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Saadah Mujahidah
Universitas Karya Husada Semarang
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Manfaat Kompres Dingin Pada Nyeri Perineum Kala IV Durrotun Munafiah; Hermeksi Rahayu; Saadah Mujahidah; Mariza Mustika Dewi; Dian Nuringtyas Rahayu
Indonesian Health Issue Vol. 1 No. 1 (2022): FEBRUARI
Publisher : PublisihingId

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (701.898 KB) | DOI: 10.47134/inhis.v1i1.7

Abstract

Latar Belakang: Rasa sakit yang dialami ibu saat persalinan kala IV disebabkan karena laserasi pada perinium. Laserasi tersebut terjadi karena adanya tindakan medis atas indikasi tertentu yaitu episiotomi atau terjadi ruptur perinium secara alami yang diakibatkan oleh desakan kepala bayi yang terlalu cepat. Laserasi perineum dapat menyebabkan nyeri dan ketidaknyamanan selama beberapa minggu. Tujuan: Menganalisa pengaruh kompres dingin perinium terhadap intensitas nyeri pada persalinan kala IV di ruang bersalin RSUD dr Gunawan Mangunkusumo Ambarawa) Metode: Penelitian ini merupakan quasi experiment. Desain penelitian post test with control group design. Sampel dalam penelitian ini adalah ibu bersalin pervaginam kala IV sejumlah 20 responden yang dibagi menajdi kelompok perlakuan dan kontrol dengan teknik pengambilan sampel non probability sampling. Penelitian ini menggunakan uji statistic Mann Whitney. Hasil: Intensitas nyeri Kala IV pada kelompok kontrol sesudah tindakan kompres dingin (air dingin) perinium rata-rata 5,80. Intensitas nyeri kala IV pada kelompok intervensi sesudah tindakan kompres dingin (es) perinium rata-rata 4,70 dengan nilai signifikansi p<α (0,05). Kesimpulan: Ada pengaruh kompres dingin perinium terhadap intensitas nyeri pada persalinan kala IV. Tenaga kesehatan terutama bidan sebaiknya dapat melakukan intervensi nonfarmakologi dengan memberikan kompres dingin perinium dan pijat perinium dalam upaya mengatasi masalah nyeri yang terdapat pada ibu bersalin kala IV. Background: Pain experienced by the mother during the fourth stage of labor is caused by laceration of the perineum. The laceration occurs because of medical action for certain indications, namely an episiotomy or natural perineal rupture caused by the pressure of the baby's head too fast. Perineal lacerations can cause pain and discomfort for several weeks. Purpose: To analyze the effect of perineal cold compresses on pain intensity in the fourth stage of labor in the delivery room of RSUD Dr. Gunawan Mangunkusumo Ambarawa. Methods: This study is a quasi-experimental study. Post-test research design with control group design. The sample in this study were women who gave birth vaginally during the fourth stage of the study with a total of 20 respondents who were divided into treatment and control groups using non-probability sampling. This study uses the Mann-Whitney statistical test. Results: The fourth stage of pain intensity in the control group after cold compresses (cold water) on the perineum was on average 5.80. The fourth stage of pain intensity in the intervention group after the perineal cold compress (ice) was an average of 4.70 with a significance value of p<α (0.05). Conclusion: There is an effect of perineal cold compresses on the intensity of pain in the fourth stage of labor. Health workers especially midwives, should be able to carry out non-pharmacological interventions by providing perineal cold compresses and perineal massage in an effort to overcome the pain problems found in women giving birth in the fourth stage.
The Acupressure Combination Points BL32 and L14 With Points BL32 And SP6 on Labor Pain in Active Phase Saadah Mujahidah; Megawati Megawati; Shindi Hapsari
Jurnal SMART Kebidanan Vol 9, No 2 (2022): DESEMBER 2022
Publisher : Universitas Karya Husada Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34310/sjkb.v9i2.699

Abstract

ABSTRACTLabor pain that is not resolved will cause hyperventilation so that the need for oxygen increases, blood pressure increases, and reduced intestinal motility and vesikaurinaria. This situation stimulates an increase in catecholamines which disrupts uterine contractions resulting in uterine inertia. Labor pain due to psychic responses and physical reflexes. Acupressure is used to treat pain. Acupressure can affect the intensity of pain. This study was to determine the effect of giving Acupressure Combination of Points BL32-L14 with BL32-Sp6 on Active Phase I Labor Pain in PMB Sukatmi Setrokalangan Kudus.  This type of research was a Quasy experiment with a two-group pre-post test design. The sampling technique used was accidental sampling with a sample size of 24 respondents divided into two groups (12 interventions and 12 controls). The normality test used the Shapiro-Wilk test, data analysis used the Wilcoxon and Mann-Whitney tests.  Acupressure BL32 and L14 for pain (p 0.03), Acupressure BL32 and Sp6 got p 0.002. Comparison of BL 32-Li4 acupressure with Bl32-Sp6 got p 0.590.  There is an effect of Acupressure BL32 and L14 on labor pain, and there is an effect of Acupressure BL32 and Sp6 on labor pain. There was no difference between BL 32-Li4 and Bl32-Sp6 on labor pain.  Keywords : acupressure; active phase; bl32-li4; bl32-sp6; labor pain ABSTRAKNyeri persalinan yang tidak teratasi akan menyebabkan hiperventilasi sehingga kebutuhan oksigen meningkat, tekanan darah meningkat, dan motilitas usus berkurang dan vesikaurinaria. Keadaan ini merangsang peningkatan katekolamin yang mengganggu kontraksi uterus sehingga terjadi inersia uterus. Nyeri persalinan karena respon psikis dan refleks fisik. Akupresur digunakan untuk mengobati rasa sakit. Akupresur dapat mempengaruhi intensitas nyeri. Penelitian ditujukan untuk mengetahui pengaruh pemberian Akupresur Kombinasi Titik BL32-L14 dengan BL32-Sp6 terhadap Nyeri Persalinan Aktif Fase I di PMB Sukatmi Setrokalangan Kudus. Jenis penelitian ini adalah Quasy eksperimen dengan desain two-group pre-post test design. Teknik pengambilan sampel yang digunakan adalah accidental sampling dengan jumlah sampel 24 responden yang terbagi menjadi dua kelompok (12 intervensi dan 12 kontrol). Uji normalitas menggunakan uji Shapiro-Wilk, analisis data menggunakan uji Wilcoxon dan Mann-Whitney. Akupresur BL32 dan L14 untuk nyeri (p 0,03), Akupresur BL32 dan Sp6 didapatkan p 0,002. Perbandingan akupresur BL 32-Li4 dengan Bl32-Sp6 didapat p 0,590. Ada pengaruh Akupresur BL32 dan L14 terhadap nyeri persalinan, dan ada pengaruh Akupresur BL32 dan Sp6 terhadap nyeri persalinan. Tidak ada perbedaan antara BL 32-Li4 dan Bl32-Sp6 pada nyeri persalinan. Kata kunci : akupresur; fase aktif; bl32-li4; bl32-sp6; nyeri persalinan
Co-Authors Dian Nuringtyas Rahayu Durrotun Munafiah Hermeksi Rahayu Mariza Mustika Dewi Megawati Megawati Shindi Hapsari