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Background: Exclusive breastfeeding in Semarang during the past five years remains low. Only 20 to 64% of mothers were breastfed exclusively in 2010-2012. The incidence of postpartum blues was reported by 29.9% mothers, and mostly (56.6%) was primiparous.Objective: This study aims to determine the effect of Loving Massage, aromatherapy, and a combination of Loving Massage and aromatherapy on stress levels, and changes in levels of prolactin in primiparous puerperal in Semarang.Method: A true experimental study with a randomized pretest-posttest control group design. Cluster random sampling was used to select 12 health centers from the 37 health centers in Semarang. A random assignment with a sealed envelope was performed to divide study participants into four groups; loving massage group, aromatherapy group, and a combination group of loving massage and aromatherapy, and a control group. A total of 52 primiparous puerperal mothers was involved, with 13 mothers were distributed equally in each group.Results: Loving Massage, aromatherapy, and a combination of Loving Massage and aromatherapy effectively changed mother’s stress and prolactin levels. Effectiveness of each treatment assessed from the average difference in scores before and after treatment. Combination of Loving Massage and aromatherapy had proven as the most effective treatment in  reducing stress levels (11.61 ± 6.76), and increasing prolactin level (83.13 ± 6.41 ng/ml).Conclusions: Loving Massage & Aromatherapy shown to lower the levels of stress, and can increase the levels prolactin in postpartum primiparous. Therefore, it is recommended to provide Loving Massage therapy and aromatherapy to postpartum primiparous mothers.

Background: Unstable emotions that are common during the perinatal period affect hormonal regulation and affect immunity. Research of psychoeducation dhikr be important was done to reduce perceived stress so that cortisol levels can be controlled hence IgG increases.Purposes: to prove additional psychoeducation of dhikr in routine midwifery care more influential on decreasing cortisol and increasing IgG among primiparous women.Methods: This study was an experimental study. A number of 24 participants as intervention group and a number of 23 participants as control group. Cortisol and IgG levels measured using ELIZA kits in the third trimester of pregnancy, the three days and tenth days after birth. Statistical test using General Linear Model and independent t test to compare Δ score.Results: The result showed mean difference between groups on the end of interventions, cortisol 18.95, CI 95% (-13.42 – 51.33) and p value is 0.245. The difference of the IgG between groups 482.72, CI 95% (55,51 - 909,93) and p value is 0.028.Conclusions: Additional psychoeducation of dhikr in routine midwifery care has more decrease Cortisol and increase IgG levels in primiparous women. Keywords: Cortisol, Psychoeducation Dzikr, IgG, Primiparous

Background: Injecting drug users (IDUs) are play role of high risk of HIV infection due to sexual behaviors that do not use condoms and use of unsterile needles. The high productive age group affected by HIV/AIDS and death, then the lower life expectancy, availability and productivity of the workforce. The purpose of the study proved that individual and environmental factors are risk factors for the incidence of HIV / AIDS among injecting drug users.Method: This observational analytic study, with the design of the case control study equipped with a qualitative approach of risk factors retrospectively. The target population of the study were IDUs in Pontianak with a sample of 96 people consisting of 48 cases of HIV/AIDS and 48 were IDUs not control HIV/AIDS. The sampling method is non-probability sampling study with consecutive sampling manner. Data analysis included univariate, bivariate using chi- square test and multivariate logistic regression test.Results: Multivariate analysis of four variables associated with the incidence of HIV/AIDSamong IDUs is married status (OR = 5,57), had sexual intercourse more than two people (OR =4,13), frequency of injecting drugs > 6 time / week yet (OR = 3,71), and not / do not work (OR= 3,28)Conclusion: Risk factors were shown to influence: the married status, had sexual intercourse more than ≥ 2 people, frequency of injecting drugs > 6 times / week and not/do not work yet.

Background: One of the causes of Maternal Mortality Ratio (MMR) in Indonesia is pre-eclampsia. Mothers with pre-eclampsia disorder who are followed by anxiety tend to have specific vital sign change included increasing blood pressure, heart rate, respiratory rate, and fetus heart rate. Pregnant suffered pre-eclampsia should keep the balance of mind and emotion, as well as to reduce a complication of pre-eclampsia towards mothers and their fetus. Objective: The objective of this study was to analyze the effects of the relaxation hypnosis on fetus heart rate and vital signs of pregnant women with pre-eclampsia.Method: This study was a quasi-experiment with a pretest-posttest design. The total subjects were 32 pregnant women with preeclampsia, which selected by purposive sampling techniques. The researcher did hypnosis relaxation for three times. a Wilcoxon test was used to analyze the paired bivariate for systolic blood pressure, while the Mann-Whitney test and independent t-test were used to analyze fetus heart frequency. Result: This study shows that hypnosis relaxation can reduce the systole blood pressure (p-value = 0.000; CI=12. , reduce heart rate (p value = 0,004;) and reduce respiratory rate (p value = 0.000; . In terms of the effect on the fetus, hypnosis relaxation affect the fetus heart rate (p value = 0,000; . Conclusion: Hypnosis relaxation influences the change of fetal heart rate and vital signs of pregnant women with pre-eclampsia.