This research aims to find out the picture of maternal anxiety before sectio caesarean at Muhammadiyah Pekajangan Islamic Hospital Pekalongan. This research is a quantitative descriptive study using a cross sectional approach. The population in this study was mothers who gave birth in pre-caesarean sections at The Islamic Hospital Muhammadiyah Pekajangan Pekalongan. Sampling technique using quota sampling type, which is 30 respondents who meet inclusion criteria and do not drop out. Data collection using the T-MAS questionnaire (Taylor Anxiety Scale) method of data collection with interviews. The results found that 100% of respondents experienced anxiety and Most (70%) have severe anxiety before SC surgery. It is hoped that health workers especially midwives can provide information and provide positive support that can reduce the anxiety of clients before surgery sectio caesaria

AbstrakSeorang wanita secara fisiologis akan mengalami kehamilan, persalinan dan menjalani masa nifasnya. Beberapa wanita yang pernah melahirkanpun terkadang memiliki perasaan trauma atau khawatir terhadap rasa nyeri yang timbul pada saat persalinan, nyeri persalinan dianggap nyeri yang paling menyakitkan oleh ibu-ibu yang baru pertama kali mengalaminya. Penanganan nyeri non farmakologis dapat diterapkan untuk membantu mengurangi nyeri persalinan, salah satunya dengan melakukan massage effleurage dan kompres dingin. Tujuan penelitian ini untuk mengetahui perbedaan efektivitas massage effelurage dan kompres dingin terhadap nyeri persalinan. Jenis penelitian Quasi eksperimen. Instrumen penelitian menggunakan Numeral Rating Scale (NRS) pada 30 responden terdiri dari 15 responden kelompok massage effleurage dan 15 kelompok kompres dingin. Analisa data menggunakan uji Mann Whitney. Hasil terdapat perbedaan massage effelurage dan kompres dingin terhadap nyeri persalinan dengan nilai p 0,001 (<0,05)sehingga dapat disimpulkan massage effleurage lebih efektif untuk menurunkan nyeri persalinan. Saran hendaknya bidan dapat mensosialisasikan dan mengaplikasikan massage effelurage sebagai metode non farmakologi untuk mengurangi nyeri persalinan Kata kunci: Massage effleurage,kompres dingin,nyeri persalinan Abstract A woman physiologically will experience pregnancy, childbirth and the puerperium. Some women who have given birth sometimes have feelings of trauma or worry about the pain that arises during labor, labor pain is considered to be the most painful pain by mothers who have experienced it for the first time. Non-pharmacological pain management can be applied to help reduce labor pain, one of which is to do effleurage massage and cold compresses. The purpose of this study was to determine the difference in effectiveness of effelurage massage and cold compresses against labor pain. This type of research is Quasi experiment. The research instrument used the Numeral Rating Scale (NRS) in 30 respondents consisting of 15 respondents in the group of effleurage massage and 15 groups of cold compresses. Data analysis using the Mann Whitney test. The results showed that there were differences in effelurage massage and cold compress on labor pain with a p value of 0.001 (<0.05) so that it could be concluded that effleurage massage was more effective in reducing labor pain. Suggestions should midwives be able to socialize and apply effelurage massage as a non-pharmacological method to reduce labor pain.

Perawatan perineum yang kurang baik dapat menyebabkan timbulnya infeksi pada perineum yang dapat menghambat proses penyembuhan luka. Beberapa faktor yang mempengaruhi penyembuhan luka perineum diantaranya status nutrisi, istirahat, stress, infeksi, merokok, kondisi medisdan pengobatan dan obesitas. Obesitas atau berat badan yang berlebih dapat terjadi pada berbagai usia, menyebabkan penutupan luka kurang baik. Penelitian ini bertujuan untuk mengetahui hubungan indeks massa tubuh dengan penyembuhan luka perineum ibu nifas. Jenis penelitian yang dilakukan adalah survey analitik Populasi yang digunakan dalam penelitian ini adalah seluruh ibu nifas yang mempunyai luka jahit perineum di wilayah kabupaten Pekalongan. Dengan tehnik pengambilan sampel Accidental sampling dari tanggal 21 Maret sampai dengan 2 Mei 2017 didapatkan 30 ibu nifas. Pengumpulan data penelitian menggunakan kuesioner. Analisa data yang digunakan adalah uji korelasi pearson. Hasil penelitian menunjukkan ada hubungan antara indeks massa tubuh dengan penyembuhan luka perineum ibu nifas dengan p value 0,003 (< 0,05). Diharapkan tenaga kesehatan dapat memberikan informasi kepada ibu nifas bahwa status gizi seorang wanita dapat mempengaruhi penyembuhan luka dan dalam memberikan asuhan kepada ibu nifas tidak hanya secara fisik maupun psikis tetapi secara holistic(menyeluruh) dan harus diperhatikan faktor-faktor lain seperti personal hygiene,lingkungan danpengetahuan tentang perawatan luka jahit perineum.

Exclusive breastfeeding is given since the baby is born until the age of two years. Increasing Human Resources by increasing the understanding and knowledge of mothers in giving breast milk was needed to support breastfeeding. Education on breastfeeding booster was expected to help mothers successfully breastfeed. The purpose of this study was to determine the effect of the breastfeeding booster package for breastfeeding mothers in Pekalongan Regency. This research used a Quasi Experiment research design with One Group Pretest and Posttest Design. The population in this study were all breastfeeding mothers in Pekalongan Regency in 2018. This study was conducted in September 2018 to August 2019, with non-probability sampling techniques using cluster sampling with a sample size of 79 respondents. Data analysis in this research was the Wilcoxon test. The results showed a p-value of 0.000 (<0.05); this means that there is an effect of the breastfeeding booster package for nursing mothers. Public Health Centre was expected to be able to support and facilitate health workers, especially midwives, in providing information to breastfeeding mothers about the importance of breastfeeding booster packages to improve the quality and quantity of breast milk.