Adriana Palimbo
Department of Midwifery, Faculty of Health, Sari Mulia University, Banjarmasin, Indonesia

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Treatment of perineal wounds using complementary alternative therapies: Evidence based case review Lailatul Rahmah; Fitri Yuliana; Adriana Palimbo; Rabia Wahdah; Irma Putri Rahayu
Health Sciences International Journal Vol. 2 No. 1: February 2024
Publisher : Ananda - Health & Education Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71357/hsij.v2i1.14

Abstract

Background: Perineal wounds can cause pain, inflammation, and mechanical trauma and even affect daily mobility. Furthermore, over a long period, prolonged pain can also cause women to become irritable, tired, and even depressed. Midwives are responsible for providing episiotomy pain management services and offering evidence-based good practices for such problems or complaints. Objective: This evidence-based case review aims to determine the results of alternative treatments in relieving and healing perineal wound pain, both spontaneous tears during childbirth and suture wounds. Method: This review is based on a good practice stage report carried out by a group of midwife professional program students who handled midwifery care in the Fatimah Azzahra postpartum ward, Islamic Hospitals, Banjarmasin, in June 2023 with cases including spontaneous lacerations, episiotomies, and second-degree suturing. Then, three articles were assessed and analyzed to provide comparison and evidence relevant to our case report.  Criteria indicators use the PICO format. Findings: The problem was seen in episiotomy wound pain, with some differences in intervention, including lavender oil, ice blocks, rosemary cream, and lavender oil vapor. Furthermore, the comparison between the studies was the group of material used, method, and design of interventions. The outcomes were reduced local temperature of the skin and subcutaneous tissue and a lower rate of the wound in the intervention. Conclusion: Complementary therapy of midwifery care in hospitals has been implemented quite well as long as it does not conflict with procedures, raw materials are easy to obtain, and it is also under continuous supervision by other practitioners.
The correlations between the determinants of women's health during pregnancy to the incidence of stunting Nur Lathifah; Linda Kusumawati; Adriana Palimbo; Fathonatun Jannah
Health Sciences International Journal Vol. 2 No. 1: February 2024
Publisher : Ananda - Health & Education Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71357/hsij.v2i1.17

Abstract

Background: WHO's target of reducing stunting below 20% has not been achieved in Indonesia, especially in Banjar Regency, with a prevalence of 33.45%. Lok Buntar village became the locus of stunting, where 38.7% of the 116 children under five were stunted, with several determining factors including age at pregnancy, a woman's height, birth spacing, nutritional status, and anemia. Objective: This study aims to determine the relation between determinants of maternal health during pregnancy and the incidence of stunting in Lok Buntar Village, Banjar Regency. Method: This type of observational analytic research with a retrospective design case-control approach. The total sample of 90 pregnant women, consisting of 45 cases and 45 controls, was taken by random sampling technique. Secondary data collection instruments used were checklists, cohorts of mothers and toddlers, and MCH books. Results: Findings show that the age of women during pregnancy is 84.0% at risk between 20 to 35 years, p-value 0.000. The spacing of births within two years was 70.4%, while the spacing of more than two years was 41.3%, with a p-value of 0.021. Respondents who have a height below 150 cm are 68.6%, with a p-value of 0.009. The nutritional status of pregnant women experiencing caloric energy deficiency is 84.2%, with a p-value of 0.002. Meanwhile, anemia and the risk of stunting were 89.7%, with a p-value of 0.000. Conclusion: The determinants of women's health during pregnancy have significant correlations with the incidence of stunting.