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Socio-Cultural Potential for Low Delivery Assistance by Nakes in Working Area of the Bibida Health Center, Paniai Regency, Central Papua Amir, Aprima Yona; Sari, Silvie Permata; Rozyka, Fafelia; Herayono, Febby
International Journal of Multidisciplinary Approach Research and Science Том 2 № 02 (2024): International Journal of Multidisciplinary Approach Research and Science
Publisher : Pt. Riset Press International

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59653/ijmars.v2i02.700

Abstract

One method that can reduce maternal and newborn mortality rates is delivery carried out by health workers. Most maternal and newborn complications and deaths occur during the labor period. This happens because the assistance is provided by health workers who do not have midwifery (professional) competence. This study aims to identify factors that contribute to the low level of delivery assistance by health workers in the Bibida Community Health Center working area. In 2021, 56.3 percent of births will be assisted by health workers, and 32% will be at the Bibida Community Health Center. Quantitative research was conducted using a cross-sectional analytical design. The research was conducted in the Bibida Community Health Center working area in Paniai Regency, Central Papua, from October 2023 to November 2023. This research involved all mothers who had just given birth who were in the Bibida Community Health Center working area during July, August and September. The total population technique was used to collect 35 samples. Use of computerization to process univariate and bivariate data. Research resultdelivery assistance by non-health workers 62.9% andculture does not support 51.4%. With p value=0.000, the results of statistical analysis show that there is a socio-cultural relationship. It is recommended that pregnant women give birth at health workers and in health facilities. In addition, it is important for midwives to work together with local community leaders and related sectors in encouraging people to give birth with health workers.
Administration Effect of Lemon Aroma Therapy on Pain Reduction with Women in the 1st Active Phase Sari, Silvie Permata; Amir, Aprima Yona; Rozyka, Fafelia; Herayono, Febby
International Journal of Multidisciplinary Approach Research and Science Том 2 № 02 (2024): International Journal of Multidisciplinary Approach Research and Science
Publisher : Pt. Riset Press International

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59653/ijmars.v2i02.729

Abstract

Pain during labor is a natural process caused by cervical dilatation, hypoxia of the uterine muscles during contractions, ischemia of the uterine corpus, stretching of the lower uterine segment, and compression of the cervical nerves. If labor pain occurs pathologically, it can trigger complications in pregnancy, one of which is prolonged labor. Data from the World Health Organization (WHO) in 2020 show that the maternal mortality rate is still high, with 295,000 women dying due to complications during pregnancy and childbirth. Prolonged labor is one of the fifth causes of maternal death in the world, accounting for 8.5% of cases. Pain can be relieved pharmacologically and non-pharmacologically, with one non-pharmacological method being lemon aromatherapy. This study aims to determine the effect of lemon aromatherapy on reducing pain intensity in the active phase of the first stage of labor at Painan Hospital in 2023.This research used a quasi-experimental design with a non-equivalent control group pretest-posttest. The study was conducted in July 2023, using both primary and secondary data. The sample consisted of 30 respondents selected through total sampling techniques. Data analysis was performed using Wilcoxon and Mann-Whitney non-parametric statistical analysis techniques.The results of the study showed that most participants in the intervention group experienced controlled severe pain before and after the intervention, while the control group mostly experienced moderate pain before the intervention and uncontrolled severe pain after the intervention. The Mann-Whitney test indicated a significant difference in pain intensity between the intervention and control groups, with a p-value of 0.000 < α (0.05), leading to the rejection of the null hypothesis.The researchers recommend that health services provide support to mothers experiencing pain during labor to ensure a comfortable birthing process.
The Effect of Magnesium Sulfate on Contraction of Pregnant Women with Cases of Partus Premature Imminent in District General Hospitals Mentawai Islands Rozyka, Fafelia; Permata, Silvie; Yona, Thins; Herayono, Febby
International Journal of Multidisciplinary Approach Research and Science Том 2 № 02 (2024): International Journal of Multidisciplinary Approach Research and Science
Publisher : Pt. Riset Press International

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59653/ijmars.v2i02.758

Abstract

In 2020, it was recorded that the number of neonatal deaths in West Sumatra was 104, with 18 cases being the cause of prematurity, where the Mentawai Islands district had the highest ranking of neonate deaths with 44 deaths and 10 cases being the cause of prematurity. This research aims to determine the effect of administering magnesium sulfate therapy on contractions of pregnant women in cases of imminent premature labour at the Mentawai Islands District Hospital in 2021. This type of research is pre-experimental with a Grup Pretest-Post Test design because in this study a random sample was not carried out by taking samples from secondary data retrospectively. Data taken came from medical records of inpatients who had a diagnosis of premature labour (ICD Total sampling was taken with a total sample size of 48, and statistical data analysis using the McNemar test. Data from 48 research subjects experienced contractions and received magnesium sulfate therapy. During monitoring after administering magnesium sulfate, 3 subjects still experienced contractions and 45 subjects did not experience contractions. Uterine contractions occurred significantly more before magnesium sulfate therapy than after magnesium sulfate therapy (P<0.005). There is a significant relationship between administering magnesium sulfate to patients with preterm labour to stop uterine contractions at the Mentawai Islands District Hospital. Apart from being a tocolytic therapy, magnesium sulfate also has a neuroprotectant effect so it is highly recommended for therapy in cases of premature parturition.