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Pengaruh Massage Efflurage terhadap Intensitas Nyeri Persalinan dan Pembukaan Jalan Lahir Fase Aktif Riris Sitorus; Nining Pelawati; Grace Erlyn D.S
Jurnal Riset Hesti Medan Vol 5, No 2 (2020)
Publisher : Akademi Keperawatan Kesdam I/Bukit Barisan Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34008/jurhesti.v5i2.201

Massage effleurage is a touch or gentle, slow, long and unbroken stroke using the tips of the fingers. This massage effleurage aims to make mothers feel comfortable and relaxed, close the gate of pain and increase endorphin hormone production. This study aims to determine whether there is an effect of massage effleurage on labor pain intensity and opening of the first phase of the birth pathway in the active phase at the Pratama Nining Pelawati Clinic, Lubuk Pakam District. The research method used was quasi-experimental (Quasi Experiment) with one group pre-test and post-test design. The population in this study were all mothers in the first phase of primigravida, the sample in this study was 18 respondents with a sampling technique using accidental sampling in accordance with inclusion criteria. The results showed that by using the Paired Sample T-Test analysis of massage effleurage to reduce the intensity of labor pain where the p-value of 0.001 <α = 0.05, it can be concluded that there was an effect of giving massage effleurage on the intensity of the first stage of postgravida pain active phase. However, there is no effect of giving massage effleurage to the acceleration of opening of the birth canal.

PENGARUH MASSAGE PUNGGUNG TERHADAP PENURUNAN NYERI PADA IBU POST SECTIO CAESAREA Sri Wulan; Riris Sitorus
JURNAL ILMIAH DHDT - KEBIDANAN Vol 1 No 1 (2018): Jurnal Ilmiah Kebidanan & Kespro
Publisher : Fakultas Kebidanan Institut Kesehatan Deli Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36656/jpk2r.v1i1.52

Sectio caesarea contain the biggest risk, the operation of feel the pain to effect of slice post operate for and most was often experienced of by that was natural by back ache and fatigue of mother post operate for the sesarea and to overcome the pain in bone or feel the pain cause can be conducted by masase back representing method elektif in treatment function that was for the prepare of pasca operastif, especially at patient post operate for the Sectio caesarea. This research to analyse the Influence of Masase Back To Degradation of Quality Of Pain In Bone at the Mother Post Operate for the Sectio caesarea in Hospital GrandMed of Lubuk Pakam Deli Serdang. This Research Type have the character of qualitative use the method of quasi eksperimental without group control with the approach of One Group Pretest - Postest Desaign. Popolasi amount to 30 responder, Sampel Research amount to 10 responder by using technique of purposive sampling. Analyse the data use the test t-test with the trust level 95 (α= 0,05). Pursuant to analysis of there was relation of which signifikan of among influence of masase back to degradation of was quality of pain in bone of at the patient post operate for the Sectio caesarea. Before done by masase 10 responder experience of the pain was and after done by masase 8 responder of pain in bone was and 2 light pain in bone responder. Using test of paired t test by p value α= 5% p (0,001< 0,05. There before researcher to mothers or Family experience post Sectio caesarea can be aplicatied to back masase to deficience back pain.

SARI KACANG HIJAU SEBAGAI ALTERNATIF MENINGKATKAN PRODUKSI AIR SUSU IBU (ASI) PADA IBU MENYUSUI Nikmah Jalilah Ritonga; Eka Defi Mulyani; Diah Evawanna Anuhgera; Damayanti Damayanti; Riris Sitorus; Wilda Wahyuni Siregar
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol 2 No 1 (2019): Jurnal Keperawatan dan Fisioterapi (JKF)
Publisher : Fakultas Keperawatan dan Fisioterapi Institut Kesehatan Medistra Lubuk Pakam

Abstract Nursing mothers belong to one of the vulnerable groups of nutrition, because breast milk which is the main food for babies is obtained from the mother. Therefore, mothers who are breastfeeding must be controled to the intake of nutrients consumed. green beans as a food source of vegetable protein which has been very popular in everyday life. Based on the amount every 100 grams, protein is the second main constituent after calories, which contains 22.2% protein. The purpose of this study was to determine the effect of consumption of mungbean juice on breast milk production in nursing mothers. This research is a quantitative study with a pre-experimental design with one group pretest posttest, with a population of 20 breastfeeding mothers (0-2 months) and a total sample of 11 nursing mothers who delivered at Klinik Pratama Tutun Sehati. Data collection uses an observation sheet using indicators of Smooth Milk Production. The characteristic equality test showed that there was an effect of consuming mung bean extract on breast milk production in nursing mothers (p> Î±, Î±â‰¤0.05). The results of the analysis test with the Wilcoxon test showed that there was a smooth effect of breast milk production (p = 0.046). It was recommended for nursing mothers whose milk was not smooth to pay attention to nutritional intake in order to improve the quality and amount of milk production, in packaging because the price is also affordable.

THE EFFECT OF BABY MASSAGE ON BREASTFEEDING DURATION IN NINING PELAWATI CLINIC AT LUBUK PAKAM Nikmah Jalilah Ritonga; Hani Amaliah Majidah; Riris Sitorus; Diah Evawanna Anuhgera; Kardina Hayati; Anita Sri Gandaria Purba
JURNAL KEBIDANAN KESTRA (JKK) Vol 3 No 1 (2020): Jurnal Kebidanan Kestra (JKK)
Publisher : Fakultas Kebidanan Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkk.v3i1.490

Durasi lama menyusui bayi berbeda-beda sesuai dengan pola hisap bayi. Jika kegiatan menyusui berlangsung terlalu lama (lebih dari setengah jam) atau terlalu pendek (kurang dari 4 menit), hal ini menunjukkan kemungkinan adanya masalah pada perlekatan antara bayi dan puting susu ibu. Frekuensi menyusu pada bayi akan sangat mempengaruhi fisik dan emosional bayi yang mana dengan frekuensi dan durasi menyusu akan meningkatkan kondisi yang tenang kepada bayi dan berat badan bayi akan bertambah. Upaya untuk menawarkan meningkatkan kondisi yang tenang dan berat badan bayi salah satunya yaitu pijat bayi. Tujuan penelitian ini untuk mengetahui pengaruh pijat bayi terhadap durasi menyusu pada bayi. Rancangan pada penelitian yaitu Quasi-Experiment dengan desain one grup pre dan post test design. Pengambilan sampel ini dengan teknik purposive sampling. Jumlah sampel 10 responden. Dari hasil analisis uji bivariat menggunakan uji paired simple t Test, didapatkan nilai yang signifikan yaitu (p value: 0.000), sehingga p<0.005, dapat disimpulkan terdapat pengaruh pijat bayi terhadap durasi menyusu pada bayi. Oleh karena itu, diharapkan kepada tenaga kesehatan untuk mengaplikasikan pijat bayi ini sebagai metode untuk meningkatkan durasi menyusui.

PENGARUH PEMBERIAN REBUSAN DAUN SELEDRI (Apium Graveolens L) TERHADAP TEKANAN DARAH PADA WANITA MENOPAUSE DENGAN HIPERTENSI Diah Evawanna Anuhgera; Rizky Yolanda; Riris Sitorus; Nikmah Jalilah Ritonga; Damayanti .
JURNAL KEBIDANAN KESTRA (JKK) Vol 3 No 1 (2020): Jurnal Kebidanan Kestra (JKK)
Publisher : Fakultas Kebidanan Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkk.v3i1.502

Woman menopause in hypertension is often associated with increase vascularity and physiological changes during menopause. This study aims to examine the effect of celery leaf stew on blood pressure levels in menopausal woman in hypertension. This study was a quasy experiment with pretest-posttest control group design, conducted in the Sidodadi Village District Beringin, Deli Serdang on Januari to March 2020. There were 28 participants selected using purposive sampling, with 14 assigned in the experimental and control group. Data were analyzed using paired t-test and unpaired t-test. There were statistically significance difference of blood pressure levels before and after intervention in the experiment group with p value sitolic level 0.000 dan diastolic level 0.001 (<0.05). Celery leaf stew has a significant effect in reducing blood pressure level in menopausal woman in hypertension. This intervention could be applied as an alternative theraphy in treating menopausal woman in hypertension.

EFEKTIVITAS PEMBERIAN SUSU KEDELAI DALAM MENGATASI KELUHAN PADA MASA PRE MENOPOUSE DI KLINIK BIDAN MAIHARTI KISARAN BARAT TAHUN 2020 Nikmah Jalilah Ritonga; Yuni Sartika Limbong; Riris Sitorus; Diah Evawanna Anuhgerah
JURNAL KEBIDANAN KESTRA (JKK) Vol 3 No 2 (2021): Jurnal Kebidanan Kestra (JKK)
Publisher : Fakultas Kebidanan Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkk.v3i2.590

ABSTRAK Pre menopause is a physiological condition characterized by irregular menstruation. Symptoms that often arise such as hot flush, night sweats, restlessness, easy fatigue, pain during intercourse. Overcoming complaints of pre-menopausal non-pharmacological can be done with soy milk. The purpose of this study was to determine the effectiveness of soymilk in dealing with pre-menopausal complaints at the Midwife Maiharti Clinic, West Range 2020. This study used a quantitative method, with a quasi-experimental design with a control time series design. The study population was pre-menopausal mothers who experienced pre-menopausal symptoms at the Midwife Maiharti Clinic, West Range. The sample selection used purposive sampling as many as 18 people, 9 people were given intervention and 9 people as controls. The results of the study using Wilcoxon sign rank test obtained results for groups that were given pre and post p-value interventions 0.002 <0.05. The results of the study using Wilcoxon sign rank test obtained results for the control p-value 0.009 <0.05. The conclusion is that there are differences in the two groups after being given soy milk in dealing with pre-menopausal complaints

PEMBERIAN KOMPRES KENTANG TERHADAP MASTITIS NON INFEKSI PADA IBU MENYUSUI Riris Sitorus; Grace Erlyn Damayanti` S; Diah Evawanna Anuhgerah; Nikmah Jalilah Ritonga; Raisha Octavariny
JURNAL KEBIDANAN KESTRA (JKK) Vol 3 No 2 (2021): Jurnal Kebidanan Kestra (JKK)
Publisher : Fakultas Kebidanan Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkk.v3i2.595

the baby and affects the biological health of both mother and baby. However, the breastfeeding process could be hampered due to problems, one of which was mastitis. Mastitis occured due to the narrowing of the lactiferous ducts in the breast and the mother may have flat, sunken or immersed nipples. So that the breasts become swollen, painful when pressed so that the mother feels breast discomfort. The impact of mastitis greatly affected the health of both mother and baby. The mother would felt pain during breastfeeding so that she could experience high fever. Whereas in infants the need for breast milk was not optimal from the content of the milk. One of the efforts that could be done to overcome the occurrence of mastitis in nursing mothers was by applying a potato compress. This study aimed to determined the effect of potato compresses on non-infectious mastitis in nursing mothers. The research method used was pre-experiment (quasi-experimental) using the one group pre-test-post test technique. The population of this study were breastfeeding mothers with non-infectious mastitis with a sample size of 10 people with a purposive sampling technique. The results showed that using the Paired Sample T-Test analysis test obtained a p-value of 0.000 <Î± = 0.05, it can be concluded that there was an effect of Potato Compress on Non-Infectious Mastitis in Breastfeeding Mothers. It is recommended that health workers provide information for breastfeeding mothers about potato compresses to treat non-infectious mastitis. Keywords: Potato compress; non-infectious mastitis.

Kelor Leaves Infusion as a Alternative in Increasing the Volume of Breastmilk and Birth Weight in Newborn Diah Evawanna Anuhgera; Nikmah Jalilah Ritonga; Riris Sitorus
JURNAL KEBIDANAN KESTRA (JKK) Vol. 4 No. 2 (2022): Jurnal Kebidanan Kestra (JKK)
Publisher : Fakultas Kebidanan Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkk.v4i2.1027

Background: An increase in the volume of breast milk and baby weight is the hope of every mother during breastfeeding. The consistency and quality of breastfeeding is determined by a mother. Moringa leaves, which is a typical plant in Indonesia, have many benefits, especially to increase milk production and nutrition for infants and children in the growth process. The purpose of this study was to determine the effect of morinaga leaves in increasing the volume of breast milk and birth weigh of babies. Method:The design of this study was quasy eksperimental studies with purposive sampling with inclusion criteria. The sample in this study were all breastfeeding mothers on the first postpartum day as many as 30 people. In this study there were two groups, namely the control group and the intervention group. The instruments in this study were Moringa leaves, measuring cups, electric breast pumps, and baby scales and observation sheets. Data analysis used is paired and unpaired t-test. Result:The results showed that there was a difference between before and after the administration of Moringa leaves in the intervention group of 38.95 ml, while in the control group it was 16.1 ml. The baby's weight gain in the intervention group was 585 grams. Statistical results showed that giving Moringa leaves was effective on breast milk volume and infant weight with a significance value of p = 0.00 while in the control group there was a difference in the increase in breast milk volume with p = 0.000 but there was no significant difference in the baby weight variable with a value of p = 0.651. Conclusion: Moringa leaves infusion can be used as an alternative therapy to increase the volume of breast milk and baby weight in the breastfeeding process. Specialized health workers for midwives can assist mothers in educating postpartum mothers in consuming steeped Moringa leaves to increase breast milk and baby weight and support the success of exclusive breastfeeding

Comparative Effect of Cinnamon Powder and Red Ginger Powder for Menstrual Pain Primary Dysmenorrhea in Adolescent Diah Evawanna Anuhgera; Riris Sitorus; Debi Dinha Octora
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol. 5 No. 1 (2022): 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.v5i1.1365

Menstrual pain is a problem with interferes by women in every menstrual cycle. This can interfere with the activities of women such as dizziness, nausea, stomach cramps, and productivity of women. Several non-pharmacologic treatment can help reduce menstrual pain such as giving cinnamon and red ginger. The purpose of this study was to compare the effectiveness of cinnamon powder and red ginger to decrease menstruation in adolescents with primary dysmenorrhea. This type of research is a quasi-experimental type of time series design. The sample in this study were all first semester female students in the Nursing Study Program at the Lubuk Pakam Medistra Health Institute who experienced primary dysmenorrhea as many as 28 people. The sampling technique used is simple random sampling. In this study there were two groups, namely the control group with the administration of ginger powder while the intervention group with the administration of cinnamon powder. The process was given an intervention for 3 days and the use of the research instrument to measure menstrual pain was the Numeric Rating Scale (NRS). Data analysis used independent t-test and Repeated Measured Anova test. The results showed that there was a difference in mean pain before and before cinnamon powder at 24 hours of intervention after (p<0.001) while red ginger drink powder showed no significant difference in mean pain before and before the intervention in the first 24 hours of intervention (p = 0.112). However, at 48 hours and 72 hours of intervention for the two groups, there was a significant difference in the decrease in mean menstrual pain in primary dysmenorrhea (p<0.001). Cinnamon drink powder is more effective than red ginger drink powder in reducing primary dysmenorrhea menstrual pain. Cinnamon and red ginger can be used as an effective non-pharmacological treatment intervention and obtained as a treatment for primary removal. Midwives can educate and apply the intervention of cinnamon and red ginger drinks to adolescents with primary dysmenorrhea.

PENINGKATAN PENGETAHUAN PERAWAT DAN BIDAN DALAM MENGURANGI INTENSITAS NYERI PERSALINAN Riris Sitorus; Grace Erlyn; Diah Evawanna Anuhgera; Nikmah Jalilah Ritonga; Desideria Yosepha Ginting
JURNAL PENGMAS KESTRA (JPK) Vol 1 No 2 (2021): Jurnal Pengmas Kestra (JPK)
Publisher : Lembaga Penelitian dan Pengabdian Kepada Masyarakat (LP2M) Institut Kesehatan Medistra Lubuk Pakam

Labor pain was a problem that has not received special attention, even though the goal of intrapartum care itself was to reduce pain during labor. It was not uncommon to find that every mother giving birth were very worried about the labor process that would be passed, this can trigger the perception of maternal pain. In addition, there were also mothers who were afraid and couldnâ€™t stand the pain of going through the labor process or opening the birth canal because they feel severe pain during the first stage of labor, this sometimes makes mothers think short and choose the Sectio Cesaria action as one of the best solutions, whereas delivery by Caesarean section has many risks and the postpartum healing process takes longer than those of a normal delivery. Based on the results of the research that has been done, it is found that the reduction of labor pain could be done by using effleurage massage. This technique was quite simple and easy to do as a pain relief for mothers during the active phase of labor. This massage was quite easy to do by health professionals such as midwives, and could also be applied by families or mothers who were in labor by giving gentle, long and continuous strokes. Nurses and midwives must have the ability to manage labor pain management for mothers with the delivery process.The aimed of this activities was to increased nurse and midwifeâ€™s knowledge in reduce the labour pain intensity.

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