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setiawandari, setiawandari
Universitas PGRI Adi Buana Surabaya
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Edukasi Kesehatan Tentang Pemeriksaan Antenatal Care Berbasis Komunitas Setiana Andarwulan; Setiawandari Setiawandari; Tetty Rihardini; Solichatin Solichatin; Yuni Khoirul Waroh
Jurnal Pengabdian Masyarakat: Pemberdayaan, Inovasi dan Perubahan Vol 4, No 6 (2024): JPM: Pemberdayaan, Inovasi dan Perubahan
Publisher : Penerbit Widina, Widina Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59818/jpm.v4i6.998

Abstract

Antenatal care (ANC) encompasses a range of activities that take place from conception to the onset of labor, aiming to ensure comprehensive, quality care for all pregnant women. ANC services help prepare pregnant women for pregnancy, childbirth, and maintain an environment that protects babies from infection. Doctors and midwives are trained to provide high-quality ANC, screen, diagnose, treat and refer cases, thereby contributing to efforts to reduce maternal and newborn mortality. In 2016, WHO issued recommendations for antenatal care to provide a positive pregnancy experience and reduce maternal and child mortality and morbidity. One of the WHO recommendations is that ANC for a healthy pregnancy should be done at least 8 times, but after adjusting these guidelines to local conditions, it was agreed in Indonesia that ANC should be done at least 6 times, with a minimum of two visits to the doctor for screening of pregnancy risk factors or complications in the first trimester and one visit in the third trimester for screening of labor risk factors. Among the 30 pregnant women who underwent examination, 3 respondents had above-average blood pressure, thus requiring further observation to prevent further complications, such as preeclampsia.ABSTRAKPelayanan antenatal (ANC) mencakup berbagai kegiatan yang dilakukan sejak pembuahan hingga awal persalinan, yang bertujuan untuk memastikan pelayanan yang komprehensif dan berkualitas bagi semua ibu hamil. Layanan ANC membantu mempersiapkan ibu hamil untuk menghadapi kehamilan, persalinan, dan menjaga lingkungan yang melindungi bayi dari infeksi. Dokter dan bidan dilatih untuk memberikan ANC yang berkualitas tinggi, melakukan deteksi dini (skrining), mendiagnosis, menangani, dan merujuk kasus, sehingga berkontribusi dalam upaya menurunkan angka kematian ibu dan bayi baru lahir. Pada tahun 2016, WHO mengeluarkan rekomendasi perawatan antenatal untuk memberikan pengalaman kehamilan yang positif dan mengurangi angka kematian dan kesakitan ibu dan anak. Salah satu rekomendasi WHO adalah bahwa ANC untuk kehamilan yang sehat harus dilakukan setidaknya 8 kali, tetapi setelah menyesuaikan pedoman ini dengan kondisi lokal, disepakati di Indonesia bahwa ANC harus dilakukan setidaknya 6 kali, dengan minimal dua kali kunjungan ke dokter untuk skrining faktor risiko kehamilan atau komplikasi pada trimester pertama dan satu kali kunjungan pada trimester ketiga untuk skrining faktor risiko persalinan. Di antara 30 ibu hamil yang menjalani pemeriksaan, 3 responden memiliki tekanan darah di atas rata-rata, sehingga memerlukan observasi lanjutan untuk mencegah komplikasi lebih lanjut, seperti preeklampsia.
Efektifitas Akupresur Titik BL 32 Dan Li 4 Terhadap Tingkat Nyeri Persalinan Kala I Fase Aktif Primigravida Wahyuni, Sri; Setiawandari, Setiawandari; Waroh, Yuni Khoirul
WOMB Midwifery Journal Vol. 3 No. 2 (2024): Desember 2024
Publisher : Pusat Penelitian dan Pengabdian Masyarakat (PPPM) STIKes Banyuwangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54832/wombmidj.v3i2.507

Abstract

Labor pain is a physiological process, but if not managed properly it can cause side effects of labor such as secondary arrest. Acupressure is a non-pharmacological therapy that is effective in reducing problems faced by mothers giving birth, especially primigravida. The purpose of this study was to determine the effectiveness of acupressure points BL 23 and Li 4 on the level of labor pain in the first stage of the active phase of primigravida. The type of research is quasi-experimental with a one group pre-test post-test design. The sample size was 39 mothers giving birth in the first stage of the active phase, taken by accidental sampling from the population of primigravida mothers giving birth in January-March 2024. Measurement of labor pain levels using  the Numerical Ranting Scale.  The results of the study showed that the average pre-test pain level was 7.23 with a maximum scale of 9, while the average post-test labor pain level was 2.79 with a maximum scale of 6. The  Wilcoxon Signed Ranks test results were ρ = 0.00, which means that acupressure points BL 32 and Li 4 have an effect on the level of labor pain, so it can be concluded that the acupressure method of points BL 32 and Li 4 is effective for the level of labor pain in the first active phase of primigravida.  Suggestions  for acupressure points BL 32 and Li 4 can be applied as a non-pharmacological method to reduce the level of labor pain in the first active phase in basic health services because it is easy, cheap and effective.
The Effect of Auricular Acupressure on Uterine Contractions, Fetal Heart Rate, and Length of Labor in the Active Phase of Primigravida Setiawandari Setiawandari; Yuni Khoirul Waroh
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.v16i1.8837

Abstract

The still high maternal mortality rate (MMR) in Indonesia, especially in East Java, is caused by indirect causes or other causes such as prolonged labor, so a method is needed to treat cases of prolonged labor such as auricular acupressure. Auricular acupressure (AKAR) is a non-pharmacological method proven effective for uterine contractions, but its side effects on the fetal heart rate (FHR) are unknown. The research aimed to analyze the AKAR method on uterine contractions, FHR, and labor duration in the first stage's active phase. This type of research is truly experimental, with a pretest-posttest control group design. The research subjects were 41 respondents, primigravida active phase first-stage mothers, selected by consecutive sampling and randomly divided into two groups, namely 21 AKAR groups and 20 deep breathing relaxation control groups. The research results of the Friedman test statistical test ρ-value equal 0.000 in the AKAR group and ρ-value equal 0.000 in the control group, meaning that AKAR influences uterine contractions. The Friedman Test findings show that AKAR does not affect FHR (ρ-value equal 0.618). The Independent Sample Test ρ-value equal 0.29 indicates no statistically significant difference between the two groups' labor lengths throughout the first stage's active phase. The AKAR group's average labor time in the first stage of the active phase was 365.40 minutes, with a minimum of 267 minutes and a high of 395 minutes. Conclusion: The auricular acupressure method affects uterine contractions but does not affect the fetal heart rate. There was no difference in the length of labor in the first active phase of labor between the auricular acupressure and deep breathing relaxation groups, so it is recommended that the auricular acupressure method can be used as an alternative complementary care to prevent prolonged labor.
The Effect of Massage Stimulation on Anthropometric Measures of Preschool Aged Children at Integrated PAUD Merpati Anggrek Surabaya Setiawandari Setiawandari
STRADA : Jurnal Ilmiah Kesehatan Vol. 9 No. 2 (2020): November
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/sjik.v9i2.320

Abstract

Massage stimulation is a traditional therapy of the Indonesian, which combines auditory, visual and tactile kinesthetic stimuli, which can be given from early to unlimited age. Massage stimulation for preschoolers in addition to relaxing the child is also reducing stress, increasing immunity, stimulating the vagus nerve, also increasing growth by stimulating cell growth. This research aims to determine the effect of massage stimulation on the anthropometric size of preschoolers. This research method uses Randomized Controlled Trial. The results obtained a significant value of p = 0,000 or p <0.05 in the treatment group, but in the two control groups there was no difference in anthropometric measurements of height and head circumference p> 0.05. In conclusion, there was the effect of massage stimulation on body weight, height, upper arm circumference and head circumference. But the height and head circumference were not found differences in the two groups.
Efektifitas Ekstrak Sauropus Androgynus (Daun Katuk) dan Ekstrak Moringa oleifera Lamk (Daun Kelor) terhadap Proses Persalinan, Produksi Kolostrumdan Proses Involusi Uteri Ibu Postpartum setiawandari, setiawandari
EMBRIO: Jurnal Kebidanan Vol 9 (2017): EMBRIO (NOVEMBER 2017)
Publisher : Program Studi S1 Kebidanan - Fakultas Ilmu Kesehatan Universitas PGRI Adi Buana Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (353.958 KB) | DOI: 10.36456/embrio.vol9.no1.a1009

Abstract

Kelahiran sang buah hati adalah moment bahagia yang dinantikan oleh semua orang tua. Seorang ibu yang mampu memberikan ASI secara eksklusif (0-6 bulan) memberikan arti kebahagiaan tersendiri bagi seorang ibu. Tetapi tidak jarang, hal ini terkendala dengan produksi ASI ibu yang belum keluar pada hari-hari pertama menyusui. Hal inilah yang membuat orang tua khawatir tidak bisa memenuhi kebutuhan nutrisi bayinya diawal kehidupannya, sehingga memutuskan untuk memberikan susu formula. Tujuan penelitan adalah untuk mengetahui Efektifitas Ekstrak Sauropus Androgynus (Daun Katuk) dan Ekstrak Moringa oleifera Lamk (Daun Kelor)terhadap Proses Persalinan, Produksi Kolostrumdan Proses Involusi Uteri Ibu Postpartum. Metode yang digunakan dalam pengambilan sampel adalah menggunakan metode total sampling. Dengan sampel penelitian adalah semua ibu hamil usia kehamilan 37-40 minggu yang melahirkan normal di Praktik MandiriBidan. Jenis penelitian ini adalah true eksperimen dengan desain penelitian posttest with control group design. Hasil penelitian adalah tidak ada pengaruh pemberian ekstrak daun katuk dan ekstrak daun kelor terhadap proses persalinan dengan nilai p=0,457>α=0,05. Pemberian daun katuk lebih efektif dibanding daun kelor dalam hal mempercepat pengeluaran produksi kolostrum dengan nilai p=0,026<α=0,05. Dan tidak ada perbedaan antara pemberian daun katuk dengan daun kelor terhadap proses involutio uteri dengan nilai p=0,552>α=0,05 (24jam), p=0,905>α=0,05 (48jam), p=0,719>α=0,05 (72jam). Kesimpulan adalah ekstrak daun katuk dan ekstrak daun kelor bisa diberikan pada ibu hamil trimester III dan tidak menimbulkan komplikasi proses persalinan, ekstrak daun katuk lebih efektif dalam meningkatkan produksi ASI dan tidak ada pengaruh terhadap proses involusi uteri
Effectiveness of Ear Acupressure on Gestational Hypertension Setiawandari, Setiawandari; Iswati, Retno Setyo; Rihardini, Tetty
EMBRIO: Jurnal Kebidanan Vol 17 No 1 (2025): 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.v17i1.10639

Abstract

Hypertensive disorders (HD) affect up to 10 percent of pregnancies worldwide. Gestational Hypertension 17 percent will progress to preeclampsia if left untreated. Acupressure has been used for centuries to treat a variety of symptoms associated with pregnancy and is also known to lower blood pressure in hypertension. However, the use of ear acupressure as an adjunct to conventional care for hypertensive disorders in pregnancy is underrepresented in the scientific literature. This study aimed to determine the effectiveness of ear acupressure on gestational hypertension. The research method employed a pre-experimental design with a one-group pre-post design. A sample of 15 people received antenatal care and ear acupressure. Analysis using the Paired T Test. The study's results showed a difference in the average blood pressure of primigravida women in the 2nd and third trimesters, both before and after ear acupressure, of 6 mmHg systolic and 4 mmHg diastolic. The results of the Paired t-test p equal 0.00. The conclusion is that ear acupressure affects the blood pressure of primigravida during the second and third trimesters.
Co-Authors Andarwulan, Setiana Anik Latifah Anik Latifah Asmaul husna Cahya Rosyida, Desta Ayu Desta Ayu Cahya Rosyida Dian Kartika Mayasari Eka Deviany Widyawaty Felia Julianti Fitri Fenita Mei Fitri Ayu Ila Rohmatika Hannase, Mulawarman Hera Purnama Agustin Hidayatunnikmah, Nina Hubaedah, Annah Imam Munandar, Adis Indria Nuraini Indria Nuraini Istiqomah Istiqomah Iswati, Retno Setyo Khoiriyah Novi Astuti Koosnadi Saputra Latifah, Anik Marquita Da Silva Ximenes Murni Ningrum, Nyna Puspita nuraini, indria Nurul Komarijah Nyna Puspita Ningrum Nyna Puspita Ningrum Nyna Puspita Ningrum Nyna Puspita Ningrum Puput Wulandesy Rahmawati Setiana Andarwulan Setiana Andarwulan Siswati Siswati Siti Muzayyana Siti Sarofah SOLICHATIN Sri Wahyuni Sri Wulandani Sumiati Sumiati Tetty Rihardini Valencia Cantika Putri Susanto Waroh, Yuni Khoirul Yefi Marliandiani Yuni Khoirul W Yuriska Nur Wahyudhianti