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Faktor-Faktor Yang Mempengaruhi Akseptor KB Dalam Memilih Kontrasepsi Di Wilayah Kerja Puskesmas Karang Ayu Semarang Qomariyah Qomariyah; Kristina Maharani; Agnes Isti Harjanti
Indonesian Journal of Midwifery (IJM) Vol. 5 No. 1 (2022): Maret 2022
Publisher : Universitas Ngudi waluyo

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (173.206 KB) | DOI: 10.35473/ijm.v5i1.1173

Abstract

Family planning is an action that helps individuals or married couples to get certain objectives to avoid unwanted births, regulate the interval between pregnancies, control the time and birth in a husband and wife relationship and determine the number of children in the family (Manuaba, 2015). Data obtained at the Karang Ayu Public Health Center in 2018 showed that as many as 98% or 490 users of hormonal contraception, while only 2% or 10 mothers used non-hormonal contraception. The increase in family planning acceptors is not known what is the basis for mothers choosing contraception. The purpose of this study is to know the factors that influence family planning acceptors in choosing contraception at Karang Ayu Health Center Semarang.This study uses a quantitative design. Quantitative design is used to determine the factors of knowledge, education, age and husband's support. The research used is descriptive analysis with a cross sectional approach, meaning that the measurement of variables is only done once at a time (Hidayat, 2009). The population in this study is the entire research subject to be studied, the population in this study are all mothers who use family planning and are registered as residents of the area at the research location at Karang Ayu Health Center.From the results of this study, it was found that there were 4 factors that influenced family planning acceptors in choosing contraception, namely the age factor, education factor, knowledge factor, and husband's support factor. There was no significant effect on knowledge, education, age and husband's support with the choice of contraception with a value (P > 0.1) at Karangayu Public Health Center Semarang.Based on the results of the study, the suggestion put forward is that health workers are more active in conducting counseling, information, and education activities for mothers so that they can provide more comprehensive services in increasing maternal awareness of family planning.Abstrak Keluarga berencana merupakan tindakan yang membantu individu atau pasangan suami istri untuk mendapatkan objektif tertentu menghindari kelahiran yang tidak di inginkan, mengatur interval diantara kehamilan, mengontrol waktu dan kelahiran dalam hubungan suami istri dan menetukan jumlah anak dalam keluarga (Manuaba,2015). Data yang didapatkan pada puskesmas Karang Ayu tahun 2018 yang menunjukan bahwa sebanyak 98% atau 490 pengguna kontrasepsi hormonal, sedangkan pengguna kontrasepsi non hormonal hanya 2% atau 10 ibu yang menggunakan. Meningkatnya akseptor KB tidak di ketahui apa yang menjadi dasar ibu memilih kontrasepsi dari fenomena yang terjadi ibu mengalami kesulitan dalam menentukan pilihan jenis kontrasepsi yang akan digunakan. Tujuan penelitian ini yaitu Diketahuinya faktor-faktor yang mempengaruhi akseptor KB dalam memilih Kontrasepsi di Puskesmas Karang Ayu Semarang.Penelitian ini menggunakan desain kuantitatif. Desain kuantitatif digunakan untuk mengetahui faktor pengetahuan, pendidikan, umur dan dukungan suami. Penelitian yang digunakan adalah analisis deskriptif dengan pendekatan cross sectional artinya pengukuran variabel hanya dilakukan satu kali pada satu saat (Hidayat, 2009). Populasi dalam penelitian ini adalah keseluruhan subyek penelitian yang akan diteliti, populasi dalam penelitian ini adalah semua ibu yang menggunakan KB dan tercatat sebagai penduduk wilayah di lokasi penelitian di Puskesmas Karang Ayu.Dari hasil penelitian ini didapatkan ada 4 faktor yang mempengaruhi akseptor KB dalam mrmilih kontrasepsi yaitu faktor Umur, faktor pendidikan, faktor pengetahuan, dan faktor dukungan suami. Tidak terdapat pengaruh yang signifikan terhadp pengetahuan, pendidikan, umur dan dukungan suami dengan pemilihan kontrasepsi dengan nilai (P > 0,1) di Puskesmas Karangayu Semarang.Berdasarkan hasil penelitian, saran yang diajukan adalah petugas kesehatan lebih aktif melakukan kegiatan konseling, informasi, dan edukasi kepada ibu sehingga dapat memberikan pelayanan yang lebih komprehensif dalam meningkatkan kesadaran ibu dalam ber KB.
The Influence of Health Education About Pregnancy Exercises Using Audio Visual Media on The Interest of Pregnant Women at The Permata Hati Karanganyar Clinic Ajeng Maharani; Aris Prastyoningsih; Frieda Ani Noor; Erlyn Hapsari; Kristina Maharani; Qomariyah Qomariyah
Jurnal Syntax Admiration Vol. 4 No. 9 (2023): Jurnal Syntax Admiration
Publisher : Syntax Corporation Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46799/jsa.v4i9.744

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Pregnancy exercise is a form of exercise or structured training. Regular exercise will improve blood circulation, strengthen muscles and stretch joints and can reduce disorders that commonly occur during pregnancy such as aches, back pain, stiff muscles, constipation, and reduce swelling of the legs. Doing regular pregnancy exercises can reduce lower back pain, one of which is by kneeling movements, rotating the pelvis, bending the buttocks, bending the knees, chest. The aim of this research is to determine the influence of health education about pregnancy exercise using audio visual media on the interest of pregnant women at the Permata Hati Karanganyar Clinic. This research is quantitative research with the form of a preliminary experimental design. This research method is pre-experimental research with a one-group-pretest-posttest design. The sample consisted of 32 respondents. The techniques used for this analysis are univariate and bivariate. Based on the Wilcoxon test results, a p-value of 0.000 < 0.05 so it can be concluded that there is a significant influence of providing health education about pregnant women's exercises using audio-visual media on the interest of pregnant women.
HUBUNGAN DUKUNGAN SUAMI TERHADAP PEMILIHAN METODE KONTRASEPSI JANGKA PANJANG DI WILAYAH KERJA PUSKESMAS SUKOLILO I Utari Utari; Kristina Maharani; Siti Juwariyah
Jurnal Ilmiah Kesehatan Ar-Rum Salatiga Vol 8, No 1 (2023)
Publisher : STIKES Ar-Rum Salatiga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36409/jika.v8i1.191

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Metode Kontrasepsi Jangka Panjang (MKJP) merupakan metode kontrasepsi yang dapat digunakan dengan efektivitas hingga bertahun-tahun. Penggunaan MKJP di Kabupaten Pati pada 2021 berada diperingkat ke dua terendah se-Jawa Tengah. Program keluarga berencana mengalami penurunan penggunaan kontrasepsi modern disebabkan rendahnya pengetahuan pasangan muda dan kurangnya akses informasi mengenai alat kontrasepsi. Sebagian besar suami tidak memiliki pengetahuan cukup tentang kontrasepsi. Pemahaman kontrasepsi yang baik sangat dibutuhkan sebagai komponen yang merujuk pada dukungan diberikan oleh suami sebagai Pasangan Usia Subur (PUS). Penelitian ini dilakukan untuk menjelaskan hubungan dukungan suami terhadap pemilihan MKJP di Wilayah Kerja Puskesmas Sukolilo I. Jenis penelitian Deskriptif Analitik menggunakan metode survey melalui kuesioner dengan pendekatan cross sectional. Populasi dalam penelitian ini merupakan seluruh PUS akseptor KB aktif MKJP sebanyak 907 PUS, setelah dilakukan perhitungan dengan rumus didapatkan hasil sampel sebesar 90 yang diambil dengan menggunakan teknik Simple Random Sampling. Pengambilan dengan menggunakan tabel bilangan acak. Hasil uji statistik Spearman Rho diperoleh p=0,015 (α≤0,05) dan keeratan korelasi didapatkan r=0,256. Hasil tersebut berarti ada hubungan antara dukungan suami terhadap pemilihan metode kontrasepsi jangka panjang. Uji Spearman’s Rho juga menganalisis tingkat keeratan hubungan dan arah hubungan, didapatkan bahwa antar variabel memiliki keeratan hubungan yang cukup dan arah hubungan yang positif.
Pengaruh Self Efficacy Mobilisasi Terhadap Tingkat Kemandirian Pasien Post Sectio Caesarea Di RS Banyumanik Semarang Nur Rahimah; Tia Nurhanifah; Kristina Maharani
DIAGNOSA: Jurnal Ilmu Kesehatan dan Keperawatan Vol. 2 No. 1 (2024): Februari,: Jurnal Ilmu Kesehatan dan Keperawatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59581/diagnosa-widyakarya.v2i1.2559

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Introduction: The number of Sectio Caesarea continues to increase throughout the world, with an average Sectio Caesarea delivery rate of 5%–15% per 1000 births in the world. In the Central Java Region in 2018, section caesarean deliveries were 17.10%, and the rest were vaginal deliveries. In post-section Sectio Caesarea, patients have different levels of independence. One form of intervention for increasing maternal independence is self-efficacy mobilization.Objective: The aim of this study was to determine the effect of self-efficacy mobilization on the level of independence of post-section caesarean patients at Banyumanik Hospital. Methods: This type of research was quantitative with a quasi-experimental method using a one-group post-test-only design. Population: The population of this study was all mothers who delivered a caesarean section with uncomplicated spinal anaesthesia. Sampling: The sampling technique used in this study was purposive sampling, with a total sample taken of 30 women post-section caesarean. The instruments used in this study were questionnaires and observation sheets.Results: Data analysis was carried out univariately and bivariately using the normality test, with the results of the data being distributed abnormally (sig <0.05) so that the next test used the non-parametric test, namely the Wilcoxon Test, which showed the results of Zcount > Ztable (4,813 > 1,645) and Asymp values. Sig (0.000) < α (0.05), which means Ho was rejected, means that there is an effect of self-efficacy mobilization on the independence level of post-section caesarean patients at Banyumanik Hospital, Semarang.
Hubungan Minum Teh Terhadap Kejadian Anemia pada Ibu Hamil Trimester III di Puskesmas Ngaliyan Semarang Noor Naini Choiriyah; Desi Soraya; Kristina Maharani
Medical Laboratory Journal Vol. 2 No. 3 (2024): September : Medical Laboratory Journal
Publisher : LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57213/caloryjournal.v2i3.351

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Anaemia is a common issue during pregnancy, affecting not only pregnant women but also their foetuses and the birth process. Pregnant women are considered anaemic if their haemoglobin (Hb) levels fall below 11 g/dL, with a higher prevalence observed in the third trimester. One contributing factor to anaemia during pregnancy is tea consumption, as tea contains tannin compounds that can inhibit iron absorption. This study aims to investigate the correlation between tea consumption and the incidence of anaemia in pregnant women during the third trimester. An analytical observational research design with a cross-sectional approach was employed. The study was conducted among pregnant women in the third trimester at the Ngaliyan Health Centre from November to December 2023, with a total sample of 55 participants selected through purposive sampling. Data were analysed using both univariate and bivariate methods. The results revealed a significant relationship between tea consumption and the incidence of anaemia, with a p-value of 0.003 (p < 0.005). These findings suggest that tea consumption is associated with an increased risk of anaemia in pregnant women during the third trimester.
Determinan Pengetahuan Ibu Terhadap Ketepatan Pemilihan KB Suntik 3 Bulan (Depo Progestin) Di Wilayah Kerja Puskesmas Pringapus Nabilla Qoni Maharani; Kristina Maharani; Siti Juwariyah
Corona: Jurnal Ilmu Kesehatan Umum, Psikolog, Keperawatan dan Kebidanan Vol. 2 No. 1 (2024): Maret : Corona: Jurnal Ilmu Kesehatan Umum, Psikolog, Keperawatan dan Kebidanan
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/corona.v2i1.56

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Introduction: 3-month injection KB (Depo Progestin) is a contraceptive method that can be used effectively and has good working power for mothers. The use of 3-month injectable birth control aims to delay or prevent pregnancy, space pregnancies, and terminate pregnancies. Mother's knowledge plays an important role in choosing birth control; the more knowledge the mother has, the more influential she is in choosing injectable contraceptives. Based on Indonesia's profile data in 2019, there was an increase in contraceptive use in women, namely 50% to 64% in the 1991–2017 period, but in 2019 it decreased to 62.5%. The most dominant contraceptive method used in 2019 was the injection contraceptive method as much as 63.7% (Central Statistics Agency data) and based on health profile data for Central Java province in 2021, there is an increase in the use of injectable birth control among married women aged 15–49 years, namely 57.68%. Objective: This study aims to determine the determinants of mother's knowledge on the accuracy of choosing 3-month injectable birth control (Progestin Depo) in the working area of ​​the Pringapus Health Center. Metodes: This research method uses a cross-sectional research method and a purposive sampling approach. The sample used in this study was 92 respondents, and the location of this research was in the working area of the Pringapus Health. Results: Based on data analysis the result is that mothers with good knowledge are 53 (57.7%) respondents, and the accuracy in choosing the answer "Yes" (correct) is 83 (90.2%) of respondents. Then the results obtained have a p-value of 0.002 < 0.05, so it can be concluded that Ho is rejected and Ha is accepted, which means that there is a relationship between the mother's knowledge and the accuracy of choosing 3-month injectable birth control (Progestin Depo) in the working area of the Pringapus Health Center.
Pemberdayaan Kader Pada Deteksi Dini Ibu Hamil Resiko Tinggi Di Puskesmas Karang Ayu Semarang Qomariyah, Qomariyah; Maharani, Kristina; Kurniawati, Putri
INDONESIAN JOURNAL OF COMMUNITY EMPOWERMENT (IJCE) Vol. 2 No. 2 (2020): Indonesian Journal of Community Empowerment November Vol.2 No.2
Publisher : UNIVERSITAS NGUDI WALUYO

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (306.899 KB) | DOI: 10.35473/ijce.v2i2.760

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According to the 2012 Indonesian Demographic and Health Survey (IDHS), it shows a drastic increase in MMR (related to pregnancy, childbirth, and childbirth) from 2007 of 228 per 100,000 live births to 359 per 100,000 live births in 2012 (Profile Health Indonesia, 2012). Initial data at Puskesmas Karang Ayu, the largest proportion of pregnant women in the Karang Ayu Health Center area are mothers with a Risk Factor of 36%. The proportion of 10% postpartum mothers is with complications. The target of KIA Gasurkes counseling is more than 100% with the largest proportion in the class of pregnant women, 52%. Based on interviews with Puskesmas officers, officers said that Puskesmas Karang Ayu has health cadres but has not been exposed to information about high-risk pregnant women. Therefore it is necessary to do community service consisting of counseling about high-risk pregnant women. After counseling and empowerment, cadres in the Puskesmas Karang Ayu assisted areas are able to monitor blood pressure measurements, and provide education to high-risk pregnant women who are their responsibility.AbstrakMenurut Survey Demografi dan Kesehatan Indonesia (SDKI) tahun 2012, menunjukkan kenaikkan AKI (yang berkaitan dengan kehamilan, persalinan, dan nifas) yang cukup drastis dari tahun 2007 sebesar 228 per100.000 kelahiran hidup menjadi 359 per 100.000 kelahiran hidup pada tahun 2012 (Profil Kesehatan Indonesia, 2012). Data awal di Puskesmas Karang Ayu proporsi ibu hamil terbesar di wilayah Puskesmas Karang Ayu adalah ibu dengan Faktor Risiko sebanyak 36%. Proporsi ibu nifas 10% adalah dengan komplikasi. Target penyuluhan Gasurkes KIA sudah lebih dari 100% dengan proporsi terbesar ada di kelas Ibu Hamil 52 %. Berdasarkan wawancara kepada petugas Puskesmas, petugas mengatakan bahwa Puskesmas Karang Ayu memiliki kader kesehatan namun belum terpapar dengan informasi mengenai ibu hamil resiko tinggi. Maka dari itu perlu dilakukan pengabdian masyarakat yang terdiri dari Penyuluhan mengenai ibu hamil resiko tinggi. Setelah dilakukan penyuluhan dan pemberdayaan, kader di wilayah binaan Puskesmas Karang Ayu mampu melaksanakan pemantauan pengkuran tekanan darah, dan memberikan edukasi kepada ibu hamil resiko tinggi yang menjadi tanggung jawabnya.
“Pemberdayaan Kader sebagai Kelompok Pendukung Asi Eksklusif (Kp-Asi) dalam Gerakan Gemar Asi Eksklusif di Puskesmas Karang Ayu Semarang” Qomariyah, Qomariyah; Maharani, Kristina; Maulidiyah, Fia Nur
INDONESIAN JOURNAL OF COMMUNITY EMPOWERMENT (IJCE) Vol. 3 No. 1 (2021): Indonesian Journal of Community Empowerment Mei Vol.3 No.1
Publisher : UNIVERSITAS NGUDI WALUYO

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (125.59 KB) | DOI: 10.35473/ijce.v3i1.989

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Breast milk is the right milk for babies because this milk is specially produced by mothers only for their babies. Mother's milk provides the most important energy for the baby. Breast milk cannot be replaced by even the most expensive formula milk because the substances contained in breast milk have the right temperature for the baby, contain all the substances needed by the baby and breast milk does not contain bacteria that are harmful to the baby's health (Nirwana, 2014). The achievement of exclusive breastfeeding, specifically in all Puskesmas Karang Ayu, was 73.33%, while the target set by the Semarang City Health Service was 80%. The Karang Ayu Community Health Center has 4 Puskesmas working areas, each consisting of a Puskesmas and a Sub Health Center. Based on the achievements in each Puskesmas, it is known that the achievement of exclusive breastfeeding at the Karang Ayu Health Center has the lowest achievement, namely 63.46% compared to other Puskesmas in Karang Ayu Health Center (DinKes Denpasar City, 2014). Based on interviews with Puskesmas officers, the officers said that the Karang Ayu Health Center had health cadres but had not been exposed to information about exclusive breastfeeding. Therefore, it is necessary to do community service which consists of counseling on exclusive breastfeeding. After counseling and empowerment, cadres in the targeted area of Karang Ayu Health Center are able to carry out monitoring of blood pressure measurements, and provide education to Exclusive Breastfeeding which is their responsibility.AbstrakASI merupakan susu yang tepat untuk bayi karena susu ini khusus diproduksi ibu hanya untuk bayinya. Susu dari ibu memberikan energi yang paling penting untuk bayi. ASI tidak dapat digantikan oleh susu formula yang termahal sekalipun karena zat-zat yang terkadung dalam ASI memiliki suhu yang tepat untuk bayi, mengandung segala zat yang dibutuhkan bayi dan ASI tidak mengandung bakteri yang berbahaya bagi kesehatan bayi (Nirwana, 2014). Pencapaian ASI Ekslusif yang mengkhusus di seluruh Puskesmas Karang Ayu sebesar 73,33% sedangkan target yang ditetapkan Dinas Kesehatan  Kota Semarang sebesar 80%. Dinas Puskesmas Karang Ayu memiliki 4 wilayah kerja Puskesmas yang masing-masing terdiri dari Puskesmas dan Puskesmas Pembantu. Berdasarkan pencapaian di masing-masing Puskesmas, diketahui bahwa pencapaian ASI Ekslusif di Puskesmas II Denpasar Barat memiliki pencapaian paling rendah yaitu 63,46% dibandingkan Puskesmas lainnya yang ada di Puskesmas Karang Ayu (DinKes Kota Denpasar, 2014). Pencapaian ASI Ekslusif yang mengkhusus di seluruh Puskesmas Karang Ayu sebesar 73,33% sedangkan target yang ditetapkan Dinas Kesehatan  Kota Semarang sebesar 80%. Dinas Puskesmas Karang Ayu memiliki 4 wilayah kerja Puskesmas yang masing-masing terdiri dari Puskesmas dan Puskesmas Pembantu. Berdasarkan pencapaian di masing-masing Puskesmas, diketahui bahwa pencapaian ASI Ekslusif di Puskesmas II Denpasar Barat memiliki pencapaian paling rendah yaitu 63,46% dibandingkan Puskesmas lainnya yang ada di Puskesmas Karang Ayu (DinKes Kota Denpasar, 2014). Berdasarkan wawancara kepada petugas Puskesmas, petugas mengatakan bahwa Puskesmas Karang Ayu memiliki kader kesehatan namun belum terpapar dengan informasi mengenai ASI Eksklusif. Maka dari itu perlu dilakukan pengabdian masyarakat yang terdiri dari Penyuluhan mengenai ASI Eksklusif. Setelah dilakukan penyuluhan dan pemberdayaan, kader di wilayah binaan Puskesmas Karang Ayu mampu melaksanakan pemantauan pengkuran tekanan darah, dan memberikan edukasi kepada ASI Eksklusif yang menjadi tanggung jawabnya. 
Efektifitas Tindakan Frenektomy Pada Bayi Tongue Tie Dengan Kemampuan Menyusu Hesty Tri Kurniasari; Kristina Maharani; Siti Juwariyah
Protein : Jurnal Ilmu Keperawatan dan Kebidanan.  Vol. 2 No. 2 (2024): April : Protein: Jurnal Ilmu Keperawatan dan Kebidanan
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/protein.v2i2.261

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Tongue tie cases at the Columbia Asia Surgical Hospital in Semarang in the last two years have experienced an increase, where in 2021 there were 438 cases and in 2022 there were 447 cases. Tongue tie babies have a poor breastfeeding mechanism, this is caused by limited tongue movement, so tongue tie babies cannot attach properly when breastfeeding. These conditions result in the maximum intake of breast milk not being obtained and the mother feeling uncomfortable due to sore nipples which can cause premature cessation of breastfeeding. This study aims to analyze the effectiveness of frenectomy in tongue tie babies with breastfeeding ability. This research is a type of quasi-experimental research with a one group pretest-posttest design. The population in this study were tongue-tie babies without complications who were still being hospitalized at the Columbia Asia Surgical Hospital in Semarang. Using a purposive sampling technique, a sample of 30 babies was obtained. The instruments used in this study were LATCH and ATLFF scores. Data analysis was performed using univariate analysis and bivariate analysis. The results of the study showed that the Frenectomy procedure was effective in increasing the ability to suckle in tongue tie babies, the Wilcoxon test results were obtained (pvalue 0.000 <0.05), where all (100%) tongue tie babies experienced an increase in the ability to suckle after a frenectomy. The action of a frenectomy is effective in increasing the ability to suckle, this can be due to the fact that with a frenectomy the mobility of the tongue increases, so that the baby can latch on properly, can swallow milk well, the mother feels comfortable while breastfeeding because the nipples are not painful.
Kombinasi Herbal Steam Bath dan Massage Terapi pada Ibu Nifas dalam Mencegah Post Partum Blues Kristina Maharani; Choirul Anwar; Agus Suwandono
Jurnal Keperawatan Silampari Vol 2 No 2 (2019): Jurnal Keperawatan Silampari
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (516.892 KB) | DOI: 10.31539/jks.v2i2.509

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The purpose of this study was to analyze the effectiveness of a combination of herbal steam bath and massage therapy as a way to prevent post partum blues of postpartum mothers. This type of quasi experiment research design with pre-test and post-test control group. The results of the study, herbal steam bath and massage therapy are more effective than conventional puerperal care in the prevention of post partum blues with a p-value <0.05. Conclusion, Herbal steam bath and massage therapy can be used as an alternative therapy in the prevention of post partum blues. Keywords: Herbal Steam Bath, Massage therapy, Postpartum Blues, Postpartum Blues