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Dhiyan Nany Wigati
Dosen Universitas An Nuur

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THE EFFECT OF HALF-SITTING POSITION ON PERINEAL LASERATION IN PRIMIGRAVIDA Sri Untari; Dhiyan Nany Wigati; Nurya Kumalasari
The Shine Cahaya Dunia Kebidanan Vol. 8 No. 2 (2023): The Shine Cahaya Dunia Kebidanan
Publisher : Lppm Unan

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Background; Maternal Mortality Rate (MMR) is still a problem in Indonesia. One of the causes of MMR is bleeding. Perineal lacerations are a cause of bleeding. Allowing the mother to assume the position she desires during labor and delivery will provide many benefits, including less pain and discomfort, shorter second stage length, less perinealrupture. Method; This research used quasi experimental design with a Control Group Post test Only Design. The sampling technique used in this research is non probability sampling with purposive sampling type. The sample size used was 30 mothers giving birth. The aim of this study was to determine the effect of the half-sitting birth position on the incidence of perineal lacerations. Result; The statistical test used in this research is the Mann-Whitney Test. There were 15 women giving birth in a half-sitting position who experienced perineal lacerations, and 0 respondents who did not experience perineal lacerations. With the results obtained, the p value was 0.945 with a p value > 0.05. Conclusion; There is no influence of the half-sitting position on the incidence of perineal lacerations in primigravidas.
MIDWIFERY CARE FOR POSTPARTUM MOTHERS WITH OXYTOCIN MASSAGE INTERVENTION FOCUS ON LACTATION PROSES AT PURWODADI PUBLIC HEALTH CENTER 1 Dewi Andriani Putri; Nurul Kodiyah; Dhiyan Nany Wigati
The Shine Cahaya Dunia Kebidanan Vol. 8 No. 1 (2023): The Shine Cahaya Dunia Kebidanan
Publisher : Lppm Unan

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Background; Postpartum is the period of 6 weeks or 42 days after delivery. Similar to pre- pregnancy, the reproductive organs will undergo gradual changes. 60% of maternal morbidity occurs during the puerperium. These statistics explain the number of postpartum deaths. (Handayani, 2021). Oxytocin massage is one approach that can be used to overcome the problem of uneven milk production. Oxytocin massage is a type of massage performed along the spine (vertebrates) to the fifth or sixth rib. .This massage aims to increase the hormones prolactin and oxytocin released after childbirth. Oxytocin massage has a number of benefits, including providing comfort to the mother and stimulating the oxytocin reflex. Method; The research design that the researcher uses is a case study research design. This type of descriptive case study research uses participatory observation method. The subjects in this study were postpartum mothers. Result; The results of the study showed that the diagnosis in Mrs. G was that breast milk was not smooth. Evaluation of the implementation of oxytocin massage in the case of Mrs. G with non-fluent breast milk, it was found that the milk had come out smoothly. Conclusion; The problem of breastfeeding is not smooth, Mrs. G has been resolved. 
MIDWIFE CARE IN THE 1st TRIMESTER PREGNANT WOMEN WITH A INTERVENTION FOCUS ON GENERATION OF GINGER OIL  THERAPY TO REDUCE NATURE OF VOMITING PATIENT HYPEREMESIS GRAVIDARUM  IN PUSKESMAS TOROH I Santi Hermawati Umaroh; Nurya Kumalasari; Dhiyan Nany Wigati
The Shine Cahaya Dunia Kebidanan Vol. 8 No. 1 (2023): The Shine Cahaya Dunia Kebidanan
Publisher : Lppm Unan

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Background; Hyperemesis gravidarum or nausea and vomiting that occurs in pregnancy caused by increased levels of the hormones estrogen and progesterone produced by Human Chorionic Gonadotropine (HCG) in the serum of the placenta. Nausea and vomiting occurs in 60-80% of primigravidas and 40-60% of multigravidas. Hormonal changes in every pregnant woman will respond differently, so not all experience nausea and vomiting during pregnancy. Nutritional disorders, dehydration, weakness, weight loss and electrolyte imbalance. Apart from experiencing excessive nausea and vomiting or what is called hyperemesis gravidarum during pregnancy, it not only threatens the life of pregnant women, but can also cause side effects on the fetus such as abortion, low birth weight babies, and also premature birth. Method The research design that researchers use is a case study research design. This type of descriptive case study research uses participatory observation methods. The subjects in this study were pregnant women in the first trimester of 11 weeks pregnant. Results; The results of the study showed that Mrs. M was diagnosed by giving ginger oil aromatherapy. Evaluation of the implementation of ginger oil aromatherapy in Mrs.M’s case by giving ginger oil aromatherapy to reduce the frequency of nausea and vomiting in pregnant women. Conclusion; There was a decrease in the frequency of nausea and vomiting in pregnant women after being given ginger oil aromatherapy treatment.
MIDWIFE CARE FOR PREGNANT BREECH MOTHERS WITH FOCUS KNEE CHEST POSITION INTERVENTION TO CHANGE PRESENTATION OF THE FETAL AT PURWODADI PUSKESMAS I Mar'atul Azizah; Dhiyan Nany Wigati; Sri Untari
The Shine Cahaya Dunia Kebidanan Vol. 8 No. 1 (2023): The Shine Cahaya Dunia Kebidanan
Publisher : Lppm Unan

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Background; Pregnancy is an event that starts from conception then will develop until the occurrence of an aterm pregnancy and ends with the delivery process. Pregnancy means a natural event for women, a woman will experience changes in herself, both physically and psychologically, the physical changes that are often found in the third trimester, namely the stomach increases in size with gestational age, pain in the upper left abdomen is often experienced by pregnant women due to the body producing and preparing additional fluids. During pregnancy, as a result, most pregnant women experience swelling, especially at the end of pregnancy. Edema often appears on the legs, heels, and face due to the origin of the focus in the uterus. Method; The research plan that the researcher uses is a case study research plan. This type of descriptive case study research uses participatory observation method. The subjects in this study were breech pregnant women from 28 weeks to 36 weeks of gestation. Results; The results showed that the diagnosis in the case of Ny. Y age 32 years G3P2A0 gestational age 29+4 weeks with fetal presentation i.e. head. Conclusion; Pregnant women with a breech position have been resolved. 
Co-Authors Dewi Andriani Putri Kumalasari, Nurya Laily Himawati Mar'atul Azizah Maratul Azizah Nurul Kodiyah Santi Hermawati Umaroh Untari, Sri