Norhapifah, Hestri
STIKES Wiyata Husada Samarinda

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PENGARUH POSISI BERSALIN LATERAL TERHADAP RUPTUR PERINEUM PADA KALA II IBU PRIMIPARA Norhapifah, Hestri
Jurnal Medika : Karya Ilmiah Kesehatan Vol 3 No 1 (2018)
Publisher : STIKES Wiyata Husada Samarinda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35728/jmkik.v3i1.82

Abstract

Bleeding is the major  cause of death in which one of them can be caused by a rupture of the perineum. The use of maternity lateral position on the second stage can minimize the risk of lacerations of the perineum and labor is more convenient. Objective to determine the effect of lateral position in preventing rupture of the perineum in the second stage of primiparous.The method in this study is using Quasi Experiment with post test only approach with non equivalent control group design. The sampling technique used consecutive sampling with a sample 31 for intervention group and 31 for control group.  Data was analyzed using bivariate analysis stage using chi-square test, the calculation interval cofidence OR with 95% and regression analysis.Results there was an effect of lateral position in preventing rupture of perineum or reduce the degree of rupture perineum in the second stage of primiparous with multivariate analysis values obtained OR 9,68 (95% CI= 2,08-45,0).Mothers who gave birth with lateral position on the second stage can prevent rupture of perineum or reduce the degree of rupture perineum compared with mothers who gave birth with a half-sitting position.
PENGARUH BACK MASSAGE TERHADAP MATERNAL DEPRESSIVE SYMPTOMS PADA IBU POSTPARTUM Pratiwi, Anis Eka; Anwar, Mohammad; Fitriana, Herlin; Norhapifah, Hestri
Jurnal Medika : Karya Ilmiah Kesehatan Vol 2 No 2 (2017)
Publisher : STIKES Wiyata Husada Samarinda

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Abstract

The postpartum period is a process of adaptation to physical and psychological changes. Postpartum mothers at risk for psychological disorders. Giving intervention such as back massage can be done by health workers to reduce maternal depressive symptoms. The aim of this study is to determine the effect of back massage to change maternal depressive symptoms score in postpartum. A Quasy experimental study of pretest-posttest with Non-equivalent control group design was undertaken among all postpartum in Sakina Idaman and Amanda hospital. The sampling technique used consecutive sampling with a sample 26 for each group. Back massage was given 2 times a week within a period of 4 weeks duration 15 minutes. Instruments Edinburgh Postnatal Depression Scale (EPDS) was used to measure maternal depressive symptoms in pretest-posttest. Sarason’s Social Support Questionnaire (SSQ) measured social support. The statistical test used paired t-test and independent t-test. Score of maternal depressive symptoms before and after intervention is similar 12,9±3,99 between 2 groups. The score significantly decrease after intervention (fourth week) 6,46±1,60 for intervention group and 8,73±1,63 for control group. Delta mean is 2,26 (Pvalue 0,04 CI 95% 0,05-4,47). 
HUBUNGAN BERAT BADAN LAHIR DENGAN KEJADIAN RUPTUR PERINEUM PADA IBU PRIMIPARA Norhapifah, Hestri; Hayati, Ida; Ariningtyas, Yosi Arum
Jurnal Medika : Karya Ilmiah Kesehatan Vol 3 No 2 (2018)
Publisher : STIKES Wiyata Husada Samarinda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35728/jmkik.v3i2.43

Abstract

Perineal laceration is an indirect cause of maternal deaths worldwide due to lead to the occurrence of postpartum haemorrhage. Controlling the release of the baby's head is gradually and carefully to reduce excessive strain (tear) in the vagina and perineum. The size of the average head depending on the size (weight) of the fetus (Purposari, 2010). The method in this study using analytic survey with cross sectional approach. The sampling technique consecutive sample with a sample of 62 women giving birth the first time. Data was analyzed using bivariate analysis stage using chi-square test. Results correlation with birth weight rupture perineum with bivariate analysis results obtained value p-value of 0.00 and RR 9.52 (95% CI: 1.37 to 66.0) which means that birth weight <3500 g had a 9.52 times greater risk for not rupture compared with birth weight ≥ 3500 g.