Melyana Nurul Widyawati
Midwifery Department, Polytechnic Health Ministry of Semarang
Articles
37
Documents
PENGARUH HIPNOSIS PADA IBU BERSALIN PRIMIGRAVIDA TERHADAP APGAR SKOR BAYI BARU LAHIR DI BPM NY. M DESA TARUB KEC.TAWANGHARJO - GROBOGAN

Jurnal Kebidanan Vol 1, No 1 (2012): JURNAL KEBIDANAN
Publisher : Jurnal Kebidanan

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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.Kata Kunci: Hypnosis, Apgar score, Kebidanan, Primigravida

PENGARUH ENDORPHIN MASSAGE TERHADAP INTENSITAS NYERI KALA I PERSALINAN NORMAL IBU PRIMIPARA DI BPS S DAN B DEMAK TAHUN 2011

Jurnal Kebidanan Vol 2, No 1 (2013): JURNAL KEBIDANAN
Publisher : Jurnal Kebidanan

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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

DEVELOPING A WEB-BASED INFORMATION SYSTEM IN DETECTION OF HIGH-RISK PREGNANCIES IN SEMARANG, INDONESIA: ADDIE MODEL

Belitung Nursing Journal Vol 3, No 4 (2017): July-August 2017
Publisher : Belitung Nursing Journal

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Abstract

A web-based information system in this study was developed using ADDIE (Analysis, Design, Development, Implementation, and Evaluation) instruction model to facilitate the monitoring and reporting the existence of high-risk pregnancies in Semarang. The evaluation of the system revealed that web-based information system was very effective in terms of completeness, ease, timeliness, accuracy, and conformity with p-value <0.05. This innovation is expected to contribute positively to reduce maternal mortality rates in Indonesia, especially in Semarang

USING ADDIE MODEL TO DESIGN EARLY DETECTION SYSTEM OF CHILD GROWTH AND DEVELOPMENT IN THE COMMUNITY HEALTH CENTER OF BENDOSARI, SEMARANG INDONESIA

Belitung Nursing Journal Vol 3, No 3 (2017): May-June 2017
Publisher : Belitung Nursing Journal

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Abstract

To reduce the increase of the impaired child grwoth and development, early detection system is needed. The system designed based on information technology will facilitate the health personnels to achieve the desired outcome. In this study, The Early Detection System was developed using ADDIE (Analysis, Design, Development, Implementation, and Evaluation) instruction model. The evaluation showed that the Early Detection System was effective in terms of completeness (7.2), ease (13.60), timeliness (7.60), accuracy (17.10), and conformity (8.00). This innovation is expected to contribute positively for child growth and development in Indonesia

EFFECT OF COMBINATION OF BREAST CARE AND OXYTOCIN MASSAGE ON BREAST MILK SECRETION IN POSTPARTUM MOTHERS

Belitung Nursing Journal Vol 3, No 6 (2017): November-December 2017
Publisher : Belitung Nursing Journal

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Abstract

Background: Optimal nutrition from an early age can be achieved through exclusive breastfeeding (ASI). Lack of milk production is one reason why mothers decide to give formula milk to their babies. Preliminary study at Public Health Center of Batealit Jepara indicated that 60% of mothers unable to breastfeed optimally, thus, breast care and oxytocin massage are proposed to increase milk secretion in postpartum mothers.Objective: To examine the effect of combination of breast care and oxytocin massage on breast milk secretion in postpartum mothers.Methods: This was a quasy experimental study with non-randomized control trial with pretest-posttest control group, conducted in the working area of the Community Health Center of Batealit of Jepara from December 5, 2016 to January 15, 2017. There were 44 postpartum mothers recruited in this study using purposive sampling, which 22 assigned in the experiment and control group. Data were analyzed using dependent t-test and Mann Whitney test.Results: There was a significant increase of breast milk secretion in the experiment and control group with p-value 0.000 (<0.05). In the experiment group, there was an increase of breast milk seceretion from 17.09 to 220.91 cc, and in the control group there was also an increase from 17.09 to 72.00 cc. The mean difference of breast milk secretion between pretest and posttest in the experiment group was 203.82 and in the control group was 54.90 with p-value 0.000 (<0.05)Conclusion: There was a significant increase of breast milk secretion in postpartum mothers after given the combination of oxytocin massage and breast care in the experiment group compared with the education and counseling about breast care in the control group. Thus, this result can be used as an evidence to perform oxytocin massage and breast care to increase the secretion of breast milk in postpartum mothers. 

The Effect of Sweet Potato Leaf Decoction and Iron Tablet against Increased Hemoglobin Levels in Pregnant Women

Indonesian Journal of Health Research Vol 1 No 2 (2018): December 2018
Publisher : Sekolah Tinggi Ilmu Kesehatan Jembrana

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Abstract

Background. Anemia in pregnant women is currently a national problem of maternal and child health in Indonesia. Based on Riskesdas data in 2013, the prevalence of pregnant women with anemia in Indonesia was 37.1%, namely pregnant women with Hb levels of less than 11.0 grams/dl, with almost the same proportion in urban areas (36.4%) and rural (37.8%). The program of giving at least 90 iron tablets during pregnancy is an important component in efforts to prevent iron deficiency anemia. However, the absorption of non-heme iron can be increased by consuming vitamin C from fruits, vegetables, or other food factors that facilitate absorption. One of them is the local wisdom of Pekalongan Regency, namely sweet potato leaf which is used as a vegetable. The purpose of this study was to determine maternal hemoglobin levels before and after being given the treatment of boiling sweet potato leaves and iron tablets. Methods. This research is a pre-post experiment research (mini-research) with a sample of 4 people who will be assessed and assessed for hemoglobin levels before and after treatment. Results. The result shows that the treatment of 100 grams of sweet potato leaves decoction for 10 days can increase hemoglobin levels in each respondent at R1 1.7 gr%, R2 2.1, R3 2.2, and R4 2.7 gr%. Conclusion. Further research is needed to prove the stronger benefits of sweet potato leaf decoction in helping to increase Hb levels of pregnant women by increasing the number of samples and testing hematocrit levels in the blood.

EFFECT OF OXYTOCIN MASSAGE USING LAVENDER ESSENTIAL OIL ON PROLACTIN LEVEL AND BREAST MILK PRODUCTION IN PRIMIPAROUS MOTHERS AFTER CAESAREAN DELIVERY

Belitung Nursing Journal Vol 3, No 4 (2017): July-August 2017
Publisher : Belitung Nursing Journal

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Abstract

Background: Low milk production is one of the barries to exclusive breastfeeding. Oxytocin massage is considered as an alternative treatment, which combined with lavender essential oil as an aromatherapy.Objective: This study aims to examine the effect of oxytocin massage using lavender essential oil on the increase of levels of prolactin and milk production in primiparaous mothers after caesarean section.Methods: This was a quasi-experimental study with non-equivalent control group design conducted in October-December 2016 at the General Hospital of Dr.H. Soewondo Kendal. There were 32 recruited by consecutive sampling, divided to be intervention (16 participants) and control group (16 participants). Prolactin hormone levels were measured using Enzyme-linked immunosorbent assay (ELIZA), breast milk production was measured based on the indicators of milk volume, urination and defecation frequency and sleep duration of babies; and infant’s weight was also measured by digital scale. Data were analyzed using Mann Whitney and Wilcoxon test.Results: The mean difference of prolactin hormone level in control group was 17.82 ng / ml while mean of difference of hormone prolactin level in intervention group was 132.13 ng / ml. There were statistically significant differences between intervention and control group in prolactin levels (p-value 0.000), milk volume (p-value 0.000), infant weight (p-value 0.000), urination frequency (p-value 0.017), defecation frequency (p-value 0.002), and infant sleep duration (p-value 0.000).Conclusion: There was a significant effect of the oxytocin massage using lavender essential oil on the increase of breast milk production and prolactin levels. Therefore, oxytocin massage using lavender essential oil can be used as an alternative treatment for midwives and other health professionals in an effort to increase milk production in postpartum.

EFFECT OF MULTI MICRONUTRIENT SUPPLEMENTATION ON HEMOGLOBIN LEVELS IN PREGNANT WOMEN WITH ANEMIA

Belitung Nursing Journal Vol 3, No 6 (2017): November-December 2017
Publisher : Belitung Nursing Journal

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Abstract

Background: The coverage of 90 Fe tablets in Semarang in 2015 was 26.619 of 29.490 pregnant women (97%) but the incidence of anemia in pregnant women was still quite high. One important factor which influences the levels of hemoglobin is multi micronutrient.Objective: This study aims to analyze the changes in hemoglobin levels with multi micronutrient supplementation in pregnant women with anemia.Methods: A Quasy experimental study with randomized control group pre-post test design. The study samples were 40 pregnant women with gestational age of 20 ± 1 weeks divided into two groups, the intervention group (multi micronutrient supplementation) and the control group (Fe supplementation) for 6 weeks. The study was conducted from November 2016 to January 2017. The levels of hemoglobin were measured using cyanmethohemoglobin. Paired t test and independent t test were used for data analyses.Results: The mean increase in hemoglobin levels after multi micronutrient supplementation was 1.545 (1.292) g/dl, whereas the mean increase in hemoglobin levels after Fe supplementation was 0.757 (0.742) g/dl. The difference in hemoglobin levels before and after multi micronutrient supplementation was significantly different (p=0.049). Cohen’s d effect size test showed value of 0.748.Conclusion: Multi micronutrient supplementation could improve hemoglobin levels. Increase in the levels of hemoglobin with multi micronutrient supplementation was higher than Fe supplementation. 

EFFECTIVENESS OF BREASTFEEDING AND NON-NUTRITIVE SUCKING ON PAIN RELIEF IN INFANT IMMUNIZATION

Belitung Nursing Journal Vol 3, No 2 (2017): March-April 2017
Publisher : Belitung Nursing Journal

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Abstract

Background:Immunization in infants is an action that can cause trauma due to injection of the immunization that can cause pain. Breastfeeding and non-nutritive sucking are considered to be non-pharmacologic strategy of pain management.Objective: This study aims to investigate the effectiveness of breastfeeding and non-nutritive sucking on pain relief in infant immunizationMethods: This was a quasy experimental study with posttest only control group.  This study was conducted on 26 October till 30 November 2016 at hree Community Health Centers (Puskesmas), namely Puskesmas Cilacap Utara I, Puskesmas Cilacap Tengah, and Puskesmas Cilacap Selatan I. The population was infants aged 2-4 months who got immunization of DPT-HB-Hib 1. Samples were recruited using consecutive sampling technique. There were 69 samples in this study, which were divided into three groups. 1) The group was given a breastfeeding intervention (23 respondents), 2) The second group was given a non Nutritive sucking intervention (23 respondents), and 3) The control group (23 respondents). Data were analyzed using ANOVA.Results: The pain response of the three groups was groups was 2.74 in breastfeeding group, 1.87 in non-nutritive sucking group, and 3.26 in control group. There was a significant difference between non-nutritive sucking and control group with p-value = 0,000, and also the significant difference between breastfeeding and non-nutritive sucking with p-value = 0.016. However, there was no difference between breastfeeding and control group with p value = 0.142.Conclusion: Breastfeeding and non-nutritive sucking were effective in reducing pain during infant immunization. It is suggested that midwives could administer these interventions to reduce pain in infant immunization, and it could be applied as non-pharmacological strategy in pain management in the Community Health Center in Indonesia.

EFFECTIVENESS OF MUSIC THERAPY ON ANXIETY AND Β-ENDORPHIN LEVELS IN PRIMIGRAVIDA DURING THE THIRD STAGE OF PREGNANCY

Belitung Nursing Journal Vol 3, No 6 (2017): November-December 2017
Publisher : Belitung Nursing Journal

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Abstract

Objective: To examine the effectiveness of music therapy on anxiety levels and β-endorphin levels in primigravida during the third stage of pregnancy.Methods: This was a quasy experimental study with pretest-posttest control group design. The research was conducted in December 2016 - Januari 2017. There were 39 respondents selected using purposive sampling technique, which 13 assigned in the experiment group 1 (music therapy with a sound pressure of 40 dB), experiment group 2 (music therapy with a sound pressure of 62 dB) and control group (health counseling). Anxiety levels were measured using the HARS (Hamilton Anxiety Rating Scale), and β-endorphin hormone levels were measured using ELISA (Enzyme-Linked Immunosorbent Assay) method. Data analysis used paired t-test, One-Way Anova test with post-hoc bonferroni, and Kruskall Wallis test with post-hoc Mann Whitney.Results: Findings revealed that there was a decrease of the mean of anxiety levels in the experiment group 1 from 31.92 (pretest) to 24.69 (posttest), and the experiment group 2 from 34.54 (pretest) to 25 (posttest) with p-value <0.05; and there was an increase of the mean of β-Endorphin levels in the experiment group 1 from 53.63 (pretest) to 63.24 (posttest), and the experiment group 2 from 48.55 (pretest) to 64.9 (posttest) with p-value <0.05; however there was no effect of counseling in the control group on anxiety levels (p=0.413) and β-Endorphin levels (p= 0.394)Conclusion: Music therapy is effective in reducing anxiety levels and increasing β-endorphin levels. Thus, music therapy can be used as an alternative treatment for pregnant mothers at home who experienced anxiety. 

Co-Authors Admini, Admini Agustie, Panglukies Ratna Amartha, Tecky Afifah Santy Anies Anies Anita Widiastuti Anwar, Muh.Choiroel Ari Suwondo Asiswari, Asiswari Astuti, Anjar Astuti, Cahyaning Puji Bahiyatun Bahiyatun, Bahiyatun Bedjo Santoso, Bedjo Dayyana, Surya Dewi Mayangsari Diki Retno Yuliani, Diki Retno Diyah Fatmasari Donny Kristanto Mulyantoro Elisa Ulfiana Estiyani, Arum Fajriya, Ihsanti Indri Fatoni, Muhammad Hilman Fatoni, Muhammad Hilman Fauziah, Siska Febrina Fitriyah, Nur Hadi, Selasih Putri Isnawati Harianja, Winda Yunyaty Hesti, Kadek Yuli Hidayat, Syarief Thaufik Hutabarat, Naomi Christina Iin Nur Azizah iin wahyuni Imam Djamaludin Mashoedi Iswantoro, Rery Kurniawati Danu Juniartati, Erni Kun Aristiati Susiloretni, Kun Aristiati Kusuma, Ima Candra Kusumaningrum, Lutfiana Kusworowulan, Suryati Laili Nurul Ngaziz Laska, Yulinda Lestari, Lieni Lia Mulyanti Maisi, Sri Mardiyono Mardiyono Mashudi, Imam Djamaludin Maula, Sheyla Najwatul Mujahidah, Sa’adah Munafiah, Durrotun Munafiah, Durrotun Nani Yuningsih, Nani Noor Pramono Novita Nining Anggraini Nur Kholifah, Liliana Nurapriyanti, Ima Onny Setiani Probowati, Etri Pujiani, Ira Pujiastuti, Rr.Sri Endang Pujiastuti, Sri Endang Pujiastuti, Sri Endang Pujiyani, Honesty Rahayu, Dyah Lustika Rochkmana, Meika Jaya Rohaeti, Ayi Tansah Runjati Runjati, Runjati Rusmini Rusmini Sari, Rati Purnama Siti Roudhotul Jannah, Siti Roudhotul Soeharyo Hadisaputro Soejoenoes, Ariawan Sri Rahayu Sri Sumarni Sri Wahyuni Suharyo Hadisaputro Sulistiarini, Uning Supriyana Supriyana, Supriyana Suryati Kumorowulan Suryono Suryono Titi Suherni Tjahjono Kuntjoro Tri Arief Sardjono Udji Sofro, Muchlis Achsan Umaroh Umaroh, Umaroh Wahyuni M, Sri Widi Lestari, Tri Endah Widiatami, Tiara