One of the complaints that is often felt by mothers is pain during contractions and effleurage  massage is one technique that can cause the effects of distraction and relaxion, thus helping the mother become more relaxed, creating a feeling of comfort, and pain response will decrease. The purpose of this study was to determine the effect of effleurage massage on labor pain in the first stage in the practice of Midwife Nuriman Rafida and Latifah Midwife Practice in 2019. The sampling technique used a total sampling technique that was as many as 30 women who had labor pain. The level of pain during the active phase I before the massage effleurage: 16 (53.0%) respondents experienced moderate pain levels and 14 (47.0%) respondents experienced severe pain levels, and none experienced mild pain. The level of pain during the first active phase after effleurage massage: most (57.0%) respondents felt mild pain, still some (33%) respondents who felt moderate pain, and only a small percentage (10%) of respondents felt severe pain. The results of the Wilcoxon test showed that giving effleurage massage had a significant effect on pain when I was active phase P value was 0.001 (p<0.05).

Introduction: Breast cancer is the most frequent type of cancer in women, and it is one of the major causes of mortality. Efforts should be made to prevent breast cancer by using the breast self-examination (BSE) method of early diagnosis. This study aims to determine the effectiveness of the demonstration and audio visual methods on adolescent knowledge about breast self-examination at SMA Pertiwi 1 Jambi City, Indonesia. Methods. This study is a quasi-experimental study using a two-group pretest-posttest design at the private high school Pertiwi 1 Jambi City, involving 122 participants divided into two groups. Group 1 consisted of 61 participants given BSE material by demonstration, while group 2 consisted of 61 participants given material using audio-visual media. Data processing in this study used univariate and bivariate analysis, and the statistical test used was the Wilcoxon test. Results. The results showed that there was an increase in students' knowledge about BSE after the demonstration with p-value < 0.0001, and displayed audio-visually with p-value < 0.0001. Conslusion: demonstration and audiovisual methods proved effective in increasing adolescent knowledge about breast self-examination at at SMA Pertiwi 1 Jambi City, Indonesia. Keywords: breast self-examination, knowledge, cancer, demonstration, audio visual

Latar Belakang : Mortalitas janin salah satunya disebabkan oleh perpanjangan kala I, yaitu akibat panggul sempit dan bayi besar, akibatnya penurunan kepala lambat sehingga janin menjadi distress dan jika tidak segera ditangani maka bayi tersebut akan meninggal. Maka dari itu, upaya yang dilakukan agar proses persalinan kala I fase aktif lancar terutama pada ibu hamil primipara adalah peran bidan menganjurkan atau mengarahkan  posisi ibu ke posisi miring kiri dan posisi setengah duduk, sehingga terasa nyaman dan membantu mempercepat pembukaan serviks serta penurunan kepala. Metode : Penelitian ini menggunakan rancangan penelitian analitik observasional dengan desain quasi eksperiment. Sampel penelitian adalah ibu bersalin primigravida di ruang bersalin RSUD Raden Mattaher dengan jumlah sampel sebanyak 40 responden. Teknik pengambilan sampel menggunakan teknik purposive sampling. Sampel dibagi 2 kelompok yaitu 20 orang sebagai kelompok (kontrol) posisi setengah duduk dan 20 orang kelompok (eksperimen) posisi tidur miring kiri.Teknik pengumpulan data dengan menggunakan lembar partograf untuk mengobservasi lamanya kala I fase aktif. Analisis data penelitian ini dilakukan secara univariat dan bivariat dengan menggunakan t-test independent. Hasil : Sebesar 75,0% responden inpartu kala I posisi miring kiri dengan lama persalinan ≤ 6 jam yaitu 211,70 menit (3,52 jam) dan 50,0% responden inpartu kala I posisi setengah duduk dengan lama persalinan ≥ 6 jam yaitu 323,25 menit (5,38 jam). Hasil analisis bivariat diperoleh nilai p=0,023 sehingga menunjukkan ibu yang diberi posisi miring kiri lebih efektif dibandingkan dengan posisi setengah duduk terhadap percepatan kemajuan persalinan kala I fase aktif. Kesimpulan : Posisi miring kiri lebih efektif jika dibandingkan dengan posisi setengah duduk terhadap percepatan kemajuan persalinan kala I fase aktif.