The Effect Of Consuming Pineapple Juice (Ananas Comusus [L] Mer) Towards The Duration Of The Stage I Latent Phase

Abstract

<p><em>In Indonesia, prolonged delivery is one of the cause of Maternal Mortality. The prolonged delivery which occurs in the latent phase is also called prolonged latent phase, a labor which lasts over eight hours of labor in primigravida. This research was started by the society’s custom of consuming fruits that are beneficial to smooth a labor process, consuming pineapples. Pineapples contain high amounts of vitamin C, sugar, vitamin A, a number of minerals, and an enzyme called bromelain. Bromelain is an enzyme that stimulates the production of prostaglandin. The increased prostaglandin causes contractions in the uterine muscle so that labor occurs. This study aims to determine the effect of pineapple juice towards the duration of the first stage of the latent phase. The method of this research was quasi experimental. The study was conducted in July to September 2018 at Ciruas Public Health Center, Serang, Banten. The sample in this study was 80 mothers in latent phase. Sampling was taken by using consecutive sampling technique. The analysis of timing differences in umbilical cord detachment was tested by using the Mann Whitney statistical test. The result shows that the average length of time in the first stage of the latent phase in the intervention group was 91,53 minutes, which was 57,75 minutes faster compared to the control group’s length of time, 149,28 minutes. There was a significant difference in the group given pineapple juice with those who were not given pineapple juice with p value 0,002 (α <0,05). Giving pineapple juice can accelerate the duration of the stage I latent phase in primigravida because pineapples contain an enzyme called bromelain and serotonin. The consumption of pineapple can be a solution for nutrients consumed when labor started at the first stage of latent phase and make the time period of the latent phase shorter and reduce the risk of intervention during labor.</em><em></em></p>

Pemanfaatan Nenas Dan Kulit Nenas Sebagai Induksi Persalinan Alami Bagi Ibu Hamil di Perumahan BKD III-IV Desa Kualu

“…Nenas diketahui sebagai buah-buah yang sangat bagus diberikan saat kehamilan trimester III terutama saat menungu hari perkiraan lahiran (HPL). Hal ini karena adanya kandungan enzim Bromealin dalam nenas yang mebantu proses releasenya hormon oksitosin sebagai pemicu persalinan [3]. Disamping itu nenas juga mampu menjaga Kesehatan dan imunitas tubuh ibu karena adanya kandungan vitamin dan mineral yang tinggi [4].…”

“…Buah ini popular dimanfaaatkan oleh masyarakat sebagai cemilan dan kudapan buah setelah makan, olahan sayur dan masakan, dijadikan bahan olahan lainnya seperti kerupuk nenas, selai, tepung nenas, dan lainnya [5]. Tidak demikian dengan kulit nenas yang lebih banyak dianggap limbah dan akhirnya dibuang percuma [2], pada kenyatannya kulit nenas memiliki gizi yang baik yaitu vitamin C, karotenoid, antosianin, flavonoid, enzim bromelain, air, serat kasar, gula reduksi, karbohidrat, protein, tannin dan adanya Enzim bromelain dapat digunakan sebagai efek antibakteri dan sebagai induksi persalinan ibu [3]. Disamping itu terdapat juga kandungan flavonoid, saponin, dan tannin.…”

“…Semakin bertambah usia kandungan maka semakin dekat masa tunggu menjelang kelahiran janinnya dan memerlukan persiapan ibu dan keluarga. Pada masa ini pusat perhatian ibu akan focus kemasa penantian kelahiran bayi [6].berbagai upaya dilakukan agar kepala janin cepat masuk panggul dan kontraksi terjadi lebih cepat terjadi sebelum HPL sudah ada tanda-tanda persalinan, seperti Yoga hamil, senam hamil, pilates, menjaga aktivitas [7] dan juga mengkonsumsi herbal yang membantu kontraksi Rahim seperti jus nenas [3].…”