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Journal : JURNAL KEBIDANAN KESTRA (JKK)

TERAPI ALTERNATIF PENGURANGAN RASA NYERI DAN KECEMASAN MELALUI SLOW STROKE BACK MASSAGE (SSBM) PADA INPARTU KALA I FASE AKTIF Diah Evawanna Anuhgera; Wilda Wahyuni Siregar; Nikmah Jalilah Ritonga; Desikawali Pardede
JURNAL KEBIDANAN KESTRA (JKK) Vol 2 No 2 (2020): Jurnal Kebidanan Kestra (JKK)
Publisher : Fakultas Kebidanan Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (203.872 KB) | DOI: 10.35451/jkk.v2i2.398

Abstract

Abstract Labor is always synonymous with the experience of pain and fear felt by mother. SSBM stimulates the body release endorphins which are having natural pain killing propoerties and reducing anxiety levels. This study aimed to determine the effect of slow stroke back massage (SSBM) on reduction of labor pain and anxiety during first stage of labor. A quasi-experimental study with purposive non-probability sampling techniwue is used for the people. Study was conducted on 36 samples (18 in experimental group anda 18 in control group). A structured interview schedule, albor assesment performa, numerical pain rating scale and DASS(Depresssion, Anxiety and Stress Scales) were used for data collection and the data were analyzed by paired and unpaired t test. There were statistically significant differences of anxiety and pain levels before and after intervention in the experiment and control group with p value 0.00.Result confirmed that SSBM is significantly effective in reducing labor pain and anxiety level during first stage of labor. Abstract Labor is always synonymous with the experience of pain and fear felt by mother. SSBM stimulates the body release endorphins which are having natural pain killing propoerties and reducing anxiety levels. This study aimed to determine the effect of slow stroke back massage (SSBM) on reduction of labor pain and anxiety during first stage of labor. A quasi-experimental study with purposive non-probability sampling techniwue is used for the people. Study was conducted on 36 samples (18 in experimental group anda 18 in control group). A structured interview schedule, albor assesment performa, numerical pain rating scale and DASS(Depresssion, Anxiety and Stress Scales) were used for data collection and the data were analyzed by paired and unpaired t test. There were statistically significant differences of anxiety and pain levels before and after intervention in the experiment and control group with p value 0.00.Result confirmed that SSBM is significantly effective in reducing labor pain and anxiety level during first stage of labor.
THE EFFECT OF BABY MASSAGE ON BREASTFEEDING DURATION IN NINING PELAWATI CLINIC AT LUBUK PAKAM Nikmah Jalilah Ritonga; Hani Amaliah Majidah; Riris Sitorus; Diah Evawanna Anuhgera; Kardina Hayati; Anita Sri Gandaria Purba
JURNAL KEBIDANAN KESTRA (JKK) Vol 3 No 1 (2020): Jurnal Kebidanan Kestra (JKK)
Publisher : Fakultas Kebidanan Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkk.v3i1.490

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Durasi lama menyusui bayi berbeda-beda sesuai dengan pola hisap bayi. Jika kegiatan menyusui berlangsung terlalu lama (lebih dari setengah jam) atau terlalu pendek (kurang dari 4 menit), hal ini menunjukkan kemungkinan adanya masalah pada perlekatan antara bayi dan puting susu ibu. Frekuensi menyusu pada bayi akan sangat mempengaruhi fisik dan emosional bayi yang mana dengan frekuensi dan durasi menyusu akan meningkatkan kondisi yang tenang kepada bayi dan berat badan bayi akan bertambah. Upaya untuk menawarkan meningkatkan kondisi yang tenang dan berat badan bayi salah satunya yaitu pijat bayi. Tujuan penelitian ini untuk mengetahui pengaruh pijat bayi terhadap durasi menyusu pada bayi. Rancangan pada penelitian yaitu Quasi-Experiment dengan desain one grup pre dan post test design. Pengambilan sampel ini dengan teknik purposive sampling. Jumlah sampel 10 responden. Dari hasil analisis uji bivariat menggunakan uji paired simple t Test, didapatkan nilai yang signifikan yaitu (p value: 0.000), sehingga p<0.005, dapat disimpulkan terdapat pengaruh pijat bayi terhadap durasi menyusu pada bayi. Oleh karena itu, diharapkan kepada tenaga kesehatan untuk mengaplikasikan pijat bayi ini sebagai metode untuk meningkatkan durasi menyusui.
PENGARUH PEMBERIAN REBUSAN DAUN SELEDRI (Apium Graveolens L) TERHADAP TEKANAN DARAH PADA WANITA MENOPAUSE DENGAN HIPERTENSI Diah Evawanna Anuhgera; Rizky Yolanda; Riris Sitorus; Nikmah Jalilah Ritonga; Damayanti .
JURNAL KEBIDANAN KESTRA (JKK) Vol 3 No 1 (2020): Jurnal Kebidanan Kestra (JKK)
Publisher : Fakultas Kebidanan Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkk.v3i1.502

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Woman menopause in hypertension is often associated with increase vascularity and physiological changes during menopause. This study aims to examine the effect of celery leaf stew on blood pressure levels in menopausal woman in hypertension. This study was a quasy experiment with pretest-posttest control group design, conducted in the Sidodadi Village District Beringin, Deli Serdang on Januari to March 2020. There were 28 participants selected using purposive sampling, with 14 assigned in the experimental and control group. Data were analyzed using paired t-test and unpaired t-test. There were statistically significance difference of blood pressure levels before and after intervention in the experiment group with p value sitolic level 0.000 dan diastolic level 0.001 (<0.05). Celery leaf stew has a significant effect in reducing blood pressure level in menopausal woman in hypertension. This intervention could be applied as an alternative theraphy in treating menopausal woman in hypertension.
PENGARUH KONSUMSI TABLET KALSIUM TERHADAP PERUBAHAN TEKANAN DARAH PADA IBU HAMIL RESIKO TINGGI HIPERTENSI DALAM KEHAMILAN DI WILAYAH KERJA PUSKESMAS PAYALOMBANG TEBING TINGGI Damayanti .; Fitriani .; Dwi Handayani; Diah Evawanna Anuhgera; Novita Br Ginting Munthe
JURNAL KEBIDANAN KESTRA (JKK) Vol 3 No 1 (2020): Jurnal Kebidanan Kestra (JKK)
Publisher : Fakultas Kebidanan Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkk.v3i1.510

Abstract

Calcium is an important supplement that is useful to supply calcium needs of pregnant women. Calcium is given by midwife special health workers to all pregnant women to support the health of mothers and babies. This free calcium tablet is often forgotten and avoided by health workers whether or not consumed properly by pregnant women. This study aims to see if the influence of calcium tablets on the decrease in blood pressure of pregnant women who have one of the criteria of high risk of hypertension, including primigravida, obesity, pregnancy history with hypertension or family with a history of hypertension, extreme age of pregnant women and twin pregnancies. Research place in Payalombang Public Health Center in Payalombang Subdistrict, Tebing Tinggi City with quasy experiment method and prospective cohort. The study subjects consisted of 19 mothers who were given calcium with help and 20 pregnant women who were not given calcium, according to the inclusion and exclusion criteria. Data characteristics used using a questionnaire. To assess the outcome using an observation sheet and a calibrated blood pressure gauge) get it twice before and after the intervention. Data analysis using, Paired T Test, Independent T-Mann-Whitney U Test. The results of the study address, a sample study of changes in systole (p = 0.032) and diastole (p = 0.015) significant (p> 0.05) value even though it means the difference between before and the difference rates. Conclusion : Calcium tablets have a significant effect on hypertension of pregnant women
EFEKTIVITAS PEMBERIAN SUSU KEDELAI DALAM MENGATASI KELUHAN PADA MASA PRE MENOPOUSE DI KLINIK BIDAN MAIHARTI KISARAN BARAT TAHUN 2020 Nikmah Jalilah Ritonga; Yuni Sartika Limbong; Riris Sitorus; Diah Evawanna Anuhgerah
JURNAL KEBIDANAN KESTRA (JKK) Vol 3 No 2 (2021): Jurnal Kebidanan Kestra (JKK)
Publisher : Fakultas Kebidanan Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkk.v3i2.590

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ABSTRAK Pre menopause is a physiological condition characterized by irregular menstruation. Symptoms that often arise such as hot flush, night sweats, restlessness, easy fatigue, pain during intercourse. Overcoming complaints of pre-menopausal non-pharmacological can be done with soy milk. The purpose of this study was to determine the effectiveness of soymilk in dealing with pre-menopausal complaints at the Midwife Maiharti Clinic, West Range 2020. This study used a quantitative method, with a quasi-experimental design with a control time series design. The study population was pre-menopausal mothers who experienced pre-menopausal symptoms at the Midwife Maiharti Clinic, West Range. The sample selection used purposive sampling as many as 18 people, 9 people were given intervention and 9 people as controls. The results of the study using Wilcoxon sign rank test obtained results for groups that were given pre and post p-value interventions 0.002 <0.05. The results of the study using Wilcoxon sign rank test obtained results for the control p-value 0.009 <0.05. The conclusion is that there are differences in the two groups after being given soy milk in dealing with pre-menopausal complaints
PEMBERIAN KOMPRES KENTANG TERHADAP MASTITIS NON INFEKSI PADA IBU MENYUSUI Riris Sitorus; Grace Erlyn Damayanti` S; Diah Evawanna Anuhgerah; Nikmah Jalilah Ritonga; Raisha Octavariny
JURNAL KEBIDANAN KESTRA (JKK) Vol 3 No 2 (2021): Jurnal Kebidanan Kestra (JKK)
Publisher : Fakultas Kebidanan Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkk.v3i2.595

Abstract

the baby and affects the biological health of both mother and baby. However, the breastfeeding process could be hampered due to problems, one of which was mastitis. Mastitis occured due to the narrowing of the lactiferous ducts in the breast and the mother may have flat, sunken or immersed nipples. So that the breasts become swollen, painful when pressed so that the mother feels breast discomfort. The impact of mastitis greatly affected the health of both mother and baby. The mother would felt pain during breastfeeding so that she could experience high fever. Whereas in infants the need for breast milk was not optimal from the content of the milk. One of the efforts that could be done to overcome the occurrence of mastitis in nursing mothers was by applying a potato compress. This study aimed to determined the effect of potato compresses on non-infectious mastitis in nursing mothers. The research method used was pre-experiment (quasi-experimental) using the one group pre-test-post test technique. The population of this study were breastfeeding mothers with non-infectious mastitis with a sample size of 10 people with a purposive sampling technique. The results showed that using the Paired Sample T-Test analysis test obtained a p-value of 0.000 <α = 0.05, it can be concluded that there was an effect of Potato Compress on Non-Infectious Mastitis in Breastfeeding Mothers. It is recommended that health workers provide information for breastfeeding mothers about potato compresses to treat non-infectious mastitis. Keywords: Potato compress; non-infectious mastitis.
EFEKTIVITAS TABLET ZAT BESI TERHADAP PERUBAHAN TEKANAN DARAH IBU HAMIL Damayanti .; Nia Surtika Gulo; Diah Evawanna Anuhgerah; Dwi Handayani
JURNAL KEBIDANAN KESTRA (JKK) Vol 3 No 2 (2021): Jurnal Kebidanan Kestra (JKK)
Publisher : Fakultas Kebidanan Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkk.v3i2.675

Abstract

Changes in blood pressure are normal during pregnancy. Because, the hormone progesterone which is produced during pregnancy, can relax the walls of blood vessels. Sagging walls of blood vessels, can reduce blood pressure in the first trimester and second trimester of pregnancy. This condition can cause dizziness when sitting or standing suddenly. Normal blood pressure values ​​in pregnant women do not differ from general conditions, which is 120/80 mmHg. If the blood pressure is recorded below 90/60 mmHg, this can indicate a blood pressure less. This research aims to To find out how the effectiveness of iron tablets on changes in blood pressure of pregnant women at Rosni Alizar Pratama Clinic, Medan Timur District, Deli Serdang Regency in 2020. This type of research is a quasi-experimental study with a Pretest-Posttest with control group approach. The study population was all pregnant women who did ANC examination at Rosni Alizar Pratama Clinic as many as 38 people. The sample selection using purposive sampling was calculated using the Slovin formula of 28 people. The results of the study used Wilcoxon test results obtained 0.157 and 1,000 > 0.05. It is expected that health workers on duty at the research site always measure vital signs for pregnant women during ANC visits. Conclusion : There is no effectiveness in giving iron tablets to changes in blood pressure in pregnant women Keywords: iron tablet, blood pressure, pregnant women
FAKTOR - FAKTOR YANG BERHUBUNGAN DENGAN RENDAHNYA CAKUPAN IMUNISASI MR (MEASLES RUBELLA) PADA BALITA Wilda Wahyuni Siregar; Rina Purnama Nasution; Nita Triana Saragih; Diah Evawanna Anuhgerah
JURNAL KEBIDANAN KESTRA (JKK) Vol 3 No 2 (2021): Jurnal Kebidanan Kestra (JKK)
Publisher : Fakultas Kebidanan Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkk.v3i2.682

Abstract

Measles and rubella is infectious diseases caused by measles virus and rubella transmitted through the respiratory tract. Measles and rubella highly contagious, and transmitted through splash sneezing or cough. Children who have never got measles and rubella immunization, or who have never had measles and rubella is the high risk of contracting the disiase.This study aims to know the factors related to the low coverage measles, rubella on toddler in the village of Simpang Tiga Pekan district Perbaungan district Serdang bedagai Year 2019. Research used in this study is deskritif quantitative by using the design of cross-sectional. Population in this study is around the mother that has a toddler 9 -59 months are in the village of Simpang Tiga Pekan. Sampling is done by techniques accidental sampling by the number of samles as much as 36 respondents. Research instruments by using the quetionnaire. Data were analyzed by univariate, bivariate with the chi-square test at level 95%, α = 5%. confidence. Analysis shows that there relationship knowledge mother by administering immunization MR (Measles, Rubella) with 95% (α = 0,05) p value = 0,000 confidence level, that there relationship attitude mother by administering immunization MR with 95% (α = 0,05) p value = 0,000 confidence level, that there relationship resources mother by administering immunization MR with 95% (α = 0,05) p value = 0,000 confidence level. Suuggested to mothers should always come at activities posyandu and do immunization regularly and active role in the activities of immunization and search for related information immunization in toddlers.
Kelor Leaves Infusion as a Alternative in Increasing the Volume of Breastmilk and Birth Weight in Newborn Diah Evawanna Anuhgera; Nikmah Jalilah Ritonga; Riris Sitorus
JURNAL KEBIDANAN KESTRA (JKK) Vol. 4 No. 2 (2022): Jurnal Kebidanan Kestra (JKK)
Publisher : Fakultas Kebidanan Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkk.v4i2.1027

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Background: An increase in the volume of breast milk and baby weight is the hope of every mother during breastfeeding. The consistency and quality of breastfeeding is determined by a mother. Moringa leaves, which is a typical plant in Indonesia, have many benefits, especially to increase milk production and nutrition for infants and children in the growth process. The purpose of this study was to determine the effect of morinaga leaves in increasing the volume of breast milk and birth weigh of babies. Method:The design of this study was quasy eksperimental studies with purposive sampling with inclusion criteria. The sample in this study were all breastfeeding mothers on the first postpartum day as many as 30 people. In this study there were two groups, namely the control group and the intervention group. The instruments in this study were Moringa leaves, measuring cups, electric breast pumps, and baby scales and observation sheets. Data analysis used is paired and unpaired t-test. Result:The results showed that there was a difference between before and after the administration of Moringa leaves in the intervention group of 38.95 ml, while in the control group it was 16.1 ml. The baby's weight gain in the intervention group was 585 grams. Statistical results showed that giving Moringa leaves was effective on breast milk volume and infant weight with a significance value of p = 0.00 while in the control group there was a difference in the increase in breast milk volume with p = 0.000 but there was no significant difference in the baby weight variable with a value of p = 0.651. Conclusion: Moringa leaves infusion can be used as an alternative therapy to increase the volume of breast milk and baby weight in the breastfeeding process. Specialized health workers for midwives can assist mothers in educating postpartum mothers in consuming steeped Moringa leaves to increase breast milk and baby weight and support the success of exclusive breastfeeding
The Effect of Progressive Muscle Relaxation on Fear of Childbirth in Primigravida Mothers Anuhgera, Diah Evawanna; Apryanti, Yohana Putri; Lidia Lushinta
JURNAL KEBIDANAN KESTRA (JKK) Vol. 8 No. 1 (2025): Jurnal Kebidanan Kestra (JKK)
Publisher : Fakultas Kebidanan Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/3mcbpw15

Abstract

Pregnancy and childbirth are extraordinary physiological experiences but can also be a source of psychological stress for women, especially for primigravidas who have no previous experience. Fear of childbirth often arises from uncertainty about pain management, concerns about the fetus's condition, and a lack of adequate information. This condition results in increased stress, sleep disturbances, and even mild depression, which can affect the mother's physical and mental readiness for childbirth. This study aims to analyze the effect of progressive muscle relaxation on fear of childbirth in primigravida mothers. The type of research used is an experimental study with a pretest-posttest without a control group. The sample consisted of third-trimester primigravida pregnant women who met the inclusion criteria, using a purposive sampling technique. The intervention in the form of progressive muscle relaxation exercises was given for 2 weeks at a frequency of three times per week and independent practice at home. The research instruments used were the Wijma Delivery Expectancy/Experience Questionnaire (W-DEQ), a demographic and obstetric history questionnaire, and a compliance sheet. Data analysis used dependent and independent t-tests. The results showed a significant decrease in fear of childbirth scores after progressive muscle relaxation with a p-value of 0.001. In conclusion, progressive muscle relaxation training is effective in improving the physical and psychological readiness of primigravida mothers for childbirth. This study recommends that health workers, particularly midwives, integrate progressive muscle relaxation training as a non-pharmacological intervention in prenatal classes.