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All Journal Media Ilmu Kesehatan Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Jurnal Kesehatan Karya Husada Jurnal Pengabdian Masyarakat Karya Husada (JPMKH) Jurnal Peduli Masyarakat Indonesian Journal of Global Health research JIK (Jurnal Ilmu Kebidanan) Proceedings of the International Conference on Nursing and Health Sciences Journal of Global Research in Public Health Journal for Quality in Women's Health
Wulandari, Amri
Politeknik Kesehatan Karya Husada Yogyakarta
Dentistry Economics, Econometrics & Finance Education Health Professions Languange, Linguistic, Communication & Media Medicine & Pharmacology Nursing Physics Public Health Veterinary Other

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Implementation of Deep Back Massage to Reduce Pain Intensity in Maternity Wulandari, Amri; Rustianingsih, Lina; Putrianti, Berlina
Proceedings of the International Conference on Nursing and Health Sciences Vol 5 No 2 (2024): July-December 2024
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/picnhs.v5i2.4631

Abstract

The maternal mortality and illness rate in Indonesia is still high. In 2022, the number of maternal deaths in Indonesia was 3,572 cases (Kemenkes RI, 2023). The number of maternal deaths in Sleman Regency in 2022 is 11 cases with a maternal mortality rate of 91.61 per 100,000 live births. The cause of maternal death in Sleman Regency was due to bleeding (4), preeclampsia (2), acute respiratory distress syndrome (ADRS) severe degrees due to lung problems (1), septic shock (1), sepsis (1), heart disease (1), and ileus (1). Based on the results of the perinatal maternal audit in Sleman Regency of the 11 deaths, 7 deaths did not experience delays and 4 experienced delays in making decisions to refer, both from family decisions and decisions from health workers who handle patients (Sleman Health Office, 2023). So midwifery care Continuity Of Care It needs to be implemented as an effort to reduce maternal mortality rates. Purpose: To find out the results of the implementation deep back massage to reduce the intensity of pain in pregnant women during the first active phase. Method: This type of research is qualitative research with a case study method and uses an approach Continuity of Care Mrs. R was 23 years old. Result: After doing deep back massage During Phase I Active Phase labor, the mother's pain decreases from a pain scale of 8 to 6. Conclusion: It can be concluded that the implementation of deep back massage in pregnant women during the first active phase, it can reduce pain.
Analysis of Factors Influencing the Use of Implantable Family Contraceptive Methods Krismiyati, Murti; Wulandari, Amri; Prihastuti, Mizan
Proceedings of the International Conference on Nursing and Health Sciences Vol 5 No 2 (2024): July-December 2024
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/picnhs.v5i2.5249

Abstract

Implants are one of the effective and efficient long-term hormonal contraceptives, but the use of implanted contraceptives is still relatively low compared to other contraceptives. The coverage of active family planning participants in 2020 who use the implantable contraceptive method is 8.5%. This figure is much lower when compared to the injectable contraceptive method of 72.9%, the pill method of 19.4%, and the IUD method of 8.5%. If you look at the effectiveness, injections and pills, including short-term contraceptive methods that have a lower level of effectiveness, are compared to the Long-Term Contraceptive Method (MKJP), one of which is implants. The method used in this study is analytical descriptive research with a cross sectional approach. The sample in this study is family planning acceptors at PMB Umi M and PMB Siti Aminah. The research was conducted from October 2, 2024 to October 31, 2024 with a sample of 75 respondents. The data was processed using SPSS version 25 and analyzed using the chi square test. The results of univariate analysis showed that there were more respondents who used implanted birth control, namely 55 respondents (73.3%) compared to those who did not use implanted birth control 20 respondents (26.7%). The results of the chi square statistical test showed that there was a relationship between age and the use of the p value implant contraceptive method (0.000), there was a relationship between education and the use of the p value implant contraceptive method (0.023), there was no relationship between parity and the use of the p value implant contraceptive method (0.561) and there was a relationship between income and the use of the p value implant contraceptive method (0.010). There was a relationship between age and the use of implantable contraceptive methods in PMB in the Kulon Progo area as seen from the p value of 0.000. There is a relationship between education and the use of implantable contraceptive methods in PMB in the Kulon Progo area as seen from the p value of 0.023. There was no relationship between parity and the use of implantable contraceptive methods in PMB in the Kulon Progo area as seen from the p value of 0.561. There is a relationship between income and the use of implantable contraceptive methods in PMB in the Kulon Progo area as seen from the p value of 0.010.
Rebozo Technique and Nipple Stimulation on the Length of Labor in Period I in Maternity Fauziandari, Erma Nur; Wulandari, Amri; Fijriyah, Saumi; Annarrahayu, Lutfi
Proceedings of the International Conference on Nursing and Health Sciences Vol 5 No 2 (2024): July-December 2024
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/picnhs.v5i2.5250

Abstract

Childbirth is the process of movement of the fetus, placenta and membranes from the uterus through the birth canal. This process starts from the opening and dilation of the cervix caused by uterine contractions with regular frequency, duration, and strength. The Maternal Mortality Rate (AKI) in maternity reached 189 per 100 thousand live births, Indonesia ranked second highest in ASEAN. The cause of maternal death is 80% caused by direct factors (partus congestion, bleeding, eclampsia, sepsis, hypertension in pregnancy, and complications of abortion. To reduce AKI, pain management and appropriate childbirth care efforts are needed, namely pharmacological methods and non-pharmacological methods. The rebozo technique and nipple stimulation are non-pharmacological methods of complementary therapy in childbirth.Method: The purpose of this study is to determine the effectiveness of the rebozo technique and nipple pacifier stimulation on the duration of labor I. Type of experimental quantitative research with a case control design. The sampling technique in this study is purposive sampling, which is based on inclusion and exclusion criteria, with an independent t test and a sample of 27 maternity mothers, from PMB Saumi Fijriyah, PMB Kuswantiningsih, PMB Emi narimawati. The research period is from September to October 2024.Results: The results of the One Way Anova Analysis test obtained a significance value of α 0.119. Because the significance value α 0.119 > α 0.05, Ho was accepted and H1 was rejected, meaning that there was no significant difference in the length of time during labor in the Rebozo Technique, nipple stimulation group and the control group.Conclusion: The conclusion of this study is that there is no significant difference in the length of the first stage of labor in the Rebozo technique group, nipple stimulation and the control group because it is influenced by many factors.
Peningkatan Kesehatan Lansia melalui Pembentukan Posyandu Lansia Wulandari, Amri; Krismiyati, Murti; Fauziandari, Erma Nur; Trisnaningsih, Rahma
Jurnal Peduli Masyarakat Vol 6 No 4 (2024): Jurnal Peduli Masyarakat: Desember 2024
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jpm.v6i4.4683

Abstract

Daerah Istimewa Yogyakarta merupakan enam propinsi berpenduduk lansia lebih dari 10 %. Lansia (lanjut usia) adalah seseorang yang berusia 60 tahun keatas. Keluhan lansia dipengaruhi oleh proses degenerative yang meningkatkan kerentanan terhadap penyakit dan infeksi. Penyakit tidak menular mengalami peningkatan dalam 5 tahun, yaitu hipertensi naik 8,3% menjadi 34,1%, diabetes melitus 4% menjadi 10,9%, stroke 3,9% menjadi 10,9%, dan penyakit ginjal kronis 1,8% menjadi 3,8%. Posyandu Lansia adalah pos pelayanan terpadu yang dirancang khusus untuk masyarakat usia lanjut. Pelaksanaan posyandu lansia bertujuan untuk mengetahui kondisi kesehatan lansia. Kader lansia dan sarana posyandu, merupakan modal dalam keberlanjutan posyandu lansia. Tujuan kegiatan ini membentuk posyandu lansia dan pendampingan kader posyandu lansia untuk meningkatkan kesehatan lansia. Metode meliputi wawancara, observasi terbuka, sosialisasi posyandu lansia, pelatihan kader tentang 5 meja pada posyandu lansia, edukasi tentang deteksi dini penyakit degeneratif. Jumlah kader yang hadir 70 orang. Hasil terdapat peningkatan pengetahuan kader antara sebelum dan sesudah dilakukan pelatihan mengenai posyandu lansia, pelatihan kader dapat meningkatkan pemahaman kader mengenai sistim 5 meja dan pemeriksaan kesehatan pada Posyandu lansia, terdapat kekuatan dan keterbatasan dalam pengabdian masyarakat yang dilakukan, kekuatan berupa keterlibatan mitra dan kegiatan yang komprehensif melalui pendekatan action research.
The Impact of Using the Maternal Neonatal Emergency Application (SIGNAL) for Midwives Sumarti Endah Purnamaningsih Maria Margaretha; Berlina Putrianti; Amri Wulandari; Dhiya Urrahman; Y Yohakim Marwanta
Indonesian Journal of Global Health Research Vol 7 No 3 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i3.6185

Abstract

Maternal mortality rate (MMR) and neonatal mortality rate (NMR) in Indonesia are still a challenge in health services. Technological innovations such as the SIGNAL application (Maternal Neonatal Emergency Information System) were developed to improve early detection of high risk in pregnant women and neonates. Objective to determine the impact of using the SIGNAL application for midwives in improving the speed and accuracy of maternal neonatal emergency services in Bantul Regency. Descriptive quantitative research with a cross-sectional approach was conducted on 50 midwives using SIGNAL at the Bantul Regency Health Center. The sampling technique used purposive sampling with a total of 50 respondents who actively used the SIGNAL application. Data were collected through questionnaires and analyzed descriptively. The results showed that 82% of midwives felt helped in early identification of high risk, 76% stated that referrals were faster, and 70% felt that the application increased confidence in making clinical decisions. The main obstacles were internet network and device limitations. The use of the SIGNAL application has a positive impact on improving the quality of maternal neonatal emergency services by midwives in Bantul Regency, although improvements in supporting infrastructure are still needed.
Enhancing Breast Milk Production and Body Weight through Complementary Oxytocin Massage Therapy Wulandari, Amri; Agustin, Nisa Amelia; Putrianti, Berlina
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 11 No. 2 (2025): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v11i2.804

Abstract

Background: Newborns' nutrition and development depend on breast milk, but many moms don't produce enough, which is bad for their babies' health and development.  One non-pharmacological approach that has been shown to improve milk ejection is oxytocin massage.  Few research have investigated its combined impact on low-resource settings and newborn weight increase, despite indications of its usefulness. Objective: Specifically, we want to know how well oxytocin massage treatment works as a supplement to increase milk supply and boost baby weight gain. Methods: A quasi-experimental research was carried out in Sukabumi, West Java, with 70 postpartum moms and their infants aged 0-3 months. The study used a pre-test and post-test control group design.  Two groups were established: one that received regular postpartum care and another that received oxytocin massage daily for seven days.  We assessed breast milk supply and baby weight before and after the intervention.  The data was examined by means of multivariate regression analysis, paired t-tests, and independent t-tests. Results: In comparison to the control group, the intervention group demonstrated a notable rise in both baby body weight (mean difference: 0.5 kg, p = 0.001) and breast milk production (mean difference: 240 mL/day, p < 0.001).  Treatment with oxytocin massage continued to be associated with better results even after controlling for factors such as mother age, parity, and level of education. Conclusion: Boosting breast milk supply and promoting newborn weight growth are both achieved with complementary oxytocin massage treatment.  This intervention provides a practical and affordable way to enhance the health of newborns and the success of breastfeeding, especially in areas with limited resources.  The advantages over the long run and its applicability to more diverse groups should be the focus of future research
Application of Oxytocin Massage in Continuity of Care Sinta Utami Dewi; Amri Wulandari; Nur Fauziandari, Erma
Journal of Global Research in Public Health Vol. 10 No. 1 (2025): June
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jgrph.v10i1.551

Abstract

Exclusive breastfeeding plays an important role in the growth and development of the baby. Milk production can be increased through oxytocin massage. Oxytocin massage is a massage along the spine, which functions to increase oxytocin. The study aimed to determine the results of the application of oxytocin massage on the smooth production of breast milk. This type of research is qualitative with a case study research method using the Continuity Of Care midwifery care approach which is carried out continuously from pregnancy to the postpartum period. This oxytocin massage is done during the first 5 days postpartum, where in 1 day 1 massage is done in the afternoon for 10-15 minutes. Oxytocin massage evaluation was carried out on the 6th day. The result of the study showed that after the oxytocin massage, the mother felt calmer and more relaxed, and the milk production increased as evidenced by the increase in the baby's weight for 6 days. Oxytocin massage has been proven to facilitate breast milkproduction as seen from the baby's weight gain of 300 grams.
Pendampingan Posyandu Lansia Wulandari, Amri; trisnaningsih, Rahma; Krismiyati, Murti; Fauziandari, Erma Nur
Jurnal Peduli Masyarakat Vol 7 No 4 (2025): Jurnal Peduli Masyarakat: Juli 2025
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jpm.v7i4.6840

Abstract

Kesehatan yang baik bagi lansia difokuskan pada upaya untuk dapat meningkatkan usia dan memperpanjang umur lansia, dengan harapan lansia terlibat aktif dalam semua kegiatan masyarakat. Lansia (lansia) adalah seseorang yang berusia 60 tahun ke atas. Keluhan lansia dipengaruhi oleh proses degeneratif yang meningkatkan kerentanan terhadap penyakit dan infeksi. Penyakit tidak menular meningkat dalam 5 tahun, yaitu hipertensi meningkat 8,3% menjadi 34,1%, diabetes melitus sebesar 4% menjadi 10,9%, stroke sebesar 3,9% menjadi 10,9%, dan penyakit ginjal kronis sebesar 1,8% menjadi 3,8%. Posyandu Lansia merupakan pos layanan terpadu yang dirancang khusus untuk lansia. Pelaksanaan posyandu lansia bertujuan untuk mengetahui kondisi kesehatan lansia. Tujuan dari kegiatan ini adalah untuk meningkatkan pengetahuan, pencegahan, dan penanganan penyakit tidak menular, metode meliputi pendaftaran, timbang dan pemeriksaan tekanan darah, pencatatan, dan pelayanan kesehatan meliputi pemeriksaan medis (gula darah, asam urat), pembagian PTM dan penyuluhan, edukasi kepada lansia serta dilanjutkan senam bersama. Setelah didapatkan hasil pemeriksaan kemudian di analisis sesuai katagori. Lansia yang mengikuti kegiatan pengabdian masyarakat berjumlah 40 peserta, dengan mayoritas peserta adalah perempuan 57,5%, peserta usia 53-94 tahun, peserta dengan hasil hipertensi tingkat I sebanyak 27,5%, gula darah 97,5% normal, dan peserta dengan asam urat 65%.
REBOZO TECHNIQUE SHORTENS FIRST STAGE OF LABOR Erma Nur Fauziandari; Amri Wulandari; Saumi Fijriyah; Lutfi Annarahayu
Journal for Quality in Women's Health Vol. 8 No. 2 (2025): September
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jqwh.v8i2.283

Abstract

The maternal mortality rate that occurs in maternal mothers in Indonesia reaches 189 per 100 thousand live births. 80% percent of maternal deaths are caused by direct factors, one of which is stuck Labor. One of the efforts to reduce the incidence of Labor jams is to shorten or speed up the length of labor. Efforts to speed up the duration of delivery in the first period is by managing the rebozo technique.  Type of experimental research  with case control design and sampling technique  purposive sampling. The samples of 18 maternity mothers was divided into 2 groups, 9  in rebozo technique  and 9  in control group. The results of the study, the analysis with an independent t test, obtained ρ value 0.018 < sig 0.005. From these results, it can be concluded that the rebozo technique is effective in shortening the length of delivery time during First Stage Labor.
Co-Authors Agustin, Nisa Amelia Annarrahayu, Lutfi Dhiya Urrahman Ernawati, Yuliana Fauziandari, Erma Nur Fijriyah, Saumi Karuniawati, Benny Lutfi Annarahayu Murti Krismiyati Nur Fauziandari, Erma Prihastuti, Mizan putrianti, Berlina putrianti, Berlina Ramadhani, Wensdika Putri Rustianingsih, Lina Saumi Fijriyah Sinta Utami Dewi Siti Mahmudah Sumarti Endah Purnamaningsih Maria Margaretha Y Yohakim Marwanta