TUGAS B.

INGGRIS II

JURNAL ANTENATAL , INTRANATAL , DAN POSTNATAL

Dosen Pengampu : Dr.Nang Randu Utama S.Pd,MA

Dian Minati

Eviza Kharisma Nadya

Fitri Anggraini

Nurlaili Rahmi

Novia Sari Nur Hidayah

Regita Wulandari

Tatik Purwanti

Winda Handini

KEMENTRIAN KESEHATAN RI
BADAN PENGEMBANGAN PEMBERDAYAAN SUMBER DAYA MANUSIA
POLITEKNIK KESEHATAN PALANGKA RAYA PROGRAM STUDI DIV
KEBIDANAN REGULER III SEMESTER VII
2019
A. ANTENATAL
Prenatal paracetamol exposure and child neurodevelopment: a sibling-controlled
cohort study

Background

Paracetamol is used extensively during pregnancy, but studies regarding the potential
neurodevelopmental sequelae of foetal paracetamol exposure are lacking.

Method

Between 1999 and 2008 all pregnant Norwegian women were eligible for recruitment
into the prospective Norwegian Mother and Child Cohort Study. The mothers were
asked to report on their use of paracetamol at gestational weeks 17 and 30 and at 6
months postpartum. We used data on 48631 children whose mothers returned the 3-
year follow-up questionnaire by May 2011. Within this sample were 2919 same-sex
sibling pairs who were used to adjust for familial and genetic factors. We modelled
psychomotor development (communication, fine and gross motor development),
externalizing and internalizing behaviour problems, and temperament (emotionality,
activity, sociability and shyness) based on prenatal paracetamol exposure using
generalized linear regression, adjusting for a number of factors, including febrile illness,
infections and co-medication use during pregnancy.

Results

The sibling-control analysis revealed that children exposed to prenatal paracetamol for
more than 28 days had poorer gross motor development [b 0.24, 95% confidence
interval (CI) 0.12–0.51], communication (b 0.20, 95% CI 0.01–0.39), externalizing
behaviour (b 0.28, 95% CI 0.15–0.42), internalizing behaviour (b 0.14, 95% CI 0.01–
0.28), and higher activity levels (b 0.24, 95% CI 0.11– 0.38). Children exposed prenatally
to short-term use of paracetamol (1–27 days) also had poorer gross motor outcomes (b
0.10, 95% CI 0.02–0.19), but the effects were smaller than with long-term use.
Ibuprofen exposure was not associated with neurodevelopmental outcomes.
 Conclusion

Children exposed to long-term use of paracetamol during pregnancy had substantially

adverse developmental outcomes at 3 years of age.

B. INTRANATAL
HYPNOBIRTHING EFFECT ON THE LEVEL OF PAIN IN LABOR
Background
Pain during labor can cause anxiety, panic and reduced ability of the uterus to contract,
thereby extending time of delivery and threaten the safety of the baby. Hypnobirthing is
a non pharmacological pain management which does not have adverse effects for
mother and fetus. Hypnobirthing can increase comfort, relax, reduce stress and fear
during labor without loss of consciousness.
Aims
The aim of this research was to determine effect of hypnobirthing on the level of pain in
labor. Research was conducted in Bidan Praktik Kota Bandung.
Design
Design used was quasi experimental with One group pre and post test technique. The
number of samples was 55 respondents who was given hypnosis in labor. Sampling
method used was quota sampling. Data was analyzed with Mc Nemar.
Result
Result showed that there was a correlation between hypnobirthing and decreased level
of pain during labor. We suggested hypnobirthing to be included in the pain
management subject in the normal delivery care course and as an alternative method to
reduce pain during labor.
Conclusion
Based on the results of the study, it can be conclude that there is a significant effect of
hypnobirthing in decreasing the level of pain in mothers in labor. From this study we
expect that hypnobirthing method could be input into the topic of pain relief in normal
delivery care course and hypnobirthing could be used as an alternative method for
midwives in reducing the client’s pain during labor.
C. POST NATAL
POSTPARTUM CARE IN CENTRAL JAVA TRADITION
Background
The puerperal period is a critical period. 60% of maternal deaths occur after delivery and
50% of them occur in the first 24 hours. The high rate of maternal and child mortality in
Indonesia is closely related to social and cultural factors, particularly the Java
community. During the postpartum, Abstinence / or postnatal care suggestion is usually
associated with the physical condition of the recovery process.
Aims
This study aims to determine postpartum care is based on the tradition of Central Java.
Methods
This study is a combination of quantitative and qualitative study (Mixed Methods). The
samples is 81 postpartum mothers. Data collection instrument was a structured
questionnaire and in-depth interview guidelines. Quantitative data with a frequency
distribution. The results of qualitative data in narrative form.
Results
Postpartum care based on the traditions of Central Java obtained:
1) 96.3% Capital postpartum do massage after delivery, when the foot bed to be
straightened out, and not allowed to leave the house for 40 days,
2) 95.1% Capital postpartum Wearing pilis,
3) Wear stagen (88.9%),
4) There should be a nap (84%),
5) Do not eat eggs, meat, shrimp, fish (82.7%),
6) When the morning shower should to be shampoo (60.5%),
7) Always drink herbal medicine (59.3%).

Conclusion

The majority of postpartum care is based on the tradition of Central Java is still
detrimental to the health of postpartum mothers so that they can affect the recovery
process in the post-partum period.