Yustiari Yustiari
Department of Midwifery, Poltekkes Kemenkes Kendari, Kendari, South East Sulawesi, Indonesia

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The Effect of Counter Pressure and Birthball on The Time of The First Stage of Labor and Prevention of Perineal Rupture Khalidatul Khair Anwar; Yustiari Yustiari; Hasmia Naningsi; Melania Asi
Poltekita : Jurnal Ilmu Kesehatan Vol. 17 No. 3 (2023): November
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jik.v17i3.3042

Abstract

Mothers with prolonged labor have a higher risk of bleeding. This study aimed to determine the effect of the counterpressure technique with a birthball on the length of the first stage of perineal rupture. This type of research is quantitative with a quasi-experimental design using an observation form conducted  in Kendari City Hospital from May to August 2023. The design used was a two-group-only post-test, with a control group. The study population comprised multiparous mothers in the first active stage. The sample size consisting of 20 who were given the counterpressure technique with birthball, 20 who were only given the counterpressure technique, and 20 who received no treatment. The inclusion criteria were mothers who were willing to become respondents and mothers who gave birth with normal births. The samples were collected using purposive sampling. The t-test was used to determine the differences between the three groups. The results of the difference test in the length of active phase I between the group given the counterpressure technique with birthball (intervention I) and the control group were p-value (0.000). The results of the analysis for the group given the counterpressure technique (Intervention II) with the control group were p-value (0.000). The results of the analysis for the group given the counterpressure technique with birthball (Intervention I) with the counterpressure technique (Intervention II) were p-value (0.759). In Conclusions, Providing counterpressure techniques with a birthball or simply providing counterpressure techniques is effective in reducing the incidence of perineal ruptures.
Android-based "MamaKIA" Educational Media Development Application for Pregnancy Midwifery Care Sultina Sarita; Yustiari Yustiari; Tinuk Esti Handayani; Muliati Dolofu; Melania Asi
Poltekita : Jurnal Ilmu Kesehatan Vol. 17 No. 3 (2023): November
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jik.v17i3.3055

Abstract

An Android-based pregnancy care application designed and adapted to the needs of pregnant women is part of efforts to encourage sustainable midwifery care, which is expected to make it easier to convey, understand, and apply because it is in accordance with current client needs. This research aims to develop android-based educational media for midwifery care. The development of Android-based Midwifery Care Education Media was carried out using a research and development approach consisting of a preliminary study stage consisting of a literature study and field study (two respondents), and product development consisting of product design and media expert validation testing. (one respondent), material experts (one respondent), and application trials by community health center midwives in the work area of the Konawe District Health Service (35 respondents) who were selected using purposive sampling. Research data were collected using questionnaires, and quantitative and qualitative analyses were conducted. The validation results from media experts obtained a score of 69.47% in the feasible category and 98.33% from material experts in the very appropriate category, and the test results from 35 respondents obtained a score of 92.86%, including the very appropriate category. The Android-based educational media application developed for midwifery care is very suitable for use and needs to be tested for its effectiveness in midwifery care during pregnancy. The "Mama KIA" application is very feasible in terms of materials, media, and testing and meets the requirements for midwifery care by midwives.