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EFEKTIVITAS AKUPRESUR TITIK LI 4 TERHADAP KONTRAKSI UTERUS KALA I PADA IBU BERSALIN Helmaliya Putri, Endang; Umu Qonitun
Jurnal Bidan Pintar Vol. 6 No. 2 (2025): November 2025
Publisher : Universitas Kadiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30737/jubitar.v7i1.6998

Abstract

Abstrak Proses persalinan kala I sering disertai kontraksi uterus yang kurang efektif sehingga dapat memperpanjang durasi persalinan. Akupresur pada titik LI4 dipercaya dapat merangsang kontraksi uterus melalui stimulasi sistem saraf dan pelepasan hormon oksitosin. Penelitian ini bertujuan untuk menganalisis efektivitas akupresur titik LI4 terhadap peningkatan kontraksi uterus kala I pada ibu bersalin. Metode dalam penelitian ini menggunakan desain pre-eksperimental dengan intact group comparison design. Populasi dalam penelitian ini  seluruh ibu bersalin dengan sampel sebanyak 32 ibu bersalin kala I fase aktif di wilayah kerja Puskesmas Plumpang dipilih dengan teknik simple random sampling dan dibagi menjadi dua kelompok. Kelompok intervensi diberikan akupresur titik LI4 selama 60 menit, dengan 30 kali penekanan dan 30 kali istirahat. sedangkan kelompok kontrol mendapat edukasi. Instrumen pada penelitian ini menggunakan lembar partograf. Analisis data menggunakan uji Chi-Square dengan α = 0,05. Hasil penelitian ini untuk meningkatkan kontraksi uterus, pada kelompok intervensi menunjukkan hampir seluruhnya responden mengalami kontraksi uterus yang adekuat. Dan pada kelompok kontrol menunjukkan sebagian besar responden  mengalami kontraksi uterus yang lemah. Keimpulannya, akupresur titik LI 4 efektif dalam meningkatkan kontraksi uteruss kala I pada ibu bersalin di wilayah kerja Puskesmas Plumpang Kabupaten Tuban.   Kata kunci : Akupresur, Titik LI4, Kontraksi Uterus, Kala I  
Development and validation of the maternal role adaptation system model (MRASM) to improve breastfeeding success Safaah, Nurus; Munir, Miftahul; Qonitun, Umu; Qoyimah, Ilmiatus; Wijayanti, Erna Eka
Jurnal Ners Vol. 20 No. 4 (2025): VOLUME 20 ISSUE 4 (NOVEMBER 2025)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v20i4.77929

Abstract

Introduction: The success of breastfeeding is a critical indicator of comprehensive adaptation during the maternal transition. Existing theoretical models address maternal adaptation separately, resulting in a lack of integration in predicting breastfeeding success. This research aimed to develop and validate the Maternal Role Adaptation System Model (MRASM) using Structural Equation Modeling. Methods: A cross-sectional study was conducted with 150 postpartum women recruited through purposive sampling from five community health centers in East Java, Indonesia. Eight latent constructs measured using validated instruments: focal stimuli (breast pain, fatigue, nutrition), contextual stimuli (spousal and healthcare support, information access, economic status), residual stimuli (social norms, cultural values, beliefs), coping mechanisms, emotional responses, self-concept, role function, and breastfeeding success. Data were analyzed using Structural Equation Modeling with Partial Least Squares (SEM-PLS) via Smart-PLS 4.0. Results: The MRASM demonstrated excellent psychometric properties (Cronbach's α > 0.678, composite reliability > 0.802, AVE > 0.508). Environmental stimuli (focal, contextual, and residual) significantly influenced maternal coping mechanisms, which in turn affected emotional responses, self-concept, and role function. Emotional responses (β = 0.356, p = 0.001) and self-concept (β = 0.268, p<0.001) are the strongest predictors of breastfeeding success, explaining 26.7% of outcome variance. These findings provide healthcare professionals with specific intervention targets: managing physical symptoms, enhancing coping resources, and supporting maternal emotional well-being and self-efficacy. Conclusions: MRASM integrates Roy's and Mercer's models to address postpartum adaptation holistically, providing healthcare professionals with an evidence-based framework to support maternal role transition and breastfeeding success.
EFFECTIVENESS OF PEPPERMINT-CITRUS AROMATHERAPY INHALERS IN REDUCING EMESIS GRAVIDARUM AMONG FIRST-TRIMESTER PREGNANT WOMEN Wijayanti, Erna Eka; Qonitun, Umu; Hurin'in, Nur Maziyah; Khoir, Violetta Dity Virginia; Rahmawati5 , Eva Silviana
Indonesian Midwifery and Health Sciences Journal Vol. 9 No. 4 (2025): Indonesian Midwifery and Health Sciences Journal, October 2025
Publisher : UNIVERSITAS AIRLANGGA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/imhsj.v9i4.2025.459-471

Abstract

Background: Aromatherapy is recognized as an effective, safe, and natural method for alleviating nausea-vomiting in pregnancy. The most prevalent physiological discomforts encountered during early gestation is nausea and vomiting of pregnancy (NVP), frequently termed "morning sickness." The manifestation of NVP is significantly influenced by fluctuating hormonal levels, particularly an elevation in Human Chorionic Gonadotropin (HCG).  This study aimed to analyze the impact of an inhaler stick combining peppermint and citrus aromatherapy on the frequency of these symptoms in first-trimester pregnant women. Method:  This was one-group pretest-posttest design utilized. The study included 28 first-trimester pregnant women, selected by simple random sampling. Participants used an aromatherapy inhaler stick containing 3 ml peppermint and 1 ml citrus, inhaled three times daily for 10 seconds per inhalation. Nausea-vomiting frequency was measured using the PUQE-24 questionnaire. Data analysis was performed using the Wilcoxon test. Result: The demographic analysis revealed that the largest age cohort comprised individuals aged 20–35 years (42.9%), while the majority of respondents were primigravida (42.9%). Regarding the intervention, a significant shift in symptom severity was observed. The Wilcoxon Signed-Rank Test analysis yielded a p-value of 0.000 (< 0.05), demonstrating a statistically significant impact of the peppermint and citrus aromatherapy inhaler stick on reducing the frequency of nausea and vomiting among first-trimester pregnant women. Conclusion : The use of aromatherapy inhaler sticks combining peppermint and citrus is successful in alleviating nausea and vomiting among women in early pregnancy. This aromatherapy technique offers a safe, natural, and easily applicable non-pharmacological alternative therapy.
Efektivitas Relaksasi Benson Dan Aromaterapi Lavender Terhadap Kualitas Tidur Pada Ibu Hamil Trimester III ( Di Wilayah Kerja Puskesmas Tambakboyo Kabupaten Tuban ) Siti Maysaroh; Umu Qonitun
Jurnal Ilmiah Kesehatan Mandira Cendikia Vol. 5 No. 8 (2026)
Publisher : YAYASAN PENDIDIKAN MANDIRA CENDIKIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70570/jikmc.v5i8.2331

Abstract

Gangguan tidur pada ibu hamil trimester III sering terjadi akibat perubahan fisiologis dan psikologis selama kehamilan, yang berdampak pada penurunan kualitas tidur dan dapat mempengaruhi kesehatan ibu dan janin serta meningkatkan risiko komplikasi kehamilan dan persalinan. Upaya nonfarmakologis yang dapat dilakukan adalah kombinasi relaksasi Benson dan aromaterapi lavender. Penelitian ini bertujuan untuk mengetahui efektivitas relaksasi Benson dan aromaterapi lavender terhadap kualitas tidur ibu hamil trimester III. Desain penelitian ini menggunakan desain pre-eksperimental dengan pendekatan one group pretest-posttest design. Dengan jumlah sampel sebanyak 16 ibu hamil dengan teknik proportional stratified random sampling. Variabel independen adalah relaksasi Benson dan aromaterapi lavender, sedangkan variabel dependen adalah kualitas tidur. Intervensi diberikan 7 hari menggunakan diffuser pada malam hari sebelum tidur. Instrumen yang digunakan adalah kuesioner Pittsburgh Sleep Quality Index (PSQI). Data yang diperoleh dianalisis dengan menggunakan uji Mc Nemar Exact Test. Hasil sebelum pemberian relaksasi benson dan aromaterapi lavender hampir seluruhnya 14 ibu hamil ( 87,5%) dengan kategori buruk dan setelah pelaksanaan meningkat menjadi 12 ibu hamil ( 75%) dengan kategori baik. Hasil uji statistik nilai p=0,002 dimana p-value <0,05 yaitu H1 diterima. Dari uraian diatas dapat disimpulkan bahwa terdapat efektivitas relaksasi Benson dan aromaterapi lavender terhadap kualitas tidur pada ibu hamil trimester III di wilayah kerja puskesmas tambakboyo kabupaten Tuban.