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Syam, Mayrita
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Health Professions Medicine & Pharmacology

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THE EFFECT OF MASSAGE ON SERUM BILIRUBIN LEVELS AND NEONATUS BODY WEIGHT WITH PHOTOTHERAPY Murtiningsih, Murtiningsih; Syam, Mayrita
Journal of Maternity Care and Reproductive Health Vol 6, No 3 (2023): Journal of Maternity Care Reproductive Health
Publisher : Ikatan Perawat Maternitas Indonesia Provinsi Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36780/jmcrh.v6i3.12273

Abstract

Approximately 25-50% of newborns experience physiological hyperbilirubinemia in the first week of life, 80% occur in premature babies and 60% in full-term babies. Hyperbilirubinemia can be toxic and dangerous, such as encephalopathy. At Ummi Hospital, Bogor, the number of babies born from January to April 2021 was 704, and 11.4% had hyperbilirubinemia and no baby massage intervention had been carried out. Massage for newborns with hyperbilirubinemia reduces bilirubin levels and increases the baby's weight. This study aims to find out whether massage can reduce serum bilirubin levels and increase the weight of hyperbilirubinemia babies who receive phototherapy. This research was conducted in the perinatology room at Ummi Hospital, Bogor, Indonesia with ethical permit no. 02/KEPK/X/2021. The research design used a quasi-experimental pretest-posttest with a control group design, with a sample of 40 hyperbilirubinemia babies. After analysis using the dependent t-test and independent t-test, the results of the study showed that there was no significant difference between body weight before the intervention and after the intervention with p > 0.05 in the intervention group (p=0.054) and the control group (p =0.286). There was a significant difference in bilirubin levels (p<0.05) before and after the intervention in both the intervention group and the control group (p=0.001). Conclusion: Phototherapy alone or combined with massage can reduce serum bilirubin levels in babies. Adding massage to provide comfort to the baby and other benefits.
COMPARATIVE STUDY: EFFECT OF PAIN INTENSITY ON BREAST MILK PRODUCTION IN POST SECTIO CAESARIAN MOTHERS WITH ERACS (ENHANCED RECOVERY AFTER CESAREAN SURGERY) AND CONVENTIONAL STUDY METHODS IN THE PUBLIC ROOM UMMI HOSPITAL BOGOR Syam, Mayrita; Yayat Suryati, Yayat Suryati; Juhaeriah, Juju; Noviyanti, Noviyanti; Murtiningsih, Murtiningsih
Journal of Maternity Care and Reproductive Health Vol 5, No 4 (2022): 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.v5i4.235

Abstract

Delivery by sectio caesarea can cause pain intensity from mild to severe which affects the mobilization of post-op sectio caesarea so that it inhibits early breastfeeding mothers. This study aims to determine the difference in the effect of pain intensity on breast milk production in post-op sectio caesarea mothers with ERACS and conventional methods in the postpartum room at UMMI Hospital Bogor. This study uses a comparative causal design method with a cross sectional approach. Data were taken from the postpartum ward of UMMI Hospital Bogor in May 2022. Respondents from this study were post sectio caesarea mothers with ERACS and conventional methods who met the inclusion criteria. The sampling technique is the Non Probability Sampling technique with the Consecutive Sampling method, with 56 samples consisting of 28 respondents from the ERACS method and 28 respondents from the conventional method. Collecting data using questionnaires and observation sheets. Data analysis used univariate analysis presented in the frequency distribution table, while bivariate data used Independent sample T test and chi-square test. From the results of the study, it was found that the lighter intensity was found in respondents using the ERACS method with a percentage of 32.1% (8 respondents). In the intensity of severe pain there are many respondents with conventional methods with a percentage of 30.4% (17 respondents). Breast milk production in post sectio caesarea mothers with less amount, is mostly found in conventional methods with a percentage of 25% (14 respondents). The amount of milk production that is quite a lot is found in the ERACS method with a percentage of 25% (14 respondents). And based on the independent sample T Test, there was a significant difference in the intensity of post-op sectio caesarea pain in mothers with the ERACS method and the conventional method (p=0.000), and there was also a significant difference in the production of post-op sectio caesarea breast milk in mothers with the ERACS method and the ERACS method. conventional (p=0.000). From the results of the chi-square test, there is a significant effect between the intensity of pain in post sectio caesarea mothers with the ERACS method and breast milk production (p = 0.023), and a significant effect between pain intensity in conventional post sectio mothers and breast milk production (p = 0.000) The conclusion of this study is that there is a difference in the effect of pain intensity on milk production in the ERACS and conventional methods.
Co-Authors Juhaeriah, Juju Murtiningsih Murtiningsih Noviyanti Noviyanti, Noviyanti Yayat Suryati, Yayat Suryati