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All Journal Jurnal Kesehatan Amanah International Journal of Health Science
Nurhayani Nurhayani
Sekolah Tinggi Ilmu Kesehatan Bakti Utama Pati
Health Professions Nursing Public Health Social Sciences

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The Relationship Between the Anxiety Level of Primiparous Mothers Who Are Not Accompanied by Their Husbands and the Duration of Labor Dian Shofia Reny Setyanti; Nurhayani Nurhayani
International Journal Of Health Science Vol. 5 No. 3 (2025): November : International Journal of Health
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/ijhs.v5i3.6221

Abstract

In Indonesia, the main causes of maternal mortality are sepsis, abortion problems, prolonged labor, eclampsia, and hemorrhage. These causes of death have varying contributions, with sepsis (10%), hemorrhage (28%), which is often unpredictable and occurs suddenly, and prolonged labor (9%) contributing each. Psychological illness in pregnant women during pregnancy, environmental factors that trigger labor, and the high maternal mortality rate in Indonesia are contributing factors. This is undeniably due to the lack of support from various parties during pregnancy and childbirth, especially in the role of the family who inspires motivation during the labor process. It is very important to help mothers relax mentally. The purpose of this study was to investigate the correlation between the duration of labor and the level of anxiety experienced by first-time mothers who are not supported by their partners. A cross-sectional methodology was used in this study. A direct random sampling approach was used for sample collection. The relationship between the duration of labor and the level of anxiety was analyzed using the Spearman rank formula, which uses an ordinal scale for anxiety. The results of this study revealed a strong correlation between the level of anxiety experienced by first-time pregnant women who were not accompanied by their partners and the length of the labor process {Spearman rank: 0.515, p value: 0.004, OR: 4.867 (95% CI: 4.74-5.00)}.
Pengaruh Slow Deep Breathing Terhadap Penurunan Nyeri Punggung Menjelang Persalinan Nurhayani Nurhayani; Salwa Annisaa; Dian Shofia Reny S
Jurnal Kesehatan Amanah Vol. 10 No. 1 (2026): Mei: Jurnal Kesehatan Amanah
Publisher : Universitas Muhammadiyah Manado

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57214/jka.v10i1.1069

Abstract

Labor pain begins in the first stage, which includes the latent phase (cervical dilation up to 3 cm) and the active phase (cervical dilation from 4 cm to 10 cm). The active phase sees an increase in the intensity and frequency of contractions, leading to peak pain. Research on 2,700 delivering mothers found that 15% experienced mild pain, 35% moderate pain, 30% severe pain, and 20% very severe pain. To reduce maternal mortality (AKI), minimizing labor pain is crucial. Labor pain can be controlled through pharmacological and non-pharmacological methods. Non-pharmacological methods include counter pressure, hypnobirthing, endorphin massage, effleurage massage, relaxation techniques, warm compresses, Mozart music, murottal therapy, acupressure, and aromatherapy. Distraction and pain management techniques are vital for healthcare providers to help reduce pain, especially during the first stage of labor. One effective method is deep breathing relaxation, where regulating the breathing pattern can reduce pain caused by cervical dilation. Slow deep breathing, a conscious relaxation technique, has several benefits, such as reducing stress and anxiety, improving focus, lowering blood pressure, enhancing sleep quality, and improving digestion. Objective: To determine the effect of slow deep breathing on labor pain reduction. Results: Wilcoxon statistical test showed a significance value of ρ = 0.023 (ρ<0.05), indicating a significant difference in labor pain levels before and after applying slow deep breathing. Conclusion: Slow deep breathing reduces labor pain levels.
Pengaruh Penyuluhan Menggunakan Video (VINEMA) terhadap Tingkat Pengetahuan Ibu Hamil dengan Anemia Salwa Annisaa; Nurhayani Nurhayani
Jurnal Kesehatan Amanah Vol. 10 No. 1 (2026): Mei: Jurnal Kesehatan Amanah
Publisher : Universitas Muhammadiyah Manado

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57214/jka.v10i1.1078

Abstract

Background: Anemia among expectant mothers persists as a critical public health concern, posing significant risks to both maternal and fetal well-being. National data indicates a prevalence of 48.9% in Indonesia; notably, Central Java remains a focal point for this issue, recording some of the highest statistics in the country. Effective education is essential to prevent anemia, and animated video media is considered more engaging and easier for pregnant women to understand. Objective: To determine the effect of counseling using educational videos on the knowledge of pregnant women with anemia. Methods: This study used a a quasi-experimental pretest–posttest design involving 44 pregnant women diagnosed with anemia, who were assigned to either an experimental or a control group. Statistical analysis was conducted using the Mann–Whitney test. Findings revealed an improvement in the average knowledge score from 8.91 at baseline to 9.23 following the intervention, with a significant mean difference of 1.18 recorded in the post-intervention phase. However, counseling using video did not significantly affect knowledge (p>0.05). Conclusion: Counseling using video media (VINEMA) did not yield a statistically significant improvement in the knowledge levels of pregnant women suffering from anemia. Nevertheless, this medium shows potential as a supplementary educational resource for fostering favorable attitudes regarding the prevention of anemia.
Co-Authors Dian Shofia Reny S Dian Shofia Reny Setyanti Salwa Annisaa