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PENGARUH PELAKSANAAN KELAS IBU HAMIL TERHADAP PENGETAHUAN TENTANG PERSIAPAN PERSALINAN DI DESA TALAGA KECAMATAN MANCAK TAHUN 2023 Indhawati, Wulan; Tridiyawati, Feva
Jurnal Ilmiah Global Education Vol. 4 No. 4 (2023): JURNAL ILMIAH GLOBAL EDUCATION, Volume 4 Nomor 4, Desember 2023
Publisher : LPPM Institut Pendidikan Nusantara Global

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55681/jige.v4i4.1321

Abstract

The program organized by the Ministry of Health to support this step is the class for pregnant women. Class activities for pregnant women use learning methods, one of which is by discussing the material in the MCH book. The use of the MCH handbook is expected to improve the quality of maternal and child health and nutrition services so that one of the national development goals, namely reducing MMR and IMR, can be achieved. Based on the above, the researcher is interested in conducting research entitled "The Influence of Conducting Pregnant Women's Classes on Knowledge About Birth Preparation in Talaga Village, Mancak District in 2023". Research Objectives: To find out the level of influence of holding pregnant women's classes on knowledge about childbirth preparation. Research Methods: This study used a quasi-experimental with purposive sampling with a sample of 30 people. Data techniques included in univariate analysis using the normalization test and bivariate analysis using the SPSS program statistical calculations. Research results: The results of the Paired Sample Test show that the Sign (2-tailed) value is 0.000 <0.05, so H0 is rejected and Ha is accepted. So it can be concluded that there is an effect of using the answer gallery learning strategy in leaving learning outcomes for pregnant women classes in Talaga village, Mancak sub-district. Conclusions and Suggestions: There is a significant influence of class knowledge on pregnant women. It is expected that pregnant women can attend classes for pregnant women
HUBUNGAN CARA MENERAN DENGAN KEJADIAN RUPTUR PERINEUM PADA IBU BERSALIN DALAM PERSALINAN KALA II DI PMB DESA SUKASARI KECAMATAN RUMPIN KABUPATEN BOGOR Widianingsih, Fitri; Tridiyawati, Feva
Jurnal Ilmiah Global Education Vol. 4 No. 4 (2023): JURNAL ILMIAH GLOBAL EDUCATION, Volume 4 Nomor 4, Desember 2023
Publisher : LPPM Institut Pendidikan Nusantara Global

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55681/jige.v4i4.1429

Abstract

A tear of the birth canal becomes the second cause of postpartum hemorrhage. Technique straning can affect the occurrence of perineal rupture in mothers who give birth spontaneously. The biggest cause of maternal death is bleeding, which is 30.3% and old partus is the lowest cause at 1.8%, but better treatment is needed so that it does not occur during labor (Ministry of Health, 2018). This study aims to analyze how to straining with incidence of perineal rupture in maternity mothers in Kala II Labor at PMB Sukasari Village, Rumpin District, Bogor Regency. The research method used is an observational analytical with a cross sectional approach. The population in this study was 55 people with a sample of 35 primiparous mothers. This research instrument uses SOP observation sheets for how to run and partograph sheets. Data processing is carried out univariately and bivariately with Chi Square Test with the help of SPSS computer program. The results of the study indicate that there is a relationship how to straining the Valsalva technique and the perineal rupture whith a volue ρ = 0.004 < α = 0.005 indicating that how to straining the valsava technique affects the incidence of perineal rupture. The results of the study concluded that the way of straining can affect the incidence of perineal rupture at the time of labor. It is recommended that pregnant women in the third trimester can learn to straining properly so that there is no perineal rupture at the time of delivery
Efektivitas Teknik Finger Hold terhadap Penurunan Skala Nyeri Persalinan Kala I Fase Aktif di Klinik Puri Medika Cendekia, Kembangan, Jakarta Barat Hartini, Lilik; Tridiyawati, Feva
Malahayati Nursing Journal Vol 6, No 4 (2024): Volume 6 Nomor 4 2024
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v6i4.11195

Abstract

ABSTRACT Labor pain is an extraordinary physiological process and the intensity of pain felt is very different. Even in the same mother, the degree of pain that is felt in each delivery or during labor is not the same. Pain in labor is caused by stretching and tearing during cervical contractions. Contractions during childbirth will cause a feeling of pain arising from cervical contractions and dilatation (dilation) of the cervix and lower uterine segment much feared by mothers. To Know the Effectiveness of the Finger Hold Technique on Reducing the Active Phase I Labor Pain Scale at Puri Medika Cendekia Clinic, Kembangan, West Jakarta. This study The method used in this study was the One Group Pretest Posttest to see the average difference in the scale of labor pain in the first stage of the active phase. The population in this study were all mothers who gave birth at the Puri Medika Cendekia Clinic, Kembangan, West Jakarta, as many as 30 mothers. There is an average value of decreasing the pain scale in the first active phase of labor after the Finger Hold was carried out. The average value of the decrease is from 3.53 to 2.33. there is a difference in the decrease in the pain scale before and after the Finger Hold is performed with a significant value of ρ = 0.000. There is the Effectiveness of the Finger Hold Technique on Reducing the Pain Scale of Labor in the Active Phase I. Keywords: Finger Hold Technique, Labor Pain, Active Phase I Phase  ABSTRAK Nyeri persalinan merupakan suatu proses fisiologis yang luar biasa danintensitas nyeri yang dirasakan sangat berbeda –beda. Bahkan pada ibu yang sama pun derajat nyeri yang dirasakan pada setiap persalinan atau kala persalinan tidak serupa. Nyeri pada proses persalinan diakibatkan karena peregangan dan robekan selama kontraksi serviks. Kontraksi pada saat melahirkan akan menimbulkan perasaan nyeri yang timbul akibat kontraksi servik serta dilatasi (pelebaran) mulut rahim dan segmen bawah rahim banyak ditakuti oleh para ibu. Untuk Mengetahui Efektivitas Teknik Finger Hold Terhadap Penurunan Skala Nyeri Persalinan Kala I Fase Aktif di Klinik Puri Medika Cendekia, Kembangan, Jakarta Barat. Penelitian ini Metode yang digunakan dalam penelitian ini adalah One Group Pretest Postest untuk melihat rata-rata perbedaan skala nyeri persalinan kala I fase aktif Populasi dalam penelitian ini adalah seluruh ibu bersalin yang di Klinik Puri Medika Cendekia, Kembangan, Jakarta Barat sebanyak 30 ibu bersalin dan Sampel pada penelitian ini yaitu ibu bersalin yang ada di Klinik Puri Medika Cendekia, Kembangan, Jakarta Barat Sebanyak 30 orang. Terdapat nilai rata-rata penurunan skala nyeri persalinan kala 1 fase aktif setelah dilakukan Finger Hold. Adapun nilai rata-rata penurunannya adalah dari 3,53 menjadi 2,33. ada perbedaan penurunan skala nyeri sebelum dan setelah dilakukan Finger Hold dengan nilai signifikan ρ = 0,000. Terdapat Efektivitas Teknik Finger Hold Terhadap Penurunan Skala Nyeri Persalinan Kala I Fase Aktif. Kata Kunci: Teknik Finger Hold, Nyeri Persalinan, Kala I Fase Aktif 
Pengaruh Murottal Al-Qur’an dan Aromaterapi Inhalasi Lemon terhadap Intensitas Nyeri Persalinan Kala I Fase Aktif Ulina, Elvi Serta; Tridiyawati, Feva
Malahayati Nursing Journal Vol 6, No 4 (2024): Volume 6 Nomor 4 2024
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v6i4.11153

Abstract

ABSTRACT Severe pain during labor can cause fatigue in the mother so that she is at risk of prolonged labor which can be one of the causes of maternal and child mortality. MMR and IMR in the world are still relatively high, reaching 295,000 people, 94% of whom are in developing countries. For the treatment of labor pain, pharmacological methods or use (drugs) or non-pharmacology. One of them is by listening to Murottal Al-Qur'an or reciting the holy verses of Al-Qur'an which is one of the non-pharmacological distraction therapies. Meanwhile, lemon aromatherapy is one of the non-pharmacological therapies and a type of aromatherapy that can be used to treat pain and anxiety. To find out whether there is an effect of murottal al-Qur'an therapy and lemon inhalation aromatherapy on the intensity of labor pain in the active phase of the first stage. The type of research used is Quasi Experiment, namely the post test only approach. This research will be conducted in March-April 2023. The population in this study is all birth mothers at the Independent Midwife Practice in 2023. The sample in this study is all birth mothers recorded in reports at the Independent Midwife Practice, totaling 34 people. The sample was divided into two groups with 17 people in the first group and 17 mothers in the second group using a purposive sampling technique with inclusion and exclusion criteria. The data were then analyzed using univariate analysis of frequency distribution and Kolmogorov-Smirnov bivariate analysis. In testing the effect of the first stage of labor pain before and after therapy, a significant value of 0.00 was obtained. There is a significant influence of the first stage of labor pain between before and after therapy in the form of murottal Al-Qur'an therapy and lemon inhalation aromatherapy, where the average pain after therapy is lower than before therapy. Keywords: Murottal Al-Qur'an, Lemon Inhalation Aromatherapy, phase 1 Labor Pain  ABSTRAK Nyeri yang hebat selama persalinan dapat menimbulkan kelelahan pada ibu sehingga berisiko terjadinya partus lama yang dapat menjadi salah satu penyebab kematian ibu dan anak. AKI dan AKB di dunia yang masih terbilang tinggi mencapai 295.000 orang dengan 94% diantaranya terdapat di negara berkembang. Untuk penanganan nyeri persalinan, metode farmakologi atau menggunakan (obat-obatan) maupun non-farmakologi. Diantaranya dengan mendengarkan Murottal Al-Qur’an atau pembacaan ayat suci Al-Qur’an yang merupakan salah satu dari terapi non farmakologis distraksi. Sedangkan aromaterapi lemon merupakan salah satu dari terapi non farmakologis dan jenis aromaterapi yang dapat digunakan untuk mengatasi nyeri dan cemas.  Mengetahui apakah ada pengaruh terapi murottal al-qur’an dan aromaterapi inhalasi lemon terhadap intensitas nyeri persalinan kala I fase aktif. Jenis penelitian yang digunakan adalah Quasi Eksperimen yaitu pendekatan post test only. Penelitian ini akan dilaksanakan pada bulan Maret-April Tahun 2023. Populasi dalam penelitian ini adalah seluruh ibu besalin di Praktik Mandiri Bidan pada tahun 2023. Sampel dalam penelitian ini adalah seluruh ibu bersalin yang tercatat dalam laporan di Praktik Mandiri Bidan yang berjumlah 34 orang. Sampel di bagi menjadi dua kelompok dengan sampel masing-masing kelompok pertama 17 orang dan kelompok kedua 17 orang ibu bersalin menggunakan tehnik purposive sampling dengan kriteria inklusi dan ekslusi. Data kemudian dianalisis menggunakan analisis univariat distribusi frekuensi dan analisis bivariat Kolmogorov-Smirnov. Pada pengujian pengaruh nyeri persalinan kala I sebelum dan sesudah terapi diperoleh nilai signifikan 0,00. Terdapat pengaruh nyeri persaliana kala I yang signifikan antara sebelum dengan sesudah terapi berupa terapi murottal al-qur’an dan aromaterapi inhalasi lemon, dimana rata-rata nyeri setelah terapi lebih rendah dari pada sebelum terapi. Kata Kunci: Murottal Al-Qur’an, Aromaterapi Inhalasi Lemon, Nyeri Persalinan Kala I 
Pengaruh Penerapan Metode Persalinan Maryam Terhadap Percepatan Persalinan Pada Ibu Primigravida di PMB Rodiyah Kartini Kartini, Rodiyah; Tridiyawati, Feva
Malahayati Nursing Journal Vol 6, No 2 (2024): Volume 6 Nomor 2 2024
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v6i2.10797

Abstract

ABSTRACT The birth process is a stressful and worrying time for a woman and her family. Fear, tension and anxiety may result in a slow birth. One of the mother's affections during labor is being able to choose a comfortable position for pushing, letting the mother choose the position she wants during straining and giving birth will provide many benefits including less pain and discomfort. The aim of this study was to determine the effectiveness of Maryam delivery on the acceleration of labor in primigravida women in 2023. The type of research used in this study was an observational type of research. This study used a cross sectional approach. The sample in this study was 30 normal stage 2 mothers. The sampling technique in this study was purposive sampling. The results of the study using the Chi Square statistical test obtained a value of ρ = 0.000, this means that ρ <α (0.05) or means that H0 is rejected and Ha is accepted. Thus there is an influence of the Maryam Delivery Method on the duration of the second stage of labor in primiparous mothers. Keywords: Childbirth, Maryam Method, Primigravida  ABSTRAK Proses persalinan adalah saat yang menegangkan dan mencemaskan bagi wanita dan keluarganya. Rasa takut, tegang dan cemas mungkin mengakibatkan proses kelahiran berlangsung lambat. Salah satu asuhan sayang ibu pada proses persalinan adalah dapat memilih posisi mengedan yang nyaman, membiarkan ibu memilih posisi yang diinginkan selama mengedan dan melahirkan akan memberi banyak manfaat termasuk sedikit rasa sakit dan ketidaknyamanan. Tujuan pada penelitian ini adalah untuk mengetahui Efektivitas persalinan Maryam terhadap percepatan persalinan pada ibu primigravida tahun 2023. Jenis penelitian yang digunakan dalam penelitian ini adalah menggunakan jenis penelitian Observasional. Penelitian ini menggunakan pendekatan cross sectional. Sampel dalam penelitian ini berjumlah 30 ibu Inpartu kala 2 normal. Teknik pengambilan sampel dalam penelitian ini adalah secara Purposive Sampling. Hasil penelitian menggunakan uji statistic Chi Square didaptkan nilai ρ = 0,000 ini berarti ρ < α (0,05) atau berarti H0 ditolak dan Ha diterima. Dengan demikian ada pengaruh Metode Persalinan Maryam terhadap lama persalin kala II pada ibu primipara. Kata Kunci: Persalinan, Metode Maryam, Primigravida 
Pengaruh Pemberian Sari Kurma terhadap Lama Kala Dua pada Ibu Bersalin di Klinik Az Zahra khasanah, Umda; Tridiyawati, Feva
Malahayati Nursing Journal Vol 6, No 4 (2024): Volume 6 Nomor 4 2024
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v6i4.11141

Abstract

ABSTRAK WHO tahun 2020 menyebutkan sebanyak 295.000 wanita di seluruh dunia kehilangan nyawa mereka selama dan setelah kehamilan dan persalinan. Afrika, Sub-Sahara dan Asia Selatan menyumbang sekitar 86% kematian ibu di seluruh dunia. Di Indonesia pada tahun 2020 Angka Kematian Ibu sebesar 230 per 100.000 kelahiran hidup. Penyebab langsung kematian ibu sebesar 90% adalah komplikasi yang terjadi pada saat persalinan dan setelah bersalin. Angka kejadian partus lama di dunia yang menyebabkan kematian pada ibu sebesar 8%. Di Indonesia partus lama menduduki peringkat ketiga penyebab kematian ibu sebanyak 5%.Mengetahui pengaruh pemberian sari kurma terhadap lama kala 2 pada ibu bersalin. Quasi eksperiment dengan rancangan posttest group design. Sampel dalam penelitian ini adalah seluruh ibu bersalin pada bulan Juni 2023 di Klinik Az Zahra sebanyak 30 responden. Teknik pengambilan sampel menggunakan teknik total sampling. Distribusi frekuensi lama kala 2 pada ibu bersalin  pada kelompok intervensi mayoritas cepat (40,0%) dan pada kelompok kontrol mayoritas dengan kategori lama (86,7%). Rata-rata lama kala 2 pada ibu bersalin  pada kelompok intervensi sebesar 40,73 menit dan pada kelompok kontrol sebesar 54,40 menit. Ada pengaruh pemberian sari kurma terhadap lama kala 2  pada ibu bersalin (p. value 0,012). Ada pengaruh pemberian sari kurma terhadap lama kala 2  pada ibu bersalin. Diharapkan pada ibu-ibu hamil menjelang persalinan dianjurkan dapat mengkonsumsi kurma karena baik untuk selama kehamilannya, persalinannya dan selama menyusui. Kata Kunci: Sari Kurma, Lama Kala 2, Ibu Bersalin  ABSTRACT WHO in 2020 stated that as many as 295,000 women worldwide lost their lives during and after pregnancy and childbirth. Africa, Sub-Saharan and South Asia account for around 86% of maternal deaths worldwide. In Indonesia in 2020 the maternal mortality rate is 230 per 100,000 live births. The immediate cause of maternal death by 90% is complications that occur during labor and after delivery. The incidence of prolonged labor in the world that causes death in mothers is 8%. In Indonesia, prolonged labor is the third leading cause of maternal death, at 5%.Knowing the effect of giving palm juice on the length of the 2nd stage in mothers giving birth. Quasi experiment with posttest group design. The sample in this study were all mothers giving birth in June 2023 at the Az Zahra Clinic with a total of 30 respondents. The sampling technique used the total sampling technique. The majority of the frequency distribution of the second stage of labor in women giving birth in the intervention group was fast (40.0%) and in the control group the majority were in the old category (86.7%). The average length of the 2nd stage of labor in the intervention group was 40.73 minutes and 54.40 minutes in the control group. There is an effect of giving palm juice on the length of the 2nd stage in women giving birth (p. value 0.012). There is an effect of giving palm juice on the length of the 2nd stage in women giving birth. It is expected that pregnant women before delivery are encouraged to consume dates because they are good for during pregnancy, childbirth and during breastfeeding. Keywords: Palm Juice, Long Time 2, Mother Giving Birth
Pengaruh Self Awareness, Peran Bidan dan Peran Teman Sebaya Terhadap Kepatuhan Mengkonsumsi Tablet Fe Pada Remaja dalam Mencegah Anemia di SMP Negeri 1 Karawang Timur Tahun 2022 fiaturohmah, Sri Nura; Tridiyawati, Feva
Malahayati Nursing Journal Vol 6, No 1 (2024): Volume 6 Nomor 1 2024
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v6i1.10536

Abstract

ABSTRACT This research was conducted to determine the effect of self-awareness, the role of midwives and the role of peers on adherence to consuming Fe tablets in adolescents in preventing anemia at SMP Negeri 1 Karawang Timur in 2022. Analytical with a cross-sectional approach, this research method The study was carried out in Karawang at SMP Negeri 1 Karawang Timr. The research data uses a questionnaire sheet. The number of respondents was 87 people. Data analysis using the Chi Square Test. Statistical test results obtained self awareness variable obtained p value = 0.027, the midwife's role p value = 0.038, and the role of peers p value = 0.024 meaning that the p value <0.05, so it can be concluded that there is an influence between Self Awareness, the Role of Midwives and The Role of Peers in Compliance with Consuming Fe Tablets at SMP Negeri 1 Karawang Timur in 2022. The program for giving iron tablets should be continued by involving teachers and parents. The Community Health Center and the teacher worked together to develop a strategy to increase the consumption of iron tablets by female students with a program to provide monitoring cards for iron supplements consumption compliance signed by the homeroom teacher and parents as supervisors. Keywords: Self Awareness, The Role of Midwives, Peers, Compliance, Fe Tablets  ABSTRAK Di SMP Negeri 1 Karawang Timur Tahun 2022, penelitian ini dilakukan untuk mengetahui apakah kepatuhan minum tablet Fe pada remaja untuk mencegah anemia dipengaruhi oleh kesadaran diri, peran bidan, dan teman sebaya.  Bersifat analitik dengan pendekatan cross-sectional, metode penelitian SMP Negeri 1 Karawang Timur Kabupaten Karawang ini dijadikan sebagai latar penelitian. Lembar kuesioner digunakan untuk data penelitian.. Jumlah responden sebanyak 87 orang. Dengan menggunakan Uji Chi Square, analisis data Variabel kesadaran diri memiliki nilai p value = 0,027, peran bidan memiliki nilai p value=0,038, dan peran teman sebaya memiliki nilai p value= 0,024, yang semuanya menunjukkan bahwa nilai p kurang dari 0,05 . Dengan demikian, dapat ditarik kesimpulan bahwa ada hubungan antara Kesadaran Diri dan, Peran Bidan Dan Peran Teman Sebaya terhadap kepatuhan mengkonsumsi tablet Fe di SMP Negeri 1 Karawang Timur Tahun 2022. Pembagian TTD harus terus dilakukan dengan melibatkan guru dan orang tua. Puskesmas dan dewan guru hendaknya berkolaborasi menyusun strategi peningkatan konsumsi TTD oleh siswi melalui program pemberian kartu pemantauan kepatuhan TTD yang ditandatangani oleh wali kelas dan orang tua sebagai pengawas. Kata Kunci: Self Awareness, Peran Bidan, Teman Sebaya, Kepatuhan, Tablet Fe
The Effectiveness Of The Combination Of Acupressure Therapy With Oxytocin Massage Against The Length Of Time Of Milk Production In Puerperal Mothers Susilowati, Indah; Tridiyawati, Feva
International Journal of Health and Pharmaceutical (IJHP) Vol. 3 No. 3 (2023): August 2023
Publisher : CV. Inara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51601/ijhp.v3i3.205

Abstract

According to the UNICEF report, there were 54 neonatal infant deaths per 1,000 live births worldwide in 2020. The highest neonatal mortality rate in 2020 was found in the Sub-Saharan Africa region, namely 27 deaths per 1,000 live births. In Indonesia, only 1 out of 2 babies under 6 months is exclusively breastfed, and only a little more than 5% of children are still getting breast milk at 23 months of age. Nationally, the coverage of babies receiving exclusive breastfeeding in 2019 is 67.74%. The inhibiting factor in breastfeeding is the production of breast milk which is less and slow to come out which can cause the mother not to give her baby enough. A method that is rarely used to speed up milk release and stimulate milk productivity is a combination of acupressure therapy and oxytocin massage. Knowing the effectiveness of the combination of acupressure therapy with oxytocin massage on the length of time to express breast milk in postpartum mothers. Quasi experimental with posttest only control group design. The sample in this study were all postpartum mothers at BPM. Indah Susilowati in August-October 2022 as many as 30 people, the sampling technique is total sampling. The average time for breastfeeding in the intervention group was 2.16 hours and in the control group 2.79 hours. There is the effectiveness of the combination of acupressure therapy with oxytocin massage on the length of time for expressing milk in postpartum women with a p value of 0.000. There is an effective combination of acupressure therapy with oxytocin massage on the length of time to express breast milk in postpartum mothers. The combination of acupressure therapy and oxytocin massage can be considered as an alternative effort to accelerate breastfeeding in postpartum mothers.
Differences In The Effectiveness Of Abpk And Klop Kb Counseling Against Kb Mkjp Elections Wahyuningsih, Sri; Tridiyawati, Feva
International Journal of Health and Pharmaceutical (IJHP) Vol. 3 No. 3 (2023): August 2023
Publisher : CV. Inara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51601/ijhp.v3i3.207

Abstract

According to the United States Census Bureau, the world population in 2021 will be 74 million people. In Asia in 2021 the population will reach 4.688 billion. While Indonesia ranks fourth with the largest population in the world of 273.5 million people. The impact of the population explosion is increasing poverty and hunger, malnutrition in children under five, maternal and child mortality, increased unemployment. One of the methods used to reduce the rate of population growth is through birth control by means of family planning. There are two types of Family Planning Counseling Modules, namely using a Family Planning Decision Making Tool and screening of medical eligibility criteria for contraceptive use (KLOP Wheel). Knowing the differences in the effectiveness of ABPK and KLOP KB counseling on the selection of KB MKJP. Analytics with cross sectional design. The sample in this study were all family planning acceptors at the Pasir Jaya Tangerang Health Center in October 2022 as many as 56 people, the sampling technique was total sampling. Most of the respondents were aged 20-35 years (62.5%), secondary education (50.0%) and multiparous parity (89.3%). The family planning acceptors in the ABPK counseling group mostly chose injections 53.6%, and in the KLOP counseling group most chose the IUD 78.6%. There is a difference in the effectiveness of ABPK and KLOP KB counseling on the selection of KB MKJP (p.value 0.001). There is a difference in the effectiveness of ABPK and KLO KB counseling on the selection of KB MKJP (p.value 0.001). For family planning acceptors, they should be able to carefully consider the choice of contraceptives in order to be able to determine the choice of long-term family planning methods (MKJP).
Efektifitas Posisi Meneran Semi-Fowler Dengan Posisi Berbaring Miring Ke Kiri Terhadap Kejadian Ruptur Perinieum Di Puskesmas Poned Jayakerta : The Effectiveness of the Semi-Fowler Pressing Position with Left Side Lying Position for Perineal Rupture at the Poned Jayakerta Health Center Kartika, Eka; Feva Tridiyawati
Indonesian Scholar Journal of Nursing and Midwifery Science Vol. 2 No. 11 (2023): Vol. 2 No. 11 (2023): Vol. 2 No. 11 (2023): Indonesian Scholar Journal of Nurs
Publisher : Dohara POAJ

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54402/isjnms.v2i11.363

Abstract

Introduction: Perineal rupture occurs in almost all deliveries causing bleeding and infection, if not treated immediately it can cause death. One effort to reduce the occurrence of perineal rupture is the pressing position. Poned Jayakerta Health Center Karawang Regency in 2020 it was found that 66,8% had a perineal rupture, in 2021 it was found that 64,7% had a perineal rupture. When giving birth, the position that is often used is the semi-fowler and side-lying position. Methods: This research is quantitative analytic research with a post-test-only design with control groups. The sample in this study were mothers giving birth at the Poned Jayakerta Health Center Karawang Regency totaling 30 respondents with a total sampling technique. The research instrument uses an observation sheet. The data is primary data analyzed using the Mann-Whitney test. Results: The results of univariate analysis of the incidence of perineal rupture in the semi-fowler pressing position group with an average = 0,93; the incidence of perineal rupture in the supine position lying on its side with an average = 1,67. There is an effectiveness of the semi-fowler pressing position with a side-lying position on the incidence of perineal rupture with a p-value = 0,009. Discussion: The semi-fowler pressing position is more effective than the side-lying position in reducing the incidence of perineal rupture. Mothers in labor are expected to cooperate with midwives when facing the 2nd stage of labor so that mothers can follow guidance and direction from midwives when carrying out the pressing position and are able to press properly which has an impact on reducing the incidence of perineal rupture.