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All Journal Jurnal Penelitian Kesehatan Suara Forikes AloHA International Journal of Health Advancement (AIJHA)
Rahayu Sumaningsih
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Biochemistry, Genetics & Molecular Biology Dentistry Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health

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MENGURANGI NYERI DAN LAMA KALA I PERSALINAN DENGAN MUSIK MOZART DAN INSTRUMENTAL KITARO Rahayu Sumaningsih; Budi Joko Santosa
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 9, No 2 (2018): April 2018
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (465.696 KB) | DOI: 10.33846/sf.v9i2.251

Abstract

Nyeri merupakan kondisi perasaan tidak menyenangkan sangat subjektif. Nyeri pada kala I persalinan, membangkitkan stres yang menimbulkan sekresi hormon katekolamin dan steroid meninmbulkan vasokonstriksi sehingga kontraksi uterus melemah. Apabila tidak diatasi menyebabkan Kala I lama dan partus lama. Penelitian bertujuan menemukan jenis musik yang efektif menurunkan nyeri dan lama kala I. Penelitian Eksperimen Pretest-Postest with Control Group ini mengambil 3 kelompok intervensi dan 1 kontrol. Populasi target seluruh ibu multigravida yang melahirkan di Praktik Bidan Mandiri kabupaten Magetan, 40 orang sampel dengan Skor Puji Rohyati < 10 (resiko rendah), gestasi 37-40 minggu, janin tunggal, presentasi kepala. Kriteria eksklusi: keracunan kehamilan, perdarahan, kelainan letak, riwayat secsio caesaria, penyakit jantung dan paru, gangguan jiwa. Analisis uji Wicoxon, hasil rerata usia 30,5 rentang 20-39 tahun. Rerata gestasi 39,8 rentang 37-43 minggu. Rerata pendidikan 95% tingkat dasar. Paritas GII 72,5%, GIII 25% dan GIV 2,5%. Lama kala I dengan musik Mozart rerata 198 rentang 85 – 330 menit, Instrumental modern Kitaro rerata 260 rentang 130 – 375 menit, perpaduan kedua musik rerata 259 rentang 135 – 4535 menit, kelompok kontrol rerata 424 rentang 310 – 6010 menit. Terpendek kala I dengan music Mozart rerata 198 menit (3,3 jam). Uji Wicoxon, music Kitaro p=0,003, kombinasi Mozart-Kitaro p=0,008 dan Mozart p=0.083. Musik klasik secara umum mengurangi rasa nyeri persalinan, terbaik kombinasi antara Mozart-Kitaro. Music Mozart, mempercepat waktu kala I persalinan Kata kunci: Musik klasik, kala I, Nyeri persalinan
Case Report: High-Risk Factors in an Elderly Primigravida with Dwarfism and Chronic Energy Deficiency at Ngariboyo Community Health Center Fauzia Prima Hadianita; Rahayu Sumaningsih; Triana Septianti Purwanto
Aloha International Journal of Health Advancement (AIJHA) Vol 7, No 9 (2026): September 2026 (In Production)
Publisher : Alliance oh Health Activists (AloHA)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/%x

Abstract

Background: High-risk pregnancy in elderly primigravida with dwarfism and Chronic Energy Deficiency (CED) presents complex challenges due to anatomical constraints and nutritional insufficiency. This case report describes the midwifery care provided to a 36-year-old primigravida with dwarfism (height 136 cm) and CED at Ngariboyo Community Health Center, Magetan Regency. Objective: To comprehensively describe the clinical condition and midwifery management of a high-risk pregnancy involving advanced maternal age, dwarfism, and CED through the Continuity of Care approach. Case Presentation: Mrs. K, a 36-year-old primigravida at 22 weeks gestation with G1P00000, presented with dwarfism (height 136 cm), pre-pregnancy BMI of 17.60 kg/m², and MUAC of 20 cm indicating CED. The KSPR score of 10 classified her as high-risk. Comprehensive antenatal care was delivered through five home visits from January to April 2026. Interventions: Midwifery management included nutritional education emphasizing high-calorie and high-protein foods, complementary therapies (lime water, acupressure, relaxation techniques, aromatherapy), family-centered care with husband involvement, interprofessional collaboration, and delivery planning through the P4K program. Results: Over the monitoring period, the patient showed significant improvement evidenced by weight gain from 33.95 kg to 39 kg (total gain 6.5 kg), MUAC increase from 20 cm to 22 cm, resolution of dizziness, fatigue, and constipation complaints, improved appetite and dietary patterns, and stable maternal and fetal conditions. Fetal growth progressed with estimated fetal weight increasing from 465 grams to 2,323 grams. Conclusion: The Continuity of Care approach incorporating nutritional interventions, family support, complementary therapies, and comprehensive monitoring proved effective in improving maternal nutritional status and maintaining maternal-fetal well-being throughout pregnancy in this complex high-risk case. Keywords: Elderly primigravida, Dwarfism, Chronic Energy Deficiency, High-risk pregnancy, Continuity of Care
Co-Authors Fauzia Prima Hadianita Santosa, Budi Joko Triana Septianti Purwanto