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Journal : Journal of Maternal and Child Health

Husband Support on BOM Massage Practice and Reducing Fatigue in Post Partum Mothers Umarianti, Tresia; Putriningrum, Rahajeng; Prasetyoningsih, Aris; Prasetyo, Budi
Journal of Maternal and Child Health Vol. 6 No. 5 (2021)
Publisher : Journal of Maternal and Child Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (34.059 KB)

Abstract

Background: BOM massage is a combination of ways to treat breasts so that breast milk can produce and provide relaxation to postpartum mothers. Mothers after giving birth may experience psychological fatigue related to anxiety or depression which can hinder the smooth flow of breast milk. The support of the husband and close family will greatly help the process of comfort and relaxation of the mother during the process of undergoing the postpartum period. This study aims to determine the effect of husband's assistance in the implementation of BOM messages on the level of fatigue of postpartum mothers.Subjects and Method: This research is an analytic experimental study with RCT (Randomized Controlled Trial) design. The research was conducted at PMB Ngudi Saras Palur Karanganyar. The research subjects were 44 postpartum mothers, which were divided into 22 with husband's assistance and 22 others without husband's assistance. The sampling method is purposive sampling. Data were analyzed using independent-sample t-test.Results: Fatigue test results in the intervention group were lower (Mean= 2.82; SD= 1.05) compared to the control group (Mean= 7.14; SD= 1.04). Statistical test Independent-Sample T-test has an effect size of 4.13 and there is an effect with a p<0.001.Conclusion: Husband's assistance in the implementation of BOM Massage has an effect on the level of fatigue of postpartum mothers in Palur Karanganyar.Keywords: husband assistance, BOM massage, fatigue, postpartum mothersCorrespondence: Tresia Umarianti. Graduate Program of Midwivery, Universitas Kusuma Husada, Surakarta. Email: t27a.umarianti@gmail.com. Mobile: +628112630416.Journal of Maternal and Child Health (2021), 06(05): 533-538https://doi.org/10.26911/thejmch.2021.06.05.03
Analysis of Caesarean Section Rates and Source of Payment Using the Robson Classification System Nurhayati, Fitasari Nidia; Prasetyo, Budi; Miftahussurur, Muhammad
Journal of Maternal and Child Health Vol. 8 No. 1 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (34.546 KB) | DOI: 10.26911/thejmch.2023.08.01.01

Abstract

Background: Sectio caesarea delivery is the last alternative to save the mother and fetus when normal delivery is not possible. The increase in caesarean section worldwide has become a major public health problem, so it is necessary to supervise to reduce the number of caesarean sections that are considered unnecessary, one of which is through the Robson Classification. The existence of health insurance for the people of Indonesia, including BPJS which covers the costs of sectio caesarea, makes it possible to increase the incidence of sectio caesarea. The aim of the study was to analyze the incidence of sectio caesarea and financing status based on Robson's classification at Muhammadiyah Babat Hospital. Subjects and Method: This study used a retrospective observational analytic method with a cross sectional design. The research sample was mothers giving birth at Muhammadiyah Babat Hospital who were included in the inclusion criteria and were taken through a total sampling technique of 127 mothers giving birth. The dependent variable is sectio caesarea. The independent variable is financing status. The instrument used was medical record data collected in collection sheets and analyzed using the Chi Square test. Results: A total of 87 (68.5%) subjects gave birth by sectio caesarea with the prevalence of the Robson group 2, 4, and 5 as the main contributor. A total of 64 (63.4%) subjects gave birth by sectio caesarea with BPJS financing status. The results of the chi-square analysis showed that mothers with BPJS financing status reduced the incidence of sectio caesarea, and it was statistically significant (OR= 0.23; 95% CI= 0.06 to 0.80; p= 0.026). Conclusion: The data shows that the incidence of sectio caesarea is still very high and most are in the Robson group 1-5 with BPJS financing status. Based on Robson's grouping results, there is a relationship between financing status and the incidence of sectio caesarea, BPJS financing status reduces the incidence of caesarean section. Keywords: sectio caesarea, robson classification, financing status. Correspondence: Budi Prasetyo. Department of Obstetrics and Gynecology, Facullty of Medicine, Universitas Airlangga, Indonesia, Jl. Mayjen Pro. Dr. Moestopo No. 47, Pacar Kembang, Tambaksari, Surabaya 60132, East Java, Indonesia. Email: budi-p@fk.unair.ac.id.  Mobile: +6281553019486