Pregnancy and give birth period is period of life that full of stress potential. Women in pregnancy period and post partum period, incline feels high stress exactly because of having physical condition limitedness that health workers her to do activity and having adaption process become a mother. This period have potential post partum depression. The aims of to do this research is qualitative method with analyze descriptive with collecting data primer technique by independent interview. the research is showed that long labor, parity, mother disease history, husband support, labor with action having potential feels post partum depression. The expect of post partum mother to do communication for all of problems of others that want to express. To talk about worry that happened have sincere attitude to accept activity and new role after labor flexible to learn be calm and consultancy to doctor or professional person in order to minimalize risk factor in order to post partum depression can be involved.
Honey contains many nutrients including vitamins A, C, E, B12, β-carotene and phalvonoid which can increase hemoglobin and suppress oxidative stress. This study aims to determine the effect of honey administration on Hemoglobin Levels and 8-hydroxy-2-Deoxyguanosin (8-Ohdg) levels in pregnant women with anemia. This study uses a type of Quasi Experiment research with pretest-posttest research design, Sample in a study of 30 pregnant women divided into 2 groups, mothers who received Fe (Control Group) and Honey + Fe (Intervention Group) Implementation carried out for 60 days. Then blood and urine are taken to examine hemoglobin levels and 8-Ohdg levels. Data were analyzed using Paired Sample T Test and Independent T Test. The results showed an increase in hemoglobin levels in the intervention group Honey + Fe by (2.80 ± 0.26gr / dl) while the Fe control group was (0.80 ± 0.13gr / dl) with a value of p = 0,001 <0, 05. The 8-Ohdg level in the intervention group Honey + Fe was (-4.23 ± 1.32 nmol / ml p = 0.031 <0.05) while the Fe control group was (2.98 ± 130 nmol / ml p = 0.322> 0 , 05). Based on the Independent T Test on hemoglobin levels, the values of p = 0,001 <0,005 and 8-Ohdg values obtained p value = 0,002 <0,05. Thus the group given Honey + Fe is more effective in increasing hemoglobin levels and decreasing levels of 8-Ohdg in anemic pregnant women.
AbstrakAnemia adalah kondisi ibu dengan kadar haemoglobin (Hb) dalam darahnya kurang dari 12 g/dl. Anemia dalam kehamilan adalah kondisi ibu dengan kadar haemoglobin dibawah 11 g/dl pada trimester I dan III atau kadar <10,5 gr/dl pada trimester II. Kebutuhan zat besi wanita berlipat ganda selama kehamilan karena terjadi hemodilusi (pengenceran darah) guna untuk mempertahankan sirkulasi darah selama kehamilan sehingga tetap normal serta perkembangan plasenta hingga persalinan, pada kehamilan terjadi peningkatan volume darah sekitar 30 – 50 %, yang menjadikan kekurangan zat besi sebagai penyebab utama anemia pada ibu hamil. Salah satu penyebab utama kematian ibu adalah perdarahan berupa komplikasi yang disebabkan oleh abortus. Anemia menghambat aliran makanan dan oksigen ke sirkulasi utero-plasenta sehingga mengganggu perkembangan embrio dalam rahim melalui plasenta, merupakan faktor penyebab tingginya angka aborsi. Jenis penelitian survey analitik dengan rancangan cross sectional, Populasi dan sample adalah semua ibu hamil anemia yang mengalami abortus, Teknik sampling dalam penelitian ini menggunakan total sampling dengan jumlah sample sebanyak 67 responden di Rumah Sakit Umum Daerah Kota Makassar. Hasil penelitian di dapatkan Ibu yang mengalami abortus sebanyak 36 responden (54%) dan tidak abortus sebanyak 31 responden (46%). Hasil uji chi square nilai P=0,000 (P-value ≤ 0,05) artinya ada hubungan antara anemia defisiensi zat besi pada ibu hamil dengan kejadian abortus di Rumah Sakit Umum Daerah Kota Makassar tahun 2022. Kata kunci: Anemia, Abortus, Kehamilan, Rumah Sakit
Background: Delivery pain is a physiological process experienced during the delivery process. The pain can be overcome by non-pharmacological methods, namely hypnobirthing and acupressure methods. Where hypnobirthing can provide a sense of relaxation based on the belief that pregnant women can experience delivery through instinct and give suggestions that giving birth is enjoyable, while acupressure can stimulate the release of endorphins in the blood. Many women are overshadowed by fear and even traumatized feelings of unbearable pain during childbirth, they cannot tolerate the pain because they are heavily influenced by stress. Several research reports show that in primitive societies, delivery is longer and painful, while in more advanced societies 7-14% give birth without pain and most (90%) delivery is accompanied by pain. This creates tension or panic that causes pain. Therefore, researchers are interested in examining the effect of hypnobirthing and acupressure on decreasing pain perception during delivery.Purpose: Analyzing the effect of hypnobirthing and acupressure on decreasing pain perception in the process.Method: Quantitative quasi experiment with the pre test post test research design. with purposive sampling technique, data analysis using SPSS software with paired T Test and Wilcoxon Signed Rank Test.Results: It was found that there was an effect of acupressure and hypnobirthing therapy (murottal therapy) on decreasing pain perception in maternity with a p value of 0.000 <0.05.Conclusion: Acupressure treatment on the perception of pain in partisipants is more influential than the treatment of Hypnobirthing (Murottal Music therapy) on the perception of pain in partisipants.Keywords: Hypnobirthing; Delivery; Acupressure; PainfulPendahuluan: Nyeri persalinan merupakan proses fisiologi yang dialami selama proses persalinan. Nyeri tersebut dapat diatasi dengan metode non farmakologi, yakni dengan metode hypnobirthing dan akupresur. Dimana hypnobirthing dapat memberikan rasa relaksasi yang mendasarkan pada keyakinan bahwa ibu hamil bisa mengalami persalinan melalui insting dan memberikan sugesti bahwa melahirkan itu nikmat, sedangkan akupresur dapat merangsang pengeluaran hormon endorphin dalam darah. Banyak wanita yang dibayangi ketakutan bahkan perasaan trauma akan nyeri yang tidak tertahankan saat persalinan, mereka tidak bisa mentolelir rasa nyeri tersebut karena banyak dipengaruhi oleh stres. Beberapa laporan penelitian menunjukkan bahwa pada masyarakat primitif, mengalami persalinan lebih lama dan nyeri, sedangkan masyarakat yang lebih maju 7-14% bersalin tanpa rasa nyeri dan sebagian besar (90%) persalinan disertai rasa nyeri. Hal tersebut menimbulkan ketegangan atau kepanikan yang menyebakan rasa sakit. Oleh karena itu peneliti tertarik untuk meneliti pengaruh hypnobirthing dan akupresur terhadap penurunan persepsi nyeri pada proses persalinan.Tujuan: Menganalisa pengaruh hypnobirthing dan akupresur terhadap penurunan persepsi nyeri pada proses persalinan.Metode: Kuantitatif quasy experiment dengan rancangan penelitian the pre test post test. dengan tekhnik purposive sampling analisis data menggunakan software SPSS dengan uji paired T Test dan uji Wilcoxon Signed Rank Test.Hasil: Diperoleh menunjukkan bahwa ada pengaruh pemberian akupresur dan terapy hypnobirhting (terapy murrotal) terhadap penurunan persepsi nyeri pada ibu bersalin dengan nilai p 0,000<0,05.Simpulan: Perlakuan Akupressur terhadap persepsi nyeri pada partisipan lebih berpengaruh dibandingkan perlakuan Hypnobirthing (terapy Music Murottal ) terhadap persepsi rasa nyeri pada partisipan.
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