Embrio : Jurnal Kebidanan 2022-05-31T22:12:19+07:00 Desta Ayu Cahya Rosyida Open Journal Systems <p>Jurnal EMBRIO is the bachelor midwifery journal at PGRI Adi Buana University in Surabaya, <strong>(P-ISSN: 2089-8789 dan E-ISSN: 2714-7886).</strong> Which publish articles in midwifery, including: birth pregnancy, labor, childbirth; baby; family planning; reproductive health; complementary midwifery care.</p> <p><strong>Publication schedule: May and November</strong></p> <p>This journal publishes scientific papers that discuss the results of research studies and literature reviews as well as the latest issues and trends occuring.</p> Risk Factors of Preeclampsia at Dupak Public Health Center Surabaya: Case Control Study 2021-11-10T02:50:37+07:00 Elga Caecaria Grahardika Andani Muhammad Alamsyah Aziz Johanes Cornelius Mose <p>Preeclampsia causes maternal death around 30-40% and tends to increase when accompanied by other organ complications. Preeclampsia is the first target to reduce maternal mortality because screening and prevention can be done. This research aims to analyze the risk factors for the incidence of preeclampsia. This research design is case control using primary data via google form. The research subjects were mothers who had given birth at Dupak Public Health Center Surabaya. Sampling was based on total sampling and simple random sampling technique that met the inclusion and exclusion criterias, each group consisted of 75 peoples. The analysis used was logistic regression and chi square. The results showed multiple pregnancies (AOR 3.89; 95% CI 0.714-21.186), family history of preeclampsia (AOR 5.19; 95% CI 1.287-20.959), previous history of preeclampsia (AOR 7.56; 95% CI 1.999-28.601), obesity (AOR 5.05; 95% CI 1.651-15.470) and chronic hypertension (AOR 5.12; 95% CI 1.294-20.312). The conclusion of this research is the previous history of preeclampsia is the strong risk factors of preeclampsia. Comprehensive antenatal care services and strict supervision of pregnant women with high risk can prevent serious complications for both mother and baby.</p> 2022-05-31T00:00:00+07:00 Copyright (c) 2022 Elga Caecaria Grahardika Andani, Muhammad Alamsyah Aziz , Johanes Cornelius Mose Correlates of Reproductive Health Knowledge Level and Menarche Readiness in Early Adolescent Girls 2021-11-17T09:01:55+07:00 Era Fazira Reny I’tishom Rize Budi Amalia <p>Menarche is the first monthly cycle in early adolescence. To face menarche, young women need mental and physical preparation. There are several factors that influence the preparation for menarche, one of which is information on reproductive health. The level of reproductive health information will affect the preparation and behavior of young women in facing their first monthly cycle. This research was conducted so as not to cause adverse effects on young women who are facing menarche. This review aims to show the relationship between the level of information about reproductive health with menarche readiness in adolescent girls aged 10-14 years. This study is an in-depth observational study with a cross-sectional examination plan. The number of research subjects was 104 young women aged 10-14 years who had experienced menarche at SDN Mandesan 02 and SMPN 1 Selopuro. The information collected has been tested with the factual Fisher Exact Test. The results showed that almost all respondents (97.1%) had good information. most respondents (96.9%) who are ready to face menarche have good information and all respondents (100%) who are not ready to face menarche have good information and all respondents (100%) who are not ready to face menarche have good information about reproduction health. Conclusion: there is no relationship between the level of knowledge about the welfare of conception with menarche preparation in early adolescence.</p> 2022-05-31T00:00:00+07:00 Copyright (c) 2022 Era Fazira, Reny I’tishom, Rize Budi Amalia The Effectiveness of Prenatal Yoga in Overcoming Labor Pain 2022-02-24T13:09:12+07:00 Nur Zuwariyah Uliyatul Laili <p>Mothers giving birth will feel pain in the opening phase and decrease due to uterine contractions. Pain management can be processed since pregnancy with prenatal yoga. The purpose of this study was to determine the effectiveness of prenatal yoga on labor pain that occurs in the first stage. This study was conducted using a quasi-experimental method. Sampling was carried out from April to June 2020. The research sample was 40 people, which were taken using the consecutive sampling method. Inclusion criteria in this study were pregnant women with gestational age 30 weeks with physiological pregnancy. Furthermore, data analysis was carried out by comparing the group that did prenatal yoga and the group that did not do prenatal yoga. Data analysis was carried out univariately with frequency distribution and bivariate with Mann Whitney test. The results showed that the average pain scale felt in the prenatal yoga group was 5.8 while the group that did not do prenatal yoga was 8.1. Statistical analysis showed a p value of 0.001 &lt; 0.005, which means that there is a difference in pain scale between the prenatal yoga group and not. It can be concluded that the implementation of prenatal yoga is effective in overcoming labor pain</p> 2022-05-31T00:00:00+07:00 Copyright (c) 2022 Nur Zuwariyah, Uliyatul Laili The Effect of Oxytocin Massage on Breast Milk Production in Postpartum Mothers at PMB Nurul Awalia Astarie, A.Md. Keb, Mojoagung District, Jombang Regency 2022-02-21T01:21:24+07:00 Henny Sulistyawati Yana Eka Mildiana <p>Oxytocin massage is stimulation that can be given to stimulate milk production. Massage can provide comfort to the mother after the delivery process. This study used a quasi-experimental method with a one-group pre-and post-test design. Measurements were carried out before and after the research intervention. Measurements were made using an observation sheet (breast milk production) and then given an intervention (oxytocin massage) followed by an evaluation on day 3 using an observation sheet (breast milk production). The results of this evaluation were compared with the results of measurements before the intervention was given. The characteristics of the most oxytocin massage respondents, based on age were 20-35 years, 24 respondents (80%), multiparity parity 21 respondents (70%), and normal upper arm circumference 23.5 – 26.5 cm 15 respondents (50%). The breast milk production before the oxytocin massage was carried out with the most breast milk not lagging as many as 25 respondents (83.3%), after the oxytocin massage the milk flow was smooth as many as 28 respondents (93.3%). The results of statistical tests using Mcnemar Test obtained p-value = 0.000 or p &lt; = 0.05. There is an effect of oxytocin massage on milk production in postpartum mothers at PMB Nurul Awalia Astarie, A.Md. Keb. Conclusion Oxytocin massage has an effect on breast milk production in postpartum mothers. Suggestion. It is hoped that as input for knowledge, it can be applied as part of the oxytocin massage intervention for health workers and the public for Smooth Breastfeeding.</p> 2022-05-31T00:00:00+07:00 Copyright (c) 2022 Henny Sulistyawati, Yana Eka Mildiana First Stage Active Multipara With Apgar Score 2022-02-24T12:48:39+07:00 Siti Choirul Dwi Astuti Rabia Zakaria <p>The APGAR score is a simple method used to assess the general condition of the baby immediately after birth. This assessment is necessary to determine asphyxia in newborns. The APGAR score is influenced by many factors, one of which is the duration of labor. For the longest time it takes for labor to be in the first stage. Maternal parity also determines the duration of the first stage. Monitoring of mothers in labor begins during the active phase of the first stage. The purpose of this study in general was to determine the effect of the first stage of the active multipara phase on the APGAR score. This research method is an observational posttest only control group design with a cross-sectional approach and uses a purposive sampling technique to determine 60 samples. Data analysis using ANOVA test. The results of this study showed a linear relationship between the first stage of the active phase and the APGAR score indicated by the p-value of 0.0001. In conclusion, the shorter the duration of the first stage of the active phase of multiparous APGAR mothers, the score will increase.</p> 2022-05-31T00:00:00+07:00 Copyright (c) 2022 Siti Choirul Dwi Astuti, Rabia Zakaria Relationship Breast Examination (Breast Own Examination) As Ca Mamae Early Detection Behavior in Mother Fatayat 2022-03-11T03:32:26+07:00 Lilik Darwati Khusnul Nikmah Mersya Nur Avivah Aziz <p>Cancer is one of the main causes of morbidity and mortality worldwide. Breast cancer screening is an examination or attempt to find abnormalities that lead to breast cancer in a person or group of people who have no complaints. The initial effort to do a Mamae ca screening is by BSE or breast self-examination. BSE is an individual effort or each woman. The purpose of this research is to find out whether there is a relationship between awareness knowledge as early detection behavior ca Mamae. The research design used was observational analysis. The sampling technique used was purposive sampling. Data were collected by means of a questionnaire and analysis was performed by calculating the Chi-Square test (square (a = 0.05). The results of respondents who had a good level of knowledge were 51 mothers (92.7%) and 41 mothers (74.5%) who did breast self-examination. And based on the chi-square test, it was found that the p-value (0.047). This shows that the level of knowledge has a significant relationship with breast self-examination behavior because a value is smaller than the p value, namely the p value (0.047) &lt; a (0.05).</p> 2022-05-31T00:00:00+07:00 Copyright (c) 2022 Lilik Darwati, Khusnul Nikmah, Mersya Nur Avivah Aziz The Effectiveness of Early Initiation of Breastfeeding (IMD) in Reducing the Incidence of Hypothermia in Newborn at Ngimbang Lamongan Hospital in 2021 2021-10-12T05:20:21+07:00 Kustini Kustini Ayu Erisnawati <p>Early initiation of breastfeeding affects the body temperature of newborns, because heat loss in infants is four times greater than in adults. This action as a life saver, early initiation of breastfeeding can also save 22 percent of babies who die before the age of one month. The purpose of this study was to determine the effect of early initiation of breastfeeding on changes in body temperature in newborns. The design of this study used a quasi-experimental approach with pretest and posttest approaches. The sampling method is by accidental sampling. Data were collected by means of observation, and analyzed using a computerized Wilcoxon test with a significance level of P-Sign &lt;0.05. The results showed that almost 90% of newborns before early initiation of breastfeeding experienced a decrease in body temperature and after early initiation of breastfeeding only 10% experienced low body temperature. From the results of statistical testing, the results obtained with Z = -4.243 and P value = 0.000. The conclusion of this study is that there is an effect of early initiation of breastfeeding on changes in body temperature of newborns at Ngimbang Lamongan Hospital in 2021. Looking at the results of this study, it is hoped that midwives will continue to provide early initiation of breastfeeding to every newborn to prevent hypothermia.</p> 2022-05-31T00:00:00+07:00 Copyright (c) 2022 Kustini Kustini, Ayu Erisnawati Sympathetic Nerve Hyperactivity and Nitric Oxide Levels on Blood Pressure Dynamics among Pregnant Women 2022-03-15T05:01:01+07:00 Meli Doloksaribu <p>Hypertension is a complication that most often occurs in pregnancy (5-10% of pregnancies). About 30% of hypertension is caused by chronic hypertension and 70% is caused by gestasional pre-eclampsia hypertension. Blood pressure is a hemodynamic parameter that is simple and easy to measure. Blood pressure describes a person’s hemodynamic situation. Studies show that the sympathetic nervous system plays an important role in the pathogenesis of hypertension, namely an increase in the activity of the sympathetic nervous system. The autonomic nervous system causes vasoconstriction and arterial dilatation to maintain blood pressure. The study aimed to determine the levels of nitric oxide and sympathetic nerve hyperactivity. This study used a prospective cohort study design. To assess the hyperactivity of the sympathetic nerves, a Cold Pressor Test was performed and the levels of Nitric Oxide were examined for blood serum samples using the Elisa Kit. Where the measurement is carried out once, namely during the second trimester of pregnancy, while the blood pressure of pregnant women is measured once a week and followed up to 24 weeks of gestation. The number of samples was 40 pregnant women who were selected by consecutive sampling. Data collection was carried out according to data collection procedures. The data obtained in a prospective cohort were used statistical analysis of the Mann Whitney test to see the relationship or correlation between Sympathetic Nerve Hyperactivity and Nitric Oxide Levels and Blood Pressure Dynamics. The results showed that the mother was hyperreactor (12.44 ± 5.811) and mother was normoreactor (10.46 ± 3.215). Bivariate analysis showed that there was no significant difference between sympathetic nerve hyperactivity and nitric oxide levels (p=0.172). It was concluded that sympathetic nerve activity did not have a significant relationship with the increase in nitric oxide levels<em>.</em></p> 2022-05-31T00:00:00+07:00 Copyright (c) 2022 Meli Doloksaribu Prenatal Massage to Reduce Psychological Stress in Teenage Mothers and Its Implications for Stunting Prevention 2022-03-15T02:22:15+07:00 Tri Purwanti Fera Yuli Setiyaningsih <p>Teenage pregnancy is a global problem with a very high number, where the risk of giving birth to stunting children is 2.74 times compared to woman who gives birth at reproductive age. This type of research is a quantitative analysis using Quasi Experiment design with One group pre-post test design method. The independent variable is pre natal massage and the dependent variable is the stress of pregnant women in the third trimester and stunting of newborns. The sample in this study were all 15 pregnant women during the third trimester PMB Lilis Surya Wati, Sariloyo Hamlet, Sambongdukuh Village, Jombang Regency. Data analysis using SPSS software with Wilcoxon statistical test. The results of the analysis test showed a significant relationship between the frequency of prenatal massage and the risk of stunting. The result which obtained a significant value of 0.002 (p&lt; 0,05), so it could be concluded that the frequency of prenatal massage that was more frequent reduced stress and the risk of stunting a significant &lt; 0.002. There is an effect of prenatal massage to reduce psychological stress in teenage pregnancy and its implications for stunting prevention</p> 2022-05-31T00:00:00+07:00 Copyright (c) 2022 Tri Purwanti, Fera Yuli Setiyaningsih Antifungi Test of Red Spinning Extract (Amaranthus tricolor L.) on The Growth of Candida albicans 2022-02-24T02:58:48+07:00 Wenny Rahmawati Dwi Norma Retnaningrum <p>Candidiasis is starting to increase globally in line with the increase in the immunocompromised population such as people with HIV (Human Immunodeficiency Virus), diabetes mellitus, antibiotic consumption, and pregnant women. The incidence of candidiasis in pregnant women increased by 40%. Candidiasis is caused by a Candida yeast infection such as Candida albicans. Red spinach (Amaranthus tricolor L.) is a plant that has antifungal effects because it contains alkaloids, tannins, saponins, and flavonoids. The research was conducted in a laboratory experimental manner using the disc diffusion method to determine the effectiveness of red spinach (Amaranthus tricolor L.) as an antifungal against Candida albicans in vitro. Analysis of the data used is Anova One Way and Pearson correlation. Based on the results of the study, the highest inhibition zone was at a concentration of 100%, namely 16.4 mm, this means that red spinach (Amaranthus tricolor L.) has strong antifungal power to inhibit the growth of Candida albicans. Researchers hope that these results can be a general reference material for further research to prevent candidiasis so as to improve maternal health rates.</p> 2022-05-31T00:00:00+07:00 Copyright (c) 2022 Wenny Rahmawati, Dwi Norma Retnaningrum The Correlation in The Anxiety of Pregnant Women Third Trimester With The Coverage of Antenatal Care During The Covid-19 Pandemic in Kertosari Village Banyuwangi 2022-02-14T11:10:54+07:00 Miftahul Hakiki Nurul Eko Widiyastuti Setiana Andarwulan <p>Pregnancy is a natural process. Changes that occur in women during normal pregnancy are physiological, the care provided by minimize intervention. The impact of the Covid-19 pandemic on pregnant women is the emergence of a concern/anxiety related to neonatal growth and development. Therefore, pregnant women need special attention regarding prevention, diagnosis, and management. Anxiety is a state of understanding or worrying that something bad will happen. According to WHO policy, the standard of care for pregnancy is at least 4 visits, one time visit in the 1st trimester, one time visit in the 2nd trimester, two time visit in the 3nd trimester. The study aims to identify the anxiety of pregnant women during the Covid-19 pandemic, to identify the coverage of antenatal care and to analyze the relationship between the anxiety of third trimester pregnant women during the Covid-19 pandemic and the coverage of antenatal care.Cross sectional research design. The population is all third trimester pregnant women in Kertosari Village. The sample taken is 35 respondents, using purposive sampling technique. Collecting data using questions for the anxiety of pregnant women and coverage of antenatal care. Data analysis using Chi Square test with significant results 0.005 where significant 0.005 &gt; 0.05. It was concluded that there was a positive correlation between the anxiety of pregnant women in the third trimester of coverage of antenatal care during the Covid-19 pandemic. So it can be said that the high anxiety of pregnant women in the third trimester will cause low antenatal care visits.</p> 2022-05-31T00:00:00+07:00 Copyright (c) 2022 Miftahul Hakiki, Nurul Eko Widiyastuti, Setiana Andarwulan Development of Sahabat Bunda Application Android-based | Prevention of Stunting as an Effort of Early Prevention of Stunting 2022-03-30T17:49:17+07:00 Selasih Putri Isnawati Hadi Tri Budi Rahayu <p><em>The sustainability of a nation is undeniably determined by the quality of the nation's generation as its successor. One of the health problems arising in developing countries including Indonesia is stunting, a condition where children’s height is shorter than those of their age. The First 1000 Days of Life Priority is an effort carried out to prevent stunting, given that malnutrition in this golden period can be irreversible (cannot be recovered). This research aims to develop an android-based application as an effort of early prevention of stunting. This research is considered as a Research and Development (R&amp;D) carried out by using the ADDIE method: Analysis, Design, Development, Implementation and Evaluation. Random sampling was employed and 19 mothers with toddlers aged 0-36 months in Patalan Village were chosen as samples with predetermined inclusion and exclusion criteria. A closed questionnaire was utilized as the research instrument to see the application’s feasibility based on the assessment carried out by material experts, media experts, and users. The questionnaire had been tested through validity judgment in advance. The average score of the media expert assessment was 100.66 (feasible category); the average score of the material expert assessment was 80.33 (feasible category); the average score of the small group trial was 110.5 (very feasible category); and the average score of the implementation was 111.5263 (very feasible category). This application is considered feasible for use because this application is informative, the language is easy to understand and it is regarded as easy to use by the users.</em></p> 2022-05-31T00:00:00+07:00 Copyright (c) 2022 Selasih Putri Isnawati Hadi, Tri Budi Rahayu Deep Back Massage Using Lavender Oil on Labor Pain in the Work Area of Polonia Community Health Center 2022-02-14T11:06:41+07:00 Yohana Putri Apryanti <p>Labor pain is a subjective experience of physical sensations associated with uterine contractions, cervical dilatation and effacement, and fetal descent during labour. One way to reduce the Maternal Mortality Rate (MMR) is through the maternal affection movement which is an aspect of the 5 common threads to help mothers feel safe and during the delivery process. Various efforts have been made to reduce pain both pharmacologically and non-pharmacologically, pharmacological methods are very important because they do not harm the mother and fetus. This study was conducted to identify the reduction of pain in first-stage labor mothers with the deep back massage method with lavender oil. This research is a quantitative study with a quasi-experimental design with a pretest-posttest design in the BPM Working Area of ​​the Polonia Health Center. The sampling technique in this study was a purposive sample with as many as 20 respondents. Pain intensity will be measured using NRS (Numeric Rating Scale). And it was found that being given a deep back massage with lavender oil had an effect on reducing labor pain and it was good to do it when the mother gave birth who had entered the active phase because it could provide physiological and psychological benefits.</p> 2022-05-31T00:00:00+07:00 Copyright (c) 2022 Yohana Putri Apryanti Sembiring Effect of Counseling Method on Knowledge and Attitudes Regarding Human Papilloma Virus (HPV) Vaccination 2022-02-14T10:26:47+07:00 Desi Br Sembiring <p>Prevention of cervical cancer will be more effective if it is carried out together with the provision of HPV vaccination as a specific protection effort. Ninety-five percent of the causes of cervical cancer come from the environment in the form of Human Papilloma Virus (HPV) and the other 5% are hereditary. Objective: To determine the effect of counseling method on knowledge and attitudes regarding HPV vaccination among adolescent girls. This was a Quasi Experimental study using pre-test and posttest with control group design. The sampling technique applied here was simple random sampling. The sample consisted of 25 respondents in the experimental groupwith counseling and 25 respondents in the control group with lecture. The research was conducted from June to August 2019. Data analysis used Paired t-test, Independent sample t-test and Manova. The mean increase in knowledge in the experimental group was 54.92 with a p-value of &lt;0.0001. Furthermore, the mean increase in knowledge in the control group was 38.60 with a p-value of &lt;0.0001. The mean increase in attitude in the experimental group was 45.40 p-value of &lt;0.0001 and the mean increase in attitude in the control group was 34.16 with a p-value of &lt;0.0001. The difference in knowledge in the experimental group was 84.15 and the difference in the control group was 68.55 with a significant level of &lt;0.0001. The difference in attitude in the experimental group was 84.38 and the difference in the control group was 72.45 with a significant level of &lt;0.0001. Counseling method had a significant effect on knowledge and attitudes regarding HPV vaccination among adolescent girls.</p> 2022-05-31T00:00:00+07:00 Copyright (c) 2022 Desi Br Sembiring Murottal Al-Qur'an Therapy on The Level Of Anxiety Postpartum Mothers 2022-02-14T11:22:42+07:00 Lia Fitria Azizatul Hamidiyah Anisa F Arifah A Arifatul H Dianatul F <p>Pregnancy, childbirth, and postpartum are periods that greatly affect the psychological and social conditions of a woman. In this period, every woman is more at risk for mood disorders, one of which is the postpartum blues. One of the signs of the postpartum blues is anxiety. Al-Qur’an is a method of treatment that has all kinds of programs and data needed to treat various kinds of disorders in the body's cells. Listening to <em>murottal</em> al - qur'an will have a calm and relaxing effect on a person. The purpose of this study was to see the effect of <em>murottal</em> Al-Qur’an therapy on the level of anxiety in postpartum mothers. The research design used was quantitative with pretest and posttest without control design. The sampling technique used purposive sampling with a sample of 30 postpartum mothers and data collection using the ZSAS questionnaire, data processing using the Dependent T-Test. Based on the results of the Dependent T-test showed that there was an effect of murrotal Al-Qur’an therapy on the anxiety level of postpartum mothers (p-value 0.001 &lt;0.05). So that <em>murottal</em> Al-Qur’an therapy can be used as an intervention to overcome anxiety in postpartum mothers.</p> 2022-05-31T00:00:00+07:00 Copyright (c) 2022 Lia Fitria, Azizatul Hamidiyah, Anisa F, Arifah A, Arifatul H, Dianatul F Characteristics and Related Factors to Breast Milk Production of Postpartum: Preliminary Study at Public Health Center of Semarang City 2022-03-31T18:24:22+07:00 Sri Rahayu Suharyo Hadisaputro Syarief Taufik Hidayat Anggorowati <p>Approximately 38-63% of primiparous postpartum mothers experience lactation insufficiency, which has an impact on not breastfeeding their babies. The purpose of this study was to determine the characteristics and factors associated with postpartum mothers' milk production at the Public Health Center of Semarang City. This type of research is observational and cross-sectional design. The population of all postpartum women in Semarang City in October 2021, was taken by cluster random sampling at 8 selected health centers and a sample of 124 postpartum women. Methods of collecting data were questionnaires and data analysis with chi-square. The results of the research are the characteristics of mothers with an average age of 28 years, 56.5% of secondary education, 40% of primiparous parity, 59% of normal BMI, 92.7% of normal LILA, average age of the baby was 7 days, 82.3% of moderate anxiety level, 99.2% off good staff support, 58.9% of good surveillance worker support, 91.1% of good family support, 82.3% of more calorie intake of 2200 kcal, 62.1% of 1600 ml more fluid intake. There was a relationship between anxiety, family support, health volunteer support, calorie and fluid intake with breast milk production (p-value &lt;0.05). There was no relationship between the support of health workers with postpartum mothers' milk production (p = 0.166). Mother’s psychological condition while breastfeeding, support from family, and health insurance are important things in increasing breast milk production as a continuation of breastfeeding and exclusive breastfeeding. In addition, calorie and fluid intake need to be considered to maintain the adequacy of mother's milk.</p> 2022-05-31T00:00:00+07:00 Copyright (c) 2022 Sri Rahayu, Suharyo Hadisaputro, Syarief Taufik Hidayat, Anggorowati