Agustin, Dinar
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Pengalaman pemberian ASI ekslusif pada Ibu bekerja: scoping review Agustin, Dinar; Astuti, Andari Wuri
Jurnal Cakrawala Promkes Vol 3, No 2 (2021): August
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.12928/promkes.v3i2.4574

Abstract

Working mothers faced many challenges and constraints. Despite legislations mandating workplaces to give support, including breastfeeding areas for their employees, a number of hurdles remained, preventing them from achieving exclusive breastfeeding (EBF). Therefore, this review intended to review evidence on the experience of EBF practices among working mothers. This study employed scoping review by using four stages. Firstly, develop the focus of the study through the framework of PEOS (Population, Exposure, Outcome and study design). Secondly, conducted literature search using three relevant databases (PubMed, Science Direct, Wiley Online) and grey literature (Google scholar). Thirdly, selected relevant studies using inclusion and exclusion criteria. Fourthly, conducted critical appraisals using data charting to assess the quality of included articles, followed by analyzing and reporting the results. PRISMA flowchart was used to describe the literature search plot. Based on 12 included articles, twothirds of the included articles were qualitative studies categorized as grade A. The other four articles had grade B where three out of four were non-randomized quantitative studies and one mixed-method study. Some factors identified to be the cause to prevent continued EBF were insufficiency support and facilities from family, husband, coworkers in the workplaces (paid leave, availability of daycare, lactation room, breast milk pumping tools). Two other identified factors were previous breastfeeding experience and knowledge. The implementation of EBF practices were challenging in some developed countries. However, having good knowledge was necessary to reduce the gap between maternal perception and belief in which was occurred in Italy study. In contrary, low knowledge was found as an important obstacle in the developing world such as Bangladesh. Overall, perception and belief related to EBF of working mothers contributed to the practice of EBF.
Narrative review: pengaruh terapi massage counterpressure terhadap pengurangan nyeri dalam persalinan Astuti, Hutari Puji; Astuti, Andari Wuri; Agustin, Dinar; Awaliyah, Hardiyanti Fitrah; Winarti, Gana Rendra; Jaya, Vanny Oktaviani
Jurnal Cakrawala Promkes Vol 3, No 2 (2021): August
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.12928/promkes.v3i2.4573

Abstract

Labor often prompts unpleasant, fearful, or, further, traumaticexperiences due to the pain it entails. Scientific evidence suggests thatpain during labor can be managed using two methods; pharmacologicaland non-pharmacological. Pharmacology is a method of using drugs,whereas non-pharmacologic is without the administration of drugs. The nonpharmacologicalmethod is known as complementary and alternativetherapies, one practice is through massage. Massage frequentlyperformed to reduce labor pain is counterpressure. The purpose of thisstudy is to investigate the effect of counterpressure massage therapy asa measure to reduce labor pain. The method used is a narrative review.Article exploration was carried out in several databases, which arePubmed and Science Direct. In the case of Gray Literature, it wasaccessed via Google Scholar. Specific keywords were employed forliterature search and articles were selected by considering inclusion andexclusion criteria. The article selection process was elaboratedtransparently in the PRISMA Flowchart. From the article selectionprocedure, 14 articles were identified and fulfilled the criteria. Thus,articles were critically analyzed (Critical Appraisal) using the MixedMethod Appraisal Tool (MMAT). The review concludes thatcounterpressure is a massage performed by applying continuouspressure to the patient's sacral with the heel of the hand or fist of thehand. Counterpressure massage can be done in a straight stroke or smallcircular stroke. This technique is proven to be sufficient in relieving backpain during labor. The recommendation suggested is based on the 14articles reviews carried out that a common problem occurring in laboringwomen is physiological pain experience during childbirth so that it mayprovoke bad experiences for mothers, especially fear and anxiety thatmay lead to prolonged labor.Labor often prompts an unpleasant, fearful, or, further, traumatic experiences due to the pain it entails. Scientific evidence suggests that pain during labor can be managed using two methods; pharmacological and non-pharmacological. Pharmacology is a method of using drugs, whereas non-pharmacologic is without the administration of drugs. Non-pharmacological method is known as complementary and alternative therapies, one practice is through massage. Massage frequently performed to reduce labor pain is counterpressure. The purpose of this study is to investigate the effect of counterpressure massage therapy as a measure to reduce labor pain. The method used is a narrative review. Article exploration was carried out in several databases, which are Pubmed and Science Direct. In the case of Gray Literature, it was accessed via Google Scholar. Specific keywords were employed for literature search and articles were selected by considering inclusion and exclusion criteria. The article selection process was elaborated transparently in the PRISMA Flowchart. From the article selection procedure, 14 articles were identified and fulfilled the criteria. Thus, articles were critically analyzed (Critical Appraisal) using the Mixed Method Appraisal Tool (MMAT). The review concludes that counterpressure is a massage performed by applying continuous pressure to the patient's sacral with the heel of the hand or fist of the hand. Counterpressure massage can be done in a straight stroke or small circular stroke. This technique is proven to be sufficient in relieving back pain during labor. The recommendation suggested is based on the 14 articles reviews carried out that a common problem occurring in laboring women is physiological pain experience during childbirth so that it may provoke bad experiences for mothers, especially fear and anxiety that may lead to prolonged labor