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"Aktivitas jantung janin atau Fetal Electrocardiogram (FECG) dapat digunakan untuk mendeteksi potensi kelainan pada jantung janin. Perekaman FECG dilakukan dengan menggunakan Elektrokardiogram (EKG) pada perut ibu hamil. Namun hasil yang didapat tidak serta merta memberikan nilai detak jantung janin per menit, karena terdapat berbagai macam suara bising yang mengganggu pembacaan FECG. Sinyal noise tersebut didapat dari keberadaan Maternal ECG (MECG) yang mendominasi pembacaan, pergerakan rahim, dan lain sebagainya. Sehingga dibutuhkan dokter ahli dalam pembacaan manual hasil EKG perut yang memperlambat proses diagnosis. Oleh karena itu, diperlukan suatu metode untuk memisahkan FECG dengan Maternal Electrocardiogram (MECG). Tujuan dari penelitian ini adalah untuk merancang metode baru menggunakan Fast Fourier Transform dan Filter Moving Average kemudian membandingkan hasilnya dengan metode yang sudah ada untuk memisahkan FECG dari MECG. Cara validasi yang dilakukan adalah membandingkan FHR yang didapat dari kedua metode (Metonia et al. (2020) dan Fast Fourier Transform dan Filter Moving Average) dengan nilai yang sudah divalidasi oleh dokter. Hasil yang didapat adalah pada data Ibu Hamil, Mean Average Error (MAE) menggunakan metode Moving Average dan FFT Filter bernilai 0,727 yang lebih kecil dibandingkan metode Metonia et al., (2020) yang bernilai 1,939. Pada data Ibu Melahirkan, Mean Average Error (MAE) menggunakan metode Moving Average dan FFT Filter bernilai -0,5490 yang lebih kecil dibandingkan metode Metonia et al., (2020) yang bernilai -0,3275.

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Fetal heart activity or Fetal Electrocardiogram (FECG) can be used to detect potential abnormalities in the fetal heart. FECG recording is done using an Electrocardiogram (ECG) on the abdominal of pregnant women. However, the recording results obtained do not immediately provide a value for the fetal heart rate per minute, because there are various kinds of noise that interfere with the reading of the FECG. The noise signal is obtained from the presence of the Maternal ECG (MECG) which dominates the reading, the movement of the uterus, and so on. So that an expert doctor is needed in manual reading of the Abdominal ECG results which slows down the diagnosis process. Therefore, it is necessary to have a method for separating FECG with Maternal Electrocardiogram (MECG). The purpose of this research is to design a new method using Fast Fourier Transform and Moving Average Filter then compare the results with the current available method to separate FECG from MECG. The results obtained are the data for pregnant women, the Mean Average Error (MAE) using the Moving Average and FFT Filter methods, is 0.727 which is smaller than the Metonia et al., (2020) method which is 1.939. In Maternal data, the Mean Average Error (MAE) using the Moving Average and FFT Filter methods is -0.5490 which is smaller than the Metonia et al., (2020) method which is -0.3275."

"Persalinan merupakan fenomena yang selalu ditunggu oleh semua ibu hamil dengan usia kehamilan di atas 36 minggu. Adapun faktor yang mempengaruhi persalinan, antara lain jalan lahir atau passage, janin dan plasenta atau passanger, kekuatan atau power dan respon psikologis. Respon psikologis meliputi kepercayaan diri ibu dalam persalinan dan kelahiran disebut juga dengan childbirth self efficacy. Childbirth Self efficacy menjadi faktor yang sangat mempengaruhi kepuasan wanita dalam menghadapi persalinan.Tingkat self efficacy persalinan yang rendah akan berdampak pada terjadinya post partum depresi. Penelitian kuantitatif dengan pendekatan cross-sectional dengan jumlah sampel 89 orang ibu hamil trimester tiga bertujuan menggambarkan hubungan keterlibatan senam hamil dengan tingkat self efficacy ibu hamil menghadapi persalinan, yang dilaksanankan di Puskesmas Kecamatan Kebon Jeruk Jakarta Barat. Hasil penelitian menggunakan analisis chi square menunjukkan tidak ada hubungan keterlibatan senam hamil dengan tingkat self efficacy ibu hamil menghadapi persalinan p = 0,566 . Penelitian ini merekomendasikan analisis terhadap faktor-faktor lain yang mempengaruhi self efficacy menghadapi persalinan yang berkaitan dengan senam hamil. Kata kunci : ibu hamil, keterlibatan senam hamil, self efficacy persalinan

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Labor is a highly expected phenomenon for all pregnant women with over 36 weeks of gestational age. Factors which influence birth include birth passage, fetus and placenta or passanger, power and psychological response. Psychological response cover mother rsquo s confidence in labor and birth which is also called childbirth self efficacy. Childbirth Self efficacy is a factor which significantly affects women rsquo s satisfaction in facing labor. Low level of childbirth self efficacy will lead to postpartum depression. Quantitative research with cross sectional approach with total sample of 89 pregnant women in the third trimester aimed to describe the relation between pregnancy exercise involvement and level of self efficacy of pregnant women facing labor. It was performed in the Public Health Center of Kebon Jeruk Sub District, West Jakarta. The research result used chi square analysis, showing no relation between pregnancy exercise involvement and level of self efficacy of pregnant women facing labor p 0,566 . This study recommended analysis of other factors affecting self efficacy in facing labor related to pregnancy exercise. Keywords pregnant women, pregnancy exercise involvement, childbirth self efficacy "

"Kehamilan pada trimester III menimbulkan ketidaknyamanan akibat terjadinya perubahan pada fisik dan psikologis. Persiapan persalinan dapat dipelajari pada kelas prenatal. Tujuan penelitian ini untuk mengetahui perbandingan antara ibu yang mengikuti kelas dan ibu yang tidak mengikuti kelas prenatal selama kehamilan terhadap kesiapan menghadapi persalinan. Desain penelitian yang diguanakan cross sectional dengan non probability sampling pada 108 responden 54 responden ibu trimester III yang mengikuti kelas prenatal dan 54 ibu yang tidak mengikuti kelas prenatal. Perbandingan yang bermakna antara ibu yang mengikuti kelas prenatal dan yang tidak mengikuti kelas prenatal (p=0,000) dengan nilai OR 6,175. Hasil penelitian ini dapat dijadikan sebagai bahan pertimbangan dan acuan bagi rumah sakit dalam mengembangkan kelas prenatal.

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The third trimester pregnancy is a physiological process that makes causes discomfort to physical and psychological changes. Childbirth preparation can be learned in prenatal class. This study aimed to determine the comparison between mothers who are taking prenatal class and mothers who are not taking prenatal class during their pregnancy. This study used cross sectional design with non-probability sampling on 108 respondents, 54 respondents are undergoing the third trimester prenatal class and 54 women are not attending prenatal class. This study found a meaningful comparison between mothers who are taking prenatal class and who are not, (p =0,000 ) OR 6,175. The results of this study can be used as a consideration of hospitals in developing prenatal class."

"ABSTRAK LATAR BELAKANG: Penilaian aktivitas fisik ibu selama kehamilan sangat penting karena hubungan yang erat antara tingkat aktivitas fisik dan status kesehatan.1 Hubungan erat antara aktivitas fisik sehari-hari dan hasil luaran kehamilan masih belum jelas terungkap karena luasnya variasi desain studi dan langkah-langkah penilaian aktivitas fisik.2 TUJUAN: Untuk melihat sebaran aktivitas ibu hamil pada trimester 3, kemudian melihat adanya hubungan antara aktivitas fisik ibu hamil pada trimester ke-3 dengan metode persalinan, skor APGAR bayi pada menit ke-5, dan berat lahir bayi. Dapat digunakan juga sebagai dasar rekomendasi bagi masyarakat luas mengenai aktivitas fisik selama kehamilan, dan rekomendasi bagi pembuat kebijakan mengenai karyawan yang bekerja di masa kehamilan. METODE: Untuk mengetahui hubungan antara aktivitas fisik ibu hamil dengan luaran ibu hamil dan bayi baru lahir akan digunakan desain potong lintang, dengan melakukan pengamatan secara akurat dan sistematik.HASIL: Penelitian ini melibatkan 100 ibu melahirkan, yang didapatkan bahwa rerata usia responden adalah 27 tahun, dengan nilai tengah paritas adalah 2. Berdasarkan penilaian kuesioner PPAQ didapatkan bahwa nilai tengah akfitivitas mingguan responden adalah 346 MET-jam/minggu dengan nilai tengah tertinggi dilakukan untuk aktivitas ringan Median 143 , dan aktivitas rumah tangga Median 131 . Sedangkan aktivitas olahraga dikerjakan sangat sedikit, dengan nilai tengah 1.63 MET- jam/minggu. Tidak terdapat hubungan antara usia, paritas, jumlah aktivitas fisik dan intensitas terhadap metode persalinan. Pada saat dilakukan uji data numerik, didapatkan bahwa nilai tengah dari kelompok yang melahirkan pervaginam, adalah 341, dan untuk sectio secarea adalah 347.5, perbedaan ini tidak bermakna baik secara klinis maupun statistik p=0.696 . Pada saat analisa untuk melihat faktor yang memengaruhi berat badan, didapatkan bahwa aktivitas dan usia memiliki P ABSTRACT BACKGROUND The assessment of maternal physical activity during pregnancy is crucial due to the close relationship between the PA levels and the health status.1 The potential relationship between daily physical activity and pregnancy outcome remains unclear because of the wide variation in study designs and physical activity assessment measures.2OBJECTIVES This study was aimed to evaluate the pregnancy daily activities at third trimester and its association between methods of delivery, the fifth minute APGAR score, and birth weight. This study could be used as a basic recommendation for society about daily activities during pregnancy. METHODS This study was a cross sectional study evaluating the association between pregnant women daily activities and maternal and perinatal outcomes by doing systematic and accurate observation.RESULTS Among 100 mother who had delivery, the average of age was 27 years old, and the median of the parity was 2. Based on the assessment of PPA questionnaire, we got the median value of weekly daily activities was 346 MET hours per week which mild activities had the highest point median 143 MET and household activities median 131 MET . However, physical exercises were done infrequently, with median value of 1.63 MET hours per week. There was no significant relationship between age, parity, the amount and intensity of physical activities and methods of delivery. In numerical analysis, we got the median value of physical activities among subjects who had vaginal delivery was 341 MET, and for cesarean section was 347.5 MET. This difference was either not statistically or clinically significant p 0,696 . Physical activities and age had p value below 0,25, therefore they could be included in multivariate analysis. However, both of them were not statictically significant with birth weight. There was no statistically significant association between fifth minute APGAR score and the intensity of physical activities, age, and parity. Meanwhile, babies with fifth minute APGAR score below 7 were mostly delivered by mother having minimal physical activities and there was no significant association between them.CONCLUSION There was no significant association between age, parity, the amount and intensity of physical activities and methods of delivery. And, there was no significant association either between physical activities or age and birth weight. There was no significant association between fifth minute APGAR score and the intensity of physical activities, age, and parity. Babies having fifth minute APGAR score below 7 were mostly delivered by mother having minimal physical activities and had no significant association between them. KEYWORDS pregnancy physical activities, PPA questionnaire "

"ABSTRAKPerubahan psikososial pada ibu primigravida selama kehamilan salah satu oleh pasangan. Ibu primigravida memerlukan adanya penyesuaian pasangan selama kehamilan. Penelitian ini bertujuan mengidentifikasi hubungan antara penyesuaian pasangan dengan kelekatan ibu primigravida dan janin. Penelitian cross sectional ini menggunakan teknik multistage cluster random sampling dan melibatkan 110 ibu primigravida. Hasil penelitian menunjukkan terdapat hubungan signifikan antara penyesuaian pasangan dengan kelekatan ibu dan janin p value < 0,1 . Peneliti menyarankan tenaga kesehatan, khususnya perawat maternitas agar mampu mempertahankan dan meningkatkan edukasi kehamilan terkait aspek psikososial kepada ibu primigravida dan pasangan.

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ABSTRACTOne of the reasons of psychosocial changes to primigravida during pregnancy is caused by their partners. The mother needs to make adjustments with her partners during pregnancy. The aim of this study was to identify relationship between the partner rsquo s adjustments and prenatal attachment in primigravida. This cross sectional study applied the multistage cluster random sampling technique involved 110 primigravidas. The results showed that significant relationship between the partner rsquo s adjustment and prenatal attachment in primigravida p value 0,1 . The researcher suggests that health workers, especially maternity nurses, to be able to maintain and increase pregnancy educations related to psychosocial aspects to primigravida mothers and their partner rsquo s."

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"Coronavirus 2 atau SARS-Cov-2 yang sampai saat ini masih berkembang pesat memberikan dampak kepada masyarakat termasuk ibu hamil. Pembatasan sosial skala besar yang diterapkan Pemerintah Indonesia sebagai dampak adanya pandemi COVID-19 menyebabkan beberapa tantangan kepada ibu hamil yang salah satunya kecemasan. Periode prenatal yang disertai dengan kecemasan dapat memengaruhi hubungan perlekatan antara ibu dan janin yang dapat bermanifestasi dalam bentuk emosi dan perilaku. Masa pandemi COVID-19 ini tampaknya juga telah mengubah cara interaksi masyarakat dunia dari tatap muka ke bentuk online. Prenatal yoga merupakan intervensi non-farmakologi yang bermanfaat dalam meningkatkan kesehatan fisik dan psikologis selama periode prenatal. Prenatal yoga menjadi strategi yang cocok bagi ibu hamil untuk meningkatkan kesehatan selama pandemi COVID-19 yang dilakukan dalam bentuk kelas online. Desain penelitian dilakukan dengan pendekatan quasi-experiments (eksperimen semu) yang terbagi menjadi kelompok intervensi sebanyak 56 responden dan kelompok kontrol sebanyak 56 responden. Kelompok intervensi diberikan prenatal yoga online selama 4 sesi dan kelompok kontrol diberikan senam hamil selama 3 sesi. Instrument penelitian ini adalah peneliti itu sendiri sebagai guru prenatal yoga, PRAQ-R2 (pregnancy-related anxiety questionnaire-revised 2) dan MFAS (maternal-fetal attachment). Hasil penelitian ini menunjukkan MD (95%CI) = 0.256; 0.637 dan p value = 0.000 yang secara statistik ada perbedaan yang signifikan pada pregnancy anxiety sebelum dan sesudah diberikan prenatal yoga online pada kelompok intervensi. Pada kelompok kontrol didapatkan hasil MD (95%CI) = 0.629 dan p value = 0.532 yang secara statistik tidak ada perbedaan pregnancy anxiety sebelum dan sesudah diberikan senam hamil. Selanjutnya, untuk maternal-fetal attachment didapatkan hasil MD (95%CI) = -0.448; -0.195 dan p value = 0.000 yang secara statistik ada perbedaan yang signifikan sebelum dan sesudah diberikan prenatal yoga online pada kelompok intervensi. Pada kelompok kontrol didapatkan MD (95%CI) = -0.525; -0.261 dan p value = 0.000 yang secara statistik ada perbedaan yang signifikan sebelum dan sesudah diberikan senam hamil pada kelompok kontrol. Prenatal yoga online merupakan bagian dari terapi komplementer yang juga merupakan bagian salah satu intervensi pendekatan non-farmakologi di dalam asuhan keperawatan yang dapat diterapkan oleh perawat maternitas klinis

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Coronavirus 2 or SARS-Cov-2, which is still growing rapidly and has an impact on society, including pregnant women. The large-scale social restrictions imposed by the Indonesian government as a result of the COVID-19 pandemic have caused several challenges for pregnant women, one of which is anxiety. The prenatal period with anxiety may affect the attachment relationship between mother and fetus which may manifest in the form of emotions and behavior. The COVID-19 pandemic has changed the way the world community interacts from face-to-face to online. Prenatal yoga is a non-pharmacological intervention that is beneficial in improving physical and psychological health during the pregnancy period. Prenatal yoga is a suitable strategy for pregnant women to improve health during the COVID-19 pandemic which can be done in the form of online classes. The research design was carried out using a quasi-experiments approach, which was divided into an intervention group of 56 respondents and a control group of 56 respondents. The group was given online prenatal yoga intervention for 4 sessions and the control group was given pregnancy exercise for 3 sessions. The research instrument is the researcher himself as a prenatal yoga teacher, PRAQ-R2 (pregnancy-related anxiety question-revised 2) and MFAS (maternal-fetal attachment). The results of this study showed MD (95%CI) = 0.256; 0.637 and p value = 0.000 which is statistically significant difference in pregnancy anxiety before and after being given prenatal yoga online in the intervention group. In the control group, the results of MD (95% CI) = 0.629 and p value = 0.532 statistically there was no difference in pregnancy anxiety before and after being given pregnancy exercise. Furthermore, for maternal-fetal attachment the results obtained MD (95%CI) = -0.448; -0.195 and p value = 0.000 which statistically significant difference before and after being given prenatal yoga online in the intervention group. In the control group, MD (95%CI) = -0.525; -0.261 and p value = 0.000 which is statistically significant difference before and after being given pregnancy exercise in the control group. Online prenatal yoga is part of complementary therapy which is also part of a non-pharmacological approach in nursing care that may be applied by clinical maternity nurses."

"Senam hamil merupakan kebutuhan seorang ibu hamil untuk mempersiapkan persalinan yang fisiologis. Penelitian ini membahas hubungan tingkat pengetahuan tentang manfaat senam hamil dengan persepsi ibu hamil tentang senam hamil. Rancangan penelitian menggunakan deskriptif korelasi. Metode pemilihan sampel menggunakan systematic random sampling dan melibatkan 54 ibu hamil yang melakukan pemeriksaan di puskesmas tanjung priok jakarta utara. Sebanyak 44% responden memiliki tingkat pengetahuan tinggi dan persepsi positif. Hasil penelitian secara statistik menunjukkan terdapat perbedaan yang bermakna antara tingkat pengetahuan tentang manfaat senam hamil dan persepsi ibu hamil tentang senam hamil (p = 0,025). Hasil penelitian dapat digunakan oleh perawat atau care giver sebagai masukan dalam mengidentifikasi kebutuhan informasi ibu hamil tentang senam hamil.

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Pregnancy exercise is a pregnant mother needs to prepare for physiological childbirth. This study discusses the relationship level of knowledge about the benefits of pregnancy exercises with maternal perception of pregnancy exercises. This study used descriptive correlation design, systematic random sampling was choosing as a strategy for sample selection and involves 54 pregnant mothers who perform inspections at clinic Tanjung Priok North Jakarta. As much 44% respondents have a high level of knowledge and positive perception. Statistics result of this study indicated that there was a significant difference between levels of knowledge about the benefits of pregnancy exercises with maternal perception of pregnancy exercises. (p = 0,0251) The nurse or caregiver as input in identifying the information needs of pregnant women about pregnancy exercises can use results of research."