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PERUBAHAN PSIKOFISIOLOGIS PADA IBU HAMIL TRIMESTER III: PENELITIAN DESKRIPTIF Sari, Wenny Indah Purnama Eka; Kurniyati, Kurniyati; Yusniarita, Yusniarita; Mardalena, Ida
Jurnal Medikes (Media Informasi Kesehatan) Vol. 11 No. 2 (2024): November
Publisher : Politeknik Kesehatan Kementerian Kesehatan Banten

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36743/medikes.v11i2.778

Abstract

During pregnancy, physiological changes occur due to hormonal shifts, particularly in estrogen and progesterone, leading to both physical and psychological alterations. The physical changes that occur during pregnancy often cause discomfort, both physically and psychologically. A common psychological change experienced by pregnant women is anxiety, while the physiological changes relate to bodily systems, resulting in alterations in vital signs. The purpose of this study is to describe the psychophysiological changes in pregnant women during the third trimester. The research design is descriptive. The population consists of all third-trimester pregnant women. The sample includes 120 third-trimester pregnant women at the maternity clinic, selected through simple random sampling. The research instruments include the Pregnancy Related Anxiety Questionnaire Revised (PRAQ-R2) to measure anxiety in pregnant women (psychological dimension) and an observation sheet to record blood pressure, respiration, and pulse (physiological dimensions). Data analysis describes anxiety levels, blood pressure, respiration, and pulse rates in third-trimester pregnant women. The results show that nearly all respondents were aged 20-35 years (80%), the majority were multigravida (57.5%), and most were employed (54.2%). The psychophysiological profile of third-trimester pregnant women indicates that most fall into the moderate anxiety category (63.3%), with an average systolic blood pressure of 133.5, diastolic of 85.13, average respiration rate of 22.92, and an average pulse rate of 91.55. Midwives play a crucial role in helping pregnant women adapt to these psychophysiological changes, covering both physical and psychological aspects, thereby ensuring the well-being of the mother and baby during pregnancy.
PROVISION OF COUNTERPRESSURE AND LAVENDER AROMATHERAPY IN REDUCING PERCEIVED LABOR PAIN Yusniarita, Yusniarita; Laasara, Nurun; Sari, Wenny Indah Purnama Eka
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 10, No 1 (2025): March
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30604/jika.v10i1.3084

Abstract

Improperly managed labor pain can disrupt uterine activity, leading to prolonged labor. Non-pharmacological methods, such as counterpressure and aromatherapy, are effective in reducing pain and anxiety during the first stage of labor. Aromatherapy, particularly with lavender, provides a calming effect on the body and mind, helping to alleviate stress and pain perception. This study aims to assess the combination of counterpressure and lavender aromatherapy in reducing labor pain during the active phase of stage I labor. A quasi-experimental design with a pretest-posttest control group approach was used. The study included 140 laboring women in the active phase of stage I labor from Bantul, Yogyakarta, and PMB Rejang Lebong, Bengkulu. Participants were selected through purposive sampling, and pain levels were measured using the Visual Analog Scale (VAS). The intervention group received both counterpressure and lavender aromatherapy, while the control group was given lavender aromatherapy and deep breathing techniques. Data were analyzed using a dependent t-test, revealing a significant effect of the combined intervention in reducing labor pain (p-value 0.005). Counterpressure and lavender aromatherapy are recommended as effective non-pharmacological strategies for managing labor pain during the active phase of stage I labor
Pelatihan Pembuatan Biskuit Booster Asi Dan Perawatan Payudara Untuk Meningkatkan Volume Asi Ibu Menyusui: Training on Making Breast Milk Booster Biscuits and Breast Care to Increase Breast Milk Volume in Lactating Mothers Dewiani, Kurnia; Himalaya, Dara; Suryati, Suryati; Destriyani, Sri Nengsih; Sari, Wenny Indah Purnama Eka
Jurnal Abdi Keperawatan dan Kedokteran Vol 5 No 1 (2026): Jurnal Abdi Kesehatan dan Kedokteran
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/jakk.v5i1.138

Abstract

The low coverage of exclusive breastfeeding in Mojo Rejo Village, Rejang Lebong Regency, is influenced by multiple factors, including limited maternal knowledge of lactation management, inadequate breast care techniques, and suboptimal nutritional intake during breastfeeding. This community service program aimed to implement research findings through an integrated training approach to increase breast milk volume and improve the success of exclusive breastfeeding. The program was conducted in the form of training sessions for breastfeeding mothers. The population included all breastfeeding mothers in Mojo Rejo Village, with a sample of 30 participants who attended and actively took part in the activities. The main variables addressed were knowledge of exclusive breastfeeding, skills in preparing breast milk booster biscuits, and skills in performing breast care. The instruments used consisted of educational materials, live demonstrations, and supporting teaching aids. The biscuit-making training utilized locally available ingredients, namely moringa leaf flour (Moringa oleifera) and tuna fish oil (Thunnus sp). The effectiveness of the program was assessed through participatory observation and skill evaluation. Data were analyzed descriptively to measure improvements in participants’ knowledge and practical skills. The evaluation results showed a 90% increase in participants’ knowledge regarding exclusive breastfeeding. In addition, there was a 70% improvement in participants’ skills in producing breast milk booster biscuits as an alternative supplementary food, and a 100% improvement in their ability to independently perform breast care practices. These findings indicate that the training successfully enhanced mothers’ capacity to optimize breast milk production. In conclusion, the integrated training program combining lactation education, breast care practice, and the preparation of locally sourced nutritional supplements was effective in improving breastfeeding mothers’ knowledge and skills. As a recommendation, similar mentoring and training models may be adopted by health workers and communities in other areas to address low breast milk production and exclusive breastfeeding coverage, while also empowering local communities through the utilization of local resources.
The Influence of Birth Ball Exercise and Lemon Aromatherapy on Cortisol Levels in Pregnant Women Wenny Indah Purnama Eka Sari; Kurniyati; Yusniarita; Ida Mardalena
Jurnal Penelitian Pendidikan IPA Vol 12 No 3 (2026)
Publisher : Postgraduate, University of Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jppipa.v12i3.14741

Abstract

Pregnancy is a natural and physiological condition. During pregnancy, various changes occur in the body due to the hormones estrogen and progesterone, which affect both the physical and psychological conditions of the mother. Anxiety during pregnancy is an emotional reaction related to the mother's concerns about her baby. Persistent anxiety can affect the sympathetic nervous system and the release of the stress hormone cortisol. The purpose of this study is to examine the effect of birth ball exercise and lemon aromatherapy on cortisol levels in pregnant women. This study employed a posttest-only control group approach in a quasi-experimental design. Thirty third-trimester pregnant women who engaged in pregnancy exercises made up the study sample; they were chosen using purposive sampling. For four weeks, the respondents in the intervention group received the lemon aromatherapy and birth ball exercise twice a week for forty-five minutes each. A questionnaire with respondent characteristics and a cortisol level column were part of the research tool. The non-parametric Mann-Whitney test was used for data analysis. The average cortisol levels in the intervention group and the control group differed significantly, as indicated by the results, which showed p = 0.000. This indicates that cortisol levels in third-trimester pregnant women are considerably impacted by lemon aromatherapy and birth ball exercise. cortisol levels are lowered by the physiological and psychological effects of the birth ball exercise and lemon aromatherapy, which relax the body and calm the mind. Pregnant women may benefit from combining lemon aromatherapy with birth ball exercise to lower anxiety levels and avoid excessive cortisol elevation.
Pemberdayaan Peran Kader dalam Meningkatkan Produksi ASI melalui Teknik Pijat Laktasi Optimalkan Kesehatan Bayi Kurniyati Kurniyati; Wenny Indah Purnama Eka Sari; Indah Fitriandini; Farida Esmianti
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 9, No 5 (2026): Volume 9 Nomor 5 (2026)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v9i5.25420

Abstract

ABSTRAK Pemberian ASI ekslusif merupakan salah satu global target for nutrition dari Majelis Kesehatan Sedunia atau World Health Assembly yaitu meningkatkan angka ASI ekslusif untuk bayi sampai dengan umur 6 bulan. Cakupan ASI eksklusif tidak lepas dari masalah yang terjadi dalam proses menyusui diantaranya kepercayaan yang salah bahwa ASI keluar sedikit atau ASI kurang mencukupi kebutuhan bayi. Produksi ASI yang sedikit menjadi penyebab paling sering terhadap terjadinya kegagalan dalam menyusui. Pijat Laktasi merupakan salah satu upaya efektif dalam meningkatkan produksi ASI. Kader posyandu merupakan kader kesehatan yang berasal dari warga masyarakat yang dipilih masyarakat serta bekerja dengan sukarela untuk membantu peningkatan kesehatan masyarakat di wilayah kerja Posyandunya, sehingga kehadiran kader akan sangat mudah diterima oleh masyarakat. Kader mempunyai peran sebagai penggerakan masyarakat, penyuluhan, dan pemantauan. Tujuan pengabdian masyarakat ini adalah pemberdayaan peran kaderdalam meningkatkan produksi ASI melalui teknik pijat laktasi dalam mengoptimalkan kesehatan bayi, dengan khalayak sasaran adalah 23 orang kader kesehatan. Pelaksanaan kegiatan pelatihan selama 2 hari dengan materi tentang upaya meningkatkan produksi ASI dengan pijat laktasi dan praktikum langsung tehnik pijat laktasi serta pendampingan kader dalam penerapan pijat laktasi pada ibu menyusui. Hasil kegiatan menunjukkan adanya peningkatatan pengetahuan dan keterampilan kader dalam upaya peningkatan produksi ASI dengan tehnik pijat laktasi dalam optimalkan kesehatan bayi setelah dilakukan pelatihan. Kegiatan pengabdian masyarakat ini berjalan dengan baik dan kader kesehatan yang telah di latih dapat menerapkan langsung apa yang sudah diajarkan kepada ibu menyusui. Kata Kunci: Pemberdayaan Kader, Produksi ASI, Pijat_Laktasi, Kesehatan Bayi.  ABSTRACT Exclusive breastfeeding is one of the global nutrition targets of the World Health Assembly, which aims to increase exclusive breastfeeding rates for infants up to 6 months of age. Exclusive breastfeeding coverage is inseparable from issues that arise during the breastfeeding process, including the misconception that breast milk production is low or insufficient for the baby's needs. Low milk production is the most common cause of breastfeeding failure. Lactation massage is an effective way to increase breast milk production. Integrated health service post (Posyandu) cadres are community-selected health workers who volunteer to help improve public health in their area. Their presence is easily accepted by the community. Cadres play a role in community mobilization, outreach, and monitoring. The purpose of this community service is to empower the role of cadres in increasing breast milk production through lactation massage techniques to optimize infant health, with the target audience being 23 health cadres. Methods: The implementation of the training activities for 2 days with material on efforts to increase breast milk production with lactation massage and direct practice of lactation massage techniques and mentoring cadres in applying lactation massage to breastfeeding mothers. The results of the activity showed an increase in the knowledge and skills of cadres in efforts to increase breast milk production using lactation massage techniques to optimize infant health after the trainingThis community service activity went well, and the trained health cadres were able to directly apply what they had learned to breastfeeding mothers. Keywords: Cadre Empowerment, Breast Milk Production, Lactation Massage, Infant Health.
The Effect of Acupressure and Lavender Aromatherapy on Breast Milk Production and Uterine Involution in Post Partum Mothers Kurniyati; Wenny Indah Purnama Eka Sari; Kartinazahri; Yusnaini; Derison Marsinova Bakara
Jurnal Penelitian Pendidikan IPA Vol 12 No 5 (2026)
Publisher : Postgraduate, University of Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jppipa.v12i5.15083

Abstract

During the postpartum period, two processes occur: uterine involution and lactation. Acupressure can help maximize prolactin and oxytocin receptor activity, minimize the side effects of delayed breastfeeding in the baby, and influence oxytocin release, which triggers uterine muscle contractions and retraction, thereby accelerating uterine involution. Lavender aromatherapy induces a relaxing effect through the central nervous system, which can help increase oxytocin production—a hormone that plays a role in boosting breast milk production—and triggers uterine contractions to accelerate uterine involution. The objective of this study is to determine the effects of acupressure and lavender aromatherapy on breast milk production and uterine involution in postpartum mothers before and after intervention. The study used a quasi-experimental pretest-posttest design with a control group. The population consisted of breastfeeding postpartum mothers at the PMB in Curup City, Rejang Lebong Regency, and the PMB in Aceh Besar City. The sample was selected using simple random sampling and included 82 respondents divided into two groups of 41 each. The research instrument consisted of a questionnaire designed to gather information about the respondents' characteristics, as well as an observation sheet to monitor breast milk production and assess uterine involution. The acupressure therapy intervention involved applying pressure to three specific points: Large Intestine 4 (LI 4), Stomach 36 (ST 36), and Small Intestine 1 (SI 1). This was complemented by the use of lavender aromatherapy. The study results indicated that both acupressure and lavender aromatherapy had a significant impact on breast milk production and uterine involution (P ≤ 0.05). Overall, the administration of acupressure and lavender aromatherapy proved to be effective in enhancing breast milk production and promoting faster uterine involution in postpartum mothers.
PENGARUH PEMBERIAN REBUSAN KAYU MANIS (CINNAMON) DENGAN LAMA PENYEMBUHAN LUKA PERINEUM PADA IBU POSTPARTUM Ria Elvida; Kurniyati; Wenny Indah Purnama Eka Sari
Journal of Midwifery Science and Women's Health Vol. 7 No. 1 (2026): JMSWH
Publisher : Jurusan Kebidanan Poltekkes Kemenkes Jakarta I

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36082/jmswh.v7i1.2603

Abstract

Laserasi perineum atau luka perineum adalah robekan yang terjadi pada perineum yang biasanya disebabkan oleh trauma saat persalinan. Luka perineum dikatakan sembuh apabila kondisi luka nampak kering, menutup serta tidak ada tanda-tanda infeksi. Upaya dalam mempercepat penyembuhan luka perineum dapat menggunakan terapi farmakologi dan nonfarmakologi. Terapi non farmakologi yang dapat mempercepat penyembuhan luka perineum yaitu rebusan kayu manis (cinnamon). Tujuan penelitian ini untuk mengetahui pengaruh pemberian rebusan kayu manis (cinnamon) dengan lama penyembuhan luka perineum pada ibu postpartum. Metode dalam penelitian quasi eksperimen design dengan menggunakan rancangan nonquivalent control group post test only. Teknik pengambilan sampel dalam penelitian ini adalah purposive sampling. Sampel dalam penelitian ini adalah ibu postpartum dengan luka perineum, jumlah sampel pada penelitian ini sebanyak 36 orang dengan kriteria inklusi dan eksklusi. Pengumpulan data menggunakan kuisioner untuk karakteristik responden dan lembar observasi skala skor REEDA (redness, edema, ecchymosis, discharge dan approximation) untuk menilai penyembuhan luka dan untuk menilai lama penyembuhan luka dilihat dari berapa hari luka sembuh. Hasil penelitian didapatkan nilai p value 0.000 (<0.05) ada pengaruh rebusan kayu manis (cinnamon) terhadap lama penyembuhan luka perineum pada ibu postpartum. Rebusan Kayu manis dapat dijadikan alternatif asuhan kebidanan untuk mempercepat penyembuhan luka perineum