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PENERAPAN BIRTH BALL DENGAN TEKNIK PELVIC ROCKING TERHADAP LAMA PERSALINAN PADA KALA I FASE AKTIF Diah Evawanna Anuhgera; Nikmah Jalilah Ritonga; Riris Sitorus; Juni Mariati Simarmata
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol 4 No 1 (2021): 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.v4i1.837

Abstract

A comfortable childbirth is the dream of mothers. Faster delivery progress can lead to quality midwifery care. Birth ball is a tool that can be used by mothers to position the pelvis properly, especially applied the pelvic rocking technique. This review study aimed to evaluate the evidence regarding the effect of using birth ball with pelvic rocking in duration of labor in kala I active phase. This study followed a quasi experimental research design with posttest control group design.The sample consisted of 12 treatment people dan 12 controls with the purposive sampling.Partograph was measured duration of labor in kala I active phase. The difference in duration of labor for the treatment and control group were tested with Mann Whitney. There was a difference in the effect of using a birth ball with pelvic rocking technique in length of labor in kala I active phase in the treatment and control groups with p-value 0.001. The use of birth ball with pelvic rocking technique is evidence to speed the duration of labor in kala I active phase. Birth ball with pelvic rocking are recommended to be use an alternative to speed the duration of labor in kala I active phase in midwifery services
PROMOSI KESEHATAN DENGAN PEMBERIAN REBUSAN DAUN SELEDRI UNTUK MENURUNKAN TEKANAN DARAH PADA WANITA MENOPAUSE Diah Evawanna Anuhgera; Riris Sitorus; Nikmah Jalilah Ritonga; Juni Mariati Simarmata; Novita Br Ginting Munthe
JURNAL PENGMAS KESTRA (JPK) Vol 1 No 1 (2021): 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 | Full PDF (422.815 KB) | DOI: 10.35451/jpk.v1i1.727

Abstract

Abstract Hypertension is a chronic disease that often results in complications for other organs. Based on the findings of recent evidence that giving celery leaf decoction can lower blood pressure. Health promotion activities through the provision of celery leaf stew can be used as an alternative in promoting early prevention and treatment of hypertension cases that often occur in menopausal women. The goal of this community service is to improve the quality of life of menopausal women by helping to lower blood pressure non-pharmacologically and reducing the side effects felt in women with hypertension. Celery leaves stew can be given once a day on a regular basis. The implementation of this community service lasted for 2 days at the Head Office of Sidodadi Ramunia Village, Beringin Deli Serdang District. This activity begins with conducting a rapid test for all respondents, followed by a blood pressure check before the promotion of the activity. On the second day of implementation, each respondent took blood pressure measurements to see the decrease in blood pressure for each respondent. The results of blood pressure examinations from 32 respondents showed a decrease in sysitolic blood pressure by 32 people (100%) and a decrease in diastolic blood pressure by 28 people (81.25%). Celery leaves decoction can be useful for hypertensive women to lower and control blood pressure. Keywords: health promotion, celery leaves, blood pressure, hypertension
Latihan Birthball untuk Penurunan Nyeri Kala I Persalinan di Bidan Praktik Mandiri Juliana Tanjung Morawa Eva Solena; Elvi Era Liesmayani; Riris Sitorus
Jurnal Kesehatan Cendikia Jenius Vol. 1 No. 1 (2023): Desember
Publisher : CV. CENDIKIA JENIUS INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70920/jenius.v1i1.7

Abstract

Childbirth is the process of expelling the products of conception (fetus and placenta) through the birth canal with or without assistance after they have developed enough to live outside the womb (by their own strength). Labor pain is a natural reaction. The pain that will be felt is the same as the birth process. To find out the effect of birthball training on reducing pain in the first stage of labor in women giving birth before doing birthball training at the Juliana Tanjung Morawa Midwife Clinic. This research is quantitative using a quasi-experimental approach with a One Group Pre test and Post test design. Sampling used accidental sampling with a population of 30 respondents in accordance with exclusion and inclusion criteria. In this research, the instrument used was an observation sheet. The results of the statistical test obtained a p-value=0.000 (p<0.05) so it can be concluded that there is an effect of giving birthball exercises on reducing pain in the first stage of labor in mothers giving birth at the Juliana Tanjung Morawa Midwife Clinic in 2023.
The Effect of Progressive Muscle Relaxation on Low Back Pain And Anxiety in Primiparas Diah Evawanna Anuhgera; Nikma Jalilah; Riris Sitorus; Dwi Handayani; Debi Dinha Octora
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.v7i2.2379

Abstract

Pregnancy changes that result in looseness and instability of joints in the third trimester of pregnancy often cause lower back pain in mothers. This certainly disturbs the mother's discomfort and causes anxiety. Progressive muscle relaxation is a combination of deep breathing and progressive muscle relaxation techniques by stretching and relaxing the muscles systematically. The purpose of this study was to analyze the effect of progressive muscle relaxation on lower back pain and anxiety in primigravida pregnancies. This study used all experiments with a pretest-posttest controlled group design for primigravida pregnant women with a gestational age of 28-36 weeks at the Misriah Galang Clinic as many as 28 respondents. The sampling technique used was simple random sampling. There were two groups in this study, namely the intervention group with progressive muscle relaxation and the control group. The research instruments used were VAS (Visual Analog Scale), Hamilton Anxiety Rating Scale (HARS) and questionnaires. Data analysis used was the dependent t-test and independent t-test to measure pain intensity and the Wilcoxon test with Mann Whitney to measure anxiety. There was a difference in the intensity of pain and anxiety before and after the progressive muscle relaxation intervention with a value of p = 0.001 and 0.004. The percentage of pain reduction after the intervention was 45.71%. There was a difference in the average pain and anxiety after the intervention between the control and intervention groups with a value of p = 0.000; p = 0.002. Progressive muscle relaxation has been proven effective in reducing the intensity of lower back pain and anxiety. Obstetric practitioners can apply this method to pregnant women who experience lower back pain and anxiety. The progressive muscle relaxation method can be used as material in Complementary Therapy in Pregnancy to develop obstetric science.