Himawati, Yulia
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Effectiveness of Childbirth Education and Hypnobirthing Assistance in Improving Labor Outcome Himawati, Yulia; Demartoto, Argyo; Murti, Bhisma
Journal of Maternal and Child Health Vol. 9 No. 3 (2024)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2024.09.03.06

Abstract

Background: Childbirth education and assistance with hypnobirthing is an autohypnosis technique, namely an effort to instill positive intentions through suggestion into the soul or subconscious mind during pregnancy and preparation for childbirth. This study aims to analyze the effectiveness of childbirth education and assistance with hypnobirthing in improving childbirth outcomes. Subjects dan Methode: The Randomized Controlled Trial (RCT) study was conducted at the Pratama D'Maryam Clinic, Yogyakarta from August to December 2023. A total of 154 pregnant women were selected for this study. Dependent variables are anxiety, depression, complications, and delivery time. The independent variables are childbirth education and assistance with hypnobirthing. Therapy is given 2 times a week with a duration of 3 hours. The study instrument is a questionnaire. Data analysis used Independent T-Test. Results: Providing childbirth education accompanied by assistance with hypnobirthing is effective in reducing anxiety levels in pregnant women (Effect Size= 1.22; p<0.001), reducing depression levels (Effect Size= 1.19; p<0.001), and shortening labor time (Effect Size= 0.08; p = 0.016). Conclusion: Providing childbirth education accompanied by assistance with hypnobirthing is effective in reducing anxiety levels in pregnant women, reducing depression levels, and shortening labor time.
Meta-Analysis: Effects of Smoking, Alcohol Consumption, and Low Physical Activity on Osteoporosis in Adults Ghifari, Muhammad Fahrezi Al; Himawati, Yulia; Ismail, Aem; Murti, Bhisma
Journal of Epidemiology and Public Health Vol. 9 No. 1 (2024)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2024.09.01.03

Abstract

Background: Osteoporosis is a systemic skeletal disease characterized by low mineral bone mass and microarchitectural deterioration of bone tissue. This study aims to analyze the effect of smoking, alcohol consumption, and low physical activity on osteoporosis in adults.Subjects and Method: This was a meta-analysis study using the PICO format. Population: Adults, Intervention: Smoking, Alcohol Consumption, Low Physical Activity, Comparison: No Smoking, No Alcohol Consumption, High Physical Activity, Outcome: Osteoporosis. Articles were searched using online databases such as PubMed, Google Scholar, Science Direct. The search for articles using the keywords "Smoking" OR "Tobacco" AND "Alcohol consumption" OR "Drinking" AND "Physical activity" OR "Exercise" AND "Osteoporosis" OR "Bone mineral density" AND "Cross-sectional". The inclusion criteria for articles used were articles published in 2013-2023. Articles were filtered using PRISMA flow diagrams and analysis was conducted using RevMan 5.4.Results: The meta-analysis used 15 articles with cross-sectional studies from Ireland, Nepal, Taiwan, South Korea, China, Iran, America, Brazil, India, Congo, and Thailand with a total sample of 111,478 samples. The risk of osteoporosis increased with smoking (aOR= 1.49; CI 95%= 1.04 to 2.16; p= 0.030), alcohol consumption (aOR= 1.04; CI 95%= 0.84 to 1.30; p = 0.690), and low physical activity (aOR= 1.17; CI 95%= 0.92 to 1.48; p= 0.210).Conclusion: Smoking, alcohol consumption, and low physical activity increase the risk of osteoporosis in adults. Keywords: smoking, alcohol consumption, physical inactivity, osteoporosis.