Identification of the needs couples against prenatal class program in Badung Regency

Background: Pregnancy causes changes in physical and psychological. Sometimes it causes a maturation crisis. The husband's support is expected to be optimal. So far, pregnancy education has focused on the mother, so the husband cannot carry out his role optimally.Objective: This study aims to identify the information needs of couples about the materials, methods, media, repetitions, and duration of couple prenatal class in Badung Regency.Methods: This research is a mixed-method explanatory sequential. This research was conducted in Badung Regency with 100 couples. Data analysis went through the stages of transcription, reduction, coding, categorization and finding themes. The results obtained six themes: subjects, functions, forms, awareness, quantity, and quality of health education. The next step is quantitative, the questionnaire contains the types of material needs, media, methods, duration and repetitions of health education needed by couples.The results of quantitative research were analyzed descriptive quantitatively..Result: This study consisted of 6 themes that were used as the basis for compiling a quantitative research. This research questionnaire consists of 30 items which include material, media, method, duration and repetition of health information needs about pregnancy, childbirth, postpartum and newborn which are assessed with a Likert scale.The findings revealed that the most common pregnant topics were fetal stimulation, danger indicators, and complaints, as well as how to deal with them. Pain management strategies, the role of the husband, and early breastfeeding initiation are the essential delivery materials. Danger indicators, breastfeeding issues, and managing and caring for postpartum are the most needed during the postpartum time. Bathing and caring for the umbilical cord, growth, development, and massage are the essential newborn care items. Interactive media, hybrid approaches, duration, and repetition of material adapted to the urgency and demands of couples are all desirable learning media.Conclusion: The needs of couples for health education in a couple of prenatal classes are very varied, including materials, media, methods, duration, and repetitions

The relationship between breastfeeding contact with breastfeeding self-efficacy in Wangaya Hospital Denpasar City

Background :Breastfeeding is the best care for babies in early life. Lack of self- confidence of mothers is one of the causes of breastfeeding failure. Breastfeeding self-efficacy can be used to see or identify mothers who are at hight risk for stopping the breastfeeding process prematurely. Interventions that can improve breastfeeding self-efficacy care providing support and counseling during antenatal, perinatal and postnatal management. To achieve successful breastfeeding, WHO has set a special time for contact with lactation counselor orlactation clinic known as Breastfeeding contact.Objectives :This study aims to analyze the relationship between breastfeeding contact and breastfeeding self- efficacy in Wangaya Hospital, Denpasar City.Methods :The study was designed with an observational analytic approach with a crosssectional approach, in Februari-April 2022. The data were collected from breastfeeding mothers who bring their babies control for the first time and or 7 days old. The sampel was obtained by total sampling method, data analysis using bivariate and statistical testing using Chi-square test.Results :The results showed that of 38 respondents, were 73.68% had good breastfeeding contact and 57.89% had a good of breastfeesing self-efficacy.The results of cross tabulation, respondents who had good breastfeeding contacts and had a good breastfeesing self-efficacy were 55.26%. The results of this study indicate that there is a significant relationship between breastfeeding contact and breastfeeding self- efficacy in Wangaya Hospital Denpasar City with ρ-value is 0.001.Conclusions : Having regular breastfeeding contact can increase the breastfeeding self-efficacy

Stimulation of endorphin massage, oxytocin massage, and suggestive (SPEOS) method activates let-down reflex (LDR) of postpartum mother

Breast milk is the most important food, especially in the first months of a baby's life. The best nutrition on the first day of a baby's life is colostrum. Delayed and insufficient milk production can cause mothers not to give breast milk to their babies. The process of releasing milk also depends on the Let-Down Reflex (LDR). One way to facilitate breast milk production is to apply the Stimulation of Endorphin Massage, Oxytocin Massage, and Suggestive (SPEOS) method. The purpose of this study was to determine the effect of the SPEOS Method on the Let-Down Reflex (LDR) Activation in Postpartum. The study design used a pre-experimental one-group pre-test - post-test. The location of the study was conducted at the public health of Denpasar which provides delivery services. The research period was from May to October 2019. The population was the postpartum mother who was treated at the public health care of Denpasar and fulfilled the specified inclusion criteria. The data collection instrument used a questionnaire. Statistical analysis with Wilcoxon test. The result found the median of LDR postpartum before the SPEOS method (2 with a range of 1-3) and after the SPEOS method (5 with a range of 4-6) indicated an increase in the LDR score (p-value <0,001). The conclusion is that the SPEOS method increases the activation of Let Down Reflexes (LDR) in postpartum. Recommendation to public health centers and health workers to compile and set operational standards for SPEOS procedures and implement this method for each postpartum mother

The inclination of psychological disorder of post sectio caesarean based on characteristic

Background: Psychological problems in postpartum mothers, both vaginal postpartum and post SC, can have a negative impact on the cognitive development of babies and can reduce maternal and infant bonding. Post SC have a risk of postpartum depression four times greater than mothers with vaginal deliveries. However, previous studies looked at postpartum mothers in general, not specifically in post-SC who had a higher risk. Research related to early detection of the risk of post-SC psychological disorders is quite limited.  The prevalence of mothers with postpartum depression symptoms in Denpasar in 2019 was 25.4%. Early detection can be done using the Edinburgh Postpartum Depression Scale (EPDS).Objectives: The aims of this research to identify the psychology of post SC mothers based on characteristics including age, race/ethnicity, last education, income, pregnancy status, parity, living with a nuclear or large family, lactation problems, and type of SC in the Dr.dr. I Nyoman Hariyasa Sanjaya,SpOG(K)-KFM.MARS 2022.Methods: Descriptive research design with a cross-sectional subject approach model. The sample of this research is 34 samples with the Consecutive Sampling technique. Types of primary data taken by EPDS and characteristic questionnaire. This study uses quantitative descriptive univariate analysis.Results: The prevalence of Post SC which indicates a psychological disorder is 44.12%. Post SC which indicates more psychological disorders are mothers with a productive age range of 20-35 years by 26.47%, Asian race 41.18%, higher education level which is 38.24%, very high revenue 38.24%, desired pregnancies status 35.29%, 29.41% multiparas, 23.53% mothers living with large families, 38.24% experiencing lactation problems, and 26,47% elective SC types.Conclusions: This study found that 44.12% of Post SC indicated experiencing psychological disorders, the majority were Post SC at the age of 20-35 years, Asian race, good education, very high revenue, desired pregnancy status, multipara, mothers living with large families, mothers with lactation problems, and elective cesarean section. The environment and health workers can conduct screening as early as possible so that the impact of this psychological disorder can be prevented