Purpose: Hand-foot bathing therapy is a simple technique to induce sensations of comfort and relaxation. The aim of this study was to examine the effect of hand and foot bathing therapy on vital signs in women following caesarean section. Methods: Participants were sixty women with caesarean section. They divided to two groups: (1) study group (n=30, median age=26.67 years, SD=2.04); and, (2) control group (n=30, median age=27.75 years, SD=1.09). Vital signs were measured for 5 minutes before and for 30 minutes after the hand and foot bathing therapy. Results: Pain score, systolic and diastolic blood pressures and heart and breath rates decreased after hand and foot bathing therapy. Differences between before and after therapy were statistically significantly. Conclusions: These results indicate that hand and foot bathing therapy might be helpful to restore the vital signs in post-operative patients by decreasing anxiety and psychological stress.

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Purpose: Foot bathing therapy is a simple technique that induces sensations of comfort and relaxation. The aim of this study was to examine the effect of foot bathing therapy on heart rate variability (HRV) parameters in a healthy population.Methods: Participants were twenty healthy female subjects (median age=20.67 years, SD=1.04). The recording ECG was applied for 5 minutes before and for 5 minutes after foot bathing therapy of 10 minutes. Subjects rested for 10 minutes without recording ECG in order to stabilize autonomic parameters. The digital signals were then transferred to a laptop and analyzed using LabChart® software (MLS310/7 HRV Module).Results: Almost all HRV parameters increased and heart (pulse) rate and LF/HF ratio decreased after foot bathing therapy compared with before foot bathing therapy. Conclusions:These results indicate for the first time in humans that foot bathing might induce a state of balance between sympathetic and parasympathetic systems and might be helpful to prevent possible cardiac arrhythmias.SUPPLEMENT

<p><em>In Indonesia, prolonged delivery is one of the cause of Maternal Mortality. The prolonged delivery which occurs in the latent phase is also called prolonged latent phase, a labor which lasts over eight hours of labor in primigravida. This research was started by the society’s custom of consuming fruits that are beneficial to smooth a labor process, consuming pineapples. Pineapples contain high amounts of vitamin C, sugar, vitamin A, a number of minerals, and an enzyme called bromelain. Bromelain is an enzyme that stimulates the production of prostaglandin. The increased prostaglandin causes contractions in the uterine muscle so that labor occurs. This study aims to determine the effect of pineapple juice towards the duration of the first stage of the latent phase. The method of this research was quasi experimental. The study was conducted in July to September 2018 at Ciruas Public Health Center, Serang, Banten. The sample in this study was 80 mothers in latent phase. Sampling was taken by using consecutive sampling technique. The analysis of timing differences in umbilical cord detachment was tested by using the Mann Whitney statistical test. The result shows that the average length of time in the first stage of the latent phase in the intervention group was 91,53 minutes, which was 57,75 minutes faster compared to the control group’s length of time, 149,28 minutes. There was a significant difference in the group given pineapple juice with those who were not given pineapple juice with p value 0,002 (α &lt;0,05). Giving pineapple juice can accelerate the duration of the stage I latent phase in primigravida because pineapples contain an enzyme called bromelain and serotonin. The consumption of pineapple can be a solution for nutrients consumed when labor started at the first stage of latent phase and make the time period of the latent phase shorter and reduce the risk of intervention during labor.</em><em></em></p>