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PENGARUH SENAM NIFAS TERHADAP INVOLUSI UTERI PADA IBU POSTPARTUM PRIMIGRAVIDA TPMB BDN. ESTHER, KAMAL MUARA, PENJARINGAN JAKARTA UTARA TAHUN 2024 Nelli, Ermeida; Sartika, Dewi; Delta Sarimarini, Masayu
JURNAL ILMIAH OBSGIN : Jurnal Ilmiah Ilmu Kebidanan & Kandungan P-ISSN : 1979-3340 e-ISSN : 2685-7987 Vol 16 No 4 (2024): DESEMBER
Publisher : NHM PRESS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36089/job.v16i4.2522

Latar Belakang: Involusi uteri merupakan pengecilan normal suatu organ setelah organ tersebut menjalankan fungsinya, salah satu contohnya adalah pengecilan uterus setelah proses melahirkan. Involusi uteri merupakan suatu proses mengecilnya kembali rahim setelah terjadinya proses persalinan dan kembali kebentuk asal. Perdarahan merupakan penyebab utama kesakitan dan kematian Ibu pada Masa Nifas, dimana 50%-60% terjadi karena kegagalan miometrium berkontraksi secara sempurna. Salah satu asuhan untuk memaksimalkan kontraksi uterus pada masa nifas adalah dengan melaksanakan senam nifas, guna mempercepat proses Involusi Uteri. Tujuan Penelitian: Mengetahui mengetahui pengaruh Senam Nifas dengan involusi uteri pada ibu post partum primigravida Metodologi: Penelitian ini menggunakan True Ekperimental dengan desain “Pretest-Postest, Control Group Design”. Pada rancangan ini, kelompok eksperimental diberi perlakuan sedangkan kelompok control tidak. Pada kedua kelompok di awali dengan pra-test, dan setelah pemberian perlakuan selesai diadakan pengukuran kembali atau post-test. Hasil Penelitian: Ada pengaruh senam nifas terhadap Involusi Uteri pada Ibu Postpartum primigravida di TPMB Bdn. Esther, Kamal Muara, Penjaringan Jakarta Utara Tahun 2024 dengan nilai p<0,05 dan Ibu postpartum yang melakukan senam nifas mengalami involusi uteri lebih cepat dibandingkan ibu postpartum yang tidak melakukan senam nifas. Kesimpulan : Senam Nifas untuk ibu postpartum dapat memberikan pengaruh terhadap penurunan involusi uteri. Pengadaan kelas Senam nifas bagi Ibu postpartum sangat bermanfaat terutama untuk mempercepat proses Involusi Uteri.

HUBUNGAN PENGETAHUAN IBU TENTANG STUNTING DENGAN KEJADIAN STUNTING DI POSYANDU NUSA INDAH I SETU BEKASI TAHUN 2022 Nelli, Ermeida
Journal of Midwifery Tiara Bunda Vol. 1 No. 2 (2022): Journal of Midwifery Tiara Bunda (JMTB)
Publisher : Politeknik Tiara Bunda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62619/jmtb.v1i2.123

Background: Stunting is a nutritional status based on the Length or Height According to Age index with a z-score of <-2 Standard Deviation (SD). The case of stunting toddlers in Karangasem Village in March 2021 was 21.62%. The results of interviews with 10 respondents found that 60% of them, or 6 of them, had low education. Previous research on the relationship between maternal knowledge, education, and feeding parenting with stunting incidence in toddlers has been carried out with a cross- sectional design. Objective: The purpose of this study was to determine the relationship between knowledge, education, and parenting patterns of feeding with the incidence of stunting in toddlers in Karangasem Village, Bulu District, Rembang Regency. Method: This study is an observational analytical quantitative research with a case-control research design. The sampling technique was obtained through total sampling with consideration of matching residential addresses, namely a total sample of 40 consisting of 20 case samples (stunted toddler mothers) and 20 control samples (non-stunted toddler mothers). Stunting data were obtained through anthropometric methods, while educational data, knowledge, and feeding parenting data were obtained through questionnaires with the help of interviewmethods. Bivariate analysis used the McNemar test for the 2x2 table and Wilcoxon for the 2x table >2. Results: The group of stunted who had sufficient & low category knowledge was 15 (75%) respondents and in the non-stunted group 6 (30%) respondents. The group of stunted who had basic category education was 15 (75%) respondents and in the non- stunted group 13 (65%) respondents. The group of stunted cases in which the application of feeding parenting was included in the bad category was 15 (75%) respondents and in the non-stunted group 16 (80%) respondents. The results of the bivariate analysis found a relationship between maternal knowledge and the incidence of stunting in toddlers (p = 0.00, OR = 2.00), and there was no relationship between maternal education (p = 0.70) and feeding parenting (p = 1.00) with the incidence of stunting in toddlers in Karangasem Village, Bulu District, Rembang Regency. Conclusion: Maternal knowledge is a factor related to the incidence of stunting in toddlers in Karangasem Village, Bulu District, Rembang Regency (p = 0.00; OR = 2.00).

Hubungan Lingkar Lengan Atas Dengan Kejadian Anemia Pada Ibu Hamil Trimester I Di UPTD Puskesmas Cinere 2021 Nelli, Ermeida
Journal of Midwifery Tiara Bunda Vol. 3 No. 1 (2024): Journal of Midwifery Tiara Bunda (JMTB)
Publisher : Politeknik Tiara Bunda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62619/jmtb.v1i1.126

Background : Back pain that occurs in the third trimester of pregnancy along with the enlargement of the uterus, the weight point of the body is more inclined forward so that the pregnant woman adjusts her position to remain balanced, as a result of which the body will try to pull the back to be more backward, the lower spine is more curved (lordosis) and the spinal muscles shorten. One of the nonpharmacological interventions to relieve back pain is the five basic techniques of massage. Massage using these five basic techniques includes effleurage or rubbing, friction or rubbing, petrisage or massage/squeezing, tapotage or patting/tracing, and vibratie or vibrating. Purpose : The study was conducted to determine the effect of five basic massage techniques on the back pain of pregnant women in the third trimester. Methods : The approach to this study is a one group pre test and post test design technique. A total sampling of 32 respondents of pregnant women in the third trimester, who were previously given a Numerical Rating Scale (NRS) questionnaire. The intervention of five basic massage techniques is carried out during patient visits with a duration of approximately 30 minutes. Results : Based on the results of the study on the intensity of back pain in the third trimester before (pre-test) and after (post-test) five basic massage techniques for 30 minutes were given which were analyzed using a spearman rank obtained a p value = 0.000. This shows that the value of p<0.05 which means that there is an influence of the five basic massage techniques on the intensity of back pain of pregnant women in the third trimester. Conclusion : There is an effect of intervention five basic massage techniques on the back pain of pregnant women in the third trimester. Suggestion : It is hoped that the intervention of the five basic massage techniques can be carried out as an alternative to reduce the level of back pain in pregnant women

PENGARUH RELAKSASI BENSON TERHADAP TINGKAT KECEMASAN PADA IBU HAMIL TRIMESTER III DI PMB M 2023 Nelli, Ermeida
Journal of Midwifery Tiara Bunda Vol. 1 No. 1 (2022): Journal of Midwifery Tiara Bunda (JMTB)
Publisher : Politeknik Tiara Bunda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62619/jmtb.v1i2.147

Background : The anxiety of pregnant women in the third trimester of pregnancy will increase as labor gets closer. Anxiety that is not controlled will have a negative impact on the mother and fetus if not addressed. This anxiety can cause premature birth, pre-eclampsia, and disruption of the birth process. One of the therapies used to reduce anxiety in pregnant women is benson relaxation therapy. This therapy produces endorphins, the production of which in the body can inhibit the activity of the central nervous system, thereby reducing the body's response to stress and anxiety Objective : : To determine the effect of benson relaxation therapy on anxiety in third trimester pregnant women at PMB M. Methods: This research is a quantitative study with a preexperimental design approach with a one-group pre-test-post-test design with pretest-posttest values of 2.13 and 1.30. The sampling technique used was accidental sampling and a sample of 30 respondents was obtained. Collecting data with observation sheets, using the HARS questionnaire (Hamilton Anxiety Rating Scale). Results: Hypothesis testing using the Wilcoxon test, obtained a significance value of 0.001 (<0.05) so that the hypothesis is accepted.

PENGARUH BACK MASSAGE DENGAN AROMATERAPI ESSENTIAL OIL LAVENDER TERHADAP PENURUNAN INTENSITAS NYERI PUNGGUNG PADA IBU HAMIL TRIMESTER III DI KLINIK BDN. HELMI TARIGAN TAHUN 2023 Nelli, Ermeida
Journal of Midwifery Tiara Bunda Vol. 2 No. 1 (2023): Journal of Midwifery Tiara Bunda (JMTB)
Publisher : Politeknik Tiara Bunda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62619/jmtb.v1i2.148

Back pain is one of the discomforts often felt by pregnant women entering the third trimester. Handling to reduce back pain in pregnant women, can use complementary care, one of which is by providing back massage. Back massage action can be done using lavender essential oil aromatherapy. The purpose of this study was to determine the effect of back massage with lavender essential oil aromatherapy on the back pain scale in pregnant women before and after the intervention. The research method used a quasy experimental one group pretest-posttest design. The population of this study were pregnant women at the Rizka Permata Midwife Clinic in Depok as many as 30 pregnant women, with a total research sample of 15 third trimester pregnant women with complaints of back pain, with the sampling technique using purposive sampling. The results of the study after comparing the back pain scale before and after being given the intervention obtained an average prestest of 0.00 and posttest of 6.50, this shows a difference in pain scale with the results of p-Value = 0.001 <0.05, which means that there is an effect of back massage with lavender essential oil aromatherapy on reducing back pain in third trimester pregnant women at the Bdn. Helmi Tarigan Clinic. It is expected that pregnant women who experience back pain can know how to handle it using back massage therapy with lavender essential oil aromatherapy.

PENGARUH PIJAT OKSITOSIN DENGAN MENGGUNAKAN MASSASE EFFLEURAGE UNTUK MENINGKATKAN PRODUKSI ASI DI PMB N Nelli, Ermeida
Journal of Midwifery Tiara Bunda Vol. 3 No. 2 (2024): Journal of Midwifery Tiara Bunda (JMTB)
Publisher : Politeknik Tiara Bunda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62619/jmtb.v1i1.161

The inhibiting factor in breastfeeding is the lack of milk production and the slow release can cause the mother not to give her baby enough. A small amount of breast milk production in the first days of childbirth is an obstacle in breastfeeding. This problem can be solved by doing oxytocin massage. Oxytocin massage serves to stimulate the secretion of oxytocin which stimulates the secretion of breast milk. Breastfeeding is one of the pillars that are important for baby’s health because breast milk is the most appropriate nutrition for newborn babies to a minimum of 6 months old babies. This study aims to determine the effect of oxytocin massage on breast milk production in postpartum mothers in the working area of independent practice of midwives “X” in Bekasi City, West Java in 2024. This type of research was quantitative with a Quasy experimental design. The population in this study were all postpartum mothers who experienced unsustainable breastfeeding in the Working area of independent practice of midwives “X” in Bekasi City, West java 2024 a total of 27 mothers. The sample consisted of 25 mothers with the Wilcoxon Test. The independent variable is fluency before oxytocin massage. The dependent variable is the fluency of breastfeeding after oxytocin massage in postpartum mothers. Collecting data using observation sheets and questionnaires. Data processing techniques used editing, coding, scoring, tabulating and statistical tests using the Wilcoxont statistical test. The results of this study were obtained from 25 respondents, the average fluency of breastfeeding in postpartum mothers before the oxytocin massage in the working area of independent practice of midwives “X” in Bekasi City, West Java in 2024 was 17 mothers (68%) (less fluent), while the average fluency of breastfeeding in postpartum mothers after the oxytocin massage in The working area of independent practice of midwives “X” in Bekasi City, west Java in 2024 is 25 mothers (100%)(Current). Wilcoxon shows that the p value = o, ooo

PENGARUH SEDUHAN DAUN MINT DENGAN MADU TERHADAP PENURUNAN EMESIS GRAVIDARUM PADA IBU HAMIL TRIMESTER I Nelli, Ermeida
Journal of Midwifery Tiara Bunda Vol. 4 No. 2 (2025): Journal of Midwifery Tiara Bunda (JMTB)
Publisher : Politeknik Tiara Bunda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62619/jmtb.v4i2.92

Background: Nausea and vomiting that occurs in the first trimester of pregnancy are caused by increased levels of the hormone Estrogen and Human Chorionic Gonadotropine (HCG). Emesis gravidarum causes disruption of activity, decreases appetite and occurs dehydration. According to World Health data Organization (WHO)2021, the number of cases of hyperemesis gravidarum reached 12.5% in the world. Meanwhile in Indonesiait reached 14.8%. The purpose of this study To know the effect of steeping mint leaves with honey on reducing emesis gravidarum in first trimester pregnant women at Rani Kusuma Kabupaten Tangerang. Research Methods: The research method of this type of research is pre-experimental using a one group pretest-postest design in one group, using a total sampling technique with a sample size of 10 respondents. Results: The results of the Wilcoxon test obtained a p-value of 0.008 <0.05, so Ha is accepted, meaning that there is a difference between the level of emesis gravidarum (nausea and vomiting) before and after being given mint leaves with honey, meaning that there is an effect of steeping mint leaves with honey on reducing emesis gravidarum in first trimester pregnant women at the Rani Kusuma, Kabupaten Tangerang. Conclusion: Steeping mint leaves with honey has an effect on reducing Emesis Gravidarum in first trimester pregnant women,

Accelerating Uterine Involution: The Role of Postpartum Exercise in Primary Care Settings Nelli, Ermeida
Open Access Indonesian Journal of Medical Reviews Vol. 4 No. 4 (2024): Open Access Indonesian Journal of Medical Reviews
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/oaijmr.v4i4.637

Uterine involution, the process of the uterus returning to its pre-pregnancy state, is a critical physiological event in the postpartum period. Suboptimal involution can lead to complications such as postpartum hemorrhage and prolonged lochia. Postpartum exercise has been suggested to promote uterine involution, but its efficacy in primary care settings remains under-explored. This study aimed to investigate the impact of a structured postpartum exercise program on uterine involution in women receiving care in primary care clinics. A randomized controlled trial was conducted involving postpartum women attending primary care clinics. Participants were randomly assigned to either an intervention group, receiving a structured postpartum exercise program, or a control group, receiving standard postpartum care. The primary outcome was the rate of uterine involution, assessed through serial measurements of fundal height. Secondary outcomes included duration of lochia, postpartum pain, and maternal quality of life. The study enrolled 120 women (60 per group). The intervention group demonstrated a significantly faster rate of uterine involution compared to the control group (p < 0.05). Additionally, the intervention group reported a shorter duration of lochia and improved quality of life scores. No significant differences were observed in postpartum pain between the groups. A structured postpartum exercise program implemented in primary care settings can effectively accelerate uterine involution and improve maternal well-being. These findings underscore the importance of integrating postpartum exercise into routine primary care for postpartum women.

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