Didien Ika Setyarini
Midwife Professional Education, Poltekkes Kemenkes Malang, Indonesia

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The Effectiveness of the Knee-Chest Position in Midwifery Care for Correcting the Position of the Breech Presentation Fetus Finta isti kundarti; Novalia Nur Aliza; Ira Titisari; Didien Ika Setyarini
Health and Technology Journal (HTechJ) Vol. 3 No. 4 (2025): August 2025
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v3i4.366

Abstract

Breech presentation is an abnormal fetal position in which the buttocks or feet are located at the lower part near the birth canal, while the head is positioned above. This condition occurs in 3-4% of pregnancies and can increase the risk of delivery complications. The knee chest position is a non-invasive intervention that can help change the fetal position from breech to vertex (head down) through gravitational mechanisms and changes in pelvic space. This study aims to evaluate the effectiveness of the knee chest position in changing fetal position from breech presentation to vertex presentation in third-trimester pregnancy. This study used a case study approach with documentation of SOAP (Subjective, Objective, Assessment, Plan). The research subject was Mrs. LA at 32-33 weeks of gestational age, diagnosed with breech presentation. The knee chest position intervention was performed thrice daily for 15 minutes over 2 weeks with regular evaluations. After 2 weeks of knee chest position intervention, there was a change in fetal position from breech presentation to vertex presentation. Ultrasonographic evaluation showed successful fetal rotation without complications in either the mother or fetus. This study concludes that the knee chest position proved effective as a non-invasive intervention for managing breech presentation in third-trimester pregnancy. This research adds scientific evidence regarding the effectiveness of the knee chest position as a conservative management alternative before considering other medical interventions.
Midwifery Care for Pregnant Women with Atopic Dermatitis Finta isti kundarti; Nurul Mulkil Aliyah; Ira Titisari; Didien Ika Setyarini
Health and Technology Journal (HTechJ) Vol. 3 No. 4 (2025): August 2025
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v3i4.368

Abstract

Atopic dermatitis, or atopic eczema, is a chronic inflammatory skin disease characterized by itchy red skin lesions, xerosis, ichthyosis, and skin pain. Among the social impacts of atopic dermatitis are difficulty and isolation in relationships and social stigmatization. In addition, atopic dermatitis is known to cause sleep disturbances, anxiety, hyperactivity, and depression. This study aims to provide midwifery care in cases of atopic dermatitis experienced by pregnant women in the third trimester. The case study design in this study uses an in-depth approach to the subjective mother A, age 31 years, G3P1011, gestational age 32-33 weeks, who comes with complaints of itching on the body with skin conditions experiencing dryness and scaling, which causes the skin surface to feel rough. Data was collected through interviews, observation, physical examination, and documentation study. The examination was carried out through inspection and palpation of the skin area experiencing complaints, along with an assessment of the skin condition. Interviews regarding the history of allergies and precipitating factors reinforced the initial diagnosis. The diagnosis made was atopic dermatitis in pregnant women in the third trimester with complaints of pruritic and dry skin. Midwifery interventions were carried out through observation and education. Evaluation results showed a decrease in itching complaints and improved skin condition. This study emphasizes the importance of early detection of skin dryness and a holistic approach in supporting the comfort and skin health of pregnant women.