Sri Wulan
Institut Kesehatan Medistra Lubuk Pakam

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The Effect of Classical Music on Dysmenorrhea Pain in Medistra Lubuk Pakam Midwifery Students Sri Wulan; Siti Mutiara Zam Zam; Kesya Dia Ramadani; Shalwa Fatona
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol. 7 No. 2 (2025): Jurnal Keperawatan dan Fisioterapi (JKF)
Publisher : Fakultas Keperawatan dan Fisioterapi Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkf.v7i2.2683

Abstract

Dysmenorrhea, or menstrual pain, is a common problem frequently experienced by women of reproductive age, including university students. This condition can negatively affect quality of life, disrupt daily routines, and even lower academic performance. For midwifery students, who often have demanding academic and clinical practice schedules, unmanaged menstrual pain can impact study focus, clinical performance, and overall psychological well-being. Therefore, it is important to understand the severity of pain as a basis for selecting appropriate management strategies. One non-pharmacological treatment method used is classical music therapy, as its calming effect is believed to help reduce pain intensity. This study aims to evaluate the effect of classical music therapy on reducing dysmenorrhea pain levels among Midwifery students at Medistra Lubuk Pakam. The research design used was a quasi-experimental approach with a pretest-posttest design without a control group. The study participants consisted of 30 students experiencing dysmenorrhea, selected through purposive sampling. The intervention involved playing classical music for 30 minutes per day over three consecutive days during menstruation. Pain levels were measured using the Visual Analog Scale (VAS) before and after the intervention. The results showed a significant decrease in pain after classical music therapy was administered (p < 0.05), indicating that classical music is effective in alleviating menstrual pain. Based on these findings, classical music can be considered a viable non-pharmacological therapy option for reducing dysmenorrhea among midwifery students. This study is expected to serve as a reference for more comprehensive approaches to managing dysmenorrhea.
The Effect of Nipple Stimulation on the Acceleration of Cervical Dilation in Primigravida Mothers in the First Stage of Labor Active Phase Sri Wulan; Dea Febriani; Rita Junia; Nurulhikmah
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol. 8 No. 1 (2025): Jurnal Keperawatan dan Fisioterapi (JKF)
Publisher : Fakultas Keperawatan dan Fisioterapi Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/m1rw4t87

Abstract

Labor is a physiological process involving the coordination of uterine contractions, cervical dilation, and fetal descent through the birth canal. One of the factors that can prolong the duration of labor is the slow process of cervical dilation due to low levels of natural oxytocin. A non-pharmacological method that can stimulate the release of endogenous oxytocin is nipple stimulation, which has the potential to accelerate cervical dilation and facilitate the progress of labor. This study aimed to analyze the effect of nipple stimulation on the acceleration of cervical dilation in primigravida mothers during the first stage of active labor. The research employed a quasi-experimental design with two groups: an intervention group (nipple stimulation) and a control group (no stimulation). The study was conducted at X Maternity Clinic from July to September 2025 with a total of 12 respondents randomly divided into two groups of six participants each. Data were analyzed using the independent t-test with a significance level of α = 0.05. The results showed that the mean duration of full cervical dilation in the intervention group was 4.2 hours (SD = 0.8), while in the control group it was 6.1 hours (SD = 1.0) with a p-value of 0.011. The mean rate of cervical dilation in the intervention group was 1.8 cm/hour (SD = 0.4), higher than in the control group at 1.1 cm/hour (SD = 0.3) with a p-value of 0.017. It can be concluded that nipple stimulation significantly affects the acceleration of cervical dilation in primigravida mothers during the active phase of the first stage of labor. This intervention serves as a safe, effective, and easily applicable non-pharmacological alternative to support the normal progress of labor.
Early Detection and Preventive Education of Anemia in Pregnant Women through the Consumption of Purple Sweet Potato Biscuits at Sahabat Bunda Clinic Sri Wulan; Riris Sitorus; Nawa Kurnia Anggraini Siregar; Dea Febriana
JURNAL PENGMAS KESTRA (JPK) Vol. 6 No. 1 (2026): Jurnal Pengmas Kestra (JPK)
Publisher : Lembaga Penelitian dan Pengabdian Kepada Masyarakat (LP2M) Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/6686a563

Abstract

Anemia among pregnant women remains a significant public health concern both globally and in Indonesia, with serious consequences for maternal and fetal health. This condition may lead to complications during pregnancy and childbirth and can adversely affect fetal growth and development. Therefore, comprehensive preventive efforts are needed, including enhanced health education, regular early screening, and appropriate nutritional interventions to reduce the prevalence of anemia and improve maternal health outcomes. This community service activity aimed to improve pregnant women’s knowledge about anemia, conduct early detection, and provide nutrition intervention based on local food sources. The activity was conducted at Klinik Sahabat Bunda, Deli Serdang Regency, involving 12 pregnant women. The methods used included hemoglobin (Hb) level examination, health education through lectures and interactive discussions, and the provision of purple sweet potato biscuits as a nutritious supplementary food. The results showed that 4 out of 12 pregnant women were anemic (Hb <11 g/dL). After the educational session, participants demonstrated improved understanding, indicated by active participation in discussions and the ability to re-explain the material. The purple sweet potato biscuit intervention also received positive responses as an alternative nutritional source. This activity demonstrates that the combination of early detection, health education, and the utilization of local food is effective in increasing awareness and knowledge of pregnant women regarding anemia prevention. It is expected that similar programs can be continuously developed as a sustainable effort to reduce the prevalence of anemia in pregnant women.