Sehmawati Sehmawati
Universitas An Nuur

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Perineum massage as the implementation of non-pharmacological method in pregnant women trimester III in efforts to prevent tearing perineum at Toroh Public Health Center I Pintam Ayu Yastirin; Sehmawati Sehmawati
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 9, No 2 (2021)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2021.9(2).111-118

Abstract

Background : Incidence of maternal mortality in Central Java is 64.18% during the puerperium, 25.72% during pregnancy and 10.10% during childbirth. Of the 35 districts / cities in Central Java, Grobogan Regency was recorded as one of the districts with the most MMR (AKI) in 2019, amounting to 36 cases. Emergencies can occur during the puerperium which are often caused by bleeding, infection and pre-eclampsia. cases of bleeding during the puerperium are caused by major risk factors such as uterine atony (70%), lacerations of the birth canal (20%), retained placenta (10 - 20%) and coagulopathy (1%).hemorrhage Post partum due to perineal tearing can be minimized by improving the quality of service both promotive, preventive, curative and rehabilitative. One method of preventing perineal tearing can be done since pregnancy by performing perineal massage. Objectives : The purpose of this study was to determine the effectiveness of perineal massage in third trimester pregnant women as a non-pharmacological method in preventing perineal tears at Toroh I Health Center. Methods : The study used a pre-experimental design with amodel static group comparison, with a sample selected using a purposive sampling technique of 48 pregnant women. The research data used is in the form of primary data and secondary data. The research was analyzed using univariate and bivariate analysis using the test Fisher Exact Probability. Results : The results of the research were univariate analysis of 50% of respondents doing perineal massage, 58% of respondents did not experience perineal rupture, while the bivariate analysis of perineal massage variables and perineal rupture variables showed p-value <0.05 with OR: 18.142 at the 95% confidence level. Conclusions : There is a significant effect between perineal massage on the incidence of perineal rupture at Toroh Public Health Center I.
PENGARUH BUAH KURMA DENGAN PENINGKATAN KADAR HEMOGLOBIN IBU HAMIL TM III Puji Astutik; Rosmala Kurnia Dewi; Sehmawati Sehmawati
The Shine Cahaya Dunia Ners Vol 8, No 02 (2023): The Shine Cahaya Dunia Ners
Publisher : Universitas An Nuur

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35720/tscners.v8i02.451

Abstract

Latar Belakang : Sebagian besar anemia disebabkan karena kurangnya asupan zat besi. Penanggulangan anemia pada ibu hamil dapat melalui pemenuhan nutrisi dalam tubuh yang diperoleh dari dalam buah buahan serta sayuran, salah satunya dengan konsumsi buah kurma Potensi kurma di bidang kesehatan sudah sejak lama dikenal dan kandungannya berbagai mineral (Seng, Fosfor, Kalsium, Besi, Magnesium dan Flourin) dan vitamin. Tujuan penelitian ini untuk melihat adanya pengaruh pemberian buah kurma terhadap peningkatan kadar Hb pada ibu hamil trimester III. Metode : Jenis penelitian kuantitatif dengan desain Quasy Eksperiment. Pengambilan sampel purposive sampling. Analisis data menggunakan uji t dependent dan uji t independent.Hasil : Hasil uji statistik t dependent menunjukkan ada pengaruh pemberian Fe dan Kurma pada kelompok intervensi dengan p value = 0,000. Hasil uji statistik t independent menunjukkan tidak ada pengaruh pemberian Fe pada kelompok kontrol dengan p value = 0,317.Kesimpulan : Terdapat perbedaan antara pemberian (kurma dan tablet Fe) dan pemberian tablet Fe  yang signifikan sebelum dan sesudah dari hasil kadar Hb pada ibu hamil TM III.