PHOENIX DACTYLIFERA DAN NIPPLE MASSAGE TERHADAP PERCEPATAN KALA I PERSALINAN

Ratna Wulan Purnami, Indah Tri Wahyuni

Abstract


Latar Belakang: Persalinan lama merupakan salah satu faktor risiko terjadinya laserasi perineum yang bisa menyebabkan perdarahan, sehingga erat kaitannya dengan morbiditas pada ibu dan bayi. Hasil studi literatur review untuk meningkatkan kontraksi uterus, melunakkan serviks dan membantu proses awal persalinan dengan pemberian phoenix dactylifera atau nipple massage. Tujuan: Penelitian ini bertujuan untuk mengetahui efektivitas pemberian phoenix dactylifera dan nipple massage dengan percepatan kala I persalinan. Metode: Penelitian eksperimen kuasi dengan post test control group design ini dilakukan pada April- Oktober 2019. Sampel 140 ibu bersalin dengan purposive sampling dibagi menjadi 4 kelompok (35 responden kurma, 35 responden nipple massage, 35 responden kurma dan nipple massage, dan 35 responden asuhan standar). Teknik analisis multivariat yang digunakan adalah Kruskal-wallis. Hasil: Terdapat perbedaan signifikan lama kala I persalinan dengan pemberian nipple massage, kurma dan kombinasi nipple massage dan kurma (signifikansi 0.009 < 0.01). Rerata waktu kala I persalinan kelompok : kurma (31,29 menit),  kombinasi kurma dan nipple massage (12,56 menit), dan nipple massage (6,96 menit) lebih cepat dari kelompok kontrol. Kesimpulan: Pemberian phoenix dactylifera dan nipple massage secara signifikan mempercepat pembukaan dan lama kala I persalinan. Asuhan ini berpotensi sebagai upaya preventif kasus partus lama dan menurunkan kebutuhan induksi persalinan.

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DOI: https://doi.org/10.30602/jkk.v11i1.1675

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