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PENGARUH PIJAT PERINEUM TERHADAP KEJADIAN RUPTUR PERINEUM PADA IBU BERSALIN PRIMIPARA DI BPM NY “I” CIPAGERAN CIMAHI UTARA KOTA CIMAHI JAWA BARAT Risza Choirunissa; Suprihatin Suprihatin; Han Han
Jurnal Ilmiah Kesehatan Vol 11, No 2 (2019): Jurnal Ilmiah Kesehatan
Publisher : Universitas Mohammad Husni Thamrin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37012/jik.v11i2.77

Abstract

Salah satu penyebab morbiditas dan mortalitas ibu adalah infeksi pada masa nifas dimana infeksi tersebut berawal dari ruptur perineum. Berdasarkan hasil data di BPM “I” tahun 2017 terdapat ibu hamil 1.201, jumlah ibu bersalin sebanyak 290 orang. Jumlah ibu yang mengalami ruptur perineum saat persalinan sebanyak 155 orang (53,5%). Jumlah ibu bersalin primipara yang mengalami ruptur perineum sebanyak 109 orang (37,6%), dan jumlah ibu bersalin multipara yang mengalami ruptur perineum sebanyak 46 orang (15,9%).  Tujuan dari penelitian ini yaitu Untuk mengetahui pengaruh pijat perineum terhadap kejadian ruptur perineum pada ibu bersalin primipara di BPM Ny.“I” Cipageran Cimahi Utara Kota Cimahi.  Metodologi Penelitian ini menggunakan rancangan pre-eksperimen  the static Group Comparison  dengan membagi dua kelompok, yaitu kelompok intervensi dan kelompok kontrol. Sampel dalam penelitian ini berjumlah 30 orang ibu hamil yang terdiri dari 15 orang kelompok intervensi dan 15 orang kelompok kontrol. Teknik pemilihan sampel dengan menggunakan total sampling. Instrumen penelitian terdiri dari dokumentasi, booklet, lembar observasi serta lembar partograf. Data dianalisis menggunakan   Independent t test untuk mengetahui perbedaan pengaruh  antar kelompok. Hasil penelitian menunjukkan bahwa terdapat pengaruh antara pijat perineum dengan kejadian ruptur perineum dengan hasil signifikansi 0,028 (p0.05). Simpulan dan Saran yang dapat diberikan yaitu pijat perineum dapat mencegah terjadinya ruptur perineum pada persalinan normal. Program ini dapat diaplikasikan di praktik klinik kebidanan khususnya pada ibu hamil primigravida.  Kata Kunci: Pijat Perineum, Ruptur Perineum
ANALISIS FAKTOR YANG BERHUBUNGAN DENGAN PEMERIKSAAN K4 PADA IBU HAMIL DI PUSKESMAS BAKUNG PROVINSI LAMPUNG TAHUN 2017 Risza Choirunissa; Noviliani Dwi Syahputri
JURNAL AKADEMI KEPERAWATAN HUSADA KARYA JAYA Vol 4, No 1 (2018): JAKHKJ Maret 2018
Publisher : Akademi Keperawatan Husada Karya Jaya Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (622.673 KB)

Abstract

Abstrak Latar Belakang :Cakupan K4 adalah jumlah ibu hamil yang telah memperoleh pelayanan antenatal sesuai dengan standar. Paling sedikit empat kali, 1 kali pada trimester pertama, 1 kali pada trimester kedua, dan 2 kali pada trimester ketiga. Perilaku ibu hamil yang tidak melakukan pemeriksaan kehamilan akan menurunkan cakupan ANC terutama K4, serta dapat berisiko meningkatkan AKI. Pencapaian target Cakupan K4 di Puskesmas Bakung pada Tahun 2016 mengalami penurunan, dari 65,1% pada tahun 2015 menjadi 56,8% pada Tahun 2016. Tujuan :Penelitian ini bertujuan untuk mengetahui analisis faktor yang berhubungan dengan pemeriksaan K4 pada Ibu Hamil di Puskesmas Bakung Provinsi Lampung Tahun 2017. Metodologi :Penelitian ini termasuk jenis penelitian kuantitatif dengan desain cross sectional . Sampel pada penelitian ini sebanyak 78 responden ibu bersalin di Puskesmas Bakung. Teknik pengambilan sampel menggunakan sim ple r a n d o m s a m plin g. Instrumen penelitian menggunakan Buku KIA dan kuesioner, kuesioner sebelumnya telah dilakukan uji validitas dan reliabilitas, kemudian data diolah dan dianalisis secara univariat dan bivariat dengan uji chi square pada α = 0,05. Hasil Penelitian :Hasil penelitian menunjukkan bahwa terdapat hubungan antara pengetahuan ibu (p=0,001) dan Dukungan suami/keluarga (p=0,034) dengan Pemeriksaan K4 pada Ibu hamil, sementara Umur Ibu (p=0,704), pekerjaan Ibu (p=0,194), pendidikan Ibu (p=0,536), paritas (p=0,540) dan jarak rumah ke pelayanan kesehatan (p = 0,946) tidak berhubungan dengan pemeriksaan K4 pada ibu hamil di Puskesmas Bakung Provinsi Lampung Tahun 2017. Simpulan dan Saran :Terdapat Hubungan antara Pengetahuan Ibu dan Dukungan suami/keluarga terhadap Pemeriksaan K4 pada Ibu Hamil di Puskesmas Bakung Provinsi Lampung Tahun 2017. Disarankan kepada Puskesmas untuk dapat meningkatkan pengetahuan Ibu dengan menyelenggarakan kegiatan penyuluhan tentang pentingnya pemeriksaan kehamilan kepada masyarakat terutama pada ibu di awal kehamilan serta melibatkan suami/keluarga agar mendukung dan memotivasi dari awal kehamilan ibu untuk memeriksakan kehamilannya minimal 4x sesuai standar. Kata Kunci :Pemeriksaan Kehamilan K4,Kunjungan, Ibu hamil Kepustakaan :54 Pustaka (2008-2016)
The Effectiveness of Almond Juice on Breast Milk Volume at Clinic B Bekasi Indrayani, Triana; Vivi Silawati; Risza Choirunissa
International Journal of Midwifery and Health Sciences Vol. 1 No. 1 (2023): IJMHS Vol 1 No 1 (2023)
Publisher : Rajaki of Tulip Medika Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61777/ijmhs.v1i1.18

Abstract

Background: Breast milk is the ideal food for newborns because of its unique nutritional properties. Therefore, it is appropriate for every baby to get exclusive breastfeeding until the age of 6 months. To make this happen, the baby's mother must try to increase the volume and quality of her breast milk. These efforts must be supported by providing appropriate nutritional intake for breastfeeding mothers. Purpose: To determine the effectiveness of almond juice on breast milk volume. Methods: Quasi-experiment with pre and post treatment. The sample in this study was 30 people consisting of 15 experimental groups and 15 control groups. The sampling technique used was purposive sampling. The research instrument used direct observation and breast pump. Data were analyzed using descriptive statistics and inferential statistics, namely paired t-tests. Result: The results showed that there was a significant difference in the volume of breast milk before and after the intervention was given. Conclusion: giving almond juice regularly taken 2 times a day for 10 days is effective in increasing the volume of breast milk. Midwives are expected to be even better at providing counseling regarding the fulfillment of balanced nutrition by adding almond juice in increasing the volume of breast milk.
The effect of prenatal yoga on pubic bone pain in pregnant women in the third trimester Rosidah, Idah; Triana Indrayani; Risza Choirunissa
Nursing and Health Sciences Journal (NHSJ) Vol. 5 No. 3 (2025): September 2025
Publisher : KHD-Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/nhsj.v5i3.576

Abstract

Pubic bone pain is one of the discomforts that occurs in pregnant women in the third trimester. This problem often occurs in pregnant women, especially in the third trimester. Pharmacological and non-pharmacological methods can be used to manage pubic bone pain. Non-pharmacological pain management can be done in several ways, including relaxation, acupressure, and prenatal yoga. Prenatal yoga is one of the modifications of hatha yoga adapted to pregnant women's conditions. This study aims to determine the effect of prenatal yoga on pregnant women in the third trimester in overcoming pubic bone pain in the control and intervention groups. The method for this study uses quasi-experimental research, which uses a pre- and post-test design with a control group design. The sample in this study amounted to 50 pregnant women in the third trimester, consisting of 25 pregnant women in the intervention group and 25 pregnant women in the control group. The sampling technique used was purposive sampling. This research instrument used pain measurement with the NRS. Due to abnormal distribution, the data were analyzed using descriptive statistics and non-parametric tests, namely the Wilcoxon test. The results of the study showed that prenatal yoga affected pubic bone pain in third-trimester pregnant women, with a value of P = 0.000. Prenatal yoga was able to reduce pubic bone pain in pregnant women in the third trimester. The researcher was then able to provide both pharmacological and non-pharmacological treatment to pregnant women in the third trimester who experienced pubic bone pain.
The effect of acupressure therapy on emesis gravidarum in pregnant women in the first trimester Silvani, Erista; Triana Indrayani; Risza Choirunissa
Nursing and Health Sciences Journal (NHSJ) Vol. 5 No. 3 (2025): September 2025
Publisher : KHD-Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/nhsj.v5i3.577

Abstract

Nausea and vomiting (emesis gravidarum) are among the most common complaints during the first trimester of pregnancy, often associated with elevated levels of human chorionic gonadotropin (hCG). Non-pharmacological interventions such as acupressure have been proposed as effective alternatives to manage these symptoms. This study aimed to evaluate the effectiveness of acupressure therapy in reducing the severity of emesis gravidarum among first-trimester pregnant women. A quasi-experimental design with a pretest-posttest control group was applied. A purposive sampling technique recruited 42 participants, divided equally into intervention (n=21) and control (n=21) groups. Acupressure therapy was administered to the intervention group at specific points, while the control group received routine antenatal care. Data were analyzed using paired t-test and independent t-test. The findings demonstrated a statistically significant reduction in the frequency and severity of nausea and vomiting in the intervention group compared to the control group (p < 0.001). Acupressure therapy effectively alleviated symptoms of emesis gravidarum during the first trimester. Acupressure therapy is a beneficial, non-pharmacological intervention for reducing emesis gravidarum in early pregnancy. This technique can be integrated into maternal health services to improve comfort and wellbeing.
The effect of education using booklet media on pregnant women's knowledge about Chronic Energy Deficiency (CED) Lestari, Fuji; Triana Indrayani; Risza Choirunissa
Nursing and Health Sciences Journal (NHSJ) Vol. 5 No. 3 (2025): September 2025
Publisher : KHD-Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/nhsj.v5i3.578

Abstract

Chronic Energy Deficiency (CED) is one of the nutritional problems in pregnant women that can harm maternal health and fetal growth. One of the causes of the high risk of CED is the low knowledge of pregnant women related to nutrition during pregnancy. Education using booklet media is considered adequate because it presents the material concisely, clearly, and illustrated, making it easier to understand. This study aims to determine the influence of education using booklet media on pregnant women's knowledge about CEDs. This Research uses a pre-experimental design with a group pretest-posttest design. The sample amounted to 25 pregnant women who were selected using the total sampling technique. Data was collected using a CED knowledge questionnaire, while data analysis was carried out univariate and bivariate using the Wilcoxon test. Before education, most (72.0%) of pregnant women's knowledge of CEDs was lacking. After education, all respondents (100%) were in the category of good knowledge. The difference in the average value of knowledge before and after education was 4.64. The results of the Wilcoxon test were obtained, p=0.000 (<0.05), which showed a significant influence of education using booklet media on increasing pregnant women's knowledge about CEDs. Education using booklet media is effective in increasing pregnant women's knowledge about CEDs. It is recommended that health workers use booklets as a routine educational medium, and further Research adds measures of attitudes and behaviors to see the long-term changes.