah wawasan dan pengetahuan, juga bisa melihat secara langsung kegiatan apa saja yang dilakukan disetiap pertemuan dan bisa terlibat langsung.Kesimpulan Kegiatan pengabdian kepada masyarakat telah berjalan dengan lancar, kegiatan pendampingan suami/keluarga ibu hamil dalam kelas ibu terjadi peningkatan dengan rata-rata pendampingan pada pertemuan akhir mencapai 100 %. Ibu hamil dan suami sangat mendapatkan manfaat dengan bertambahnya wawsan, pengetahuan dan keterampilan tentang kesehatan ibu hamil, sehingga lebih siap untuk mengahdapi proses persalinan dan masa nifas. Kata Kunci : Peran, dukungan suami, hamil ABSTRACT One of the programs to improve the health of pregnant women is the class for pregnant women, which is a means of learning together about the health of pregnant women. Report on the visit of pregnant women at the Margorejo Health Center in 2020: The number of visits by pregnant women in the mother's class is still very low. The class meeting for mothers was only attended by 2-5 pregnant women from each health post and most of the pregnant women who came were not accompanied by their husbands or companions. The absence of pregnant women due to the current COVID-19 situation, many pregnant women are worried and afraid of contracting the corona virus. Based on a preliminary survey conducted from 6 pregnant women, it was found that 36.7% took the class for pregnant women and 63.3% did not take the class for pregnant women. The reasons why mothers did not take classes for pregnant women were 42.6% of working mothers, 21% of whom did not take them, 21% of mothers lazy to take classes for pregnant women, and 15.4% of mothers said they did not know there was a pregnant women class. The purpose of this PKM activity is to provide knowledge and skills to pregnant women and their companions about maternal class activities during pregnancy, childbirth, postpartum, including the health of the newborn baby and the need for postnatal family planning. The method of activities is lecture, discussion, practice through simulation and demonstration, and evaluation. The activity period is for eight months at the Margorejo Health Center, Metro Selatan District.Methods The class activities for pregnant women are carried out in 4 villages located in the Poskeskel of each villageResults Husband/family mentoring activities in each poskeskel have increased, with an average attendance of 100% assistance for pregnant women's husbands or families at the last meeting. Husband/family said they were very enthusiastic about this activity, because apart from adding insight and knowledge, they could also see firsthand what activities were being carried out at each meeting and could be directly involved.Conclusion Community service activities have been running smoothly, mentoring activities for husbands/families of pregnant women in the mother's class have increased with an average mentoring at the final meeting reaching 100%. Pregnant women and husbands greatly benefit from increasing insight, knowledge and skills about the health of pregnant women, so that they are better prepared to face the labor and postpartum period. Keyword: Support by Husben, Role, Pregnant
<p>The proportion of incidence of prolonged labor is 4,3 and is the second order of birth disorders or complications after premature rupture of membranes. The problem in this study was that 9% of women who gave birth were referred to the hospital because they experienced prolonged labor/labor was not advanced. This study aims to determine the effect of honey consumption on stage I and stage II labor duration in third-trimester multigravida pregnant women at PMB Karang Anyar Community Health Center, South Lampung Regency in 2019. This type of research is a quantitative (analytical) research method using a true experimental design with a post-test design only control group design. The subjects of the study were 90 third trimester multigravida, pregnant women. Data collection uses primary data. Univariate data analysis using percentages and bivariate analysis using chi-square. The results showed that there was an effect of giving honey consumption to third-trimester multigravida pregnant women on the first stage of labor with a p-value of 0,05 and there was an effect on the duration of labor in the second stage with a p-value of 0,02. Midwives as service providers to pregnant women and women who give birth advise mothers to consume honey 2-3 tablespoons 2 times a day from 34 weeks of gestation for good uterine contractions and increase the strength of the mother to push during the labor process.</p>
Air Susu Ibu (ASI) merupakan makanan utama pada bayi, karena mengandung zat gizi yang tinggi dan sangat bermanfaat untuk kesehatan bayi sesuai dengan fase kehidupannya. ASI sangat berperan dalam proses pertumbuhan bayi yang dimulai sejak awal kelahirannya sehingga diharapkan produksi ASI pada ibupost partum dapat mencukupi kebutuhan bayi pada awal kehidupannya. Masalah pada kegiatan ini didapatkan 54 % ibu nifas yang ASI nya belum keluar pada hari ke 3 atau ke 4 sehingga meminta PASI untuk memenuhi kebutuhan nutrisi pada bayinya. Berdasarkan hasil penelitian Warjidin Aliyanto dan Rosmadewi pada tahun 2018 tentang efektifitas sayur daun kelor dan sayur pepaya muda terhadap peningkatan produksi ASI, didapatkan produksi ASI meningkat pada ibu post partum primipara yang mengkonsumsi sayur pepaya muda dilihat dari rata-rata kenaikan berat badan bayi pada usia 30 hari yaitu 930 gram. Pada ibu post partum primipara yang mengkonsumsi sayur daun kelor rata-rata kenaikan berat badan bayi 1270 gram. Sedangkan pada ibu post partum primipara yang tidak mengkonsumsi sayur pepaya muda dan sayur daun kelor rata-rata kenaikan berat badan bayi usia 30 hari yaitu 847 gram. Konsumsi sayur daun kelor dan sayur pepaya muda dapat meningkat kan produksi ASI. Kegiatan ini bertujuan untuk menambah wawasan masyarakat tentang manfaat daun kelor dan pepaya muda untuk meningkatkan produksi ASI. Metode pemecahan masalah yang dilakukan berupa penyuluhan dan praktik tentang pentingnya ASI eksklusif, perawatan payudara, teknik menyusui dan manfaat sayur daun kelor dan sayur pepaya muda untuk meningkatkan produksi ASI. Hasil kegiatan pengabdian masyarakat didapatkan peningkatan pengetahuan ibu menyusui dan kader kesehatan tentang pentingnya ASI Ekslusif dalam katagori baik (74%), perawatan payudara pada masa nifas dalam katagori baik (95%), teknik menyusui yang benar dalam katagori baik (73%), manfaat sayur dau kelor untuk meningkatkan produksi ASI dalam katagori baik (97%) dan manfaat sayur pepaya muda untuk meningkatkan produksi ASI (95%). Oleh karena itu, bidan sebagai pemberi pelayanan kepada ibu post partum agar menganjurkan kepada ibu menyusui untuk mengkonsumsi sayur daun kelor atau sayur pepaya muda sebagai tambahan menu makanan pada periode menyusui.
Back pain is one of the most common complaints experienced by pregnant women in their third trimester of pregnancy. Of the 172 pregnant women in the third trimester of pregnancy, 80% (137 people) experienced back pain. One way to deal with back pain is to do pregnancy exercises. There are various types of pregnancy exercises, this study uses pregnancy exercises according to Manuaba. The purpose of this study is to study the effect of pregnancy training according to Manuaba on back pain in pregnant women of the third trimester in Metro City. The design of this study is a pseudo-experimental research with a single group approach. The population in this study was all third trimester pregnant women at the Puskesmas in Metro City. The sampling technique was a temporary sample with a sample of pregnant women in the third trimester with back pain complaints. Data analysis in this study uses univariate analysis with frequency and bivariate percentage analysis with t-test. The results of this study show that there is a difference in back pain before and after pregnancy training, according to Manuaba, with a mean difference of 3.06. In conclusion, there are effects of exercise, according to Manuaba, on back pain in pregnant women. These results are expected to be a source of reference for health workers to perform pregnancy exercises according to Manuaba to pregnant women to reduce back pain in pregnant women.
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