Uly Artha Silalahi
Poltekkes Kemenkes Tasikmalaya, West Java, Indonesia

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Analysis of Factors Affecting the Implementation of Uterine Exploration at the Third Stage of Labor Bayu Irianti; Qanita Wulandara; Uly Artha Silalahi
EMBRIO: Jurnal Kebidanan Vol 16 No 1 (2024): EMBRIO: Jurnal Kebidanan (MAY)
Publisher : Program Studi S1 Kebidanan - Fakultas Ilmu Kesehatan Universitas PGRI Adi Buana Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36456/embrio.v16i1.8020

Abstract

Labor is one of the critical periods for women based on IDHS data up to 2020 shows that bleeding, hypertension in pregnancy, and infection are the causes of maternal death. Observation data was conducted in January-February 2022 at 5 Puskesmas in the city of Tasikmalaya, and it was found that 3 out of 5 women in labor underwent exploratory procedures during the third stage of labor because there were signs of retained placenta. The act of uterus exploration could be a portal of bacterial entry into the cavity and cause infection. This study aimed to look at the factors that affect the implementation of uterine exploration in the third stage of labor. The research method uses a sequential explanatory mix method to analyze the supporting factors for third-stage exploration actions by midwives. The research sample was 43 midwives. Quantitative results showed that there was no influence of characteristic factors on exploration actions (ρ more than 0.05), and there was no influence of self-efficacy on uterus exploration (ρ more than 0.05). Qualitative results showed that there were four main factors supporting exploration, such as visible signs of bleeding and weak contractions, ensuring that there were no remaining placentas and routine actions that were carried out. The research concludes that the exploratory action carried out is the midwife's accumulated experience, which results in the perception of dealing with cases of retained placenta in the third stage of labor, this makes the uterus exploration an additional action to anticipate problems.
Perbandingan Dua Teknik Modifikasi Aromaterapi Lavender sebagai Terapi Komplementer pada Nyeri Persalinan Kala I Fase Aktif Dini Rahmania; Yanti Cahyanti; Santi Yuliastuti; Dede Gantini; Uly Artha Silalahi; Abil Rudi
Jurnal Persada Husada Indonesia Vol 13 No 3 (2026): Jurnal Persada Husada Indonesia
Publisher : STIKes Persada Husada Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56014/jphi.v13i3.508

Abstract

Research Objective: This study aimed to determine the effect of modified lavender aromatherapy on labor pain among women in the active phase of the first stage of labor at the PONED Room of UPTD Karangnunggal Public Health Center, Tasikmalaya Regency, in 2026. Methodology: This study used a quantitative quasi-experimental design with a two-group pretest-posttest approach. The sample consisted of 50 primiparous women divided into two intervention groups: inhalation–massage lavender aromatherapy and inhalation–warm compress lavender aromatherapy. Pain intensity was measured before and after the intervention using the Numerical Rating Scale (NRS). Data were analyzed using univariate and bivariate statistical tests. Results: The results showed a decrease in labor pain intensity after both interventions. Both the inhalation–massage lavender aromatherapy group and the inhalation–warm compress lavender aromatherapy group demonstrated significant differences between pretest and posttest pain scores. Lavender aromatherapy provided relaxation effects and reduced pain perception through stimulation of the limbic system and gate control mechanisms. Conclusion: Modified lavender aromatherapy is effective in reducing labor pain during the active phase of the first stage of labor. Both intervention methods may be used as complementary non-pharmacological approaches in midwifery care to improve maternal comfort during labor.