EMBRIO

Impact of COVID-19: Dietary Consumption Patterns and Family Nutritional Intake

Inna Sholicha, Aida Ratna Wijayanti — Thu, 30 Nov 2023 00:00:00 +0700

The COVID-19 pandemic has caused various very drastic changes related to the nutritional and economic needs of families in Indonesia. The existence of differences in instant food consumption dominates to cause nutritional intake of nutrients that do not meet the body’s needs. This research aims to identify patterns of food consumption and family nutritional intake. This research method uses a quantitative type and the design is survey analytics. The population was 500 people, because of the pandemic red zone area, a limited study sample of 30 respondents was taken with purposive sampling on the head of the family in Ronowijayan Siman Ponorogo. Food consumption patterns and nutritional intake were determined based on interviews with respondents using a 24-hour Recall questionnaire. The research data were analysed using Kendall-Tau with a value of alpha more than a sig value of 0.05 more than 0.010 so that it was stated to have a significant relationship with the value of the coefficient of very weak correlation of consumption patterns with family nutritional intake. Good consumption patterns and nutritional intake can strengthen immunity, indirectly reducing COVID-19 infection transmission for families.

Specification Acupuncture Points Li4 and Sp6 in Postpartum Sectio Caesarea Pain

Nurul Azizah, Rafhani Rosyidah, Jamilatur Rohmah — Thu, 30 Nov 2023 00:00:00 +0700

Postoperative pain can affect the postpartum SC's mobility, and the physical healing process after surgery can also trigger physiological stress and anxiety due to wound pain. The presence of side effects from analgesic use prompts the exploration of non-pharmacological treatments as an alternative for pain management in post-SC clients, as they are considered to have low side effects. Acupuncture, as one of the non-pharmacological complementary therapies, has been developed to address pain. This research aims to identify the Specific Points of Acupuncture, Li4 and Sp6, in Postpartum Cesarean Section (SC) Pain. The research design employed a quasi-experimental clinical approach, specifically a non-equivalent pre-posttest with a control group. This involved identifying pain reduction before and 24 hours after administering acupuncture intervention at specific points, LI4 and SP6, for a duration of 30 minutes. The study included a total of 34 participants in both the treatment and control groups. The research was conducted at Airlangga University Hospital in Surabaya. The subjects of the study were patients who met the inclusion criteria. The Pain Numeric Rating Scale was used as the research instrument. Statistical analysis involved employing one-way ANOVA to observe the mean change in values between the pre-test and post-test within each group. The administration of acupuncture therapy targeting points LI4 and SP6 in this study proved effective in reducing postpartum SC pain compared to the control group. In future research, further investigation could be conducted to identify changes in chemical reactions within the body following acupuncture treatment.

The Effectiveness of Cakram Media on Increasing Marriage Age Maturity Knowledge in Young Women

Nispi Yulyana, Elvi Destariyani — Thu, 30 Nov 2023 00:00:00 +0700

Child marriage aged 7-15 years in Bengkulu province is 8.81%. The study aimed to determine the effectiveness of Cakram media on increasing knowledge of maturing marriage age. This research was quantitative, with a pre-experimental design with two pre-test and post-test groups. The study population was all Bengkulu City Senior High School students, with a sample of 60 people. The intervention was carried out three times for six weeks. Data were analysed using the Mann-Whitney test. The results showed a significant difference between Cakram media and PowerPoint media on increasing knowledge of maturing marriage age with p-value < 0.0001, α = 0.05 (p <α). It is concluded that the use of cakram media is effective in increasing student knowledge about marriage-age maturity.

Nutritional Status and Compliance with Blood Supplemental Tablets as a Cause of Anemia in Pregnant Women

Odilia Esem — Thu, 30 Nov 2023 00:00:00 +0700

Health issues that might arise during pregnancy include anemia. Pregnant women who have good nutritional status do not experience anemia. Conversely, pregnant women with poor nutritional status can cause anemia if blood-supplemented tablets that are not consumed regularly can result in pregnant women experiencing iron deficiency which is closely related to the incidence of anemia. This study aims to determine the relationship between nutritional status and adherence in consuming blood supplement tablets with anemia in third-trimester pregnant women. This research is a form of analytic survey research with a cross-sectional analytical design research approach. This research was conducted from March to April 2023. The sample in this study were all third-trimester pregnant women at the Sikumana Health Center, 50 people using a total sampling technique. There was no significant relationship between nutritional status and anemia in third-trimester pregnant women with a p-value (0.050), while there was a significant relationship with anemia adherence with a p-value (of 0.000). Based on the results of the study, it was concluded that there was no statistically significant relationship between nutritional status and the incidence of anemia in third-trimester pregnant women. In the analysis of compliance with anemia, there was a statistically significant relationship between adherence to consuming blood supplement tablets and the incidence of anemia in third-trimester pregnant women.

The Effect of Counselling and Administration of Sweet Potato Leaf Decoction on Uterine Involution and Smooth Breastfeeding in Postpartum Mothers 1-7 Days

Sofia Mawaddah, Annisa Nor Yulia — Thu, 30 Nov 2023 00:00:00 +0700

The survey results at the UPT Pahandut Health Center, Palangka Raya City, the coverage of babies who do not receive exclusive breastfeeding in 2021 is 163 babies. Alternative measures or management are needed in the form of consuming foods or ingredients that are believed to increase milk supply. The purpose of this study was to determine the effect of counselling and administration of sweet potato leaf decoction on uterine involution and smooth breastfeeding in postpartum mothers for 1-7 days in the working area of the Pahandut Health Center. The type of research used was a quasi-experiment with a two-group pretest-posttest research design before being given treatment and after being given treatment. The total sample is 54 people. The results of the study showed that there was an effect of counselling and sweet potato leaf decoction on uterine involution and smooth breastfeeding p values 0.010 and 0.020 (less than 0.05). H0 is rejected and H1 is accepted. There is an effect of giving counselling and decoction of sweet potato leaves on uterine involution and the smoothness of breastfeeding in postpartum mothers 1-7 days in the working area of the Pahandut Health Center.

Pregnant Women's Behavior in Stimulating the Fetus After Giving Education Through Audiovisual Media

Sri Setiasih, Titi Mursiti, Rozikhan — Thu, 30 Nov 2023 00:00:00 +0700

National data from the Ministry of Health of the Republic of Indonesia in 2018, 11 percent of toddlers in Indonesia experience growth and development disorders. It is estimated that 1-3 percent experience delays in motor development. Efforts to maintain and increase intelligence potential during pregnancy are very important to prepare quality Indonesian human resources in an effort to increase the Human Development Index (IPM) of Indonesian society in the future. The purpose of this study is to ascertain how fetal stimulation knowledge and behavior among pregnant women in the Bandengan Subdistrict are related to education through audiovisual media. The research design is a quasi-experiment with a one-group pretest and posttest design technique. This research was conducted in Bandengan Village, Kendal District, Kendal Regency in September-December 2022. The population in this study were all pregnant women who were in Bandengan Village Trimesters 2 and 3 in October-December 2021, with a total of 73 pregnant women. In this study, the respondents were the total population of pregnant women in Bandengan village. The measurement tool used a questionnaire regarding the depth of fetal stimulation knowledge. The result of a statistical test using the Wilcoxon test show that there is a relationship between fetal stimulation in pregnant women through audiovisual media education with a p-value of 0.000, with a description of pregnant women's behavior regarding fetal stimulation after receiving education of 100 percent. For future researchers, other methods that are more perfect in the health education model can be used.

The Influence of Counseling and Media Leaflets on Increasing Dysmenorrhea Knowledge

Thu, 30 Nov 2023 00:00:00 +0700

Dysmenorrhea is a symptom that arises due to abnormalities in the pelvic cavity and interferes with daily activities, especially in school-age adolescents. It was reported that between 30% and 60% of young women who had dysmenorrhea did not go to school. Treatment of dysmenorrhea can be carried out pharmacologically or non-pharmacologically, depending on the aspect of knowledge. Counselling is known to be effective in increasing knowledge, and leaflets and printed media also facilitate the teaching and learning process. This study aims to determine the effect of counselling and leaflet media on increasing knowledge. The study used a non-equivalent control group design. The research sample was taken by simple random sampling using a questionnaire to assess knowledge about dysmenorrhea. The analysis used a paired t-test to determine the effect of counselling and leaflet media and an independent t-test to determine the most influential media. The results showed that there was an effect of increasing knowledge by providing material through counselling and leaflets (p <0.05). Leaflets are concluded to increase knowledge, compared to counselling.

The Effect of Peer Group Education on Knowledge Levels About the Dangers of Free Sex in Adolescents

Thu, 30 Nov 2023 00:00:00 +0700

According to the World Health Organization (WHO), in 2018 stated that 33 percent of Indonesian teenagers engage in promiscuous sex. The consequences of unrestricted sex include the development of venereal illnesses, STDs, and HIV/AIDS, as well as unintended pregnancy. Peer Group Education is one method for delivering accurate knowledge regarding free sex. It is considered twice as effective as other methods because the facilitator creates a more open atmosphere with a friendly approach, not patronising or judging. The goal of this study is to see how peer group education affects teenagers' understanding of the consequences of unrestricted sex. This study is pre-experimental, with a one-group pretest-posttest design and complete sampling. A questionnaire was used to collect data. The sample size was 42 people which was conducted at SMKN 1 Rancah in March 2022. The results showed that most participants had poor knowledge before the peer group discussion intervention. However, after the intervention, most participants were categorised as having good knowledge, with a mean plus minus standard deviation (SD) change before and after the intervention of 34.90 plus minus 3.37 to 47.24 plus minus 1.39. There is an effect of peer group education on the level of knowledge about the dangers of free sex in adolescents. A structured and comprehensive education programme on the various aspects of the dangers of casual sex, including physical and mental health risks, and social impacts, as well as solutions and strategies to avoid it, is needed.

Women’s Anxiety and Fetal Movement in the 3rd Trimester of Pregnancy

Chindy Zulfanji Jannetia, Ika Yudianti, Ita Yuliani — Thu, 30 Nov 2023 00:00:00 +0700

Pregnancy is an important period in a woman's life, where there are physiological and psychological changes as well as changes in their status in the family and society. These changes can cause mental disorders of various types, for example, increased stress and anxiety, as well as mood disorders. Maternal anxiety will cause interaction among hormones which leads to alteration of fetal wellbeing. This study aims to determine the correlation between anxiety and the frequency of fetal movement in the 3rd trimester of pregnancy. The subjects of this study were 30 at-risk pregnant women at a TPMB in Malang City, who were selected through consecutive sampling. Measurement of anxiety levels using the PRAQ-R2 instrument, as well as the Kick Counter application to calculate fetal movements. Each subject was observed using both instruments 3 times at intervals a week. The results of the study from 3 series of Chi-Square tests showed significant results, namely there was a correlation between the level of anxiety and the frequency of fetal movement in all measurements (p-value 0.033; 0.042; 0.047). Pregnant women with mild anxiety produce a normal frequency of fetal movements. Conversely, pregnant women with severe anxiety result in abnormal fetal movement frequency. It is recommended that every pregnant woman can maintain mental health so that fetal movements remain normal.

Acupressure Technique Point P6 (Nei Guan) to Reduce Nausea and Vomiting and Point L14 (Hegu) to Reduce Anxiety in Pregnant Women

Siti Mudlikah — Thu, 30 Nov 2023 00:00:00 +0700

Nausea, vomiting, and anxiety can affect the food intake of pregnant women, and nutritional deficiencies can disrupt the growth and development of the fetus in the womb. This study aims to determine the difference between pre-test and post-test after applying acupressure techniques at point P6 (Nei Guan) to reduce nausea and vomiting, and at point L14 (Hegu) to reduce anxiety. The research method used a pure experimental design. The population consisted of first-trimester pregnant women, with a sample of 30 pregnant women divided into three groups of 10 each. Groups 1 and 2 were given acupressure techniques at points P6 (Nei Guan) and L14 (Hegu) for 15 minutes every morning upon waking for 7 days, while group 3 received no treatment. Data on the acupressure technique was collected through observation, using a checklist instrument. Data on nausea and vomiting was obtained from a questionnaire. Anxiety data was obtained from the Hamilton Rating Scale for Anxiety (HRS-A). The Wilcoxon analysis was used. Group 1 had an average decrease of 1.20 in nausea and a decrease of 1.10 in anxiety. Group 2 had an average decrease of 1.20 in nausea and a decrease of 1.50 in anxiety. Group 1 showed no difference in nausea but showed a difference in anxiety. Group 2 showed a difference in both nausea and anxiety.

Qualitative Study of Perinatal Mental Health Services: Experiences and Perspectives of Health Workers and Patients

Thu, 30 Nov 2023 00:00:00 +0700

The perinatal period is a transitional period that is vulnerable to changes in women's relationships with partners, family, friends, and wider social networks. This study aims to determine how perinatal mental health services are based on the experiences of health workers and patients. This research is qualitative research with a case study design. The informants in this study were 6 informants, namely 2 health workers and 4 patients with a history of perinatal mental health disorders. The instruments used in this study were structured interview guidelines, interviews were conducted in health facilities and patients' homes. Thematic data analysis using the Collaizi protocol. Qualitative data from this study raised six themes, namely "symptoms of perinatal mental health disorders", "causes of perinatal mental health disorders", "management of mental health disorders", "prevention of perinatal mental health disorders", "barriers to perinatal mental health services", and "support". Pregnant, maternity and postpartum women are vulnerable to mental health problems, especially if a woman is faced with family neglect and lack of husband's support during pregnancy. It is important for health workers, especially midwives, to examine women's problems more comprehensively during antenatal care.

The Effect of Baby Massage on Baby Weight Gain

Rochmawati Rochmawati, Sri Hayuningsih, Hellena Yollanita — Thu, 30 Nov 2023 00:00:00 +0700

The most essential anthropometric measurement, body weight is consistently employed to assess the well-being of infants across all age categories. An infant that is in good health exhibits growth in both height and weight. Baby massage is highly beneficial for optimizing the growth and development of children, including increasing food assimilation to hasten the onset of hunger and encouraging more frequent breastfeeding to promote weight gain in infants. Used as an analytic One Group Pre-test – Post-test Design approach. This study was located at TPMB (Independent Midwife Practice Place) Dian Dwi, Bogor Regency, which was carried out in October - December 2022. Sampling was carried out by total sampling, namely all samples available at the time of the study, namely 23 babies. According to the results of the statistical test, the increase in the infant's weight prior to and following the massage differed significantly. Based on the results of interval estimation, it can be deduced that 95 percent of respondents consider the average body weight following a baby massage to be between 5.35 and 5.09. The findings yielded a p-value of 0.000 (count less than a), which indicates that newborn massage has a significant impact on the weight of infants aged 1-12 months at a = 5 percent. The impact of newborn massage on infant weight gain is substantial.

Effectiveness of EDUWAP in Increasing Knowledge about Stunting

Thu, 30 Nov 2023 00:00:00 +0700

The prevalence of stunting in Indonesia is 24.4 percent, East Lombok Regency is around 43.52 percent. Teenagers are a potential group as agents of behavior change. For this reason, teenagers need to be given education to increase their knowledge and build awareness of the impact of stunting in the future. This research aims to determine the effectiveness of EDUWAP (Education via WhatsApp) in increasing teenagers' knowledge about stunting. The type of research used was Quasy Experimental pretest and posttest with a control group. The population in this study were all young women at SMA Negeri 1 Aikmel in March 2023, with a sample of 30 people who were divided into 2 groups with 15 members each and used a purposive sampling technique. Data collection was carried out using a questionnaire to determine the level of knowledge of young women about stunting before and after the intervention. The post-test statistical results of the experimental group and control group using the Mann-Whitney technique showed Asymp. signature. (2-tailed) 0.012 less than 0.050 with a mean rank for the experimental group of 19.00 and a mean rank for the control group of 12.00. So it can be concluded that there is a significant difference in the post-test results of the experimental group and the control group which influences the increase in knowledge in the experimental group before and after being given treatment towards increasing teenagers' knowledge about stunting.

Effectiveness of Digital Partographs on Clinical Decision-Making in the Delivery Process by Midwives

Widya Maya Ningrum — Thu, 30 Nov 2023 00:00:00 +0700

A partograph can be used as an early warning system that will help make early decisions when a mother should be referred, expedite or end monitoring of the fetus and mother during childbirth, as well as help find the presence of fetal or maternal problems. A digital partograph is a form of application where the use of digital paper instead of manual paper for monitoring is authentically designed by researchers. The use of partographs through devices that can be used as a tool to assist with medical care and facilitate it during tracking by the workforce can be downloaded from the Google Play Store. The purpose of this study is to analyze the use of Android-based digital partographs for clinical decision-making in the delivery process. The research method used in this study is a comparative study by looking at the differences between the two variables studied, namely the use of digital partographs with manuals for clinical decision-making in the delivery process with a crossectional approach. The results of data analysis using Man Whitney on the aspects of ease, speed, and relevance of the data obtained a p-value of less than 0.05 meaning that there is a significant difference between manual partographs and digital partographs from the aspects of ease, speed, and relevance of data to clinical decision making in the delivery process.

Effectiveness of Massage Therapy and Gentle Yoga with Prenatal Depression

Indriyani Makmun — Thu, 30 Nov 2023 00:00:00 +0700

Depression is a psychological health problem that is often seen throughout the world, It hinders the functioning, creativity, happiness, and satisfaction of individuals, reduces their quality of life, and causes disruption of activities in doing their work. Depression is prevalent during pregnancy and affects women 10% to 49%. Women who are depressed are more likely to give birth prematurely and neonatal conditions are more likely to have low birth weight or low birth weight or low birth weight of <2500 grams) The purpose of the study is to find out how effective massage therapy and gentle yoga are against prenatal depression in, Mataram City in 2023. This study was conducted by conducting massage therapy and gentle yoga prenatal gentle yoga where the movement can reduce the level of depression, especially among pregnant women at high-risk ages. The research method carried out using Quasi Experiment with pretest posttest nonequivalent one-group design is research whose conclusions are obtained by comparing data before and after the intervention. The results showed a significant difference before and after massage therapy and gentle yoga interventions against depression in pregnant women, with a p-value of 0.000<0.005. Conclusion: There was a difference in average scores before and after gentle yoga and massage therapy interventions for prenatal depression.