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POTENSI AROMATERAPI DAN AKUPRESUR SEBAGAI INTERVENSI NON-FARMAKOLOGIS UNTUK MEREDUKSI KECEMASAN PADA IBU HAMIL: TINJAUAN LITERATUR SISTEMATIS TERHADAP STUDI KLINIS TERKINI Yulizawati, Yulizawati; Aprila, Prety Zinta; Ridwan, Laila Hijradesy; Amira, Suci
Media Penelitian dan Pengembangan Kesehatan Vol. 35 No. 2 (2025): MEDIA PENELITIAN DAN PENGEMBANGAN KESEHATAN
Publisher : Poltekkes Kemenkes Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34011/jmp2k.v35i2.3195

Abstract

Anxiety during pregnancy is a prevalent global health concern affecting 15–23% of pregnant women and is associated with adverse outcomes such as preterm birth and impaired fetal development. Non-pharmacological therapies, including aromatherapy and acupressure, have gained popularity due to their low risk of side effects and cost-effectiveness compared to pharmacological interventions. This study aimed to systematically review recent clinical evidence on the efficacy and safety of these therapies in reducing anxiety among pregnant women. This systematic literature review adhered to PRISMA guidelines, with searches conducted across Wiley Online Library, Google Scholar, PubMed, Science Direct, and Taylor & Francis databases from 2014 to 2024. Keywords included “aromatherapy,” “acupressure,” “anxiety,” and “pregnancy.” Out of 1,614 identified articles, 12 studies met inclusion criteria based on PICOS framework. Study quality was assessed using AMSTAR and the Cochrane Risk of Bias Tool. Aromatherapy significantly reduced anxiety levels through modulation of the limbic system and increased serotonin release. Acupressure applied at specific points was also effective by stimulating endorphin release. Both therapies demonstrated a favorable safety profile without serious adverse effects. Clinical studies conducted in Indonesia further support the feasibility of implementing these interventions within local midwifery care settings. However, protocol heterogeneity and small sample sizes warrant further standardized, large-scale research. Aromatherapy and acupressure are effective, safe, and affordable non-pharmacological interventions for reducing anxiety in pregnant women. Their integration into maternal and child health services requires development of standardized operational procedures, healthcare provider training, and further research to validate long-term efficacy.
Narrative Review of The Effectiveness of Rolling Massage and Endorphin Massage on ASI Production in Breastfeeding Mothers Aprila, Prety Zinta; Hardisman, Hardisman; Yulizawati, Yulizawati
Journal of Midwifery Vol. 8 No. 2 (2023): Published on Desember 2023
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jom.8.2.15-24.2023

Abstract

Background: World Health Organization (WHO) in 2020 stated that 149.2 million children under 5 years old are affected by stunting. National Statistics Center of Indonesia (BPS) stated that 5.2% of child under 2 years were in underweight condition and 1.2% of them were very underweight. Based on Indonesian Health Ministry Regulation (No. 23 of 2014), efforts to implement balanced nutrition to overcome chronic nutritional problems can be done through exclusive breastfeeding. Besides that, in 2020, West Sumatra province experienced a decrease in the percentage of breastfeeding from (77.6%) to (69.7%), which was caused dominantly by factor decreased of breast milk production and secretion by 32%. WHO states that there are 10 steps for successful exclusive breastfeeding, one of which is breast care, that can be achieved by giving of rolling massage and endorphin massage, which not many people know about.Purpose: The aim of this literature study is to present information about the application of rolling massage and endorphin massage as a way to accelerate and increase breast milk production.Methods: This research  method  was  a  literature  review  study.  Journal  searches  were carried out by applying online database such as Pubmed, Garuda Portal, ScienceDirect and Google scholar. Articles were selected based on inclusion and exclusion criteria.Results: The analysis was carried out on 22 research articles. It was found that Rolling massage and endorphin massage are non-pharmacological techniques for breast care performed on the mother's back, neck and arms to trigger the excretion of the hormones prolactin and oxytocin.Conclusion: The influence of rolling massage and endorphin massage is useful in overcoming breast milk production constraintsKeywords: breastfeeding, breast milk, rolling massage, endorphin massage, breast care
The Relationship Between Midwives' Knowledge and Attitudes Toward The Provision of Acupressure to Reduce Pain During Labor Fitria, Henni; Yulizawati, Yulizawati; Bradinda, Sisca; Mardiyah, Radhiyatan
Journal of Midwifery Vol. 8 No. 2 (2023): Published on Desember 2023
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jom.8.2.62-68.2023

Abstract

Myometrial contractions, which cause labor pain, are a physiological process that varies in intensity depending on the individual. Most women who go through labor feel pain, but not all of them deal with it well. Anxiety and irregular labor might result from improper management of labor pain. It is possible to lessen labor pain by using both pharmaceutical and non-pharmacological interventions. In order to prepare moms and lower maternal anxiety during labor, non-pharmacological therapies like acupressure are thought to lessen the severity of labor pain. From August to October 2023, research using a cross-sectional study design was carried out at the Independent Midwife Practice in Padang City. Up to 40 midwives who worked or had their own independent midwifery practice in Padang City made up the research sample. Systematic random sampling was used to collect the samples. Chi square analysis test (p≤0.05) was used for both univariate and bivariate data analysis. The findings demonstrated that 47.5% of respondents had strong knowledge, and 72.5% had a positive attitude. The bivariate test results, with p values of 0.018 and 0.044, indicated a link between respondents' knowledge and attitude toward the supply of acupressure. When it comes to the providing of labor acupressure, knowledge and attitude are significantly correlated.
Pregnancy-related malaria prevention with insecticide-treated nets (ITNs) : a review of the relevant literature Yulizawati, Yulizawati; Silmi, Harridhil; Intasir, M. Pemberdi
Journal of Midwifery Vol. 8 No. 2 (2023): Published on Desember 2023
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jom.8.2.69-75.2023

Abstract

Introduction: Every year, an estimated 125 million pregnancies are at risk of contracting malaria. Malaria poses a risk to both the mother and the fetus since pregnant women are more likely to get it than non-pregnant women. Newborns, fetuses, and pregnant women are all susceptible to malaria infection. It is frequently associated with anemia, intrauterine growth restriction (IUGR), and issues such as low birth weight and trans placental parasitemia. From the first point of contact, insecticide-treated nets (ITNs) can help shield the pregnant mother and her unborn child from malaria. Methods: A range of English-language journal articles and case studies were reviewed in the development of this literature review  that were released after 2018 in the field of study. Electronic searches were performed on a number of databases, including ScienceDirect and PubMed. Results: A screening procedure was carried out on 189 articles to show that the sources used were relevant and useful. Ultimately, it was determined that 5 papers would serve as the sources for this literature study. ITNs are an effective way to reduce the negative outcome for pregnant mothers who catch malaria during pregnancy, as our assessment of the literature has shown. Studies demonstrate the efficacy of ITNs in reducing the likelihood of unfavorable consequences for expectant mothers who catch malaria during pregnancy.  Conclusion: the efficiency of ITNs in reducing the likelihood that pregnant women who catch malaria during pregnancy will experience unfavorable outcomes. Encouragement of husbands and other important family members to support their spouses' use of ITNs . Reiterating the policy's emphasis on malaria prevention education as a critical element is required to boost the use of free ITNs in healthcare settings
Mastitis in lactating women: A case report Yulizawati, Yulizawati; Silmi, Harridhil; Intasir, M. Pemberdi
Journal of Midwifery Vol. 8 No. 2 (2023): Published on Desember 2023
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jom.8.2.76-80.2023

Abstract

Mastitis, or breast inflammation, is classified as either non-lactational or lactational. Mastitis that occurs during lactation is the most prevalent type. Worldwide, only 50% of women are able to breastfeed for six months. It could be the result of an inflammatory breast condition, such as puerperal mastitis or milk stasis, which in certain cases requires supplementation or stopping breastfeeding entirely. We describe a complicated case of a primipara patient who appeared three months after giving birth with lactational mastitis. In this review, we emphasize how crucial multidisciplinary teamwork using Midwifery care is to accurate diagnosis and successful treatment. We go over the usage of oral antibiotics and provide examples of the kind of client support needed to help patients heal and successfully breastfeed during the postpartum phase. Giving the mother the right care and guidance is therefore crucial since poorly managed mastitis can result in an early end to breastfeeding and cause suffering for both the mother and the child.
Sustainable Midwifery Care (Continuity Of Care) In The Preconception Period in The Working Area Of The Pagambiran Health Center Padang City Yulizawati, Yulizawati; Aprila, Prety Zinta; Intasir, M. Pemberdi
Journal of Midwifery Vol. 9 No. 1 (2024): Published on June 2024
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jom.9.1.52-58.2024

Abstract

Background: Based on World Health Organization (WHO) data in 2021 that Maternal Mortality Rate (MMR) in the world caused by complications pregnancy and childbirth reached 295,000 (810 per day) people. Meanwhile, The maternal mortality rate in Indonesia recorded in the Indonesian health profile in 2021 is 7,389 mothers in West Sumatra Province. The maternal mortality rate also increased from 125 people in 2020 to 193 people in 2021. This phenomenon is not in accordance with Indonesia's Sustainable Development Goals (SDGs), which states that the maternal mortality rate target is a maximum of 70 deaths per 100,000 live births by 2030. So, the implementation of midwifery Continuity of Care (CoC) is very important as promotional and preventive step to prevent mother complication during pregnancy. Purpose: Providing CoC midwifery care to women during the preconception period. Methods: Implementation of midwifery care in a continuity of care manner with assessment according to midwifery science aims to help women solve the problems they face, with various steps consisting of basic data assessment, data interpretation, potential diagnosis, immediate action, drawing up a comprehensive care plan, implementation, and evaluation, as well as recording through SOAP documentation. S (Subjective) O (Objective) A (Assessment) P(Planning). Results: The condition of the 4 clients was obtained with 2 clients, namely Mrs.V 29 years old with a history of 1 eracs and 1 abortion and Mrs. child and wants to get it back. Apart from that, 2 other clients, namely Mrs.C, 28 years old and Mrs.A, 29 years old, have not been successful in getting pregnant till date. Increasing client knowledge in the form of material discussed with interactive discussions using posters, leaflets and educational videos. Conclusion: Regulation of Health Ministry of Indonesia (PMK 21 of 2021) has regulated the implementation of CoC which aims to reduce morbidity and mortality rates for mothers and newborns. Keywords: midwifery, continuity of care, maternal mortality rate.
The Impact of Ice Massage at SP6 and LI4 Point on Labor Pain and Anxiety : a literature review Yulizawati, Yulizawati; Intasir, M. pemberdi
Journal of Midwifery Vol. 9 No. 1 (2024): Published on June 2024
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jom.9.1.121-129.2024

Abstract

Background: A midwife's fundamental care includes lowering anxiety, improving comfort, and managing labor pain. The health of the mother and fetus is adversely affected by some pharmacologic techniques for reducing labor pain. Applying ice massage to acupressure points can have a variety of benefits, including promoting energy flow there and reducing stress and discomfort by activating peripheral nerve receptors. Activating the spleen (SP6) and large intestine (L14) points reduces labor pain and alleviate anxiety. Purpose: The aim of this paper is to review the literature to identify the effect of ice massage on labor pain and anxiety at SP6 and LI4 point. Methods : A narrative review of journal articles was conducted. Databases searched were PubMed and Google Scholar. Search terms used were “ice massage”, “labor pain”, and “anxiety”. Limitations included ‘English language’and ‘published between 2000–2024. Results : Reviewed for this paper were 10 studies that met the inclusion criteria. Results were categorised using thematic analysis. Themes that emerged were labor pain and anxiety and will be explored under these themes. Conclusions : The impact of ice massage on labor discomfort and anxiety has been covered in this review of the research. Most of the research articles that were used to source this review were conducted at SP6 and LI4 stages and published in clinical trials. The results of the study showed that applying ice massage to the LI4 and SP6 sites reduced labor discomfort. A midwife may think about using ice massage as a technique to lessen anxiety. Midwives can utilize the results of this study to manage labor discomfort.
Analysis of Factors Associated with the Incidence of Unmet Need in Women of Reproductive Age Yulizawati, Yulizawati; Fitria, Henni; Oktova, Rafika; Mardhiah, Radhiyatan; Silmi, Harridhil
Journal of Midwifery Vol. 9 No. 1 (2024): Published on June 2024
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jom.9.1.130-138.2024

Abstract

Background: Rapid population growth is a pressing concern with widespread implications, including potential food and energy crises. To address this issue, the Indonesian government has implemented Family Planning (FP) programs. However, the total fertility rate (TFR) continues to rise. A high unmet need for family planning is a significant contributing factor. Unmet need for family planning is defined as the percentage of women of reproductive age, whether married or in a union, who have an unmet need for family planning. Purpose: The aim of this study was to determine the factors associated with the incidence of unmet need among women of reproductive age at the Padang City Community Health Center. Method: A cross-sectional methodology and analytical observational study design were used. The study included 95 non-pregnant women of reproductive age in Padang City. The sample size was determined using a quota sampling approach. Data were analyzed using the Chi-Square test with a 95% Confidence Interval (CI). Results: The results indicated that the p-value was 0.000, which is ≤ 0.05, indicating a significant correlation between knowledge, attitude, and the incidence of unmet need. Conclusion: These findings suggest that addressing these factors could be an effective strategy for decreasing the incidence of unmet need among women of reproductive age. Health providers need to raise awareness about family planning and enhance women's understanding of the importance of utilizing family planning services
Literature Review Benefits of Moxa Therapy for Postpartum Women Yulizawati, Yulizawati; Putri, Viorika Marsafa
Journal of Midwifery Vol. 9 No. 2 (2024): Published on Desember 2024
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jom.9.2.86-92.2024

Abstract

Background: The postpartum period is a crucial period for the mother's recovery after childbirth. One of the health problems that commonly occurs in postpartum mothers is low back pain (LBP), which can affect the quality of life and ability to care for the baby. Moxa therapy is a traditional treatment method that is believed to reduce pain and speed up recovery. Objective: This article aims to review the benefits of moxa therapy for postpartum women Method: A literature search was carried out through the PubMed, Google Scholar, and Scopus databases using the keywords Moxa therapy postpartum, moxibustion for postpartum recovery, moxa massage for postpartum mothers, and traditional Chinese medicine for postpartum. Articles that met the inclusion criteria were published within the last 5 years and discussed the benefits of moxa therapy for postpartum women. Conclusion: Moxa therapy has various benefits in reducing lower back pain in postpartum women, including improving blood circulation, reducing inflammation, relaxing tense muscles, and improving quality of life. With increasing interest in traditional medicine, moxa therapy may be an effective and safe option for postpartum women with lower back pain.
Empowerment of Health Volunteers for Optimizing MCH and Family Planning (KB) Services During the COVID-19 Pandemic in Nagari Kambang Utara Yulizawati, Yulizawati; Syah, Nur Afrainin; Firdawati, Firdawati; Maputra, Yantri; Yulika, Marzatia; Afrah, Rahmayani; Lubis, Siska Ilannur; Aprila, Prety Zinta; Putri, Viorika Marsafa
Journal of Midwifery Vol. 9 No. 2 (2024): Published on Desember 2024
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jom.9.2.93-99.2024

Abstract

During the Covid-19 pandemic, there was a decrease in the availability of Maternal and Child Health (MCH) and contraceptive services, reduced access to services, and increased risk of infection for health workers. coverage of antenatal care, contraception and immunization has decreased significantly. Nagari Kambang Utara also experienced a decrease in the coverage of MCH services during the pandemic. Therefore, to support the recovery of maternal and child health services during the pandemic, health workers need to work together with cadres to reach all communities in order to get the health services they need. Empowering cadres is a step that is needed to help optimize maternal and child health services during the COVID-19 pandemic. The method of activities carried out is by using participatory methods from the target group, namely the health partners and the community of Nagari Kambang Utara. The activity began with conducting a workshop related to the formation of health cadres for the Nagari Kambang Utara. After the workshop was carried out, it was continued with data collection for cadres and training of health cadres in accordance with the work focus, namely cadres of pregnant women, maternity mothers, postpartum mothers, breastfeeding mothers, infant and toddler cadres and family planning cadres. The proposing team and partners agreed to work together to optimize the performance of health cadres by conducting cadre training and evaluation and agreed to carry out cooperation in the next 5 years. The results of this activity are expected to increase the achievement of MCH and family planning services and decrease MMR and IMR.