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Journal : Jurnal Kebidanan Harapan Ibu Pekalongan

Peran Muscle Pumping Exercise pada Ibu Nifas dalam rangka Pemulihan Uterus dan Kestabilan Tekanan Darah Lina Puspitasari
Jurnal Kebidanan Harapan Ibu Pekalongan Vol 6 (2019): Jurnal Kebidanan Harapan Ibu Pekalongan
Publisher : LPPM Akademi Kebidanan Harapan Ibu Pekalongan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (188.11 KB) | DOI: 10.37402/jurbidhip.vol6.iss2.59

Abstract

Latar Belakang Penelitian. Masa nifas merupakan masa dari kelahiran plasenta sampai dengan alat kandungan kembali seperti semula sebelum hamil. Sebagian masyarakat beranggapan masa kritis ibu terjadi saat proses persalinan, namun saat masa nifas hal-hal yang tidak diharapkan pun bisa terjadi. Masalah yang dapat membahayakan kesehatan ibu antara lain perdarahan pasca persalinan, atonia uteri, infeksi dalam masa nifas. Oleh sebab itu, perlu adanya tindakan yang efektif dan efisien dalam pencegahan tanda bahaya masa nifas. Tindakan tersebut adalah muscle pumping exercise yang merupakan tindakan untuk mengalirkan darah dari ekstremitas inferior ke arak atrium dextra pada jantung dan pemulihan uterus dalam proses involusi uteri. Tujuan penelitian adalah untuk mengetahui peran muscle pumping exercise pada ibu nifas dalam rangka pemulihan uterus dan kestabilan tekanan darah. Metode penelitian ini merupakan penelitian studi kasus sehingga dalam proses memperoleh data terdiri dari anamnesa, pemeriksaan fisik, pemeriksaan penunjang, latihan penguatan otot abdomen dan dasar panggul, dokumentasi, studi kasus, dan telaah dokumen. Hasil penelitian adalah setelah dilakukan muscle pumping exersice selama 3 kali/ 24 jam didapatkan hasil tekanan darah yang semul 100/60 MmHg berubah menjadi 110/70 MmHg. Kemudian untuk TFU (tinggi Fundus Uteri) yang awalnya teraba setinggi pusat berubah menjadi 2 jari di bawah pusat. Selain itu jumlah darah yang keluar semakin berkurang, ibu selama 24 jam ganti pembalut sebanyak 5 kali dan jarak waktu pergantian pembalut semakin lama. Kesimpulan terdapat pengaruh yang bermakna pada ibu nifas dengan muscle pumping exercise dalam rangka pemulihan uterus dan kestabilan tekanan darah.
Efektifitas Massage Perineum untuk Percepatan Persalinan Kala II pada Ibu Bersalin Isofi Laspiriyanti; Lina Puspitasari
Jurnal Kebidanan Harapan Ibu Pekalongan Vol 7 No 1 (2020): Jurnal Kebidanan Harapan Ibu Pekalongan
Publisher : LPPM Akademi Kebidanan Harapan Ibu Pekalongan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (653.725 KB) | DOI: 10.37402/jurbidhip.vol7.iss1.69

Abstract

Background: Stiff perineum is caused by the nerves of the perineal muscle contain pyruvic acid which enters the mitochondria which are converted into lactic acid. Lactic acid causes metabolic problems and shrinks between the perineal muscle cells, so the perineum becomes stiff. The impact of a stiff perineum can inhibit the second stage of labor which increases the risk of death to the fetus and causes damage to the birth canal or laceration. Research Objectives: to accelerate the second stage of labor. Research Method: The design of this study uses the case study method. The sampling method used was non probability sampling through a purposive sampling approach of 3 patients. Patients used as participants were maternity patients in Cilacap District Hospital. Data was collected from January 2 to January 25, 2019. After tabulation with data that has been analyzed using analysis of explanation and time series. Results: The study showed there was a great impact of the Perineum Massage Midwifery Care for the Acceleration of Second Stage of Labor in Maternity Women. With the results of the first participant the process of accelerating labor took place within 15 minutes. In the second participant, the process of labor acceleration took place within 10 minutes. And in the third participant the process of accelerating labor took place within 20 minutes. Conclusion: Thus, that Perineum Massage Care for the Acceleration of Second Stage of Labor is really effective.
Manfaat Body Mekanik dan Hamstring Exercise terhadap Pengurangan Nyeri Pinggang Ibu Hamil Trimester III Lina Puspitasari; Ernawati Ernawati
Jurnal Kebidanan Harapan Ibu Pekalongan Vol 7 No 1 (2020): Jurnal Kebidanan Harapan Ibu Pekalongan
Publisher : LPPM Akademi Kebidanan Harapan Ibu Pekalongan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (636.08 KB) | DOI: 10.37402/jurbidhip.vol7.iss1.72

Abstract

Background. Low back pain is the pain in the lower back region that occurs in 50% of pregnant women and it can be overcome with training. Mechanical Body is an effort to facilitate muscle movement without causing muscle tension so as to reduce musculoskeletal injury. Hamstring exercise action can also support the reduction of low back pain, this is caused by the exercise process in the form of a reduction that results in muscle flexion resulting in reduced muscular injury and an increase in body metabolism. The purpose of this study was to determine the benefits of body mechanics and hamstring exercise on the reduction of low back pain in third trimester pregnant women. Research methods. This study uses a comparative test analysis type approach. Subjects in this study were 36 third trimester pregnant women who experienced complaints of low back pain. This research was conducted at PMB Midwife Utami, Amd.Keb. The study was conducted in November 2018-March 2019. This study used the Wilcoxon Signed Rank test in the SPSS 20 software program. The results of this study used the Wilcoxon Signed Rank formula. Based on the calculation results using a computerized analysis of the results obtained Z value of - 5.255 and p value (Asymp Sign 2 tailed) of 0,000 where the value is below the critical limit of research or a point of significance of 0.05 (5%) and Z table value of 1.68830. The conclusion of this study is that there are benefits of mechanical body and hamstring exercise on the reduction of low back pain in third trimester pregnant women.