Jurnal Kebidanan dan Kesehatan Tradisional

Differences Between Lemon Aromatherapy and Hypnobirthing in Reducing Nausea and Vomiting of Pregnant Women in the First Trimester

Lutfiana Puspita Sari — 2023-03-10

Backgrounds: Nausea and vomiting are discomforts of pregnancy about which 50–90% of pregnant women complain in the first trimester. Hypnobirthing and lemon aromatherapy are complementary therapies that can relax so that endorphins are produced and will reduce nausea.

Methods: The study design is a pre-experimental research method. Research conducted in June–August 2022 at Puskesmas Klaten Selatan. A total of 50 pregnant women who suffered nausea and vomiting were recruited using accidental sampling. The data collection technique uses a PUQE-24 score. Data analysis used univariate and bivariate methods. Univariate performed the distribution frequency calculation. Bivariate data analysis using the Wilcoxon test because the data is not normally distributed. Differences in nausea and vomiting between the two groups using the Mann-Whitney test.

Results: Lemon aromatherapy effectively reduces nausea and vomiting (p-value < 0.05). Hypnobirthing can effectively reduce nausea and vomiting (p-value < 0.05). We found a significant difference between the score of nausea and vomiting for lemon aromatherapy and hypnobirthing (p-value < 0.05). Both post-tests were in the range of mild nausea and vomiting, but the post-test score of lemon aromatherapy was lower than hypnobirthing, where the average post-test score of lemon aromatherapy was 1.43, while the post-test mean score of hypnobirthing was 6.43.

Conclusion: Lemon aromatherapy and hypnobirthing relaxation can effectively reduce nausea and vomiting. There is a significant difference between nausea and vomiting scores in pregnant women who are given lemon aromatherapy and hypnobirthing.

The Effectiveness of Pregnancy Online Classes (PROCLASS) on the Level of Knowledge and Anxiety Ahead of Labor During the COVID-19 Pandemic

Marlynda Happy Nurmalita Sari — 2023-04-10

Background: Restrictions on health services such as prenatal checks and the Pregnant Women Class program during the COVID-19 pandemic in several regions will have an impact on the quality of services for pregnant women. Purpose: Pregnancy online classes can potentially increase knowledge and reduce anxiety ahead of labor during the COVID-19 pandemic.

Methods: Quasi-experimental and nonequivalent control group, pretest and posttest design approach Each group of 30 people (purposive sampling technique). Pre-test and PROCLASS provide material every week through videos uploaded to the WhatsApp group. The instrument uses a questionnaire (Google Form). Independent t-test and Mann-Whitney test to compare the PROCLASS and control groups. Dependent t-test and Wilcoxon test to compare the pre-and post-test in the PROCLASS group.

Results: There were differences in the pre-post test on the variables of knowledge and anxiety in the PROCLASS group, respectively (p-value 0.000). There was a difference in knowledge between the PROCLASS and control groups (p-value 0.002), with an average knowledge of 88.83 in the PROCLASS group and 85.73 in the control group. There were also differences in anxiety levels between the PROCLASS and control groups (p-value 0.000), with an average anxiety level of 28.17 in the PROCLASS group and 45.70 in the control group.

Conclusion: PROCLASS has proven effective in increasing knowledge and reducing the anxiety level of pregnant women before giving birth during the COVID-19 pandemic so that health workers can carry out the process (Puskesmas).

Determinant Factors Of Early Marriage On Adolescent Reproductive Health In Madura Island

Dian Permatasari — 2023-07-06

Background: Early marriage is a problem at the national level in Indonesia. Madurese society has the second highest rate of early marriage in Madura, thus potentially causing poverty and health problems such as teenage pregnancy, labor pain, and death. This study aimed to determine the factors that influence adolescents' knowledge about early marriage.

Methods: The variables in this study are gender, education, and place of residence. The analysis in this study is to predict the outcome of the dependent variable, which is categorically based on one or more independent variables. The respondents to this study were teenagers aged 15–19. The number of respondents in this study was 100 respondents with random sampling. The instrument used is a questionnaire about early marriage. With significance criteria in the range r = 0.2000.543, table r = 0.362, and a confidence value of Cronbach's alpha = 0.823. The data were analyzed with the Chi-Square test.

Results: The results of the Chi-Square analysis obtained a p-value of 0.000 <0.05, which means that there is a significant relationship between education and knowledge about early marriage. Analysis of the relationship between the two variables shows an OR value of 0.09, meaning that adolescents with higher education have 0.09 times less knowledge of early marriage than adolescents with low education.

Conclusion: Access to information is a problem that affects the knowledge of adolescents about the risks of early marriage, so adolescents with low education have less knowledge about the risks of early marriage.

Formulation and Physical Evaluation of the Combination Syrup of Rosella (Hibiscus sabdariffa L.) and Lemongrass (Cymbopogon citratus)

Pramita Yuli Pratiwi — 2023-08-30

Background: Rosella flowers and lemon grass are combined into one formulation, namely syrup. The syrup is a concentrated preparation made from a mixture of water and sugar with a minimum sugar solution content of 65%. Previous research has never examined the formulation and physical evaluation of rosella and lemongrass syrup. The benefits of this rosella and lemongrass combination syrup are to maintain the body's immune system, reduce high blood pressure, as a source of body antioxidants. The purpose of this study was to determine the formulation and evaluation test of formulation one and formulation two on rosella (Hibiscus sabdariffa L.) and lemon grass (Cymbopogon citratus) combination syrup preparations.

Methods: The type of research used is quantitative with a descriptive design. The syrup was made with two formulations using the boiling method with the composition of rosella, lemon grass, sucrose, and distilled water. The physical test for the syrup included the viscosity test, the pH test, the organoleptic test, and then the hedonic test which included color, smell, taste, and aroma. The research was conducted at the Laboratory of Indonesia Traditional Herbals Department, Surakarta Health Polytechnic.

Results: The results of the viscosity test on the combination of rosella and lemon grass syrup were that in formula one it was 1.39 mPas and in formula two it was 1.27 mPas. The results of the pH test on formula one were 2.47 and on formula two 2.48. The results of the organoleptic syrup test for the combination of rosella and lemongrass in Formula One had a deep brown-red color, a distinctive smell of rosella and lemongrass, and a sweet and sour taste. Formula two has a red-brown color with a distinctive rosella odor and has a sweet-sour taste. The hedonic test which has the most favorable results is the formula for two aromas 67%, taste 74%, color 80%, and texture 77%.

Conclusion: The viscosity value of the two formulas is quite low and the pH of the two formulas is also low, which is less than pH 4. The taste, aroma, and texture of Formula 2 are preferred. While the colors of the two formulas produce the same percentage of preference. Recommendations for this study need to be carried out further research by changing the composition variations of rosella and lemongrass in order to obtain a pH that is in accordance with the standard.equations.

Ginger Stew Vs Warm Compress Toward Dysmenorrhea Intensity In Adolescent; Experimental Study

Sih Rini Handajani — 2023-11-23

Background: Adolescence can be defined as a developmental phase characterized by the transition from childhood to adulthood, usually during this period marked by changes in physiology, psychology, mental, emotional, and social. The transition signs in females indicate that they are experiencing menstruation. Menstruation can cause dysmenorrhea in some individuals, leading to disruptions in their daily activities. Ginger stew compress, or warm compress, is a non-pharmacological therapy that can help alleviate dysmenorrhea.

Methods: This was quantitative research using a quasi-experiment design with a two-group pretest-posttest approach. The participants were selected using a simple random sampling technique, resulting in a sample of 44 respondents divided into two groups. The instrument in this study was an observation sheet containing the identity of the respondent, and the scale to determine the level of pain intensity experienced was the Numeric Rating Scale (NRS).

Results: This research indicates that there was a significant difference in dysmenorrhea intensity when using a ginger stew compress compared to a warm compress. The statistical analysis used was an independent sample t-test performed in the study with a p-value that was lower than 0.05 (Asymp.Sig 2-tailed = 0.015), indicating a significant difference between the two types of compresses, giving a ginger stew compress and a warm compress toward the intensity of dysmenorrhea.

Conclusion: The ginger stew compress is more effective than the warm water compress to reduce the intensity of dysmenorrhea in adolescent girls in grade 7 at 2 JHS Gantiwarno. It is hoped that the results of this research can be utilized as an additional reference regarding research on treating menstrual pain with boiled ginger water compresses and warm compresses.

The Effect of Birth Ball Therapy on the Intensity of Spontaneous Labor Pain

Eka Titi Setiani — 2023-04-11

Background: Labor pain is physiological, with different intensities in each individual, and intermittent. Birth-ball exercises are more comfortable and safer in labor. The birth ball promotes maternal delivery by assisting the mother's posture and assisting the fetus's position to be optimal in order to facilitate the birth process under normal circumstances. This study aimed to define the effect of birth ball therapy on reducing pain intensity in spontaneous labor.

Methods: The method of determining the framework uses PICO. Google Scholar, Pubmed, Science Direct, and Sage Journal were used to search for literature. The inclusion criteria were an original experiment study published in English in 2017–2021. The terms "birth ball" and "labor pain" were used. The database was filtered using the PRISMA method until the relevant articles were obtained, then a content review and discussion were carried out.

Results: There were a total of 5 articles regarding the effect of birth ball therapy on spontaneous labor pain. This article mainly carried out birth ball therapy in first-time mothers. The assessment process used to measure pain intensity in this study used the Visual Analog Scale (VAS).

Conclusion: Giving birth ball therapy for 10–20 minutes three times a week can lower pain intensity in mothers with spontaneous labor.