Hasil Pencarian  ::  Simpan CSV :: Kembali

"Dua dari tiga wanita mengalami diastasis recti abdominis selama kehamilan mereka. Beberapa hal dilakukan untuk membantu pengecilan rahim dan mengurangi diastasis recti abdominis setelah melahirkan, baik secara ilmiah maupun tradisional. Salah satunya adalah dengan menggunakan penyangga perut pasca melahirkan dan pengikat perut (bengkung) yang telah digunakan selama berabad-abad sebagai metode untuk menopang perut wanita. Tujuan penelitian ini yaitu untuk menganalisis dari berbagai sumber literatur mengenai manfaat penggunaan penyangga perut dan juga membuat rekomendasi penelitian terkait standar operasional prosedur penggunaan penyangga perut untuk mengurangi diastasi recti abdominis pada ibu post partum. Metode yang digunakan adalah studi literatur dengan mengumpulkan artikel penelitian eksperimental terkait penggunaan penyangga perut pada ibu post partum 2 hari sampai 1 tahun. Desain penelitian ini yaitu studi literatur dengan melakukan pencarian artikel menggunakan database Internasional seperti Google Scholar, EBSCOhost, Proquest, dan Pubmed. Pada penelitian ini didapatkan 129 artikel penelitian dengan kata kunci “post partum”, “post natal”, “abdominal binding”, “belly binder”, “abdominal supporting belt” ,“belly binding”, dan “diastasis recti abdominis”, “exercise”. Dalam penelitian ini didapatkan 6 artikel yang dianalisis sesuai dengan kriteria inklusi yaitu a) merupakan penelitian eksperimental mengenai penggunaan penyangga perut bagi ibu postpartum; b) penelitian dilakukan langsung kepada ibu post partum usia 2 hari –1 tahun; c) Ibu post partum memiliki diastasis recti lebih dari 2.5 cm ; d) literatur menggunakan bahasa inggris ataupun bahasa indonesia; dan e) literatur dipublikasikan dalam periode 10 tahun terakhir. Kriteria eksklusi yaitu jika literatur yang diterbitkan dalam database tidak lengkap hanya berupa abstrak dan penelitian dalam publikasi belum selesai dilakukan. Berdasarkan studi literatur yang dilakukan, didapatkan bahwa penggunaan penyangga perut efektif sebagai pengurangan diastasis recti abdominis pada ibu post partum, namun harus disertai dengan latihan otot perut secara rutin. Hasil penelitian ini diharapkan dapat bermanfaat untuk perawat dalam penanganan diastasis recti abdominis secara non-farmakologi pada ibu post partum.

---

Two out of three women experience diastasis rectus abdominis during their pregnancy. Several things are considered helpful to shrink the uterus and reduce diastasis rectus abdominis after labor, both scientifically and traditionally. One of the methods is to use abdominal binding (bengkung) that has been used for centuries to support women’s belly. The objectives of this research are to analyze the benefit of abdominal binding from several literatures and to propose nursing intervention recommendations regarding its standard operational procedure to reduce diastasis recti abdominis on postpartum mothers. The method used in this research is literature study by collecting experimental research articles regarding the use of abdominal binding on postpartum mothers from 2 days until 1 year after labor. The design of this research is literature study by doing literature search using International Database such as Google Scholar, EBSCOhost, Proquest, and Pubmed. There are 129 research articles in this study using keywords: “post-partum”, “post-natal”, “abdominal binding”, “belly binder”, abdominal supporting belt”, “belly binding”, “diastasis rectus abdominis”, and “exercise”. There are 6 articles taken into analysis met the inclusion criteria, including a) Experimental study regarding the use of abdominal binding for postpartum mother; b) The study involved postpartum mother 2 days – 1 year after labor; c) Postpartum mother experiencing diastasis rectus more than 2,5 cm; d) The literatures use English or Bahasa Indonesia; and e) The literature is published on the last 10 years. The exclusion criteria in this study is that if the literature published in the database is incomplete it only contains abstracts and the research has not been finished yet. Based on studies conducted, the use of abdominal binding is effective to reduce diastasis recti abdominis on postpartum mothers, However, the use of this abdominal corset must be accompanied by regular abdominal muscle exercises. The results are expected to be useful for nurses to support postpartum mothers who have diastasis recti abdominis by non-pharmacologic treatment."

"Menyusui merupakan hak seluruh ibu dan bayi, termasuk bagi ibu postpartum dan bayinya. Menyusui sangat dianjurkan pada ibu postpartum karena memiliki banyak manfaat yaitu untuk boanding serta mencegah komplikasi pasca melahirkan. Ibu postpartum post SC kelahiran pertama usia 24 tahun pada studi ini menjalani perawatan Covid-19 dengan perawatan bayi yang terpisah sehingga pasien tidak dapat menyusui secara langsung, pasien mendapatkan medikasi anti virus remdesivir. Pemisahan antara ibu dan bayi mengakibatkan masalah dimana terhambatnya boanding yang mana berdampak pada pengeluaran ASI, pada pasien juga ditemukan adanya nyeri payudara serta kesulitan mengeluarkan ASI. Terhambatnya boanding turut berkontribusi dalam penurunan hormone oksitosin yang merupakan hormone pelepasan ASI. Perawatan pada pasien postpartum dengan covid dan rawat pisah antaera ibu dan bayi dalam mengatasi permasalahan keperawatan hambatan menyusui dilakukan dengan melakukan virtual boanding selama perawatan di rumah sakit dengan memvasilitasi videocall antara ibu yang dirawat di rumah sakit serta bayi yang berada dirumah, serta intervensi konseling laktasi dengan menerapkan masase payudara meningkatkan oksitosin dalam memperlancar pengeruaran ASI. Hasil penulisan ini mengambarkan hasil pengelolaan ibu postpartum dengan covid-19 rawat terpisah, dengan pelaksaan virtual boanding dan masase payudara dalam mengatasi hambatan pengeluaran ASI.

---

Breastfeeding is the right of all mothers and babies, including postpartum mothers and their babies. Breastfeeding is highly recommended for postpartum mothers because it has many benefits, such as boanding and preventing postpartum complications. The paient in this stuty is post-SC postpartum mother at the age of 24 years, with her first born underwent Covid-19 treatment with separate baby care so that the patient could not breastfeed directly, the patient received the anti-viral medication remdesivir. The separation between mother and baby caused problems where delayed boanding which has an impact on the release of breast milk, the patient is also have breast pain and difficulty expressing milk. The inhibition of boanding also contributes to the decrease in the hormone oxytocin which needed to releases breast milk. Nursing care for post partum patients with Covid 19 and separated care between mother and baby in overcoming nursing problems with interuppeted breastfeeding is carried by facilitating virtual boarding during hospital care by facilitating videocalls between mothers who are hospitalized and babies who are at home, as well as lactation counseling interventions. by applying breast massage to increase oxytocin in facilitating the released of breast milk. The results of this study shows the results of the management of post-partum mothers with COVID-19 in separate care, by implementing virtual boanding and breast massage to overcome nuring diagnosis interrupted breast feeding"

"Latar belakang: Retensio urine pasca persalinan merupakan salah satu komplikasi tersering dalam persalinan. Salah satu jenis retensi urine yang sulit diketahui adalah tipe covert yang tidak bergejala. Akan tetapi, retensi urine tipe covert dapat menyebabkan retensi urine persisten yang dapat menurunkan kualitas hidup. Diperlukan suatu studi untuk meneliti faktor risiko terjadinya retensi urine tipe covert agar dapat dideteksi lebih dini. Tujuan: Mengetahui faktor risiko retensi urine pasca persalinan tipe covert. Metode: Penelitian ini merupakan penelitian analitik observasional dengan metode potong lintang (cross sectional). Subjek dari penelitian ini merupakan ibu yang melakukan persalinan pervaginam di RSUPN Cipto Mangunkusumo, RSUP Persahabatan, RSUD Koja, RSUD Kabupaten Tangerang, dan RSUD Karawang pada20 September 2019 hingga 27 Februari 2020. Pasien dengan riwayat retensi urine sebelumnya, penggunaan kateter menetap, atau memiliki nyeri VAS 5 meski sudah diberikan analgetik dieksklusi dari penelitian. Pasien yang tidak berkemih 6 jam pasca persalinan termasuk dalam drop out.Hasil: Didapatkan sebanyak 520 subjek yang memenuhi kriteria inklusi dan eksklusi. Tidak terdapat hubungan antara usia ibu dengan kejadian retensio urine pascapersalinan tipe covert (p > 0,05). Paritas primipara lebih berisiko mengalami kejadian retensio urine pascapersalinan tipe covert (p < 0,001, OR 3,8 IK95% 1,87-7,72). Durasi persalinan kala II ≥ 20 menit lebih berisiko mengalami kejadian retensio urine pascapersalian tipe covert (p < 0,001, OR 36,69 IK95% 14,9-90,20). Ruptur perineumberat (derajat 3 atau 4) lebih berisiko mengalami kejadian retensio urine pascapersalinan tipe covert (p = 0,050, OR 8,54 IK95% 1,00-73,66). Berat bayi saat lahir > 3.000 gramlebih berisiko mengalami kejadian retensio urine pascapersalinan tipe covert (p < 0,001, OR 8,54 IK95% 1,76-7,59). Persalinan pervaginam menggunakan alat lebih berisikomengalami kejadian retensio urine pascapersalinan tipe covert (p = 0,002, OR 4,79 IK95% 1,75-12,99). Tidak terdapat hubungan antara volume urine kala III dengan kejadian retensio urine pascapersalinan tipe covert (p > 0,05). Kesimpulan: Faktor risiko terjadinya retensi urine pasca persalinan tipe covert adalah paritas primipara, durasi persalinan kala II memanjang, ruptur perineum berat, beratbadan lahir bayi besar, dan persalinan pervaginam dengan bantuan alat.

---

Background: Postpartum urine retention is one of the most common complications in labor. One type of urine retention that is difficult to know is the asymptomatic covert

type. However, covert type urine retention can cause persistent urine retention which could reduce quality of life. A study is needed to examine the risk factors for covert type urine retention so that they can be detected early. Objective: To determine the risk factors for the occurrence of covert urinary retention after delivery.

Method: This study was an observational analytic study with cross sectional. method. The subjects of this study were mothers delivering vaginal deliveries at Cipto Mangunkusumo General Hospital, Friendship Hospital, Koja Regional General

Hospital, Tangerang District General Hospital, and Karawang General Hospital from September 20th 2019 to February 27th 2020. Patients with a history of previous urinary retention, moderate catheter use, or moderate pain even though analgesics have been excluded from the study. Patients who did not urinate 6 hours after delivery were dropped out.

Result: There were 520 subjects who met the inclusion and exclusion criteria. There was no relationship between maternal age and the incidence of covert postpartum urine

retention (p> 0.05). Primiparous parity was more at risk of having covert postpartum urine retention (p <0.001, OR 3.8% 95.97-7.72). Duration of second stage of labor ≥ 20 minutes is more at risk of covert postpartum urine retention (p <0.001, OR 36.69 IK95% 14.9-90.20). Severe perineal rupture (grade 3 or 4) is more at risk of having covert postpartum urine retention (p = 0.050, OR 8.54 IK95% 1.00-73.66). The birth weight > 3,000 grams is more at risk of having covert postpartum urine retention (p<0.001, OR 8.54 IK95% 1.76-7.59). Vaginal delivery using a tool is more at risk of

having covert postpartum urine retention (p = 0.002, OR 4.79 IK95% 1.75-12.99). There is no relationship between the volume of urine stage III with the incidence covert

postpartum urine retention (p> 0.05). Conclusion: Risk factors of covert type urine retention are primiparous parity, prolonged duration of second stage of labor, severe perineal rupture, birth weight of large infants, and vaginal delivery with the aid of a tool."

"[Perempuan pasca melahirkan adalah kelompok yang berisiko mengalami perubahan pada fungsi seksual. Penelitian ini untuk mengetahui perbedaan fungsi seksual ibu postpartum pervaginam dengan atau tanpa episiotomi dan pasca bedah sesar. Penelitian ini merupakan studi deskriptif dengan desain cross sectional. Sampel berjumlah 225 ibu postpartum yang diambil secara consecutive sampling dari bulan April-Mei 2015. Fungsi seksual dinilai dengan Sexual Function Questionnaire (SFQ). Hasil penelitian menunjukkan tidak ada perbedaan yang bermakna antara fungsi seksual pada semua jenis persalinan (p=0,977), begitupun hasrat seksual, gairah seksual, dan orgasme. Penelitian ini dapat digunakan untuk meningkatkan kesehatan seksual ibu pada perawatan postpartum yang berkualitas.;The postpartum women is one of group who experience sexual function changes. The aims of the study is to know the comparation sexual function woman after vaginal delivery without episiotomi and post caesarean section. The study was a descriptive study of cross-sectional design. The sample was 225 womanpostpartum was taken by consecutive sampling from April-May 2015. Sexual function was assessed by the Sexual Function Questionnaire (SFQ) score. The results of this study showed there were no significant differences between sexual function and types of delivery (p=0.977), including sexual desire, sexual arousal and orgasm. The results of the study can be used to increase nurses’s service sexual postpartum women for reach quality postpartum care., The postpartum women is one of group who experience sexual function changes.The aims of the study is to know the comparation sexual function woman aftervaginal delivery without episiotomi and post caesarean section. The study was adescriptive study of cross-sectional design. The sample was 225 womanpostpartum was taken by consecutive sampling from April-May 2015. Sexualfunction was assessed by the Sexual Function Questionnaire (SFQ) score. Theresults of this study showed there were no significant differences between sexualfunction and types of delivery (p=0.977), including sexual desire, sexual arousaland orgasm. The results of the study can be used to increase nurses’s servicesexual postpartum women for reach quality postpartum care.]"

"Pelayanan nifas sangat bermanfaat untuk mengetahui kondisi ibu, sehingga bila tejadi morbiditas postpartum segera dapat ditangani dan kematian ibu dapat dicegah. Namun pemanfaatan pelayanan nifas di Indonesia masih sangat rendah dan dibawah target, kunjungan nifas lengkap sekitar 32 persen, angka ini masih jauh dari yang ditargetkan yaitu sebesar 90 persen pada tahun 2015. Penelitian ini menggunakan metode cross sectional dengan data sekunder Riskesdas 2013. Populasi dalam penelitian ini adalah 497 kabupaten/kota, dan sampel penelitian ini sebanyak 192 kabupaten/kota. Analisis dilakukan dengan uji regresi logistic ganda. Hasil penelitian didapatkan faktor yang paling dominan menentukan status Kunjungan Nifas lengkap adalah persentase K4 antenatalcare (B=-0,056). Penelitian ini menyarankan untuk pengkajian ulang standar pelayanan minimal di kabupaten/kota, peningkatan kualitas antenatalcare, peningkatan program home visit dan Komunikasi, Informasi dan Edukasi.

---

Postpartum care is very useful to know the condition of the mother, so that when the immediate postpartum morbidity occurred can be handled and maternal deaths can be prevented. However, postnatal care utilization in Indonesia is still very low and below target, postpartum visits about 32 percent, this figure is still far from the target is equal to 90 per cent in 2015. This study used cross sectional method with secondary of Riskesdas 2013. The population 497 districts / cities, and the sample as much as 192 districts / cities. The analysis was performed by multiple logistic regression.

The result showed that the most dominant factor determining the status of postpartumcare Visits is the percentage K4 antenatalcare (B = -0.056). This study suggests for the review of minimum service standards in the district / city, antenatalcare quality improvement, increase in home visit program and Communication, Information, and Education."

"Pada masa post partum, terjadi perubahan progresif pada payudara untuk memproduksi Air Susu Ibu (ASI). Pada masa awal menyusui, beberapa permasalahan dapat muncul salah satunya yaitu clogged milk duct atau saluran susu tersumbat. Kondisi ini disebabkan oleh produksi susu yang meningkat tetapi tidak dikeluarkan dengan baik, yang akhirnya menyebabkan ASI menumpuk dan timbul sumbatan pada saluran ASI. Edukasi mengenai menyusui penting dilakukan untuk mencegah hal tersebut. Adapun pemberian intervensi pijat payudara menjadi salah satu cara untuk mengatasi sumbatan tersebut. Ny. A, 22 jam postpartum dengan kondisi payudara teraba keras, penuh, dan tidak ada ASI yang keluar diberi intervensi integrated breast massage selama 30 menit untuk mengatasi clogged milk duct. Hasil evaluasi didapatkan adanya pengurangan pada massa sumbatan dari 3 cm (skala 1) menjadi tidak ada massa (skala 0), dan terdapat perubahan kondisi payudara dengan instrumen Six Point Engorgement Scale dari skala 3 menjadi skala 1. Laporan kasus ini menegaskan bahwa pemberian intervensi integrated breast massage dapat menjadi menjadi salah satu terapi pijat pada payudara yang terbukti dapat mengurangi clogged milk duct.

---

In the post partum period, progressive changes occur in the breasts to produce breast milk. In the early stages of breastfeeding, several problems can arise, one of which is clogged milk ducts. This condition is caused by increased milk production but not excreted properly, which ultimately causes breast milk to accumulate and blockages occur in the milk ducts. Education about breastfeeding is important to prevent this. Providing breast massage intervention is one way to overcome this blockage. Mrs. A, 22 hours postpartum with breasts feeling hard, full, and no breast milk coming out, was given integrated breast massage intervention for 30 minutes to treat clogged milk ducts. The evaluation results showed that there was a reduction in the blockage mass from 3 cm (scale 1) to no mass (scale 0), and there was a change in breast condition with the Six Point Engorgement Scale instrument from scale 3 to scale 1. This case report confirms that the application of integrated breast massage intervention can be a massage therapy for the breasts that has been proven to reduce clogged milk ducts."

"Ansietas pada periode postpartum merupakan hal yang umum terjadi karena berkaitan dengan beberapa faktor risiko seperti kondisi hormonal dan perubahan peran yang akan dialami oleh ibu. Ansietas dapat menyebabkan terjadinya postpartum blues apabila tidak dilakukan tatalaksana. Penulisan karya ilmiah ini bertujuan melaporkan analisis asuhan keperawatan pada ibu postpartum dengan penerapan Emotional Freedom Technique (EFT) untuk pencegahan postpartum blues. Studi kasus ini dilakukan dengan memberikan intervensi EFT selama tiga hari perawatan terhadap ibu primipara yang memiliki bayi prematur BBLR dan mendapat perawatan di NICU. Hasil analisis menunjukkan bahwa terdapat penurunan tingkat ansietas yang dinilai menggunakan kuesioner Edinburg Post Natal Depression Scale (EPDS).

---

Anxiety during postpartum period commonly occurs due to several risk factors such as hormonal issues and the role changes experienced by mothers. If not managed properly, anxiety can lead to postpartum blues. This scientific paper aims to report an analysis of nursing care for postpartum mothers utilizing the Emotional Freedom Technique (EFT) to prevent postpartum blues. This case study was conducted by providing EFT intervention for three days to a primiparous mother with a low birth weight (LBW) premature infant receiving care in the NICU. The analysis results indicated a reduction in anxiety levels as measured by the Edinburgh Postnatal Depression Scale (EPDS). "

"ABSTRAK Latar BelakangPerdarahan pascasalin adalah penyebab 25% kematian ibu diseluruh dunia,bahkan mencapai 60% pada beberapa negara. Sekitar 60-90% disebabkan olehatonia uteri. Berbagai alat ditemukan dan digunakan seperti tamponade balonuterus, NASG (Nonpneumatic Anti Shock Garment), Bakri Balloon dan TheGlenveigh Medical Complete Tamponade System namun memiliki efektifitassekitar 65-87,5% dan potensi komplikasi. Oleh sebab itu diperkenalkanlah suatumetode baru untuk mengontrol perdarahan pascasalin. MetodeTujuan dari penelitian ini adalah untuk melihat keamanan, kemudahan danefektifitas alat InPress mengatasi perdarahan pascasalin karena atonia uteri. AlatInPress menggunakan mesin vakum bertekanan rendah untuk menurunkantekanan atmosfer dalam kavum uteri sehingga uterus menjadi kolaps danmembuat tamponade sehingga perdarahan berhenti. Selain itu secara fisiologis,dapat merangsang kontraksi uterus pascasalin yang normal dan retraksi uterus kebentuk dan ukuran semula. HasilDari sepuluh subyek penelitian menunjukkan bahwa mesin vakum dengan cepatmenciptakan tamponade yang efektif melalui balon pengunci yang berada diostium uteri eksterna. Jumlah perdarahan yang dievakuasi dari kavum uteri sekitar100-250 cc, tertampung dalam kanister. Uterus kolaps dan terjadi tamponadedalam waktu 1-2 menit sehingga perdarahan berhenti. Alat InPress dipasangselama minimal 1 jam dan maksimal 6,5 jam. Repair luka robekan perineum danvagina dapat dilakukan dengan mudah saat alat InPress terpasang di dalam uterus.Pada sepuluh subyek tidak ada tindakan lanjutan untuk mengatasi perdarahansetelah alat InPress dipasang. Tidak ditemukan adanya kelainan pada uterus,serviks dan vagina pada saat dan sesudah pemasangan alat InPress. KesimpulanTamponade uterus yang berasal dari tekanan negatif mesin vakum terbukti aman dan efektif untuk mengatasi perdarahan pascasalin karena atonia uteri.ABSTRACT Background the Treatment of Postpartum Hemorrhage Due To UterineAtonia Postpartum Hemorrhage (PPH) is responsible for +/- 25% of maternal mortalityworldwide, reaching as high as 60% in some countries. Approximately 60-90%caused by uterine atonia. Many devices were invented and applied such as uterineballoon tamponade, NASG (Nonpneumatic Anti Shock Garment), Bakri Balloondan The Glenveigh Medical Complete Tamponade System but the effectivenessonly about 65-87,5% control hemorrhage and have potential complications.Therefor a new method to control PPH has been introduced. MethodThe purpose of this study was to demonstrate patient safety, device efficiency, andease of use, as an overall Proof of Concept with a new device, the InPress Device,for the treatment of primary postpartum hemorrhage (PPH) due to atony.The InPress device uses gentle vacuum force to lower the atmospheric pressurewithin the uterine cavity to collapse the uterus into and onto itself to stophemorrhage through tamponade. It also stimulates normal postpartum uterinecontractions, to effect hemostasis. In this hemostatic state the atonic uterusrecovers, physiologically, and retracts down to its? normal hemostatic postpartumsize. Results Results from our ten trial patients showed that: the vacuum created an immediateeffective tamponade confined to the uterus by our seal situated at the externalcervical ostium, 100-250 milliliters of residual blood were evacuated from theuterine cavity into the vacuum canister. The uterus collapsed and regained tonewithin 1-2 minutes, and hemorrhaging stopped, in all cases. The device stayed inplace while vaginal and perineal lacerations, which occurred during delivery, wereeasily repaired. The device was left in for one-hour minimum up to 6,5 hours. There were no further operative procedures required to stop hemorrhaging in anyof these cases. There was no abnormality of uterus, cervix and vagina while andafter InPress procedur performed. Conclusion Vacuum induced uterine tamponade using physiologic force, is a safe andeffective way to achieve rapid control of PPH due to atony.;Background the Treatment of Postpartum Hemorrhage Due To UterineAtonia Postpartum Hemorrhage (PPH) is responsible for +/- 25% of maternal mortalityworldwide, reaching as high as 60% in some countries. Approximately 60-90%caused by uterine atonia. Many devices were invented and applied such as uterineballoon tamponade, NASG (Nonpneumatic Anti Shock Garment), Bakri Balloondan The Glenveigh Medical Complete Tamponade System but the effectivenessonly about 65-87,5% control hemorrhage and have potential complications.Therefor a new method to control PPH has been introduced. MethodThe purpose of this study was to demonstrate patient safety, device efficiency, andease of use, as an overall Proof of Concept with a new device, the InPress Device,for the treatment of primary postpartum hemorrhage (PPH) due to atony.The InPress device uses gentle vacuum force to lower the atmospheric pressurewithin the uterine cavity to collapse the uterus into and onto itself to stophemorrhage through tamponade. It also stimulates normal postpartum uterinecontractions, to effect hemostasis. In this hemostatic state the atonic uterusrecovers, physiologically, and retracts down to its? normal hemostatic postpartumsize. Results Results from our ten trial patients showed that: the vacuum created an immediateeffective tamponade confined to the uterus by our seal situated at the externalcervical ostium, 100-250 milliliters of residual blood were evacuated from theuterine cavity into the vacuum canister. The uterus collapsed and regained tonewithin 1-2 minutes, and hemorrhaging stopped, in all cases. The device stayed inplace while vaginal and perineal lacerations, which occurred during delivery, wereeasily repaired. The device was left in for one-hour minimum up to 6,5 hours. There were no further operative procedures required to stop hemorrhaging in anyof these cases. There was no abnormality of uterus, cervix and vagina while andafter InPress procedur performed. Conclusion Vacuum induced uterine tamponade using physiologic force, is a safe andeffective way to achieve rapid control of PPH due to atony.;Background the Treatment of Postpartum Hemorrhage Due To UterineAtonia Postpartum Hemorrhage (PPH) is responsible for +/- 25% of maternal mortalityworldwide, reaching as high as 60% in some countries. Approximately 60-90%caused by uterine atonia. Many devices were invented and applied such as uterineballoon tamponade, NASG (Nonpneumatic Anti Shock Garment), Bakri Balloondan The Glenveigh Medical Complete Tamponade System but the effectivenessonly about 65-87,5% control hemorrhage and have potential complications.Therefor a new method to control PPH has been introduced. MethodThe purpose of this study was to demonstrate patient safety, device efficiency, andease of use, as an overall Proof of Concept with a new device, the InPress Device,for the treatment of primary postpartum hemorrhage (PPH) due to atony.The InPress device uses gentle vacuum force to lower the atmospheric pressurewithin the uterine cavity to collapse the uterus into and onto itself to stophemorrhage through tamponade. It also stimulates normal postpartum uterinecontractions, to effect hemostasis. In this hemostatic state the atonic uterusrecovers, physiologically, and retracts down to its? normal hemostatic postpartumsize. Results Results from our ten trial patients showed that: the vacuum created an immediateeffective tamponade confined to the uterus by our seal situated at the externalcervical ostium, 100-250 milliliters of residual blood were evacuated from theuterine cavity into the vacuum canister. The uterus collapsed and regained tonewithin 1-2 minutes, and hemorrhaging stopped, in all cases. The device stayed inplace while vaginal and perineal lacerations, which occurred during delivery, wereeasily repaired. The device was left in for one-hour minimum up to 6,5 hours. There were no further operative procedures required to stop hemorrhaging in anyof these cases. There was no abnormality of uterus, cervix and vagina while andafter InPress procedur performed. Conclusion Vacuum induced uterine tamponade using physiologic force, is a safe andeffective way to achieve rapid control of PPH due to atony."

"Ibu mengalami perubahan suasana hati selama periode postpartum. Perubahan suasana hati seperti sering menangis, sedih, marah, lelah dan sulit tidur disebut postpartum blues. Postpartum blues dapat terjadi pada ibu persalinan pervaginam dan sectio caecaria (SC). Penelitian ini menggunakan desain penelitian deskriptif yang bertujuan untuk mengidentifikasi karakteristik dan kejadian postpartum blues pada ibu persalinan pervaginam dan SC. Sampel pada penelitian ini berjumlah 91 orang. Teknik sampel yang digunakan yaitu consecutive sampling. Hasil menunjukkan kejadian postpartum blues pada persalinan SC sebesar 88,1% dan pervaginam sebesar 71,9%. Oleh karena itu, petugas kesehatan sebaiknya lebih memperhatikan kondisi ibu postpartum khususnya pada ibu persalinan SC.

---

Women experience mood swings during the postpartum period. Mood swings such as frequent crying, sadness, anger, fatigue and difficulty sleeping are called postpartum blues. Postpartum blues can occur in vaginal delivery and caecarean section (SC). This research used descriptive design to identify characteristics and the incidence of postpartum blues at vaginal delivery and caecarean section. The participants of this research were 91 postpartum. Sampling technique used in this research was consecutive sampling. The result of this research showed the percentage postpartum blues at caesarean section 88,1% and vaginal delivery 71,9%. Therefore, medical team needs to observe the condition of postpartum, in particular postpartum at caesarean section."

"Latar Belakang : Indonesia memiliki lebih dari seratus suku dengan nilai dan budayanya masing-masing. Salah satu budaya yang ada yaitu perawatan dengan melakukan penghangatan pada area bagian bawah tubuh ibu setelah bersalin (post partum). Perawatan ini memberi efek berupa peningkatan sirkulasi darah. Pendekatan asuhan keperawatan kepada ibu tersebut adalah dengan transcultural care. Tindakan transcultural care yaitu melakukan modifikasi budaya penghangat tubuh dengan teknologi Photobiomodultion Near Infrared (PBM NIR) yang mempunyai efek yang sama. Penelitian ini bertujuan untuk menilai pengaruh intervensi post partum berbasis budaya dengan teknologi PBM NIR terhadap adaptasi fisik dan psikososial ibu. Metode: Penelitian ini adalah Research and Development. Penelitian dimulai dengan mengidentifikasi adaptasi budaya perawatan post partum dengan penghangatan pada tujuh ibu post partum. Kemudian digunakan instrumen elektronik dengan teknologi PBM NIR untuk memodifikasi keperawatan berbasis budaya. Untuk mengetahui pengaruh instrumen, dilakukan pengukuran adaptasi fisik dan psikososial ibu post partum. Penelitian dilakukan di Palembang, Sumatera Selatan Indonesia. Jumlah sampel sebanyak 90 responden yang dipilih dengan teknik convenience sampling. Responden dibagi dalam tiga kelompok (satu kelompok intervensi dan dua kelompok kontrol). Analisis data menggunakan paired t-test, uji one way ANOVA dan Kruskal Wallis. Hasil : Langkah pertama studi kualitatif ditemukan bahwa semua partisipan ibu post partum, dukun pijat dan tokoh adat sepakat bahwa praktik budaya mereka dengan menghangatkan bagian bawah tubuh ibu dapat dimodifikasi dengan perangkat modern selama mudah digunakan dan dapat dijangkau. PBM NIR kemudian diukur pengaruhnya terhadap adaptasi fisik dan psikososial responden. Hasil diperoleh terdapat perbedaan signifikansi semua sub variabel sebelum dan sesudah intervensi pada responden kelompok intervensi (p <0,05) pada hari ke 1, 3, 6 dan 10. Demikian pula perbedaan yang signifikan antara kelompok intervensi dan dua kelompok kontrol lainnya (p = <0,05). Kesimpulan : Intervensi PBM NIR efektif meningkatkan adaptasi fisik dan psikososial ibu post partum. Hasil studi ini merekomendasikan agar petugas kesehatan dapat menggunakan alat ini sebagai alternatif intervensi perawatan post partum.

---

Background: Indonesia consists of more than a hundred ethnic groups that have their own culture and beliefs. One of the beliefs that they do in some areas is post-partum care, which uses heating in the lower area of womens bodies. This culture practice can be modified by a Photobiomodulation Near Infrared (PBM-NIR) with a similar effect. This paper aims to develop culture-based post-partum interventions with PBM-NIR technology and its impact on maternal physical and psychosocial adaptation.

Methods: The study design was Research and Development. This study identified the culture practice by warming the lower part of the mothers body in post-partum care by a qualitative study. The following step was modifying this cultural practice into electronic devices called PBM-NIR. It measured the effectiveness of this device toward physical and psychosocial adaptations of the post-partum women. A total sample of 90 respondents was selected by convenience sampling and divided into three groups (intervention and two control groups). Data analysis used a one-way ANOVA test and Kruskal Wallis.

Result: Step one, a qualitative study found that all post-partum women, the traditional attendants, and cultural leaders agreed that their cultural practice by warming the lower part of the mothers body could be modified by modern devices as long as easy to used and accessible. The PBM-NIR then measured its effectiveness toward Physical adaptation and psychosocial adaptation due to the result of the significance different of all subvariates pre- and post-intervention among respondents in the intervention group (p <0,05) on the 1st, 3rd, 6th, and 10th day. It was also significantly different between the intervention and another two control groups (p = < 0,05).

Conclusion: PBM NIR intervention effectively improves the physical and psychosocial adaptation of post-partum mothers. This study results recommended that health providers can use this device as an alternative intervention for post-partum care."