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FACTORS RELATING OF POSTPARTUM DEPRESSION IN INDEPENDENT PRACTICES OF MIDWIFE MISNI HERAWATI, HUSNIYATI AND SORAYA
The postpartum period is a time when various changes, it occurs with women after childbirth, such as physiological, psychological, and socio-cultural and spiritual changes. Complex physical and emotional changes require adaptation to adjust lifestyle after labor and the new role of women to become mothers. It is also the originator of various psychological reactions, ranging from mild emotional reactions to severe levels of mental disorders. This study aims to determine the relationship between age, parity, education level, social support and physical exercise against postpartum depression. The design of this study is a descriptive correlative research type with a cross sectional approach. The number of samples was 32 respondents using concecutive sampling technique. Data collection using questionnaires and data analysis using chi-square. The results showed no significant relationship between age, parity, education level of postpartum depression. (p value> 0.05) and for social support and physical exercise factors during pregnancy there was a significant relationship with postpartum depression (p value <0.05). Keywords : Age, parity, social support, physical exercise during pregnancy, postpartum depressio
PENGARUH SENAM NIFAS TERHADAP PERUBAHAN MATERNAL DEPRESSIVE SYMPTOMS DI RUMAH SAKIT IBU DAN ANAK (RSIA) SAKINA IDAMAN KABUPATEN SLEMAN
Latar
belakang:
P
erubahan
pada
masa
postpartum
memerlukan
banyak
penyesuaian
sehingga
dapat
menimbulkan
gangguan
baik
psikologis
maupun
fisik
.
Intervensi yang dapat
dilakukan
untuk
mengurangi
maternal depressive
symptoms
berupa
non farmakologi
yaitu senam nifas. Senam nifas
merupakan
suatu
latihan yang sederhana di rumah
sakit, dan
dapat
dilanjutkan di rumah yang
bertujua
n
menolong
dalam
meningka
tkan
pemulihan fisik ibu postpartum dan
juga
d
apat
membantu
mengurangi
gejala depresi.
Tujuan:
Untuk
mengetahui
pengaruh
senam
nifas
terhadap
perubahan
maternal
depressive symptoms
.
Metode:
Quasi experiment
dengan
pretest
and
posttest
non
equivalent
control
group
design
. Teknik
sampel
menggunakan
consecutive sampling
dengan
jumlah
59
subyek
penelitian
terdiri
dari
kelompok
intervensi
dan
kelompok
kontrol.
Analisis yang digunakan
adalah
uji
paired sample t test
dan
independent t test
dengan
tingkat
kemaknaan
p value
< 0,05 dan analisis multivariat dengan
menggunakan regresi linear.
Hasil:
Hasil
uji
t
-
test
menunjukkkan bahwa ada perbedaan rata
-
rata penurunan
skor
maternal depressive symptoms
pada ibu
postpartum
pada kelompok
perlakuan d
ibandingkan
kelompok
kontrol sebesar 4,9 dengan nilai
p value
<
0,001, 95% CI=
3,097
-
(6,884)
.
Kes
impulan:
Penurunan skor
maternal depressive symptoms
pada ibu
postpartum
yang melakukan senam nifas lebih besar dibandingkan ibu yang tidak melakukan
senam nifas
PENGARUH SENAM NIFAS DAN PIJAT OKSITOSIN TERHADAP INVOLUSI UTERI PADA IBU POSTPARTUM
Salah satu indikator untuk menentukan derajat kesehatan suatu bangsa ditandai dengan tinggi rendahnya angka kematian ibu. Hal ini merupakan suatu fenomena yang mempunyai pengaruh besar terhadap keberhasilan pembangunan kesehatan. Masa Nifas merupakan hal penting untuk diperhatikan guna menurunkan angka kematian ibu. Setelah persalinan tubuh seorang ibu memasuki masa pemulihan, salah satunya adalah involusi uteri yang dimulai segera setelah persalinan dan proses ini harus tuntas setelah 6 minggu.. Ada beberapa upaya yang dapat dilakukan untuk mempercepat proses involus uteri antara lain senam nifas dan pijat oksitosin. Tujuan Penelitian: menganalisis pengaruh kombinasi dari senam nifas dan pijat oksitosin terhadap involusi uteri pada ibu postpartum. Metode Penelitian: Penelitian ini merupakan penelitian quasi eksperimen dengan post test-only control group design. Pengambilan sampel dilakukan secara consecutive sampling.Hasil: Hasil penelitian menunjukkan terdapat perbedaan rerata yang bermakna pada penurunan tinggi fundus uteri antara kelompok perlakuan dan kelompok kontrol (p<0,05). Simpulan:Hasil penelitian ini diharapkan memberikan kontribusi positif terhadap ilmu kebidanan sebagai salah satu upaya nonfarmakologik untuk mempercepat proses involusi uteri sehingga dapat mengurangi perdarahan pada ibu postpartum yang sering terjadi pada masa postpartum karena proses involusi yang tidak berjalan normal (sub involusi uteri) dan dapat mendukung upaya pemerintah dalam mengurangi angka mortalitas dan morbiditas ibu.An indicator to determine the degree of health, high and low maternal mortality rates characterize a nation. It is a phenomenon that has great importance to the increasing success of health development. The puerperium is a crucial thing to consider to reduce maternal mortality. After delivery, the mother's body begins the recovery period, one of which is uterine involution which starts immediately after delivery, and this process completed after six weeks. Read more about the process of returning the uterus to the state before pregnancy after giving birth. This process is critical because puerperal bleeding can occur sooner or later. Several efforts can make to improve the process of uterine involves, including puerperal exercises and oxytocin massage. The aims: to analyze the effect the combination of puerperal exercises and oxytocin massage on uterine involution in postpartum mothers The Method: This research is a quasi-experimental study with post-test only control group design. Sampling has taken as consecutive sampling. The Results: The results showed that there were significant mean differences in the decrease in the height of the fundus between the treatment group and the control group (p <0.05). The conclusion: The results of this study expected to make a positive contribution to midwifery as one of the non-pharmacological efforts to accelerate the process of uterine involution to reduce bleeding in postpartum mothers that often occurs during the postpartum because of involution processes that are not running normally (sub involution uteri) and can support government efforts in reducing maternal mortality and morbidity
Efektivitas baby spa dalam meningkatkan kualitas tidur dan frekuensi menyusui pada bayi 3-6 bulan
Background: Infancy is a golden period for child growth and development, requiring special attention. Factors influencing infant growth include rest and nutrition patterns. Therefore, adequate sleep and nutrition needs must be met to prevent adverse impacts on future growth. One way to improve sleep and breastfeeding quality is through baby spa treatments.
Purpose: To determine the effectiveness of baby spa treatments in improving sleep quality and breastfeeding frequency in infants aged 3-6 months.
Method: This quantitative study used a quasi-experimental design with a pre-post test and control group design. The study was conducted at the Fauziah Hatta Independent Midwife Practice in Palembang from December 2024 to May 2025. The study sample consisted of infants aged 3-6 months who met the inclusion and exclusion criteria. There were 30 participants in the intervention group and 30 participants in the control group.
Results: Based on the Wilcoxon test, there was a significant difference between infant sleep quality and breastfeeding frequency before and after the intervention in the intervention group (p<0.05). However, in the control group, there was no significant difference between infant sleep quality before and after (p>0.05). Meanwhile, there was a significant difference in infant breastfeeding frequency before and after (p<0.05).
Conclusion: Baby spa is effective in improving infant sleep quality and sleep duration. Furthermore, baby spa is also effective in increasing breastfeeding frequency and duration in infants aged 3-6 months.
Suggestion: Baby spa can be implemented in infants aged 3-6 months to improve sleep quality, sleep duration, breastfeeding frequency, and breastfeeding duration. Future research can conduct long-term evaluations and further development to determine the long-term impact of baby spa interventions on infant growth and development, as well as create app-based self-learning tools for parents.
Keywords: Baby Spa; Breastfeeding Frequency; Sleep Quality.
Pendahuluan: Periode bayi merupakan periode emas untuk pertumbuhan dan perkembangan anak, sehingga perlu mendapatkan perhatian khusus. Faktor yang memengaruhi pertumbuhan bayi adalah pola istirahat dan nutrisi bayi, maka kebutuhan tidur dan nutrisi harus benar-benar terpenuhi agar tidak berpengaruh buruk terhadap pertumbuhannya di masa yang akan datang. Salah satu upaya yang dapat dilakukan untuk membantu meningkatkan kualitas tidur dan menyusui bayi adalah dengan memberikan perawatan baby spa.
Tujuan: Untuk mengetahui efektivitas baby spa dalam meningkatkan kualitas tidur dan frekuensi menyusui pada bayi 3-6 bulan.
Metode: Penelitian kuantitatif menggunakan desain quasi eksperimen dengan jenis pre-post test control group design. Penelitian dilakukan di wilayah kerja Praktik Mandiri Bidan Fauziah Hatta Palembang dan dilaksanakan pada bulan Desember 2024 - Mei 2025. Sampel dalam penelitian ini adalah bayi usia 3-6 bulan yang memenuhi kriteria inklusi dan eksklusi yang berjumlah 30 partisipan pada kelompok intervensi dan 30 pada kelompok kontrol.
Hasil: Berdasarkan uji Wilcoxon, pada kelompok intervensi ditemukan perbedaan yang bermakna antara kualitas tidur bayi dan frekuensi menyusui bayi sebelum dan sesudah intervensi (p<0.05). Namun, pada kelompok kontrol tidak terdapat perbedaan yang bermakna antara kualitas tidur bayi sebelum dan sesudah (p>0.05). Sementara frekuensi menyusui bayi justru ditemukanperbedaan yang bermakna sebelum dan sesudah (p<0.05).
Simpulan: Baby spa efektif dalam meningkatkan kualitas tidur bayi dan durasi tidur bayi. Selain itu, juga efektif dalam meningkatkan frekuensi dan durasi menyusui bayi 3-6 bulan.
Saran: Baby spa dapat diterapkan pada bayi 3-6 bulan untuk meningkatkan kualitas tidur, durasi tidur, frekuensi menyusui, dan durasi menyusui bayi. Penelitian selanjutnya dapat melakukan evaluasi jangka panjang dan pengembangan lanjutan untuk melihat dampak jangka panjang dari intervensi baby spa terhadap pertumbuhan dan perkembangan bayi serta membuat media pembelajaran mandiri untuk orang tua berbasis aplikasi.
Kata Kunci: Baby Spa; Frekuensi Menyusui; Kualitas Tidur
Faktor-faktor yang Berhubungan dengan Inovasi Asuhan Kebidanan Holistik dalam Pelayanan Praktik Mandiri Bidan di Kota Palembang
Efforts that can be made to reduce interventions in midwifery services are holistic midwifery care. Holistic care is care using a comprehensive concept so that it can detect early and prevent possible complications that will occur immediately. Midwives as health workers who play a role in maternal and child health are expected to be able to provide care with a holistic understanding of women. The innovation of holistic midwifery care in the Independent Practice of the Palembang City Midwife has not been popular among midwives in the City of Palembang. The purpose of this study was to determine the relationship between knowledge, attitudes, motivation, years of service, training, education, and age with holistic midwifery care innovations in midwifery independent practice services in the city of Palembang. This study used a quantitative approach, with an analytic survey design and a cross-sectional design. Statistically there is a significant relationship between knowledge (0.000), attitude (0.028), and training (0.003) with holistic midwifery care innovation in midwifery independent practice services. Statistically, there is no significant relationship between motivation (0.600), years of service (0.705), education (0.161), and age (0.753) with holistic midwifery care innovation in midwifery independent practice services. The variable that has the greatest relationship with holistic midwifery care innovation in midwifery independent practice services is knowledge. The holistic approach is the most comprehensive approach in health care, so midwives are expected to increase their knowledge and attitudes through training related to holistic midwifery care so that they can provide holistic care in midwifery practice
EDUKASI TEKNIK MENYUSUI DAPAT MENINGKATKAN KEBERHASILAN LAKTASI PADA IBU POSTPARTUM
Abstract: Breastfeeding is a natural process, but in reality not all mothers can breastfeed their babies with the right technique. Lactation failure caused by improper breastfeeding techniques can have a negative impact on both mother and baby. Research objective: to analyze the effect of breastfeeding technique education on the success of lactation. Research Methods: This research is a quasi-experimental research with one group pretest and posttest design. Sampling was done by consecutive sampling. Results: The results showed that there was an effect of education on breastfeeding techniques and after being given education on the success of lactation in postpartum mothers (p <0.05). Conclusion: Midwives as the spearhead of maternal and child health are expected to support successful lactation by providing education about good and correct breastfeeding techniques to mothers, especially in the first weeks postpartum.Abstrak: Menyusui adalah suatu proses yang alamiah, namun kenyataanya tidak semua ibu dapat menyusui bayinya dengan teknik yang benar Kegagalan laktasi yang disebabkan teknik menyusui yang tidak tepat dapat berdampak buruk pada ibu dan bayi. Tujuan Penelitian: menganalisis pengaruh edukasi teknik menyusui terhadap keberhasilan laktasi. Metode Penelitian: Penelitian ini merupakan penelitian quasi eksperimen dengan dengan one group pretest dan posttest design. Pengambilan sampel dilakukan secara consecutive sampling. Hasil: Hasil penelitian menunjukkan terdapat pengaruh edukasi teknik menyusui dan setelah diberikan edukasi terhadap keberhasilan laktasi pada ibu postpartum (p<0,05). Simpulan: Bidan sebagai ujung tombak kesehatan ibu dan anak diharapkan dapat mendukung keberhasilan laktasi dengan memberikan edukasi tentang teknik menyusui yang baik dan benar pada ibu terutama di minggu- minggu pertama postpartum.
Going Beyond Counting First Authors in Author Co-citation Analysis
The present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation
counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings
are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that
only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into
account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
Variations on the Author
“Variations on the Author” discusses two of Eduardo Coutinho’s recent films (Um Dia na Vida, from 2010, and Últimas Conversas, posthumously released in 2015) and their contribution to the general question of documentary authorship. The director’s filmography is characterized by a consistent yet self-effacing form of authorial self-inscription: Coutinho often features as an interviewer that rather than express opinions propels discourses; an interviewer that is good at listening. This mode of self-inscription characterizes him as an author who is not expressive but who is nonetheless markedly present on the screen. In Um Dia na Vida, however, Coutinho is completely absent form the image, while Últimas Conversas, on the contrary, includes a confessional prologue that moves the director from the margins to the center of his films. This article examines the ways in which these works stand out in the filmography of a director who offers new insights into the notion of cinematic authorship
Appropriate Similarity Measures for Author Cocitation Analysis
We provide a number of new insights into the methodological discussion about author cocitation analysis. We first argue that the use of the Pearson correlation for measuring the similarity between authors’ cocitation profiles is not very satisfactory. We then discuss what kind of similarity measures may be used as an alternative to the Pearson correlation. We consider three similarity measures in particular. One is the well-known cosine. The other two similarity measures have not been used before in the bibliometric literature. Finally, we show by means of an example that our findings have a high practical relevance.information science;Pearson correlation;cosine;similarity measure;author cocitation analysis
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