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All Journal Jurnal Ners Indonesian Journal Health Science and Medicine
Lestari, Fita Dian
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Health Professions Medicine & Pharmacology Nursing Public Health Veterinary

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Kecepatan Mobilisasi Pada Pasien Postpartum Sectio Caesarea (SC) dengan Terapi Akupresur di RS Rahman Rahim Sidoarjo Lestari, Fita Dian; Hanum, Sri Mukhodim Farida; Azizah, Nurul; Cholifah, Siti
Jurnal Ners Vol. 8 No. 2 (2024): OKTOBER 2024
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v8i2.25861

Abstract

Seksio sesarea dapat menyebabkan terjadinya perdarahan saat pembedahan cabang-cabang arteri uterus terbuka yang menimbulkan rasa nyeri. Terjadinya nyeri pasca operasi dapat mempengaruhi proses laktasi dan mobilisasi dini, serta penyembuhan pasca melahirkan. Pemberian terapi komplementer akupresur perlu diberikan untuk menurunkan ketidaknyamanan pasca operasi yang dapat mempengaruhi mobilisasi. Tujuan dari penelitian ini adalah untuk mengetahui hubungan kecepatan mobilisasi pada pasien postpartum SC dengan terapi akupresur. Desain penelitian yang digunakan dalam penelitian adalah quasi experimental clinical,posttest-only control group. Teknik pengambilan sampel dengan cara accidental sampling. Instrumen yang digunakan ceklist observasi mobilisasi dan kuesioner Pain Numeric Rating Scale untuk menilai skala nyeri pasca SC. Prosedur tindakan dilakukan setelah 2 jam dari ruang recovery room dengan memberikan teknik akupresur pada titik SP6 sebanyak 60 kali putaran selama 30 menit. Hasil uji analisis diperoleh P value=0,000 < 0,05 Terdapat hubungan kecepatan mobilisasi pasien postpartum sectio caesarea dengan terapi akupresur.
Continuity of Midwifery Care for Pregnancy, Childbirth, Postpartum, and Newborns: Kelanjutan Pelayanan Kebidanan untuk Kehamilan, Persalinan, Pasca Persalinan, dan Bayi Baru Lahir Lestari, Fita Dian; Hanum, Sri Mukhodim Farida
Indonesian Journal on Health Science and Medicine Vol. 2 No. 2 (2025): Oktober
Publisher : Universitas Muhammadiyah Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21070/ijhsm.v2i2.277

Abstract

Background: Maternal and infant mortality remain critical public health challenges worldwide and in Indonesia, requiring continuous and integrated healthcare services. Specific Background: Comprehensive midwifery care from pregnancy through postpartum and family planning is essential to reduce risks of maternal and neonatal complications. Knowledge Gap: Despite the recognition of Continuity of Care (CoC) as a standard approach, limited case-based documentation from Indonesian hospital settings exists, particularly in managing high-risk conditions such as positive HBsAg. Aim: This study aims to describe the implementation of continuity midwifery care provided to a pregnant woman at Rahman Rahim Hospital, Sidoarjo. Results: Using a descriptive case study from May to July 2024, midwifery care included pregnancy management, spontaneous delivery using 60 APN steps, newborn care with immediate immunization, postpartum monitoring, and contraceptive counseling. The client, diagnosed with positive HBsAg, underwent safe delivery, and her newborn received HBIG and Hepatitis B vaccination to prevent vertical transmission. Novelty: This study highlights the application of structured continuity care in a clinical setting while addressing infectious disease concerns. Implications: Findings confirm that continuous and comprehensive midwifery care can reduce maternal and infant risks, strengthen clinical practice, and support national health goals to lower maternal and neonatal mortality rates. Highlights: Structured continuity of care improved maternal and neonatal outcomes Case study addressed high-risk pregnancy with HBsAg positive status Integration of delivery, postpartum, newborn, and family planning care Keywords: Continuity of Care, Midwifery, Pregnancy, Postpartum, Newborn
Co-Authors Hanum, Sri Mukhodim Farida NURUL AZIZAH SITI CHOLIFAH