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Journal : Science Midwifery

The effectiveness of reflexology on blood pressure in pregnant women AS, Emilda; Asmanidar, Asmanidar
Science Midwifery Vol 13 No 2 (2025): June: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v13i2.1933

Abstract

High blood pressure during pregnancy, such as gestational hypertension and preeclampsia, is a serious complication that can pose risks to both the mother and fetus. Foot reflexology has emerged as a promising non-pharmacological intervention to help manage blood pressure. This study aimed to systematically review the effectiveness of reflexology therapy in reducing blood pressure among pregnant women. A systematic review was conducted using 18 scientific articles published between 2013 and 2024, retrieved from Google Scholar and PubMed databases. The selected articles included both quantitative and qualitative studies focusing on the use of reflexology as an intervention for managing blood pressure during pregnancy. The data analyzed covered research design, sample size, intervention protocols, and blood pressure outcomes. The findings indicate that foot reflexology consistently reduces both systolic and diastolic blood pressure, especially in pregnant women with gestational hypertension. The mechanism of reflexology involves stimulating specific reflex points related to the cardiovascular and endocrine systems, as well as activating the parasympathetic nervous system to promote relaxation and stress reduction. Reflexology has also been shown to be safe, as it does not induce uterine contractions, and can be effectively combined with other non-pharmacological therapies such as warm foot soaks and aromatherapy for optimal results. Although further research with stronger study designs is needed, current evidence supports the use of reflexology as a complementary therapy in managing blood pressure during pregnancy.
Evaluation of perinatal maternal audit program (AMP) in the Langsa City Fithriany, Fithriany; AS, Emilda; Mutiah, Cut; Dewi, Silfia; Harahap, Lili Kartika Sari; Rahayu, Sandy
Science Midwifery Vol 12 No 1 (2024): April: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v12i1.1437

Abstract

The government has established the Neonatal Maternal Audit (AMP) program to assess the provision of health services to mothers and children, aiming to address obstetric and neonatal emergencies. Despite the implementation of AMP in Langsa City, the rates of maternal and infant mortality remain high. This study aimed to evaluate the AMP program in Langsa City. A cross-sectional survey research design was used, conducted at the Langsa City Health Office. The subjects of the study included the Mother and Child Program Holders at Puskesmas and hospitals, as well as the Maternal Perinatal Audit Program Implementation team at the Health Office. The findings revealed that the implementing team had an average tenure of 5 years, an average age of 38 years, and a D3 Midwifery education. They had received training on AMP and AMP-SR, possessed an AMP implementation manual, and conducted verbal autopsies, but only a few performed medical records. Strengthening materials and training on AMP-SR for program implementers in Langsa City is necessary. The implementation of the AMP program in Langsa City has shown positive aspects in terms of manpower and case selection, but areas requiring attention and improvement were also identified. Increasing the number of concurrent positions and providing comprehensive materials to program implementers will enhance their capabilities and effectiveness.