Masase pada Ibu dan Bayi

Oleh:
Tiyas Kusumaningrum, S.Kep., Ns., M.Kep
Attachment Theory

Department of Maternity and Pediatric Nursing, Faculty of Nursing

Physiologic Status-Neurologic System

• Most neurologic functions are primitive reflexes

• The autonomic nervous system play important roles during transiti
ons period because its stimulates respiration, maintain acid bala
nce, and partially regulates body temperature
• Myelination of the nervous system follows the ‘Cephalocaudal-proxi
modistal’ (head-to-toe-center-to periphery)
• Tract that develop earliest are sensory, cerebellar, and extrapyram
idal (sense of taste, smell, hearing, and the perception of pain)

Department of Maternity and Pediatric Nursing

Physiologic Status-Sensory Functions

Vision
Eyes ability to accommodate and fixate on an object are limited
Hearing
the hearing function have the same ability of adult. Newborn react to loud
sound with ‘Moro’ reflex (startle)
Smell
Newborn react with strong odor. Infants can differentiate their mother scent
Taste
Newborn able to distinguish tastes and react with facial reflexes
Touch
Newborn perceives tactile sensation in any body part especially face, hand,
and soles

Department of Maternity and Pediatric Nursing

Keuntungan Pijat Bayi
• Menstimulasi sirkulasi
• Meningkatkan fungsi pencernaan
• Meningkatkan berat badan
• Meningkatkan hormone endorphin
• Memberikan rasa nyaman dan rileks
• Memperbaiki pola tidur
Department of Maternity and Pediatric Nursing, Faculty of Nursing
Keuntungan Pijat Bayi
• Meningkatkan Bonding dengan ibu/keluarga
• Meningkatkan percaya diri ibu dalam
berinteraksi dengan bayi

Department of Maternity and Pediatric Nursing, Faculty of Nursing

Langkah Pijat Bayi
• Persiapkan alat dan bahan

Department of Maternity and Pediatric Nursing, Faculty of Nursing

Langkah Pijat Bayi
• Persiapkan posisi pemijat

Department of Maternity and Pediatric Nursing, Faculty of Nursing

Langkah Pijat Bayi
• Menyapa klien dan ibu
• Jelaskan Tujuan dan prosedur
• Meminta persetujuan ibu klien untuk mulai
• Lepas baju bayi
• Basahi tangan pemijat dengan minyak essensial
• Mulai pemijatan dari area kaki bayi

Department of Maternity and Pediatric Nursing, Faculty of Nursing

Pijatan Kaki

Department of Maternity and Pediatric Nursing, Faculty of Nursing

Pijatan Kaki

Department of Maternity and Pediatric Nursing, Faculty of Nursing

Pijatan Kaki

Department of Maternity and Pediatric Nursing, Faculty of Nursing

Pijatan Kaki

Department of Maternity and Pediatric Nursing, Faculty of Nursing

Pijatan Kaki

Department of Maternity and Pediatric Nursing, Faculty of Nursing

Pijatan Kaki

Department of Maternity and Pediatric Nursing, Faculty of Nursing

Pijatan Kaki

Department of Maternity and Pediatric Nursing, Faculty of Nursing

Pijatan Perut

Department of Maternity and Pediatric Nursing, Faculty of Nursing

Pijatan Perut

Department of Maternity and Pediatric Nursing, Faculty of Nursing

Pijatan Perut

Department of Maternity and Pediatric Nursing, Faculty of Nursing

Pijatan Dada

Department of Maternity and Pediatric Nursing, Faculty of Nursing

Pijatan Dada

Department of Maternity and Pediatric Nursing, Faculty of Nursing

Pijatan Tangan
• Sama seperti langkah pijat kaki

Department of Maternity and Pediatric Nursing, Faculty of Nursing

Pijatan Muka

Department of Maternity and Pediatric Nursing, Faculty of Nursing

Pijatan Muka

Department of Maternity and Pediatric Nursing, Faculty of Nursing

Pijatan Punggung

Department of Maternity and Pediatric Nursing, Faculty of Nursing

Pijatan Punggung

Department of Maternity and Pediatric Nursing, Faculty of Nursing

Relaksasi dan Peregangan
• Cross Arms
• Cross Arm and Leg
• Cross Legs
• Up and Down
• Bicycle

Department of Maternity and Pediatric Nursing, Faculty of Nursing

Pijat pada Ibu Post Partum

Oleh:
Tiyas Kusumaningrum, S.Kep., Ns., M.Kep
Musculoskeletal Conditions seen in Pregnancy and Postpartum

• Bony pelvic malalignment

• Perineal trauma
• Diastasis recti, abdominal trauma
• Change in arch support, ligamentous support of feet and ankles
• Malalignment of ribs
• Back pain related to poor posture, infant care, post epidural
Post Cesarean Rehabilitation Goals/Outcomes

• Decrease Incision Pain

• Prevent respiratory and circulatory complication
• Minimize bowel gas retention
• Strengthen pelvic floor muscles
• Correct posture and body mechanics
• Mobilize scar release
• Strengthen and shorten abdominals
Accupoints

Department of Maternity and Pediatric Nursing, Faculty of Nursing

Pijat Oxytocin
• Pemijatan tulang belakang antara lumbal 2 dan
3 pada columna vertebralis 2 jari ke kanan dan
ke kiri hingga ke arah bawah leher

Department of Maternity and Pediatric Nursing, Faculty of Nursing

Pijat Oxytocin
Manfaat:
• Meningkatkan kenyamanan
• Memperlancar pengeluaran ASI
• Mempercepat proses involusi uterus

Department of Maternity and Pediatric Nursing, Faculty of Nursing

Pijat Oxytocin

Department of Maternity and Pediatric Nursing, Faculty of Nursing

Teknik Pijat Oxytocin
• Eflurasi: Gerakan Mengusap
• Petrissage: Gerakan Meremas
• Friction: Gerakan Menekan
• Vibration: Gerakan menggetarkan dengan telapak
tangan
• Tapotage: Gerakan Tap (Memukul dengan telapak
tangan atau kepalan tangan sisi samping)

Department of Maternity and Pediatric Nursing, Faculty of Nursing

References
• Ahmadipour, S. et al. (2019) ‘The Lowering of Bilirubin Levels in Full-Term Newborns by the Effect of Combined Massage Therapy an
d Phototherapy Practice’, American Journal of Perinatology. doi: 10.1055/s-0039-1685493.
• Eghbalian, F., Rafienezhad, H. and Farmal, J. (2017) ‘The lowering of bilirubin levels in patients with neonatal jaundice using massage
therapy: A randomized, double-blind clinical trial’, Infant Behavior and Development, 49, pp. 31–36. doi: 10.1016/j.infbeh.2017.05.002
.
• Dalili, H. et al. (2016) ‘Effects of baby massage on neonatal jaundice in healthy Iranian infants: A pilot study’, Infant Behavior and De
velopment, 42, pp. 22–26. doi: 10.1016/j.infbeh.2015.10.009.
• Lin, C.-H. et al. (2015) ‘Effects of infant massage on jaundiced neonates undergoing phototherapy’, Italian Journal of Pediatrics, 41(1)
, p. 94. doi: 10.1186/s13052-015-0202-y.
• Chen, J. et al. (2011) ‘Baby Massage Ameliorates Neonatal Jaundice in Full-Term Newborn Infants’, The Tohoku Journal of Experimen
tal Medicine, 223(2), pp. 97–102. doi: 10.1620/tjem.223.97.
• Diego, M. A., Field, T. and Hernandez-Reif, M. (2014) ‘Preterm infant weight gain is increased by massage therapy and exercise via d
ifferent underlying mechanisms’, Early Human Development, 90(3), pp. 137–140. doi: 10.1016/j.earlhumdev.2014.01.009.
• Juneau, A. L., Aita, M. and Héon, M. (2015) ‘Review and Critical Analysis of Massage Studies for Term and Preterm Infants’, Neonatal
Network, 34(3), pp. 165–177. doi: 10.1891/0730-0832.34.3.165
• Ang, J. Y. et al. (2012) ‘A Randomized Placebo-Controlled Trial of Massage Therapy on the Immune System of Preterm Infants’, PEDI
ATRICS, 130(6), pp. e1549–e1558. doi: 10.1542/peds.2012-0196.
• Kumar, J. et al. (2013) ‘Effect of Oil Massage on Growth in Preterm Neonates Less than 1800 g: A Randomized Control Trial’, The Ind
ian Journal of Pediatrics, 80(6), pp. 465–469. doi: 10.1007/s12098-012-0869-7.

Department of Maternity and Pediatric Nursing, Faculty of Nursing