Pelvic Rocking Exercise Menggunakan Birthing ball Mempengaruhi Kemajuan Persalinan Kala I

Maternal mortality in the Riau Islands Province in 2019 was still dominated by direct causes, namely bleeding and hypertension in pregnancy. In addition, the percentage of other causes which are indirect causes is also quite large, such as prolonged labor around 1.8%. This study aims to determine the effect of Pelvic rocking Exercises using a birth ball on the progress of labor in women in first stage of labor. This study used a pre-experimental study using a static group comparison design with accidental sampling technique. The sample was divided into 2 groups, the intervention group was rocked with a birth ball for active phase mothers for 30 minutes for 2 sessions and the progress of the study in the control group was carried out in November-December 2021 using an independent sample test. The results showed that there was an effect of rocking the pelvis with birthing ball on the progress of labor where the average progress of labor for the status of ball delivery was done and not done, it was different with a p value of 0.00001 0.05. The birth ball status was 138.2 minutes faster than the non-performed birth ball status. The conclusion is that pelvic sway with a birth ball helps the baby rotate to the optimal position and shortens the first stage of labor so as to reduce pain and provide comfort to the mother on the labor process. Suggestion to health workers will be facilitators for mothers in labor and support physiological delivery

PENGARUH STRESS KERJA TERHADAP TERJADINYA INFERTILITAS SEKUNDER PADA PERAWAT WANITA DI RSUD BINJAI TAHUN 2017

The occurrence of infertility in women, namely increased levels of prolactin and levels of Lutheinizing Hormone (LH) is closely related to psychological problems. Anxiety and tension tend to confuse LH levels, and sadness and moodiness tend to increase prolactin. High prolactin levels can interfere with LH expenditure and suppress the gonadotropin hormone that affects ovulation, women who work will experience work stress and work fatigue. The purpose of this study is to see whether there is an influence of work stress on the occurrence of secondary infertility in female nursesThe research used quantitative research method and cross sectional design. The data on secondary infertile, work stress were gathered by using questionnaires and analyzed by using chi square test. The result of the research showed that 80 respondents It was found that there was significant correlation between work stress and the incidence of secondary infertility (p=0.000) and (RP= 19.125) wich mean female nurses of work stress 19.125 were more likely to had secondary infertility compared with female nurses who did not experience work stress with 95% CI=5.241; 69.796. The result of multivariate analysis showed that the variable of work stress had the most dominant influence on the incidence of secondary infertility in female nurses. It is recommended that the hospital management pay attention to nurses’ reproductive health and work stress by performing ward rotation and by providing vacation for them. It is also expected to pay attention to the ratio of number of nurses serving with the number of patients

Penggunaan Kontrasepsi Suntik 3 Bulan dengan Kejadian Amenorea pada Akseptor Keluarga Berencana: Use of 3-Month Injectable Contraceptives with the Incidence of Amenorrhea in Family Planning Acceptors

Kandungan progesterone yang ada dalam KB suntik dapat membuat lapisan rahim menjadi tipis sehingga menyebabkan amenorea, amenorea merupakan salah satu gangguan menstruasi yang disebabkan oleh kontrasepsi 3 bulan. Kontrasepsi 3 bulan mengandung hormone sehingga dapat menyebabkan gangguan keseimbangan reproduksi akibat penambahan kadar hormone dalam tubuh. Penelitian ini bertujuan untuk menganalisis hubungan penggunaan kontrasepsi suntik 3 bulan dengan kejadian amenorea pada akseptor KB. Desain penelitian yang digunakan adalah cross sectional study dengan mengambil sampel menggunakan teknik Purposive Sampling yang digunakan pada 54 responden di TPMB Rohana Batu Aji Kota Batam tahun 2023. Hasil penelitian menunjukkan bahwa uji statistik Chi Square penggunaan kontrasepsi suntik 3 bulan dengan kejadian amenorea pada akseptor KB, diperoleh nilai p 0,00 dengan (? = 0.05). Dapat disimpulkan bahwa ada hubungan penggunaan kontrasepsi suntik 3 bulan dengan kejadian amenorea pada akseptor KB. Diharapkan ibu calon akseptor harus menambah informasi dan pengetahuan tentang alat kontrasepsi suntik 3 bulan karena alat kontrasepsi 3 bulan mengandung hormonal yang dapat menganggu keseimbangan hormon di dalam tubuh ibu