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All Journal The Southeast Asian Journal of Midwifery Proceedings of the International Conference on Applied Science and Health
Nawangsih, Umu Hani Edi
Proceedings of the International Conference on Applied Science and Health
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THE DURATION OF PERINEAL WOUND HEALING BETWEEN BASTE AND INTERRUPTED SUTURE AMONG POSTPARTUM MOTHERS IN BANTUL, YOGYAKARTA, INDONESIA Zuliyati, Isti Chana; Nawangsih, Umu Hani Edi; Pratiwi, Dian; Tiyas, Ajeng Hayuning
Proceedings of the International Conference on Applied Science and Health No 1 (2017)
Publisher : Proceedings of the International Conference on Applied Science and Health

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Abstract

Background: Suture is a most used technique to heal perineal wound after delivery baby. Midwives often offer baste and disconnected suture for the healing process. Aims: This study aimed to determine the duration of perineum wounds healing between the two suture techniques, baste and disconnected suture. Methods: The study employed a quasi-experimental methods with a longitudinal approach. A total of 24 postpartum mothers who suffered perineum wounds degree II, no smoking, 20-35 years old, no obese, no DM, and no infections, was taken using random sampling. Seven validated parameters in assessing the perineum wound healing process were asked by the researchers during the observation including the status of the stiche, openess, festering, swollen, redness in the skin around the stiches, pain, and smell. The data was then analyzed by independent T-test. Results: The results showed that the average length of the perineum wound healing in a private midwife clinic BPM Umu Hani by baste suturing technique was 7.42 days, and it was significantly shorter (p value = 0.003) than the healing by interrupted suturing technique (9.33 days). Conclusion: Disconnected suturing technique can be a preference for perineal wound healing after delivery baby. However, the midwifery should pay attention to the needs of the postpartum mothers before propose the technique. 
PSYCHOSOCIAL BARRIERS OF UNMET NEED AMONG WOMAN OF REPRODUCTIVE AGE Tiyas, Ajeng Hayuning; Anwar, Mochammad; Nawangsih, Umu Hani Edi
The Southeast Asian Journal of Midwifery Vol 4 No 2 (2018): The Southeast Asian Journal of Midwifery
Publisher : Asosiasi Pendidikan Kebidanan Indonesia

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Women with unmet need are those who are fecund and sexually active but are not using any method of contraception but do not want to conceive either to prohibiting or limiting pregnancy. The unmet need increases the risk of maternal mortality from unwanted pregnancy and unsafe abortion. The percentage of unmet need in Yogyakarta exceeds the national average percentage and Kraton District is the highest region of unmet need in Yogyakarta. Objective: Exploring in-depth information on the barriers of women of reproductive age to use contraception leads to unmet need behavior in terms of psychosocial aspects Method: This research was qualitative research with a phenomenological approach. The informants were taken by purposive sampling technique with criterion sampling strategy. The main informants were 7 women with unmet need and supporting informants as many as 11 people. Data collection techniques used in-depth interview and document study. Data analysis using thematic analysis. Results : Various themes were found to address psychosocial barriers, personal barriers were the main barriers behind women to behave unmet need, including lack of understanding of appropriate contraceptives and unwanted pregnancy risk, weak motivation in using contraception, negative perceptions of contraception, low perceptions of fertility, high self-efficacy against pregnancy prevention strategies and positive coping mechanisms against the risk of pregnancy are undesirable. Conclusion: Personal barriers are the main obstacles for women of reproductive age to behave unmet need. It needs effective counseling optimization, emphasis on impact and risk of unmet need and strengthening of motivation to use modern contraception in order to increase the sustainability of contraception use and prevent drop out and unmet need for contraception.
Co-Authors Ajeng Hayuning Tiyas Dian Pratiwi Mochammad Anwar, Mochammad Zuliyati, Isti Chana