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Amalia Indah Puspitasari
STIKES Abdi Nusantara Jakarta

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Pengaruh Kombinasi Counter Pressure dan Terapi Musik Terhadap Penurunan Nyeri Punggung Pada Ibu Bersalin Kala 1 di Klinik Siti Nugraha Medika Tahun 2024 Amalia Indah Puspitasari; Arti Wulansari
Jurnal Ners Vol. 9 No. 2 (2025): APRIL 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i2.42406

Abstract

Back pain is one of the main complaints experienced by mothers in the first stage of labor, caused by uterine contractions, opening of the cervix, and changes in the position of the fetus in the birth canal. This study aims to analyze the effect of a combination of counter pressure and music therapy on reducing back pain in mothers in the first stage of labor. Analyzing the effect of a combination of counter pressure techniques and music therapy on reducing the intensity of back pain in mothers in the first stage of labor at the Siti Nugraha Medika Clinic. This research uses quantitative methods with a quasi-experimental pretest-posttest design. The research sample consisted of 30 mothers who met the inclusion criteria. Pain level measurement was carried out using the Numeric Rating Scale (NRS). The data were analyzed using the Paired Sample T-Test. There was a significant influence between the pre-test and post-test pain levels and values ​​(p = 0.000). Before the intervention, the majority of respondents experienced severe pain (52.8%), while after the intervention, the majority experienced moderate pain (56.1%). The combination of counter pressure and music therapy has proven to be effective in reducing the intensity of back pain, with an average reduction of 1.93 points. The combination of counter pressure and music therapy can be a safe, simple and effective non-pharmacological method for reducing back pain in mothers in the first stage of labor, as well as increasing comfort during the labor process.
Perbandingan Pijat Laktasi dan Pijat Oxytocin Terhadap Peningkatan Produksi ASI Pada Ibu Postpartum Maryati Maryati; Amalia Indah Puspitasari
Jurnal Ners Vol. 9 No. 2 (2025): APRIL 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i2.42411

Abstract

Breastfeeding is a skill that requires time and patience to meet the nutritional needs of babies, especially during the first six months. The coverage of exclusive breastfeeding in DKI Jakarta in 2023 is still low, around 65.63%, lower than the national average. Irregular breast milk production often makes mothers switch to formula milk, which can hinder exclusive breastfeeding and affect the growth and development of babies. Efforts to increase breast milk production and provision are through lactation massage and Oxytocin massage, both of these massage techniques can help increase breast milk production naturally and provide physical and emotional benefits for breastfeeding mothers.To determine the comparison between lactation massage and Oxytocin massage on increasing breast milk production in postpartum mothers at Maya Mom and Baby Care.Using Quasi Experimental Design with Non-equivalent Control Group Design. The sample consisted of 30 respondents selected using the Total Sampling technique. Data analysis was carried out using the Wilcoxon Range List statistical test. The results of the analysis in the group receiving Oxytocin massage obtained a Z-Score of -3.410b and a P-value <0.001 (p <0.05). While the lactation massage group obtained a Z-Score of -3.422b and a P-value <0.001 (p <0.05). These results indicate that Oxytocin massage is more effective and efficient than lactation massage in increasing breast milk production. There is a significant difference between lactation massage and Oxytocin massage in increasing breast milk production in postpartum mothers at Maya Mom and Baby Care in 2024. It is hoped that postpartum mothers can be more fluent in providing exclusive breastfeeding to their babies, which is very important to support optimal baby growth and development
Pengaruh Kombinasi Tehnik Relaksasi Pernapasan dan Inhalasi Aromaterapi (Chamomile) Terhadap Penurunan Intensitas Nyeri Pada Persalinan Kala 1 Amalia Indah Puspitasari; Tohiriah Tohiriah
Jurnal Ners Vol. 9 No. 2 (2025): APRIL 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i2.42544

Abstract

Labor is often accompanied by intense pain, especially during the first stage of labor (opening phase). The pain felt during labor can interfere with the mother's comfort and affect the overall labor experience. The government and health workers have several efforts to reduce or manage labor pain, either through medical, psychological, or social approaches. The non-pharmacological approach is done naturally without the use of chemical drugs, one of which is by doing relaxation techniques that include breath relaxation and aromatherapy. Chamomile contains several substances that are beneficial for health. The main content in chamomile such as apigenin, luteolin, chamfer and tannins which have anti-inflammatory, antioxidant, anti-bacterial properties and reduce stress due to contraction pain. The purpose of this study was to determine the effect of a combination of breathing relaxation techniques and chamomile aromatherapy inhalation on reducing pain intensity in labor phase 1.This research method uses descriptive analytic pre-experiment research with pretest postest non-equivalent group design. Data collection was carried out from November 2024 to January 2025. The population was laboring mothers at stage I with total sampling technique, so the number of samples was 30 respondents. The statistical test performed was the T-Test test.The results of statistical tests obtained before being given the action of the majority of respondents' pain intensity in the severe pain category as many as 18 (60%) with an average value of 3.60 and after being given the action the majority became moderate pain as many as 11 (36.7%) with an average value of 2.03. The ρ-value result is 0.009 (p <0.05) so that there is a significant difference, and it can be concluded that there is an effect on the level of pain before and after the combination of Breathing Relaxation Techniques and Chamomile Aromatherapy Inhalation at TPMB Bdn. Winda Widianty Sodikin S.Keb.