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THE BENEFITS OF REBOZO TECHNIQUE AND SPLEEN 6 ACUPRESSURE ON THE DURATION OF LABOR IN MULTIPAROUS MOTHERS Dwi Sulistiyowati; Dewi Mayangsari; Sa'adah Mujahidah; Anita Indra Afriani
Jurnal Smart Kebidanan Vol. 11 No. 1 (2024): JUNE 2024
Publisher : Universitas Karya Husada Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34310/gxskq489

Labor is a process that ends with the birth of the placenta and baby starting with contractions in the latent and active phases. There are often complications in the process of childbirth, especially in relation to maternal strength, which has an impact on contractions causing prolonged partus, one of the efforts made by pharmacology and non-pharmacology with rebozo and acupressure spleen 6. Pakis Aji Health Center, the number of deliveries in August-October 2021 was 100, of which the most cases were long partus 15 cases (15%). Analyze the effect of rebozo technique and acupressure spleen 6 on the length of labor during stage I in multipa rous mothers at Pakis Aji Jepara Health Center. Quantitative research design with Quasi experimental approach. The population in the study were all maternity mothers as many as 65 respondents and a sample of 60 maternity mothers at the PakisAji Jepara Health Center. It can be concluded that before and after the rebozo technique and acupressure spleen 6 can both increase a significant effect on the length of labor in multiparous mothers in the PakisAji Jepara Health Center, while the difference in the provis ion of rebozo techniques and acupressure spleen 6 has no effect on the length of labor during stage I in multiparous mothers at the Pakis Aji Jepara Health Center.

THE IMPACT OF E-LEARNING ON ADOLESCENTS' KNOWLEDGE ABOUT PRE-MARRIAGE SEXUAL BEHAVIOR Rose Nur Hudhariani; Sa'adah Mujahidah; Nova Astika Sari
Jurnal Smart Kebidanan Vol. 11 No. 2 (2024): DECEMBER 2024
Publisher : Universitas Karya Husada Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34310/jskb.v11i2.131

A Health Office report stated that in 2022, 1.9% of teenagers in the Grobogan Regency became pregnant outside of marriage. These adolescents range in age from 15 to 19. Because neither parents nor teenagers can comprehend it, premarital sexual activity is rarely discussed by either group. Teenagers who engage in sexual activity before marriage have access to a limited number of counselling and advocacy centres. There are a lot of young people who participate in risky sexual behaviour before they get married without being aware of the implications. The study utilized a quantitative quasi-experiment with pre- and post-tests administered to a single group. The investigation was carried out in March and April 2024 in the villages of Karanglangu, Kedungjati District, and Grobogan Regency. There were 72 participants in this study. E-learning was provided to the respondents for a period of six weeks. A paired T-test was the statistical test that was chosen. A P-value of 0.000, which is less than 0.05, was found in the statistical test results. It would appear that this form of education impacts the comprehension of premarital sexual behaviour among adolescents.

THE UTILISATION OF E-LEARNING TO IMPROVE CONTRACEPTIVE SELECTION SELF-EFFICACY POSTNATAL MOTHERS Dewi Mayangsari; Aprilia Kusumawati; Sa'adah Mujahidah
Jurnal Smart Kebidanan Vol. 11 No. 2 (2024): DECEMBER 2024
Publisher : Universitas Karya Husada Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34310/jskb.v11i2.134

The inadequate prevalence of postpartum contraceptive utilization is attributable to insufficient communication, information, and educational services. E-learning media warrants consideration due to its cost-effectiveness and ability to present knowledge in an appealing fashion, which influences the recipient's self-efficacy for postpartum contraception. This study aimed to analyze the effectiveness of family planning counseling media with e-learning on postpartum contraceptive selection at Wonosamudro Public Health Center. Qualitative research type Quasi-experimental approach. This research employs a pre-test and post-test group design. The populace of postpartum mothers in the Wonosamudro Health Center working area in 2023 was 386 patients; the inclusion criteria were postpartum mothers after 14 days postpartum, giving birth for the first time either average or Sectio Caesaria. The number of research samples was 80 respondents. The univariate analysis uses central tendency data, and the bivariate analysis uses the Paired T-Test test because the normality test results are typical (p value> 0.05). The results showed that after debriefing/education and follow-up via WhatsApp group and TikTok, there was a significant increase in scores (35.24). The significance level (2-tailed) of 0.000 (<0.05) indicates a substantial difference (meaningful influence) between before and after e-learning in the selection of postpartum contraception.

Kesinambungan Pelayanan Kesehatan Ibu Hamil untuk mencegah perdarahan post-partum: Studi Literatur Dwi Indah Iswanti; Sa'adah Mujahidah; Nia Agustiningsih
Link Journal of Midwivery Vol 1 No 1 (2025): January: Journal of Midwivery
Publisher : CV. LINK Education Publication

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63425/ljmw.v1i1.29

Kesinambungan pelayanan kesehatan dapat memutus salah satu penyebab kematian Ibu dan Anak. Berbagai faktor yang menyebabkan ibu tidak melakukan pemeriksaan kehamilan secara berkesinambungan. Tujuan: menyajikan studi literatur kesinambungan pelayanan kesehatan pada pada ibu hamil untuk mencegah risiko perdarahan post-partum. Metode: studi literatur dari berbagai original article di 3 data base: Scopus, ProQuest, SAGE. Proses pemilihan artikel menyesuaikan kriteria inklusi melalui kerangka kerja PICOS. Penilaian risiko bias dari artikel yang ditemukan dengan menggunakan critical judgment dari peer-review dan Flow chat PRISMA. Ada 10 artikel yang terseleksi untuk ditinjau karena relevan dengan tujuan penelitian. Hasil: Kesinambungan pelayanan kesehatan pada ibu hamil melalui konsistensi perawatan, advokasi dan aksesibilitas ke tenaga kesehatan. Perawatan yang membangun hubungan dekat dengan ibu hamil dan peka terhadap budaya sehingga meningkatkan persepsi keselamatan dan kepercayaan serta merasa didukung dalam mengambil keputusan. Simpulan: Faktor penghambat seperti keterbatasan tenaga bidan/perawat dan variasi budaya tentang menjadi tantangan pelayanan kesehatan untuk dapat diminimalkan.

Narasi disfungsi seksual pada ibu pasca nifas riwayat persalinan spontan dan sectio caesarea Chatarina Anggit Noviana; Dewi Mayangsari; Putri Rahma Dini; Sa'adah Mujahidah
Link Journal of Midwivery Vol 1 No 1 (2025): January: Journal of Midwivery
Publisher : CV. LINK Education Publication

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63425/ljmw.v1i1.32

Latar belakang: Seksualitas pada wanita merupakan komponen yang penting terhadap kualitas dan kelangsungan hubungan pernikahan. Perempuan mengalami perubahan yang berkaitan dengan proses persalinan, menyebabkan ketidaknyamanan dan mempengaruhi kebutuhan seksual. Tujuan : mengidentifikasi perbedaan disfungsi seksual pada wanita setelah melahirkan secara spontan dibandingkan dengan Sectio Caesarea (SC). Metode : Design penelitian ini cross sectional. Subjek penelitian adalah wanita persalinan per vaginam secara spontan dan yang persalinan SC, masing-masing kelompok terdiri dari 15 orang menggunakan consecutive sampling. Instrumen yang digunakan skor Female Sexual Function Index dan dianalisis tendensi sentral. Hasil : Distribusi ibu pasca nifas yang mengalami perubahan fungsi seksual riwayat persalinan spontan memiliki total skor FSFI dengan rata-rata 54,93 (standar deviasi 7,74). Distribusi ibu pasca nifas yang mengalami perubahan fungsi seksual riwayat persalinan SC memiliki total skor FSFI dengan rata-rata 60,21 (standar deviasi 6,28). Simpulan : Ibu pasca nifas yang menjalani persalinan spontan dan SC mengalami perubahan fungsi seksual, seperti: gairah, rangsangan, lubrikasi, orgasme, kepuasan, dan rasa nyeri.

Exploratory study on the handling of childbirth assistance during the covid-19 pandemic Sa'adah Mujahidah; Tutut Yuliani Lestari; Dewi Mayangsari; Durrotun Munafiah
Link Journal of Midwivery Vol 1 No 1 (2025): January: Journal of Midwivery
Publisher : CV. LINK Education Publication

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63425/ljmw.v1i1.33

Background: Health professionals who handled deliveries with confirmed COVID-19 reported that they followed government regulations while adhering to the health protocol and wearing PPE level 3 to prevent exposure to the virus. This was done while taking into consideration the delivery services' capacity for health security, health services, efforts to promote and prevent, and response management. Objectives: To learn about the management of aid during the COVID-19 pandemic in hospitals, public health centers, and independent practice midwives. Methods: This research is qualitative. The research was conducted from July to August of 2022. In this study, 13 midwives who worked in hospitals and with mothers giving birth were chosen via snowball sampling. The six participants in this study were one village midwife, Banjarsari Sayung, the head of the panel room at Sunan Kalijaga Demak Hospital, and the team leaders for midwife coordination at Wonosalam 1 and Wonosalam 2 health centers. An in-depth interview instrument was used in this investigation. Before proceeding to the deductive phase, run the data through the normal inductive analysis technique. Results: The interviews revealed that the local government plays an important role in strengthening the health security capacity and the service capacity of all facilities to ensure that maternity mothers are not exposed to COVID-19. Response management takes the form of questionnaires and suggestion boxes. Conclusion: security capability in terms of service, the capacity of the services offered is of high quality, and response management takes the form of measurement tools such as surveys and suggestion boxes.

Enhancing lactation through oxytocin massage and breast care Kristina Sanadi; Dewi Mayangsari; Sa'adah Mujahidah
Link Journal of Midwivery Vol 1 No 1 (2025): January: Journal of Midwivery
Publisher : CV. LINK Education Publication

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63425/ljmw.v1i1.35

Introduction: Breast milk is the best diet for infants because it includes nutrients that help them grow and thrive. Indonesia's exclusive breastfeeding coverage in 2022 was only 67.96%, down from 69.7% in 2021. Many factors contribute to low breastfeeding coverage in Indonesia, which has fallen short of the government target. In 2023, 29.1% of the newborns at Fakfak Health Centre were exclusively breastfed. Objectives: The study's goal was to see how much oxytocin massage and breast care helped postpartum women produce more breast milk. Methods: Quantitative research was conducted using an experimental design with a posttest alone procedure and a control group. The study included 28 maternity mothers. This study utilized SOP oxytocin massage and breast care, along with observation sheets. The Wilcoxon test used analysis data. Results: Breastfeeding women's average oxytocin massage intervention value increased by 5.71. The average value of the breast care intervention for nursing mothers increased by 6.21%. Breast care and oxytocin massage differed in their ability to increase breast milk fluency. The group following breast care had a median value of 8.00 with a p-value of 0.000 < 0.05, whereas the group following oxytocin massage treatment had a median value of 8.00. Conclusion: The breast care technique outperforms the oxytocin massage technique in terms of breast milk production.

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