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PENGARUH SELF HYPNOSIS TERHADAP KUALITAS TIDUR IBU HAMIL TRIMESTER III Indahwati, Lilik; Azzahra, Salsabila Syifa; Indrawan, I Wayan Agung
Jurnal Ilmiah Kesehatan Media Husada Vol 12 No 2 (2023): November
Publisher : LPPMK STIKES Widyagama Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33475/jikmh.v12i2.358

Pendahuluan: Sebanyak 90% ibu hamil trimester III yang merasakan cemas karena mencemaskan bagaimana fisik anak yang dilahirkannya, perhatian tentang penampilan seseorang, serta adanya perasaan takut untuk melahirkan dan 70% diantaranya merasa bahwa kualitas tidurnya kurang. Dampak dari kurangnya kualitas tidur pada ibu hamil trimester III memengaruhi kondisi ibu ataupun bayi pada masa kehamilan ataupun pada persalinannya nanti. Ibu hamil dengan kualitasi tidur yang buruk dapat menyebabkan komplikasi dalam kehamilan seperti kelahiran prematur, tekanan darah ibu yang meningkat dan dapat membuat proses persalinan menjadi lebih panjang dan berisiko lebih besar untuk dioperasi caesar. Dalam menangani hal tersebut, dapat dilakukan upaya penanganan terapi non farmakologis seperti self hypnosis. Self hypnosis adalah suatu teknik untuk menghipnotis diri sendiri diikuti dengan diterimanya suatu sugesti atau pemikiran tertentu. Tujuan: Untuk mengetahui adanya pengaruh self hypnosis terhadap kualitas tidur ibu hamil trimester III. Metode: Menggunakan desain pre experimental one group pre test post test dengan pendekatan cross sectional. Hasil: Uji analisis statistik yang digunakan adalah uji wilcoxon dan diperoleh hasil p-value = 0,180 (>0,05) yang berarti tidak ada pengaruh antara self hypnosis terhadap kualitas tidur ibu hamil trimester III. Kesimpulan: Tidak ada pengaruh self hypnosis terhadap kualitas tidur ibu hamil trimester III.

The use of N-acetylcysteine to prevent further progression of preeclampsia Indrawan, I Wayan Agung; Farida, Leny
Majalah Obstetri & Ginekologi Vol. 32 No. 2 (2024): August
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mog.V32I22024.106-111

HIGHLIGHTS 1. The generation of free radicals in the placenta leads to endothelial dysfunction, which contributes greatly in preeclampsia.2. N-acetylcysteine have a role in the oxidative stress pathway, helping in glutathione synthesis and as a free radical scavenger.3. N-Acetylcysteine supplementation in women with preexisting preeclampsia had positive effects on oxidative stress biomarkers, laboratory values, and blood pressure. ABSTRACT Objectives: Preeclampsia is a prevalent disorder among pregnant women, characterized by hypertension and proteinuria, leading to serious complications. However, the precise pathophysiology of preeclampsia remains debated. Oxidative stress is believed to play a significant role in its development, and N-acetylcysteine (NAC) is known to influence this pathway. NAC aids in glutathione synthesis, a critical antioxidant, and acts as a free radical scavenger. This study aimed to examine the role of NAC in women with preeclampsia, focusing on its potential therapeutic benefits. Materials and Methods: A comprehensive literature search was conducted using PubMed and ScienceDirect databases, yielding 17 articles from PubMed and 395 articles from ScienceDirect. Reviews were excluded, resulting in 12 articles from PubMed and 89 articles from ScienceDirect. After further screening, 5 articles were selected for review, including 2 human studies and 3 animal studies, to understand the impact of NAC on preeclampsia. Results: Human studies indicated that NAC supplementation reduced the rate of preeclampsia among women at increased risk. Animal studies supported these findings, showing improvements in oxidative stress biomarkers, laboratory values, and blood pressure in models treated with NAC. NAC supplementation was associated with positive outcomes in managing oxidative stress, a key factor in the pathogenesis of preeclampsia. Conclusion: NAC supplementation in women with preexisting preeclampsia has beneficial effects on oxidative stress biomarkers, laboratory values, and blood pressure. These highlight the potential of NAC as a therapeutic intervention for preeclampsia, particularly in women at high risk. However, no significant differences were observed in maternal complication rate between the NAC-treated group and the control group. Further research is needed to fully understand the clinical implications of NAC supplementation and its long-term safety and efficacy in managing preeclampsia.

Comparison of Oxytocin Massage and Banana Flower Consumption in Increasing Breast Milk Volume Hastuti, Novianti Tri; Intan, Dara; Andarini, Sri; Indrawan, I Wayan Agung
Indonesian Journal of Human Nutrition Vol. 11 No. 1 (2024)
Publisher : Department of Nutrition, Faculty of Health Sciences, Universitas Brawijaya Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.ijhn.2024.011.01.8

Insufficient breast milk production often occurs during the first week postpartum due to psychological stress, inadequate stimulation of prolactin and oxytocin hormones, and nutritional aspects of the mother’s diet. Efforts to improve and increase breast milk production include providing back massage to induce a relaxing sensation and fulfilling the needs for a balanced nutritious diet, which can effectively stimulate the release of prolactin and oxytocin hormones. This research aims to compare the effectiveness of oxytocin massage and banana flower consumption in increasing breast milk volume. This study used true experimental with a pre-post test design (excluding a control group) and involved 32 postpartum mothers with low-stress levels and low to medium socioeconomic status. Breast milk volume was evaluated by breast pumping for 30 minutes and measuring the output with a measuring cup. Data were analyzed using an independent t-test. There was a 6.375 cc increase in breast milk volume in the banana flower consumption group compared to the oxytocin massage group. However, statistically, both treatments had similar effects, as there were no significant differences between the groups (p = 0.519). Therefore, both oxytocin massage and banana flower consumption can be considered effective alternatives for increasing breast milk volume.

Effectiveness of Banana Blossom Consumption and Oxytocin Massage in Breastfeeding Mothers on Infant Weight Gain Intan, Dara; Hastuti, Novianti Tri; Indrawan, I Wayan Agung; Wardani, Diadjeng Setya
Indonesian Journal of Human Nutrition Vol. 11 No. 1 (2024)
Publisher : Department of Nutrition, Faculty of Health Sciences, Universitas Brawijaya Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.ijhn.2024.011.01.9

Weight gain serves as one of the indicators of the effectiveness of breastfeeding. Stimulation methods, such as consuming banana blossom and receiving oxytocin massage, have the potential to enhance breast milk production. This research aims to compare the effectiveness of these two interventions, banana blossom consumption and oxytocin massage, in breastfeeding mothers regarding infant weight increase at Dinoyo Health Center in Malang. Previous studies have demonstrated that both interventions can enhance breast milk production and infant weight; thus, this study focuses on determining which intervention is more effective. The study employed a true experimental design without a control group, utilizing a pre- and post-intervention approach during the postpartum period from days four to ten. This timeframe was selected because hormone levels, such as progesterone and estrogen, decrease, allowing for a more rapid increase in prolactin production. This approach aims to ensure that infants receive exclusive breastfeeding while promptly addressing any issues related to breast milk production. A total of 32 participants were selected through purposive sampling, with weight measurements taken at the beginning and end of the intervention. The results of the paired t-test indicated that infants of mothers who consumed banana blossom experienced an average weight gain of 246.75 g (p = 0.000). In contrast, infants whose mothers received oxytocin massage showed a weight gain of 217.81 g (p = 0.000). Further analysis with an independent t-test revealed that the consumption of banana blossom was more effective in increasing infant weight, with a mean difference in weight gain of 28.94 g (p = 0.045). This analysis confirmed a significant difference in weight gain between the two groups: mothers who consumed banana blossom had a greater increase in their infants’ weight. Future research is encouraged to explore the effectiveness of various banana blossom preparations and analyze their nutritional content to identify the most effective preparation for improving infant weight.

Contraceptive Selection among Couples of Childbearing Age in the Perspective of Healthcare Workers Prihatiningsih, Riska Dwi; Indrawan, I Wayan Agung; Setijowati, Nanik
Babali Nursing Research Vol 5 No 4 (2024): October
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2024.54433

Background: Women are susceptible to unwanted pregnancies. This makes them susceptible to risk factors such as maternal mortality, abortion, and stress. This study aims to explore health workers' perspectives on contraceptive selection among couples of childbearing in East Lombok Regency. Methods: Qualitative research design was employed with an interpretive phenomenological approach. This study was conducted in 4 Public health centers (PHCs) in East Lombok Regency, namely the Montong Betok PHC, Wanasaba PHC, Selong PHC, and Denggen PHC between May and June 2024. There were 12 participants consisting of 2 doctors, 8 midwives, and 2 nurses, recruited by purposive sampling. Data was collected using a recording device through in-depth interviews and field notes. Data were analyzed using a process based on four stages: transcribing, organizing, recognizing, and coding. Results: Eight themes emerged through data analysis, including 1) the role of health workers in contraceptive selection, 2) provider factors, 3) contraceptive availability, 4) access to contraceptive services, 5) cost of contraceptive use, 6) provision of contraceptive information by health workers, 7) social influences, and 8) fears and myths about contraception. Conclusion: Many factors influence contraceptive choice, but social influence is the most critical factor that determines whether couples of childbearing age choose and use contraception

Comparison of Oxytocin Massage and Banana Flower Consumption in Increasing Breast Milk Volume Hastuti, Novianti Tri; Intan, Dara; Andarini, Sri; Indrawan, I Wayan Agung
Indonesian Journal of Human Nutrition Vol. 11 No. 1 (2024)
Publisher : Department of Nutrition, Faculty of Health Sciences, Universitas Brawijaya Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.ijhn.2024.011.01.8

Insufficient breast milk production often occurs during the first week postpartum due to psychological stress, inadequate stimulation of prolactin and oxytocin hormones, and nutritional aspects of the mother’s diet. Efforts to improve and increase breast milk production include providing back massage to induce a relaxing sensation and fulfilling the needs for a balanced nutritious diet, which can effectively stimulate the release of prolactin and oxytocin hormones. This research aims to compare the effectiveness of oxytocin massage and banana flower consumption in increasing breast milk volume. This study used true experimental with a pre-post test design (excluding a control group) and involved 32 postpartum mothers with low-stress levels and low to medium socioeconomic status. Breast milk volume was evaluated by breast pumping for 30 minutes and measuring the output with a measuring cup. Data were analyzed using an independent t-test. There was a 6.375 cc increase in breast milk volume in the banana flower consumption group compared to the oxytocin massage group. However, statistically, both treatments had similar effects, as there were no significant differences between the groups (p = 0.519). Therefore, both oxytocin massage and banana flower consumption can be considered effective alternatives for increasing breast milk volume.

Effectiveness of Banana Blossom Consumption and Oxytocin Massage in Breastfeeding Mothers on Infant Weight Gain Intan, Dara; Hastuti, Novianti Tri; Indrawan, I Wayan Agung; Wardani, Diadjeng Setya
Indonesian Journal of Human Nutrition Vol. 11 No. 1 (2024)
Publisher : Department of Nutrition, Faculty of Health Sciences, Universitas Brawijaya Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.ijhn.2024.011.01.9

Weight gain serves as one of the indicators of the effectiveness of breastfeeding. Stimulation methods, such as consuming banana blossom and receiving oxytocin massage, have the potential to enhance breast milk production. This research aims to compare the effectiveness of these two interventions, banana blossom consumption and oxytocin massage, in breastfeeding mothers regarding infant weight increase at Dinoyo Health Center in Malang. Previous studies have demonstrated that both interventions can enhance breast milk production and infant weight; thus, this study focuses on determining which intervention is more effective. The study employed a true experimental design without a control group, utilizing a pre- and post-intervention approach during the postpartum period from days four to ten. This timeframe was selected because hormone levels, such as progesterone and estrogen, decrease, allowing for a more rapid increase in prolactin production. This approach aims to ensure that infants receive exclusive breastfeeding while promptly addressing any issues related to breast milk production. A total of 32 participants were selected through purposive sampling, with weight measurements taken at the beginning and end of the intervention. The results of the paired t-test indicated that infants of mothers who consumed banana blossom experienced an average weight gain of 246.75 g (p = 0.000). In contrast, infants whose mothers received oxytocin massage showed a weight gain of 217.81 g (p = 0.000). Further analysis with an independent t-test revealed that the consumption of banana blossom was more effective in increasing infant weight, with a mean difference in weight gain of 28.94 g (p = 0.045). This analysis confirmed a significant difference in weight gain between the two groups: mothers who consumed banana blossom had a greater increase in their infants’ weight. Future research is encouraged to explore the effectiveness of various banana blossom preparations and analyze their nutritional content to identify the most effective preparation for improving infant weight.

Korelasi Penyakit Jantung Kehamilan Dengan Luaran Fetomaternal di RS Saiful Anwar Ayodya, Cut Oullya; Pratama, Aldian Arie; Indrawan, I Wayan Agung; Putri, Valerinna Yogibuana S.
Jurnal Promotif Preventif Vol 8 No 2 (2025): April 2025: JURNAL PROMOTIF PREVENTIF
Publisher : Fakultas Kesehatan Masyarakat Universitas Pancasakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47650/jpp.v8i2.1798

Penyakit jantung pada kehamilan merupakan salah satu penyebab utama kematian ibu dan berhubungan dengan prognosis yang buruk. Penelitian ini bertujuan untuk mengetahui apakah terdapat hubungan antara tanda dan gejala dengan luaran perinatal maternal sehingga skrining dini dapat mencegah luaran yang buruk. Rekam medis dianalisis dengan menggunakan analitik observasional melalui pendekatan cross-sectional yang dilakukan pada 40 subjek pasien yang diambil dari sistem informasi medis rumah sakit (SIMRS) dengan penyakit jantung selama kehamilan. Data kemudian diolah dan dilakukan uji deskriptif dan dilanjutkan dengan uji chi square dan regresi logistik dimana terdapat hubungan dengan p<0,05 tercatat signifikan menggunakan aplikasi SPSS. Dalam penelitian ini, ditemukan hubungan yang signifikan antara tanda dan gejala hipertensi pulmonal terhadap luaran maternal (p=0,016), dan kardiomegali terhadap luaran perinatal (p=0,038). Meskipun tanda dan gejala lainnya tidak signifikan, jumlah pasien dengan dispnea dalam penelitian ini tercatat tinggi (n=20). Terdapat beberapa keterbatasan dalam penelitian ini, seperti jumlah sampel yang kecil dan metode observasional dimana peneliti tidak turut serta dalam melengkapi pemeriksaan yang mendukung diagnosis pasien, sehingga mempengaruhi signifikansi data. Berdasarkan hasil analisis, luaran maternal yang paling banyak tercatat adalah hipertensi dalam kehamilan dan oligohidramnion. Sedangkan pada kasus perinatal, luaran yang paling sering dicatat adalah BBLR, IUGR, kelahiran prematur dan gawat janin.

Hubungan Intensitas Nyeri Menstruasi (Dismenore Primer) Dengan Pemilihan Upaya Penanganan Pada Mahasiswi Sarjana Kebidanan Fakultas Kedokteran Universitas Brawijaya Tahun 2022 Paraningtyas Aulia Ilmi; Indrawan, I Wayan Agung; Windari, Era Nurisa
Journal of Issues in Midwifery Vol. 9 No. 1 (2025): Volume 9 No 1
Publisher : Journal of Issues in Midwifery

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.JOIM.2025.009.01.1

ABSTRACT Background: Menstruation is the physiology of women who do not enter puberty. Hormonal changes in the reproductive organs result in disturbances such as menstrual pain (primary dysmenorrhea). This complaint has 3 categories of pain levels, the higher the pain is felt, the more inhibited the productivity of women. This sparked efforts to treat pain with the aim of patient comfort. Aims: To know the relationship between the intensity of primary dysmenorrhea and the treatment efforts for female students. Method: The method used in thin research is a descriptive analytic, cross sectional on 80 samples using the Chi Square test. Results: From the research conducted, it was found that 52 (65.0%) respondents experienced moderate pain intensity with the popular treatment efforts used, namely non-pharmacological therapy 41 (51.3%). The Chi Square test shows the result of p-value : 0.074 ( p-value >0.05). Conclusion: There is no relationship between the intensity of primary dysmenorrhea and the handling efforts of undergraduate students in midwifery, Faculty of Medicine, Brawijaya University in 2022. Keywords: Intensity, Primary Dysmenorrhea, Pharmacology, Nonpharmacology, Combination therapy ABSTRAK Latar Belakang: Menstruasi merupakan fisiologis perempuan ketika memasuki usia pubertas. Perubahan hormon pada organ reproduksi mengakibatkan adanya gangguan seperti timbulnya nyeri menstruasi (dismenore primer). Keluhan ini memiliki 3 kategori tingkat nyeri, semakin tinggi nyeri dirasakan maka terhambat pula produktivitas perempuan. Hal tersebut mencetuskan upaya penanganan mengatasi nyeri dengan tujuan kenyaman penderita. Tujuan penelitian: Mengetahui adanya hubungan intensitas dismenore primer dengan upaya penanganan pada Mahasiswi. Metode penelitian: Metode yang digunakan dalam penelitian ini berupa deskriptif analitik, cross sectional terhadap 80 sampel menggunakan uji Chi Square. Hasil penelitian: Dari penelitian yang dilakukan didapatkan hasil bahwa 52 responden (65,0%) mengalami intensitas nyeri sedang serta upaya penanganan yang popular digunakan yaitu terapi nonfarmakologi 41 (51,3%). Uji Chi Square menunjukkan hasil p-value : 0,074 (p-value >0,05). Kesimpunan: Tidak ada hubungan antara intensitas dismenore primer dengan upaya penanganan pada mahasiswi Sarjana Kebidanan Fakultas Kedokteran Universitas Brawijaya tahun 2022. Kata kunci: Intensitas, Dismenore Primer, Farmakologi, Nonfarmakologi, Terapi Kombinasi

THE IMPACT OF VARIATIONS IN CLINICAL PATHWAY IMPLEMENTATION ON POTENTIAL REVENUE LOSS FROM CESAREAN SECTION SERVICES AT DR. SAIFUL ANWAR REGIONAL HOSPITAL, EAST JAVA, INDONESIA Indrawan, I Wayan Agung; Setijowati, Nanik; Rahmah, Shofi Nur
Journal of Community Health and Preventive Medicine Vol. 5 No. Issue Supplement 1 (2025): JOCHAPM Vol. 5, Issue Supplement 1, March 2025
Publisher : Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/

This study examines the impact of variations in clinical pathway (CP) implementation on potential financial losses in Sectio Caesarea (SC) services at Dr. Saiful Anwar Regional Hospital, East Java, Indonesia. Applying a quantitative approach with a cross-sectional study design, secondary data in the form of medical records and patient treatment costs were analyzed using the categorical comparative method from February to May 2024. The results showed that the majority of patients (78.4%) had good compliance with CP, while 21.6% did not comply. The group with appropriate CP implementation showed a lower average hospital cost (IDR 24,435,564.29) compared to the non-compliant group (IDR 30,996,638.89). CP implementation variance significantly affected cost containment, where the compliant group had a smaller average deficit (-IDR 15,741,421.43) compared to the non-compliant group (-IDR 20,243,246.30). Logistic regression tests showed that the more appropriate the CP, the greater the cost efficiency achieved. However, demographic factors and patient clinical conditions did not significantly affect the implementation of CP. This study concludes that proper CP implementation enhances cost efficiency and reduces potential hospital losses in SC actions. Finally, evaluation and development of evidence-based CP and periodic monitoring of its implementation are recommended to improve the efficiency of hospital services.

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