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Journal : Jurnal Info Kesehatan

Vibration Stimulation to Increase Milk Production in Puerperal Mothers Raraswati, Rhela Panji; Wijayanti, Krisdiana; Hendriyani, Heni
JURNAL INFO KESEHATAN Vol 22 No 2 (2024): JURNAL INFO KESEHATAN
Publisher : Research and Community Service Unit, Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/infokes.Vol22.Iss2.1488

Abstract

Breast milk is the best food for babies, but insufficient production can hinder breastfeeding. Many mothers face challenges with milk production, preventing optimal breastfeeding. This study aims to innovate and develop a vibration-based electric massage device to enhance breast milk production and analyze its effectiveness based on baby weight indicators. The research employs a quantitative method with a Quasi-Experimental design, divided into an intervention group and a control group. A random sampling technique selected 46 respondents, split evenly between the two groups. The intervention group received breast care using the vibration-based device, while the control group received standard breast care for 14 days. Breast care was administered twice daily for 2-3 minutes. Baby weight was measured at 14, 21, and 28 days. Tools to measure energy intake, protein intake, and fluid intake utilized food recall, and breastfeeding frequency was measured by a scale. Psychological status was assessed using the DASS questionnaire. Data analysis included Repeated Measure ANOVA and Independent Simple T-Test. Results indicated a significant difference in breast milk production based on baby weight between the intervention and control groups (p=0.000). The mean weight difference between the groups was 200.21 grams, favoring the intervention group. Increased breast milk production was not influenced by confounding variables such as energy intake, protein intake, fluid intake, breastfeeding frequency, and psychological status. In conclusion, the developed vibration-based electric massage device effectively increased breast milk production, evidenced by significant weight gain in babies within the intervention group compared to the control group (p=0.000). 
Effectiveness of Hae-Band in Measuring Hb Levels in Postpartum Hemorrhage Risk Monitoring Meidita, Dinda Dian; Wijayanti, Krisdiana; Hendriyani, Heni
JURNAL INFO KESEHATAN Vol 22 No 2 (2024): JURNAL INFO KESEHATAN
Publisher : Research and Community Service Unit, Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/infokes.Vol22.Iss2.1489

Abstract

Postpartum hemorrhage is the main cause of high morbidity in the world (75%). Until now, efforts to early detect the risk of postpartum hemorrhage have still not been maximized. Sensor-based smartband can be the development of non-invasive methods in an effort to early detection of declining Hb levels in monitoring the risk of bleeding with practical, fast, precise, accurate, and practical. This research aims to determine the effectiveness of developing and analyzing the effectiveness of the "Hae-band" smartband in monitoring the risk of postpartum hemorrhage. The research method used is Research and Development (R&D), a quasi-experimental one-group pretest-posttest design using a nonequivalent dependent variable. The sampling technique in this research uses non-probability sampling with purposive sampling type. Respondents were selected by purposive sampling with a sample of 35 respondents maternity up to 6 hours postpartum to measure Hb levels and analyze the average levels of Hb and declining levels of HB Hae-band, HB meter POCT and visual estimation of blood loss volume compared with HB meter POCT (gold standard). Data analysis using the descriptive test, validation test, Paired T-Test, Independent T-Test, and multiple linear regression. The research results show that the Hae-band has been developed and is feasible as a measure of Hb levels which has a sensitivity of truth tool as much as 70.0% and can detect a decrease in Hb levels as much as 63.9% (p=0.000) more partially effective than visual estimation (0.24%) Smartband can detect Hb levels with good results compared to the gold standard of blood tests with a difference of 0.324 g/dL (p.0.113) with an average Hb levels at 6 hours PP at 11.19 g/dL compared to the average POCT 11.34 g/dL. This research concludes that Hae-band is more effective in detecting postpartum hemorrhage risk than visual estimation. It is hoped that further research can develop a more modern design where the sensor is more comfortable to use for long periods and has an alternative way of reading the sensor other than on the wrist. Improving accuracy, sensitivity, and higher battery power by improving the type of design, sensor, and wave type to be more suitable for measuring Hb levels can also be developed considering the efficiency of maternal monitoring and recording in the era of digitalization in early detection of bleeding risk.