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PENERAPAN SENAM KEGEL TERHADAP PENGURANGAN RASA NYERI LUKA PERINEUM IBU POST PARTUM DI PUSKESMAS MAOS CILACAP Rahmawati, Rahmawati; Imanah , Norif Didik Nur; Aksar , Septi Tri; Sukmawati, Ellyzabeth
Seroja Husada: Jurnal Kesehatan Masyarakat Vol. 1 No. 3 (2024): Seroja Husada: Jurnal Kesehatan Masyarakat
Publisher : Seroja Husada: Jurnal Kesehatan Masyarakat

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Abstract

Postpartum mothers with perineal wounds will feel pain and discomfort when doing activities or sitting. Kegel exercises can increase circulation in the perineum, thereby reducing pain and speeding up the healing process and reducing swelling, during vaginal delivery. This study aims to determine the application of Kegel exercises to reduce pain in perineal wounds in post-partum mothers using qualitative research with case studies and data sources and types of data using interviews and observations. The implementation technique was carried out on Mrs. M with a companion and instructions, namely doing movements such as holding in urination, holding the contraction for 6 seconds, releasing, this movement is done by lying on your back, repeating the movement several times for 20 minutes. The results of doing Kegel exercises for 20 minutes, Mrs. M felt a change in the pain in her perineal wound, indicating that the mother felt more relaxed. The conclusion based on the results of data analysis is that applying Kegel exercises can help reduce perineal wound pain in post-partum mothers. It is hoped that midwives at community health centers or health services will apply and provide complementary therapy to post-partum mothers to reduce pain due to perineal lacerations and to increase post-partum mothers' knowledge about Kegel exercises.
The Effect of The Eracs Sectio Caesaria Method on Early Mobilization in Mothers Post-Sectio Caesaria Sudiniasih; Ellyzabeth Sukmawati; Qomariyah
Quantum Wellness : Jurnal Ilmu Kesehatan Vol. 2 No. 4 (2025): Desember : Quantum Wellness : Jurnal Ilmu Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62383/quwell.v2i4.2517

Abstract

Caesarean section (CS) is a major surgical procedure frequently performed for childbirth with specific medical indications. Early mobilization after CS is crucial to accelerate recovery and prevent complications. The Enhanced Recovery After Caesarean Surgery (ERACS) method is a modern approach aimed at enhancing recovery through multimodal pain management and early mobilization. This study aimed to investigate the effect of the ERACS method on early mobilization in post-caesarean section mothers. This research employed a quantitative design with a one-group post-test only approach. The study population comprised postpartum mothers following CS at Islamic Hospital (RSI) Al-Ikhlas Pemalang. A total of 50 respondents were selected using purposive sampling. Data were collected using observation sheets and analysed using a one-sample t-test. The results showed that the majority of respondents (78%) achieved independent early mobilization, with a statistically significant p-value of 0.000, indicating a meaningful effect. This study consists of viii (8) pages of introduction, 72 pages of main discussion, 5 data tables, 2 conceptual framework diagrams, and 8 supporting appendices. In conclusion, the ERACS method has a positive effect on early mobilization in post-caesarean section mothers.
Pengaruh Pemberian Pijat Oksitosin untuk Memicu Produksi Asi pada Ibu Post Partum Natalia Yeni; Ellyzabeth Sukmawati; Eddy Wibowo
Vitalitas Medis : Jurnal Kesehatan dan Kedokteran Vol. 3 No. 1 (2026): Januari: Vitalitas Medis : Jurnal Kesehatan dan Kedokteran
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62383/vimed.v3i1.2533

Abstract

Oxytocin massage is a technique used to stimulate the release of the hormone oxytocin, which plays a vital role in breastfeeding. Spinal massage stimulates the parasympathetic nervous system, which then triggers the release of oxytocin. This hormone causes contractions in the muscle cells surrounding the milk ducts, thereby promoting breast milk production. The purpose of this study was to determine the effect of oxytocin massage on increasing breast milk production in postpartum mothers. This study used a quantitative design with a quasi-experimental approach, namely a one-group pretest-posttest design. The study population was postpartum mothers with breast milk flow problems at the Bandarharjo Community Health Center, Semarang City. The sampling technique used was purposive sampling, where researchers selected samples based on certain characteristics. Data collection was carried out using a questionnaire. Data analysis used the Chi-Square test. The results of the study showed that the calculated Chi-Square value on the first day (62,000) was greater than the Chi-Square table (12,591), on the second day (54,866 > 23,684), and the third day (58,117 > 32,670). Based on these results, H0 was rejected and Ha was accepted, which means there was a significant effect of oxytocin massage on the smooth production of breast milk in postpartum mothers at the Bandarharjo Community Health Center.
Analisis cakupan dan skrining dan kejadian anemia pada remaja putri Imanah, Norif Didik Nur; Raharjo, Bambang Budi; Sukmawati, Ellyzabeth
Jurnal Asuhan Kebidanan Vol 6 No 01 (2025): Journal of Midwifery Care
Publisher : Lembaga Penelitian Sekolah Tinggi Ilmu Kesehatan Kuningan Garawangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34305/84z7ya32

Abstract

Latar Belakang: Anemia pada remaja putri merupakan masalah gizi yang masih signifikan di Indonesia, terutama akibat kekurangan zat besi selama masa pertumbuhan dan menstruasi. Penelitian ini bertujuan menganalisis cakupan skrining dan kejadian anemia pada remaja putri.Metode: Desain penelitian menggunakan pendekatan deskriptif kuantitatif dengan data sekunder dari Dinas Kesehatan Kabupaten Cilacap. Data dianalisis untuk melihat proporsi cakupan skrining hemoglobin serta distribusi tingkat keparahan anemia berdasarkan jenjang pendidikan.Hasil: Prevalensi anemia mencapai 9,65 %, terdiri atas 9,24 % pada kelas VII dan 10,16 % pada kelas X. Berdasarkan tingkat keparahan, 66,7 % termasuk anemia ringan, 30,9 % sedang, dan 2,4 % berat.Kesimpulan: kegiatan skrining di Cilacap berjalan baik, namun upaya promotif dan preventif harus diperkuat agar kejadian anemia dapat ditekan secara berkelanjutan melalui kolaborasi lintas sektor antara sekolah, keluarga, dan layanan kesehatan.
The Role of Accompaniment in Reducing Anxiety of Pregnant Women Ahead of Childbirth Sukmawati, Ellyzabeth
International Journal of Public Health Excellence (IJPHE) Vol. 5 No. 2 (2026): January-May
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v5i2.1734

Abstract

Anxiety during pregnancy, particularly approaching childbirth, is a common psychological condition that may negatively affect maternal well-being and fetal outcomes. Elevated anxiety has been associated with adverse consequences such as prolonged labor, increased operative delivery, and higher risk of preterm birth. Therefore, an adequate support system—including partners, family members, and healthcare providers—plays a crucial role in helping pregnant women cope with emotional distress and enhancing childbirth readiness. This study aims to examine the role of support systems in reducing anxiety among pregnant women through a systematic review approach. Literature was searched across major databases, including MEDLINE, Embase, and Google Scholar, using keywords related to pregnancy anxiety, social support, partner support, and psychological interventions. Eligible studies were original research articles published in English or Indonesian between 2000 and 2023, available in full text. Findings from the included studies were synthesized narratively. The review indicates that partner (husband) support is consistently associated with lower anxiety levels, improved maternal confidence, and better preparedness for childbirth. Family support, counseling, and educational interventions also contribute to increased self-efficacy and adherence to antenatal care. In conclusion, a strong and coordinated support system is essential in mitigating anxiety during pregnancy and promoting positive maternal outcomes.
Pemberian Pelatihan pada Kader Kesehatan tentang Pijat Oketani Guna Proses Kelancaran Pemberian ASI Ibu Menyusui Ellyzabeth Sukmawati; Dahlia Arief Rantauni; Norif Didik Nur Imanah
Poltekita: Jurnal Pengabdian Masyarakat Vol. 6 No. 2 (2025)
Publisher : Pusat Penelitian & Pengabdian Masyarakat Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/pjpm.v6i2.2029

Abstract

The purpose of implementing community service activities is to provide skills to health cadres about the Oketani massage technique as one of the techniques to facilitate the process of breast milk production. The method of implementing this service is carried out by providing training through lectures, discussions and questions and answers with the help of powerpoint media, mannequins and videos. The technique of measuring the achievement of the implementation of activities is carried out by measuring knowledge in pre and post test. The place where the service activities were carried out was carried out in Maos District, Cilacap Regency with a total of 50 health cadre participants with a time allocation from March to September 2024. The result of the activity was the Oketani massage training which is one of the alternatives for breastfeeding mothers to smooth the milk production process with massage techniques. The results of the pre-test and post-test assessments showed an increase in scores, which was an indicator of the success of this community service activity. The increase in knowledge of posyandu cadres is expected to be disseminated to the wider community, so as to have a wider positive impact. This activity has important implications in making a positive contribution to improving the knowledge of health cadres, which in turn can help solve maternal problems in terms of breastfeeding. Thus, this community service activity is not only beneficial for posyandu cadres, but also has the potential to improve the health of mothers and children in the community as a whole.
IMPLEMENTASI PROGRAM PENDIDIKAN KESEHATAN SEBAGAI UPAYA MENINGKATKAN PENGETAHUAN REMAJA TENTANG INFEKSI MENULAR SEKSUAL Mariyana, Widya; Sukmawati, Ellyzabeth; Qomariyah, Qomariyah
SEHAT : Jurnal Kesehatan Terpadu Vol. 5 No. 2 (2026)
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/s-jkt.v5i2.58010

Abstract

Remaja  merupakan kelompok usia  yang rentan terhadap berbagai  permasalahan kesehatan, termasuk infeksi menular seksual (IMS), akibat rendahnya tingkat pengetahuan dan keterbatasan akses informasi. Penelitian ini  bertujuan  untuk  menganalisis  efektivitas  pendidikan  kesehatan  dalam  meningkatkan  pengetahuan  remaja tentang  IMS  di  SMK  Tamansiswa  Boja  Kendal.  Desain  penelitian  menggunakan  pendekatan  kuantitatif  pre-eksperimental  dengan  rancangan one  group  pretest-posttest  design.  Sampel  terdiri  dari  32  siswa  yang  dipilih melalui  teknik accidental  sampling.  Intervensi  dilakukan  dalam  bentuk  pendidikan  kesehatan  menggunakan media booklet dan poster. Data dikumpulkan melalui kuesioner dan dianalisis menggunakan uji Wilcoxon. Hasil penelitian menunjukkan peningkatan tingkat pengetahuan secara menyeluruh setelah intervensi: sebelum edukasi, 96,9%  responden  memiliki  pengetahuan  kurang,  dan  hanya  3,1%  cukup;  setelah  edukasi,  100%  responden menunjukkan pengetahuan baik. Uji Wilcoxon menghasilkan nilai p = 0.000 (p < 0.05), yang menunjukkan adanya perbedaan yang bermakna sebelum dan sesudah pendidikan kesehatan diberikan. Temuan ini membuktikan bahwa pendidikan kesehatan efektif dalam meningkatkan pemahaman remaja tentang IMS. Program serupa disarankan diterapkan  secara  rutin  dalam  institusi  pendidikan  sebagai  upaya  preventif  dan  promotif  kesehatan  reproduksi remaja.
Co-Authors Achmad Solechan Agustiningsih, Ita Akhmad Ramli Aksar , Septi Tri Aksari , Septi Tri Aksari, Septi Tri Amaliah, Lili Ansar CS Anugrah Wulandari Ardiana Batubara Arifin Arifin Astika AyuningTyas, Astika Bambang Budi Raharjo Bredyna Agnesiana Bredyna Agnesiana Budi Priyanto Dahlia Arief Rantauni Dahlia Arief Rantauni Dahlia Arief Rantauni Dahlia Arief Rantauni Dahlia Arief Rantauni Dahlia Arif Rantauni Desi Soraya Devin Mahendika Diana Dwi Lestari Diana Sriyani Didik Cahyono Didik Nur Imanah, Norif Eddy Wibowo Efendi Efendi Eni, Eka Fitri Failuna Azizah Heni Rusmitasari Imanah , Norif Didik Nur Imanah, Norif Didik Nur Imtitsal, Inas Indah Sulistyoningrum Indah Sulistyoningrum Iwan Adhicandra Kartini Marzuki Khomsah, Yuli Sya’baniah Linda Suwarni Maretalinia, Maretalinia Marshanda Qisty Prabasari Muhajir Musa Nafisatul Khoiriah Rapi Natalia Yeni Nisa, Dias Choirun Noeraini, I’ien Norif Didik Nur Imah Norif Didik Nur Imamah Norif Didik Nur Imanah Norif Didik Nur Imanah Norif Didik Nur Imanah Norif Didik Nur Imanah Norif Didik Nur Imanah Norif Didik Nur Imanah, Norif Didik Nur Imanah Norif Didik Nurimanah Nur Afifah Harahap Nur Imanah, Norif Didik Nur Silvia Nurhasanah Nurhasanah Nurhasanah Nurhasanah Nuridin Widya Pranoto Nurwijayanti Kusumaningrum Oki Candra QOMARIYAH Qomariyah Qomariyah Rahmawati, Rahmawati Rantauni, Dahlia Arief Rini Rochayati Risa Intan Fitriyani Risnawati Risnawati Rony Sandra Yofa Zebua Ropitasari Ropitasari Rusmiyati Rusmiyati, Rusmiyati Septi Tri Aksari Sucahyo, Nur Sudiniasih Sulistyaningrum, Danny Putri Sumarni Rumfot Supriatin Supriatin, Supriatin Susanto Susanto Suwariyah, Puji Titi Alfiani Titi Alfiani Trihadi, Dayat Umi Fatonah Wahyuni, Nuniek Tri Weraman, Pius Widya Mariyana, Widya Yoesoep Edhie Rachmad Yuli Sya’baniah Yuli Sya’baniah K Yuli Sya’Baniah Khomsah Zulkifli Zulkifli