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The Effect of Perineal Massage on Third Trimester Pregnant Women in Preventing Perineal Rupture Mita Stianto; Siti Fatimah; Fatmawati Fatmawati
Jurnal Keperawatan Profesional Vol 14, No 2 (2026): Nursing in a Multicultural Environment
Publisher : Nurul Jadid University, Probolinggo, East Java, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33650/jkp.v14i2.13420

Abstract

Perineal rupture is a common complication of vaginal delivery and can cause pain, bleeding, and impaired reproductive function that impacts the mother's quality of life after delivery. One non-pharmacological prevention effort that can be done is perineal massage in the third trimester of pregnancy to increase the elasticity of the perineal tissue. This study aims to determine the effect of perineal massage on the incidence of perineal rupture in pregnant women in the third trimester. Methods: The study used a quasi-experimental design with a pretest–posttest control group design model. The sample consisted of 30 pregnant women in the third trimester who were divided into an intervention group and a control group, each with 15 respondents. Control of confounding variables was carried out through inclusion criteria and the provision of the same initial education. Data analysis used the Mann–Whitney test. The results showed a p value = 0.021 (p <0.05), so Ho was rejected and H1 was accepted, so there was a significant effect of perineal massage on the incidence of perineal rupture in pregnant women in the third trimester.  The conclusion is that perineal massage is effective in reducing the incidence of perineal rupture, so it is recommended as part of education classes for pregnant women with the assistance of health workers
The Effect of Red Spinach Pudding on Increasing Haemoglobin Levels in Adolescent Girls Siti Fatimah; Alfira Fitriana; Nurul Khoirun Nisa; Achmad Fauzi
Jurnal Keperawatan Profesional Vol 14, No 1 (2026): Challenges and Integrated Approaches in Various Clinical Conditions
Publisher : Nurul Jadid University, Probolinggo, East Java, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33650/jkp.v14i1.13412

Abstract

Anemia is one of the major global he~alth problems and a primary conce~rn in developing countries, particularly in Indonesia. An estimated one-third of the world’s population experiences anemia, with adolescent girls representing one of the most vulnerable group.  One non-pharmacological way to treat anemia is by increasing the intake of foods high in iron, such as red spinach. Red spinach (Amaranthus tricolor L.) contains iron, vitamin C, and antioxidants that play a role in increasing hemoglobin formation. This study aims to analyze the effect of red spinach pudding on increasing hemoglobin levels among adolescent girls. This research employed a quasi-experimental design with a one-group pretest–posttest. The sample consisted of 26 respondents selected total sampling technique,  normal data was obtained that used the paired simple t-test analysis. The results showed a highly significant difference between hemoglobin levels before and after the administration of red spinach pudding, with p value = 0.000 (< 0.05), a mean difference of 1.42, and a Standard Deviation (SD) difference of 0.69.  The study findings that red spinach pudding effectively increases hemoglobin levels among adolescent girls and may serve as a promising nutritional intervention for the prevention and management of anemia in this population