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Penatalaksanaan Hyperemesis Gravidarum dan Efektivitas Non Farmakologis Akupunktur: Literatur Review Mamuroh, Lilis; Nurhakim, Furkon
Malahayati Nursing Journal Vol 8, No 1 (2026): Volume 8 Nomor 1 (2026)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v8i1.23683

Abstract

ABSTRACT Hyperemesis gravidarum is a condition characterized by excessive nausea and vomiting, weight loss and electrolyte balance disorders, the mother looks thinner, skin turgor decreases and the eyes look sunken. Pregnant women in Indonesia experience nausea and vomiting and hyperemesis gravidarum occurs in one until three percent of all pregnancies in Indonesia. One non-pharmacological intervention for hyperemesis gravidarum is acupuncture, which is considered to have the potential to reduce symptoms of nausea and vomiting. The aim of this research is to determine the effectiveness of acupuncture in pregnant women who experience Hyperemesis Gravidarum. This research uses a narrative review method with the PICO approach, analyzing seven journals published between 2019-2024, from databases such as ScienceDirect and EBSCOhost. Various non-pharmacological interventions have varying potential and benefits in their effectiveness in treating hyperemesis gravidarum. However, in general acupuncture has been proven to be effective in reducing the frequency of nausea and vomiting and reducing the need for hospitalization. The PC6 acupuncture point provides significant benefits in alleviating symptoms. The combination of acupuncture with conventional therapy shows better results than either approach alone. Acupuncture side effects are minimal, with low cost and easy application. Acupuncture is a safe and effective intervention for treating hyperemesis gravidarum, helping to improve the quality of life of pregnant women by minimizing symptoms and complications. Keywords: Acupuncture, Hyperemesis gravidarum, Nausea, Vomiting.  ABSTRAK Hyperemesis gravidarum merupakan suatu keadaan yang ditandai rasa mual dan muntah yang berlebihan, kehilangan berat badan dan gangguan keseimbangan elektrolit, ibu terlihat lebih kurus, turgor kulit berkurang dan mata terlihat cekung. Wanita hamil di Indonesia mengalami mual muntah dan hyperemesis gravidarum terjadi pada satu hingga tiga persen dari seluruh kehamilan di Indonesia. Salah satu intervensi non-farmakologis untuk menangani hyperemesis gravidarum ini adalah akupunktur, yang dinilai memiliki potensi dalam mengurangi gejala mual dan muntah. Tujuan penelitian ini adalah untuk mengetahui efektivitas akupunktur pada Ibu hamil yang mengalami hyperemesis gravidarum. Penelitian ini menggunakan metode narrative review dengan pendekatan PICO, menganalisis tujuh jurnal yang diterbitkan antara tahun 2019-2024, dari basis data seperti ScienceDirect dan EBSCOhost. Berbagai intervensi non farmakologis memiliki potensi dan manfaat yang bervariasi efektifitasnya dalam penanganan hyperemesis gravidarum. Namun, secara umum akupunktur terbukti efektif mengurangi frekuensi mual dan muntah serta menurunkan kebutuhan rawat inap. Titik akupunktur PC6 memberikan manfaat signifikan dalam meredakan gejala. Kombinasi akupunktur dengan terapi konvensional menunjukkan hasil yang lebih baik dibandingkan pendekatan tunggal. Efek samping akupuntur minimal, dengan biaya rendah dan penerapan mudah. Akupunktur merupakan intervensi yang aman dan cukup efektif untuk mengatasi hyperemesis gravidarum, membantu meningkatkan kualitas hidup ibu hamil dengan meminimalkan gejala dan komplikasi. Kata Kunci: Akupunktur, Hyperemesis Gravidarum, Mual, Muntah.
NURSING INTERVENTION APPLICATION OF WARM COMPRESS TO INCREASE BREAST MILK PRODUCTION: A RAPID EVIDENCE REVIEW Mamuroh, Lilis; Marcelline, Ericha; Kosim, Kosim; Sukmawati, Sukmawati
Journal of Maternity Care and Reproductive Health Vol 9, No 1 (2026): Journal of Maternity Care and Reproductive Health
Publisher : Ikatan Perawat Maternitas Indonesia Provinsi Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36780/jmcrh.v9i1.12363

Abstract

Breast milk is the best source of nutrition for infants aged 0–24 months because it contains nutrients, antibodies, and enzymes that are essential for growth and immunity. The WHO and UNICEF recommend exclusive breastfeeding for the first six months because it has been proven to improve infant development and protect against disease. However, many mothers experience obstacles such as delayed production and blocked milk ducts. One effective non-pharmacological solution is warm compresses, which work by increasing blood flow and the release of prolactin and oxytocin hormones, therapy facilitating milk production and secretion. This literature review aims to examine the effectiveness of warm compresses on milk production in postpartum mothers. The method used was a scoping review guided by the PRISMA Extension for. Scoping Review, using the PICO search strategy. Literature searches were conducted through the Pubmed, EBSCO, ScienceDirect, and Scopus databases, as well as a manual search on Google Scholar for the period 2021-2025.the results of the study showed that interventions to facilitate breast milk massage and warm compresses, traditional Thailand massage, steamed ginger extract, with warm compresses, warm compresses for breast milk stagnation, warm compresses for smooth breast milk flow, warm compresses for breast production, warm compresses for reducing breast milk stagnation. From the selection results, seven relevant articles were obtained. The application of warm compresses to the breasts of postpartum mothers has been proven to be an effective, safe, and easy-to-implement non-pharmacological nursing intervention in increasing milk production and facilitating milk flow in postpartum mothers. It hoped that future researchers can conduct further research on interventions or other methods to increase breast milk production.
Determining Factors Associated with Adolescents' Knowledge of the Impact of Early Marriage Mamuroh, Lilis; Nentika, Rindayu Bidara Caela; Mulya, Adelse Prima
Jurnal Promosi Kesehatan Indonesia Vol 21 No 1: January 2026
Publisher : Master Program of Health Promotion Faculty of Public Health Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jpki.21.1.58-66

Abstract

Background: Early marriage continues to be a significant social issue with far-reaching consequences for adolescents, particularly in psychological, health, and economic domains. One of the key factors influencing early marriage is the level of adolescents’ knowledge. Adequate understanding of the impacts of early marriage is therefore essential in preventing the practice. This study aims to determine the determinants associated with adolescents' knowledge levels about the impact of early marriage at Junior Islamic School.Method: This was a descriptive analysis employing cross-sectional design. Population of the study were students at MTs Al Ishlah, and used total sampling technique. We included a total of 111 students. The validity test prove that value of r larger than r table (0.361), and the result of questionnaire reliability test was > 0.60 (α: 0.082). Data collection was carried out in May 2025 and was assisted by fellow researchers in each classroom.Result: The results of the analysis showed that most respondents were in the middle adolescent age category and were dominated by the male gender. The majority of respondents came from families with lower to middle parental education levels and income levels below the UMK. A correlation was found between several factors such as age, parents’ educational level, parental income, and the sources of information accessed by adolescents and their level of knowledge about the consequences of early marriage. This relationship was statistically significant, with a p-value of ≤ 0.05. It can be concluded that parental education level, parental income, information sources, and age are factors that are significantly related to the level of adolescent knowledge about the impact of early marriage. The implication of this study is the need for direct educational intervention programs by health workers or schools by considering determinant factors to be able to increase adolescent knowledge.
Case Study on Postpartum Mothers with Severe Preeclampsia Through 4 Hour Blood Pressure Monitoring Apriliani, Annisa; Koeryaman, Mira Trisyani; Mamuroh, Lilis
Jurnal Kesehatan Mitra Sekawan Vol. 2 No. 2 (2026): Maret
Publisher : Utami Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70963/jkmp.v2i2.558

Abstract

Preeclampsia is a pregnancy complication that can continue into the postpartum period and has the potential to cause serious organ disorders and increase the risk of maternal death. This condition can cause various complications, including seizures, impaired liver function and blood clotting, cerebral hemorrhage, fluid buildup in the lungs, and heart disease. One important effort in preventing these complications is regular blood pressure monitoring to ensure the effectiveness of antihypertensive therapy and hemodynamic stability. This case study aims to analyze the application of blood pressure monitoring every 4 hours in postpartum mothers with severe preeclampsia as an effort to detect complications early. This case study uses a descriptive approach with a single case study method on Mrs. N, 21 years old, postpartum day 1 with a history of Partus Maturus with Oxytocin Drip Augmentation: Severe Preeclampsia. For four days of care, the client received antihypertensive therapy 3 x 1 per day accompanied by blood pressure monitoring, physical examination and laboratory evaluation. Monitoring results showed that blood pressure continued to fluctuate until the fourth postpartum day, ranging from 127/90 mmHg to 180/120 mmHg, despite a decrease in edema from grade 3 to grade 2 and an improvement in hemoglobin levels. These findings indicate that despite clinical and laboratory improvements, the mother's hemodynamic condition was not stable until the fourth postpartum day. Therefore, intensive blood pressure monitoring and therapy evaluation are needed until blood pressure stability and optimal clinical improvement are achieved.
Gambaran Tingkat Pengetahuan dan Sikap Mengenai Vulva Hygiene dalam Mencegah Kejadian Keputihan pada Remaja Putri SMP Negeri 31 Bandung Komara, Ghina Aulia; Sumarni, Nina; Mamuroh, Lilis
Malahayati Nursing Journal Vol 8, No 3 (2026): Volume 8 Nomor 3 (2026)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v8i3.24613

Abstract

ABSTRACT Vulva hygiene is an important effort in maintaining female reproductive health, particularly in preventing vaginal discharge among adolescent girls. This study was motivated by the continued occurrence of pathological vaginal discharge among adolescent girls associated with limited knowledge and attitudes toward Vulva hygiene, despitehealth education efforts. This study aimed to determine the level of knowledge and attitudes regarding Vulva hygiene in preventing vaginal discharge among adolescent girls. The research employed a quantitative descriptive design with proportional stratified random sampling involving 241 respondents. Data were collected using aknowledge and attitude questionnaire on Vulva hygiene developed by Arifianti and Samaria (2021). Validity and reliability tests showed that all questionnaire items were valid, with calculated r values greater than the r table values (0.393–0.752 for knowledge and 0.396– 0.773 for attitudes), and reliable, with Cronbach’s Alpha values of 0.841 and 0.809. The data were analyzed using univariate analysis to describe frequency and percentage distributions. The results showed that all respondents had experienced vaginal discharge, most of which wasphysiological. The majority of respondents had good knowledge (50.2%), and more than half demonstrated positive attitudes (51%) toward Vulva hygiene practices, although negative attitudes remained relatively high. This studyindicates the need for continuous reproductive health education to support optimal Vulva hygiene practices in preventing vaginal discharge. Keywords : Adolescent Girls, Vaginal Discharge Prevention, Vulva Hygiene, Vulva Hygiene Attitudes, Vulva Hygiene Knowledge, Vaginal Discharge.  ABSTRAK Vulva hygiene merupakan upaya penting dalam memelihara kesehatan organ reproduksi pada perempuan, khususnya dalam mencegah terjadinya keputihan pada remaja wanita. Penelitian ini dilatarbelakangi oleh masih ditemukannya kejadian keputihan patologis pada remaja putri yang berkaitan dengan keterbatasan pengetahuan dan sikap Vulva hygiene, meskipun upaya edukasi kesehatan telah dilakukan. Penelitian ini bertujuan untuk mencari tahu bagaimana tingkat pengetahuan dan sikap mengenai Vulva hygiene dalam mencegah kejadian keputihan pada remaja putri.Metode yang digunakan dalam penelitian adalah deskriptif kuantitatif dengan teknik sampling penelitian ini adalah proportional stratified random sampling, terhadap 241 responden. Pengumpulan data dilakukan menggunakankuesioner Arifianti  Samaria, (2021) mengenai tingkat pengetahuan dan sikap Vulva hygiene hasil uji validitas dan reliabilitas yang dilakukan, seluruh item pada kuesioner pengetahuan dan sikap Vulva hygiene dinyatakan valid dengan nilai r hitung lebih besar dari r tabel (0,393–0,752 untuk pengetahuan dan 0,396–0,773 untuk sikap) serta reliabel dengan nilai Cronbach’s Alpha masing-masing sebesar 0,841 dan 0,809. Data yang diperoleh dianalisis secara univariat untuk menggambarkan distribusi frekuensi dan persentase. Hasil penelitian menunjukkan bahwa seluruh responden pernah mengalami keputihan yang sebagian besar tergolong fisiologis. Sebagian besar responden memiliki tingkat pengetahuan yang baik (50,2%) dan lebih dari setengah menunjukkan sikap positif (51%) terhadap penerapan Vulva hygiene, meskipun proporsi sikap negatif masih cukup tinggi. Penelitian ini menunjukkan perlunya edukasi kesehatan reproduksi yang berkelanjutan untuk meningkatkan sikap dan mendukung praktik Vulva hygiene yang optimal dalam mencegah keputihan. Kata Kunci: Keputihan, Pencegahan Keputihan, Pengetahuan Vulva Hygiene, Remaja Putri, Sikap Vulva Hygiene.
Co-Authors Ahmad Yamin Aini, Astri Mufti Ama, Yolanda Aneu Agustiani Apriliani, Annisa Auliyah, Dina Azizah, Puput Nur Bahlail, Rezka Chatarina Umbul Wahyuni Darmawan, Cahya Widyarahayu Dian Trias Oktavianti Dina Auliyah Ema Arum Rukmasari Ermiati Ermiati Ermiati Ermiati Fauziyyah, Raden Nabilah Putri Febriana, Rizal Furkon Nurhakim Furkon Nurhakim Furkon Nurhakim Furkon Nurhakim Gina Nurul Azmi Gita Mujahidah Gusgus Ghraha Ramdhanie Henny Suzana Mediani Hesti Platini I Nova Alfiandhi Ida Maryati Imas Maesaroh Indah Mutia Wahyuni Intan Lutfi Meilani Irza, Damad Iwan Shalahuddin Jain, Oktavia Nur Azizah Juliana Chandra Purnama Kamsatun, Kamsatun Komara, Ghina Aulia Kosim Kosim Kusman Ibrahim Laili Rahayuwati Linda Friscitia Marcelline, Ericha Maria komariah Mira Trisyani Koeryaman Muhammad Faidzal Muttaqin Mulya, Adelse Prima Mumtazah, Dina Zahrotunnisa Nafisah, Nadila Zahra Nentika, Rindayu Bidara Caela Nia Kurniasih Nina Sumarni Nursita Dewi Oktapiani, Risna Ayu Oktavia Nur Azizah Jain Printin Sari Raden Nabilah Putri Fauziyyah Raden Nabilah Putri Fauziyyah Rahma Elfa Aulia Razzy Purnama Restu Widiasih Restuning Widiasih Risna Ayu Oktapiani Ristina Mirwanti Ristina Mirwanti, Ristina Rizal Febriana Rizky Ayu Gardelia Rotua, Hana Pritika Setiyani, Nofita Shahibah, Shalwa Siti Nur Asiah Sri Hendrawati Srimurni, Nita Ayu Sukmawati . Sukmawati S Sukmawati S Sukmawati Sukmawati Sukmawati Sukmawati Sukmawati Sukmawati Sukmawati Sukmawati Sukmawati Sukmawati Sukmawati Sukmawati Sukmawati Sukmawati Sutendi, Ludyta Yuniar Tafarel, Alifiya Fajrin Tetti Solehati Theresia Eriyani Tsuraya Salsabila, Salma Tuti Pahria Valentina B.M. Lumbantobing Wahyuni, Indah Mutia Witdiawati W Witdiawati, Witdiawati Yanti Hermayanti Yuliani, Lala Zalva, Kinaya Vathia