Effectiveness of Point ST36 (Zusanli) Acupressure on Emesis Gravidarum First Trimester in the Tengaran Health Center

Abstract

Emesis gravidarum or nausea and vomiting are complaints that are often experienced by pregnant women in the first trimester, but if not handled appropriately, it will cause health problems for pregnant women, which not only disturb the mother but also the fetus she is carrying. Based on a preliminary study conducted in August 2023 at the Tengaran Health Center in Semarang Regency, data was obtained that the total number of pregnant women in the last month (July 2023) was 177 people and 35 people were included in the first trimester category. The results of observation of 35 pregnant women in the first trimester obtained data that 22 people (62.86%) experienced emesis gravidarum and 13 (37%) did not experience emesis gravidarum. There are many things that affect the occurrence of emesis gravidarum, including age during pregnancy, parity, work and gestational age. One of the treatments that can be done is by providing non-pharmacological therapy, ST36 point acupressure (Zusanli) which has no side effects. The goal is to find out whether there is an effect of ST36 point acupressure on emesis gravidarum in the first trimester in the Tengaran Health Center in 2023. The design of this study is Quasy-Experiment with One Group Pre-Test Post-Test. The number of samples used was 20 respondents in December 2023 at the Tengaran Health Center using the Total Sampling technique and using the PUQE-24 instrument. The data analysis used was Univariate and Bivariate data analysis, using a non-parametric statistical test, namely the Wilcoxon Test. The results of the Wilcoxon test obtained a sig value of 0.000, which means a p value of < α (0.05), then Ha was accepted and Ho was rejected, which means that there is an effect of ST36 (Zusanli) acupressure on the first trimester emesis in the Working Area of the Landmark Health Center. There is an effect of acupressure massage point ST36 (Zusanli) on emesis gravidarum in the first trimester in the Working Area of the Tengaran Health Center.