Comparison of Breast Massage (Oxytocin Massage, Oketani Massage, and Marmet Massage) Against the Smoothness of Breast Milk from the Aspect of Baby's Sleep Frequency

Background: The inability to meet breast milk production can be prevented in various ways, one of which is breast massage. The breast massage technique, at a certain point, is able to remove the blockage of blood vessels and energy blockages so that it will facilitate milk production. This study aims to determine the potential of breast massage (oxytocin massage, oketani massage, and marmet massage) to smooth breast milk from the aspect of the baby's sleep frequency. Methods: Study design method experimental with the control group. Samples were Primiparous postpartum mothers who gave birth normally and were divided into three groups, namely oxytocin massage intervention group, marmet massage, oketani massage, and control group. Data were analyzed in univariate, bivariate, and multivariate. Results: Breast massage (oxytocin, marmet and oketani) in primiparous postpartum mothers was effective in increasing the frequency of baby’s sleep. The frequency of the baby’s sleep before Marmet massage was 3.29 hours, and after Marmet massage was 5.29 hours. In the oxytocin massage intervention group, it was known that the average sleep frequency of babies before breast massage was 2.00 hours, and after breast, massage was 3.00 hours. Furthermore, in the Oketani massage intervention group, it was found that the average frequency of the baby’s sleep before breast massage was 2.00 hours, and after breast, massage was 3.00 hours. In the control group, it is known that the average sleep frequency of babies before breast massage is 0.57 hours and after breast massage is 0.71 hours. Conclusion: Oxytocin massage, marmet massage, and oketani massage have been shown to be effective in improving the smoothness of breast milk from the aspect of the baby's sleep frequency

PENGARUH KONSUMSI TEH JINTAN HITAM TERHADAP DEPRESI POSTPARTUM

ABSTRACT Depression is one of the common psychological diseases, as well as in postpartum women. Postpartum depression is characterized by feelings of depression and the idea of ​​suicide. Approximately 20% to 40% of women report an emotional disturbance or cognitive dysfunction in the post-natal period. The diagnosis of postpartum depression can be established through anamnesis or patient complaints and postpartum physical examination. There are various psychiatric diagnostic measures to assess the presence of postpartum depression, one of which is the Edinburgh Postnatal Depression Scale (EPDS). Based on several studies, black cumin is beneficial in strengthening the immune system, overcoming sleep and stress disorders, neutralize toxins, launch milk, and additional nutrients in pregnant women and toddlers. The aim of this research was to know whether there was influence of black cumin consumption on depression in postpartum women in West Langsa Puskesmas Working Area. The research design used was quasi experiment with non randomized control group pretest-posttest design approach. Postpartum women were given black cumin tea as much as 40 mg / kg.BB / day for 15 days. The sample size was 64 people divided into two groups, namely the control group and the experimental group. Data analysis using Kolmogorov-Smirnov test and Wilcoxon test. The result showed no significant difference between the pretest and posttest values ​​in the control group with p-value 0.491 whereas in the control group there was a significant difference between depression score before and after treatment with p-value 0.000. Black cumin tea can reduce depression score in postpartum primipara women. Keywords : Black cumin, depression, postpartum women  ABSTRAKDepresi merupakan salah satu penyakit psikologis  yang umum diderita, begitu juga pada ibu postpartum. Depresi postpartum  ditandai dengan perasaan depresi dan adanya ide bunuh diri. Sekitar 20% sampai 40% wanita melaporkan adanya suatu gangguan emosional atau disfungsi kognitif pada masa pasca persalinan. Diagnosis depresi postpartum dapat ditegakkan melalui anamnesis atau keluhan-keluhan penderita dan pemeriksaan fisik postpartum. Terdapat berbagai alat ukur diagnostik gangguan kejiwaan untuk menilai adanya depresi postpartum salah satunya adalah Edinburgh Postnatal Depression Scale (EPDS). Berdasarkan beberapa penelitian, jintan hitam bermanfaat dalam menguatkan sistem kekebalan, mengatasi gangguan Tidur dan stress, menetralkan racun, melancarkan ASI, dan tambahan nutrisi pada ibu hamil dan balita. Tujuan umum penelitian ini adalah : untuk mengetahui apakah ada pengaruh konsumsi jintan hitam terhadap depresi pada ibu postpartum di Wilayah Kerja Puskesmas Langsa Barat. Rancangan penelitian yang digunakan adalah quasi eksperimen dengan pendekatan non randomized control group pretest- posttest design. Ibu nifas diberi seduhan teh jintan hitam sebanyak 40 mg/kg.BB/hari selama 15 hari. Jumlah sampel 64 orang yang terbagi kedalam dua kelompok, yaitu kelompok kontrol dan kelompok eksperimen. Analisis data menggunakan uji Kolmogorov-Smirnov dan Uji Wilcoxon. Hasil penelitian didapatkan tidak terdapat perbedaan yang bermakna antara nilai pretest dan posttest pada kelompok kontrol dengan p-value 0,491 sedangkan pada kelompok kontrol terdapat perbedaan yang signifikan antara skor depresi sebelum dan setelah perlakuan dengan p-value 0,000. Teh jintan hitam mampu menurunkan skor depresi pada ibu pimipara postpartum. Kata kunci : Jintan hitam, depresi, postpartu

Pelatihan Effurage Massage dan Aromaterapi untuk Nyeri Postpartum Pada Bidan Desa

ABSTRAK Nyeri yang diakibatkan oleh kontraksi uterus memerlukan berbagai penanganan untuk meminimalkan rasa nyeri yang dirasakan oleh ibu sehingga kenyamanan ibu dapat kembali.Peran seorang perawat pada kondisi tersebut adalah membantu meredakan nyeri ibu post partum dengan memberikan intervensi dalam meredakan nyeri. salah satu terapi pereda nyeri adalah pijat efferuage dan aromaterapi lavender. Bidan dan kader merupakan telayanan kesehatan terdekat yang dapat dijangkau oleh pasien di desa, makadari itu perlunya peningkatan pengetahuan, pemahan dan skill untuk dapat memberikan pelayanan yang lebih baik. Kegiatan dilakukan di Wilayah Kerja Puskesmas Langsa Barat dengan jumlah sasaran sebanyak 12 orang dengan pemberian pelatihan effleurage massage dengan aromaterapi. Evaluari yang di harapkan dapat meningkatkan pengetahuan dan keterampilan peserta. Hasil dari edukasi dan pelatihan yang dilakukan didapatkan pengetahuan peserta setelah diberikan pelatihan meningkat menjadi berpengetahuan baik sebesar 83,3% dan keterampilan peserta tentang pijat effleurage setelah pelatihan sebahagian besar berketerampilan baik sebesar 83,3%. Kegiatan ini dapat disimpulkan bahwa meningkatnya pengetahuan dan keterampilan peserta tentang massage effleurage massage. Kata Kunci: Massage Efllurage, Aromaterapi, Nyeri Postpartum ABSTRACT Pain caused by uterine contractions requires various treatments to minimize the pain felt by the mother so that the mother's comfort can return. The role of a nurse in these conditions is to help relieve the pain of postpartum women by providing interventions in relieving pain. one of the pain relief therapies is efferuage massage and lavender aromatherapy. Midwives and cadres are the closest health services that can be reached by patients in the village, so it is necessary to increase knowledge, understanding and skills to be able to provide better services. Activities carried out in the Langsa Barat Health Center Working Area with a total target of 12 people by providing training in effleurage massage with aromatherapy. Evaluations are expected to increase the knowledge and skills of participants. The results of the education and training conducted obtained knowledge of participants after being given training increased to good knowledge by 83,3% and the skills of participants about effleurage massage after training were mostly good skills by 33.3%. This activity can be concluded that increasing the knowledge and skills of participants about massage effleurage massage.  Keywords: Efllurage Massage, Aromatherapy, Postpartum Pai

EFEKTIVITAS DARK CHOCOLATE DAN WORTEL DALAM MENURUNKAN INTENSITAS DISMINOREA PRIMER

Background: Dysminorrhea will get worse if accompanied by an unstable psychological condition. One of the causes of dysmenorrhea is hormonal factors where there is a hormonal imbalance. Pain during menstruation occurs due to high levels of prostaglandin hormones that make the uterine muscles contract. In Indonesia, the incidence of type dysmenorrhea primary is about 54.89% while the rest sufferers with secondary dysmenorrhea. Non-pharmacological therapy for dysmenorrhea is highly recommended, one of which are dark chocolate and carrots.Purpose: To determine the effectiveness of the combination of dark chocholate and carrots in reducing the intensity of dysminorrhea.Methods: This type of research uses a quasi-experimental design with a pretest-post-test control group design with a sample of 28 respondents experiencing primary dysmenorrhea. Pain intensity was measured by Numeric Rating Scale (NRS). Data collection was carried out during the pre-test, namely during menstruation in the first cycle and post-test data collection was carried out in the second cycle or after 30 days of treatment and assessed on the 31st day or the first menstruation in the following month. The statistical test used is Paired sample t-test.Results: The administration of dark chocholate, carrots and a combination of the two was able to reduce the intensity of primary dysminorrhea with a glossy p-value ≤ 0.05.Conclusion: Consumption of dark chocholate, carrots and a combination of both can reduce the intensity of primary dysmenorrhea. Suggestion for adolescents with primary dysmenorrhea to use non-pharmacologic therapy to reduce pain intensity such as carrots and dark chocholate in order to avoid the side effects of pharmacological drugs. Further research is needed in vitro on the mechanism of the combination of carrots and dark chocholate in reducing the intensity of dysmenorrhea Keywords : Dark Chocholate, Carrot, Dysminorea Intensity, adolescents ABSTRAK Latar Belakang : Disminorea akan bertambah parah apabila disertai dengan kondisi psikis yang labil. Salah satu penyebab dismenorea adalah faktor hormonal dimana adanya ketidakseimbangan hormonal. Nyeri ketika menstruasi tersebut timbul akibat tingginya hormon prostaglandin yang membuat otot rahim berkontraksi. Di Indonesia angka kejadian dismenorea tipe primer adalah sekitar 54,89% sedangkan sisanya penderita dengan dismenorea sekunder. Terapi disminorea secara non farmakologi sangat diabjurkan salahs satunya adalah dark chocholate dan wortel.Tujuan Penelitian : Untuk mengetahui efektivitas kombinasi dark chocholate dan wortel dalam menurunkan intensitas disminorea.Metode Penelitian : Jenis penelitian ini menggunakan quasi eksperiment dengan desain pretest- post test control group design dengan sampel adalah responden yang mengalami disminorea primer sebanyak 28 orang. Intensitas nyeri diukur dengan Numeric Rating Scale (NRS). Pengambilan data dilakukan pada saat pre-test yaitu saat haid pada siklus pertama dan pengambilan data post-test dilakukan pada siklus kedua atau saat setelah dilakukannya perlakuan selama 30 hari dan dinilai pada hari ke 31 atau pertama haid di bulan berikutnya. Uji statistik yang digunakan adalah Paired sample t-tes.Hasil Penelitian : Pemberian dark chocholate, wortel dan kombinasi keduanya mampu menurunkan intensitas disminorea primer dengan nilap p-value ≤ 0,05.Kesimpulan : Pemberian dark chocholate, wortel dan kombinasi keduanya mampu menurunkan intensitas disminorea primer.Sarankan pada remaja yang mengalami disminorea primer untuk menggunakan terapi non faramakologis untuk mengurangi intensitas nyeri seperti wortel dan dark chocholate agar terhindar dari efek samping obat-obatan farmakologi. Diperlukan penelitian lebih lanjut secara in vitro tentang mekanisme kombinasi wortel dan dark chocholate dalam menurunkan intensitas disminorea. Kata Kunci : Dark Chocholate, Wortel, Intensitas Disminorea, Remaja Putri

Pembelajaran kelas ibu hamil terhadap pengetahuan dan sikap ibu tentang pencegahan anemia dan Kurang Energi Kronis (KEK)

Background: Pathological conditions during pregnancy and until childbirth are important to pay attention to. One form of education is through pregnant women, which is a form of prenatal education that can increase their knowledge, attitude change, and positive behavior of pregnant women about anemia and Chronic Energy Deficiency (CED). Thus, every mother can conduct pregnancy and childbirth examinations for the health workers. The aim was to reduce maternal and child mortality rates.Objectives: This study aimed to measure the effect of pregnant women's class learning on their knowledge and attitudes about anemia and CED prevention. Methods: The study was a quasi-experiment using the one-group pretest-posttest design approach, with a sample size of 55 pregnant women taken randomly. The study was conducted from June to July 2019 at the Banda Mulia Aceh Tamiang Health Center. Data collection of knowledge and attitudes was conducted using direct interview techniques and questionnaire instruments. Statistical analyses were performed using a Dependent T-test with a significance level of 95%.Results: After the intervention, most of the pregnant women had good knowledge (61,8%) and positive attitudes (87,3%). There was an effect of class learning for pregnant women on knowledge (p= 0,042) and attitudes (p= 0,038) regarding the prevention of anemia and chronic energy deficiency (CED).Conclusion: Classroom learning for pregnant women improves their knowledge and attitudes regarding the prevention of anemia and chronic energy deficiency