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Preventing Postpartum Breast Engorgement: Cabbage Leaf Compresses vs. Marmet Technique Hadriani, Hadriani; Silfia, Niluh Nita; Usman, Hastuti; Admasari, Yuli; Rahmadani, Masita
Jurnal Bidan Cerdas Vol. 7 No. 2 (2025)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jbc.v7i2.3384

Abstract

Background: one of the common problems associated with breastfeeding and exclusive breastfeeding is breast engorgement until the incidence rate reaches 20%-70% in nursing mothers. Engorgement of the breasts can be prevented non-pharmacologically, namely by compressing cold cabbage leaves and the marmet technique. The study aimed to compare the effectiveness of cold cabbage leaf compresses and the Marmet technique in preventing postpartum breast engorgement in normal puerperal mothers. Methods: Types of pre-experimental research with One-shot case study design namely cabbage compress (duration 30 minutes) and marmet technique given 1 time. The total sample of 30 respondents, was divided by 15 respondents in each group and sampling by non-probability sampling type of consecutive sampling. The measuring instrument uses an observation sheet containing a six-point engorgement scale (SPES). Data was analyzed using the Wilcoxon and Mann-Whitney test (p<0,05). Results: analysis of the effect of cold cabbage leaf compress management and marmet technique on the prevention of breast engorgement for normal puerperal mothers was obtained in cold cabbage leaf compresses p-value of 0.014 and in the marmet technique obtained p-value 0.317. The results of the analysis of the effectiveness of the two techniques were obtained with a p-value of 0.007 or <0.05. Conclusion: Cold cabbage leaf compresses were significantly more effective in reducing breast engorgement compared to the Marmet technique in the Independent Practice of Midwives (PBM) Setia of Palu City. It is recommended to use both techniques in helping to prevent breast engorgement for normal puerperal mothers.
Quick Evaluation on Preterm Baby Developmental Care Model Focusing on the Suitable Component and Intervention in Indonesia Syamsu, Andi Fatmawati; Sulisnadewi, Niluh Komang; Hadriani, Hadriani; Rizkaningsih, Rizkaningsih
Jurnal Bidan Cerdas Vol. 5 No. 4 (2023)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jbc.v5i4.3014

Abstract

Introduction: The neonatal stage is important because of its high mortality risk. Neonatal Intensive Care Unit (NICU) is both an important and dangerous place for preterm babies since it can increase the developmental disorders in the baby. Various programs containing several early interventions for preterm babies are implemented and combined into a developmental care model. Objective: This study identified the components, contents, and interventions in the developmental care model for preterm babies that is suitable for Indonesia. Method: This qualitative research was done through Rapid Assessment Procedures (RAP) to produce information quickly to help decision-making, continued by content analysis using Microsoft Excel through several stages, namely case classification, condensing, streamlining meaning, and compiling, hence producing subcontent. Results: The DSC developmental care model looks more detailed, while NIDCM has core components of teamwork and collaboration that are not found in the DSC, thus complementing each other. Conclusion: The NIDCM developmental care model is more applicable than DSC since it can be done in the NICU with limited human resources or staff that are not yet fully trained. Both interventions need to be made shorter, and terms can be created as a combination of both so that they become alternative developmental care.
THE EFFECT OF MASASE COUNTERPRESSURE ON LABOR PAIN KALA ONE ACTIVE PHASE IN MOTHER BIRDS IN BPM SETIA Hadriani, Hadriani; Purwaningsih, Eka
Preventif : Jurnal Kesehatan Masyarakat Vol. 9 No. 2 (2018)
Publisher : Tadulako University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22487/preventif.v9i2.108

Abstract

Background & Objective: Labor pain can cause stress which can cause excessive hormone release such asketocolamine and steroids. Pain can be reduced by pharmacological techniques and non-pharmacologicaltechniques. Pharmacological techniques using analgesic drugs, while non-pharmacological techniques arepain control by using counterpressure techniques that reduce pain sensations by inhibiting pain from thesource. The purpose of this study was to determine the effect of counterpressure massage on labor pain kalaone active phase in maternity at BPM Setia. Material and Method: This research is Quasi Experimentalwith one group pretest and posttest design with a population of all mothers giving birth during the activephase at Setia BPM and a sample of 15 respondents. Data analysis using the Wilcoxon Signed Rank Test.Result: The scale of pain before counterpressure massage was performed in the first phase of activematernity, 9 respondents (60.0%) experienced severe pain, moderate pain as many as 3 respondents (20%)and very severe pain 3 respondents (20%). The scale of pain after counterpressure massage, mild pain 2respondents (13.3%), moderate pain 9 respondents (60.0%) and experiencing severe pain 4 respondents(26.7%). The bivariate analysis showed p-value = 0,000. Conclusion: There were significant differences inpain before and after counterpressure massage in the first maternal phase of active at Setia BPM.Suggestions for midwives to be able to apply counterpressure massage techniques to reduce labor pain whenI am the active phase of maternity.