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The Effectiveness of the Effleurage Massage Method Compared with Rubbing Massage on Reducing the Intensity of Normal Labor Pain in the First Active Phase Meidayana Refisiliyani; Riu, Deviana Soraya; Usman, Andi Nilawati
Window of Health : Jurnal Kesehatan Vol 6 No 3 (Juli 2023)
Publisher : Fakultas Kesehatan Masyarakat Universitas Muslim Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/woh.vi.702

Abstract

Labor pain is a physiological journey experienced by a woman to gain a subjective experience of physical feelings related to uterine contractions, cervical dilatation and effacement, and fetal descent during labor. This study aims to determine the effectiveness of the effleurage massage method compared to rubbing massage in reducing the pain intensity of normal labor during the first active phase. This type of research uses Quasi-Experimental with a Pretest-Posttest with a control group design. The population consisted of 45 respondents divided into three groups: two intervention groups and one control group. Each group consists of 15 respondents, selected through a total sampling technique. The use of an observation sheet that contains a list of observed points by marking the numbers contained in the assessment sheet, which shows the level of pain that the mother feels and is applied before and after the intervention is used as an indicator in measuring the effectiveness of the two methods using the Visual Analogue Scale (VAS) measurement scale. Data were analyzed using the Wilcoxon Test, the Kruskal-Wallis Test, and the Mann-Whitney Test. The results showed that the group given effleurage massage experienced a decrease in labor pain intensity by 12 respondents (80%) with a p-value of 0.000, and the group given rubbing massage experienced a decrease in labor pain intensity by ten respondents (66.7%) with a p-value value 0.000 while the comparison between the effleurage massage and rubbing massage groups obtained a p-value of 0.417 > 0.05. So that the use of pain reduction methods such as non-pharmacological methods in the form of effleurage massage and rubbing massage is always expected to be an option for health workers, in this case midwives in the handling of mothers in childbirth, considering that many factors influence the perception of pain which are very subjective and individual.
Pemberdayaan Ibu dan Keluarga melalui Media Leaflet untuk Mencegah Stunting dengan Meningkatkan Pengetahuan Gizi dan Pengelolaan Pendapatan Rumah Tangga Meidayana Refisiliyani
Jurnal Pengabdian Bidang Kesehatan Vol. 3 No. 2 (2025): Jurnal Pengabdian Bidang Kesehatan
Publisher : PPNI UNIMMAN

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57214/jpbidkes.v3i2.201

Abstract

Stunting is a chronic nutritional issue that significantly affects children's long-term growth and development. One of its primary causes is the lack of knowledge among mothers and families about balanced nutrition and the skills to manage household income effectively. This community engagement program aimed to enhance the knowledge of mothers and families through leaflet-based education on child nutrition and household income management for stunting prevention.The activity was conducted in the working area of Puruk Cahu Public Health Center, Central Kalimantan, involving 30 housewives with children under five years old. The education was delivered through lectures using both leaflet and PowerPoint media, and the implementation consisted of three stages: preparation, implementation, and evaluation. The results showed that empowering mothers and families through leaflet media is an effective educational strategy. After the intervention, participants showed a significant improvement in understanding the importance of early nutritional intake, the concept of balanced nutrition, and simple strategies for managing household finances to meet their children's nutritional needs. In addition, participants became more aware of the family's active role in ensuring quality food consumption for children and the long-term impacts of malnutrition.It is expected that this increased knowledge will enable mothers and families to become agents of change in preventing stunting and fostering an environment that supports optimal child growth and development.
Pemberdayaan Ibu Hamil melalui Edukasi dan Demonstrasi Mobilisasi Aktif Kala I dalam Mendukung Persalinan Fisiologis Meidayana Refisiliyani; Dewi Nur Anita
Pelayanan Unggulan : Jurnal Pengabdian Masyarakat Terapan Vol. 3 No. 3 (2026): Agustus : Pelayanan Unggulan : Jurnal Pengabdian Masyarakat Terapan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/unggulan.v3i3.3478

Abstract

Active mobility during the first stage of labor is a recommended non-pharmacological intervention to support physiological childbirth; however, many pregnant women have limited knowledge and skills regarding its implementation. This community service program aimed to improve pregnant women's knowledge and practical skills through education and demonstration of active mobility during the first stage of labor in Danau Usung Village, the working area of Puruk Cahu Seberang Primary Health Center, Murung Raya Regency, Indonesia. The program employed a Participatory Action Research (PAR) approach with a community empowerment strategy. Participants consisted of 30 third-trimester pregnant women accompanied by their husbands or family members. Activities included stakeholder coordination, pre-test assessment, health education, demonstration of active mobility techniques, supervised practice, interactive discussion, and post-test evaluation. The results demonstrated a substantial improvement in participants' knowledge, with the proportion of good knowledge increasing from 13.3% to 83.3%, while poor knowledge decreased from 50.0% to 0%. Practical skills also improved markedly, with good skills increasing from 10.0% to 80.0%, and no participants remaining in the poor category. Mean knowledge scores increased from 62.4 ± 10.8 to 89.2 ± 6.3, while mean skill scores improved from 57.1 ± 9.8 to 87.4 ± 6.9. The combination of education and hands-on demonstration effectively enhanced pregnant women's readiness to apply active mobility techniques in supporting physiological childbirth. This program is recommended for integration into routine antenatal education classes at primary healthcare centers.