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EFFECT OF WARM COMPRESS AND BREATHING TECHNIQUE ON DURATION OF THE SECOND STAGE OF LABOR Fadhiyah Noor Anisa; Adriana Palimbo; Winda Maolinda; Yuliyana
HEALTH SCIENCES International Journal Vol. 1 No. 1 (2023)
Publisher : Ananda - Health & Education Foundation

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Background: The duration of the second stage of labor is a stage of risk for the well-being of the fetus. The average time limit for the second stage in primiparas is less than two hours; in multigravidas, it is less than one hour. Several techniques developed non-pharmacologically are intended to shorten the duration of labor and minimise complications in the mother and fetus. Objective: To analyse the effect of the warm compress technique with a combination of warm compress and breathing techniques on the duration of the second stage of labor. Methods: This type of research is done through two measurements, including experiments and observations. The number of samples is 20 women in stage II. Samples were divided into two groups. The control group consisted of 10 people using warm compresses, while the experimental group of 10 people was given warm compresses and breathing techniques. Labor pain instruments use the Numeric Rating Scale (NRS). Results: The results of paired differents showed that there was an effect of giving warm compresses combined with breathing technique in adapting labor pain (p-value 0.000<0.05) compared to only warm compresses (p-value 0.0965). Moreover, for the findings of equal means, the experimental group's pain scale was lower than the control group (p-value 0.000<0.05). Meanwhile, the results of the Pearson correlation obtained the value of Sig. (0.041), the variable stage I pain scale and stage II duration correlate significantly. Conclusion: Non-pharmacological techniques with warm compresses and breathing techniques affect a low pain scale. And also a significant correlation between the two variables, namely the pain of the first stage and the duration of the second stage.

BREATHING TECHNIQUES AND WARM COMPRESSES AS THERAPY FOR ADAPTATION OF LABOR PAIN IN THE ACTIVE PHASE OF THE FIRST STAGE: A LITERATURE REVIEW Adriana Palimbo; Fadhiyah Noor Anisa; Zulliati; Dede Mahdiyah; Lailatul Rahmah
HEALTH SCIENCES International Journal Vol. 1 No. 1 (2023)
Publisher : Ananda - Health & Education Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar

Background: The active phase of the first stage of labor creates unpleasant conditions due to sensory and emotional experiences from the interaction of physiological and psychological processes. Labor pain coincides with maternal adaptation to pain. Labor pain results in uncoordinated uterine contractions, which results in a prolonged duration of the first stage of labor and impaired fetal well-being. Objective: This study aims to describe the application of a breathing technique model combined with warm compresses as an adaptation therapy for active phase I labor pain. Methods: Selected articles within five years, from 2017 to 2021. Initial research search results on the topic included 150 articles from PubMed and Google Scholar, keyword PICOS(T). The final selection stage was based on the inclusion criteria of 23 articles and eliminating the outer domains of the nine articles. Article covering JBI's critical assessment and synthesised a total of fourteen. Results: The findings of fourteen articles showed the average difference in pain scale and intensity before and after treatment. In addition to pain intensity, the results also show that pain can be adapted through these two methods, and provides a sense of comfort, reduces anxiety, and increases relaxation, especially in primigravid women. Conclusion: Obstacles appear in the phase and if the woman is in an abnormal pregnancy condition. Skilled attendants and family social support were accommodating in the success of this experiment. Practical implications and recommendations are needed to consider the length of treatment time and materials for compressed bottles of rubber or glass bottles.

Analysis of birth outcomes with incidence of hepatitis B in pregnant women Handayani, Lisda; Anisa, Fadhiyah Noor; Palimbo, Adriana; Suhartati, Susanti; Raudah, Normila; Ibrahim
Health Sciences International Journal Vol. 2 No. 1: February 2024
Publisher : Ananda - Health & Education Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71357/hsij.v2i1.18

Background: Hepatitis B in Indonesia is highest endemic, second mostly in the South East Asian Region. Hepatitis is generally rare in pregnant women. However, the most common sign is gestational jaundice, which is the cause of viral hepatitis. A total of 50,744 pregnant women will be positive for hepatitis B in 2022. Of this number, there will be 35,757 babies born to women who are positive for hepatitis B. The magnitude of this problem will certainly have a huge impact on public health problems and productivity. Objective: to know birth outcomes with incidence of hepatitis B in pregnant women. Method: Type of analytical quantitative research, case-control design. The total data sample was 60 pregnant women, including 30 hepatitis B cases and 30 non-hepatitis B controls. Secondary data collection came from birth report. Data were analyzed using the chi-square test. Results: Based on results, it was shown that highest type of vaginal delivery was [85%], non-hepatitis B group, p-value 0.718. The highest condition of newborn is in normal category [95%], non-hepatitis B group, with a p-value of 0.553. The largest birth weight of babies was in the normal category, non-hepatitis B group [86.7%], p-value 0.129. In terms of indicators of postpartum haemorrhagia complications, the highest results were in the non-postpartum haemorrhagia category [91.6%], hepatitis B group, p-value 0.640. Conclusion: From the four indicators of birth outcomes, it was concluded that not has been significant correlation with the incidence of hepatitis B in pregnant women.

Healthy lifestyle for women of childbearing age Hestiyana, Nita; Hidayah, Nurul; Anisa, Fadhiyah Noor; Zulliati
Health Sciences International Journal Vol. 2 No. 2: August 2024
Publisher : Ananda - Health & Education Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71357/hsij.v2i2.43

Background: Maternal nutrition before and during pregnancy is a key determinant of pregnancy outcomes and long-term health for both mother and child. The preconception period is crucial for improving maternal well-being and reducing risks such as preterm birth, low birth weight, and developmental issues. However, many women of childbearing age (WCA) lack adequate nutritional knowledge, increasing the risk of adverse pregnancy outcomes. Case presentation: In collaboration with the Terminal Health Center, a program was implemented to educate WCA on the importance of balanced nutrition and healthy lifestyles to prepare for pregnancy. Activities included a field survey to assess nutritional knowledge, educational outreach through information sessions and leaflets, and monitoring and evaluation of participants' knowledge improvement. Participants actively engaged in discussions, revealing prior gaps in understanding balanced nutrition and its role in pregnancy preparation. Discussion: The preconception period presents an optimal window for nutritional interventions. Addressing micronutrient deficiencies and promoting healthier diets can reduce the risk of complications such as gestational diabetes and preeclampsia. The program demonstrated that educational interventions delivered through community-based healthcare centers can significantly enhance awareness and encourage long-term behavioral changes, ultimately contributing to better maternal and child health outcomes. Conclusion: This intervention successfully increased nutritional literacy among WCA, emphasizing the importance of balanced nutrition in preparing for pregnancy. Cross-sectoral collaborations between healthcare providers and community leaders are essential to sustain these efforts and improve maternal and child health outcomes. Future programs should focus on expanding outreach and continuous evaluation to maintain positive behavioral changes.

The effectiveness of using warm compresses and birthing balls on the anxiety level of the active phase of the first stage of labor Palimbo, Adriana; Anisa, Fadhiyah Noor; Handayani, Lisda; Hasanah, Uswatun
Health Sciences International Journal Vol. 1 No. 1: August 2023
Publisher : Ananda - Health & Education Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71357/hsij.v1i1.3

Background: Labor accompanied by pain reaches 90% of events; however, in developed countries, around 7-14% give birth without pain. Several attempts were made through non-pharmacological methods, including warm compresses and a birthing ball, to reduce anxiety into the active phase of the first stage of labor. Objective: This study aims to analyse the effectiveness of warm compresses and birthing balls on the anxiety scale of women in labor during the active phase I. Methods: This quasi-experimental study involved 30 primiparous women and multiparas with a gestational age of 36-40 weeks in the third trimester. Maternity mothers were divided into two groups. The first group obtained warm compresses, while the second group received warm compresses and birthing balls. The Hamilton Anxiety Rating Scale (HARS) was used before and after the intervention to measure labor pain. Results: The independent t-test showed that warm compresses combined with the birthing ball were more effective in reducing anxiety levels than just warm compresses (p-value 0.030<0.05). The average score of respondents' anxiety after being given a warm compress was 48.60, and the average score of respondents' anxiety after being given a warm compress and birthing ball was 42.87. Conclusion: The non-pharmacological method of using warm compresses with the birthing ball considerably reduces women's anxiety level in labor in the first active phase compared to only the single method of wUsarm compresses.

Effect of warm compress and breathing technique on duration of the second stage of labor Anisa, Fadhiyah Noor; Palimbo, Adriana; Maolinda, Winda; Yuliyana
Health Sciences International Journal Vol. 1 No. 1: August 2023
Publisher : Ananda - Health & Education Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71357/hsij.v1i1.7

Background: The duration of the second stage of labor is a stage of risk for the well-being of the fetus. The average time limit for the second stage in primiparas is less than two hours; in multigravidas, it is less than one hour. Several techniques developed non-pharmacologically are intended to shorten the duration of labor and minimise complications in the mother and fetus. Objective: To analyse the effect of the warm compress technique with a combination of warm compress and breathing techniques on the duration of the second stage of labor. Methods: This type of research is done through two measurements, including experiments and observations. The number of samples is 20 women in stage II. Samples were divided into two groups. The control group consisted of 10 people using warm compresses, while the experimental group of 10 people was given warm compresses and breathing techniques. Labor pain instruments use the Numeric Rating Scale (NRS). Results: The results of paired differents showed that there was an effect of giving warm compresses combined with breathing technique in adapting labor pain (p-value 0.000<0.05) compared to only warm compresses (p-value 0.0965). Moreover, for the findings of equal means, the experimental group's pain scale was lower than the control group (p-value 0.000<0.05). Meanwhile, the results of the Pearson correlation obtained the value of Sig. (0.041), the variable stage I pain scale and stage II duration correlate significantly. Conclusion: Non-pharmacological techniques with warm compresses and breathing techniques affect a low pain scale. And also a significant correlation between the two variables, namely the pain of the first stage and the duration of the second stage.

Breathing techniques and warm compresses as therapy for adaptation of labor pain in the active phase of the first stage: A literature review Palimbo, Adriana; Anisa, Fadhiyah Noor; Zulliati; Mahdiyah, Dede; Rahmah, Lailatul
Health Sciences International Journal Vol. 1 No. 1: August 2023
Publisher : Ananda - Health & Education Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71357/hsij.v1i1.9

Background: The active phase of the first stage of labor creates unpleasant conditions due to sensory and emotional experiences from the interaction of physiological and psychological processes. Labor pain coincides with maternal adaptation to pain. Labor pain results in uncoordinated uterine contractions, which results in a prolonged duration of the first stage of labor and impaired fetal well-being. Objective: This study aims to describe the application of a breathing technique model combined with warm compresses as an adaptation therapy for active phase I labor pain. Methods: Selected articles within five years, from 2017 to 2021. Initial research search results on the topic included 150 articles from PubMed and Google Scholar, keyword PICOS(T). The final selection stage was based on the inclusion criteria of 23 articles and eliminating the outer domains of the nine articles. Article covering JBI's critical assessment and synthesised a total of fourteen. Results: The findings of fourteen articles showed the average difference in pain scale and intensity before and after treatment. In addition to pain intensity, the results also show that pain can be adapted through these two methods, and provides a sense of comfort, reduces anxiety, and increases relaxation, especially in primigravid women. Conclusion: Obstacles appear in the phase and if the woman is in an abnormal pregnancy condition. Skilled attendants and family social support were accommodating in the success of this experiment. Practical implications and recommendations are needed to consider the length of treatment time and materials for compressed bottles of rubber or glass bottles.

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