The Effect Of Use Of "Undercare Underwear ITA, Cidita" On Reducing Wound Pain Post Sectio Caesarea

Ita nashriva* -  STIKes Dharma Husada, Indonesia
Leri Septiani -  Department of Obstetrics and Gynecology, Faculty of Medicine, Universitas Padjadjaran, Bandung, West Java, Indonesia
Anita Deborah Anwar -  Master of Midwifery, Dharma Husada School of Health Sciences, Bandung, West Java, Indonesia
Yanti Herawati -  Faculty of Medicine, Islamic University of Bandung, Bandung, West Java, Indonesia
Herry Garna - 
Hidayat Wijayanegara - 
DOI : 10.33024/jkm.v10i9.16587

Supp. File(s): common.other

Latar Belakang: Sectio caesarea diperkenalkan sebagai praktik klinis untuk menyelamatkan nyawa ibu dan bayi ketika komplikasi medis kritis muncul selama kehamilan. Pasien akan merasa sakit selama beberapa minggu post-sectio caesarea, pasien mungkin memerlukan pereda nyeri selama satu minggu hingga sepuluh hari setelah melahirkan. “Undercare Celama Dalam Ita” merupakan inovasi yang digagas dalam upaya memberikan kenyamanan untuk ibu post-sectio caesarea dengan menggunakan celana dalam yang sudah dimodifikasi lengkap dengan fungsi gurita dan magnet untuk membantu menurunkan nyeri post-sectio caesarea

Tujuan penelitian : menganalisis pengaruh penggunaan “Undercare Celana Dalam Ita” terhadap pengurangan dan nyeri  post sectio caesarea.

Metode penelitian : desain penelitian ini adalah penelitian kuantitatif dengan menggunakan metode quasi experimental design. Sampel penelitian ini adalah ibu yang yang dilakukan sectio caesarea di RSUD Kabupaten Bekasi periode bulan April 2024. Independent sample t test dan uji Generalized Estimating Equations (GEE) digunakan untuk mengetahui pengaruh overall skor dari pretest, posttest 1, posttest 2, dan posttest 3 terhadap pengurangan nyeri luka operasi post sectio caesarea.

Hasil penelitian : independent sample t test diperoleh posttest 1 (Mean Diff: 1,119; 95% CI 0,734-1,504; p = <0,001), posttest 2 (Mean Diff: 1,143; 95% CI 0,755-1,531; p = <0,001), dan posttest 3 (Mean Diff: 0,833; 95% CI 0,451-1,215; p = <0,001), menunjukkan hasil yang signifikan. Uji Generalized Estimating Equations (GEE) diketahui bahwa overall data menunjukkan pengurangan nyeri  post sectio caesarea (Mean Diff: 4,130; 95% CI 2,147-6,114; p = <0,001).

Kesimpulan : terdapat pengaruh penggunaan Undercare Celana Dalam Ita terhadap pengurangan nyeri post sectio caesarea.

Saran : Bagi pasien post sectio caesarea  dapat menggunakan “Undercare Celana Dalam Ita, CIDITA” untuk mempercepat menurunkan nyeri post-sectio caesarea

 

Kata Kunci : Post sectio caesarea, Undercare Celana Dalam Ita

ABSTRACT

 

Background: In cases of life-threatening maternal or foetal problems, the sectio caesarea was instituted as a clinical procedure to preserve mother and child. Patients may need pain medication for one to ten days following delivery, and they will continue to feel pain for several weeks following a caesarean section. The "Undercare Underpants Ita" are a new invention that aims to alleviate the discomfort that some women experience after cesarean sections by utilizing modified underwear that includes octopus and magnet features.

Purpose:  The research set out to determine whether "Undercare Underpants Ita" could alleviate discomfort experienced by women after cesarean sections.

Methods:  This research used a quantitative approach based on a quasi-experimental methodology. This research aimed to examine the outcomes for moms who had cesarean sections performed in April 2024 at the Bekasi Regency Hospital. We utilized a Generalized Estimating Equation (GEE) test and an independent sample t test to find out how different total scores from the pretest, posttest 1, posttest 2, and posttest 3 affected the decrease in post-sectio caesarea surgical wound pain.

Results: Posttest 1, posttest 2, and posttest 3 all yielded significant results in the independent sample t test (mean difference: 1.119; 95% CI: 0.734-1.504; p = <0.001), with posttest 3 also yielding a significant result (mean difference: 0.833; 95% CI: 0.451-1.215; p = <0.001). The results of the Generalized Estimating Equations (GEE) test indicated a decrease in post-sectio caesarean discomfort, as evidenced by a mean difference of 4.130 (95% CI: 2.147-6.14; p = <0.001).

Conclusion: Last but not least, wearing Undercare Ita Panties might alleviate some of the discomfort that comes after a cesarean section.

Suggestions; For post sectio caesarea patients can use "Undercare Underpants Ita, CIDITA" to accelerate reducing post-sectio caesarea pain.

 

Keywords: : Post Sectio caesarea, Undercare Ita Panties.

Supplement Files

Keywords : Post Sectio caesarea, Undercare Ita Panties

  1. Abebe, F.E., Gebeyehu, A.W., Kidane, A.N., Eyassu, G.A. Factors leading to cesarean section delivery at Felegehiwot referral hospital, Northwest Ethiopia: A retrospective record review. Reprod Health. 2016;13(1):1-7. doi:10.1186/s12978-015-0114-8
  2. Arimi, N.W. Midwifery Care for Neonates, Infants, Toddlers & Preschoolers. Yogyakarta: Student Library; 2017.
  3. Ashar, H., Kusrini, I. Determinants of the Increased Sectio Caesarea Labor Rates of Indonesia in 2017. Adv Heal Sci Res. 2020;22(Ishr 2019):268-272. doi:10.2991/ahsr.k.200215.051
  4. Baltzer, W. Cesarean section. Small Anim Soft Tissue Surg. Published online 2023:672-683. doi:10.1002/9781119693741.ch54.
  5. Barber, E,L., Lundsberg, L., Belanger, K., Pettker, C,M., Funai, E,F., Illuzzi J,L. Contributing Indications to the Rising Cesarean Delivery Rate. Obstet Gynecol. 2013;118(1):29-38. doi:10.1097/AOG.0b013e31821e5f65.Contributing
  6. Basrowi, R,W., Sundjaya, T., Sitorus, N,L., Masita, B, M. Perspective of Caesarean section delivery and its health risks on children among Indonesian pediatricians. World Nutr J. 2020;4(1-2):55. doi:10.25220/wnj.v04.s2.0008
  7. Berghella, V., Baxter, J,K., Chauhan, S,P. Evidence-based surgery for cesarean delivery. Am J Obstet Gynecol. 2005;193(5):1607-1617. doi:10.1016/j.ajog.2005.03.063
  8. Betran, A.P., Torloni, M.R., Zhang, J., et al. What is the optimal rate of caesarean section at the population level? A systematic review of ecologic studies. Reprod Health. 2015;12(1). doi:10.1186/s12978-015-0043-6
  9. Bobak, L. (2004). Textbook of Maternity Nursing 4th Edition. Jakarta: EGC.
  10. Boyle, A., Reddy, U,M., Landy, H,J., Huang, C,C., Driggers, R,W., Laughon, S,K. Primary Cesarean Delivery in the United States. Obs Gynecol. 2013;23(122(1)):33-40. doi:10.1097/AOG.0b013e3182952242.Primary
  11. Caughey, A,B., Cahill, A,G., Guise J,M., Rouse, D,J. Safe prevention of the primary cesarean delivery This document was developed jointly by the with the assistance of. Am J Obstet Gynecol. 2014;210(3):179-193. doi:10.1016/j.ajog.2014.01.026
  12. Cresswell, J,A., Assarag, B., Meski, F,Z., Filippi, V., Ronsmans C. Trends in health facility deliveries and caesarean sections by wealth quintile in Morocco between 1987 and 2012. Trop Med Int Heal. 2015;20(5):607-616. doi:10.1111/tmi.12466
  13. Evangelia, Antoniou, Eirini, Orovou, Maria, Iliadou. Cesarean sections in Greece. How can we stop the vicious cycle? World J Adv Res Rev. 2021;12(1):375-377. doi:10.30574/wjarr.2021.12.1.0502
  14. Hodgkin, K., Joshy, G., Browne, J., Bartini, I., Hull, TH., Lokuge, K. Outcomes by birth setting and caregiver for low risk women in Indonesia: A systematic literature review. Reprod Health. 2019;16(1):1-12. doi:10.1186/s12978-019-0724-7
  15. Hoxha, I., Braha, M., Syrogiannouli, L., Goodman, D.C., Jüni, P. Caesarean section in uninsured women in the USA: Systematic review and meta-analysis. BMJ Open. 2019;9(3):1-14. doi:10.1136/bmjopen-2018-025356
  16. Islam, M,A., Shanto, H,H., Jabbar, A., Howlader, M,H. Caesarean Section in Indonesia: Analysis of Trends and Socio-Demographic Correlates in Three Demographic and Health Surveys (2007-2017). Dr. Sulaiman Al Habib Med J. 2022;4(3):136-144. doi:10.1007/s44229-022-00011-0
  17. NHS. Information leaflet - Caring for my Caesarean Section Wound after Delivery. World Health. Published online 2021:1-16.
  18. NICE. Twin and triplet pregnancy. NICE Guidel (NG 137). 2019;(September):1-61.
  19. Polidano, C., Zhu, A., Bornstein, J,C. The relation between cesarean birth and child cognitive development. Sci Rep. 2017;7(1):1-10. doi:10.1038/s41598-017-10831-y
  20. Pratilas, G,C., Sotiriadis, A., Dinas, K. Is high use of caesarean section sometimes justified? Lancet. 2019;394(10192):25-26. doi:10.1016/S0140-6736(19)30221-1
  21. Prawirohardjo S. (2009_. Midwifery Science. Fourth Edition. Second Edition. Jakarta: PT Bina Pustaka Sarwono Prawirohardjo Foundation.
  22. Rai, S,D., Poobalan, A., Jan, R, et al. Caesarean section rates in South Asian cities: Can midwifery help stem the rise? J Asian Midwives. 2019;6(2):4-22.
  23. Saifuddin AB. (2022). Maternal Neonatal Reference Book. Jakarta: PT Bina Pustaka Sarwono Prawirohardjo Foundation.
  24. Sandall, J., Tribe, R.M., Avery, L., et al. Short-term and long-term effects of caesarean section on the health of women and children. Lancet. 2018;392(10155):1349-1357. doi:10.1016/S0140-6736(18)31930-5
  25. Santas, G., Santas, F. Trends of caesarean section rates in Turkey. J Obstet Gynaecol (Lahore). 2018;38(5):658-662. doi:10.1080/01443615.2017.1400525
  26. Shi, X.Y., Wang, J., Zhang, W.N., et al. Cesarean Section Due to Social Factors Affects Children's Psychology and Behavior: A Retrospective Cohort research. Front Pediatr. 2021;8(January):1-10. doi:10.3389/fped.2020.586957
  27. Shirazi, M., Zaban, M.T., Gummadi, S., Ghaemi, M. Peptic ulcer perforation after cesarean section; Case series and literature review. BMC Surg. 2020;20(1):1-7. doi:10.1186/s12893-020-00732-9
  28. Sungkar, A., Basrowi, R,W. Rising trends and indications of Caesarean section in Indonesia. World Nutr J. 2020;4(1-2):1. doi:10.25220/wnj.v04.s2.0001
  29. Timor-Tritsch I, E., Monteagudo, A. Unforeseen consequences of the increasing rate of cesarean deliveries: Early placenta accreta and cesarean scar pregnancy. A review. Am J Obstet Gynecol. 2012;207(1):14-29. doi:10.1016/j.ajog.2012.03.007
  30. Verma, V., Vishwakarma, R,K., Nath, D,C., Khan, H.T., Prakash, R., Abid O. Prevalence and determinants of caesarean section in South and South-East Asian women. PLoS One. 2020;15(3):1-15. doi:10.1371/journal.pone.0229906.
  31. WHO. Cæsarean Section Rates. Lancet. 2015;315(02):606. doi:10.1016/S0140-6736(80)91104-6
  32. Widyaningsih, V., Khotijah., Balgis. Expanding the scope beyond mortality: burden and missed opportunities in maternal morbidity in Indonesia. Glob Health Action. 2017;10(1):1-9. doi:10.1080/16549716.2017.1339534
  33. Ye, J., Betrán, AP ila., Guerrero, V,M., Souza, JP., Zhang J. Searching for the optimal rate of medically necessary cesarean delivery. Birth. 2019;41(3):237-244. doi:10.1111/birt.12104
  34. Zahroh, RI., Disney, G., Betrán, A,P., Bohren, M,A. Trends and sociodemographic inequalities in the use of caesarean section in Indonesia, 1987-2017. BMJ Glob Heal. 2020;5(12). doi:10.1136/bmjgh-2020-00384

Open Access Copyright (c) 2024 JKM (Jurnal Kebidanan Malahayati)

Policies

Submissions

Other

Focus and Scope
Section Policies
Peer Review Process
Publication Frequency
Open Access Policy		Online Submissions
Author Guidelines
Copyright Notice
Privacy Statement
Author Fees		Journal Sponsorship
Journal History
Site Map
About this Publishing System
JKM (Jurnal Kebidanan Malahayati)
slot gacor slot gacor hari ini slot gacor 2025 demo slot pg slot gacor slot gacor