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All Journal Jurnal Kesehatan Ilmiah Indonesia / Indonesian Health Scientific Journal Kosala : Jurnal Ilmu Kesehatan
Ni Made Desi Dwijayani
Poltekkes Kemenkes Denpasar
Health Professions Medicine & Pharmacology Nursing Public Health Veterinary

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LITERATURE REVIEW : MANFAAT PIJAT PERINEUM UNTUK MENGURANGI RISIKO TERJADINYA LASERASI PERINEUM SAAT PERSALINAN Ni Made Desi Dwijayani; Gusti Ayu Eka Utarini; Ni Wayan Suarniti
Jurnal Kesehatan Ilmiah Aufa Royhan Vol 11 No 1 (2026): Vol. 11 No. 1 Juni 2026
Publisher : Universitas Aufa Royhan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51933/health.v11i1.2719

Abstract

Perineal rupture is a common complication of vaginal delivery, especially in primiparas. It can occur spontaneously (laceration) or through an episiotomy. Prevention can be achieved through Kegel exercises, optimal holding positions, prenatal yoga, and perineal massage. Perineal massage is a technique used to massage the perineal area from the third trimester of pregnancy until several weeks before delivery to increase tissue elasticity. Perineal massage is believed to increase the elasticity of the perineal muscles and tissues, thereby minimizing trauma during childbirth.The purpose of this study was to analyze the effectiveness of perineal massage in reducing the risk and severity of perineal rupture. An electronic literature search was conducted in PubMed, Google Scholar, and Scopus for the period 2020–2025 using the keywords "pijat perineum," "perineal massage," "perineal rupture," and "persuspit". Of the seven journals analyzed, perineal massage was shown to significantly reduce the incidence of second- and third-degree perineal rupture by 20–30% and increase maternal satisfaction during childbirth. Regular perineal massage performed by pregnant women in their third trimester has been shown to reduce the incidence of perineal rupture compared to those who did not perform perineal massage. Perineal massage is effective in reducing the incidence of perineal rupture during vaginal delivery. Perineal massage can be recommended as a non-pharmacological intervention for pregnant women in their third trimester to help prepare for a safer and more comfortable delivery.
HUBUNGAN TINGKAT PENGETAHUAN TENTANG GIZI DENGAN KEJADIAN KURANG ENERGI KRONIS PADA IBU HAMIL Ni Made Desi Dwijayani; Ni Made Dwi Mahayati; Asep Arifin Senjaya
KOSALA : Jurnal Ilmu Kesehatan Vol 14 No 1 (2026): KOSALA : Jurnal Ilmu Kesehatan
Publisher : Sekolah Tinggi Ilmu Kesehatan Panti Kosala

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37831/kjik.v14i1.403

Abstract

Kekurangan Energi Kronis (KEK) merupakan salah satu masalah gizi utama pada ibu hamil di Indonesia. Pengetahuan ibu tentang gizi menjadi salah satu faktor yang memengaruhi kejadian KEK. Penelitian ini bertujuan untuk menganalisis hubungan tingkat pengetahuan gizi dengan kejadian KEK di wilayah kerja Puskesmas Ubud I. Penelitian ini menggunakan pendekatan kuantitatif dengan desain correlational research yang dilakukan pada Maret–April 2025. Sampel terdiri dari 30 ibu hamil trimester I yang dipilih sesuai kriteria inklusi dan eksklusi. Data dikumpulkan melalui kuesioner untuk mengukur tingkat pengetahuan gizi dan pengukuran Lingkar Lengan Atas (LILA) untuk menentukan status KEK. Analisis dilakukan menggunakan uji Spearman Rank. Hasil penelitian menunjukkan, sebagian besar ibu berusia 20–35 tahun berpendidikan menengah (46,6%), tidak bekerja (36,7%), multipara (56,7%), dan memiliki usia kehamilan 3–11 minggu (50%), ibu dengan pendapatan > atau ≤ UMK seimbang (50%). Sebagian besar ibu memiliki pengetahuan gizi yang cukup baik (63,3%), namun masih terdapat 36,7% ibu hamil yang mengalami KEK. Hasil uji Spearman Rank didapati nilai p: 0,023 (<0,05) dengan nilai r: 0,415. Simpulan penelitian ada hubungan yang signifikan antara pengetahuan gizi dengan kejadian KEK. Saran yang dapat diberikan diantaranya diperlukan upaya aktif tenaga kesehatan dalam peningkatan pengetahuan ibu tentang status gizi selama kehamilan. Kata kunci: ibu hamil; kekurangan energi kronis; pengetahuan Chronic Energy Deficiency (CED) is a major nutritional problem among pregnant women in Indonesia. One factor influencing CED is maternal nutritional knowledge. This study aimed to analyze the relationship between nutritional knowledge and the incidence of CED in the working area of Ubud I Community Health Center. A quantitative approach with a correlational design was used, conducted from March-April 2025. The sample consisted of 30 first-trimester pregnant women selected using inclusion and exclusion criteria. Data were collected using a questionnaire to assess nutritional knowledge and upper arm circumference measurement to determine CED status. Data were analyzed descriptively and correlatively using the Spearman Rank test. The results showed that most participants were aged 28–35 years, had a secondary education level, were unemployed, multiparous, had a gestational age of 3–11 weeks, and had an equal distribution of income above and below the regional minimum wage. Although most had fairly good nutritional knowledge, 36.7% experienced CED. The Spearman Rank test results obtained a p value of 0.023 (<0.05) with an r value of 0.415. The conclusion of the study is that there is a significant relationship between nutritional knowledge and the incidence of KEK. Suggestions that can be given include the need for active efforts by health workers to increase maternal knowledge about nutritional status during pregnancy. Keywords: chronic energy deficiency; knowledge; pregnant women
Co-Authors Asep Arifin Senjaya Ni Made Dwi Mahayati Ni Wayan Suarniti Utarini, Gusti Ayu Eka