Soejoenoes, Ariawan
Belitung Nursing Journal

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EFFECTIVENESS OF BREASTFEEDING AND NON-NUTRITIVE SUCKING ON PAIN RELIEF IN INFANT IMMUNIZATION Probowati, Etri; Soejoenoes, Ariawan; Wahyuni M, Sri; Mulyantoro, Donny Kristanto; Widyawati, Melyana Nurul; Fatmasari, Diyah
Belitung Nursing Journal Vol 3, No 2 (2017): March-April 2017
Publisher : Belitung Nursing Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (209.953 KB) | DOI: 10.33546/bnj.70

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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.
THE EFFECTIVENESS OF COMBINATION OF OXYTOCIN AND ENDORPHIN MASSAGE ON UTERINE INVOLUTION IN PRIMIPAROUS MOTHERS Sari, Nurmala; Soejoenoes, Ariawan; Wahyuni, Sri; Setiani, Onny; Anwar, Choiroel
Belitung Nursing Journal Vol 3, No 5 (2017): September-October 2017
Publisher : Belitung Nursing Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (405.205 KB) | DOI: 10.33546/bnj.193

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Background: One of the puerperal complication is uterine subinvolution that can cause bleeding to maternal death. Oxytocin massage can stimulate oxytocin hormone that plays a role in the process of uterine involution. Endorphine massage can increase the release of oxytocin and endorphine hormone that give a sense of calm and comfort. It also increases production of oxytocin hormone that can improve the process of uterine involution. Objective: To prove the effectiveness of a combination of oxytocin massage and endorphine massage to uterine involution in primiparaous mothers during postpartum period.Methods: This was a quasy-experimental study with pretest-posttest with control group design. Total samples were 44 normal postpartum mothers selected using purposive sampling technique, which were randomly assigned in four groups, namely: 1) oxytocin massage group, 2) endorphin massage group, 3) combined oxytocin-endorphin massage group, and 4) control group. The data were analyzed using univariate, bivariate and One Way Anova to test the effectiveness of the intervention.Results: There were statistically significant differences of fundal height before and after intervention among the four groups (p=<0.05). Conclusion: The combination of oxytocin massage and endorphine massage proved most effective in accelerating uterine involution in normal postpartum mothers.
EFFECT OF PRENATAL YOGA ON ANXIETY, BLOOD PRESSURE, AND FETAL HEART RATE IN PRIMIGRAVIDA MOTHERS Hamdiah, Hamdiah; Suwondo, Ari; Sri Hardjanti, Triana; Soejoenoes, Ariawan; Anwar, M Choiroel
Belitung Nursing Journal Vol 3, No 3 (2017): May-June 2017
Publisher : Belitung Nursing Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (211.391 KB) | DOI: 10.33546/bnj.99

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Background: Pregnancy increases the risk of developing anxiety that may affect the fetus. Yoga is considered as an alternative therapy to reduce anxiety, blood pressure, and fetal heart rate.Objective: This study aimed to examine the effect of prenatal yoga on anxiety, blood pressure, and fetal heart rate in primigravida mothers.Methods: There were 39 primigravida mothers selected using purposive sampling, which divided to be an experiment group with four-times prenatal yoga and eight-times prenatal yoga, and a control group. The Hamilton Rating Scale For Anxiety (HRSA) was used. Data were analyzed using One way ANOVA and MANOVA.Results: There was a statistically significant difference of prenatal yoga on anxiety (P=0.005), systolic blood pressure (P=0.045), and fetal heart rate (P=0.010). However, there was no significant difference of prenatal yoga on diastolic blood pressure with p-value 0.586 (>0.05)Conclusion: There were significant effects of prenatal yoga on anxiety level, systolic blood pressure, and the fetal heart rates in primigravida mothers. The findings of this study can be an alternative treatment for midwife to deal with anxiety during pregnancy, and an input on the class program of pregnant women to improve the quality of maternal and fetal health.
THE IMPACT OF HONEY ON CHANGE IN NUTRITIONAL STATUS IN CHILDREN WITH POOR NUTRITION Harmiyati, Harmiyati; Soejoenoes, Ariawan; Wahyuni M, Sri; Aristiati, Kun; Hadisaputro, Soeharyo
Belitung Nursing Journal Vol 3, No 2 (2017): March-April 2017
Publisher : Belitung Nursing Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (251.728 KB) | DOI: 10.33546/bnj.71

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Background: Toddlers are vulnerable groups to malnutrition. Thus, to maintain their nutritional status is needed. Honey is considered having health benefits that might increase the nutritional status in children. However, little is known about the impact of honey on nutritional change in Sumbawa. Objectives: The aim of this study is to analyze the effect of honey on changes in nutritional status in children with poor nutrition in the area of the Health Center of Lopok, Sumbawa IndonesiaMethods: This study employed a quasi experiment design with pretest-posttest with control group. The total sample in this study were 60 children recruited by simple random sampling, divided into 2 groups, namely 30 children in intervention group and 30 children in control group. The sampling technique used simple random sampling. Data were analyzed using Mann Whitney and linear regression test. Results: Findings showed that there were significant mean differences between the intervention and control group in term of weight (intervention 1.316; control 0.903), height (intervention 1.586; control 1.030), weight-for-height (W/H) z-score (intervention 0.713; control 0.595), weight-for-age (W/A) z-score (intervention 0.717; control 0.531), and height-for-age (H/A) z-score (intervention 0.847; control 0.423) with p-value < 0.05.Conclusion: There was a significant effect of honey on changes in nutritional status in children with poor nutrition. It is suggested that health providers may use honey to deal with children under nutrition to increase their appetite and change their nutritional status.
EFFECT OF CONSUMING RED SPINACH (AMARANTHUS TRICOLOR L) EXTRACT ON HEMOGLOBIN LEVEL IN POSTPARTUM MOTHERS Muliani, Resty Himma; Soejoenoes, Ariawan; Suherni, Titi; Hadisaputro, Soeharyo; Mashoedi, Imam Djamaluddin
Belitung Nursing Journal Vol 3, No 4 (2017): July-August 2017
Publisher : Belitung Nursing Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (194.931 KB) | DOI: 10.33546/bnj.156

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Background: Postpartum mothers are susceptible to anemia, due to loss of blood count during labor. Postpartum anemia causes uterine subinvolution which causes postpartum hemorrhage, facilitates puerperium infection, decreases breastfeeding and easy mamae infection. One alternative to prevent anemia in postpartum is to consume vegetables with high iron one red spinach. Red spinach is one of the non-heme iron sources needed to synthesize hemoglobin.Objective: To determine the effect of red spinach in increasing the levels of hemoglobin in postpastum mothers.Methods: This was a quasy experiment with pretest posttest with control group design in October-December 2017 at the Community Health Center of PONED Tarub, Tegal regency. Thirty postpartum mothers were included using purposive sampling, which 15 assigned in each group. Blood sampling and examination were performed in each respondent. Paired and Independent t-test were done for data analysis.Results: The results of the 14-day intervention of given red spinach extract showed that there was a significant increase of hemoglobin level (1.25 g / dL) with p-value 0.047.Conclusion: There is a significant effect of consuming red spinach extract (amaranthus tricolor L.) on the increase of  hemoglobin level in postpartum mother. It is recommended that midwives could apply this intervention and cooperate with agriculture and food processing in order to produce red spinach extract that increases hemoglobin, hematocrit and erythrocytes levels.
EFFECT OF ROSELLE (HIBISCUS SABDARIFFA) ON CHANGES IN HEMOGLOBIN LEVELS IN PREGNANT WOMEN WITH ANEMIA TAKING IRON SUPPLEMENT Nisa, Rif’atun; Soejoenoes, Ariawan; Wahyuni, Sri
Belitung Nursing Journal Vol 3, No 6 (2017): November-December 2017
Publisher : Belitung Nursing Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (218.394 KB) | DOI: 10.33546/bnj.305

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Background: Anemia during pregnancy is one of the most common disorders in pregnant women in Indonesia. The Government has made efforts to overcome this problem, however, the rate of anemic mothers remains high. Rosella (Hibiscus Sabdariffa) is considered able to increase the hemoglobin levels in pregnant mothers.Objective: To analyze the effect of Rosella flower extract (Hibiscus Sabdariffa) on the increase of Hemoglobin level in pregnant women with anemia receiving Fe tablet.Methods: This study was a quasy experiment with pretest-posttest control group design conducted in November - December 2016 in the working area of Tlogosari Wetan Community Health Center. Forty-two participants were selected using accidental sampling, which 21 assigned in the experiment and control group. All samples were pregnant women in the second trimester suffering from anemia and receiving iron tablets. Hemoglobin levels were measured using hematology analyzer in laboratory. Independent t-test and paired t-test were used for data analysis.Results: Paired t-test obtained p-value 0.00 (<0.05), indicated that there was an increase of hemoglobin levels in both experiment and control group. The mean increase of hemoglobin levels in the control group was 0.61 gr and in the experiment group was 1.08. The hemoglobin levels in the experiment group were higher than the levels in the control group.  Independent t-test obtained p-value 0.000 (<0.05) indicating that there was a significant difference of mean of hemoglobin levels between the control group and the treatment group.Conclusion: The consumption of rosella extract combined with Fe tablet showed a significant increase of hemoglobin levels compared with the consumption of Fe tablet alone. Therefore, it is suggested for midwife to use the result of this research as a evidence practice through counseling for pregnant mother about utilization of rosella extract that can increase hemoglobin level in pregnant woman with anemia.
EFFECT OF MORINGA OLEIFERA ON LEVEL OF PROLACTIN AND BREAST MILK PRODUCTION IN POSTPARTUM MOTHERS Sulistiawati, Yuni; Suwondo, Ari; Hardjanti, Triana Sri; Soejoenoes, Ariawan; Anwar, M. Choiroel; Susiloretni, Kun Aristiati
Belitung Nursing Journal Vol 3, No 2 (2017): March-April 2017
Publisher : Belitung Nursing Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (208.436 KB) | DOI: 10.33546/bnj.75

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Background: Breastfeeding among postpartum mothers has been a problem due to low milk supply. As a result, mothers often decide to give formula milk or other additional foods, which might affect to the infant’s growth and development.Objective: This study aims to investigate the effect of Moringa Oliefera on the levels of prolactin and breast milk production (baby’s weight and sleep duration) in postpartum mothers. Methods: Quasi-Experimental study with Non Equivalent control group design. There were 30 respondents recruited by purposive sampling, consisted of 15 respondents in intervention group and  15 respondents in the control group. This study was conducted from November until December 2016 in Four Midwive Independent Practice (BPM) in the working area of the Health Center of Tlogosari wetan Semarang. Data were analyzed using Independent t-test.Results: Findings showed that there was a mean difference of prolactin level in the intervention group (231.72 ng / ml), and the control group (152.75 ng / ml); and a significant effect on increasing the levels of prolactin (p = 0.002). The mean of baby’s weight in the intervention group was 3783.33 grams, and in the control group was 3599.00 grams. However, there was no significant effect of moringa oleifera on baby’s weight (p = 0.313> 0.05). While the mean difference on sleep duration was 128.20 minutes in the intervention group and 108.80 minutes in the control group. There was a significant effect on baby’s sleep duration (p= 0.000).Conclusion: There were significant effects of moringa oleifera on mother’s prolactin and sleep duration of the baby. However, there was no significant effect on baby’s weight. Thus, it can be suggested that moringa oleifera can be used as an alternative treatment to increase breast milk production and prolactin hormones. Midwives should promote the benefits of moringa leaves as one of alternative supplements.
EFFECT OF OXYTOCIN MASSAGE USING LAVENDER ESSENTIAL OIL ON PROLACTIN LEVEL AND BREAST MILK PRODUCTION IN PRIMIPAROUS MOTHERS AFTER CAESAREAN DELIVERY Agustie, Panglukies Ratna; Hadisaputro, Suharyo; Runjati, Runjati; Soejoenoes, Ariawan; Mashudi, Imam Djamaludin; Widyawati, Melyana Nurul
Belitung Nursing Journal Vol 3, No 4 (2017): July-August 2017
Publisher : Belitung Nursing Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (204.911 KB) | DOI: 10.33546/bnj.151

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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.
Faktor yang Mempengaruhi Kepatuhan Bidan Desa Melaksanakan Rujukan Kehamilan Risiko Tinggi (Studi Kasus di Kabupaten Kudus) Kristiyanto, Stanislaus; Setyawan, Henry; Soejoenoes, Ariawan; Hadisaputro, Suharyo; Palarto, Budi
Jurnal Epidemiologi Kesehatan Komunitas Vol 1, No 1: Februari 2016
Publisher : Master of Epidemiology, School of Postgraduate Studies, Diponegoro University, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (365.293 KB) | DOI: 10.14710/j.e.k.k.v1i1.3942

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Background: Pregnancy is a high risk of having a high probability of experiencing maternal mortality events. In the procedure management of high risk pregnant women, midwives are required to perform high-risk pregnant women referral to higher care unit. The purpose of this study was to determine some of the factors that affect adherence midwives in performing high-risk pregnancy referrals.Methods: The study was observational analytic cross-sectional design. Sampling proportionate stratified random sampling. Total sample is 60 midwives. The research instrument was a questionnaire. Data analysis using univariate, bivariate (chi-square) and multivariate (logistic regression).Results: The variables that proved influential is the detection of high-risk pregnancy competence good (PR = 0.2; p = 0.023) and age midwife more than 28 years (PR = 0.2; p =0.024). Variables that are not proven effect is the level of education, years of service, supervision supervisor, employment status, work motivation, perceptions of workload, perceived benefits, leadership perceptions and perceptions of the profession midwife.Conclusion: Factors that influence the adherence proved midwives carry out the referral of high-risk pregnancy is high risk pregnancy detection competence good and village midwives age more than 28 years with a probability of 66.0% to obey. 
EFFECT OF MASSAGE AND AROMATHERAPY ON STRESS AND PROLACTIN LEVEL AMONG PRIMIPAROUS PUERPERAL MOTHERS IN SEMARANG, CENTRAL JAVA, INDONESIA Widyawati, Melyana Nurul; Hadisaputro, Soeharyo; Anies, Anies; Soejoenoes, Ariawan
Belitung Nursing Journal Vol 2, No 4 (2016): July-August 2016
Publisher : Belitung Nursing Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (244.052 KB) | DOI: 10.33546/bnj.19

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Background: Exclusive breastfeeding in Semarang during the past five years remains low. Only 20 to 64% of mothers were breastfed exclusively in 2010-2012. The incidence of postpartum blues was reported by 29.9% mothers, and mostly (56.6%) was primiparous.Objective: This study aims to determine the effect of Loving Massage, aromatherapy, and a combination of Loving Massage and aromatherapy on stress levels, and changes in levels of prolactin in primiparous puerperal in Semarang.Method: A true experimental study with a randomized pretest-posttest control group design. Cluster random sampling was used to select 12 health centers from the 37 health centers in Semarang. A random assignment with a sealed envelope was performed to divide study participants into four groups; loving massage group, aromatherapy group, and a combination group of loving massage and aromatherapy, and a control group. A total of 52 primiparous puerperal mothers was involved, with 13 mothers were distributed equally in each group.Results: Loving Massage, aromatherapy, and a combination of Loving Massage and aromatherapy effectively changed mother’s stress and prolactin levels. Effectiveness of each treatment assessed from the average difference in scores before and after treatment. Combination of Loving Massage and aromatherapy had proven as the most effective treatment in  reducing stress levels (11.61 ± 6.76), and increasing prolactin level (83.13 ± 6.41 ng/ml).Conclusions: Loving Massage & Aromatherapy shown to lower the levels of stress, and can increase the levels prolactin in postpartum primiparous. Therefore, it is recommended to provide Loving Massage therapy and aromatherapy to postpartum primiparous mothers.