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FOOT REFLEXOLOGY FOR WOMEN AND FETAL WELLBEING IN LABOR : A REVIEW Riska Ismawati Hakim; Nahdiyah Karimah; Putri M Saptyani; Sri Wahyuni M
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: The secretion of catecholamine and epinephrine due to excessive fear and anxiety during labor will increase the intensity of pain and potentially prolonged labor. Reflexology massage leads to release endorphins and enkephalins which have an analgesic effect five times greater than morphine, creates a deep feeling of comfort and balance of mind so the stress symptoms are reduced, and improves the outcomes of labor. This study aims to analyze the effects of foot reflexology for women and fetal wellbeing in labor. Methodology: This systematic review used PRISMA-P (Preferred Reporting Items for Systemic Review and Meta-Analysis Protocols). The keywords used were reflexology or foot feflexology, pain relief, labor pain, primiparaous, effect or effectiveness. Articles were searched through databases PubMed, Google Scholar, and Science Direct. Inclusion were articles that discusssed about reflexology and its effects in labor, experimental research and written in English. The selected articles were excluded for irrelevant titles and abstracts, non-full text, research under 2009 and duplicate articles. From 78 articles, only 8 articles were included in this systematic review. Results: This study found that foot reflexology can reduce the intensity of labor pain. It was also decreased duration, anxiety, hemorrhage rate, systolic and diastolic blood pressure, pulse and increased uterine contractions, Apgar scores and maternal satisfaction with a highly statistical significant. Conclusion: Foot reflexology could decrease the intensity of labor pain, anxiety, duration, maternal complications and increase uterine contractions. In addition to improve labor outcomes and mother satisfaction. It is recommended as non pharmacological method which can be applied in maternity hospitals to improve women and fetal wellbeing during labor.
The Period of Perineal Wound Healing in Postpartum Mothers Between The Decoction Water Treatments of Bihanong Leaves with Red Betel Leaves Nahdiyah Karimah; Nur Khafidhoh; Triana Sri Hardjanti; Riska Ismawati Hakim
GHMJ (Global Health Management Journal) Vol. 3 No. 3 (2019)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35898/ghmj-33454

Abstract

Background: The global prevalence of the second degree of the perineal wound of postpartum mothers is 73.4%. Pharmacological treatments have a cytotoxic effect. Other treatments is non-pharmacological treatments are such as using decoc on waters of binahong leaves and red betel leaves. Both have compounds that accelerate epithelializa on of wounds. This study aims to analyze the differences of the perineal wound recovery period of postpartum mothers between the decoc on water treatments of binahong leaves compared to red betel leaves. Methods: This study is a quasi-experiment post-test only without control group design. There are 32 respon- dents mee ng the inclusion criteria who are taken by accidental sampling. The sample is divided equally into two groups, namely binahong group and the red betel group. Binahong or red betel leaf decoc on waters are used for genital washing a er urina ng at the last rinse at 7 am and 3 pm on 1-3 postpartum days. Perineal wound recovery is assessed by using the REEDA score from the second postpartum day un l the wound fully recovered. Sta s c analysis with chi-square, me series analysis, Mann Whitney and Kruskal Wallis test. Results: The average of perineal wound recovery period of binahong group is 6 days, while the red betel group is 4.69 days. There are significant differences of perineal wound recovery period between the binahong group and the red betel group with a p-value of 0.0001 < α (0.05). Respondents’ characteris cs are age, BMI, frequency of changing pads, and educa onal background between binahong and red betel groups have no significant differ- ences. Conclusion: Red betel leaf decoc on water is recommended for postpartum mothers suffering perineal wounds. Further research is needed with a larger number of respondents and true experiments are needed to analyze the effect of red betel leaves on perineal pain, platelets, and leukocyte level.