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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.
The Effect of Soy Milk Consumption on the Duration of Perineal Wound Healing in Postpartum Mothers Usman, Hastuti; Sulistiowati, Dwi; Pont, Anna Veronica; Longulo, Olkamien Jesdika; Muliani, Muliani; Nurfatimah, Nurfatimah; Silfia, Niluh Nita; Dewie, Artika
Poltekita : Jurnal Ilmu Kesehatan Vol. 17 No. 4 (2024): February
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jik.v17i4.2010

Abstract

Perineal wounds in postpartum mothers that do not heal promptly within several days can lead to infections. Nutritional status is also considered a crucial factor in the wound-healing process. Mothers with good nutritional status tend to experience faster healing of perineal wounds, including those with protein intake from processed soy milk. This research aims to determine the impact of soy milk consumption on the duration of perineal wound healing in postpartum mothers at the Independent Midwife Practice (IMP) Sriwati Palu. The study design employed a pre-experimental design with an Intact Group Comparison approach. The sample consisted of 16 postpartum mothers with second-degree perineal wounds at the IMP Sriwati Palu, selected through quota sampling. Univariate and bivariate analyses using the Mann-Whitney U test were conducted. The research findings indicate that respondents who consumed soy milk were four times more likely to experience faster healing compared to those who did not consume soy milk. The Mann-Whitney U test yielded a ρ-value of 0.000 (<0.05), suggesting a statistically significant influence of soy milk consumption on the duration of perineal wound healing in postpartum mothers at the IMP Sriwati Palu. In conclusion, soy milk consumption has a significant impact on the duration of perineal wound healing in postpartum mothers at the IMP Sriwati Palu.
Determinan Factors of Chronic Energy Deficiency in Pregnant Women Sulviana; Silfia, Niluh Nita; Usman, Hastuti; Hadina, Hadina; Kusika, Sri Yanti; Pani, Widya; Taqwin, Taqwin
Napande: Jurnal Bidan Vol. 4 No. 2 (2025): October
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Background: Chronic Energy Deficiency (CED) in pregnant women is a nutritional problem that impacts the health of both the mother and the fetus. In the working area of Lere Health Center, Palu City, 38 cases of CED were recorded in 2021–2022. This study aims to identify the determining factors of CED occurrence in pregnant women in that area. Method: The research method used was a case-control study with a retrospective approach. The study population consisted of 214 pregnant women, with a sample of 76 respondents selected through purposive sampling. Secondary data were analyzed univariately and bivariately using the Chi-square test through SPSS software. Result: The research results indicate that pregnant women with primary and secondary education levels (65.8%), parity >3, and a history of hyperemesis gravidarum (55.2%) are more likely to experience chronic energy deficiency (CED). Bivariate analysis showed a significant relationship between education (p = 0.000; OR = 9.436), parity (p = 0.000; OR = 6.321), and hyperemesis gravidarum (p = 0.001; OR = 11.998) with the incidence of CED. Conclusion: The conclusion of this study is that there is a relationship between education, parity, and a history of hyperemesis gravidarum with the occurrence of CED in pregnant women. The researchers recommend improving the quality of health services and nutritional counseling to reduce the incidence of CED in the working area of Lere Community Health Center.
Efficacy of Pericardium 6 Acupressure in Reducing Nausea and Vomiting in First Trimester Pregnant Women Usman, Hastuti; Muliani, Muliani; Feby, Feby; Nurfatimah, Nurfatimah; Silfia, Niluh Nita
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.9.2.6-11.2024

Abstract

This study investigates the effect of acupressure on the pericardium 6 (PC6) point in reducing nausea and vomiting among pregnant women during the first trimester. Utilizing a pre-experimental design with a one-group pretest-posttest approach, the research was conducted with 85 pregnant women from the Mamboro Health Center area. A consecutive sampling technique was used to select a sample of 15 respondents. The study employed the Pregnancy-Unique Quantification of Emesis Nausea (PUQE-24) questionnaire to measure nausea and vomiting severity. Results showed that prior to acupressure treatment, 80% of participants experienced moderate nausea and vomiting, while 20% had mild symptoms. Following the application of PC6 acupressure, 80% of participants reported mild symptoms, and only a moderate category remained. The Wilcoxon test yielded a p-value of 0.003, indicating a statistically significant reduction in symptoms (p < 0.05). The findings suggest that acupressure on the pericardium 6 point effectively reduces nausea and vomiting in pregnant women during their first trimester in the Mamboro Health Center area.
The Effect of Counseling on Postpartum Women's Sexual Satisfaction Silfia, Niluh Nita; Usman, Hastuti; Dewie, Artika
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.v5i4.2995

Abstract

Introduction: Only 7–13% of women say they need help or advice to overcome problems regarding sexual satisfaction; 40% of women do not even seek help from a doctor for their sexual complaints. Meanwhile, 54% reported that they only wanted to find a solution to the problem of sexual satisfaction without actually doing it. Purpose: to determine the effect of counseling on postpartum women's sexual satisfaction in the Puskesmas Kamonji working area. Method: The research was conducted in July–August 2023 with a one-group pretest-posttest design and a sample size of 49 women who had babies aged 2–6 months. Using the Wilcoxon consecutive sampling analysis technique. The results before being given counseling showed that 42.9% of respondents were sexually satisfied, but after being given counseling about sexual satisfaction, 57.3% of respondents felt sexually satisfied (p-value<0.001). Conclusion: There is a significant difference in sexual satisfaction before and after providing counseling about sexual satisfaction to respondents. It is recommended that health facilities provide counseling about providing for sexual needs periodically, from pregnancy to the postpartum period, and involve the roles of husband and family.
The Effect of Complementary Hydrotherapy Using Warm Water on Blood Pressure Reduction in Hypertensive Pregnant Women at a Health Center in Palu City Chen, Asriwidyayanti; Silfia, Niluh Nita; Putri, Winda Inayah
Napande: Jurnal Bidan Vol. 4 No. 2 (2025): October
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/njb.v4i2.4231

Abstract

Background:  Hypertension in pregnancy remains one of the leading causes of serious complications that increase maternal morbidity and mortality, thus requiring safe and simple non-pharmacological interventions. This study aims to determine the effect of hydrotherapy using warm water on reducing blood pressure in pregnant women with hypertension. Method: This study employed a pre-experimental study with a one-group pretest–posttest design was conducted involving 30 purposively selected pregnant women with hypertension. The intervention consisted of foot immersion in warm water at 40 °C for 30 minutes, performed twice within two weeks. Blood pressure was measured before and after the intervention and analyzed using the Wilcoxon signed-rank test. Result: The intervention showed a significant reduction in systolic blood pressure, with an average decrease of 14 mmHg, and in diastolic blood pressure, with an average decrease of 10 mmHg (p < 0.001). Conclusion: Warm water hydrotherapy is effective in lowering blood pressure in pregnant women with hypertension. It is recommended that this therapy be adopted by healthcare providers as a non-pharmacological option and promoted for self-practice among pregnant women to help prevent pregnancy complications
EDUKASI TERAPI KOMBINASI AKUPRESUR DAN AROMA TERAPI PADA KADER POSYANDU DALAM MENINGKATKAN KESEHATAN PEREMPUAN DENGAN HIPERTENSI Maineny, Arie; Silfia, Niluh Nita; Tondong, Henrietta Imelda; Asrawaty, Asrawaty; Narmin, Narmin; Sumiaty, Sumiaty; Lisnawati, Lisnawati; Tempali, Sri Restu; Pani, Widya; Kusika, Sri Yanti; Asriwidyayanti, Asriwidyayanti; Hasnawati, Hasnawati; Astuti, Novi Dwi; Taqwin, Taqwin; Masda, Masda
JMM (Jurnal Masyarakat Mandiri) Vol 8, No 4 (2024): Agustus
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/jmm.v8i4.25030

Abstract

Abstrak: Hipertensi menjadi permasalahan kesehatan karena setiap tahun prevalensi hipertensi terus meningkat. Penatalaksanaan hipertensi dapat dilakukan secara farmakologi dan terapi non farmakologi. Terapi komplementer merupakan salah satu pengobatan non farmakologi penyakit hipertensi. Kombinasi terapi akupresur dan aroma terapi merupakan salah satu terapi komplementer sebagai bentuk pendekatan inovatif penanganan hipertensi. Kegiatan pengabbdian kepada masyarakat ini bertujuan untuk meningkatkan pengetahuan dan ketrampilan kader posyandu dalam pelayanan kesehatan tradisional komplementer kombinasi akupresur dan aroma terapi untuk meningkatkan kesehatan perempuan dengan hipertensi. Kegiatan dimulai dengan melakukan Focus Group Discussion (FGD) dengan kader posyandu, dilanjutkan penyampaian edukasi dan demonstrasi kombinasi terapi akupresur dan aroma terapi, serta praktik mandiri peserta.  Mitra yang terlibat adalah Puskesmas Mamboro, dengan peserta 15 orang kader posyandu. Evaluasi dilakukan melalui pengisian kuesioner pre-post test. Kegiatan pengabdian kepada masyarakat terlaksana baik dan terdapat peningkatan pengetahuan kader posyandu kategori baik dari 60% sebelum edukasi, menjadi 93% sesudah edukasi.Kata Kunci: Edukasi; akupresur; aroma terapi; hipertensi; kader.Abstract: Hypertension is a health problem because every year the prevalence continues to increase. Management of hypertension can be pharmacologically and non pharmacologically. Complementary therapy is a non pharmacological hypertension  treatment. Combination of acupressure therapy and aroma therapy is a complementary therapy as an innovative approach to treating hypertension. This community service activity aims to increase knowledge and skills posyandu cadres in complementary traditional health services, a combination of acupressure and aroma therapy to improve the health of women with hypertension. The activity began with a Focus Group Discussion (FGD), delivery of education and demonstrations, as well as participants' independent practice. The partner involved was the Mamboro Community Health Center, with 15 posyandu cadres participating. Evaluation is carried out by filling out a pre-post test questionnaire. The activities were carried out well and there was an increase in the knowledge of posyandu cadres in the good category from 60% before education, to 93% after education.