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Efektivitas Prenatal Yoga Dengan Teknik Birth Ball Pada Ibu Hamil Terhadap Nyeri Punggung Ari Shanti, Elvika Fit; Utami, Nendhi Wahyunia
Jurnal Ilmiah Keperawatan STIKES Hang Tuah Surabaya Vol 16 No 1 (2021): March Edition
Publisher : Sekolah Tinggi Ilmu Kesehatan Hang Tuah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30643/jiksht.v16i1.131

Introduction: third-trimester pregnant women will experience discomfort such as increased shortness of breath, leg cramps, and back pain. Muscle imbalance around the pelvis that causes back pain. A method to treat the back pain is through prenatal yoga by using a birth ball which can increase blood circulation to the womb, as well as the ability of the pelvic muscles when the delivery time is incoming and can reduce back pain. Objectives: The purpose of this study is to analyze the effectiveness of prenatal yoga with Birth Ball Technique to pregnant women with back pain. Methods: Experimental design methodology with unpaired two-group difference test. The prerequisite test for the metrics uses the two-sample unpaired T-Test. The difference test used is the Mann-Whitney test. Results: The results of research using birth balls for pregnant women showed no back pain namely 6 pregnant women (42.8). pregnant women with moderate pain (28.5%), 3 mild pain pregnant women (21, 3%), and 1 pregnant woman with severe pain (7.1%). The results of the study without birth ball given show that most pregnant women fall into the moderate pain category as many as 6 respondents or 42.8%, the mild category is 4 respondents (28.5%), 2 pregnant women are in the painless category (14, 2%) and 2 respondents in the severe pain category (14.2%). Conclusions: The average result of the statistical test of the difference in the use of the birth ball with the sig value of 0.378> 0.05, it can be concluded that there is no difference in back pain in the birth ball technique group with the group with no birth ball.

Hubungan Antara Paritas Dengan Tingkat Kecemasan Ibu Hamil Di Griya Arin, Yogyakarta Anggraeni, Fatimah Dewi; Utami, Nendhi Wahyunia; Rahmawati, Dechoni
Jurnal Kesehatan Masyarakat dan Lingkungan Hidup Vol 7 No 2 (2022): Jurnal Kesehatan Masyarakat dan Lingkungan Hidup
Publisher : UNIVERSITAS SARI MUTIARA INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51544/jkmlh.v7i2.3522

Approximately 10% of pregnant women experience depression and this condition is higher in developing countries, reaching 15.6% during pregnancy and 19.8% after delivery. Mothers who experience anxiety during pregnancy will affect the intrauterine environment and fetal development. The majority of Primigravida mothers do not have experience and how to handle pregnancy until the delivery process goes smoothly, causing anxiety when compared to multigravidas. The purpose of this study was to determine the relationship between parity and anxiety levels. To determine the relationship between parity and the anxiety level of pregnant women with TM II and III. The type of research used is an analytic survey with a cross sectional approach. The population in this study were all pregnant women with TM II and III at Griya Arin using a purposive random sampling technique with a total of 30 respondents. The data analysis used was the Spearman rho correlation nonparametric statistical test.The parity of most pregnant women in the multigravida pregnancy category was 60% (18 people), while the anxiety level of most pregnant women was in the moderate category, namely 73.3% (22 people). There is a parity relationship with the level of anxiety in pregnant women at Griya Arin Yogyakarta with a p-value of 0.039 and an odds ratio of 1.000 . There is a relationship between parity and the level of anxiety in pregnant women at Griya Arin Yogyakarta.

Analisis Efektivitas Biaya (Cost Effectiveness Analysis) Monoterapi Pada Pasien Preeklampsia Di Rsud Sleman Andriani, Yuni; Hidiyaningtyas, Lutfi; Utami, Nendhi Wahyunia
MEDIA ILMU KESEHATAN Vol 12 No 3 (2023): Media Ilmu Kesehatan
Publisher : Universitas Jenderal Achmad Yani Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30989/mik.v12i3.1234

Background: Preeclampsia treatment if not treated immediately will cause seizures and even cause death. Rational treatment can be seen from the (outcome) therapy and costs. Pharmacoeconomic analysis can be used to see which drug is most effective in terms of therapeutic outcomes and the costs incurred to obtain that therapy.Objective: This study aims to analyze the cost-effective antihypertensive monotherapy in preeclampsia patients.Methods: The research was conducted at the Sleman Regional Hospital on inpatient preeclampsia patients for the 2021-2022 period. Retrospective data collection in the form of medical record data and financial administration. The effectiveness of therapy is calculated based on blood pressure and length of stay with ICER (Incremental Cost-Effectiveness Ratio) calculations.Results: The description of the characteristics of preeclampsia patients at Sleman Regional Hospital is dominated by those aged 20-35 years, 23 patients (51%), without comorbidities, 39 patients (87%). The most widely used antihypertensive monotherapy was Nifedipine in 33 patients (73%). The cost effective monotherapy is Nifedipine, with an ICER value of Rp. 3,258 based on blood pressure and an ICER of -Rp. 6,041 based on LOSConclusion: Monotherapy that cost effective for hospitalized preeclampsia patients at Sleman Regional Hospital is Nifedipine.

Health belief model in pregnant women in the free nutritional meal program: a review Rosdiana; Utami, Nendhi Wahyunia; Sunarsih, Tri; Astuti, Endah Puji; Shanti, Elvika Fit Ari
MEDIA ILMU KESEHATAN Vol 14 No 2 (2025): Media Ilmu Kesehatan
Publisher : Universitas Jenderal Achmad Yani Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30989/mik.v14i2.1646

Background: Stunting is still a serious problem in Indonesia, one of which is caused by malnutrition since pregnancy.Objective: To systematically identify and map the use of HBM in understanding pregnant women's compliance with nutritional intervention programs, especially free nutritious meals.Methods: This scoping review was conducted based on the Arksey and O'Malley framework and followed the PRISMA-ScR guidelines. The literature was searched through the PubMed, ScienceDirect, and Google Scholar databases in 2018–2025. The studies reviewed were original studies with a quantitative, qualitative, or mixed methods approach that used HBM in pregnant women.Results: From 12 selected studies, it was found that HBM components such as perceived benefits, barriers, and cues to action had a significant effect on the nutritional behavior of pregnant women. Driving factors include culture-based education, family support, and the use of educational media. Meanwhile, the main barriers include economic constraints, food access, and cultural norms.Conclusion: HBM effectively understands pregnant women's behavior in the free nutritious meal program. HBM-based educational interventions integrated with community approaches and digital technology are recommended to improve the program's effectiveness.

Pengaruh Prenatal Yoga Terhadap Keadaan Emosi Ibu Hamil di PMB Appi Amelia Kusumaningtyas, Bernadetta; Utami, Nendhi Wahyunia
MEDIA ILMU KESEHATAN Vol 14 No 2 (2025): Media Ilmu Kesehatan
Publisher : Universitas Jenderal Achmad Yani Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30989/mik.v14i2.1505

Background: Most pregnant women are worried about discomfort, especially during labor, which makes them more sensitive to emotional changes. An alternative that can improve health and reduce stress is exercising. Prenatal yoga is used as a way to manage overall stress and as a treatment for anxiety or depression.Objective: To determine prenatal yoga effect on emotional state of pregnant women. Methods: Quantitative research method with a One-Group Pretest-Posttest design was employed, involving 18 pregnant respondents selected through purposive sampling technique. Primary data collection was conducted by distributing the DASS 42 questionnaire, and bivariate data analysis was performed using the Wilcoxon test.Results: The average (mean) levels of stress, anxiety, and depression showed a significant decrease, from 11.11 to 4.50 in the stress category, from 9.17 to 3.44 in the anxiety category, and from 1.67 to 0.28 in the depression category. The Wilcoxon test revealed a p-value of 0.007 in the stress category, 0.001 in the anxiety category, and 0.371 in the depression category.Conclusion: The decrease in the average score of emotional state levels in each category indicates the influence of prenatal yoga on the emotional state of pregnant women.

Efektivitas Prenatal Yoga Dengan Teknik Birth Ball Pada Ibu Hamil Terhadap Nyeri Punggung Ari Shanti, Elvika Fit; Utami, Nendhi Wahyunia
Jurnal Ilmiah Keperawatan STIKES Hang Tuah Surabaya Vol 16 No 1 (2021): March Edition
Publisher : Sekolah Tinggi Ilmu Kesehatan Hang Tuah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30643/jiksht.v16i1.131

Introduction: third-trimester pregnant women will experience discomfort such as increased shortness of breath, leg cramps, and back pain. Muscle imbalance around the pelvis that causes back pain. A method to treat the back pain is through prenatal yoga by using a birth ball which can increase blood circulation to the womb, as well as the ability of the pelvic muscles when the delivery time is incoming and can reduce back pain. Objectives: The purpose of this study is to analyze the effectiveness of prenatal yoga with Birth Ball Technique to pregnant women with back pain. Methods: Experimental design methodology with unpaired two-group difference test. The prerequisite test for the metrics uses the two-sample unpaired T-Test. The difference test used is the Mann-Whitney test. Results: The results of research using birth balls for pregnant women showed no back pain namely 6 pregnant women (42.8). pregnant women with moderate pain (28.5%), 3 mild pain pregnant women (21, 3%), and 1 pregnant woman with severe pain (7.1%). The results of the study without birth ball given show that most pregnant women fall into the moderate pain category as many as 6 respondents or 42.8%, the mild category is 4 respondents (28.5%), 2 pregnant women are in the painless category (14, 2%) and 2 respondents in the severe pain category (14.2%). Conclusions: The average result of the statistical test of the difference in the use of the birth ball with the sig value of 0.378> 0.05, it can be concluded that there is no difference in back pain in the birth ball technique group with the group with no birth ball.

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