EMBRIO: Jurnal Kebidanan

The Associated Factors with Breastfeeding Self-Efficacy Among Breastfeeding Women in Kalimantan Utara

Widiya Rolantika — 2024-05-31

Exclusive breastfeeding is important for the quality of children's health. Nevertheless, the proportion of exclusive breastfeeding at the Malinau City Health Center stands at a mere 45.6 percent, falling short of the 50 percent benchmark set by the World Health Organization (WHO). nursing self-efficacy is a significant element that affects nursing behavior. This study aims to determine the factors related to breastfeeding self-efficacy. This study was cross-sectional, with a sample of 147 mothers obtained by purposive sampling. Breastfeeding Self Efficacy (BSE) is measured using the Breastfeeding Self Efficacy Short-Form. Data was analyzed using the Chi-Square test. The results showed that there was a significant relationship between breastfeeding problems (p-value equals 0.001), family support (p-value equals 0.001), and health worker support (p-value equals 0.001) with breastfeeding self-efficacy. It is concluded that breastfeeding problems, family support, and health worker support were factors related to breastfeeding self-efficacy in breastfeeding mothers. Therefore, health workers and families are expected to support mothers when they have breastfeeding problems

The Effect of Spirulina Platensis Extract (Arthrospira platensis) on Enhancing Hemoglobin Levels in Pregnant Women

Ratte Putri Anggraeni — 2024-05-31

The prevalence of anemia is still relatively high in the world. The impacts of this case are abortion, premature birth, premature rupture of membranes, histitis, postpartum hemorrhage, low birth weight (LBW), risk of congenital defects, infection in babies, and even death. The objective of this research was to assess how the use of spirulina platensis extract influences the elevation of hemoglobin levels in expectant mothers. In this case, the method used is Quasi-Experiment through a pretest and posttest control group design with a sample of 60 participants, consisting of 30 participants and a control group of 30 participants. Furthermore, the group subjected to the intervention was provided with a remedy, which involved administering Spirulina platensis extract in the form of one 300 mg capsule once a day for 30 days and standard care, while the control group received standard care only. In addition, the sampling technique used is simple side random. The results of the Paired Sample T-test analysis in the intervention group during the pretest obtained a mean hemoglobin level of 9.63 with a standard deviation of 0.490, while during the post-test, obtained mean score of 10.93 with a standard deviation of 0.907 with a p-value of 0.000. Meanwhile, the analysis of the control group during the pretest obtained mean hemoglobin levels of 9.60 with a standard deviation of 0.498, while during the posttest, the mean score obtained was 9.70 with a standard deviation of 0.535 and p-value of 0.083. The difference between the mean hemoglobin levels during the posttest in the experimental and control groups showed m equal 10.93; SD equal 0.907 vs. m equal 9.70; SD equal 0.535, with a p-value of 0.000. Therefore, it is summed up that there was an increase in hemoglobin levels in pregnant women after the administration of Spirulina platensis extract. As input for the health workers, especially midwives, it is suggested to offer alternative therapeutic approaches for pregnant women suffering from anemia by applying Spirulina platensis.

Analysis of Factors Affecting the Implementation of Uterine Exploration at the Third Stage of Labor

Bayu Irianti — 2024-05-31

Labor is one of the critical periods for women based on IDHS data up to 2020 shows that bleeding, hypertension in pregnancy, and infection are the causes of maternal death. Observation data was conducted in January-February 2022 at 5 Puskesmas in the city of Tasikmalaya, and it was found that 3 out of 5 women in labor underwent exploratory procedures during the third stage of labor because there were signs of retained placenta. The act of uterus exploration could be a portal of bacterial entry into the cavity and cause infection. This study aimed to look at the factors that affect the implementation of uterine exploration in the third stage of labor. The research method uses a sequential explanatory mix method to analyze the supporting factors for third-stage exploration actions by midwives. The research sample was 43 midwives. Quantitative results showed that there was no influence of characteristic factors on exploration actions (ρ more than 0.05), and there was no influence of self-efficacy on uterus exploration (ρ more than 0.05). Qualitative results showed that there were four main factors supporting exploration, such as visible signs of bleeding and weak contractions, ensuring that there were no remaining placentas and routine actions that were carried out. The research concludes that the exploratory action carried out is the midwife's accumulated experience, which results in the perception of dealing with cases of retained placenta in the third stage of labor, this makes the uterus exploration an additional action to anticipate problems.

The Effect of "MOLKESPRO" Educational Media on The Level of Knowledge of Early Adolescents about Reproductive Health

Ulfa Nur Khasanah — 2024-05-31

Child marriage in Indonesia is a recurring reality in society. Early marriage is a form of gender inequality, especially for women. Globally, 21 percent of women living in 2020 were married before the age of 18, and 12 million girls under 18 are married each year, or about 23 girls married as children every minute. Various reasons for the high rate of early marriage are not only due to educational, economic, and stigmatizing factors but also due to the low understanding of adolescents about reproductive health, which causes adolescents to have no choice, especially for adolescent girls. The purpose of this study was to determine the effect of "MOLKESPRO" monopoly media on adolescents' knowledge about reproductive health. The design of this study was pre-experimental with a pre-post-test design approach. Using the purposive sampling technique, the population was grade 6 elementary school students, as many as 31. In this study, the instrument used was a questionnaire about reproductive health—data analysis using a paired t-test. The results showed that the respondents' knowledge got the less category (35 percent) before being given health education and got a good knowledge category (81 percent) after being given health education. The results obtained p value less than 0.000 (0.000 less than a). Therefore, there is an effect of "MOLKESPRO" on the knowledge of early adolescents about reproductive health. Thus, the "MOLKESPRO" monopoly media can be used by midwives and other health workers in providing health education to early adolescents related to reproductive health, this is because its attractive design can make students enthusiastic to learn materials about reproductive health using the atmosphere created with fun.

Weight Gain During Pregnancy Based on Pre-Pregnancy Body Mass Index with Duration of Labor

Siska Nawang Ayunda Maqfiro — 2024-05-31

Chronic Energy Deficiency and being overweight in pregnancy is a severe problem because it could cause many risks in labor. This study aimed to determine the association between weight gain during pregnancy based on Body Mass Index before pregnancy with the duration of labor. The type of research was analytical observational with a cross-sectional approach. Thirty respondents used the quota sampling technique. The Spearman-rank test showed a significant value of 0,039, so there was a significant relationship between weight gain during pregnancy and the duration of the first stage of labor in the latent phase. The significant value was 0,016, indicating a relationship between weight gain during pregnancy and the duration of the first stage of labor in the active phase. However, a significant value of more than 0,05 in the variable duration of the second, third, and fourth stages of labor. So, it was necessary to monitor weight gain and provide counseling on the impact of excessive weight gain during labor. In addition, women with excessive weight gain should be given more time during the first stage because the duration in the second until the fourth stage of labor would generally run so that it could reduce unnecessary interventions.

Effectiveness of Tempe Yogurt and Tempe Juice on Pregnancy Hypertension

Endah Yulianingsih — 2024-05-31

Data from the Global World Health Organization shows that hypertension is currently a global concern. Hypertension is caused by cardiovascular disease, and all of them cause death. According to

report, only 54 percent of adults with hypertension were diagnosed, 42 percent received treatment, and only 21 percent had treatable hypertension. This needs to be underlined that efforts to increase awareness and management of hypertension are required. One of the non-communicable diseases that causes most deaths is hypertension. Based on the performance report of the South City Community Health Center, there were relatively high cases of hypertension in pregnant women in the last six months, namely 10 cases. Age, genetic factors, and parity can cause hypertension in pregnant women. This study aims to determine the effectiveness of tempeh yogurt and tempeh spice juice against hypertension in pregnancy in the South City Health Center Working Area. A quantitative study with a quasi-experimental two-group pretest-posttest design was conducted from April to September 2023. Samples were taken using purposive sampling of 40 samples, where the samples were divided into two intervention groups, namely 20 respondents who were given intervention using tempe yogurt three times a day, 200 ml, and 20 respondents were given 200 ml of tempeh spice yogurt three times a day. The results of the analysis showed that respondents aged more than 35 years (45 percent) in group A and aged 20-35 years (40 percent) in group B. Parity less than 2- more than 4 (65 percent) in group A, parity 2-4 in group B. There was no history of hereditary hypertension (85 percent) in group A and (80 percent) in group B. There was a significant difference before and after the tempeh yogurt and tempeh spice juice intervention on systolic and diastolic blood pressure (p less than 0.05). There was a significant difference in the reduction in systolic blood pressure after being given tempeh yogurt and tempeh spice juice (p less than 0.05). It can be concluded that one effort to reduce pregnancy hypertension is by consuming tempeh yogurt and tempeh spice juice regularly.

Differences in Postpartum Depression and Breast Milk Production in Postpartum Mothers After Implementing Postnatal Yoga

Septiana Wulandari — 2024-05-31

Breastfeeding is an important event for women that involves physical and psychosocial changes. One form of physical activity is yoga. Yoga is a type of exercise that is done during the postpartum period. It is hoped that it can help mothers improve their mental health, relax, stabilize their emotions, and be more confident in facing their new role as mothers. This research aims to determine the differences in postpartum depression and breast milk production in postpartum mothers after implementing postnatal yoga. The method in this research is a quasi-experiment with a pretest-posttest control group design. The sample size in this study was 32: 16 control and 16 intervention groups. The sampling technique uses a random sampling technique. The results of the paired sample T-test on postpartum depression during the pretest-posttest in the intervention group showed significant results, namely a p-value of 0.004 (p-value less than 0.05). Meanwhile, breast milk production in the intervention group showed significant results, namely a p-value of 0.000 (p-value less than 0.05). In the control group, postpartum depression showed a p-value of 0.090 (p-value more than 0.05), while breast milk production showed a p-value of 0.110 (p-value more than 0.05). The conclusion is that there are differences in postpartum depression and breast milk production in postpartum mothers after implementing postnatal yoga.

The Effect of Auricular Acupressure on Uterine Contractions, Fetal Heart Rate, and Length of Labor in the Active Phase of Primigravida

Setiawandari Setiawandari — 2024-05-31

The still high maternal mortality rate (MMR) in Indonesia, especially in East Java, is caused by indirect causes or other causes such as prolonged labor, so a method is needed to treat cases of prolonged labor such as auricular acupressure. Auricular acupressure (AKAR) is a non-pharmacological method proven effective for uterine contractions, but its side effects on the fetal heart rate (FHR) are unknown. The research aimed to analyze the AKAR method on uterine contractions, FHR, and labor duration in the first stage's active phase. This type of research is truly experimental, with a pretest-posttest control group design. The research subjects were 41 respondents, primigravida active phase first-stage mothers, selected by consecutive sampling and randomly divided into two groups, namely 21 AKAR groups and 20 deep breathing relaxation control groups. The research results of the Friedman test statistical test ρ-value equal 0.000 in the AKAR group and ρ-value equal 0.000 in the control group, meaning that AKAR influences uterine contractions. The Friedman Test findings show that AKAR does not affect FHR (ρ-value equal 0.618). The Independent Sample Test ρ-value equal 0.29 indicates no statistically significant difference between the two groups' labor lengths throughout the first stage's active phase. The AKAR group's average labor time in the first stage of the active phase was 365.40 minutes, with a minimum of 267 minutes and a high of 395 minutes. Conclusion: The auricular acupressure method affects uterine contractions but does not affect the fetal heart rate. There was no difference in the length of labor in the first active phase of labor between the auricular acupressure and deep breathing relaxation groups, so it is recommended that the auricular acupressure method can be used as an alternative complementary care to prevent prolonged labor.

Anxiety Level of Ovarian Cancer Patients After Being Given SEFT (Spiritual Emotional Freedom Technique)

Anik Latifah — 2024-05-31

Ovarian cancer is the case with cancer most common cancer in the world, with 240,000 new cases every year. There are three ways to respond emotionally to cancer patients that are rejection, anxiety, stress, and even depression. As many as 28.8 percent of cancer patients experience anxiety. When anxiety is not handled, it can even cause stress and depression that influence the expectations and quality of life of patients. Spiritual Emotional Freedom Technique (SEFT) is therapy That uses spiritual elements to reduce psychological and physical problems caused by emotional or psychosomatic causes. Research purposes: This is to analyze the worried patient's ovarian cancer level after SEFT. Type research used in research This is a quantitative study with the method pre-experimental approach One Group Pretest- Posttest Where the population in this study is patients with ovarian cancer at the Indonesian Cancer Foundation, East Java Coordinating Branch—taking sample done with technique Purposive sampling according to the inclusion criteria with a total of 26 patients. Intervention therapy SEFT is done 4-5x times each Sunday for two weeks. The instruments used were the HARS questionnaire sheet, observation sheet, and SOP for implementing SEFT. The data analysis used is the parametric Paired T-test. The result obtained is P -value equal 0.000 less than (alpha equal 0.05), which means that H0 is rejected and H1 is accepted. Where the conclusion is that the Spiritual Emotional Freedom Technique (SEFT) affects reducing anxiety if done regularly and continuously. The intervention focuses on reducing problem psychological Problems caused by emotional or psychosomatics. So, the body will experience relaxation, and the patient will become calm.

The Relationship Between Giving Pilis (Rice, Turmeric, Sand Ginger, Ginger, Lime) and Postpartum Maternal Health

Annah Hubaedah — 2024-05-31

The use of traditional herbs is intended for postpartum health care and recovery. To see the benefits of using these ingredients, it is necessary to study the relationship between the provision of traditional ingredients and the health impacts on postpartum mothers who use them. This study aims to determine the relationship between giving pilis (rice, turmeric, sand ginger, ginger, lime) and the health of post-partum mothers. This type of quantitative research uses a correlational analytical research design using a cross-sectional approach. The sample in this study was 43 postpartum mothers in the ten public health centers of the Bangkalan Madura district. The data collection technique uses an observation sheet instrument. Sampling used simple random sampling nonparametric statistical analysis with analysis tests using Chi-Square. The research results showed a relationship between giving pilis (rice, turmeric, sand ginger, ginger, lime) and the health of post-partum mothers, as evidenced by a p-value of 0.000 less than 0.05. In conclusion, giving pilis to postpartum mothers continues to be maintained because of its perceived health benefits, which are in line with the expectations of the Bangkalan community. Suggestion: The development of traditional medicine from a pharmacological perspective must be carried out so that people can use traditional medicine according to standards. After development by pharmacologists, a postpartum mother treatment policy based on local, family, and community wisdom can be formulated.

Acute Toxicity Test of Mulberry Leaf Extract (Morus rubra L) as a Basic Ingredient of Candida Albicans Antifungal on Rattus Norvecigus

Nina Hidayatunnikmah — 2024-06-10

Previous research on the effectiveness of mulberry leaves in the growth of candida albicans showed that C. albicans is inhibited in vitro. Mulberry leaf extract is used as a basic ingredient for treatment. In addition to being tested for effectiveness, testing is needed to ensure the level of acute toxicity in experimental animals in determining toxicity levels. The study aimed to test the acute toxicity of mulberry leaf extract on Rattus Norvecigus media in determining the level of toxicity before becoming the basic ingredient of VVC antifungal. The research method uses an experimental laboratory post-test-only control group design with a 9 Rattus Norvegicus media. The average dose is not lethal using LD50 values. Research analysis using ANOVA is One Way to determine the difference in the average weight change of experimental animals. The study's results did not show any deaths of experimental animals or toxic symptoms in administering mulberry leaf extract doses of 0 mg, 100mg, 1000 mg, 1600mg, 2900mg, 5000mg. LD50 value more than 8g/kg BW, included in the non-toxic category (5-15 g/kg BW). The ANOVA statistical test showed a P-value of 0.781 more than a P-value of 0.05, that is, there was no difference in the average change in body weight in the experimental animal group given different treatment doses in each group. The research concludes that mulberry leaf extract does not show a lethal dose of acute toxicity, so it is safe to use as a basic ingredient in treatment sourced from natural ingredients.

The Relationship Between Knowledge and Parental Behavior in Children's Sex Education

Ami Linda Kustati — 2024-06-10

Parents are the leading figures in providing sex education, sex education is important considering the large number of cases of sexual violence against children. The behavior of providing sex education to children must be patient and repeated over and over again so that the child understands. Parents can also teach children to protect themselves and dare to say no when someone tries to make their child undress. Objective: To determine the relationship between knowledge and parental behavior in providing child sex education in Kesambi Hamlet, South Prupuk Village, Margasari District, Tegal Regency. Method: This type of research is quantitative with a cross-sectional approach. Population 62 Respondents. The sampling technique is simple random sampling, done by randomizing each neighborhood. Data was collected using a questionnaire, and analysis was carried out using the Chi-Square test. Results: This study showed that 43 (69.4 percent) had good knowledge, and 44 (71.0 percent) respondents had positive behavior. Moreover, based on the Chi-Suqre test, p (0.00) was found. There is a relationship between knowledge and parental behavior in providing child sex education in Kesambi Hamlet, South Prupuk Village, Margasari District, Tegal Regency.

The Relationship Between the Coverage of Antenatal Care (K4) Visits to Flood Incidents

Kholifatul Ummah — 2024-06-07

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.

Implementation of Home Visit Program in an Effort to Improve the Nutritional Status of Toddlers in Developing Countries: Scoping Review

Siti Zakiah Zulfa — 2024-05-31

Malnutrition in toddlers is still a severe problem in developing countries. This study aims to determine how the home visit program is implemented in an effort to improve the nutritional status of toddlers in developing countries. This study used the scoping review framework from Arksey and O'Malley (2005). The articles chosen are published from 2010 to 2019 in developing countries. The article was obtained from the PubMed, Wiley, EBSCO, ScienceDirect, and Google Scholar databases. Article selection process using the Mendeley and Covidence applications. Five of the 159 articles selected showed that a combined home visiting program could rehabilitate underweight 5x faster (OR equal 4.74, 95percent CI equal 2.47-9.09), significantly reduce moderate malnutrition (-3.3 vs. -1.5; p less than 0, 0001) and severe malnutrition (-3.8 vs. -1.8; p less than 0.001) and 55percent of children achieved recovery z-score more than equal -1 which took an average of 14 weeks. Additionally, wasting was reduced by 27 percent (aOR: 0.73, 95 percent CI: 0.55–0.97), underweight by 40 percent (aOR: 0.60, 95 percent CI: 0.47–0.75), and stunting by 27 percent (aOR: 0.73, 95 percent CI: 0.57–0.93). This study concludes that the home visit program is an effective and significant strategy to reduce the incidence of underweight, moderate and severe malnutrition, stunting, and wasting in toddlers only when combined with other programs. Several research gaps were also identified, which could be confirmed through further research.