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Abstrak :
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.

Abstrak :
Postpartum Hemorrhage (PPH) merupakan suatu keadaan dimana kehilangan darah 500 ml atau lebih dalam 24 jam setelah persalinan ibu. PPH menduduki posisi pertama pada penyebab langsung pada kematian ibu dengan menyumbang 19,7% kematian ibu pada tingkat global. Berbagai kebijakan telah dikeluarkan untuk mengatasi masalah tingginya angka PPH, namun sampai saat ini angka kejadian PPH masih dapat dikatakan tinggi. Untuk dapat mengetahui penyebab yang mempengaruhi proses implementasi kebijakan pencegahan PPH dapat dilakukan melalui studi implementasi kebijakan publik. Penelitian ini membahas mengenai implementasi kebijakan pencegahan PPH diberbagai negara di dunia tahun 2022. Analisis implementasi kebijakan dilakukan menggunakan gabungan teori implementasi kebijakan publik yang dikemukakan oleh Van Meter and Van Horn, Grindle, Sabatier and Mazmanian, Edward III dan Peters. Tujuan penelitian ini adalah mengetahui analisis implementasi kebijakan pencegahan Postpartum Hemorrhage pada ibu dari berbagai negara di dunia. Penelitian ini menggunakan studi literature review melalui delapan database, yaitu Ebsco, Emerald, Sage, Science Direct, Scopus, Pubmed, BMC dan PMC. Terdapat 13 artikel terinklusi dari 7.153 artikel yang diidentifikasi dari kedelapan database. Hasil studi menunjukkan terdapat hubungan faktor komunikasi, sumber daya, disposisi, struktur birokrasi, standar dan sasaran kebijakan dan lingkungan terdapat pelaksanaan implementasi kebijakan PPH di berbagai negara. ......Postpartum Hemorrhage (PPH) is a condition in which blood loss of 500 ml or more within 24 hours after delivery of the mother. PPH occupies the first position in the direct cause of maternal death by contributing 19.7% of maternal deaths at the global level. Various policies have been issued to address the problem of the high rate of PPH, but until now the incidence of PPH is still high. To be able to find out the causes that affect the process of implementing PPH prevention policies, it can be done through a study of the implementation of public policies. This study discusses the implementation of PPH prevention policies in various countries in the world in 2022. Analysis of policy implementation is carried out using a combination of public policy implementation theories proposed by Van Meter and Van Horn, Grindle, Sabatier and Mazmanian, Edward III and Peters. The aim of this study was to determine the analysis of the implementation of Postpartum Hemorrhage prevention policies in mothers from various countries in the world. This study uses a literature review study through eight databases, namely Ebsco, Emerald, Sage, Science Direct, Scopus, Pubmed, BMC and PMC. There were 13 included articles out of 7,153 articles identified from the eight databases. The results of the study show that there is a relationship between communication factors, resources, disposition, bureaucratic structure, policy standards and objectives and the environment on the implementation of PPH policies in various countries.

Abstrak :
ABSTRAK
Latar Belakang Perdarahan pascasalin adalah penyebab 25% kematian ibu diseluruh dunia, bahkan mencapai 60% pada beberapa negara. Sekitar 60-90% disebabkan oleh atonia uteri. Berbagai alat ditemukan dan digunakan seperti tamponade balon uterus, NASG (Nonpneumatic Anti Shock Garment), Bakri Balloon dan The Glenveigh Medical Complete Tamponade System namun memiliki efektifitas sekitar 65-87,5% dan potensi komplikasi. Oleh sebab itu diperkenalkanlah suatu metode baru untuk mengontrol perdarahan pascasalin. Metode Tujuan dari penelitian ini adalah untuk melihat keamanan, kemudahan dan efektifitas alat InPress mengatasi perdarahan pascasalin karena atonia uteri. Alat InPress menggunakan mesin vakum bertekanan rendah untuk menurunkan tekanan atmosfer dalam kavum uteri sehingga uterus menjadi kolaps dan membuat tamponade sehingga perdarahan berhenti. Selain itu secara fisiologis, dapat merangsang kontraksi uterus pascasalin yang normal dan retraksi uterus ke bentuk dan ukuran semula. Hasil Dari sepuluh subyek penelitian menunjukkan bahwa mesin vakum dengan cepat menciptakan tamponade yang efektif melalui balon pengunci yang berada di ostium uteri eksterna. Jumlah perdarahan yang dievakuasi dari kavum uteri sekitar 100-250 cc, tertampung dalam kanister. Uterus kolaps dan terjadi tamponade dalam waktu 1-2 menit sehingga perdarahan berhenti. Alat InPress dipasang selama minimal 1 jam dan maksimal 6,5 jam. Repair luka robekan perineum dan vagina dapat dilakukan dengan mudah saat alat InPress terpasang di dalam uterus. Pada sepuluh subyek tidak ada tindakan lanjutan untuk mengatasi perdarahan setelah alat InPress dipasang. Tidak ditemukan adanya kelainan pada uterus, serviks dan vagina pada saat dan sesudah pemasangan alat InPress. Kesimpulan Tamponade 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 Uterine Atonia Postpartum Hemorrhage (PPH) is responsible for +/- 25% of maternal mortality worldwide, reaching as high as 60% in some countries. Approximately 60-90% caused by uterine atonia. Many devices were invented and applied such as uterine balloon tamponade, NASG (Nonpneumatic Anti Shock Garment), Bakri Balloon dan The Glenveigh Medical Complete Tamponade System but the effectiveness only about 65-87,5% control hemorrhage and have potential complications. Therefor a new method to control PPH has been introduced. Method The purpose of this study was to demonstrate patient safety, device efficiency, and ease 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 pressure within the uterine cavity to collapse the uterus into and onto itself to stop hemorrhage through tamponade. It also stimulates normal postpartum uterine contractions, to effect hemostasis. In this hemostatic state the atonic uterus recovers, physiologically, and retracts down to its? normal hemostatic postpartum size. Results Results from our ten trial patients showed that: the vacuum created an immediate effective tamponade confined to the uterus by our seal situated at the external cervical ostium, 100-250 milliliters of residual blood were evacuated from the uterine cavity into the vacuum canister. The uterus collapsed and regained tone within 1-2 minutes, and hemorrhaging stopped, in all cases. The device stayed in place while vaginal and perineal lacerations, which occurred during delivery, were easily 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 any of these cases. There was no abnormality of uterus, cervix and vagina while and after InPress procedur performed. Conclusion Vacuum induced uterine tamponade using physiologic force, is a safe and effective way to achieve rapid control of PPH due to atony. ;Background the Treatment of Postpartum Hemorrhage Due To Uterine Atonia Postpartum Hemorrhage (PPH) is responsible for +/- 25% of maternal mortality worldwide, reaching as high as 60% in some countries. Approximately 60-90% caused by uterine atonia. Many devices were invented and applied such as uterine balloon tamponade, NASG (Nonpneumatic Anti Shock Garment), Bakri Balloon dan The Glenveigh Medical Complete Tamponade System but the effectiveness only about 65-87,5% control hemorrhage and have potential complications. Therefor a new method to control PPH has been introduced. Method The purpose of this study was to demonstrate patient safety, device efficiency, and ease 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 pressure within the uterine cavity to collapse the uterus into and onto itself to stop hemorrhage through tamponade. It also stimulates normal postpartum uterine contractions, to effect hemostasis. In this hemostatic state the atonic uterus recovers, physiologically, and retracts down to its? normal hemostatic postpartum size. Results Results from our ten trial patients showed that: the vacuum created an immediate effective tamponade confined to the uterus by our seal situated at the external cervical ostium, 100-250 milliliters of residual blood were evacuated from the uterine cavity into the vacuum canister. The uterus collapsed and regained tone within 1-2 minutes, and hemorrhaging stopped, in all cases. The device stayed in place while vaginal and perineal lacerations, which occurred during delivery, were easily 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 any of these cases. There was no abnormality of uterus, cervix and vagina while and after InPress procedur performed. Conclusion Vacuum induced uterine tamponade using physiologic force, is a safe and effective way to achieve rapid control of PPH due to atony. ;Background the Treatment of Postpartum Hemorrhage Due To Uterine Atonia Postpartum Hemorrhage (PPH) is responsible for +/- 25% of maternal mortality worldwide, reaching as high as 60% in some countries. Approximately 60-90% caused by uterine atonia. Many devices were invented and applied such as uterine balloon tamponade, NASG (Nonpneumatic Anti Shock Garment), Bakri Balloon dan The Glenveigh Medical Complete Tamponade System but the effectiveness only about 65-87,5% control hemorrhage and have potential complications. Therefor a new method to control PPH has been introduced. Method The purpose of this study was to demonstrate patient safety, device efficiency, and ease 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 pressure within the uterine cavity to collapse the uterus into and onto itself to stop hemorrhage through tamponade. It also stimulates normal postpartum uterine contractions, to effect hemostasis. In this hemostatic state the atonic uterus recovers, physiologically, and retracts down to its? normal hemostatic postpartum size. Results Results from our ten trial patients showed that: the vacuum created an immediate effective tamponade confined to the uterus by our seal situated at the external cervical ostium, 100-250 milliliters of residual blood were evacuated from the uterine cavity into the vacuum canister. The uterus collapsed and regained tone within 1-2 minutes, and hemorrhaging stopped, in all cases. The device stayed in place while vaginal and perineal lacerations, which occurred during delivery, were easily 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 any of these cases. There was no abnormality of uterus, cervix and vagina while and after InPress procedur performed. Conclusion Vacuum induced uterine tamponade using physiologic force, is a safe and effective way to achieve rapid control of PPH due to atony.

Abstrak :
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.