The Southeast Asian Journal of Midwifery Vol.
No.
April, 2020, p:16-21 E-ISSN: 2476-972X
P-ISSN: 2476-9738
THE EFFECT OF DATE PALM JUICE CONSUMPTION ON THE ACTIVE PHASE OF
LABOR AMONG PRIMIGRAVIDA
Winancy .
Aticeh2.
Wa Ode Hajrah3
1,2,3
Midwifery Program.
Health Polytechnics of Jakarta i.
Indonesia INFORMASI ARTIKEL:
Riwayat Artikel:
Tanggal diterima: Maret 2020 Tanggal di revisi: Maret 2020 Tanggal di Publikasi: April 2020 Key Word : date juice, active phase, duration, contraction ABSTRACT As an alternative to providing energy during late pregnancy and childbirth, dates give many benefits, such as assisting contractions.
Dates have high carbohydrate content so that fatigue that occurs during labor, especially in the active phase, can be reduced.
By dividing the sample into two groups, namely the experimental group and the control group, the intervention of date palm juice was seen based on the duration of the active phase of labor.
It was known that the experimental group
had a shorter duration of labor than that of the control group with a p value equal
Therefore, date juice is proven to shorten the duration of active phase
INTRODUCTIONO
Ingredients such as saturated and unsaturated fatty acids play an important role in Consumption of dates is also believed to help save energy and strengthen the muscles of the uterus (Baliga, 2.
This fruit also contains hormones that help the uterus stretch and are prepared for labor.
Its consumption is very helpful in storing energy and strengthening the muscles of the uterus.
Thus, consumption of dates at this time can prevent postpartum hemorrhage, spontaneous labor, and accelerate the progress of labor (Izaddinn, et.
, 2.
Prolonged labor is often associated with fetal and maternal disorders caused by, among others, ineffective uterine contractions ultimately lead to an increase in the rate of cesarean and induction of labor.
It is important to note that the lack of adequate uterine contractions can be influenced by various factors, such as physical and mental.
Therefore, energy needs at the time of delivery must be highly considered (Odent, 1.
The amount of energy needed for labor can be compared to aerobic exercise, which is estimated to be between 50 and 100 kcal per hour (Kordi, 2.
Because of their energy production and enough calories, dates can prevent physical weakness so that this fruit can help pregnant women during labor.
In addition, dates contain any hormones that prepare the uterus for stretching and childbirth so that it can accelerate labor, increase cervical dilatation, and reduce the need for induction (Bagherzadeh Karimi, 2.
It is important to note that primigravida mothers have 12 to 13 hours to go through the first stage of labor and if it exceeds that time, it can be said that labor is prolonged .
rolonged labo.
Long parturition causes various complications for Dates with the Latin name Phoenix dactylifera are one of the energizers that have a lot of carbohydrates, most of them including fructose, glucose, and sucrose.
They also contain fats, salts and minerals, and proteins so that this fruit is recommended as part of a diet for pregnant women as well as labor preparation (Al-Shahib & Marshall, 2.
addition, dates contain a variety of vitamins such as riboflavin, biotin, thiamin, folic acid and ascorbic acid (Al-Farsi & Lee, 2.
Korespondensi:
Journal-aipkind.
The Southeast Asian Journal of Midwifery Vol.
No.
April, 2020, p:16-20 E-ISSN: 2476-972X
P-ISSN: 2476-9738
mother and fetus such as postpartum hemorrhage (Li.
Zhang.
Ling, & Jin, 2.
Already known among midwife practitioners in their practices, oxytocin is often used for induction and augmentation of labor (Shyken & Petrie, 1.
The duration of labor can differ from one woman to another.
One of the interventions to make the duration of labor not be prolonged is by administering initial oxytocin which may be associated with an increase in spontaneous vaginal birth.
Oxytocin high and low doses for augmentation of labor delays reported shorter duration of labor and increased spontaneous vaginal birth associated with high doses (Begley, 2.
circumference (MUAC) more than 23 cm.
The study population was all primigravida giving birth at a privately practicing midwife in East Jakarta.
At the data collection stage, an explanation was given beforehand to prospective respondents including the intentions and objectives, as well as the benefits of study.
Questionnaires were given to respondents after the Informed Consent process.
The study respondents consisted of two groups, i.
women as the treatment group to be given palm juice during the first stage of labor and those as a control group that was not given Mann Whitney U was used as the statistical test.
In addition, oxytocin is used for the sake of controlling postpartum bleeding (Nordstrom However, compared to oxytocin which is routinely used, the date fruit ingestion significantly reduced the amount of bleeding in the first hour after the delivery of placenta because the compounds in date fruit mimic the action of oxytocin (Khadem, et.
, 2.
Based on this explanation, this study aimed to develop other research results that have been carried out in other countries to be applied in Jakarta.
Indonesia, that consumption of date palm juice has an influence on primigravida delivery, especially in the first stage in the active phase.
RESULT AND DISCUSSION
The mean duration of labor in the active phase of the first stage in the experimental group was 05 hours, with the lowest time being 1 hour and the longest time being 3 hours.
For the control group, the mean length of labor in the active phase was 5.
15 hours with the lowest time being 3 hours and the longest time being 13 hours.
From these results, it can be seen that the statistical value of the difference between the two groups was 0.
000 which means that the administration of date palm juice was effective in making the duration of labor during the active phase become faster than that without date palm juice (Table .
METHOD
This was a quasi-experimental study with a static group comparation study design.
purposive sampling was used as a sampling The sample criteria included primiparous pregnant women who were healthy and not experiencing complications, willing to consume palm juice during the delivery process, the size of the fundus uteri less than 40 cm, full-term for gestational age, the age of the pregnant woman less than equal to 35 years, and maternal mid-upper arm Journal-aipkind.
Table 1: The Duration of Labor from the Active Phase to the Delivery Variable Mean Median Modus Min Max Std Dev Ex.
Group Cont.
Group Winancy.
Aticeh.
Wa Ode Hajrah The Effect Of Date Palm Juice Consumption On The Active Phase Of Labor Among Primigravida irritability, increased uterine responsiveness to contracting factors, and increased cervical preparation for labor.
Therefore, to induce labor and stimulation, one of the alternatives to do is by consuming dates in the last weeks of pregnancy, because dates act on stimulation of uterine contractions, and increase response to syntocrine if needed.
Table 2.
The Effectiveness of Date Palm Juice to the Duration of Active Phase among Primigravida Mann-Whitney U Wilcoxon W Asymp.
Sig.
-taile.
Exact Sig.
-tailed Sig.
In addition to producing energy, fatty acids in dates play an important role in the production of prostaglandins as, one of them, strengthening the muscles of the uterus.
It is important to note that consumption of dates in the last weeks of pregnancy can increase antioxidant capacity so that pain tolerance can also be formed.
In addition, dates have antiinflammatory and antioxidant properties and are rich in calcium, serotonin, and tannins, and can play a role in contraction of uterine smooth muscle.
From the statistical test, the difference between the two groups was 0.
000 which means that the administration of date palm juice was effective in helping the duration of labor in the active phase in comparison with the control group that was not given the juice.
As the physiological processes experienced by most women (Taavoni, et.
, 2.
pregnancy should end in normal labor, namely spontaneous vaginal delivery.
Unfortunately, for some reason, there are patients who need to require labor induction to avoid worse medical Some women who experience augmentation by using various methods, either alone or in combination (Razali, et.
, 2.
However, labor induction should not be taken lightly because it is not without risk.
Induced labor can lead to an increase in complications, stimulation, and rupture of the uterine hyper (World Health Organization, 2.
Consuming dates at the end of pregnancy is effective in shortening the length of the active phase (Al-Kuran, et.
, 2.
It seems that dates help in more effective uterine contractions (Speroff & Fritz, 2.
with better cervical preparation and save energy, which requires less time to shorten labor.
Because carbohydrate content is considered an important source of energy in the body, dates have a high digestibility.
Maternal glucose is the most important source of energy and dates can provide that need.
In addition, tannins found in dates play an important role in the contraction of smooth cervical muscles.
Dates can provide the energy needed during labor to prevent fatigue.
In normal childbirth, the motherAos energy must be maintained constantly, and so does the bodyAos electrolytes (Alaei, 2.
It should be noted that, for cervical maturation to stimulation of labor, oxytocin and prostaglandins have been widely In the last days of pregnancy, the oxytocin myometer receptors increase and estrogen and progesterone levels change within 34-35 weeks of pregnancy.
These changes can cause increased uterine Journal-aipkind.
The first stage of labor is when the opening takes place between the opening 0 to the complete opening.
At the beginning, the opening was not so strong that the mother could still take a walk.
It can be stated clinically that parturition starts when the contraction arises and the woman produces bloody show.
This comes from the cervical The Southeast Asian Journal of Midwifery Vol.
No.
April, 2020, p:16-20 E-ISSN: 2476-972X
P-ISSN: 2476-9738
canal because the cervix is opening or flattening out.
The blood comes from the broken capillaries that surround the cervical canal because of shifts when the cervix opens.
This process lasts approximately 18-24 hours, which is divided into 2 phases, i.
, the latent phase .
from 0 cm opening to 3 cm opening, and the active phase .
from 3 cm of cervical opening to 10 cm.
hormone that will cause contractions in the This hormone will increase during Pregnant women who are weak during uterine contractions will be given an injection of this hormone to improve the contractions of the uterus so that labor will go well.
In the post-partum period, this hormone will be released when the baby is breastfeeding.
addition, it must be noted that the dates are easily absorbed after being consumed and it can finally be used by the cells shortly after consumption (Zangeneh.
Moezi, & Zargar.
This active phase is still divided into 3 phases, , the acceleration phase, where within 2 hours the opening 3 cm becomes 4 cm, the maximum dilatation phase, i.
, within 2 hours the opening takes place very quickly, from the opening 4 cm to 9 cm, and the deceleration phase, where the opening becomes slow again:
within 2 hours of opening 9 cm to 10 cm.
The contractions become stronger and more frequent in the active phase.
This situation can be found in both primigravida and multigravida, but in multigravida during the latent phase, the active phase and the deceleration phase occur shorter.
In Indonesia, the people, especially those who are Muslim, are very accustomed to eating dates, especially during the fasting month.
Muslims consider that dates are fruits that are full of blessing (Nasiri, 2.
Therefore, this intervention for pregnant women who will be approaching childbirth will be very easy to do because they are familiar with dates.
With the benefit of dates, pregnant women should be accustomed to eating dates so that these extraordinary benefits can be felt by all mothers who are facing childbirth.
With a significant difference in the duration of the active phase of labor as evidenced in this study, consumption of dates is not just for the diet of pregnant women but also for providing energy during labor.
Based on the Friedman curve, opening calculated at primigravida is 1 cm/hour and opening at multigravida is 2 cm/hour.
Thus, the complete opening time can be estimated.
The mechanism of opening the cervix is In primigravida, the internal uterine ostium will open first, so the cervix will level off and thin out and then the external uterus opens.
In multigravida, the internal uterine ostium has opened slightly, so that the internal and external uterine ostium and cervical thinning and flattening occur at the same time.
CONCLUSION
There is a significant effect of date palm administration on the duration of the first stage of labor in the active phase in primigravida.
Palm juice is an herbal nutrient that does not have a negative effect if consumed in It has a good effect on the contractions of the motherAos uterus because it contains oxytocin needed during labor so that it can help accelerate the active phase.
According to a study by Rosyidah et al .
, date juice can strengthen the muscles of the uterus, so that the birth process becomes easy.
It also reduces bleeding during childbirth and strengthens the uterine organs.
In fresh dates, it contains the oxytocin.
Oxytocin itself is a Journal-aipkind.
Winancy.
Aticeh.
Wa Ode Hajrah The Effect Of Date Palm Juice Consumption On The Active Phase Of Labor Among Primigravida Alaei H.
Pakdaman M.
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