AbstrakNyeri saat persalinan merupakan proses yang fisiologis. Sebanyak 12% -67% wanita merasa khawatir dengan nyeri yang akan dialami saat persalinan. Salah satu upaya untuk mengurangi nyeri persalinan adalah dengan masase. Tujuan Penelitian ini untuk mengetahui pengaruh masase pada punggung terhadap intensitas nyeri kala I fase laten persalinan normal melaui peningkatan kadar endorfin. Ini merupakan suatu penelitian experimental dengan post test only control group design yang dibagi atas kelompok perlakuan yang melakukan masase pada punggung dan kelompok kontrol yang tidak masase. Intensitas nyeri dinilai dengan kuisioner dan kadar endorfin diukur dengan human beta endorfin Elisa Kit. Data dianalisis menggunakan uji t-test independent dan korelasi Spearmen. Hasil penelitian ini ditemukan ibu bersalin yang dimasase memiliki intensitas nyeri lebih rendah 29.62 point dari pada yang tidak dimasase nilai p=0.001, ada pengaruh masase terhadap intensitas nyeri kala I persalinan normal. Ibu bersalin yang dimasase memiliki endorfin lebih tinggi dari pada yang tidak dimasase sebesar 142.82 pcg/mlnilai p=0.001 ada pengaruh masase terhadap kadar endorfin ibu bersalin normal. Ada korelasi kadar endorfin dengan penurunan intensitas nyeri dengan nilai r= 0,795 dan nilai p=0.001. Kesimpulan penelitian ini adalah masase pada punggung berpengaruh terhadap intensitas nyeri dan kadar endorfin ibu bersalin kala I fase laten persalinan normal serta kadar endorfin berkorelasi dengan intensitas nyeri kala I fase laten persalinan normal.Kata kunci: masase pada punggung, intensitas nyeri, kadar endorfin. AbstractPain in delivery is a physiological process. About 12% -67% of women feel the pain during delivery. One of the ways to reduce pain during delivery process is to massage mother's back. The objective of this research was to determine the effect of massage on the back to the pain intensity in normal delivery based on the level of endorphin.This study was an experimental study with post test only control group design by massaging mother's back in normal delivery process of primiparous phase I for 30 minutes. Data collection was done for three months. The subject were choosen randomly block with 52 respondents. Data processing was done based on the Independent t-test and Spearmen Correlation. The results of this study shows that mothers who have massage on the back before delivery process, feel lower pain intensity in 29.62 points than those who do not have massage. The result of statistical test was p =0.001, so, the massage reduces the pain intensity. Mothers who have massage, get their endorphin increased as much as 142.82 PCG/ml compared to mothers who did not have massage. There was a correlation between the increase of endorphin level with the reduction of pain intensity. The result of statistical test shows that there is a strong correlation between the endorphin level with pain intensity with a value,r=0.795andp=0.001. It can be conluded that massage on the back can reduce pain intensity in normal delivery and increase the le...

AbstrakPerdarahan merupakan penyebab utama kesakitan dan kematian ibu pada masa nifas, dimana 50%-60% karena kegagalan miometrium berkontraksi secara sempurna. Salah satu asuhan untuk memaksimalkan kontraksi uterus pada masa nifas adalah dengan melaksanakan senam nifas, guna mempercepat proses involusi uteri. Tujuan penelitian ini adalah untuk mengetahui pengaruh senam nifas terhadap penurunan tinggi fundus uteri (TFU) pada ibu post partum. Penelitian ini merupakan studi eksperimental dengan Post Test Only Control Group Design. Alat yang digunakan dalam penelitian berupa kaliper pelvimetri. Diberikan perlakuan senam nifas pada kelompok intervensi dan tidak senam nifas pada kelompok kontrol, kemudian dilakukan pengukuran tinggi fundus uteri hari ke-1, hari ke-3 dan hari ke-6. Data dianalisa menggunakan Uji General Linier Model (GLM). Rerata TFU hari ke-1 pada kelompok intervensi 12,37±0,72 dan 12,42±0,54 pada kelompok kontrol. Rerata TFU hari ke-3 pada kelompok intervensi 9,00±0,94 dan 9,87±0,75 pada kelompok kontrol. Sedangkan rerata TFU hari ke-6 pada kelompok intervensi 5,72±0,88 dan 7,37±0,68 pada kelompok kontrol. Terdapat perbedaan yang signifikan penurunan tinggi fundus uteri antara kedua kelompok pada hari ke-3 (p=0,00) dan hari ke 6 (p=0,00). Dari hasil penelitian dapat disimpulkan bahwa senam nifas berpengaruh terhadap penurunan tinggi fundus uteri. Penurunan tinggi fundus uteri pada kelompok intervensi lebih turun dibanding kelompok kontrol.Kata kunci: senam nifas, tinggi fundus uteri, post partum AbstractHemorrhage is a major cause of maternal morbidity and mortality in the puerperium, about 50%-60% of hemorrhage occurs due to failure of myometrium to contract completely. One care to maximaze uterine contraction during the puerperium is by implementing parturition gymnastics in order to accelarate the process of uterine involution. The purpose of this study was to determine the effect of parturition gymnastics on a decreasing of fundal height of maternal postpartum.This was experimental study with Post Test Only Control Group Design. The tool used in this study was pelvimetry caliper. Parturition gymnastics was given to intervention group but the control group did not treated with parturition gymnastics, then fundal height was measured on the first day, third day, and sixth day. Data were analyzed by using General Linear Model (GLM) test. Mean of fundal height on the first day on the intervention group was 12. 37±0.72 and 12.42±0.54 on the control group. Mean of fundal height on the third day was 9.00±0.94 on the intervention group and 9.87±0.75 on the control group. Meanwhile, mean of fundal height on the sixth day on the intervention group was 5.72±0.88 and 7.37±0.68 on the control group. There was significant decrease of fundal height between the two groups on the third day 3 at (p=0.00) and the sixth day at (p=0.00). From the research results, it can be concluded that parturition gymnastic has an effect on the decreasing of fundal height. The decline of fundal height on the intervention group is mo...

The objective of this study was to improve the quality of midwives in Indonesia through National midwife examination to answer the internal and global challenges of health higher education. Accreditation of tertiary education and the passing rate of low midwife's competency test with low minimum standard values can not answer the challenges. Researcher want to see how the phenomenon of midwife's competency test that is focused on the preparation. This research used qualitative design with a phenomenological approach. Data collection is taken through informants related to in-depth interviews, observation and document studies. Taking informants using the snowball sampling technique. The process of data analysis refers to the constant comparative method. The research shows that national midwife examination is currently not yet as the exit exam. The participant's preparation was problem resolved training and did try out. The school is contributed in early introduce the type of questions to students, tutoring, facilitation of try out and making questions but have not been carried out optimally and directed. Organizing national committees, preparation of questions, funding sources and preparation for the implementation of examinations are in accordance with the guidelines. Retaker is a problem that must be sought by all relevant parties regarding the issue of guidance and who is responsible. To answer the existing problems, it is better for national midwife examination to start as an exit exam and do “sit together” to discuss the development efforts of national midwife examination in Indonesia, including the problem of retaker.

AbstrakBayi baru lahir memiliki 80 ml darah dari plasenta pada 1 menit setelah kelahiran dan 100 ml pada 3 menit setelah lahir, volume ini akan memasok 40-50 mg/kg ekstra besi untuk memiliki 75 mg/kg besi tubuh bayi yang cukup bulan yang dapat mencegah kekurangan zat besi pada tahun pertama kehidupan. Oleh karena itu pemotongan tali pusat yang terlalu cepat setelah persalinan akan mengurangi kandungan besi sekitar 15-30%, sedangkan bila ditunda 3 menit dapat menambah volume sel darah merah sekitar 58%. Tujuan penelitian ini adalah untuk membuktikan adanya perbedaan kadar Hb (hemoglobin) dan Ht (hematokrit) akibat perbedaan waktu penjepitan tali pusat. Penelitian ini dilakukan di tempat Bidan Praktek Mandiri Kota Padang. Jenis penelitian eksperimental dengan post-test only controll group design. Pengambilan sampel secara consecutive sampling sampai tercapai jumlah 36 bayi yang terbagi atas 18 bayi baru lahir pada tiap kelompok. Data dianalisis dengan uji t. Hasil penelitian didapatkan rerata kadar Hb dan Ht pada kelompok penjepitan 3 menit setelah lahir lebih tinggi daripada penjepitan 1 menit. Terdapat perbedaan kadar Hb yang bermakna antara kelompok penjepitan 3 menit setelah lahir daripada 1 menit dengan nilai P=0,004.  Ada terdapat perbedaan Ht yang bermakna antara kelompok penjepitan 3 menit dan 1 menit dengan nilai P=0,001. Kesimpulan penelitian ini ialah kadar Hb dan Ht lebih baik pada penjepitan tali pusat ditunda 3 menit setelah lahir dibandingkan dengan penjepitan 1 menit setelah lahir.Kata kunci: hemoglobin, hematokrit, penjepitan tali pusat AbstractThe newborns contain 80 ml of blood from the placenta in 1 minute after birth and 100 ml in 3 minute after birth. This volume supply 40 to 50 mg/kg of extra iron to have 75 mg/kg of body iron baby full-term that can prevent iron deficiency in the first year of life. Therefore, cutting the umbilical cord too soon after birth will reduce the iron of content about 15 to 30%, whereas when delayed 3 minute its can increase the volume red blood cells about 58%. The objective of this study was to prove the difference of hemoglobin and hematocrit level between 3 minutes and 1 minute cord clamping.  Experimental research was conducted with post-test only control group design of 36 newborns. Data were analyzed by t-test. The result of this study showed that the mean of hemoglobin and hematocrit level in 3 minutes of clamp are higher  than 1 minute of clamp.There was a significant difference of hemoglobin level between 3 minutes cord clamping group and 1 minute cord clamping group with p value is 0.004. There was also a significant difference of hematocrit level between 3 minutes cord clamping group and 1 minute cord clamping group with p value is 0.001. The conclusion is the hemoglobin and hematocrit level are better in cord clamping delayed in 3 minutes after birth than clamping in 1 minute after birth. Keywords: hemoglobin, hematocrit, cord clamping

Exclusive breastfeeding is one of ways to maintain a good growth and development for the baby. Exclusive breastfeeding in Indonesia is the right for every baby which is regulated in government regulations, but the coverage of exclusive breastfeeding is still low in some areas. The lowest exclusive breastfeeding coverage in Padang is in the working area of Air Dingin health center. The aims of this study is to determine the relationship between husbands support with exclusive breastfeeding in Air Dingin public health center.This study was a quantitative study with cross sectional design conducted at Air Dingin health centerfrom Marchto December 2017. Subject of this studywere mothers who had 6-12 month babies whichwere106 people. Data was collected by using questionnaires and guided interviews. Data analysis was performed using univariate and bivariate using chi square test with  p-value ≤  0,05.The results showed 76,4% of mothers did not provide exclusive breastfeeding for their babies and 59,4% of mothers did not get support from their husbands.Bivariate analysis showed  that there was a relationship between husband support with exclusive breastfeeding with p-value=0.000.There was a relationship between husband support with providing exclusive breastfeeding for the babies. Because of the importance of husbands role, husbands must be the target for exclusive breastfeeding counseling.Therefore, husbands can also be active to find the information and participate in the success of exclusive breastfeeding for the babies.