Effective contraception such as the Long-acting reversible contraceptives can prevent one in every three maternal deaths by allowing women to arrange births, avoid unwanted pregnancies and abortions, and stop giving birth when they have reached the desired family size. This study aimed to determine the factors associated with long-acting reversible contraceptives methods in Indonesia. This study used secondary data by analyzing the results of the Indonesian Demographic and Health Survey (IDHS) in 2017. The sample was married women aged 15-19 years with a total of respondents being 19522. This study showed, that the most types of contraception used by respondents were short-acting contraceptive methods (pills and injections), namely 75.4%, and only 24.6% of respondents used long-acting reversible contraceptives. The results of the multivariate analysis described the determinants of long-acting reversible contraceptives were age, parity, occupation, cost of family planning, and decision-maker. It is necessary to improve counseling services and promote the long-acting reversible contraceptives as effective contraception in delaying birth, considering that most of the respondents used long-acting reversible contraceptives when they were >35 years old with grand multipara. In addition, decision-making by respondents and their partners as well as health workers as service providers is also very influential in increasing the use of long-acting reversible contraceptives so effective counseling and involving partners is also important.
Nyeri pada persalinan merupakan proses yang fisiologis. Nyeri dapat menyebabkan frustrasi dan putus asa, sehingga beberapa ibu merasa khawatir tidak akan mampu melewati proses persalinan. Tingginya operasi sesar adalah satu penyebabnya karena ibu lebih memilih persalinan yang relatif tidak nyeri. Program pengabdian kepada masyarakat ini bertujuan melaksanakan pendidikan kesehatan bagi ibu hamil trimester III di Wilayah Kerja Puskesmas Ragunan untuk meningkatkan pengetahuan ibu tentang nyeri persalinan. Kegiatan dilakukan secara berkala dan berkesinambungan sesuai jadwal kegiatan, melalui sarana kegiatan belajar bersama dalam bentuk tatap muka dalam kelompok, penyuluhan diberikan, pemberian materi, pelatihan dan diskusi tentang nyeri pada persalinan dan cara mengurangi nyeri persalinan. Setelah pemberian penyuluhan dan pelatihan mengenai nyeri persalinan, diperoleh hasil nilai rerata skor pre-test adalah 54.4 dan nilai rerata skor post-test 80.3. Hal ini menunjukkan bahwa terjadi peningkatan skor pengetahuan setelah diberikan pendidikan kesehatan tentang nyeri pada persalinan bagi ibu hamil di Puskesmas Kecamatan Ragunan. Pendidikan kesehatan tentang nyeri pada persalinan pada ibu hamil trimester III perlu terus dilakukan di Wilayah Kerja Puskesmas Ragunan.
<p><strong>Background: </strong>Expectant mothers will<strong> </strong>experience physiological and psychological changes during pregnancy, including feeling fear of childbirth. Fear is a psychological condition that can raise catecholamine levels and decrease uterine contractions, slowing down the labor process. Prenatal exercise such as Prenatal Gentle Yoga is developed to increase healthy pregnancy that may reduce fear of childbirth. This study aimed to evaluate the effect of Prenatal Gentle Yoga on fear of childbirth in pregnant women.<strong></strong></p><p><strong>Methods: </strong>This research used a cross-sectional case-control study, conducted from July to August 2018 in Central Java Province.<strong> </strong>This study involved<strong> </strong>130 first-time expectant mothers.<strong> </strong>A demographic questionnaire and the Wijma Delivery Expectancy/Experience Questionnaire version A were used for data collection. Cross-tabulation and chi-square was used to analyse the demographic information. Independent samples t-test and one-way ANOVA were used to determine the differences in W-DEQ scores between the two groups. This study also used hierarchical multiple linear regression to determine predictors of fear of childbirth.</p><p><strong>Results:</strong>Three variables significantly impacted fear of childbirth were education level, number of ultrasound examinations, and participation in Prenatal Gentle Yoga classes. Prenatal Gentle Yoga reduced fear of childbirth among participants who attended eight hours or more of classes compared to those who did not (p<.001). Participation in Prenatal Gentle Yoga was the only factor that strongly predicted childbirth fear (<em>R<sup>2</sup></em>=.26).<strong></strong></p><p><strong>Conclusions: </strong>This study concluded that Prenatal Gentle Yoga can decrease childbirth fear. Thus, Prenatal Gentle Yoga is recommended for pregnant women in order to reduce fear of childbirth.</p><div> </div>
Prenatal couple yoga merupakan salah satu modifikasi dari prenatal yoga. Pada latihan ini dilakukan dengan melibatkan suami. Prenatal couple yoga dapat memperkuat hubungan emosional antara ibu, ayah dan calon bayi. Kegiatan pengabdian kepada masyarakat ini bertujuan memberikan penyuluhan bagi ibu hamil dan suami untuk meningkatkan pengetahuan tentang Prenatal Couple Yoga di Wilayah Kerja Puskesmas Kelurahan Cilandak Timur, Kecamatan Pasar Minggu, Jakarta Selatan. Kegiatan ini dilaksanakan pada bulan Maret-November 2022 pada 30 ibu hamil. Kegiatan dilaksanakan sesuai jadwal dengan 2 metode yaitu: 1) ibu hamil dan pasangan diberikan penyuluhan mengenai manfaat Prenatal Couple Yoga dan 2) mengajarkan ibu tentang langkah-langkah dalam melakukan Prenatal Couple Yoga dan dipraktikkan dengan menggunakan media video Prenatal Couple Yoga, menganjurkan ibu hamil dan pasangan untuk aktif mengikuti langkah demi langkah. Hasil evaluasi pengetahuan dengan pre dan posttest ditemukan tingkat pengetahuan ibu hamil tentang Prenatal Couple Yoga mengalami peningkatan lebih baik, yaitu pada pretest 64,33 dan posttest sebesar 80,33. Dapat disimpulkan bahwa penyuluhan menggunakan video dapat meningkatkan pengetahuan mengenai Prenatal Couple Yoga. Pelaksanaan Prenatal Couple Yoga ini diharapkan dapat membantu bidan dalam memberikan penyuluhan pada kelas ibu dengan menggunakan media video yang telah dibuat, dan bidan melanjutkan kegiatan ini pada semua ibu hamil yang mengikuti kelas kehamilan, khususnya di Puskesmas Kelurahan Cilandak Timur.
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