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EFFECTIVENESS OF ENDORPHINS MASSAGE AND ICE PACKS TO RELIEVE THE FIRST STAGE OF LABOR PAIN AMONG THE PREGNANT WOMEN IN CANDIMULYO HEALTH CENTER, INDONESIA Mariza Mustika Dewi; Tuti Sukini; Nurul Aziza Ath Thaariq; Niken Wahyu Hidayati
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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Abstract

Background: More than 90% of women experience severe labor pain. Endorphin massage and applying ice packs have been well known as non-pharmacological methods for pain reduction faced during delivery. Aims: This study is to determine the effectiveness of endorphins massage and ice packs to the first stage of labor pain. Methods: This study was a quasi-experiment with non-equivalent control group and pretest-posttest design. This research involved 30 pregnant mothers at the first stage in Candimulyo Health Center, Indonesia. The labor pain level at the first stage was measured before and after the intervention either by endorphins massage or ice packs. Data from Visual Analog Scale (VAS) sheet was employed to define the labor level, and was then analyzed statistically using Mann-Whitney Test. Results: Either endorphin massage or ice pack application decreased the pain level among the pregnant women in Candimulyo Health Center, Indonesia, respectively, at difference level of 0.008 and 0.000. The number of mother experienced massive pain level decreased from 20% to 0% by given endorphin massage, and 13.3% to 6.7% after applying ice packs. In addition, in the group who received endorphin massage, 9 mothers declared having heavy labor pain, however, after the treatment, only 3 mothers declared the heavy labor. It also happened at the group who given ice pack application where the number of mother claimed heavy pain decreased from 10 to only 6. The results highlighted that the endorphin massage (18.50) is more effective to decreasing labor pain than the ice pack application (12.50), and the difference was significant (p value < 0.05). Conclusion: The highlight of endorphin massage and ice pack application in reducing the labor pain becomes evidence suggesting the other non-pharmacological methods as alternative treatments. The results shows the importance to provide endorphin massage and ice pack application for reducing labor pain among the pregnant women. 
THE EFFECT OF GROSS MOTOR AND FINE MOTOR STIMULATIONS ON THE DEVELOPMENT OF BABIES AGED 3-6 MONTHS Nurul Aziza Ath Thaariq; Mariza Mustika Dewi; Niken Wahyu Hidayati; Erindra Budi Cahyanto
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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Abstract

Background: Toddler is a crucial phase as the child’s brain is developing rapidly during this period. In this stage, it is important to assess the child’s stimulation to detect any abnormality as early as possible. The earlier the growth and development retardation are detected, the treatment or stimulation intervention can produce more effective results. Aims: The objective of this study is to determine the effect of the gross stimulation and the fine motor stimulation on the development of babies aged 3-6 months. Methods: This research used the quasi experimental method with one group pre- and post-test design. The research was conducted at Community Health Center of Ngoresan. The samples were 20 respondents (babies with dubious development), chosen by using the quota sampling technique. The data of the research were analyzed statistically by using Wilcoxon test. Results: There is a difference in the baby development mean value prior to and after following the gross stimulation and the fine motor stimulation, that is 7.85 and 9.5 respectively with the value of p = 0.000. Conclusion: Gross and fine motor stimulations affect the development of babies. 
Effectiveness of the combination of ginger-lemongrass beverage and the mother baby-care method on the increase of CD4/CD8 ratio and mental health status in postpartum mother Diah Widyatun; Mariza Mustika Dewi; Pingkan Amelia Najla
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol. 14 No. 1 (2026)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2026.14(1).88-100

Abstract

Background: The postpartum period requires comprehensive and integrated attention to maternal wellbeing, encompassing both physiological and psychological dimensions. During this critical phase, modulation of the immune system plays an essential role in maintaining the balance of CD4/CD8 ratio, which reflects immune competence, while the prevelance of postpartum mental health problems has been reported to reach up to thirty percent. Natural functional beverages, such as ginger-lemongrass formulations containing  whilst postpartum mental health problem prevalence reaches thirty percent. Ginger-lemongrass beverage containing phenolic compounds at a concentration of 267,37 mgGAE/100g and antioxidant activity with an IC50 value of 20ppm, demonstrates promising immunomodulatory and protective potential. Objectives: The objective of this study was to analyze the effectiveness of a combined intervention consisting standardized ginger-lemongrass beverage and the MotherBaby-Care method in increasing CD4/CD8 ratio and improving the mental health status of postpartum Mothers. Methods: This research employed a true experimental design with pretest-posttest control group approach involving forty postpartum mothers who were randomly assigned into four groups : control, ginger-lemongrass beverage only, Motherbaby-Care only and a combination of both interventions. The interventions were administered over a fourteen-day period. Immune status was assessed by measuring the CD4/CD8 ratio using flowcytometry, while mental health status was evaluated using the Self Reporting Questionnaire-20 (SRQ-20). Results: The result showed that the combination group demonstrated the highest increase in CD4/CD8 ratio (1.748), compared to the MotherBaby-Care (1.328), the ginger-lemongrass (1.206) and control (1.006). Furthermore, the Proportion of mothers without mental health problems increased from seventy percent to ninety percent (p=0.031). Conclusions:The conclusion of this study is the combination of standardized ginger-lemongrass beverage and the MotherBaby-Care method effectively enhanced immune balance and improved mental health status among postpartum mothers, indocating a superior synergistic effect compared to single interventions.