Effect of Giving Fatimah Grass (Anastatica Hierochuntica)

Immersion Water to Uterine Contractions in Maternity Mother

Yunita Syahputri Damanik*, Utami Diah Armi, M. Dasril Samura, Friska Ernita Sitorus, Nur Mala

Sari

Departement Of Public Health, Health Institute Of DELI HUSADA Deli Tua,

Keywords : Grass Fatimah (Anastatica Hierochuntica), Uterine Contractions, Maternity Mother.

Abstract : Fatimah grass (Anastatica Hierochuntica) is a plant that contains phytochemical ingredients, namely

flavonoids. Flavonoids are natural ingredients that have a structure resembling endogenous steroid

hormones, namely estradiol and show estrogenic activity. The purpose of this study was to analyze the

effect of giving fatimah grass (Anastatica Hierochuntica) immersion water to the uterine contractions of

maternal mothers. This research is an experimental study using Paired T-Test (pre-test and post-test). The

number of samples in this study were 20 women who were divided into 2 groups, namely the control group

and the case group who were given 500 cc of water with 100 grams of Fatimah grass (Anastatica

Hierochuntica). The results of this study indicate the results obtained from the control group with an average

value of uterine contractions of maternity mothers at 2.90 (116 seconds) with Std. Deviation of 1.449.

Whereas in the treatment group, the mean value of uterine contractions of maternal mothers was 4.40 (176

seconds) with Std. Deviation of 1.265. The average difference between the control group and the treatment

group was 1.8 (72 seconds). From the results of statistical tests using the Wilcoxon test obtained a P-Value

of 0.025, it can be concluded that there is a difference between the control and treatment groups (pretest and

posttest) and it can be concluded that there is an effect of giving fatimah grass soaking water (Anastatica

Hierochuntica) to uterine contractions in maternity mothers.

1 INTRODUCTION

Maternal Mortality Rate (MMR) is an indicator of a

country's health. AKI in the world globally is 830

every day, in Indonesia 38 mothers per 305 mothers

give birth died due to illness or complications

related to pregnancy and childbirth. Factors that

cause mothers to die after giving birth are heavy

bleeding, infection, preeclampsia, parturition or

disability and unsafe abortion (Achadi, Health and

University, 2019).

In Arab countries and among Malaysians 63.9%

use the Fatimah grass plant (Anastatica

Hierochuntica) as a traditional herbal that is believed

to facilitate labor, postpartum care and

breastfeeding. Beliefs in developing countries,

including Indonesia's Fatimah (Anastatica

Hierochuntica) grass immersion water, are also used

hereditary during pregnancy, especially before

delivery, which is believed to facilitate labor, reduce

uterine bleeding, accelerate labor and postnatal care

(Baker RK, 2013).

Childbirth is a physiological process that occurs

in all pregnant women. This physiological process

can turn pathological if the treatment is not handled

properly. Complications in labor often arise

suddenly and this must be anticipated to ensure the

safety of the mother and fetus. Labor is defined as

regular uterine contractions that cause cervical

thinning and dilatation so that the results of

conception can exit the uterus. The exact trigger of

labor is unknown.

Normal childbirth is a process of fetal

expulsion, born spontaneously with the presentation

of the back of the head, followed by removal of the

placenta and membranes from the mother's body,

without complications of both the mother and fetus.

Childbirth is the process of expulsion from the

conception (fetus and placenta) that has reached the

age of the month or can live outside the womb

through the birth canal or through another way

(caesarean), with help or without help (own

strength). This process begins with true labor

contractions, which are characterized by progressive

580

Damanik, Y., Armi, U., Samura, M., Sitorus, F. and Sari, N.

Effect of Giving Fatimah Grass (Anastatica Hierochuntica) Immersion Water to Uterine Contractions in Maternity Mother.

DOI: 10.5220/0009976205800587

In Proceedings of the International Conference on Health Informatics and Medical Application Technology (ICHIMAT 2019), pages 580-587

ISBN: 978-989-758-460-2

changes in the cervix and ends with birth. Maternity

is the process of expulsion from the conception

(fetus and uri) that has been quite months and can

live outside the womb through the birth canal or

through other roads with help or without help or

strength alone. Normal childbirth is the process of

expulsion from the conception that can live from

inside the uterus through the vagina to the outside

world that occurs in term pregnancy (37-42 weeks)

with marked uterine contractions that cause thinning,

cervical dilatation, and push the fetus out through

the road born with a percentage of the back of the

head without tools or help (spontaneous birth) and

no complications in the mother and fetus (Widia,

2015).

The factors that stimulate birth (birth) in

humans are very complex and reflect a series of

endocrine-related events that take place in sync. As

estrogen increases during pregnancy, this hormone

stimulates an increase in oxytocin receptors in the

fetus. The consequences of estrogen deficiency are

prolonged labor and death in the uterus, unless a C-

section is performed.

This inadequate uterine contractions prolong the

time of I. In general, the primigravida of the old time

I was 13-14 hours and multigravida of the old time I

which was 6-7 hours. The duration of labor will be

longer if the mother experiences interruption of

uterine contractions, causing a prolonged labor. Old

parturition is labor that lasts more than 24 hours in

primigravida, and more than 18 hours in

multigravida. Old parturition is a latent phase of

more than 8 hours. The absence of uterine

contractions during childbirth can result in

prolonged parturition which can also have an impact

on the mother and fetus, namely intrapartum

infection, uterine rupture, succutanous head and fetal

head molasses. Old parturition contributes to

maternal mortality and newborn mortality. The

average parturition in the world causes maternal

deaths by 8% and in Indonesia by 9%, while

newborns account for 26% for the world and 30%

for Indonesia

Belief in developing countries, fatimah grass

soaking water (Anastatica hierochuntica) or also

known as Rose Jericho is used as medicine during

pregnancy, especially before delivery, which is

believed to facilitate labor and reduce bleeding.

Indonesian people for generations have known and

used fatimah grass to accelerate labor. You do this

by soaking dried Fatimah grass in warm water, then

drinking the immersion water.

Fatimah grass contains flavonoid phytochemical

which is a natural material with a structure similar to

estradiol and shows estrogenic activity. High levels

of estrogen push the connective signal in uterine

smooth muscle cells. The formed connexes are

inserted in the myometrial plasma membrane to

form fissure links that electrically unite the uterine

smooth muscle cells so that they are able to contract

coordinately. These changes in myometrium cause

increased responsiveness of the uterus to oxytocin

which ultimately triggers labor. High estrogen levels

also encourage the formation of prostaglandins

which play a role in cervical maturation by

stimulating cervical enzymes that locally break

down collagen fibers. Fatimah grass is believed to

accelerate labor because of its phytoestrogen and

other minerals. Physiologically, the hormone

estrogen is proliterative so that it can increase the

number of myometrial cells and oxytocin receptors

in the myometrium. Thus it can increase the

sensitivity of myometrium against oxytocin and

increase the effectiveness of myometrial

contractions.

Fatimah grass is believed to accelerate labor

because of its phytoestrogen and other minerals.

Physiologically, the hormone estrogen is

proliferative so that it can increase the number of

myometrial cells and oxytocin receptors in the

myometrium. Thus it can increase the sensitivity of

myometrium to oxytocin and increase the

effectiveness of myometrial contractions (Herman

and Serudji, 2017).

Based on the results of the Indonesian

Demographic and Health Survey (2012), it is known

that the maternal mortality rate is 102 per 100,000

live births and the infant mortality rate is 23 per

100,000 live births. The most common causes of

maternal death in Indonesia are caused by direct

obstetrics namely bleeding, preeclampsia /

eclampsia and infection resulting from the absence

of significant uterine contractions associated with

prolonged labor. One direct cause of maternal death

in Indonesia is prolonged labor, which is influenced

by inadequate uterine contractions (his). Some of the

direct causes of maternal mortality in Indonesia are

still dominated by birth canal such as vaginal

rupture, perineal rupture and uterine rupture. For

16%, rupture of the birth canal is the first cause of

bleeding after uterine atony. According to Desiyani

Nani 2009, giving Fatimah grass (Anastatica

Hierochuntica) immersion water can increase the

number of active oxytocin receptors in the uterine

muscle so that it can help reduce maternal mortality

due to no uterine contractions. (SDKI, 2012).

The main physiological strength during labor is

uterine contractions. Uterine contractions are

Effect of Giving Fatimah Grass (Anastatica Hierochuntica) Immersion Water to Uterine Contractions in Maternity Mother

581

rhythmic contractions of the smooth muscle of the

uterine wall that starts from the uterine fundus

region. These contractions occur in the third

trimester and medics often mistake the strong

Braxton Hicks contractions for the initial

contractions of labor. Braxton Hicks strong

contractions can be mistaken as an early sign of

labor, and this is known as fake labor. The initial

contraction time must be more than one hour and if

the contraction occurs in close proximity and lasts a

long time, maybe the mother will soon experience

childbirth (Elisabeth Siwi Walyani, Amd.Keb, Th.

Endang Purwoastuti, S.Pd, 2015).

Childbirth is a physiological process that occurs

in all pregnant women. This physiological process

can turn into pathological if management is not

handled properly. Normal childbirth is a process

when a woman's body expels an existing baby that

has been fully developed or has a womb of less than

9 months or 40 weeks, as long as the womb develops

gradually in the womb (Karinta Ariani Setia Putri,

2019). Infant mortality due to infection caused by

Caput Succedaneum, according to WHO in 2012

amounted to 0.05%.

Whereas in Indonesia the infant mortality rate

from Caput Succedaneum infection in 2012 was

11% of 35 per 1000 live births. Based on

Baishideng, in 2013, Caput Succedaneum was

relatively common at birth, but was rarely diagnosed

in the womb.

Fatimah grass is known as a grass that can help

accelerate the labor process, it is known that fatimah

grass contains an oxytocin-like substance which is a

hormone that is widely used in labor induction drugs

and serves to trigger or accelerate the rate of uterine

contractions (Ajeng Anastasia Kinanti, 2019).

Novianty 2017, analyzed the effects of water

immersion in Fatimah grass on estrogen hormone

levels in pregnant white rats. The results of this

study showed that there were significant differences

(p <0.05) of estrogen hormone levels between the

control group (55.51 ± 7.60) with the P2 group

(67.37 ± 7.14) and P3 (68.13 ± 7, 33) at a dose of 20

gr and 40 gr. The conclusion of this research is that

there is a significant increase in the level of the

hormone estrogen after giving Fatimah grass

immersion water to pregnant white rats (Herman and

Serudji, 2017).

The provision of fatimah grass soaking water

had previously been done quite a lot by labor

assistants, but have not been exposed to many other

labor assistants because of the process, way of

giving, the number and processing of fatimah grass

that they do not know well yet.

Based on the above problems, researchers

consider it necessary to conduct further research on

the Effect of Fatimah Grass Immersion Water

(Anastatica Hierochuntica) on Uterine Contractions

in Maternity Mothers. This is necessary to prevent

complications that have a negative impact on the

health of maternity mothers. This is needed to

prevent complications that can occur in maternal

health. Based on the experiences that have been

faced by researchers in this study related to uterine

contractions during labor especially not the normal

contraction during childbirth and after the release of

the baby into the placenta, causing complications

when labor is increasingly giving a strong impetus to

researchers to conduct this research.

2 METHOD

Research design is a method used in the process of

collecting research data so that research results can

be proven. This research is an experimental research

that is research in which the researcher deliberately

raises the occurrence of an event or condition, in

other words experimental research is a way to look

for a causal relationship (causal effect). The

experimental method used was a quasi-experimental

method using the Wilcoxon test. The population in

this study were all women who were going to deliver

at the Klinik Bersalin Astuti in Percut Sei Tuan, Deli

Serdang, which numbered 20 people. The sampling

technique in this study is purposive sampling, which

is a probability sampling method that is carried out

with certain criteria with the number of samples in

this study is 20 people, with a control group division

of 10 people and an intervention group of 10 people.

The method for treating Fatimah grass

(Anastatica Hierochintica) soaking water is as

follows:

a. Take Fatimah grass as much as 100 grams,

then wash it cleanly, this washing aims to

remove all dirt that may stick during the

storage process.

b. After washing, then enter and soak the grass of

Fatimah (Anastatica Hierochuntica) into the

warm water into a container such as a bowl or

glass containing 500 cc of warm water.

c. Make sure the Fatimah grass is submerged

with warm water as a whole.

d. Leave it for a few moments until the grass

withers and does not soak the grass for too

long. Immersion in the long term can make the

oxytocin content even higher so that it poses a

danger to mother and baby.

ICHIMAT 2019 - International Conference on Health Informatics and Medical Application Technology

582

e. After the immersion process is finished, give it

to the mother who will deliver after opening 1

cm to be drunk immediately.

f. Evaluate the results of giving the fatimah grass

soaking water after 1 hour of administration.

Figure 1: How to treat water immersion in Fatimah

Grass (Anastatica Hierochuntica).

3 RESULTS

Based on the frequency distribution, it can be seen

that the Influence of Fatimah Grass (Anastatica

Hierochuntica) Immersion Water Against Uterine

Contractions in Maternal Mothers is more common

in mothers aged 18-19 years as many as 14 samples

(70%). Whereas maternity mothers with the age of

20-21 years were 6 samples (30%). The Influence of

Fatimah Grass (Anastatica Hierochuntica)

Immersion Water Against Uterine Contractions in

Maternal Mothers occurred in mothers who worked

as housewives in 18 samples (90%) also occurred in

mothers who worked as entrepreneurs as many as 2

samples (10%). The Influence of Fatimah Grass

(Anastatica Hierochuntica) Immersion Water

Against Uterine Contractions in Maternal Mothers

occurs in mothers with junior high school education

of 2 samples (10%), also occurs in mothers with

high school education of 18 samples (90%).

Data on oxytocin levels were analyzed using a

computer program. In this study a normality test for

oxytocin levels was performed using the Shapiro

Wilk test. The results of data normality are presented

in Table 2.

In this study, of the 20 samples, there were

women who gave birth to the first study (primipara)

and women who received 18-21 years. Demographic

data of the respondents consisted of parietas, age,

occupation and education.

Based on Table 1, it is known that the Influence

of Fatimah Grass (Anastatica Hierochuntica)

Immersion Water Against Uterine Contractions in

Maternal Mothers is more common in mothers aged

18-19 years, as many as 13 samples (65%). While

mothers with age 20-21 years were 7 samples (35%).

The Influence of Fatimah Grass (Anastatica

Hierochuntica) Immersion Water on Uterine

Contractions in Maternal Mothers occurred in

mothers who worked as housewives in 17 samples

(85%) also occurred in mothers who worked as

entrepreneurs as many as 3 samples (15%). The

Influence of Fatimah Grass (Anastatica

Hierochuntica) Immersion Water Against Uterine

Contractions in Maternal Mothers occurs in mothers

with junior high school education of 2 samples

(10%), also occurs in mothers with high school

education of 18 samples (90%).

Effect of Giving Fatimah Grass (Anastatica Hierochuntica) Immersion Water to Uterine Contractions in Maternity Mother

583

Table 1: Frequency Distribution Effect of Giving

immersion water Fatimah Grass (Anastatica

Hierochuntica) Against Uterine Contractions.

No Characteristics of

Respondents

N Percentage

(%)

1 Parity

1. Primipara

100 %

n 20 100 %

2 Age

1. 18-19

2. 20-21

70 %

30 %

n 20 100%

3 Profession

1. Housewife

2. Private sector worker

90 %

10 %

n 20 100%

4 Education

1. Middle School

3. High School

10 %

90 %

n 20 100%

Based on Table 2, Observation of the Influence

of Fatimah Grass (Anastatica Hierochuntica)

Immersion Water Against Uterine Contractions in

Maternity after cervical opening 1 Cm, there were 8

people from the control group who were given water

immersed in fatimah grass which underwent normal

uterine contractions (Contraction of 5x10 '> 40 " )

and 2 people from the control group who were given

water immersed in fatimah grass experiencing

abnormal uterine contractions (2x10 '<20

"contraction) while from the intervention group who

were not given water immersed in fatimah grass

found 2 people experienced normal uterine

contractions (5x10' contraction> 40 ") and 8 people

experienced abnormal uterine contractions (2x10

'<20" contraction). Observation was carried out

after 1 hour of giving fatimah grass immersion water

to 10 people from the control group.

Observation was carried out after 1 hour of

giving fatimah grass immersion water to 10 people

from the control group, observation after 1 hour was

carried out in the hope that the fatimah grass soaking

water had an effect on 10 mothers who would give

birth soon with a contraction. Then see again

whether the contractions are normal or not. The gift

is not required to be done at the same time to 10

mothers, the important thing is to pay attention to

the time of administration, the amount of fatimah

grass immersion water that is given and observe 1

hour later,and the most important thing is to pay

attention to your condition at the time of childbirth

while still checking your physical condition and vital

signs.

Based on Table 3, the test results for normality

of uterine contractions, p values <0.05 means that

data on oxytocin levels are not normally distributed.

So the test that meets the requirements is the

Wilcoxon test. Based on Table 4, it is known that in

the control group the mean value of uterine

contractions of maternal women was 2.90 (116

seconds) with Std. Deviation of 1.449. Whereas in

the intervention group, the mean value of uterine

contractions of maternal mothers was 4.40 (176

seconds) with Std. Deviation of 1.265. The mean

difference between the control group and the

intervention group was 1.8 (72 seconds). From the

results of statistical tests using the Wilcoxon test, a

P-value of 0.025 is obtained, so it can be concluded

that there are differences between the control and

intervention groups (pretest and posttest).

Table 2: Frequency distribution of 20 maternity mother.

Uterine Contractions After Cervical Opening 1 cm

No Code

Giving

Fatimah Grass

immersed

water

1 Hour After Giving

Uterine

contraction

the results

1 K was given

Contraction

5x10’>40”

Normal

2 K was given

Contraction

5x10’>40”

Normal

3 K was given

Contraction

5x10’>40”

Normal

4 K was given

Contraction

5x10’>40”

Normal

5 K was given

Contraction

2x10’<20”

Abnormal

6 K was given

Contraction

5x10’>40”

Normal

7 K was given

Contraction

5x10’>40”

Normal

8 K was given

Contraction

5x10’>40”

Normal

9 K was given

Contraction

2x10’<20”

Abnormal

10 K was given

Contraction

5x10’>40”

Normal

11 I Not given

Contraction

5x10’>40”

Normal

12 I Not given

Contraction

2x10’<20”

Abnormal

13 I Not given

Contraction

2x10’<20”

Abnormal

14 I Not given

Contraction

2x10’<20”

Abnormal

15 I Not given

Contraction

5x10’>40”

Normal

ICHIMAT 2019 - International Conference on Health Informatics and Medical Application Technology

584

16 I Not given

Contraction

2x10’<20”

Abnormal

17 I Not given

Contraction

2x10’<20”

Abnormal

18 I Not given

Contraction

2x10’<20”

Abnormal

19 I Not given

Contraction

2x10’<20”

Abnormal

20 I Not given

Contraction

2x10’<20”

Abnormal

Table 3: Test Results for Normality of Uterine

Contractions.

Shapiro-Wilk

Statistic df Sig.

Pre Test

.594 10 .000

Post Test

.509 10 .000

Table 4: Frequency Distribution of Influence of Fatimah

Grass (Anastatica Hierochuntica) Immersion Water

Against Uterine Contractions.

Group N Mean

Std.

Deviation

P-Value

(Sig.2

tailed)

Control 10

2.90 1.449

0,025

Intervention 10

4.40 1.265

n 20

4 DISCUSSIONS

Effects of consuming Fatimah Grass (Anastatica

Hierochuntica) Immersion Water on Uterine

Contractions in Maternity after cervical opening 1

Cm, there were 8 people from the control group who

were given Fatimah grass immersion water which

experienced normal uterine contractions (5x10 '> 40

"Contraction) and 2 people from the control group

was given fatimah grass immersion water which

experienced abnormal uterine contractions (2x10

'<20 "contraction) while from the intervention group

that was not given fatimah grass immersion water it

was found 2 people experienced normal uterine

contractions (5x10'> 40" contraction) and 8 people

experience abnormal uterine contractions (2x10 '<20

"contraction).

The results of the analysis showed that there

was an effect of giving fatimah grass (Anastatica

Hierochuntica) immersion water to uterine

contractions in maternal. Based on the results of the

analysis, it can be interpreted that the mother who

consumes water from the grass of Fatimah grass

(Anastatica Hierochuntica) will help increase uterine

contractions when the mother gives birth. The

results of this study showed that in the control group

the mean value of uterine contractions of maternal

women was 2.90 (116 seconds) with Std. Deviation

of 1.449. Whereas in the treatment group, the mean

value of uterine contractions of maternal mothers

was 4.40 (176 seconds) with Std. Deviation of

1.265. The average difference between the control

group and the treatment group was 1.8 (72 seconds).

From the results of statistical tests using the

Wilcoxon test obtained a P-Value of 0.025, it can be

concluded that there are differences between the

control and treatment groups (pretest and posttest)

and it can be concluded that there is an effect of

giving fatimah grass immersion water (Anastatica

Hierochuntica) to uterine contractions in maternity

mother.

Increased uterine contractions that occur after

giving fatimah grass immersion water is a very

positive thing that is expected for medical workers

who help with the labor process, because fatimah

grass soaking water is not much different from

drinking water normally consumed by mothers will

not complicate the process of giving. Fatimah grass

soaking water that will be easier blessed by Mother

because how to consume it is also very easy to do, it

also really helps the labor process of labor continues

to run well, given the considerable number of cases

of childbirth that cause death because there are no

contractions during labor.

The results of this study also did not fully affect

the contraction process after giving Fatimah grass

soaking water, because there were also some

mothers who were given fatimah grass immersion

water did not get a good response from the results of

the submerged water, however, more women

experience normal contractions compared to those

given but do not experience normal contractions. As

in this study of 10 mothers who will give birth, there

were 8 mothers who experienced normal

contractions and there were 2 mothers who

experienced abnormal contractions after being given

water bathed with fatimah grass.

This is very helpful for birth attendants to

continue to provide support to mothers who are

about to give birth and of course to help mothers

who experience fear and worry during labor due to

complications that occur during childbirth such as

not contracting the uterus normally. Based on the

Effect of Giving Fatimah Grass (Anastatica Hierochuntica) Immersion Water to Uterine Contractions in Maternity Mother

585

results of this study, fatimah grass immersion water

can provide a positive response to the occurrence of

uterine contractions in mothers who will give birth

and is believed to accelerate labor, because the

fatmah grass (Anastatica Hierochuntica) contains

phytoestrogens and other minerals.

During the research process, 10 mothers who

were sampled in this study were afraid that if

something bad happened to their baby after drinking

fatimah grass soaking water, but with the

explanation given by the researcher, as well as

evidence that this has also previously been given to

mothers who will give birth and even make the

delivery process quickly and safely and mothers do

not feel pain for a long time and then they feel calm

and can receive well. In line with the process of

providing immersion water, researchers still provide

a sense of calm and comfort to the mother by still

inviting her to communicate.

The results of this study are in line with the

Novianty 2017 study, which analyzes the effect of

giving fatimah grass immersion water on estrogen

hormone levels in pregnant white rats. The results of

this study showed that there were significant

differences (p <0.05) of estrogen hormone levels

between the control group (55.51 ± 7.60) with the P2

group (67.37 ± 7.14) and P3 (68.13 ± 7, 33) at a

dose of 20 gr and 40 gr. Conclusion, there was a

significant increase in estrogen hormone levels after

giving Fatimah grass immersion water to pregnant

white rats (Herman and Serudji, 2017).

The results of this study are in line with

research on the effect of aqueous extract of

anastatica hierochuntica on some hormones in

mouse females to obtain the results of fatimah grass

immersion in female rats showed a significant

increase (p <0.05) in the levels of the hormones LH,

FSH, Prolactin and progesterone. However, no

studies to date have been able to clearly show an

increase in LH, FSH, prolactin, and progesterone in

female rats with extracts or water immersion in

fatimah grass, so more research must be done to

confirm it (Safitri and Yantri, 2019) .

Paired t-test results showed a significant

difference between frequencies without and with

oxytocin 0.01 IU stimulation in estradiol (p = 0.032),

RF10 group (p = 0.026), RF20 (p = 0.001), and

RF40 (p = 0.027) . It can be concluded that water

soaked by Fatimah grass (Anastatica hierochuntica

L) can increase the frequency of contraction of

smooth muscle of the rattus norvegicus Sprague

Dawley uterus in the estrous phase. increase the

number of active oxytocin receptors in the uterine

muscle. It is proven by the increasing frequency of

contraction as a form of mechanical activity

response from the increasing number of oxytocin

bonds with oxytocin receptors in the uterine muscle

(Nani, 2009).

5 CONCLUSIONS

The results of this study indicate the effect of giving

Fatimah grass (Anastatica Hierochuntica) immersion

to the uterine contractions of maternal mothers can

be concluded that there are significant differences

between the results of giving Fatimah grass

immersion water among respondents who were

given Fatimah grass soaking water (Anastatica

Hierochuntica) with those not given to maternity

mother.

ACKNOWLEDGEMENTS

This Research Was Supported By Health Institute Of

Deli Husada, Health Institute Of Medistra Lubuk

Pakam, Sembiring General Hospital Foundation,

And Medistra Foundation, Indonesia.

REFERENCES

Achadi, E. L., Kesehatan, F. and Universitas, M. (2019)

‘Kematian Maternal dan Neonatal di Indonesia’.

Ajeng Anastasia Kinanti (2019) ‘Manfaat Rumput

Fatimah Jelang Persalinan’, p. 6.

Baker RK. The Effect Of Aqueous Extract Of Anastatica

Hierochuntica On Some Hormones In Mouse Females.

Ibn Al-Haitham Journal For Pure and Applied

Science. 2013;26(2):198-205.

Elisabeth Siwi Walyani, Amd.Keb, Th. Endang

Purwoastuti, S.Pd, A. (2015) ‘Asuhan Persalinan dan

Bayi Baru Lahir’.

Glessner-fischer, A. D. (2018) ‘The Role of Sex

Hormones in Inducing Maternal Uterine Remodeling

and Vasodilation During Pregnancy’.

Herman, R. B. and Serudji, J. (2017) ‘Pengaruh Pemberian

Air Rendaman Rumput Fatimah (Anastatica

Hierochuntica) Terhadap Kadar Hormon Estrogen

Pada Tikus Putih (Rattus Norvegicus) (Effect of

Giving Water of Fathimah Grass (Anastatica

hierochuntica) Toward The Level of Estrogen

Hormone’,2 (November), pp. 109–113.

Karemore, M. N. and Nagpur, R. T. M. (2017) ‘No Title’,

8(12), pp. 5326–5335. doi: 10.13040/IJPSR.0975-

8232.8(12).5326-35.

Karinta Ariani Setia Putri (2019) ‘Melahirkan Normal

Proses dan Tahapan’, p. 10.

ICHIMAT 2019 - International Conference on Health Informatics and Medical Application Technology

586

Nani, D. (2009) ‘Pengaruh air rendaman rumput fatimah

(Anastatica hierochuntica L) Terhadap Frekuensi

Kontraksi Otot Uterus Tikus Galur Sprague Dawley

Pada Fase Estrus’, Jurnal Keperawatan Soedirman

(The Soedirman Journal of Nursing), 4(1), pp. 1–8.

Noviyanti, Herman, R. B. and Serudji, J.(2017) ‘Pengaruh

Pemberian Air Rendaman Rumput Fatimah

(Anastatica Hierochuntica) Terhadap Kadar Hormon

Estrogen Pada Tikus Putih (Rattus Norvegicus) (Effect

of Giving Water of Fathimah Grass (Anastatica

hierochuntica) Toward The Level of Estrogen

Hormone’, 2 (November), pp. 109–113.

Safitri, Y. and Yantri, E. (2019) ‘Artikel Penelitian

Pengaruh Pemberian Air Rendaman Rumput Fatimah

(Anastatica Hierochuntica) Terhadap Kadar Hormon

Oksitosin dan Hormon Prolaktin Pada Tikus Putih

(Rattus Norvegicus) Menyusui Perbandingan’, 8

(Supplement 1), pp. 31–35.

SDKI (2012) ‘Survey Demografi Dan Kesehatan

Indonesia Program Perencanaan Persalinan Dan

Pencegahan Komplikasi (P4K .akses 20 Mei 2016).’

Widia Shofa, Ilmiah. Buku Ajar Asuhan Persalinan

Normal, Yogyakarta: Nuha Medika, 2015.

Effect of Giving Fatimah Grass (Anastatica Hierochuntica) Immersion Water to Uterine Contractions in Maternity Mother

587