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Via Wiyana
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The Effect of Acupressure at Meridian Points BL67 (Zhiyin) and LI4 (Hegu) on Labor Progress in Primigravida Mothers During the Active Phase of the First Stage of Labor Haryono, Nathasia Elga; Via Wiyana; Martine Agustina Meha; Resha Astari
JURNAL KEBIDANAN KESTRA (JKK) Vol. 7 No. 2 (2025): Jurnal Kebidanan Kestra (JKK)
Publisher : Fakultas Kebidanan Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkk.v7i2.2734

Abstract

According to the World Health Organization (WHO), approximately 75% of all maternal deaths are caused by various types of complications, one of which is prolonged labor. One non-pharmacological approach that can be used to address this issue is acupressure therapy at the BL67 and LI4 meridian points. The aim of this study was to evaluate the progress of labor in primigravida mothers by comparing the effectiveness of acupressure at the BL67 and LI4 points.This research employed a quasi-experimental method with a post-test only design. A total of 40 primigravida mothers in the active phase of the first stage of labor were evenly divided into two groups: 20 participants received acupressure at the BL67 point and the other 20 at the LI4 point. Data analysis was conducted using an independent sample t-test.The results showed that the significance value for the duration of labor progress in the active phase of the first stage was 0.199, which is greater than the significance threshold of 0.05. Therefore, the null hypothesis (H?) was accepted, indicating that there was no statistically significant difference in the average duration of labor between the group receiving acupressure at BL67 and the group receiving it at LI4.In conclusion, acupressure at both the BL67 and LI4 points can be considered an effective non-pharmacological method to support labor progress.
Coverage and Determinants of the Success of Antenatal Care (ANC) in First Trimester Pregnant Women at Lubuk Pakam Public Health Center Haryono, Nathasia Elga; Via Wiyana; Martine Agustina Meha; Kurniawati
JURNAL KEBIDANAN KESTRA (JKK) Vol. 8 No. 1 (2025): Jurnal Kebidanan Kestra (JKK)
Publisher : Fakultas Kebidanan Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/9npbgr94

Abstract

Antenatal Care (ANC) services play a crucial role in the early detection of pregnancy complications, prevention of maternal morbidity and mortality, and overall improvement of maternal and fetal health. High-quality ANC provides opportunities for healthcare providers to conduct screening, health education, and promotive as well as preventive interventions throughout pregnancy. However, its implementation in the field still faces challenges related to service completeness, continuity, and quality. This study aimed to assess the coverage and quality of Integrated Antenatal Care (ANC) services among first-trimester pregnant women at Lubuk Pakam Health Center. A quantitative descriptive design was used with a total sampling technique involving 120 respondents. Data were collected through structured interviews, direct observation, and document review of medical records. The results showed that 78.3% of mothers had attended ANC visits, but only 58.3% received the complete 10T standard services. Laboratory examinations (60%) and referrals (25%) remained below national standards. The dominant factors influencing ANC success were maternal knowledge, family support, and access to health facilities. Therefore, strategies to improve ANC quality should include strengthening laboratory and human resources, providing continuous staff training, and enhancing maternal and family education to ensure optimal and comprehensive antenatal care services.
Co-Authors Haryono, Nathasia Elga Kurniawati Martine Agustina Meha Resha Astari