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Program Studi S1 Kebidanan - Fakultas Ilmu Kesehatan Universitas PGRI Adi Buana Surabaya
Differences Between the Combination of Maternity Pillow Dual Wedge and Prenatal Yoga Compared with Prenatal Yoga on Anxiety Levels Among Third-Trimester Primigravida Women
Background: Third-trimester primigravida women often experience anxiety due to physical and psychological changes before childbirth. A preliminary survey at Afiyah Clinic, Gedangan, Sidoarjo, found that 30 out of 37 third-trimester primigravida women (81.08%) experienced anxiety. One non-pharmacological intervention that may reduce anxiety is the combination of a Maternity Pillow Dual Wedge and prenatal yoga. Objective: To determine the anxiety levels of third-trimester primigravida women before and after the administration of a Maternity Pillow Dual Wedge combined with prenatal yoga at Afiyah Clinic, Gedangan, Sidoarjo. Methods: This study employed a quasi-experimental design using a Two-Group Pretest–Posttest Control Design. The sample consisted of 30 respondents divided into intervention and control groups, with 15 participants in each group, selected using purposive sampling. Anxiety levels were measured using the PRAQ-R2 questionnaire. Data were analyzed using the Paired Sample T-Test and Independent Sample T-Test. Results: The Paired Sample T-Test showed a p-value of 0.000, indicating that the combination of a Maternity Pillow Dual Wedge and prenatal yoga significantly reduced anxiety levels among third-trimester primigravida women. The Independent Sample T-Test yielded a p-value of 0.457, indicating no significant difference between the intervention and control groups. Conclusion: The combination of a Maternity Pillow Dual Wedge and prenatal yoga was effective in reducing anxiety among third-trimester primigravida women and has the potential to be applied as a non-pharmacological intervention in midwifery care. Keywords: Anxiety, Maternity Pillow Dual Wedge, Prenatal Yoga, Third-Trimester Primigravida.
Copyright (c) 2026 Anik Latifah, Rini Geby Dompepen, Setiawandari Setiawandari https://creativecommons.org/licenses/by-sa/4.0
Palm Acupressure: A Complementary Intervention to Accelerate the Progression of the First Stage of Active Labour in Primigravida
The success of labour is influenced by optimal labour progress during the active stage, characterised by accelerated cervical dilation. The active stage of labour is the longest phase and a critical period determining the success of a normal delivery. If labour progresses more slowly than expected, it can potentially lead to complications for the mother and baby. The purpose of this study was to analyse the effect of palm acupressure on the duration of the active stage of labour. The research method used a true experiment with a two-group pre-test post-test control design. Fifty-eight primigravida subjects giving birth at RSPAL Dr Ramelan in Surabaya were divided into two groups. The intervention group received palm acupressure, while the control group received deep breathing relaxation. Labour duration was monitored using a partograph. The independent t-test showed a p-value of 0.041, indicating a difference in labour duration between the two groups. The average difference in labour duration was 1 hour and 43 minutes. In conclusion, palm acupressure affects the duration of the active stage of labour. This intervention has the potential to prevent prolongation of the first stage and can be used as an alternative to strengthen uterine contractions in cases of labour with contraction disorders
Active phase of the first stage; Duration; Palm acupressure
Copyright (c) 2026 setia wandari, Retno Setyo Iswati, Dwi Sulistyowati https://creativecommons.org/licenses/by-sa/4.0
The Effect of Pranayama Yoga Exercise on Erythrocyte Sedimentation Rate (ESR) in Adolescent Girls with Primary Dysmenorrhea
Dysmenorrhea is a common menstrual disorder experienced by adolescent girls and may trigger an inflammatory response in the body, as indicated by an increased erythrocyte sedimentation rate (ESR). One non-pharmacological intervention that may help alleviate this condition is yoga pranayama. This study aimed to analyse the effect of yoga pranayama on reducing ESR levels in adolescents with dysmenorrhea. This study used a pre-experimental design with a one-group pretest-posttest approach. The sample consisted of 31 adolescent girls experiencing dysmenorrhea. The yoga pranayama intervention was conducted over 4 weeks, comprising 8 sessions, each lasting 30 minutes. ESR measurements were obtained before and after the intervention using the Westergren method, and the data were analysed using the Wilcoxon signed-rank test. The results showed a decrease in ESR levels after the intervention, with 48.4 percent of respondents categorised as normal (10–20 mm/h), although 51.6 percent remained in the high category (more than 20 mm/h). Statistical analysis indicated a significant difference between pretest and posttest ESR values. This reduction is associated with the relaxation effects of yoga pranayama, which improve tissue oxygenation, enhance blood circulation, and reduce inflammatory responses caused by increased prostaglandins. In conclusion, yoga pranayama is an effective non-pharmacological therapy for reducing ESR in adolescents with dysmenorrhea.
dysmenorrhea, yoga pranayama, erythrocyte sedimentation rate
Copyright (c) 2026 Widya Mayani, Desta Ayu Cahya Rosyida, Solichatin Solichatin, Tetty Rihardini https://creativecommons.org/licenses/by-sa/4.0
The Effect of Peanut Ball on the Duration of Labor in Mothers in the First Stage of Active Labor
Indonesia's maternal mortality rate (MMR) and infant mortality rate (IMR) remain relatively high, partly due to prolonged labor that is not managed effectively managed. The peanut ball technique is a non-pharmacological alternative to accelerate labor. This study aims to assess the effect of the peanut ball on labor duration among mothers delivering in the active phase of the first stage. The study employed a quasi-experimental pretest–posttest control-group design. Sixty participants were split into two groups: 30 in the intervention group and 30 in the control group. The intervention group used the peanut ball technique for 120 minutes, while the control group received standard delivery care. Consecutive sampling was used. The study was conducted at Aura Syifa Hospital, Baptist Hospital, and Nirmala Hospital in Kediri. Data were analyzed using the Mann–Whitney test. The results showed that the average labor duration in the intervention group was 150.2 plus minus 60.779 minutes, and the control group was 199.5 plus minus 76.191 minutes, with a p-value of 0.000 (p less than 0.05). The peanut ball technique has been proven effective in accelerating labor. This technique can be implemented as a non-pharmacological intervention in obstetric care.
Copyright (c) 2025 Mayang Eustacia Anggraeniy, Dr. Finta Isti Kundarti, M.Keb, Ira Titisari, SSiT, M.Kes, Dwi Estuning Rahayu., S,Pd., S.Kep., Ns., M.Sc https://creativecommons.org/licenses/by-sa/4.0
Extra Virgin Olive Oil Supplementation Reduces Anthropometric Risk Factors for Type 2 Diabetes in Adolescent Girls
Type 2 diabetes mellitus in adolescents has increased dramatically, with an incidence increasing from 9 to 18 cases per 100,000 per year in the last two decades. Extra Virgin Olive Oil (EVOO) has been shown to have a protective effect against diabetes through its bioactive components. This study aims to analyze the effect of EVOO supplementation on anthropometric parameters as an indicator of diabetes prevention in adolescent girls. This quasi-experimental study employed a pretest-posttest control-group design. The study population comprised all adolescent girls at SMKN 13 Malang, and subjects were selected through purposive sampling; 30 adolescent girls aged 15-18 years were included. Subjects were divided into an intervention group (n=15) who received 10ml/day of EVOO supplementation for 12 weeks and a control group (n=15) who received no treatment. The parameters measured included body weight, height, and waist circumference. The analysis used paired t-tests and Mann-Whitney tests. The results showed a significant decrease in body weight (p=0.000), BMI (p=0.000), and waist circumference (p=0.000) compared to the control group, which experienced an increase in body weight (0.5 kg) and waist circumference (0.233 cm). Still, there was no significant difference in height (p=0.539). In conclusion, EVOO supplementation is effective in reducing body weight and waist circumference in adolescent girls, demonstrating its potential as a preventive agent for diabetes mellitus through improving body composition.
Dietary patterns, Physical Activity, Adolescents, Status Nutrition
Midwifery; Nursing; Geriatric Care; Public Health; Women's Health
Copyright (c) 2025 Wenny Rahmawati, Dwi Norma Retnaningrum https://creativecommons.org/licenses/by-sa/4.0
Effect of Soybean Flour Fortification (Glycine Max) and the Administration of Vitamin C on the Increase in Hemoglobin (Hb) Levels among Adolescents with Anemia at Gresik District
Adolescents are included in such group that is vulnerable to anemia since they are in a rapid growth period with high nutritional needs, especially for iron. Unbalanced eating pattern, lack of iron intake, extreme diet habits, and menstruation among adolescent girls may increase the risk of anemia. Anemia in adolescents does not only affect physical health, such as fatigue, dizziness, and decreased endurance, but can also affect concentration, learning achievement, as well as cognitive and emotional development. This was a quantitative quasi experimental study with One Group Pre-Test Post-Test Design. The study population involved 78 students with anemia. Purposive sampling technique was applied to obtain 65 respondents as the study sampels based on the Slovin formula. This measuring device used here was a digital hemoglobinometer (portable). Statistic test applied independent t-test. The study results obtained a P-value of <0.05 which indicated a significant effect of interventions on hemoglobin levels. It can be concluded that there was an effect of soybean flour fortification (glycine max) and the administration of vitamin C on the increase in hemoglobin (Hb) levels.
Copyright (c) 2025 Desta Ayu Cahya Rosyida https://creativecommons.org/licenses/by-sa/4.0
Quality Analysis of Congenital Hypothyroidism Screening (CHS) Implementation in Newborns by Independent Midwives: A Review of Sample Collection Time, Specimen Quality, and Speed of Follow-up Results
This descriptive analytical cross-sectional study assessed the quality of Congenital Hypothyroidism Screening (CHS) implementation by Independent Midwives, a vital program for preventing intellectual developmental delay caused by congenital hypothyroidism (CH). The study involved 60 newborns at BPM Kustini, Lamongan (January-June 2025). Quality was evaluated across three critical points: timeliness of sample collection, quality of Dried Blood Spot (DBS) specimens, and speed of follow-up on results. The findings indicated that 66.67percent of samples were collected on time (48-72 hours), 75percent of DBS specimens were of good quality, and 83.33percent of follow-up results were conducted quickly (less than equals 10 days). Bivariate analysis using the Chi-Square test revealed significant correlations between the timeliness of sampling and the quality of DBS specimens (p equal 0.002) and between specimen quality and the speed of follow-up results (p equal 0.003). Overall, the quality of CHS in independent midwifery practices was promising. Timeliness of sample collection was found to be key to producing high-quality DBS specimens, which, in turn, affected the speed of result follow-up. The study recommends improving midwives' technical competence and family education, and strengthening the referral system to reinforce CHS's success in community services.
Copyright (c) 2025 Kholifatul Ummah, Rakhmalia Imeldawati, Kustini Kustini, Ida Susila https://creativecommons.org/licenses/by-sa/4.0
Effectiveness of Deep Breathing Relaxation Combined Guided Imagery with Music on Pain Scale in Patients After Caesarean Section
Caesarean Section (CS) is a surgical procedure to remove the fetus through an incision in the abdominal wall and uterine wall. A common problem in post-CS patients is pain. Deep breathing relaxation and guided imagery are non-pharmacological techniques to reduce pain. The purpose of this study was to determine the effect of deep breathing relaxation techniques combined with guided imagery accompanied by music on the pain scale in post-CS patients. The methods of this study used a pre-experimental design with one group pre-test post-test design. The sampling technique used purposive sampling where a sample of 32 respondents was obtained. The data analysis technique used a paired sample t-test program with a significance level of α = 0.05. The results of this study are the pain scale before the intervention was moderate pain (56.3%) and severe pain (43.7%). Meanwhile, the pain scale after the intervention was mild pain (40.6%), moderate pain (50%), and severe pain (9.4%) with a ρ value of 0.001 < α = 0.05. The conclusion of this study is deep breathing relaxation techniques combined with guided imagery and music can reduce pain intensity in post-CS patients. These techniques can be implemented according to standard operating procedures (SOPs) so that nurses don't focus solely on pharmacological therapy.
Copyright (c) 2025 Ira Purnamasari, Eni Sumarliyah, Siti Aisyah, Firman Firman, Dede Nasrullah https://creativecommons.org/licenses/by-sa/4.0
The Correlation of Progressive Muscle Relaxation (PMR) with Massage and Aromatherapy on Reducing Menstrual Pain Intensity (Primary Dysmenorrhea) among Female Students
Primary dysmenorrhea is one of the most common reproductive health problems experienced by adolescent girls, characterised by lower abdominal pain caused by excessive uterine contractions without any organic abnormalities. High menstrual pain intensity negatively affects learning concentration, school attendance, and overall quality of life. Non-pharmacological management approaches, such as Progressive Muscle Relaxation (PMR), massage, and aromatherapy, are considered safe and effective methods for reducing pain intensity through mechanisms including muscle relaxation, endorphin release, and parasympathetic nerve stimulation. This study aimed to evaluate the effectiveness of combining PMR, massage, and aromatherapy in reducing menstrual pain intensity among female students at Dr. Soetomo High School, Surabaya. A quasi-experimental design with a pretest-posttest control group was employed. A total of 60 respondents were selected using purposive sampling and divided into 2 groups: the intervention group (PMR + massage + aromatherapy) and the control group (health education). Menstrual pain intensity was measured using the Numerical Rating Scale (NRS) before and after the intervention. Data were analysed using a Paired t-test for within-group comparisons and normality tests to assess data distribution. The results showed a significant reduction in pain intensity in the intervention group compared with the control group (p equals 0.001). The median score in the intervention group decreased from 7.0 to 3.0, while the control group showed no significant change (p equals 0.216). The combined intervention demonstrated a large effect size (r equals 0.72), indicating a strong influence on pain reduction. Conclusion: The combination of PMR, massage, and aromatherapy is effective in reducing primary dysmenorrhea and can be recommended as a safe, affordable, and practical complementary therapy for adolescents.
Copyright (c) 2026 Arkha Rosyaria Badrus, Miftahul Khairoh, Alief Ayu Purwitasari, Novi Anggraeni, Cityta Putri Kwarta https://creativecommons.org/licenses/by-sa/4.0
Influence Perineal Massage and Breathing Techniques for Reducing Perineal Trauma During Childbirth
Perineal trauma is a common complication in primigravida women during vaginal childbirth, leading to pain, infection, and psychological distress. Non-pharmacological methods like perineal massage and deep breathing techniques may help reduce such trauma. This study employed a true experimental posttest-only control group design, involving 62 primigravida women who were randomly divided into an intervention group (n=31) and a control group (n=31). Conducted in Malang Regency in July 2025, the intervention included perineal massage starting at 34 weeks of gestation, done twice a week for 10 minutes using lubricant, and deep breathing techniques during contractions and pushing. Data were analyzed using the Mann-Whitney U test. A significant difference was found between groups. The intervention group had a sum of ranks of 270.00, while the control group had 81.00 (p = 0.001), indicating a lower incidence of perineal trauma in the intervention group. Perineal massage combined with deep breathing techniques is a safe and effective non-pharmacological approach to reduce perineal trauma in primigravida women during childbirth.
Copyright (c) 2025 Tyas Alfi Karuniriati, Dr. Finta Isti Kundarti, M.Keb, Dr. Tri Johan Agus Yuswanto, M.Kep, Reni Wahyu Triningsih, SSiT., M.Kes https://creativecommons.org/licenses/by-sa/4.0
Effectiveness of Ear Acupressure on Gestational Hypertension
Hypertensive disorders (HD) affect up to 10 percent of pregnancies worldwide. Gestational Hypertension 17 percent will progress to preeclampsia if left untreated. Acupressure has been used for centuries to treat a variety of symptoms associated with pregnancy and is also known to lower blood pressure in hypertension. However, the use of ear acupressure as an adjunct to conventional care for hypertensive disorders in pregnancy is underrepresented in the scientific literature. This study aimed to determine the effectiveness of ear acupressure on gestational hypertension. The research method employed a pre-experimental design with a one-group pre-post design. A sample of 15 people received antenatal care and ear acupressure. Analysis using the Paired T Test. The study's results showed a difference in the average blood pressure of primigravida women in the 2nd and third trimesters, both before and after ear acupressure, of 6 mmHg systolic and 4 mmHg diastolic. The results of the Paired t-test p equal 0.00. The conclusion is that ear acupressure affects the blood pressure of primigravida during the second and third trimesters.
Copyright (c) 2025 Setiawandari Setiawandari, Retno Setyo Iswati, Tetty Rihardini https://creativecommons.org/licenses/by-sa/4.0
HUBUNGAN PERAN SERTA KADER DENGAN MUTU PELAYANAN POSYANDU BALITA STRATA MADYA
Mutu adalah keseluruhan ciri serta sifat pelayanan yang bepengaruh pada kemampuannya untuk memuaskan kebutuhan yang dinyatakan atau tersirat. Tujuan penelitian ini untuk mengetahui ada tidaknya hubungan peran serta kader dengan mutu pelayanan posyandu balita strata madya di Desa Sumberjo Kecamatan Purwoasri Kabupaten Kediri. Desain penelitian yang digunakan adalah analitik korelasional dengan pendekatan cross sectional, populasi dalam penelitian ini adalah seluruh Ibu Balita yang berkunjung ke Posyandu Desa Sumberjo Kecamatan Purwoasri Kabupaten Kediri, teknik sampel dalam penelitian ini purposive sampling dengan jumlah sampel 67 responden. Dalam penelitian ini menggunakan uji statistik koefisien kontingensi. Dari hasil uji statistik korelasi koefisien kontingensi dengan menggunakan software computer didapatkan nilai uji signifikan (p) 0,013 dan taraf kesalahan (Î±) 0,05 didapatkan bahwa (p<Î±). Maka H0 ditolak dan H1 diterima yang artinya ada hubungan antara peran serta kader dengan mutu pelayanan posyandu balita strata madya dengan tingkat hubungannya rendah (0,338). Berarti semakin kader berperan aktif semakin baik mutu pelayanan posyandu balita. Diharapkan kepada bidan untuk mengoptimalkan pendampingan para kader dalam melaksanakan kegiatan posyandu dari awal hingga akhir kegiatan, agar dapat terciptakan mutu pelayanan posyandu yang baik.
HUBUNGAN ANTARA TINGKAT PENGETAHUAN DAN PELAKSANAAN SENAM NIFAS DENGAN KECEPATAN PROSES INVOLUSI UTERUS
At the time of pregnancy and delivery ligaments, pelvis diaphragm and facia were tightly stretched, eventually rotundum became loose and cause the uterus fall backward. To recover the tissue a post natal exercises need to be done. By doing the post natal exercise enabled the stretching of muscle tone of the abdominal and perineum, recover the venous pelvic, increase the uterus contraction that can smoothly passed of the lochea and speed up involution process. The aim of research was to analyze the relation between the phase of post natal knowledge and exercises with the velocity involution of the uterus. The research applied a Quasy Experiment design. Populations involved in this research were all physiologist post natal in RB/KIA Ã‚â€œEndang Ã‚â€ in Sidoarjo July 2010. The samples were collected using consecutive sampling, to analyze the relation between variables, used Chi Square test. The result showed that there was a correlation between post natal knowledge and exercises with the velocity of uterus involution where of p = 0,000 >ï¡ = 0,05 so there is a need to increase health promotion means about post natal exercises, hence forth post natal exercise helped post partum mother to regain their condition.
Studi Tentang Pola Asuh Orang Tua Terhadap Perilaku Hidup Bersih Dan Sehat Anak Usia 3-4 Tahun
Pola asuh adalah cara orang tua mendidik anak dan membesarkan anak yang dipengaruhi oleh banyak factor. Pola asuh yang diterapkan akan mempengaruhi perilaku dan pola tumbuh kembang anak. (Markum, 2007). Membentuk perilaku sehat anak dimulai sejak usia dini. Anak yang mendapatkan pesan kesehatan yang intens semenjak usia 0-6 tahun memiliki harapan lebih besar untuk berperilaku sehat di masa mendatang. (Adiwiryono, 2011). Tujuan penelitian adalah studi tentang pola asuh orang tua terhadap perilaku hidup bersih dan sehat anak usia 3 Ã‚â€“ 4 tahun di desa Buncitan Kecamatan Sedati, Kabupaten Sidoarjo. Dalam penelitian digunakan metode deskriptif , desain penelitian cross sectional dengan populasi seluruh ibu dan anak usia 3-4 tahun di Desa Buncitan Kecamatan Sedati Kabupaten Sidoarjo tahun 2012 sejumlah 34 responden. Pengambilan sampel dengan total sampling dan instrument penelitian yaitu kuesioner dan ceklist. Analisis menggunakan persentase. Hasil penelitian diperoleh data bahwa sebagian besar responden menerapkan pola asuh pemanja (32,4%) sedangkan anak yang menerapkan perilaku hidup bersih dan sehat sebagian besar secara tidak mandiri (61,7%). Dari hasil penelitian dapat disimpulkan bahwa pola asuh orang tua yang diterapkan mempengaruhi anak dalam berperilaku hidup bersih dan sehat.
HUBUNGAN OBESITAS TERHADAP PRE EKLAMPSIA PADA KEHAMILAN DI RSU HAJI. SURABAYA
Seseorang disebut mengalami obesitas apabila berat badan naik melampaui 20% dari berat badan normal dan kejadian tersebut berdampak pada penyakit sertaan, misal diabetes gestasional, hipertensi, gagal jantung, pre eklampsia, dsb. Sedangkan Pre eklampsia adalah timbulnya hipertensi disertai proteinuria dan edema akibat kehamilan setelah usia kehamilan 20 minggu atau segera setelah persalinan. Kejadian Pre Eklampsia menduduki nomor 2 mencapai 24% Angka Kematian Ibu di Indonesia. Dalam penelitian ini menggunakan desain penelitian deskriptif cross sectional dengan populasi Ibu hamil dengan usia kehamilan >20 minggu di RSU Haji. Pengambilan sampel dilakukan dengan cara purposive sampel yang berjumlah 30 responden, Berdasarkan hasil penelitian dari 30 responden yang terbanyak kejadian Pre Eklampsia Berat dengan Obesitas Ringan yakni 9 orang (30%),dan paling sedikit kejadian Pre Eklamsia Berat dengan pasien tidak Obesitas dan kejadian Pre Eklampsia Berat dengan Obesitas Berat masing-masing 1 orang (3.33%). Dari hasil penelitian ini maka peneliti harus lebih meningkatkan KIE (Komunikasi, Informasi, Edukasi) kepada masyarakat khususnya ibu hamil dengan berat badan berlebih atau obesitas tentang tanda bahaya pada kehamilan dan pengaturan pola makan melalui konsultasi tenaga medis (dokter/ bidan).
Hubungan Antara Pengetahuan Ibu Tentang Oral Hygiene Dengan Kejadian Moniliasis Pada Neonatus di Poli Tumbuh Kembang RSUD Sidoarjo
Di dapatkan bayi berusia 0 Ã‚â€“ 28 hari yang kontrol di poli tumbuh kembang RSUD Sidoarjo mengalami moniliasis. Faktor yang dapat mempengaruhi terjadinya moniliasis adalah pengetahuan ibu tentang perawatan bayi terutama oral hygiene. Penelitian ini bertujuan untuk mengetahui Hubungan Pengetahuan Ibu Tentang Oral Hygiene dengan Kejadian Moniliasis pada Bayi di Poli Tumbuh Kembang RSUD Sidoarjo. Desain penelitian yang digunakan adalah analitik korelasional dengan pendekatan cross sectional. Populasi pada penelitian ini adalah semua ibu yang mempunyai bayi dan berkunjung di Poli Tumbuh Kembang RSUD Sidoarjo pada bulan Juni 2013 sebanyak 64 responden dengan menggunakan Purposive sampling didapatkan sampel sebesar 30 responden. Penelitian ini menggunakan alat ukur kuisioner. Berdasarkan uji statistik dengan menggunakan Continuity correction (Ï‡2) untuk mengetahui hubungan antara pengetahuan ibu tentang oral hygiene dengan kejadian moniliasis pada neonatus didapatkan Ï‡2 : 13,040 p : 0,001 dan tingkat kemaknaan Î± : 0,05 maka P <Î± sehingga Ho ditolak dan H1 diterima, yang artinya ada hubungan antara pengetahuan ibu tentang oral hygiene dengan kejadian moniliasis pada neonatus. Hal ini dibuktikan oleh 12 responden (40%)yang mempunyai pengetahuan baik tentang oral hygiene. Dan angka kejadian moniliasis pada bayi hanya sebagian kecil yaitu terjadi pada 8 responden (26,7%). Saran dari peneliti diharapkan para ibu harus lebih memperhatikan perilaku kesehatan yang diberikan kepada bayinya dengan menambah pengetahuan tentang personal hygiene terutama oral hygiene serta berani mengaplikasikan pada bayinya.
Hubungan antara Usia, Paritas Dengan Persalinan Kala II Lama (Studi Kasus di RSUD dr. Moch. Soewandhie Surabaya)
Komplikasi persalinan merupakan salah satu penyebab kematian ibu, termasuk persalinan Kala II Lama. Persalinan Kala II Lama merupakan penyumbang urutan kelima terjadinya mortalitas ibu di Indonesia setelah perdarahan, eklampsi, infeksi dan komplikasi nifas. Adapun tujuan penelitian ini adalah untuk mengetahui hubungan antara usia, paritas dengan persalinan Kala II Lama. Penelitian ini merupakan penelitian analitik dengan rancangan cross sectional. Populasi yang digunakan adalah semua ibu bersalin di RSUD dr. Moch. Soewandhie Surabaya, sebanyak 625 ibu bersalin yang diambil dari buku register persalinan bulan Januari-Maret 2011. Sampel ditentukan dengan menggunakan rumus , dengan jumlah sampel 240 ibu bersalin yang dipilih secara sampel random sampling. Ada dua variabel dalam penelitian ini yaitu variabel bebas (usia, paritas) dan variabel tergantung (persalinan kala II lama) dan istrumen yang digunakan adalah Rekam medik ruang bersalin RSUD dr. Moch. Soewandhie Surabaya. Analisis hubungan antara usia, paritas dan persalinan kala II lama digunakan analisis chi-square dengan taraf signifikan 0,05. Hasil penelitian ini menunjukkan bahwa dari 240 ibu bersalin terdapat 17 ibu yang mengalami persalinan kala II lama. Dari ibu yang mengalami kala II lama sebagian besar adalah grande multi sebanyak 6 orang (2,50%) dan ibu yang berusia > 35 sebanyak 9 orang (4,17%). Hasil uji chi-square untuk usia didapatkan x2 = 124,110 dengan probabilitas (sig) = 0,000 dan uji chi-square untuk paritas didapatkan x2 = 86,259 dengan probabilitas (sig) = 0,000. Maka artinya probabilitas (sig) = 0,000 < 0,05. Maka hipotesis terbukti, artinya ada hubungan antara usia, paritas dengan persalinan kala II lama.
Efektifitas Ekstrak Sauropus Androgynus (Daun Katuk) dan Ekstrak Moringa oleifera Lamk (Daun Kelor) terhadap Proses Persalinan, Produksi Kolostrumdan Proses Involusi Uteri Ibu Postpartum
Kelahiran sang buah hati adalah moment bahagia yang dinantikan oleh semua orang tua. Seorang ibu yang mampu memberikan ASI secara eksklusif (0-6 bulan) memberikan arti kebahagiaan tersendiri bagi seorang ibu. Tetapi tidak jarang, hal ini terkendala dengan produksi ASI ibu yang belum keluar pada hari-hari pertama menyusui. Hal inilah yang membuat orang tua khawatir tidak bisa memenuhi kebutuhan nutrisi bayinya diawal kehidupannya, sehingga memutuskan untuk memberikan susu formula. Tujuan penelitan adalah untuk mengetahui Efektifitas Ekstrak Sauropus Androgynus (Daun Katuk) dan Ekstrak Moringa oleifera Lamk (Daun Kelor)terhadap Proses Persalinan, Produksi Kolostrumdan Proses Involusi Uteri Ibu Postpartum. Metode yang digunakan dalam pengambilan sampel adalah menggunakan metode total sampling. Dengan sampel penelitian adalah semua ibu hamil usia kehamilan 37-40 minggu yang melahirkan normal di Praktik MandiriBidan. Jenis penelitian ini adalah true eksperimen dengan desain penelitian posttest with control group design. Hasil penelitian adalah tidak ada pengaruh pemberian ekstrak daun katuk dan ekstrak daun kelor terhadap proses persalinan dengan nilai p=0,457>Î±=0,05. Pemberian daun katuk lebih efektif dibanding daun kelor dalam hal mempercepat pengeluaran produksi kolostrum dengan nilai p=0,026<Î±=0,05. Dan tidak ada perbedaan antara pemberian daun katuk dengan daun kelor terhadap proses involutio uteri dengan nilai p=0,552>Î±=0,05 (24jam), p=0,905>Î±=0,05 (48jam), p=0,719>Î±=0,05 (72jam). Kesimpulan adalah ekstrak daun katuk dan ekstrak daun kelor bisa diberikan pada ibu hamil trimester III dan tidak menimbulkan komplikasi proses persalinan, ekstrak daun katuk lebih efektif dalam meningkatkan produksi ASI dan tidak ada pengaruh terhadap proses involusi uteri
Ekstrak Sauropus Androgynus (Daun Katuk)
Ekstrak Moringa oleifera Lamk (Daun Kelor)
Produksi Kolostrum dan Proses Involusi Uteri Ibu Postpartum
In development and advanced country the expectation age have been increased. This increased connected with the big decreased in prevalence of the cardiovascular disease and stroke.In elderly in which the physical fitness have been decreased, training with low intensity ( for example 40% of maximal heart rate ) will be more safe and can increased the physical and mental fitness that can make them not depend to another people. In elderly the decline of body function 50% was caused by the sedentary life. The consequency of immobilization influenced body systems such as cardiovascular, respiration, body composition and musculoskeletal, nervous system and also the senses and intellectual. Training indirectly can make elder have social interaction, feeling well and increased sleeping quality. Directly training can increased the body function, prevent and cure some diseases. The training program for elder include theurapetic training, muscle and strength training, balance training and stretching.
HUBUNGAN PELAYANAN KONSELING KB TENTANG AKDR DENGAN CAKUPAN AKSEPTOR AKDR
Program Keluarga Berencana yang sudah dijalankan sejak tahun 1970-an mampu menekan laju pertumbuhan penduduk. Menurut BKKBN dalam data statistik Indonesia periode tahun 2007 tentang pemakaian kontrasepsi di Indonesia yaitu 33,10% menggunakan kontrasepsi suntik, 13,50% menggunakan kontrasepsi pil, 5,20% menggunakan IUD, 2,70% menggunakan kontrasepsi implant dan 2,60% menggunakan kontrasepsi mantap sedangkan sisanya sebesar 42,9% menggunakan metode kontrasepsi lainnya. Dari akseptor KB tersebut yang paling rendah adalah penggunaan Kontrasepsi AKDR, ini dikarenakan tidak dilakukannya konseling tentang metode kontrasepsi dan pelayanan kontrasepsi yang diberikan oleh petugas kesehatan hanya berdasarkan permintaan calon akseptor. Jenis penelitian ini Observasional analitik dengan pendekatan Cross Sectional dengan populasi 50 akseptor KB pada bulan september 2011 di RSIA Prima Husada. Pengambilan sampel dengan total sampling sejumlah 50 orang. Instrumen penelitian menggunakan kuesioner. Analisa data digunakan adalah uji chisquare yaitu didapatkan hasil signifikan, menunjukkan bahwa tidak ada hubungan antara pelayanan konseling dengan cakupan AKDR (p = 0,179). Berdasarkan hasil penelitian diperoleh bahwa sebagian besar bidan dalam melakukan pelayanan KB melakukan konseling secara menyeluruh (80%), cakupan AKDR di RSIA Prima Husada sebesar 20%, dan tidak ada hubungan antara pelayanan konseling dengan cakupan AKDR
A Demographic Analysis of Stunting Issues in Relation to The Individuals Antenatal Care Services
Quality prenatal examinations can aid in the early detection of nutritional issues and provide necessary interventions. The standard for Antenatal Care (ANC) in Indonesia has been established to include a minimum of six visits throughout pregnancy, with a focus on monitoring maternal and fetal health. This study analyzes the demographic factors of maternal age, parity, gestational age, and occupation in relation to the individuals' ANC services and the incidence of stunting. The design of this study is a case-control study (1:1) with a total sample size of 212. The results indicated that maternal age, parity, gestational age, and occupation correlated with the individuals' ANC services. Maternal age during pregnancy exhibited a significant relationship with individuals' ANC service (p equal 0.001; OR equal 4.71), parity (p equal 0.001; OR equal 6.11), maternal gestational age (p equal 0.002; OR equal 3.80), maternal occupation (p equal 0.001; OR equal 4.25), and individuals' ANC services (p equal 0.001) concerning the occurrence of stunting. It is recommended to prioritize the enhancement of ANC services according to established standards, including routine examinations, monitoring of fetal growth, provision of appropriate health Education during pregnancy, and support from skilled healthcare professionals, to prevent complications and stunting.
Copyright (c) 2025 Dwie Yunita Baska, Diah Eka Nugraheni, Vera Iriani Abdullah, Nora Isa Tri Novadela, Bertalina https://creativecommons.org/licenses/by-sa/4.0
Study of Hegu Point Stimulation in Increasing Toddler's Appetite as a Complementary Local Wisdom Therapy
Toddlers require a balanced diet for their growth and development. Child growth and development can be disrupted if a child experiences stunting due to unmet food needs. To meet food needs, it is necessary to increase the toddler's appetite. To increase appetite, one alternative is to provide stimulation. The research aims to provide Hegu point stimulation to increase appetite in toddlers. This research used a descriptive method with 15 toddler participants. The population of this study consisted of toddlers aged 13 months to 60 months. Sampling technique with total sampling. The participants will have their appetite measured before and after being given Hegu stimulation. Stimulation was given once a day with 30 rounds for 30 days. The results showed that the number of female toddlers was 8 (53 percent), and the number of male toddlers was 7 (47 percent). The increase in appetite was observed in 8 toddlers (53percent) and more than twice as many toddlers (7, 47 percent). Thus, there is an increase in toddlers' appetite after giving Hegu stimulation, so that in future research, the duration of stimulation can be considered.
Copyright (c) 2025 Patemah Patemah, Ervin Rufaindah https://creativecommons.org/licenses/by-sa/4.0
The Association of Occupation and Income with The Incidence of Stunting
Stunting is the most common form of child malnutrition worldwide, affecting 161 million children aged 0 to 5 years. One way to look at a community's general health condition is through the socioeconomic status within that group. This study aimed to determine the relationship between occupation and income with the incidence of stunting in the Ngalang sub-district. The design of this study was cross-sectional with a population of 85 parents who had toddlers aged 0-60 months with stunting conditions in Ngalang Village, Gunungkidul Yogyakarta. The sampling technique used was purposive sampling with the Slovin method with an error tolerance of 10percent, so the sample size was 46 parents and stunted toddlers who met the inclusion criteria. Data were analysed using Spearman's rho test. The results showed that the father's job was p equal 0.021, the mother's job was p equal 0.70, and the family income was p equal 0.023. There is an association between father's occupation and family income on the condition of stunted toddlers. However, there is no relationship between the mother's job and the condition of stunted toddlers in Ngalang Village. The advice given in this study is that families with stunted toddlers should look for opportunities to increase family income, such as finding additional work or starting a small business from home.
Copyright (c) 2024 Fifin Dewi Fitriani, Tri Sunarsih, Lily Yulaikhah https://creativecommons.org/licenses/by-sa/4.0
The Relationship Between the Coverage of Antenatal Care (K4) Visits to Flood Incidents
Antenatal care or pregnancy care/examination is one of the factors that is very important to be considered and carried out by pregnant women to prevent complications until death occurs during childbirth, in addition to that, it is also very important to maintain and monitor the health and growth of the fetus. The main problem that is the highest is the maternal and infant mortality rate. The KIA program is responsible for providing health services to pregnant women, mothers giving birth, and neonatal babies. Floods are a form of disaster in Indonesia that occurs almost every year. In the last ten years, flood disasters have always occupied the first position of disaster events. Ngrame Village is one of the villages in the Pungging Mojokerto sub-district that experienced a flood event. The flood incident was caused by the collapse of barriers in two rivers in the Mojosari Region, and 4 points broke. The initial survey results in March 2024 showed that ten pregnant women in TM III and 20 pregnant women in TM III were evacuated to other villages due to the flood disaster in Ngrame village. Using the chi-square test, this study uses the cross-sectional method located in Polindes, Ngrame Village, with a sample of 20 TM III pregnant women. The results of the calculation of the chi-square test using SPSS (value = 0.00) can be concluded so that it can be concluded that Ho was accepted as having a relationship between the coverage of antenatal care (K4) visits to flood events in Polindes, Ngrame Village, Watukenongo Health Center, Mojokerto Regency.
Copyright (c) 2024 Kholifatul Ummah https://creativecommons.org/licenses/by-sa/4.0
Effectiveness of Administration of Papaya Leaf Capsule Extract (Carica Papaya) and Moringa Leaves (Moringa Oleifera) on Increasing Prolactin Hormones in Breastfeeding Mothers
This research aimed to determine the effectiveness of administering papaya (Carica Papaya) and Moringa leaf (Moringa oleifera) capsule extracts on prolactin hormone levels in breastfeeding mothers in PMB M Palangka Raya City. The research used was Quasy Experimental, Two Group Pretest – Posttest design (two groups pretest – posttest). The sampling technique used was purposive sampling, with a total sample of 66 respondents who met or met the inclusion criteria. The statistical test used is the Independent T-test. Based on the significance results, the resulting Z statistic is -3.531 with a probability of 0.000. This means that probability less than significance level (alpha equals 5percent). Thus, it can be stated that there is a significant difference in the levels of the hormone prolactin in breastfeeding mothers in PMB M Palangka Raya City before and after administering Moringa leaf capsule extract.
Papaya Leaf Capsule Extract; Moringa Leaves; Prolactin Hormone; Breastfeeding Mothers
Copyright (c) 2024 Sofia Mawaddah https://creativecommons.org/licenses/by-sa/4.0
The Influence of Parenting Styles and Parental Attitudes on The Behavioral Development of Children Aged 3- 5 Years
Developmental abnormalities in children can occur as a result of parental inattention and attitudes. The purpose of this study is to understand better the association between parenting methods and parental attitudes and the conduct of children aged three to five. The research method is descriptive-analytical, with a cross-sectional approach. TKM NU 166 Nahdlatul Ummah Goloka Kanjeng Sepuh Gresik is home to 34 parents with children aged 3-5 years. Purposive sampling was utilized, with 30 parents as the sample size. Questionnaires were used to collect data on parenting techniques, parental views, and children's conduct. Observation checklists were also used. Data were processed using frequency distribution tables and examined using the Lamda statistical test. The outcomes of the data analysis were triangulated using interviews, observations, and documentation. The study found that 11 children (84.6percent) with democratic parenting exhibited prosocial behavior, but authoritarian and permissive parenting styles were linked to antisocial behavior. All children (100percent) of parents with negative attitudes engaged in antisocial behavior. The conclusion is that parenting techniques and parental attitudes influence children's conduct.
Copyright (c) 2024 Siti Mudlikah https://creativecommons.org/licenses/by-sa/4.0
The Effect of Baby Massage on Sleep Quantity in Infants Aged 6-12 Months With Cough and Cold
Sleep quantity is very important for infant growth and development. If the baby’s sleep quantity is poor, it can cause the baby’s physiology and psychology to be disturbed. In infant with cough and cold, the most common problem is sleeping disturbance. One of the non-pharmacological therapies that can be given to babies who are coughing and cold is baby massage. Baby massage can also cause a decrease in alpha waves and beta waves, so that theta waves will increase. This study aims to determine the effect of baby massage on the quantity of sleep-in infant aged 6-12 months with a cold cough in the working area of Karang Rejo Health Centre, Tarakan. This research was quantitative research with quasi experimental design pre and post with out control. The population in this study amounted to 124 babies. The sample size was 33 respondents. The result showed the quantity of sleep infants aged 6-12 month with a cold cough before being given a massage intervention 33 infant (100percent) with a bad category, after being given a baby massage intervention the quantity of sleep of infant aged 6-12 months with a cold cough increased to a good category namely 27 infants (81,8percent). Bivariate analysis Wilcoxon test showed p-value= 0,001 (p-value less than 0,05) which means that there was an effect of giving baby massage on the quantity of sleep of infant aged 6-12 months with a cold cough in the working area of Karang Rejo Health Centre, Tarakan.
Infant massage, Sleep Quantity, Infant 6-12, Cold Cough
Copyright (c) 2024 Wahyu Asih Winda Firdawanti, Nurrahmi Umami, Agus Purnama Sari https://creativecommons.org/licenses/by-sa/4.0
The Influence of Progressive Relaxation on Anxiety in Pregnant Women with Hypertension
Hypertensive disorders during pregnancy are a serious issue affecting between 5 percent to 10 percent of all pregnancies globally. Women experiencing hypertension during pregnancy may suffer significant psychological impacts, including anxiety. Progressive muscle relaxation exercises can help reduce muscle tension, enhance feelings of happiness, and alleviate stress and anxiety during pregnancy. The purpose of the study was to determine the effect of progressive relaxation on anxiety in pregnant women with hypertension. The research employed a Quasi-Experimental approach using a pretest-posttest control group design with 60 participants. The participants were split into two groups: the intervention group (30 participants), who received progressive relaxation twice a day for 14 days, and the control group (30 participants), who received standard care. The Paired Sample T-Test revealed a noteworthy reduction in anxiety levels (p equal 0.000) among the intervention group. In contrast, the control group did not exhibit significant alterations in anxiety levels (p equal 0.746) after the treatment. Thus, progressive relaxation proves effective in reducing anxiety levels among pregnant women with hypertension. Future research should consider increasing the frequency and duration of interventions and exploring alternative approaches to further address hypertension issues during pregnancy.
Copyright (c) 2024 Ning Arum Nur Rosyadah, Finta Isti Kundarti, Indah Rahmaningtyas, Dwi Estuning Rahayu https://creativecommons.org/licenses/by-sa/4.0
The Effect of the Unting Debt Game (Anti-Stunting Snake and Ladder) on Increasing Knowledge About Stunting
The prevalence of stunting in the world, as collected by WHO in 2020, was 150.8 million (22.2percent). WHO has designated five regions as stunting prevalence, including Indonesia in the Southeast Asian region with a prevalence rate (36.4percent). Adolescents are a group that has the potential to be agents of behavior change. For this reason, adolescents need to be given education to increase knowledge and build awareness of the impact of stunting in the future. This study aims to determine the influence of Uting Debt Media (Snake and Ladder Stunting) in increasing adolescents' knowledge about stunting. This research is quantitative. The type of research used was Quasy Experimental pretest and posttest with the control group. The population in this study is all young women of MTS Jamaluddin Bagik Nyaka Village in August 2024, with a sample of 30 people divided into two groups with 15 members each and using purposive sampling techniques. Data collection was carried out using a questionnaire to determine the level of knowledge of adolescent girls about stunting before and after the intervention. The statistical results of the post-test of the experimental and control groups using the Mann-Whitney techniques showed Asymp. signature. (2-tailed) 0.012 less than 0.050, with the mean rank of the experimental group of 19.00 and the mean rank of the control group of 12.00. So, it can be concluded that there is a significant difference in the results of the post-test of the experimental group and the control group, which affects the increase of knowledge in the experimental group before and after being given treatment to increase adolescent knowledge about stunting
Copyright (c) 2024 Cahaya Indah Lestari, Catur Esty Pamungkas, Siti Mardiyah WD, Rizkia Amilia, Ni Wayan Ari Adiputri, Evi Diliana Rospia, Indriyani Makmun, Aulia Amini, Dwi Kartika Cahyaningtyas https://creativecommons.org/licenses/by-sa/4.0
Golden1000 Android-Based Application Development Model for Stunting Prevention
Stunting is a condition in which toddlers have a length or height that is less than their age, occurring due to malnutrition in the first 1000 days of life (HPK). An effort to answer this problem is the existence of the golden1000 application, which is an android-based application that can be used by pregnant women, breastfeeding mothers, mothers with children under 24 months, and midwives in escorting 1000 HPK. The research method used is to analyse user needs, design, algorithms, implementations, and application testing. The results of the research obtained the features needed in the application, including the log-in menu, register, pregnancy, breastfeeding, MP-ASI, articles, child interaction, videos, online consultations, photo albums, agendas, and log-out. The Golden1000 application has a feature that displays educational needs for pregnant women, breastfeeding mothers, and mothers with 2-year-old children, and midwives to escort 1000 HPK to prevent stunting.
Copyright (c) 2024 Melsa Sagita Imaniar, Dewi Nurdianti, Irma Nuraini https://creativecommons.org/licenses/by-sa/4.0