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PENGARUH HIPNOSIS PADA IBU BERSALIN PRIMIGRAVIDA TERHADAP APGAR SKOR BAYI BARU LAHIR DI BPM NY. M DESA TARUB KEC.TAWANGHARJO - GROBOGAN Laili Nurul Ngaziz; Melyana Nurul Widyawati; Lia Mulyanti
Jurnal Kebidanan Vol 1, No 1 (2012): JURNAL KEBIDANAN
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (133.475 KB) | DOI: 10.26714/jk.1.1.2012.47-52

Abstract

Penilaian apgar sangat penting karena untuk meminimalkan asfiksia pada bayi yang merupakan kelanjutan dari nilai apgar yang rendah. Pada waktu persalinan denyut jantung bayi juga harus di pantau dengan dopler atau linek untuk mengetahui kesejahteraan janin dalam kandungan. Jenis penelitian ini adalah eksperimental yang bertujuan untuk mengetahui ada atau tidaknya pengaruh hipnosis pada ibu bersalin primigravida terhadap apgar skor bayi baru lahir. Penelitian yang digunakan adalah praeksperimen dengan pendekatan static groupcomparison yaitu suatu rancangan penelitian yang menggunakan dua kelompok subyek diantaranya kelompok perlakuan dan kelompok kontrol. Efek perlakuan dilihat dari perbedaan pengukuran kedua kelompok. Dari analisis univariat didapat hasil dari distribusi responden berdasarkan apgar skor bayi baru lahir pada persalinan normal yang tidakdilakukan hipnosis (kelompok kontrol) bahwa bayi yang mengalami asfiksia ringan sebanyak 10 bayi (67%) dengan nilai apgar 4-6, bayi yang tidak mengalami asfiksia atau normal sebanyak 5 bayi (33%) dengan nilai apgar 7-10 . Sedangkan distribusi responden berdasarkan apgar skor bayi baru lahir pada persalinan normal yang dilakukan hipnosis (kelompok perlakuan) di dapat hasil bahwa semua bayi (100%) mempunyai nilai apgar normal yaitu dengan nilai apgar 7-10. Dari analisis bivariat uji Mann-Whiney didapat nilai p 0.000 yang berarti ada pengaruh yang signifikan dari hipnosis terhadap apgar skor bayi baru lahir padaibu bersalin primigravida.
PENGARUH ENDORPHIN MASSAGE TERHADAP INTENSITAS NYERI KALA I PERSALINAN NORMAL IBU PRIMIPARA DI BPS S DAN B DEMAK TAHUN 2011 Iin Nur Azizah; Melyana Nurul Widyawati; Novita Nining Anggraini
Jurnal Kebidanan Vol 2, No 1 (2013): JURNAL KEBIDANAN
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (53.51 KB) | DOI: 10.26714/jk.2.1.2013.%p

Abstract

Ibu bersalin primipara di BPS S rata-rata 17 tiap bulan, sedangkan di BPS B sebanyak 14 ibu bersalin primipara. Di kedua BPS tersebut ditemukan kasus ibu primipara merasakan nyeri yang sangat hebat saat kala I. Bahkan pada ibu primipara tidak tahan dengan nyeri yang dirasakan Pada saat ibu merasakan nyeri yang sangat dan kecemasan yang memuncak dapat berakibat trauma bagi ibu maupun janin. Di BPS tersebut belum memberikan terapi non-farmakologi seperti Endorphin Massage kepada ibu hamil saat melahirkan, sehingga ibu terus merasakan nyeri saat melahirkan. Mengetahui pengaruh endorphin massage terhadap intensitas nyeri kala I persalinan normal ibu primipara di BPS S dan B Demak. Jenis penelitian ini quasi eksperimental design, rancangan yang digunakan adalah posttest only control group design. Populasi dan sampel adalah semua ibu bersalin primipara di BPS S dan B Demak pada bulan Juli 2011 sebanyak 30 orang dengan teknik purposive sampling. Analisa data yang digunakan adalah independent t test. Nyeri persalinan pada kelompok kontrol sebagian besar mengalami nyeri berat sebanyak 10 orang (66,7%). Responden yang mengalami nyeri sedang sebanyak 4 orang (26,7%), dan nyeri sangat berat sebanyak 1 orang (6,7%). Nyeri persalinan pada kelompok perlakuan sebagian besar mengalami nyeri ringan sebanyak 9 orang (60,0%). Responden yang mengalami nyeri sedang sebanyak 4 orang (26,7%) dan nyeri berat sebanyak 2 orang (13,3%). Ada pengaruh endorphin massage terhadap intensitas nyeri kala I persalinan normal ibu primipara di BPS S dan B Demak (p value = 0,000 < 0,05). Ada pengaruh Endorphin Massage terhadap intensitas nyeri kala I persalinan normal ibu primipara di BPS S dan B Demak Tahun 2011 Kata kunci: Pengaruh Endophin Massage, Intensitas Nyeri Kala I
INCREASING COMPETENCE OF MIDWIFERY STUDENTS IN PERINEAL WOUND SUTURING USING LOW COST MODEL MADE FROM FLANNEL FABRIC Rery Kurniawati Danu Iswantoro; Nani Yuningsih; Ayi Tansah Rohaeti; Melyana Nurul Widyawati
Proceedings of the International Conference on Applied Science and Health No. 2 (2017)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Abstract

Background: Competence of postpartum perineum wound suturing should be owned by midwives. However, students are limitedly trained on how to use cotton pads that are less representative in form and material. This results in a lack of student competence in perineum stitching practice. Aims: This study goal is to know the effectiveness of perineum wound suturing model made from flannel in order to increase stitching competence on the students of Midwifery study program of Banten Health Polytechnic. Methods: This research was designed using experimental design with post-test design method. The respondents consisted of 11 treatment group and 14 control group. The research implementation consisted of three stages. First, an introduction to the perineum wound sewing technique. Second, the model group practiced with flannel and cotton. Third, the respondents filled up the questionnaire on level of confidence and competence assessment of both groups of students. Data analysis used Mann Whitney test because the median difference of two independent groups if the dependent variable data scale is ordinal and ratio. Results: The results showed that the mean of perineum wound suturing competence in the model group was higher (83) than in the non-model group (74). The statistical test results obtained p = 0.002 which means that there was a significant difference in the competency of both groups. At the self confidence level of the respondents in performing perineum wound suturing, both groups had the same mean (4) with p = 0.651. At the time of perineum wound suturing, it is known that the model group mean was slightly faster (20 minutes) than the non-model group (22 minutes) with p = 0.978. There were no significant differences between the two variables. Conclusion: The study showed that the test model was better in improving the competence of the perineum wound suturing. Flannel model is also more affordable and can be sutured over and over so it is economical for students. Further study on efficient media is recommended so that duration and confidence would be better. 
COMPREHENSIVE THERAPY FOR POLYCYSTIC OVARY SYNDROME: KEY POINTS TO IMPROVE QUALITY OF LIFE Noviyati Rahardjo Putri; Melyana Nurul Widyawati
Proceedings of the International Conference on Applied Science and Health No. 4 (2019)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Abstract

Background: Polycystic Ovary Syndrome (PCOS) is an endocrine disorder that affects the hypothalamus, pituitary, and ovary. PCOS prevalence has increased from 4 –6% to 8 –10%. This syndrome results in both physical illnesses and psychological disorders. Women with PCOS tend to be more prone to psychological disorders compared to healthy women. PCOS increases the risk of anxiety by 7 folds. This study aims to analyze measures to reduce psychological disorders caused by PCOS based on numerous psychological disorder parameters and hormonal biomarkers with psychological therapies.Methodology: This study is based on the PRISMA protocol guidelines. The literature review was performed by accessing ScienceDirect, PubMed, Sage Publications and Google Scholar. The inclusion criteria for the articles are full-text papers written by English from 2009 to 2018. The keywords used to find suitable articles are “anxiety, stress, distress, depression, and quality of life management in polycystic ovary syndrome”. Nine articles were subsequently reviewed.Results: Psychological therapies that can be applied for PCOS include holistic yoga, acupuncture, spiritual guidance, mindfulness stress management, relaxation, and guided imagery, progressive muscle relaxation and administration of herbal, probiotic and selenium medication. Those therapies have proven to lower anxiety, stress, depression, and psychological fatigue as they were measured using instruments of Montgomery Åsberg Depression Rating Scale (MADRS-S), Brief Scale for Anxiety (BSA- S), Swedish Short-Form36 (SF-36), PCOS Questionnaire (PCOSQ), Beck Depression Inventory, DASS 21 and STAI. Meanwhile, observed biomarker responses include lower levels of cortisol, adrenalin, testosterone, and malondialdehyde (MDA) and a higher level of endorphin. Conclusion: Psychological therapies for PCOS have proven to lower psychological disorders as measured by numerous parameters and biomarkers. Therefore, psychological therapies have to be further developed to decrease psychological disorders because of Polycystic Ovary Syndrome. Such as symptoms of anxiety and prevent deterioration of social mental health.
RISK FACTORS ASSOCIATED WITH PRECANCEROUS LESION Lutfiana Kusumaningrum; Sa’adah Mujahidah; Melyana Nurul Widyawati; Bahiyatun Bahiyatun
Proceedings of the International Conference on Applied Science and Health No. 2 (2017)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Abstract

Background: Visual inspection acetic acid (VIA) can be a substitute method for early detection of Precancerous lesion of cervical cancer. Therefore, efforts should be made for prevention to increase community awareness in recognizing the risk factors of cervical cancer so that it can determine the steps of prevention and early detection. Aims: This research is to determine the risk factors associated with precancerous lesion, a study case- control in Health Center of Semarang City Year 2016). Methods: This research is an observational analytic study with case-control design with retrospective study. The sample selection was using a simple random sampling method. The number of respondents is 98 people from 474 people doing the VIA inspection in January 2016 to December 2016, which passed the inclusion and exclusion criteria and divided into two groups, 13 people in case and 86 people in control group. Results: There is a relationship between the results of the examination of the precancerous lesion with the risk factor of the number of respondent marriages (P- 0.038), husband historical marriage (P-0.000), smoking exposure (P-0.000). Conclusion: Risk factors associated with the results of the examination precancerous lesion are the number of responden marriages, husband historical marriage, smoking exposure. 
The Effect of Acuyoga on Fetal Heart among Pregnant Women with Hypertension Hindun Mila Hudzaifah; Melyana Nurul Widyawati; Ta’adi Ta’adi
International Journal of Nursing and Health Services (IJNHS) Vol. 3 No. 1 (2020): International Journal of Nursing and Health Services (IJHNS)
Publisher : Alta Dharma Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (285.663 KB) | DOI: 10.35654/ijnhs.v3i1.192

Abstract

Acuyoga is a non-pharmacological therapy that has the benefit of accelerating blood circulation to the fetus. The study aimed to examine the effect of Acuyoga to fetal heart rate among pregnant women with hypertension. We conduct a quasi-experimental, pretest and posttest with control group design. Thirty total was allocated in the experimental and control groups. Each group consisted of 15 respondents. Patients in the experimental group received the Acuyoga postpartum awhile control group received the prenatal yoga. the intervention was carried out twice a week for four weeks with a duration of sixty minutes. The results of the dependent statistical test showed an average Fetal Heart Rate test before intervention in the experimental group of 133.47x/minute and after the intervention was given to 146.27 x/minute increasing of 12.8 x/minute. Independent t-test results obtained p-value 0.015 (<0.050). The size of the Cohen d effect is 0.94, which means that acuyoga is very effective in reducing fetal heart rate. Acuyoga for twice a week for four weeks with a duration of sixty minutes was effective to increase fetal heart rate in pregnant women with hypertension
THE EFFECTIVENESS OF POSTPARTUM YOGA ON UTERINE INVOLUTION AMONG POSTPARTUM WOMEN IN INDONESIA Ni Putu Dian Ayu Anggraeni; Lucky Herawati; Melyana Nurul Widyawati
International Journal of Nursing and Health Services (IJNHS) Vol. 2 No. 3 (2019): International Journal of Nursing and Health Services (IJHNS)
Publisher : Alta Dharma Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (258.922 KB) | DOI: 10.35654/ijnhs.v2i3.164

Abstract

Sub uterine involution is one of the pathological symptoms of the postpartum period, which causes complications. This is indicated by the size of the fundus uterine, which is greater than the normal size and elongated outflow of lochia. One of the non-pharmacological methods for preventing sub uterine involution is postpartum yoga which focuses on physical and breathing exercises, strengthening of the pelvic floor muscles, and relaxation of autosuggestions. The study aimed to analyze the effectiveness of postpartum yoga on uterine involution. A quasi-experimental, pre-test and post-test with the control group was applied in this study. Thirty-eight postpartum women received postpartum yoga as the intervention group. The control group was comprised of 19 women. The gain score of uterine involution in the intervention group was 9.14 ± 1.27 and in the control group 7.20 ± 1.11. The Cohen’s effect size test is 1.63. The result of the mann whitney test showed that there was a significant difference between the intervention group and the control group with p value 0,000. The result of determination (R Square), postpartum yoga had an effect of 40.3% on uterine involution after being controlled simultaneously with parity, frequency of breastfeeding, and anxiety. Postpartum yoga is effective to strengthen the uterine muscles, facilitate blood circulation, and stimulate neurohormonal so it could accelerate uterine involution. Further studies could measure of fundus uterine daily. Future researchers can develop postpartum yoga research with other variables such as anxiety, urinary incontinence, quality of life for postpartum women, and hormonal variables including oxytocin, endorphins, and cortisol. Keywords: postpartum yoga, postpartum period, postpartum exercise, uterine involution
METHODS OF POSTPARTUM BLOOD LOSS MEASUREMENT IN INDONESIA SHOULD BE MODIFIED FOR BETTER ACCURACY: A LITERATURE REVIEW Siska Febrina Fauziah; Melyana Nurul Widyawati; Tecky Afifah Santy Amartha
Proceedings of the International Conference on Applied Science and Health No. 2 (2017)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Abstract

Backgrounds: Assessment of blood loss after delivery is important because intervention in the “golden hour” is crucial to prevent maternal morbidity and mortality. In fact, the biggest obstacle in overcoming postpartum blood loss are symptom recognition, accuracy, and timely diagnosis. Aims: The objective of this study was to analyze the strengths and weaknesses between visual estimation and quantification of blood loss measurements. Methods: Literature review was conducted using the electronic databases Science Direct, Pubmed, and Google Scholar. Measurement of blood loss and postpartum hemorrhage was used as keywords in searching strategy. A total of 23 from 17.200 of publications range from 2010 until May 2017 and presented in English language were included in this review. Results: Many studies show that quantification of blood loss method is better than visual estimation. Visual estimation of blood loss was imprecise, tend to underestimate blood loss, and thus to delay diagnosis of PPH, whilst quantification of blood loss more accurate and objective. Nonetheless, quantification methods not used routinely due to their unavailability, more time consuming, complicated, costly, and analyst workload increases. Conclusions: Modified measurement method and its existing protocol needed to overcome blood loss during postpartum. 
THE EFFECT OF IRON POLYMALTOSE COMPLEX TABLET ADMINISTRATION TO INCREASE HEMOGLOBIN LEVEL AMONG PREGNANT WOMEN WITH ANEMIA Cahyaning Puji Astuti; Melyana Nurul Widyawati; Sri Endang Pujiastuti
Proceedings of the International Conference on Applied Science and Health No. 2 (2017)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Abstract

Background: Anemia is a major cause of bleeding due to iron deficiency. Iron tablets which contain 60 mg of Ferrous Sulphate and 0.25 mg of folic acid did not show good results in changing the body’s iron level and there are many perceived side effects. However, there is now exists an oral iron tablets in the form of available salt compounds of ferrous fumarate, ferrous sulphate, and ferrous gluconate. These tablets contain iron hydroxide polymaltose complex (III) or better known as IPC (Iron Polymaltose Complex) and have minimal side effects. Aims: To understand the effect of IPC tablets in increasing the hemoglobin level in pregnant women with anemia. Methods: This study used quantitative study with pre-experimental design, or experiments that have not been applied in real terms. This study used non-probability sampling technique and purposive sampling for the selected sample. The sample were 35 people based on the inclusion criteria. The design used was one group pre-test – post-test approach without the control group. The subjects undertook the anemia examination on the first day (pre-test) and afterwards were administered 100mg IPC tablets daily for the next 30 days. In the end of the intervention, the subjects were re-examined and the results were compared (post-test). Results: The study showed that there is a significant increase of hemoglobin level in pregnant women with anemia with p value = 0.023 (p<0.05) after the intervention in the form of IPC tablet administration was conducted for 30 days. Conclusion: The intervention performed in administration of IPC tablets for pregnant women with anemia showed a significant increase of hemoglobin level before and after the provision of IPC tablets. 
PERIODONTITIS IN PREGNANCY AS RISK FACTORS OF PREECLAMPSIA : A LITERATURE REVIEW Nur Fitriyah; Melyana Nurul Widyawati
Proceedings of the International Conference on Applied Science and Health No. 2 (2017)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Background: Periodontitis may indicate the presence of chronic endotoxin inflammatory disease and cytokines, which are considered as risk factors for systemic diseases such as cardiovascular disease, atherosclerosis, and cerebrovascular ischemia. Maternal periodontitis substitutes a potential microorganism that can penetrate the circulation, directly or indirectly has the capacity to affect the health of the mother and fetus. Preeclampsia is associated with an abnormal maternal cytokine response, such as elevated tumor necrosis tumor (TNF)-α, interleukin (IL)-1 and 6 levels that cause endothelial damage to the placenta. Aims: Reviewing epidemiological associations between periodontitis and preeclampsia Methods: The method used in this paper is literature review. Literature searches were conducted using the electronic databases Science Direct and Google Scholar. Results: Many studies showed that periodontitis is a risk factor for the occurrence of preeclampsia. Periodontal disease is known to cause systemic inflammation early in pregnancy through increased IL-6 mechanism and increased systemic CRP, during pregnancy the increased progesterone hormone causes greater vascular permeability, stimulates the production of prostaglandins that can cause inflammation, and can decrease the regulation of interleukin-6 production that is less resistant to bacterial inflammation. Conclussion: The guidance of maintaining the dental and oral health of pregnant and under-five mothers published by the government can be developed into a strategic and innovative program to increase community interest to regularly check the health of teeth to health facilities.