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Journal : JKM (Jurnal Kebidanan Malahayati)

METODE MASSAGE EFFLEURAGE TERHADAP INTENSITAS NYERI PADA PERSALINAN KALA I Magfirah Magfirah; Idwar Idwar
JKM (Jurnal Kebidanan Malahayati) Vol 6, No 4 (2020): Volume 6 Nomor 4 Oktober 2020
Publisher : Program Studi Kebidanan Fakultas Kedokteran Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkm.v6i4.3009

Abstract

ABSTRACT Background: Pain during childbirth is a physiological condition that is generally experienced by almost all women who give birth. This pain is a subjective experience caused by ischemia of the uterine muscle, traction of the uterine ligament, traction of the ovaries, fallopian tubes, distension of the lower part of the uterus, pelvic floor muscles and perineum. One of the non- pharmacological methods in the form of skin stimulation that can reduce labor pain and cause a relaxing effect is massage effleurage.Objective: To determine the effect of massage effleurage treatment on the intensity of pain during first stage labor in the Rantau Community Health Center, Aceh Tamiang Regency.Method: This research is a quasi experiment with a post test to control group design approach only. The sample were mothers who gave birth to the first stage of 4-8 cm opening. The number of samples was 16 respondents (8 for the treatment and 8 for the control group). The sampling technique was done by means of purposive sampling. While the data analysis used was univariate (frequency distribution) and bivariate (Independent T-Test).Results: Independent sample T-test results, in the treatment group effleurage massage treatment obtained an average value of 4.00 and control group 6.25 obtained p value of 0.031 (p≤0.05). There is a significant difference in the average intensity of stage I labor pain between the treatment group and the control group.Conclusion: There is an effect of the effleurage massage method on the intensity of the first stage labor pain. Suggestions are expected for further research to compare the two non- pharmacological methods to the intensity of scildbirth pain during the 1st stage. Keywords: Massage Flexure, Pain Intensity, and Labor Period. ABSTRAK Latar Belakang: Nyeri saat  persalinan merupakan kondisi  fisiologis yang secara umum dialami oleh hampir semua ibu bersalin. Nyeri persalinan merupakan sebuah pengalaman subjektif disebabkan oleh iskemik otot uteri, penarikan  traksi ligament uteri, traksi ovarium, tuba fallopi, distensi bagian bawah uteri, otot dasar panggul dan perineum. Salah satu metode non farmakologi dalam bentuk stimulasi kulit yang dapat menurunkan nyeri persalinan, menimbulkan efek relaksasi adalah Massage effleurage.Tujuan : Untuk mengetahui  pengaruh metode massage effleurage terhadap intensitas nyeri persalinan kala I di wilayah kerja Puskesmas Rantau Kabupaten Aceh Tamiang.Metode: Jenis penelitian quasi experiment, dengan pendekatan post test only control group design. Sampel dalam penelitian ini adalah ibu bersalin kala I pembukaan 4-8 cm. Jumlah sampel sebanyak 16 responden  (masing-masing 8 responden untuk kelompok perlakuan dan kontrol). Teknik pengambilan sampel dilakukan dengan cara purposive sampling.  Analisa data yang digunakan adalah univariat  (distribusi frekuensi) dan bivariat (Uji Independet T-Test).Hasil: Hasil uji Independen Sampel T-test, pada kelompok perlakuan metode massage effleurage didapatkan nilai rata-rata 4,00 dan kelompok kontrol 6,25 diperoleh nilai p sebesar 0,031 (p≤0.05). Hal tersebut terdapat perbedaan signifikan rata-rata intensitas nyeri persalinan kala I  antara kelompok perlakuan dan kontrol.Kesimpulan: Terdapat pengaruh metode massage effleurage terhadap intensitas nyeri persalinan kala I . Saran diharapkan penelitian lanjutan membandingkan dua metode non farmakologi terhadap intensitas nyeri persalinan kala I.Saran diharapkan untuk penelitian lebih lanjut untuk membandingkan dua metode non-farmakologis dengan intensitas nyeri scildbirth selama tahap pertama. Kata Kunci: Massage effleurage, Intensitas Nyeri, Persalinan
PENGARUH ENDORPHIN MASSAGE TERHADAP PENGELUARAN ASI PADA IBU POST PARTUM Magfirah Magfirah; Idwar Idwar
JKM (Jurnal Kebidanan Malahayati) Vol 7, No 3 (2021): Vol.7 No.3 Juli 2021
Publisher : Program Studi Kebidanan Fakultas Kedokteran Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkm.v7i3.4346

Abstract

Background: Decreased levels of endorphins and oxytocin are known to be one of the factors causing breast milk production problems in the first days after birth. Low levels of these hormones are also an obstacle in exclusive breastfeeding. Endorphin Massage can provide a feeling of calm and comfort during lactation, thereby increasing the response of the posterior pituitary to producing the hormone oxytocin to increase let down reflex.Research Objectives: to determine the effect of Endorphin Massage on Breastfeeding Expenditures in Post Partum Mothers in the Work Area of Langsa Lama Public Health Center, Langsa City.Methods: This type of research is a quasi experiment, with a post test only control group design approach. The number of samples of 20 respondents, divided into 2 groups (Endorphin Massage and control) each of 10 respondents.Results: The results of the independent T test showed that the mean value of the Endorphin Massage treatment group was 8.50 and the control group was 4.90 (0.000) with p <0.05. The results of this study indicated an increase in milk production in the group that received the Endorphin Massage compared to the control group.Conclusions There is an effect of the Endorphin Massage method on breastfeeding in post partum motherssuggestions: . It is hoped that health workers can apply the Endorphin Massage method to post partum mothers in an effort to increase milk production. Keywords: Endorphin Massage, Breast Milk Production ABSTRAK Latar Belakang:  Penurunan kadar endorfin dan oksitosin diketahui sebagai salah satu faktor penyebab masalah produksi ASI pada hari-hari pertama setelah bayi lahir. Rendahnya kadar hormon tersebut juga menjadi kendala dalam pemberian ASI Eksklusif.  Endorphin Massage dapat memberikan rasa tenang dan nyaman selama masa laktasi sehingga meningkatkan respon hipofisis posterior untuk memproduksi hormon oksitosin dalam meningkatkan let down reflex.Tujuan Penelitian: diketahui  Pengaruh Endorphin Massage Terhadap Pengeluaran ASI Pada Ibu Post Partum Di Wilayah Kerja Puskesmas Langsa Lama Kota Langsa.Metode Penelitian: Jenis penelitian quasi experiment, dengan pendekatan post test only control group design. Jumlah sampel 20 responden, dibagi menjadi 2 kelompok (Endorphin Massage dan kontrol) masing-masing 10 responden.Hasil Penelitian: Hasil uji independen T test didapatkan nilai rerata  kelompok perlakuan Endorphin Massage sebesar  8,50 dan kelompok kontrol 4,90 (0,000) dengan p < 0,05.  Hasil penelitian ini menunjukkan adanya peningkatan produksi ASI pada kelompok yang mendapatkan Endorphin Massage dibandingkan kelompok kontrol.Kesimpulan: Terdapat pengaruh metode Endorphin Massage terhadap pengeluaran ASI pada ibu post partumSaran diharapkan kepada petugas kesehatan agar dapat menerapkan metode Endorphin Massage kepada ibu post partum dalam upaya meningkatkan produksi ASI. Kata Kunci: Endorphin Massage,Pengeluaran ASI