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Nyeri persalinan merupakan tantangan utama yang dihadapi ibu, khususnya pada kala I fase aktif. Penggunaan metode non-farmakologis seperti endorphin massage menjadi alternatif yang aman dan efektif untuk mengurangi nyeri tanpa efek samping. Penelitian ini bertujuan untuk mengkaji efektivitas endorphin massage dalam menurunkan intensitas nyeri pada ibu bersalin kala I fase aktif. Penelitian ini menggunakan desain kuasi-eksperimen dengan pendekatan pretest-posttest with control group. Sebanyak 12 responden dibagi menjadi dua kelompok: intervensi (diberikan endorphin massage) dan kontrol (perawatan standar). Intensitas nyeri diukur menggunakan Numeric Rating Scale (NRS) sebelum dan sesudah intervensi. Analisis data dilakukan dengan uji paired t-test dan independent t-test dengan tingkat signifikansi p < 0,05. Hasil penelitian menunjukkan bahwa rata-rata skor nyeri pada kelompok intervensi menurun signifikan dari 7,5 menjadi 4,0 (p = 0,000), sementara pada kelompok kontrol hanya turun dari 7,3 menjadi 7,0 dan tidak signifikan (p = 0,308). Uji independent t-test juga menunjukkan perbedaan bermakna antara kedua kelompok setelah intervensi (p = 0,000). Hasil ini menunjukkan bahwa endorphin massage terbukti efektif sebagai intervensi non-farmakologis untuk mengurangi nyeri persalinan. Teknik ini dapat diterapkan dalam praktik kebidanan sebagai metode yang aman, mudah, dan berpusat pada kenyamanan ibu.

The Maternal Mortality Rate (MMR) remains a key indicator in assessing maternal health in Indonesia. Prolonged labor, particularly in the first stage, contributes to the high MMR. Prolonged labor can increase the risk of complications for both mother and baby. Birthballs are a non-pharmacological method used to help accelerate labor by increasing comfort, reducing pain, and accelerating cervical dilation. This method is increasingly popular because it does not involve medication and is safer for pregnant women. This study aims to determine the effect of birthball use on the progress of first-stage labor in women giving birth at the Cantika Clinic, Deli Tua District, Deli Serdang Regency in 2022. The study design used a Quasi Experiment with a Two Group Design. The study sample consisted of 20 respondents divided into two groups: an intervention group using a birthball and a control group not using a birthball, each consisting of 10 respondents. Data were analyzed using the Mann-Whitney test. The results of the study showed that the group using the birthball had an average duration of the first stage of labor of 7 hours, while the group not using the birthball had an average duration of 8 hours and 40 minutes. The results of the statistical analysis showed a p value = 0.029 (<0.05), which means there is a significant effect of the use of the birthball on the progress of the first stage of labor. The conclusion of this study is that the use of the birthball can accelerate the process of the first stage of labor, so it is recommended to be implemented as a non-pharmacological intervention that can support a smoother and more comfortable delivery for pregnant women.  

The duration of the second stage of labor is a significant factor influencing maternal and neonatal outcomes. Maternal and neonatal mortality rates remain a major global health challenge, and various risk factors, including prolonged second stage of labor, contribute to this issue. Successful childbirth is influenced by risk factors such as maternal age, parity, and body mass index (BMI). This cross-sectional study aimed to analyze the relationship between maternal age, parity, and BMI on the duration of the second stage of labor among 224 postpartum women at TPMB M in 2023. The results showed that women with advanced maternal age (<20 years or >35 years), nulliparity or grand multiparity, and underweight or obese BMI were at significantly higher risk of prolonged second stage of labor. These findings highlight the need for special attention to pregnant women with these risk factors to prevent obstetric complications. Healthcare providers are encouraged to enhance risk factor monitoring through education, screening, and comprehensive management during pregnancy.

Tropical regions offer significant opportunities in the development of renewable energy, particularly through industrial-scale Solar Power Plants (PLTS). This study aims to analyze PLTS implementation strategies in tropical areas as a means to support clean energy and green economic development. A literature study with a qualitative-descriptive approach was employed. The results show that industrial-scale PLTS implementation is highly promising due to stable and high solar radiation throughout the year. However, challenges persist such as limited infrastructure, high initial capital, and inconsistent regulatory frameworks. Thus, collaboration among stakeholders is essential to establish a sustainable energy ecosystem.

Childbirth causes pain due to shortening of the uterine muscles. Normal childbirth occurs because of pain, which is an important part of labor. During labor, pain can influence uterine contractions through the secretion of catecholamines and cortisol. It improves the function of the sympathetic nervous system, changing blood pressure, heart rate, breathing, and length of labor. The aim of this research is to find out how warm compresses impact how severe the pain of labor during the first active phase is. This research design is pre-experimental with a one group pre test and post test design. The population in this study were all mothers giving birth at BPM Nursehan Dahliana Birayang (Hulu Sungai Tengah Regency, South Kalimantan Province), using an accidental sampling technique and a sample size of 30 respondents was obtained. A warm compress is placed on the lower abdomen using a hot bladder. Data analysis used the Paired T - test. Based on the research results obtained, the average pain score before treatment was 8.13 and the average pain score after treatment was 4.66. The results of statistical analysis of tests of differences in pain intensity before and after treatment showed significant differences (p=0.000; 95% CI -3.900-(-3.031). The conclusion of this study is: warm compresses can reduce the intensity of labor pain in the active phase of the first stage. Warm compresses can be used as a way to reduce the intensity of labor pain.

Maternal Mortality Rate (MMR) is a component of the development index and quality of life index which is calculated by taking into account and considering women's health status (MMR). The aim of this research is to determine the factors associated with hyperemesis gravidarum at the Birem Bayuem Community Health Center in 2024. The design of this research is an analytical survey using a cross-sectional approach. The sample in this study was all 1st trimester pregnant women who visited ANC at the Birem Bayuem Community Health Center in 2024, namely 26 pregnant women. The results of the analysis using the Telst Chi-sqularel test showed a value of p=0.008 (95% CI 1.522-26.081). Mothers who are working have a rate of 6,300 times more likely to experience hyperreleasing disease compared to mothers who are not working. It is hoped that by increasing the number of antenatal care, follow-up or maternal visits in research will reduce the number of cases of hyperelelmosis. Apart from that, it is highly recommended that you learn about health regularly by actively asking health professionals every time you visit a health care facility.

According to World Health Organization data in 2015, maternal deaths were 216 per 100,000 live births due to complications during pregnancy and childbirth. While in developing countries the maternal mortality rate jumped 20 times higher than in developed countries, reaching 239 per 100,000 live births. Keywords: Husband's support, Mother's attitude, Infant immunization. The time of the study was April to July at the Negeri Lama Health Center in 2022. The sample in this study who were planning to give birth in the month (TTP) at the time of the study from May to June 2022 at the Negeri Lama Health Center were 15 pregnant women in the control group and 15 pregnant women in the intervention group. After the normality test was carried out and the results were normally distributed, a paired t-test could be carried out. The results of the t-test, namely the results of the paired test-test showed p = 0.011 (p <0.05) and t count = 11,768> from t table = 9,200 which proves that there is an effect of giving deep back massage on the level of labor pain in mothers who are giving birth to reduce labor pain.

Delivery assistance is a delivery service process that starts from stage I to stage IV of delivery. The achievementcofcmaternal healthc effortsc isc measured through the indicator of the percentage of deliveries assisted by qualified health workers (Ministry of Health of the Republic of Indonesia 2015).Based on the description above, the problem discussed in this research is: to determine the effect of counterpressure massage techniques to reduce labor pain in active phase first stage mothers at Darul Aman Community Health Center, East Aceh. The type of research used is quasi-experimental with a pre-test design and post test control group design, cause or risk and effect variables or cases that occur in the research object are measured or collected simultaneously (at the same time) (Notoatmodjo, 2012) Darul Aman East Aceh Community Health Center is a BPJS Health First Level Health Facility in Aceh Tkmur Regency whose address is Jalan Medan, Gp Kuede Village, Darul Aman District, East Aceh Regency, NAD. The Darul Aman Health Center in East Aceh has the Motto: SIMPATI, namely Smiling and Greeting, Informative, Serving, Professional, Accountable, Transparent, Sincere. Based on the results of the analysis and discussion of research results, conclusions can be drawn regarding the effect of massage techniques to reduce labor pain at the Darul Aman Community Health Center, East Aceh. 1. The level of labor pain before the counterpesure massage was performed, all respondents experienced severe pain. 2. The level of labor pain after the counterpesure massage was performed. Most of the respondents experienced moderate pain. 3. There was an effect of using massage techniques to reduce labor pain in mothers during the first stage of the active phase.

Stres belajar merupakan respon yang tidak menyenangkan yang dialami individu dan dapat mempengaruhi kondisi fisiologis serta psikososial mereka. Penelitian ini bertujuan untuk menyusun skala stres belajar dengan melalui tujuh tahapan sebagai berikut: (1) pemilihan konsep skala, (2) penciptaan indikator, (3) penyusunan aitem, (4) review eksternal dan uji keterbacaan, (5) validasi aitem melalui expert judgement, (6) uji coba, dan (7) uji reliabilitas. Subjek penelitian ini terdiri dari 97 individu, dengan rincian 20 subjek untuk uji keterbacaan, 5 subjek untuk expert judgement, 20 partisipan untuk uji coba, dan 52 partisipan untuk pengujian akhir. Hasil penelitian ini menghasilkan 24 aitem awal, yang setelah melalui proses diskriminasi, disaring menjadi 21 aitem dengan nilai reliabilitas sebesar 0,856. Nilai reliabilitas yang tinggi ini menunjukkan bahwa skala yang dikembangkan memiliki konsistensi internal yang baik dan layak dijadikan sebagai instrumen pengukuran stres belajar. Dengan demikian, skala ini dapat digunakan untuk mengidentifikasi tingkat stres belajar pada individu dan memberikan dasar bagi intervensi yang lebih tepat dalam konteks pendidikan.

One of the MGDS global targets is to reduce MMR and IMR. The maternal mortality rate in Indonesia is still high at 390 per 100,000 live births. Referring to the link between birth management and various countermeasures for the biggest cause of AKI is postpartum hemorrhage. Efforts have been made in problems related to bleeding, even several studies have carried out IMD in treating bleeding problems considering that the presence of IMD can affect the hormone oxytocin which is associated with bleeding. The purpose of this study was to see how IMD influences the amount of bleeding in the fourth stage.This research is a Quasi Experiment using primary data. The population and sample were all primiparous women with a total of 46 respondents using the purposive sampling method. The data analysis was univariate and bivariate using the Independent t-test. The results showed that there was a significant effect between IMD on the amount of bleeding in the fourth stage. The average number of bleeding in the fourth stage of respondents who underwent Early Breastfeeding Initiation was 150.63 with a standard deviation of 22.149. Meanwhile, for respondents who did not undergo Early Breastfeeding Initiation, the average number of bleeding in the fourth stage was 166.09 with a standard deviation of 21.580. In the statistical test, the value of P = 0.000 was obtained. With this study, it was found that there was an effect of IMD on the amount of bleeding in the fourth stage of labor. It is hoped that midwives and doctors will implement IMD in order to reduce morbidity and mortality of mothers and babies.

According to WHO, the incidence of prolonged labor in the world is currently estimated to occur at 17% of total births. The Indonesian Demographic and Health Survey or abbreviated (SDKI) by the National Population and Family Planning Agency reported that the majority of birth complications are long labor (30%) to facilitate the normal birth process, so pregnancy exercises are carried out to reduce the occurrence of long labor. The aim of this study was to determine the relationship between pregnancy exercise and parity with the length of labor in the first stage of labor in the active phase of women giving birth at Karya Medika 1 Hospital, West Cikarang, 2023. This type of research is quantitative analytical using a cross-sectional study design approach. Mothers giving birth at Karya Medika 1 Hospital, West Cikarang in the period January – August 2023. The population of women giving birth is 80 people. The instruments used in this research are primary data and secondary data. Data were analyzed using the chi-square test. The results show that the variables that are related to the length of labor in the first active phase of labor for women giving birth at Karya Medika 1 Hospital, West Cikarang 2023 are pregnancy exercise (p=0.002) with an OR of 10,000, and parity (p=0.039) with an OR of 0.255. The conclusion is that the variables studied (pregnancy exercise, and parity) are all related to the length of labor in the first active phase of labor in women giving birth at Karya Medika 1 Hospital, West Cikarang 2023.Researchers advise pregnant women to take care of their pregnancy and are advised to take part in a pregnancy exercise program so that the birth process runs normally. And, Karya Medika 1 Hospital Cikarang Barat is advised to continue the pregnancy exercise program in the future.  

During labor, the mother needs nutrition to produce energy during the labor process, the mother has sufficient energy. Dates are a food source that has energy-producing nutrients because they contain high levels of sugar. The aim of this research is to determine the effect of giving dates on the duration of the second stage of labor in women giving birth at the Friends of Rossy Medika Clinic in 2023. The type of quantitative research is quasy experimental with the research design being non equivalent control group design. The research population was 60 mothers in the second stage of labor. The sample that will be taken is 28 group respondents. The independent variable in this study was consumption of dates, while the dependent variable was the duration of the second stage of labor. The research was carried out at the Rossy Medika Friends Clinic located at Kp. Bojongsari, Sumbersari Village, Pebayuran District, Bekasi Regency, West Java in August 2023 - December 2023. Univariate analysis was used to determine the distribution of respondents' characteristics and the average duration of labor for the control and experimental groups, while bivariate analysis used the independent sample t-test with a sig (2-tailed) value of 0.001<0.005. Giving dates to the duration of the second stage of labor to women giving birth at the Rossy Medika Friends Clinic in 2023 the duration is faster than those who do not consume dates. The conclusion is that there is an effect of giving dates on the duration of the second stage of labor in mothers giving birth at the Rossy Friends Clinic in 2023.

This study aims to determine the effect of classical music therapy on pain intensity in active phase in-partu mothers during the first stage of labor at the Independent Midwife Practice of Pertiwi Sengkang, Wajo Regency. This type of research is quantitative research using the Pre-experimental design method "One Group pretest - posttest design". The sampling technique used in this study used total sampling with a total sample of 30 mothers giving birth at the Pertiwi Sengkang Midwife Independent Practice, Wajo Regency, while data analysis used the Wilcoxon Signed Rank test. The results of the study showed a p-value of 0.000 (p <0.05) which means that the alternative hypothesis is accepted. This means that the alternative hypothesis is that there is an effect of classical music therapy on pain intensity in active phase in-partu mothers during the first stage of labor at the independent practice of midwives in Pertiwi Sengkang, Wajo district. By him, it is hoped that health workers, especially midwives as birth attendants, can help mothers in childbirth to meet their needs for comfort in controlling pain and can use classical music therapy in the delivery process which helps mothers in labor to reduce pain during labor.

Introduction: Primigravida pregnant women are women who are pregnant for the first time. This first pregnancy causes discomfort during pregnancy that the pregnant mother can feel. Objective:  to determine the relationship between midwives' emotional support and the level of anxiety of primigravida mothers in the 1st stage of the process at Imelda Hospital in Medan. Materials and Methods: This research uses quantitative methods with bivariate test analysis and discrete statistics. Results: This study aims to determine the relationship between midwives' emotional support and the level of anxiety of primigravida mothers during the 1st stage. The total research sample was 40 respondents. The results of the analysis of the relationship between midwives' emotional support and the level of anxiety of primigravida mothers. 23 people (23%) did not receive support from midwives. The majority of the anxiety levels faced by pregnant women during the first stage of the process were moderately anxious, 22 people (55%). Conclusion: The characteristics of pregnant women respondents at RSU IPI showed that 28 people aged 21-30 years (70%) had high school education (28 people) (70%) did not receive support from a midwife as many as 23 people (23%) The level of anxiety faced by pregnant women During the first stage of the process, the majority had moderate anxiety, 22 people (55%). Emotional support and the level of anxiety showed that the majority who did not receive support experienced severe anxiety, namely 15 people. Those who received support only experienced moderate anxiety, 14 people.

Labor is the process by which the fetus and amniotic fluid are pushed out through the birth canal. During the birth process the mother will experience pain. Pain that is uncontrolled or excerssive and does not get proper treatment can cause problems with difficulty in childbirth. A non-pharmocological method that is quite safe was to determine the effect of giving warm compresses to labor pain in the active phase of the first stage of labor at Fatimah Banyuwangi Hospital in 2022. The research method used a pre-exsperimental one group pretest posttest on 30 respondents who met the inclusion criteria, namely pregnant women in the first active phase, singleton pregnancies, head presentations, term pregnancies, normal delivery plants, fetal interpretation between 2500-4000 grams, accompanied by their husbands or family. Data collection was carried out using the VAS observation sheet and warm compress SOP. Then the data is processed through the process of editing, coding,scring, tabulating and statistical analysis of the Wilcoxon test. The result showed that the level of labor pain before the intervention was mostly in the severe pain category by 53% and after the warm compress intervention there was a decrease in the pain level, namely in the moderate pain category by 70%. Wilcoxon test reslts Asymp. Sig. (2-tailed) 0,00 < 0,05 means that there is a significant effect of giving warm compresses to labor pain in the active phase I parturition at RSI Fatimah Banyuwangi in 2022. Proper application of warm compresses according to the procedure gives a feeling of warmth and causes vasoconstriction so that labor pain in the first stage can be reduced. This method is safe and can be an alternative choice for midwives in the management of pain care during labor.

Childbirth is a series of events when a baby is released from the mother's womb, followed by the release of the placenta and fetal membranes from the mother's body (Fitriana and Nurwiyandani, 2018). Experimental research method with a design that is Control group pre test-Post test. The population in this study were all primigravid postpartum patients without complications during the first active phase in the working area of ​​the Halilulik Health Center, Naitimu Village, West Tasifeto District, East Nusa Tenggara, Using a purposive sampling technique, a sample of 16 people was obtained with a distribution of 8 people for the back rubbing massage treatment using the Power Massager (group 1) and 8 people for the back rubbing massage treatment using the hands (group 2). The results showed that the back rubbing massage treatment using a power massager obtained an average decrease in pain of 2.375, while the treatment of back rubbing massage using hands obtained an average decrease in pain of 1.250, obtained P count of 0.0013 P <0.05, So it can be concluded that back rubbing massage using a power massager is more effective than using hands in reducing pain in primigravida in parturient patients in the active phase 1. In conclusion, back rubbing massage using a power massager is more effective in reducing pain in primigravid patients in labor in the first active phase.

Nyeri pada ibu bersalin dapat menyebabkan meningkatnya kadar katekolamin atau hormon sterss. Peningkatan kadar ketekolamin atau hormon sterss dapat mengurangi kemampuan tubuh menahan rasa nyeri.Tujuan dari penelitian ini untuk mengetahui pengaruh terapi massage effluerage terhadap nyeri kala I pada ibu inpartu. Desain penelitian pre eksperimental  dengan penelitian one group pre-post test. Populasi dalam penelitian ini ibu bersalin secara normal di ruangan ponek bulan agustus-oktober berjumlah 56 ibu. Sampel berjumlah 36 ibu dengan menggunakan rumus slovin. Instrument yang digunakan yaitu lembar observasi dan menggunakan uji statistik sampel paired T-test. Hasil yang diperoleh nyeri sebelum perlakuan sebanyak 23 responden merasakan nyeri sedang dan 13 responden merasakan nyeri berat, setelah perlakuan 19 responden merasakan nyeri ringan, 15 responden merasakan nyeri sedang dan 2 responden merasakan nyeri berat. Kesimpulan terdapat pengaruh p=0.000 (<0.05) terapi massage effleurage terhadap nyeri kala I pada ibu inpartu diruangan ponek.    

Pain in labor is an unpleasant emotional and sensory experience arising from actual or potential tissue damage or demonstrated. Pain is a natural process in labor. If it is not handled properly, it will cause other problems, namely increased anxiety or worry due to lack of knowledge in the mother about the processes that occur when facing labor. This study aims to determine the effect of back massage on reducing the pain scale of labor in the first active phase at UPTD Puskesmas Maga, Mandailing Natal district in 2022. This type of research is a quasi-experimental study with a research approach using a prepost test design with one group test. The population is all pregnant women who are at the UPTD Puskesmas Maga, Mandailing Natal Regency in 2022, totaling 54 mothers in partu. The number of samples used was 54 people obtained by using total sampling technique. The data analysis technique uses the Paired-Samples T Test. The results obtained in this study were from 54 respondents, there was an effect of back massage on a decrease in the active phase of labor pain scale in the first active phase with a value of p = 0.011. There is an Effect of Back Massage on Reducing the Pain Scale of Labor in the Active Phase I. It is recommended for health workers to improve counseling related to reducing the pain of the active phase of labor in the first stage of labor for mothers in labor with back massage

Penelitian ini untuk mengetahui Pengaruh Teknik Relaksasi Nafas dalam Terhadap Respon Nyeri pada Ibu Inpartu Kala I di RSIA Sitti Khadidjah Kota Gorontalo. Penelitian ini menggunakan metode kuantitatif dengan desain pre eksperimen pendekatan two group pretest-postest design. Tekinik pengambilan sampel menggunakan accidental sampling dengan jumlah sampel sebanyak 30 responden yang terdiri dari 15 kelompok intervensi dan 15 kelompok control. Teknik pengumpulan data menggunakan lembar observasi. Analisa data menggunakan uji dependent-test. Hasil penelitian menunjukkan bahwa skala nyeri responden pada kelompok intervensi 0.000 <(ɑ) 0,05 sedangkan pada kelompok control P=.164 >(ɑ) 0.05. Kesimpulan yaitu pada kelompok intervensi adanya pengaruh teknik relaksasi terhadap respon nyeri pada ibu inpartu kala I, sedangkan pada kelompok control tidak terdapat pengaruh teknik relaksasi nafas dalam pada ibu inpartu kala I di RSIA Sitti Khadidjah Kota Gorontalo.  

Birth Ball is a birth ball that can be used by mothers in labor in the first stage to a position that can help progress labor. The purpose of this study was to determine the effect of the Birth Ball on reducing the intensity of labor pain during the first active phase. The type of research used in this study was a quasy experiment. The research was conducted at PMB Karmila, Bantan District. The population in this study were all third trimester pregnant women. The sample in this study were 20 pregnant women using purposive sampling. Data analysis was carried out univariately, bivariately using the T-Dependent statistical test (paired T-Test). The results showed that there was an effect of birth ball on the intensity of labor pain in the first stage. to the community, especially primigravida women who experience labor pain to be able to do birth ball therapy to reduce the level of pain in the first stage of labor.\