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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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Abstract

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 he 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. Keywords: complementary and alternatives medicine, first stage labor pain
INISIASI POS PEMBINAAN TERPADU DALAM PENCEGAHAN PENYAKIT TIDAK MENULAR Suparmi Suparmi; Ulfah Musdalifah; Titik Sapartinah; Hesti Kurniasih
JMM (Jurnal Masyarakat Mandiri) Vol 7, No 5 (2023): Oktober
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/jmm.v7i5.16548

Abstract

Abstrak: Posbindu PTM merupakan salah satu upaya kesehatan berbasis masyarakat yang bersifat promotif dan preventif dalam rangka deteksi dini dan pemantauan faktor risiko PTM Utama yang dilaksanakan secara terpadu, rutin, dan periodik. Masyarakat diberi fasilitas dan bimbingan dalam mengembangkan wadah untuk berperan, dibekali pengetahuan . Bentuk pengabdian berupa pelatihan pada kader baru posbindu yang ditargetkan 15 orang di Kelurahan Gedawang. Kemudian dilakukan pemeriksaan faktor risiko PTM. Pelaksanaan pengabdian masyarakat mengacu pada pedoman penyelenggaraan posbindu PTM. Tahap pelaksanaan kegiatan meliputi perencanaan kegiatan, pelaksanaan kegiatan dan evaluasi kegiatan. Telah terbentuk Posbindu di Kelurahan Gedawang. Kegiatan pelatihan hanya diikuti oleh 10 orang kader. Hasil pre dan posttest menunjukan peningkatan nilai rata-rata dari 34 menjadi 81 dan proporsi nilai 8 keatas meningkat. Kegiatan pelatihan pada kader diharapkan dapat dilakukan secara berkala oleh Dinkes dan pihak Puskesmas dapat memberikan tindak lanjut pada masyarakat yang terjaring memiliki faktor risiko PTM. Untuk posbindu PTM, jumlah partisipan yang dating berjumlah 20 orang. Didapatkan berdasarkan ahsil pemerikasaan IMT melebihi nilai normal, 67% tekanan darah tinggi, 87% kolesterol tinggi. Kurang dari 50% partisipan punya kebiasaan olahraga, konsumsi makanan asin, berlemak dan manis. Kegiatan pelatihan pada akder diharapkan dapat dilakukan secara berkala oleh Dinkes dan pihak Puskesmas dapat memberikan tindak lanjut pada masyarakat yang terjaring memiliki faktor risiko PTM.Abstract: Posbindu NCD is one of the community-based health efforts that are promotive and preventive in the context of early detection and monitoring of the main NCD risk factors which are carried out in an integrated, routine and periodic manner. Communities are given facilities and guidance in developing platforms to play a role, equipped with knowledge. The form of service is in the form of training for new posbindu cadres targeted at 15 people in the Gedawang Village. Then an examination of NCD risk factors is carried out. The implementation of community service refers to the guidelines for the implementation of Posbindu NCD. The activity implementation phase includes activity planning, activity implementation and activity evaluation. Posbindu has been formed in Gedawang Village. Only 10 cadres participated in the training activities. The results of the pre and posttest showed an increase in the average score from 34 to 81 and the proportion of scores above 8 increased. Training activities for cadres are expected to be carried out periodically by the Health Office and the Puskesmas to provide follow-up to people who are caught having NCD risk factors. For Posbindu NCD, the number of participants who came was 20 people. Obtained based on BMI examination results exceeding normal values, 67% high blood pressure, 87% high cholesterol. Less than 50% of participants have a habit of exercising, consuming salty, fatty and sweet foods. It is hoped that the training activities for akder can be carried out periodically by the Health Office and the Puskesmas to provide follow-up to people who are caught having NCD risk factors.
Innovation of the health monitoring system for pregnant and breastfeeding mothers through independent health applications as an effort to reduce stunting Ngadiyono Ngadiyono; Suparmi Suparmi; Ulfah Musdalifah; Izzatul Arifah
Malahayati International Journal of Nursing and Health Science Vol 6, No 5 (2023)
Publisher : Program Studi Ilmu Keperawata Fakultas Kedokteran Universitas Malahayati Bandar Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v6i5.12561

Abstract

Background: Failure to grow in children or what is often called stunting is one of the focuses of global problems, including Indonesia. Globally, stunting is one of the goals Sustainable Development Goals (SDGs). Stunting is a problem of chronic malnutrition caused by inadequate nutritional intake over a long period of time due to providing food that does not meet nutritional needs. Stunting can occur when the fetus is still in the womb and only appears when the child is two years old. Based on the results of the Indonesian Nutrition Status Survey (SSGI), the stunting prevalence rate in Indonesia fell from 24.4% in 2021 to 21.6% in 2022. This figure is still above the threshold set by the World Health Organization (WHO), namely 20%. The stunting prevalence rate in Demak Regency was ranked seventh highest in Central Java in 2019 at 50.23% and is one of 60 stunting districts. In 2019 in Demak Regency there were 4.25% or 6,129 toddlers out of a total of 97,212 toddlers who had the potential to experience stunting. This situation is a priority for the Demak Regency government to handle by determining 10 locations that will be prioritized in 2020 and 2021Purpose: To produce monitoring and promotion system application for pregnant and postpartum mothers as well as breastfeeding mothers including toddlers can detect early health problems for mothers and toddlers and is named the child stunting preventive application (ASTA).Method: This research uses research and development methods orResearch and Development (R&D). This research method is used to produce certain products and test the effectiveness of a product. This research was conducted in December 2022. The population of this study was pregnant women in Demak Regency with a sample of 24 people who were divided into two, namely 12 people as the intervention group and 12 people as the control group. The influencing variable in this study is ASTA and the influenced variable is health maintenance behavior during pregnancy, postpartum and toddlers. This research is divided into four stages, namely design, analysis, engineering and evaluation.Results: Based on the statistical test output, it is known that Asymp. Sig. (2-tailed) is worth 0.025. From this value it can be concluded that H0 rejected. This means that there are differences in the level of potential stunting in the control group respondents in terms of the pre-post treatment results. Meanwhile, it is known that in the intervention group the value of Asymp. Sig. (2-tailed) namely 0.157. This value is >0.05, so it can be concluded that H0 accepted. This means that there is no difference in the level of potential stunting between pre-post treatments in the intervention group given the ASTA application.Conclusion: There is no significant effect of using the ASTA application on the criteria for potential stunting and there is no significant difference in potential stunting data between the control and intervention groups, either before or after treatment. However, the stunting prevalence ratio is 0.7 (<1) indicating that the ASTA application is a factor that can reduce the potential for stunting.
Angka Stunting Aplikasi Kesehatan Sistem Monitoring dan Promosi Kesehatan sebagai Upaya Penurunan Angka Stunting Ngadiyono, Ngadiyono; -, Suparmi; Musdalifah, Ulfah
JURNAL KESEHATAN REPRODUKSI Vol 10, No 2 (2023)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkr.86502

Abstract

ABSTRACT Background: Child stunting is a global problem, including in Indonesia. The target of global goals in 2025 is to reduce the prevalence of stunting. The prevalence rate in Demak District in 2019 was 50.23%, making it one of the 60 priority districts for stunting in 2019.Objective: Mobile health application can help pregnant women maintain their health and promote useful information to others.Method: First-year research method started with planning, engineering analysis, and evaluation of digital applications, named "ASTA, (Child Stunting Prevention Application), then the second year implemented the ASTA Application in midwifery care services, with a total of 24 respondents for two control and treatment groups.The results were analyzed with the Wilcoxon and Mann Whitney tests.Results and Discussion : The results of the study in the form of a stunting prevalence ratio of 0.7, indicate that the ASTA application is a factor that can reduce the potential for stunting. Keywords:  Application; ASTA; monitoring; pregnant women; stunting ABSTRAK Latar belakang: Stunting pada anak merupakan masalah global, termasuk di Indonesia. Target tujuan global pada tahun 2025 adalah menurunkan prevalensi stunting. Tingkat prevalensi di Kabupaten Demak pada tahun 2019 adalah 50,23%, menjadikannya salah satu dari 60 kabupaten prioritas stunting pada tahun 2019.Tujuan: Mobile health apps dapat membantu ibu hamil menjaga kesehatan mereka dan mempromosikan informasi yang berguna kepada orang lain.Metode: penelitian tahun pertama dimulai dengan perencanaan, analisis rekayasa, dan evaluasi aplikasi digital, yang diberi nama "ASTA, (Aplikasi Pencegahan Stunting pada Anak), kemudian tahun kedua mengimplementasikan Aplikasi ASTA pada pelayanan asuhan kebidanan, dengan jumlah responden 24 orang untuk dua kelompok kontrol dan kelompok perlakuan. Hasil penelitian dianalisis dengan uji Wilcoxon dan Mann Whitney.Hasil dan Pembahasan : Hasil penelitian berupa rasio prevalensi stunting sebesar 0,7, menunjukkan bahwa aplikasi ASTA merupakan faktor yang dapat menurunkan potensi terjadinya stunting.
The Effectiveness of Virgin Coconut Oil (VCO) and Red Betel Leaf Infusion on The Healing Time of Second-Degree Perineal Lacerations in Postpartum Musdalifah, Ulfah; Aisyah, Luthfia Nur; Rosiana, Heny; Yuniarti, Yuniarti
JURNAL KEBIDANAN Vol 14, No 2 (2024): Oktober 2024
Publisher : Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jkb.v14i2.11302

Abstract

The cause of infection in postpartum women is due to the perineal wound. Data released from Purbalingga district health office in 2022, Kutawis Health Center ranked second in the incidence of perineal wound infection. Virgin Coconut Oil (VCO) and red betel leaf are known contains chemicals that are antiseptic and antibacterial. The purpose of this study was to determine the effectiveness of VCO and red betel leaf water decoction on the healing time of perineal lacerations of grade II postpartum women in the Kutawis Health Center working area of Purbalingga Regency. This type of research uses quasy experimental design, two group pretest posttest design. The sample of this study are 34 people taken using accidental sampling. The sample was divided into 2 groups. Data analysis using Mann Whitney test. The results of the intervention group obtained p value 0.025. (p-value 0.05). It can be concluded that there is a significant difference between groups using VCO and red betel leaf water decoction. An average wound healing using VCO 6.17 days and the group using red betel leaf decoction on average healed 5.58 days. Based on the research, it is known that there is a difference in the healing time of perineal wounds between treatments using VCO and red betel leaf water decoction. Treatment using red betel leaf is faster wound healing than treatment using VCO. From the results of this study it is hoped that it can be applied independently so that it can accelerate the healing of lacerations.
Pengolahan Daun Kelor Peningkat Produksi Asi Pada Ibu Menyusui Di Pudakpayung Umaroh, Umaroh; Musdalifah, Ulfah; Setianingsih, Agustin; Khobibah, Khobibah
Jurnal LINK Vol 20, No 2 (2024): NOVEMBER 2024
Publisher : Pusat Penelitian dan Pengabdian kepada Masyarakat, Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/link.v20i2.10885

Abstract

Kelurahan Pudakpayung, kota Semarang, memiliki potensi ekonomi dan kesehatan yang perlu dikembangkan. Fokus pada RW 7 sebagai kampung tematik jajan pasar, masyarakatnya memiliki kekreatifan tinggi dan dapat membudidayakan tanaman kelor. Namun, dibutuhkan bimbingan untuk mengoptimalkan potensi tersebut. Pengabmas bertujuan untuk meningkatkan pengetahuan dan keterampilan masyarakat Kelurahan Pudakpayung dalam pengolahan daun kelor, dengan fokus pada pengembangan teh daun kelor. Tujuan spesifik mencakup peningkatan pengetahuan, keterampilan, promosi, dan pemberian the daun kelor kepada ibu menyususi untuk meningkatkan berat badan bayi. Kegiatan dilaksanakan melalui ceramah, pelatihan praktik, demonstrasi, dan diskusi. Evaluasi dilakukan dengan memberikan produk teh daun kelor kepada ibu menyusui, dengan penilaian berat badan bayi sebelum dan setelah perlakuan. Pengabdian ini berhasil meningkatkan rata-rata berat badan anak dari 9,88 menjadi 10,51 setelah ibu mengkonsumsi teh daun kelor. Analisis statistik menggunakan uji paired t-test menunjukkan signifikansi sebesar 0,0001 0,05, mengindikasikan perbedaan yang signifikan sebelum dan setelah perlakuan. Nilai Std. Deviation juga menunjukkan konsistensi hasil. Kegiatan pengabdian ini membuktikan bahwa konsumsi teh daun kelor dapat meningkatkan berat badan balita. Masyarakat Pudakpayung semakin memiliki pengetahuan dan keterampilan dalam pengolahan teh daun kelor. Dengan demikian, pengembangan potensi ekonomi dan kesehatan di kelurahan ini dapat terus ditingkatkan.
Aktivasi Bank Sampah dan “Omah Sampah” sebagai Alternative Business Income di Gunungpati, Semarang, Jawa Tengah Listyaning Eko Martanti; Hanifa Andisetyana Putri; Yuniarti Yuniarti; Ulfah Musdalifah
Mitra Akademia: Jurnal Pengabdian Masyarakat Vol 7 No 3 (2024): Mitra Akademia: Jurnal Pengabdian Masyarakat
Publisher : Pusat Penelitian dan Pengabdian kepada Masyarakat (P3M) Politeknik Negeri Jakarta

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Abstract

Waste can contribute to environmental pollution, which in turn impacts public health. As an alternative solution to address waste issues in urban areas, the development of waste banks represents a social engineering initiative aimed at teaching the community to sort waste and raising awareness about waste management. The objective of the activities conducted is to empower the community through waste sorting programs, encouraging them to become waste bank customers, and managing household waste by producing aromatherapy candles and ecoenzymes. These activities are carried out at the Department of Midwifery, Poltekkes Kemenkes Semarang, and in the Green Village Ngijo, Gunungpati, Semarang, which is a foster village. The methods of implementation include awareness campaigns, technical training, and support to drive the waste sorting programs, participation as waste bank customers, as well as the production of aromatherapy candles and ecoenzymes, taking place from July to August 2024. The outcome of these activities is the creation of a community that is environmentally conscious and able to process waste into economically valuable items with high market potential. The training on household waste management was successfully conducted with the involvement of both the academic community and the general public. It is hoped that this waste management initiative will continue as a routine activity, benefiting both the academic community and the foster village by promoting the production of aromatherapy candles and ecoenzymes. Keywords: waste bank, aromatherapy candles, ecoenzymes Sampah dapat mempengaruhi terhadap pencemaran lingkungan yang akan berdampak pada kesehatan masyarakatnya. Untuk alternatif solusi dalam mengatasi masalah sampah di perkotaan, pengembangan bank sampah merupakan kegiatan bersifat social engineering yang mengajarkan masyarakat untuk memilah sampah serta menumbuhkan kesadaran masyarakat dalam pengolahan sampah. Tujuan dari kegiatan yang dilakukan adalah melakukan pemberdayaan masyarakat melalui program kegiatan pilah sampah dan aktivasi sebagai nasabah bank sampah dan pengolahan sampah rumah tangga dengan pembuatan lilin aromaterapi dan juga ecoenyzme. Kegiatan dilaksanakan di Jurusan Kebidanan Poltekkes Kemenkes Semarang serta di desa binaan Green Village Ngijo, Gunungpati, Semarang. Metode pelaksanaan dengan melakukan sosialisasi, pelatihan teknis, serta pendampingan untuk menggerakan program kegiatan pilah sampah dan aktivasi sebagai nasabah bank sampah serta pembuatan lilin aromaterapi dan juga ecoenzym yang dilaksanakan dari bulan JuliAgustus 2024. Hasil dari kegiatan yang dilakukan adalah menghasilkan masyarakat yang peduli terhadap lingkungan serta mengolah sampah menjadi barang dengan nilai ekonomis yang memiliki daya jual tinggi. Pelaksanaan pelatihan pengelolaan limbah rumah tangga dapat terlaksana dengan baik oleh sivitas akademika maupun masyarakat. Diharapkan kegiatan pengolahan limbah sampah ini dapat dilanjutkan sebagai kegiatan rutin yang menghasilkan baik civitas akademika maupun desa binaan dengan menggerakkan produksi lilin aromaterapi dan ecoenzym. Kata kunci: bank sampah, lilin aromaterapi, ecoenzym
Risk Factors Affecting The Incident Of Preeclamsia In Klambu Health Center, Grobogan District Musdalifah, Ulfah; Indah Rahmawati, Mei; Fajrin, Rafika; Suwanti, Suwanti
Jurnal Keperawatan Terpadu (Integrated Nursing Journal) Vol. 7 No. 1 (2025): APRIL
Publisher : Jurusan Keperawatan, Poltekkes Kemenkes Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32807/jkt.v7i1.546

Abstract

Preeclampsia is a collection of symptoms that occur during pregnancy, childbirth and the postpartum period including hypertension, edema and proteinuria, symptoms usually appear after 20 weeks of gestation or more. There were 19 cases of visits by TM III pregnant mothers who had ANC at the Klambu Community Health Center with preeclampsia, in 2021 there were 24 cases and in 2022 there were 38 cases. From year to year visits by mothers with preeclampsia have increased. The aim of the research was to determine the risk factors that influence the incidence of preeclampsia at the Klambu Community Health Center, Grobogan Regency. The research method used a case control design, the research was conducted in October 2023 with a population of all pregnant women aged 35 weeks to 40 weeks with preeclampsia in 2022, there were 38 people. The samples in this research used a 1:1 ratio so that the number of case samples was 38 and the number of control samples was 38, so there were a total of 76 samples. Data analysis uses the Odds Ratio test. The research results show that the age of most mothers is not at risk, between 20-35 years 75%, the parity of mothers is not at risk or multipara 64.5%, the nutritional status based on LILA is not normal or <23.5cm and >25cm 72.4%, the pregnancy interval is not at risk or >2 years 59.2%, no history of hypertension 89.5, history of standardized ANC 90.8% and mother's education at risk or elementary/middle school graduate education 57.9%. Risk factors for preeclampsia include maternal age (OR=1.528), nutritional status (OR=1.487), history of hypertension (OR=2.267) and ANC (OR=1.373). Protective factors for preeclampsia include parity (OR=0.708), pregnancy spacing (OR=0.721) and maternal education (OR=0.415). It is hoped that midwives will be able to improve the quality of midwifery services related to ANC and early detection of preeclampsia related to the risk factors of pregnant women's age, nutritional status of pregnant women and history of hypertension.
The Effectiveness of Virgin Coconut Oil (VCO) and Red Betel Leaf Infusion on The Healing Time of Second-Degree Perineal Lacerations in Postpartum Musdalifah, Ulfah; Aisyah, Luthfia Nur; Rosiana, Heny; Yuniarti, Yuniarti
JURNAL KEBIDANAN Vol. 14 No. 2 (2024): Oktober 2024
Publisher : Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jkb.v14i2.11302

Abstract

The cause of infection in postpartum women is due to the perineal wound. Data released from Purbalingga district health office in 2022, Kutawis Health Center ranked second in the incidence of perineal wound infection. Virgin Coconut Oil (VCO) and red betel leaf are known contains chemicals that are antiseptic and antibacterial. The purpose of this study was to determine the effectiveness of VCO and red betel leaf water decoction on the healing time of perineal lacerations of grade II postpartum women in the Kutawis Health Center working area of Purbalingga Regency. This type of research uses quasy experimental design, two group pretest posttest design. The sample of this study are 34 people taken using accidental sampling. The sample was divided into 2 groups. Data analysis using Mann Whitney test. The results of the intervention group obtained p value <0.025. (p-value <0.05). It can be concluded that there is a significant difference between groups using VCO and red betel leaf water decoction. An average wound healing using VCO 6.17 days and the group using red betel leaf decoction on average healed 5.58 days. Based on the research, it is known that there is a difference in the healing time of perineal wounds between treatments using VCO and red betel leaf water decoction. Treatment using red betel leaf is faster wound healing than treatment using VCO. From the results of this study it is hoped that it can be applied independently so that it can accelerate the healing of lacerations.
Pemahaman Bidan Terkait Peraturan Daerah No. 5 Tahun 2014 tentang Inisiasi Menyusui Dini dan ASI Eksklusif Dhita Aulia Octaviani; Ulfah Musdalifah
Faletehan Health Journal Vol 9 No 03 (2022): Faletehan Health Journal, November 2022
Publisher : Universitas Faletehan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33746/fhj.v10i03.351

Abstract

Semarang Regency, Central Java Province was the regency/city that ranked fourth lowest in the coverage of exclusive breastfeeding, which was 50.7% in 2018, although there was already regulatory support in the form of Regional Regulation Number 5/2014 concerning early initiation of breast feeding (EIBF) and exclusive breastfeeding. This study aimed to describe the implementation of Regional Regulation No. 5/2014 on EIBF and exclusive breastfeeding among midwives in Semarang Regency and analyze the influencing factors. This research was quantitative with analytical observational design and cross-sectional approach. The number of samples was 38 midwives in Semarang Regency who met the inclusion criteria. The data collection was carried out using a questionnaire that had been tested for its validity. The results of the study showed that there was a relationship of education, length of work, implementation of Regional Regulation No. 5 of 2014 with the practice of midwives on EIBF and exclusive breastfeeding. However, the midwives’ understanding of the provisions contained therein needs to be further improved, especially the information of EIBF and exclusive breastfeeding that should be delivered from the times of pregnancy examination until the period of exclusive breastfeeding is over. The better the midwives’ understanding of the contents of Regional Regulation No. 5 2014 concerning EIBF and Exclusive Breastfeeding, the midwives' practice of implementing EIBF and exclusive breastfeeding also got better.