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Tecky Afifah Santy Amartha
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Education Health Professions Medicine & Pharmacology Nursing Public Health

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METHODS OF POSTPARTUM BLOOD LOSS MEASUREMENT IN INDONESIA SHOULD BE MODIFIED FOR BETTER ACCURACY: A LITERATURE REVIEW Siska Febrina Fauziah; Melyana Nurul Widyawati; Tecky Afifah Santy Amartha
Proceedings of the International Conference on Applied Science and Health No. 2 (2017)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Backgrounds: Assessment of blood loss after delivery is important because intervention in the “golden hour” is crucial to prevent maternal morbidity and mortality. In fact, the biggest obstacle in overcoming postpartum blood loss are symptom recognition, accuracy, and timely diagnosis. Aims: The objective of this study was to analyze the strengths and weaknesses between visual estimation and quantification of blood loss measurements. Methods: Literature review was conducted using the electronic databases Science Direct, Pubmed, and Google Scholar. Measurement of blood loss and postpartum hemorrhage was used as keywords in searching strategy. A total of 23 from 17.200 of publications range from 2010 until May 2017 and presented in English language were included in this review. Results: Many studies show that quantification of blood loss method is better than visual estimation. Visual estimation of blood loss was imprecise, tend to underestimate blood loss, and thus to delay diagnosis of PPH, whilst quantification of blood loss more accurate and objective. Nonetheless, quantification methods not used routinely due to their unavailability, more time consuming, complicated, costly, and analyst workload increases. Conclusions: Modified measurement method and its existing protocol needed to overcome blood loss during postpartum. 
COMPLEMENTARY AND ALTERNATIVE MEDICINE (CAM) IN THE FIRST STAGE OF LABOR PAIN: A LITERATURE REVIEW Dwi Apriani; Ulfah Musdalifah; Tecky Afifah Santy Amartha
Proceedings of the International Conference on Applied Science and Health No. 4 (2019)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Background: Excessive pain in labor leads to the side effects on the maternal and neonatal health. Many strategies for labor pain management have been studied, including complementary therapies, yet the comparison of the effectiveness among them needs to be explored more. This study aims to analyze the effectiveness of complementary therapies to reduce pain in the first stage of labor.Methods: This was a literature review using electronic databases from Google Scholar, PubMed, Science Direct, EBSCOhost and text books. The keywords of searching literature were ‘complementary therapy’, ‘pain’, and ‘first stage labor’. All articles reviewed in this study were written in English and Indonesian language with the published year 2010 until 2018.Results: In total, there were 44 out of 232 publications included in this study. Complementary therapies that can be used to reduce first-stage labor pain were aromatherapy, acupressure, and hypnotherapy. Using lavender aromatherapy, pressing the point of L14, SP6, BL32 as well as the use of hypnobirthing showed significant influence in reducing the pain at the first stage of labor among pregnant women.Conclusion: Acupressure is more effective in reducing the pain at the first stage of labor than other alternative techniques. In order to effectively manage the pain at the first stage of labor, a combination of complementary therapies and pharmacological treatment is needed.
Co-Authors Dwi Apriani Melyana Nurul Widyawati Siska Febrina Fauziah Ulfah Musdalifah