Labor pain is a subjective experience experienced by the mother about physical sensations associated with uterine contractions, dilation and thinning of the cervix and decreased fetus during labor. Reaction to pain is a very individual response. The sensitivity of anxiety in labor pain has a significant relationship to sensory and affective pain in labor. Labor anxiety and pain significantly affect maternal labor, therefore various methods of pharmacological and non-pharmacological methods are carried out in an effort to deal with pain. Technology was also developed to support these non-pharmacological efforts. One of them uses virtual reality (VR) as the current and future trends for pain management. This scientific article is a literature review with a systematical review method from various literature which includes a systematic search study of computerized databases (PubMed, BMC, Cochrain review, Google Scholar) in the form of research journals and review articles related to virtual reality. The results of this literature study are virtual reality technology capable of reducing anxiety and being able to be used to reduce pain during labor.

Salah satu fenomena yang terjadi pada Generasi Z adalah menunda pernikahan.Fenomena inid apat menimbulkan dampak positif dan negatif terhadap kehidupan sosial dan psikologis generasi Z. Tujuan penelitian ini adalah  untuk mengetahui faktor-faktor apa saja yang mempengaruhi fenomena menunda pernikahan pada Generasi Z serta dampak yang ditimbulkan dari fenomena tersebut.Penelitian ini menggunakan metode survei. Teknik analisis data yang digunakan adalah analisis deskriptif dan regresi linier. Hasil penelitian menunjukkan bahwa mayoritas responden (64,8%) mengatakan bahwa mereka lebih memilih untuk menunda pernikahan hingga meraih kesuksesan dalam karir atau pendidikan. Tekanan dari lingkungan sosial (24,6%) dan perubahan nilai sosial (10,6%) mempengaruhi keputusan mereka dalam menunda pernikahan. Dalam hal dampak dari fenomena menunda pernikahan pada generasi Z, hasil penelitian menunjukkan bahwa mayoritas responden (61,2%) menganggap bahwa menunda pernikahan dapat memberikan waktu yang lebih banyak untuk berkembang dan mengembangkan diri. Secara statistik, faktor-faktor yang memengaruhi keputusan generasi Z dalam menunda pernikahan adalah pendidikan, karir, dan tekanan dari lingkungan sosial. Regresi linier menunjukkan bahwa responden yang memiliki tingkat pendidikan yang lebih tinggi cenderung lebih memilih untuk menunda pernikahan (β 0,274, p 0,05). Demikian pula, responden yang lebih fokus pada karir cenderung lebih memilih untuk menunda pernikahan (β 0,379, p 0,01). Sementara itu, tekanan dari lingkungan sosial memiliki pengaruh yang signifikan terhadap keputusan generasi Z dalam menunda pernikahan (β 0,225, p 0,05). Berdasarkan hasil penelitian dan pembahasan yang telah dilakukan, dapat disimpulkan bahwa faktor-faktor yang memengaruhi keputusan generasi Z dalam menunda pernikahan adalah pendidikan, karir, dan tekanan dari lingkungan sosial. Menunda pernikahan dapat memberikan waktu yang lebih banyak untuk berkembang dan mengembangkan diri, namun juga dapat memberikan tekanan sosial dan psikologis One of the phenomena that occur in Generation Z is delaying marriage. This phenomenon can have positive and negative impacts on the social and psychological life of Generation Z. The purpose of this study is to determine what factors influence the phenomenon of delaying marriage in Generation Z and the impact arising from this phenomenon. This study uses a survey method. The data analysis technique used is descriptive analysis and linear regression. The results showed that most respondents (64.8%) preferred to postpone marriage until they achieved success in their career or education. Pressure from the social environment (24.6%) and changes in social values (10.6%) influenced their decision to postpone marriage. Regarding the impact of delaying marriage on Generation Z, the results show that most respondents (61.2%) think delaying marriage can give them more time to develop and develop themselves. Statistically, the factors influencing Generation Z's decision to postpone marriage are education, career, and pressure from the social environment. Linear regression shows that respondents with a higher education level tend to prefer to delay marriage (β 0.274, p 0.05). Likewise, more career-focused respondents tend to prefer to postpone marriage (β 0.379, p 0.01). Meanwhile, pressure from the social environment significantly influences the decision of Generation Z to postpone marriage (β 0.225, p 0.05). Based on the results of the research and discussion that has been done, it can be concluded that the factors that influence Generation Z's decision to postpone marriage are education, career, and pressure from the social environment. Delaying marriage can give them more time to grow and develop themself, but it can also put social and psychological pressure..

Background: Long-term contraception is the most cost-effective type of modern contraception and to prevent unwanted pregnancies for 3-10 years, one of the methods of MKJP is implant birth control. In 2019, the coverage of long-term contraception acceptors was 23.1%, and the number of implant users was 4.7%. Many acceptors were less interested in implants because they were afraid of how to install them. Therefore, to reduce anxiety and pain, the servants tried to use complementary therapy such as the use of virtual reality, slow deep breathing, and lavender essential oil. Methods: This community service activity is included in a series of events commemorating World contraception day and contributes to the success of the 250,000 MKJP programs launched by BKKBN. The activity was carried out on 19 and 24 August 2020 at PMB Istri Yuliani and was attended by 28 implant acceptors. Results: The number of implant acceptors who participated in this activity was 28 mothers, with an average age at healthy reproductive age (85.7%), an average level of education for secondary education (85.7%), and having more than 1 child ( 64.3%) only 32.1% of the acceptors have never used family planning before, the rest have used various contraceptive methods. The use of effective complementary therapies can reduce anxiety levels in mothers by 9.50 points. Besides, the use of complementary therapies is also effective in reducing pain felt by implant acceptors. Conclusion: Complementary virtual reality therapy, slow deep breathing, and lavender essential oil can reduce the level of anxiety and pain in implant family planning acceptors.Keywords: anxiety, pain, implants, complementary therapy

Latar belakang: Salah satu kendala penggunaan IUD sebagai metode kontrasepsi adalah tingkat kecemasan prosedur pemasangan. Sebagai upaya menurunkan kecemasan tersebut dapat menggunakan tehnik Slow Deep Breathing. Penelitian ini bertujuan untuk mengetahui pengaruh tehnik Slow Deep Breathing terhadap kecemasan calon akseptor KB IUD. Metode: Jenis penelitian ini adalah penelitian quasi eksperimental dengan pendekatan one group pre test dan post test tanpa menggunakan kelompok kontrol. Populasi dalam penelitian ini adalah calon akseptor IUD sebanyak 50 orang. Analisis data menggunakan wilcoxon. Hasil: Terdapat penurunan tingkat kecemasan calon akseptor IUD sebelum dan sesudah mendapatkan terapi non farmakologis tehnik relaksasi nafas dalam (slow deep breathing) sebanyak 10.5 point. Berdasarkan hasil perhitungan Wilcoxon signed rank test didapatkan nilai Z sebesar -6.169 dengan nilai signifikansi < 0.000 (p < 0.05) sehingga terdapat perbedaan yang bermakna sebelum dan sesudah intervensi. Kesimpulan: Terdapat perbedaan tingkat kecemasan sebelum dan setelah mendapatkan terapi non farmakologi berupa intervensi  relaksasi nafas dalam (slow deep breathing). Tingkat kecemasan menyebabkan peningkatan skor nyeri pada akseptor IUD oleh sebab itu penting dilakukan manajemen kecemasan untuk meningkatkan kenyamanan dalam pemasangan IUD sehingga diharapkan dapat meningkatkan cakupan penggunaan kontrasesi IUD.

Tujuan pengabdian masyarakat ini adalah untuk meningkatkan jumlah peserta KB MKJP dengan pemasangan Implant dan IUD. Metode pengabdian ini menggunakan studi lapangan, pemeriksaan langsung dengan langkah kegiatan; Penyuluhan, Pendidikan Kesehatan tentang KB MKJP IUD,  Implant dan pemasangan Implant serta IUD. Kgiatan Pengabdian masyarakat dilakukan di wilayah Kabupaten Sleman, dilaksanakan pada Bulan Agustus sampai dengan September 2020. Hasil kegiatan pengabdian kepada masyarakat ini di ikuti oleh 88 akseptor yang terdiri dari 60 akseptor IUD dan 28 akseptor implant. Kegiatan Pengabdian dapat memberikan informasi kepada WUS  serta memberikan kontribusi yang besar terhadap peningkatan jumlah peserta KB MKJP ( IUD dan Implant) Installation of IUDs and Implants as a Baby Boom Prevention During the Covid-19 Pandemic The purpose of this community service is to increase the number of MKJP family planning participants by installing implants and IUDs. This service method uses field studies, direct examination with activity steps; Counseling, Health Education about KB MKJP IUD, Implants, and the installation of Implants and IUDs. Community service activities are carried out in the Sleman Regency area, carried out from August to September 2020. The results of this community service activity were participated in by 88 acceptors consisting of 60 IUD acceptors and 28 implant acceptors. Service activities can provide information to WUS and make a major contribution to increasing the number of MKJP family planning participants (IUD and Implant).