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Sukesi Niken - One of the best experts on this subject based on the ideXlab platform.
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Pengaruh Pijat Perineum Terhadap Tingkat Kecemasan Ibu Trimester III Di Puskesmas Manyaran
'Persatuan Perawat Nasional Indonesia Jawa Tengah', 2020Co-Authors: Prasetyorini Heni, Sukesi NikenAbstract:Pendahuluan : Kehamilan merupakan periode krisis situasi yang menimbulkan stress oleh karena perubahan psikologi saat kehamilan. Ibu cemas akan adanya rasa nyeri proses persalinan serta cemas akan kondisi bayi yang dilahirkannya (Bobak,2006). Rasa cemas akan menimbulkan kondisi abnormal saat proses persalinan. Intervensi yang bisa diberikan adalah dengan memberikan penyuluhan kesehatan persiapan menjelang persalinan seperti pijat perineum. Pijat adalah intervensi yang masuk dalam pendekatan nonfarmakologi untuk mengurangi rasa sakit yang dilakukan saat kehamilan (Gadysa, 2009). Apabila pijat perineum dilakukan secara tepat akan menurunkan nyeri persalinan yang disebabkan karena nyeri robekan perineum dan jahitan sekaligus mengurangi rasa khawatir terhadap persalinan yang akan dihadapi (Indivara, 2009 dan Aprilia, 2010).Tujuan : Untuk mengetahui pengaruh pijat perineum terhadap tingkat kecemasan pada ibu hamil trimester 3Metode : Menggunakan metode penelitian analitik komparasi karena peneliti mencoba mengkaji adanya pengaruh pijat perineum terhadap kecemasan pada ibu trimester 3 dengan pendekatan cross sectional.Hasil : Responden penelitian rerata memiliki riwayat persalinan tidak bermasalah, pendidikan SLTA, Pekerjaan IRT, Kehamilan Pertama dan usia < 25 tahun. Uji statistik menggunakan Uji Mc Nemar menunjukan terdapat pengaruh pada ibu hamil trimester 3 yang melakukan pijat perineum terhadap penurunan tingkat kecemasan, ibu yang sebelum diajarkan pijat perineum dengan tingkat kecemasan ringan sebanyak 4 menurun menjadi 0 atau tidak memiliki kecemasan setelah ibu melakukan pijat perineum sedangkan ibu yang sebelumnya memiliki tingkat kecemasan sedang sebanyak 11 menurun menjadi kecemasan ringan sebanyak 3 setelah diajarkan pijat perineum.Diskusi : Hasil penelitian menyarankan bahwa pijat peineum bisa dijadikan intervensi keperawatan mandiri dalam menurunkan tingkat kecemasan pada ibu hamil trimester 3.Kesimpulan : Terdapat pengaruh pijat perineum terhadap tingkat kecemasan pada ibu hamil trimester 3. Introduction: Pregnancy is a period of crisis situations that cause stress due to psychological changes during pregnancy. Mother is worried about the pain of labor process and worry about the condition of the baby that she born (Bobak, 2006). Anxiety will cause abnormal conditions during labor. Interventions that can be given is to provide health education preparations before delivery like Perineal Massage. Massage is an intervention that enters the nonpharmacology approach to reduce pain during pregnancy (Gadysa, 2009). When proper Perineal Massage will reduce labor pain caused by Perineal rupture and stitches pain while reducing the fear of delivery to be faced (Indivara, 2009 and Aprilia, 2010).Objective: To determine the effect of Perineal Massage on anxiety levels in pregnant women trimester 3Method: Using comparative analytic research method because the researcher tried to study the influence of Perineal Massage on anxiety in trimester mother 3 with cross sectional approach.Results: Average research respondents had a history of non-problematic delivery, high school education, IRT work, first pregnancy and
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Pengaruh Pijat Perineum Terhadap Tingkat Kecemasan Ibu Trimester III Di Puskesmas Manyaran
Indonesian National Nurses Association (INNA) of Central Java, 2020Co-Authors: Prasetyorini Heni, Sukesi NikenAbstract:Pendahuluan : Kehamilan merupakan periode krisis situasi yang menimbulkan stress oleh karena perubahan psikologi saat kehamilan. Ibu cemas akan adanya rasa nyeri proses persalinan serta cemas akan kondisi bayi yang dilahirkannya (Bobak,2006). Rasa cemas akan menimbulkan kondisi abnormal saat proses persalinan. Intervensi yang bisa diberikan adalah dengan memberikan penyuluhan kesehatan persiapan menjelang persalinan seperti pijat perineum. Pijat adalah intervensi yang masuk dalam pendekatan nonfarmakologi untuk mengurangi rasa sakit yang dilakukan saat kehamilan (Gadysa, 2009). Apabila pijat perineum dilakukan secara tepat akan menurunkan nyeri persalinan yang disebabkan karena nyeri robekan perineum dan jahitan sekaligus mengurangi rasa khawatir terhadap persalinan yang akan dihadapi (Indivara, 2009 dan Aprilia, 2010).Tujuan : Untuk mengetahui pengaruh pijat perineum terhadap tingkat kecemasan pada ibu hamil trimester 3Metode : Menggunakan metode penelitian analitik komparasi karena peneliti mencoba mengkaji adanya pengaruh pijat perineum terhadap kecemasan pada ibu trimester 3 dengan pendekatan cross sectional.Hasil : Responden penelitian rerata memiliki riwayat persalinan tidak bermasalah, pendidikan SLTA, Pekerjaan IRT, Kehamilan Pertama dan usia < 25 tahun. Uji statistik menggunakan Uji Mc Nemar menunjukan terdapat pengaruh pada ibu hamil trimester 3 yang melakukan pijat perineum terhadap penurunan tingkat kecemasan, ibu yang sebelum diajarkan pijat perineum dengan tingkat kecemasan ringan sebanyak 4 menurun menjadi 0 atau tidak memiliki kecemasan setelah ibu melakukan pijat perineum sedangkan ibu yang sebelumnya memiliki tingkat kecemasan sedang sebanyak 11 menurun menjadi kecemasan ringan sebanyak 3 setelah diajarkan pijat perineum.Diskusi : Hasil penelitian menyarankan bahwa pijat peineum bisa dijadikan intervensi keperawatan mandiri dalam menurunkan tingkat kecemasan pada ibu hamil trimester 3.Kesimpulan : Terdapat pengaruh pijat perineum terhadap tingkat kecemasan pada ibu hamil trimester 3. Introduction: Pregnancy is a period of crisis situations that cause stress due to psychological changes during pregnancy. Mother is worried about the pain of labor process and worry about the condition of the baby that she born (Bobak, 2006). Anxiety will cause abnormal conditions during labor. Interventions that can be given is to provide health education preparations before delivery like Perineal Massage. Massage is an intervention that enters the nonpharmacology approach to reduce pain during pregnancy (Gadysa, 2009). When proper Perineal Massage will reduce labor pain caused by Perineal rupture and stitches pain while reducing the fear of delivery to be faced (Indivara, 2009 and Aprilia, 2010).Objective: To determine the effect of Perineal Massage on anxiety levels in pregnant women trimester 3Method: Using comparative analytic research method because the researcher tried to study the influence of Perineal Massage on anxiety in trimester mother 3 with cross sectional approach.Results: Average research respondents had a history of non-problematic delivery, high school education, IRT work, first pregnancy and <25 years of age. The statistical test using Mc Nemar Test showed that there was an effect on trimester pregnant women 3 who did Perineal Massage to decrease the level of anxiety, mother who before taught Perineal Massage with level of light anxiety as much 4 decreased to 0 or did not have anxiety after mother doing Perineal Massage while mother previously had a moderate anxiety level of 11 decreased to mild anxiety as much as 3 after being taught Perineal Massage.Discussion: The results suggest that perineum Massage can be an independent nursing intervention in lowering anxiety levels in pregnant women of 3rd trimester.Conclusion: There is influence of Perineal Massage on anxiety level in pregnant mother of trimester 3
Umaroh Umaroh - One of the best experts on this subject based on the ideXlab platform.
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Perbedaan Hasil Masase Perineum dan Kegel Exercise terhadap Pencegahan Robekan Perineum pada Persalinan di Bidan
Poltekkes Kemenkes Semarang, 2016Co-Authors: Rahayu Sri, Sumarni Sri, Umaroh UmarohAbstract:The aim of this tsudy is to know the difference result of Perineal Massage and Kegel exercise toward preventing of Perineal laceration during labor in the Independent Midwives are close to the District of Semarang. This study is pre experimental research with posttest only design. The population in this stdy is the third trimester pregnant woman who was more than 35 weeks gestational age. The subject of this study were concisted of 18 women as a group one who have done Perineal Massage beforehand. However, the same number of them have done Kegel exercise from 35 weeks until at term as a group two. The sampling used in this study was a simple random sampling. A group one was tought with Perineal Massage from 35 weeks until at term. On the other hand, group two was tought with Kegel exercise from 35 weeks until at term. Data about Perineal laceration was collected from partogram when they delivered baby. The data was analisd by Man Whitney test. The result of this studi is 77,8 % of group woman who done Perineal Massage faced first degree of Perineal laceration. However, there are only 50 % woman who done Kegel exercise, got first degree of Perineal laceration. There is a difference results of Perineal Massage and Kegel exercise toward preventing of Perineal laceration during labor in the Independent Midwives are close to the District of Semarang, which is showed by p value at 0,037. Care provider especially midwive has to service the pregnant woman and encourage to them for doing Perineal Massage from 35 weeks gestational age until at term
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Perbedaan Hasil Masase Perineum dan Kegel Exercise terhadap Pencegahan Robekan Perineum pada Persalinan di Bidan Praktik Mandiri Wilayah Ungaran Kabupaten Semarang
Politeknik Kesehatan Kementerian Kesehatan Semarang, 2015Co-Authors: Rahayu Sri, Sumarni Sri, Umaroh UmarohAbstract:Most women who delivered baby faced Perineal laceration, which was appro-ximately 70 %. There are a lot of activities to reduce Perineal laceration, such as Kegel exercises and Perineal Massage, especially during the third trimester for preg-nant woman. The aim of this tsudy is to know the difference result of Perineal Massage and Kegel exercise toward preventing of Perineal laceration during labor in the Independent Midwives are close to the District of Semarang. This study is pre experimental research with posttest only design. The population in this stdy is the third trimester pregnant woman who was more than 35 weeks gestational age. The subject of this study were concisted of 18 women as a group one who have done Perineal Massage beforehand. However, the same number of them have done Kegel exercise from 35 weeks until at term as a group two. The sampling used in this study was a simple random sampling. A group one was tought with Perineal Massage from 35 weeks until at term. On the other hand, group two was tought with Kegel exercise from 35 weeks until at term. Data about Perineal lacera-tion was collected from partogram when they delivered baby. The data was analisd by Man Whitney test The result of this studi is 77,8 % of group woman who done Perineal Massage faced first degree of Perineal laceration. However, there are only 50 % woman who done Kegel exercise, got first degree of Perineal laceration. There is a difference results of Perineal Massage and Kegel exercise toward preventing of Perineal laceration during labor in the Independent Midwives are close to the District of Semarang, which is showed by p value at 0,037. Care provider especially midwive has to service the pregnant woman and encourage to them for doing Perineal Massage from 35 weeks gestational age until at term
Prasetyorini Heni - One of the best experts on this subject based on the ideXlab platform.
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Pengaruh Pijat Perineum Terhadap Tingkat Kecemasan Ibu Trimester III Di Puskesmas Manyaran
'Persatuan Perawat Nasional Indonesia Jawa Tengah', 2020Co-Authors: Prasetyorini Heni, Sukesi NikenAbstract:Pendahuluan : Kehamilan merupakan periode krisis situasi yang menimbulkan stress oleh karena perubahan psikologi saat kehamilan. Ibu cemas akan adanya rasa nyeri proses persalinan serta cemas akan kondisi bayi yang dilahirkannya (Bobak,2006). Rasa cemas akan menimbulkan kondisi abnormal saat proses persalinan. Intervensi yang bisa diberikan adalah dengan memberikan penyuluhan kesehatan persiapan menjelang persalinan seperti pijat perineum. Pijat adalah intervensi yang masuk dalam pendekatan nonfarmakologi untuk mengurangi rasa sakit yang dilakukan saat kehamilan (Gadysa, 2009). Apabila pijat perineum dilakukan secara tepat akan menurunkan nyeri persalinan yang disebabkan karena nyeri robekan perineum dan jahitan sekaligus mengurangi rasa khawatir terhadap persalinan yang akan dihadapi (Indivara, 2009 dan Aprilia, 2010).Tujuan : Untuk mengetahui pengaruh pijat perineum terhadap tingkat kecemasan pada ibu hamil trimester 3Metode : Menggunakan metode penelitian analitik komparasi karena peneliti mencoba mengkaji adanya pengaruh pijat perineum terhadap kecemasan pada ibu trimester 3 dengan pendekatan cross sectional.Hasil : Responden penelitian rerata memiliki riwayat persalinan tidak bermasalah, pendidikan SLTA, Pekerjaan IRT, Kehamilan Pertama dan usia < 25 tahun. Uji statistik menggunakan Uji Mc Nemar menunjukan terdapat pengaruh pada ibu hamil trimester 3 yang melakukan pijat perineum terhadap penurunan tingkat kecemasan, ibu yang sebelum diajarkan pijat perineum dengan tingkat kecemasan ringan sebanyak 4 menurun menjadi 0 atau tidak memiliki kecemasan setelah ibu melakukan pijat perineum sedangkan ibu yang sebelumnya memiliki tingkat kecemasan sedang sebanyak 11 menurun menjadi kecemasan ringan sebanyak 3 setelah diajarkan pijat perineum.Diskusi : Hasil penelitian menyarankan bahwa pijat peineum bisa dijadikan intervensi keperawatan mandiri dalam menurunkan tingkat kecemasan pada ibu hamil trimester 3.Kesimpulan : Terdapat pengaruh pijat perineum terhadap tingkat kecemasan pada ibu hamil trimester 3. Introduction: Pregnancy is a period of crisis situations that cause stress due to psychological changes during pregnancy. Mother is worried about the pain of labor process and worry about the condition of the baby that she born (Bobak, 2006). Anxiety will cause abnormal conditions during labor. Interventions that can be given is to provide health education preparations before delivery like Perineal Massage. Massage is an intervention that enters the nonpharmacology approach to reduce pain during pregnancy (Gadysa, 2009). When proper Perineal Massage will reduce labor pain caused by Perineal rupture and stitches pain while reducing the fear of delivery to be faced (Indivara, 2009 and Aprilia, 2010).Objective: To determine the effect of Perineal Massage on anxiety levels in pregnant women trimester 3Method: Using comparative analytic research method because the researcher tried to study the influence of Perineal Massage on anxiety in trimester mother 3 with cross sectional approach.Results: Average research respondents had a history of non-problematic delivery, high school education, IRT work, first pregnancy and
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Pengaruh Pijat Perineum Terhadap Tingkat Kecemasan Ibu Trimester III Di Puskesmas Manyaran
Indonesian National Nurses Association (INNA) of Central Java, 2020Co-Authors: Prasetyorini Heni, Sukesi NikenAbstract:Pendahuluan : Kehamilan merupakan periode krisis situasi yang menimbulkan stress oleh karena perubahan psikologi saat kehamilan. Ibu cemas akan adanya rasa nyeri proses persalinan serta cemas akan kondisi bayi yang dilahirkannya (Bobak,2006). Rasa cemas akan menimbulkan kondisi abnormal saat proses persalinan. Intervensi yang bisa diberikan adalah dengan memberikan penyuluhan kesehatan persiapan menjelang persalinan seperti pijat perineum. Pijat adalah intervensi yang masuk dalam pendekatan nonfarmakologi untuk mengurangi rasa sakit yang dilakukan saat kehamilan (Gadysa, 2009). Apabila pijat perineum dilakukan secara tepat akan menurunkan nyeri persalinan yang disebabkan karena nyeri robekan perineum dan jahitan sekaligus mengurangi rasa khawatir terhadap persalinan yang akan dihadapi (Indivara, 2009 dan Aprilia, 2010).Tujuan : Untuk mengetahui pengaruh pijat perineum terhadap tingkat kecemasan pada ibu hamil trimester 3Metode : Menggunakan metode penelitian analitik komparasi karena peneliti mencoba mengkaji adanya pengaruh pijat perineum terhadap kecemasan pada ibu trimester 3 dengan pendekatan cross sectional.Hasil : Responden penelitian rerata memiliki riwayat persalinan tidak bermasalah, pendidikan SLTA, Pekerjaan IRT, Kehamilan Pertama dan usia < 25 tahun. Uji statistik menggunakan Uji Mc Nemar menunjukan terdapat pengaruh pada ibu hamil trimester 3 yang melakukan pijat perineum terhadap penurunan tingkat kecemasan, ibu yang sebelum diajarkan pijat perineum dengan tingkat kecemasan ringan sebanyak 4 menurun menjadi 0 atau tidak memiliki kecemasan setelah ibu melakukan pijat perineum sedangkan ibu yang sebelumnya memiliki tingkat kecemasan sedang sebanyak 11 menurun menjadi kecemasan ringan sebanyak 3 setelah diajarkan pijat perineum.Diskusi : Hasil penelitian menyarankan bahwa pijat peineum bisa dijadikan intervensi keperawatan mandiri dalam menurunkan tingkat kecemasan pada ibu hamil trimester 3.Kesimpulan : Terdapat pengaruh pijat perineum terhadap tingkat kecemasan pada ibu hamil trimester 3. Introduction: Pregnancy is a period of crisis situations that cause stress due to psychological changes during pregnancy. Mother is worried about the pain of labor process and worry about the condition of the baby that she born (Bobak, 2006). Anxiety will cause abnormal conditions during labor. Interventions that can be given is to provide health education preparations before delivery like Perineal Massage. Massage is an intervention that enters the nonpharmacology approach to reduce pain during pregnancy (Gadysa, 2009). When proper Perineal Massage will reduce labor pain caused by Perineal rupture and stitches pain while reducing the fear of delivery to be faced (Indivara, 2009 and Aprilia, 2010).Objective: To determine the effect of Perineal Massage on anxiety levels in pregnant women trimester 3Method: Using comparative analytic research method because the researcher tried to study the influence of Perineal Massage on anxiety in trimester mother 3 with cross sectional approach.Results: Average research respondents had a history of non-problematic delivery, high school education, IRT work, first pregnancy and <25 years of age. The statistical test using Mc Nemar Test showed that there was an effect on trimester pregnant women 3 who did Perineal Massage to decrease the level of anxiety, mother who before taught Perineal Massage with level of light anxiety as much 4 decreased to 0 or did not have anxiety after mother doing Perineal Massage while mother previously had a moderate anxiety level of 11 decreased to mild anxiety as much as 3 after being taught Perineal Massage.Discussion: The results suggest that perineum Massage can be an independent nursing intervention in lowering anxiety levels in pregnant women of 3rd trimester.Conclusion: There is influence of Perineal Massage on anxiety level in pregnant mother of trimester 3
Rahayu Sri - One of the best experts on this subject based on the ideXlab platform.
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Perbedaan Hasil Masase Perineum dan Kegel Exercise terhadap Pencegahan Robekan Perineum pada Persalinan di Bidan
Poltekkes Kemenkes Semarang, 2016Co-Authors: Rahayu Sri, Sumarni Sri, Umaroh UmarohAbstract:The aim of this tsudy is to know the difference result of Perineal Massage and Kegel exercise toward preventing of Perineal laceration during labor in the Independent Midwives are close to the District of Semarang. This study is pre experimental research with posttest only design. The population in this stdy is the third trimester pregnant woman who was more than 35 weeks gestational age. The subject of this study were concisted of 18 women as a group one who have done Perineal Massage beforehand. However, the same number of them have done Kegel exercise from 35 weeks until at term as a group two. The sampling used in this study was a simple random sampling. A group one was tought with Perineal Massage from 35 weeks until at term. On the other hand, group two was tought with Kegel exercise from 35 weeks until at term. Data about Perineal laceration was collected from partogram when they delivered baby. The data was analisd by Man Whitney test. The result of this studi is 77,8 % of group woman who done Perineal Massage faced first degree of Perineal laceration. However, there are only 50 % woman who done Kegel exercise, got first degree of Perineal laceration. There is a difference results of Perineal Massage and Kegel exercise toward preventing of Perineal laceration during labor in the Independent Midwives are close to the District of Semarang, which is showed by p value at 0,037. Care provider especially midwive has to service the pregnant woman and encourage to them for doing Perineal Massage from 35 weeks gestational age until at term
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Perbedaan Hasil Masase Perineum dan Kegel Exercise terhadap Pencegahan Robekan Perineum pada Persalinan di Bidan Praktik Mandiri Wilayah Ungaran Kabupaten Semarang
Politeknik Kesehatan Kementerian Kesehatan Semarang, 2015Co-Authors: Rahayu Sri, Sumarni Sri, Umaroh UmarohAbstract:Most women who delivered baby faced Perineal laceration, which was appro-ximately 70 %. There are a lot of activities to reduce Perineal laceration, such as Kegel exercises and Perineal Massage, especially during the third trimester for preg-nant woman. The aim of this tsudy is to know the difference result of Perineal Massage and Kegel exercise toward preventing of Perineal laceration during labor in the Independent Midwives are close to the District of Semarang. This study is pre experimental research with posttest only design. The population in this stdy is the third trimester pregnant woman who was more than 35 weeks gestational age. The subject of this study were concisted of 18 women as a group one who have done Perineal Massage beforehand. However, the same number of them have done Kegel exercise from 35 weeks until at term as a group two. The sampling used in this study was a simple random sampling. A group one was tought with Perineal Massage from 35 weeks until at term. On the other hand, group two was tought with Kegel exercise from 35 weeks until at term. Data about Perineal lacera-tion was collected from partogram when they delivered baby. The data was analisd by Man Whitney test The result of this studi is 77,8 % of group woman who done Perineal Massage faced first degree of Perineal laceration. However, there are only 50 % woman who done Kegel exercise, got first degree of Perineal laceration. There is a difference results of Perineal Massage and Kegel exercise toward preventing of Perineal laceration during labor in the Independent Midwives are close to the District of Semarang, which is showed by p value at 0,037. Care provider especially midwive has to service the pregnant woman and encourage to them for doing Perineal Massage from 35 weeks gestational age until at term
Sumarni Sri - One of the best experts on this subject based on the ideXlab platform.
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Perbedaan Hasil Masase Perineum dan Kegel Exercise terhadap Pencegahan Robekan Perineum pada Persalinan di Bidan
Poltekkes Kemenkes Semarang, 2016Co-Authors: Rahayu Sri, Sumarni Sri, Umaroh UmarohAbstract:The aim of this tsudy is to know the difference result of Perineal Massage and Kegel exercise toward preventing of Perineal laceration during labor in the Independent Midwives are close to the District of Semarang. This study is pre experimental research with posttest only design. The population in this stdy is the third trimester pregnant woman who was more than 35 weeks gestational age. The subject of this study were concisted of 18 women as a group one who have done Perineal Massage beforehand. However, the same number of them have done Kegel exercise from 35 weeks until at term as a group two. The sampling used in this study was a simple random sampling. A group one was tought with Perineal Massage from 35 weeks until at term. On the other hand, group two was tought with Kegel exercise from 35 weeks until at term. Data about Perineal laceration was collected from partogram when they delivered baby. The data was analisd by Man Whitney test. The result of this studi is 77,8 % of group woman who done Perineal Massage faced first degree of Perineal laceration. However, there are only 50 % woman who done Kegel exercise, got first degree of Perineal laceration. There is a difference results of Perineal Massage and Kegel exercise toward preventing of Perineal laceration during labor in the Independent Midwives are close to the District of Semarang, which is showed by p value at 0,037. Care provider especially midwive has to service the pregnant woman and encourage to them for doing Perineal Massage from 35 weeks gestational age until at term
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Perbedaan Hasil Masase Perineum dan Kegel Exercise terhadap Pencegahan Robekan Perineum pada Persalinan di Bidan Praktik Mandiri Wilayah Ungaran Kabupaten Semarang
Politeknik Kesehatan Kementerian Kesehatan Semarang, 2015Co-Authors: Rahayu Sri, Sumarni Sri, Umaroh UmarohAbstract:Most women who delivered baby faced Perineal laceration, which was appro-ximately 70 %. There are a lot of activities to reduce Perineal laceration, such as Kegel exercises and Perineal Massage, especially during the third trimester for preg-nant woman. The aim of this tsudy is to know the difference result of Perineal Massage and Kegel exercise toward preventing of Perineal laceration during labor in the Independent Midwives are close to the District of Semarang. This study is pre experimental research with posttest only design. The population in this stdy is the third trimester pregnant woman who was more than 35 weeks gestational age. The subject of this study were concisted of 18 women as a group one who have done Perineal Massage beforehand. However, the same number of them have done Kegel exercise from 35 weeks until at term as a group two. The sampling used in this study was a simple random sampling. A group one was tought with Perineal Massage from 35 weeks until at term. On the other hand, group two was tought with Kegel exercise from 35 weeks until at term. Data about Perineal lacera-tion was collected from partogram when they delivered baby. The data was analisd by Man Whitney test The result of this studi is 77,8 % of group woman who done Perineal Massage faced first degree of Perineal laceration. However, there are only 50 % woman who done Kegel exercise, got first degree of Perineal laceration. There is a difference results of Perineal Massage and Kegel exercise toward preventing of Perineal laceration during labor in the Independent Midwives are close to the District of Semarang, which is showed by p value at 0,037. Care provider especially midwive has to service the pregnant woman and encourage to them for doing Perineal Massage from 35 weeks gestational age until at term