Jurnal Kebidanan Dan Kesehatan Tradisional
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The Effect of Stimulation Using Fetal Development Stickers Booklet on the Accuracy of Antenatal Care Follow-Up Visits for Pregnant Women
Background: Antenatal Care (ANC) service standards recommend that pregnant women undergo at least six medical check-ups during pregnancy: one in the first trimester, two in the second trimester, and three in the third trimester. However, ANC revisit rates in Indonesia remain suboptimal. This study aims to determine the effect of stimulation using a fetal development sticker booklet on the accuracy of ANC revisits among third-trimester pregnant women.
Methods: This quasi-experimental study employed a one-group pretest-posttest design with control group. A total of 60 respondents were selected using purposive sampling and divided into treatment and control groups, with 30 participants each. The intervention involved affixing fetal development stickers representing fetal growth based on gestational age in the third trimester. The analysis used was the chi-square test.
Results: The results showed a significant increase in on-time ANC revisits in the treatment group (83.3%) compared to the control group (36.7%). The test revealed a statistically significant relationship between the provision of fetal development stickers and ANC revisit accuracy, with a p-value of <0.001 (<0.05), Odds Ratio (OR) of 8.6, and a 95% Confidence Interval (CI) of 2.5–29.07.
Conclusion: This indicates that pregnant women who were given fetal development stickers in their KIA books had an 8.6 times greater chance of making timely ANC visits compared to those who were not given stickers. Therefore, fetal development sticker booklets are an effective tool to improve ANC revisit compliance and can serve as a valuable complement to the standard Maternal and Child Health (MCH) handbook
Fitamia Powder Drink as a Functional Food to Increase Hemoglobin Levels in Anemic Adolescent Girls
Background: The low interest in consuming Fe tablets is one of the factors that causes the standard management of anemia in adolescent girls to still not be optimal. Fitamia is a powdered drink combining carrot and ginger which aims to attract teenagers\u27 interest in consuming functional drinks which have the potential to increase hemoglobin levels. The aim of the research is to analyze the effectiveness of Fitamia powder drinks in improving anemia in adolescent girls.
Methods: This research uses a quantitative approach in the form of a randomized experiment with a pretest and posttest with control group design. Sampling used a multistage sampling technique. Data analysis used paired t-test, independent t-test, N-Gain percent, and Mann-Whitney.
Results: Fitamia powder drink increased hemoglobin levels on the 31st day (p-value < 0.001) and on the 45th day (p-value < 0.001). The acceptability of Fitamia powder drinks is higher than Fe tablets in terms of color (p-value 0.007), aroma (p-value 0.011), taste (p-value <0.001) and lower gastrointestinal effects compared to Fe tablets (p-value < 0.001).
Conclusion: Fitamia powder drink can increase hemoglobin levels in young women. The acceptability of Fitamia powder drink products is higher than Fe tablets and causes lower gastrointestinal effects than Fe tablets. Fitamia powder drink is recommended as an alternative iron supplementation for young women due to its effectiveness in increasing hemoglobin levels, higher acceptability, and fewer gastrointestinal side effects
Analysis Factors Related to Menstrual Disorders in Female Medical Students
Background: Every woman can experience various disorders of menstruation, ranging from amenorrhea, oligomenorrhea, polymenorrhoea, hypomenorrhea, hypermenorrhoea, and dysmenorrhoea. This study aimed to elucidate the factors related to menstrual disorders in female students of the faculty of medicine at Universitas Andalas.
Methods: The purpose of this case-control study is to determine factors that increase the likelihood of developing a disease by comparing a group of cases with a group of controls, focusing on their exposure status. The respondents to this study were teenagers aged 18-21 years. A sample of 108 female students was taken using consecutive sampling. Data collection from anthropometric measurements and questionnaires menarche age, The International Physical Activity Questionnaire (IPAQ), Food Frequencies Questionnaire (FFQ) and Pittsburg Sleep Quality Index (PSQI). The Chi-Square test was used to analyze the data.
Results: The result showed no significant relationship between menarche age (p-value 0.420), stress levels (p-value 0.406), and physical activity (p-value 0.348), with menstrual disorders. There was a relationship between nutritional status (p-value 0.001), sleep quality (p-value 0.002), and eating patterns (p-value 0.001) with menstrual disorders.
Conclusion: Diet is the factor most associated with menstrual disorders in female students, followed by sleep quality and nutritional status. The study recommends preventing menstrual disorders in female students by prioritising improvements in diet, sleep quality and nutritional status
Transforming Ratus: A Descriptive Qualitative Study on Tradition, Health, and Javanese Women’s Identity
Background: Ratus as a traditional Javanese health ritual historically associated with purity and marital preparation, has undergone a significant transformation in meaning among contemporary women. This study aims to explore how Ratus is reinterpreted as a cultural, spiritual, and personal practice, revealing women’s bodily agency and negotiation within the dynamics of modernity.
Methods: This research employs a descriptive qualitative approach using a case study method. Data were collected through in-depth interviews, nonparticipant observation, and documentation involving eight Javanese women aged 25–50 from Yogyakarta and Bantul, selected purposively for having practiced Ratus for at least two years. Data were analyzed using thematic analysis, supported by source triangulation and member checking to ensure data validity.
Results: Five main themes emerged: (1) transformation of Ratus from a sacred ritual to a self-care practice; (2) spiritual and emotional healing dimensions; (3) reinforcement of cultural identity and female solidarity; (4) commodification of tradition within beauty markets; and (5) negotiation between tradition and modernity as symbolic resistance to Western medical and beauty norms.
Conclusion: Ratus now functions as both a holistic health practice and a medium of cultural self-expression, reflecting Javanese women’s adaptive agency amid modernization. This study recommends strengthening the preservation of ratus practices through a sustainable cultural approach by involving women, health workers, and community leaders in efforts to maintain its meaning and health benefits
The Effect of Beet Juice Intake on Increasing Hemoglobin Levels in Adolescent Girls with Anemia: A Literature Review
Background: Anemia in adolescent girls is a health problem that is still commonly found and has an impact on decreased learning concentration, productivity, and reproductive health. One non-pharmacological alternative that can help increase hemoglobin levels is the consumption of beet juice, which contains iron, folate, and vitamin C. This study aims to determine the effectiveness of beetroot juice in increasing hemoglobin levels in adolescent girls with anemia.
Methods: This study used a literature review design by searching articles from the Google Scholar and PubMed databases. The search strategy was conducted using the keywords "beetroot effect," "blood hemoglobin," "beetroot benefit," and "anemia." The articles analyzed were selected based on inclusion and exclusion criteria relevant to the topic, resulting in 10 eligible journals. The data were analyzed descriptively by examining the study design, sample size, intervention, and results of hemoglobin level improvement.
Results: The review showed that all ten journals reported a significant increase in hemoglobin levels after regular consumption of beetroot juice in adolescent girls with anemia. The nutrients in beetroot play a role in red blood cell formation and increasing blood oxygen capacity.
Conclusion: Beet juice is effective in increasing hemoglobin levels in adolescent girls with anemia. Nutrition education programs for adolescents should recommend beet juice consumption as a natural alternative to increase hemoglobin levels
The Effects of Back Massage on Dysmenorrhoea in Adolescents
Background: The incidence of dysmenorrhoea worldwide is 92%, and primary dysmenorrhea cases are more than half. Dysmenorrhea interferes with products, decreases quality of life, increases health costs, and increases dependent drug consumption, all of which adversely affect health. This study aimed to determine the effect of back massage on primary dysmenorrhea in adolescents.
Methods: Quasi-experimental one-group design research. Samples were determined incidentally and obtained from adolescents. Data analysis using the paired sample t-test.
Results: There is an effect between back massage and dysmenorrhea (p-value 0.000). Back massage can reduce 80% of primary dysmenorrhea.
Conclusion: We need to socialize back massages as an alternative to primary dysmenorrhea therapy in the community
Iron Supplement Tablet Consumption is Associated with Hemoglobin Levels in Pregnant Women
Background: Hemoglobin (Hb) levels in pregnant women are checked in the first trimester (Hb1) and third trimester (Hb2). Hemoglobin requires iron (Fe) and protein; consumption of at least 90 iron tablets during pregnancy is recommended to increase Hb and prevent anemia. The purpose of this study was to analyze TTD consumption, hemoglobin levels in the first and third trimesters, and the relationship between TTD consumption and Hb levels in pregnant women at the Bayat Community Health Center, Klaten Regency.
Methods: This was an associative quantitative study with a sample of 52 pregnant women in their third trimester who had their Hb checked at the Bayat Community Health Center in October 2022 (incidental sampling). Univariate and bivariate analyses were performed; the relationship between TTD consumption and Hb was tested using Spearman\u27s correlation using IBM SPSS Statistics 23.
Results: A total of 59.6% of respondents regularly consumed ≥90 TTD tablets, but 65.4% did not experience an increase in Hb levels from Hb1 to Hb2. Spearman\u27s test showed a significant relationship between TTD consumption and Hb levels (p = 0.000; r = 0.516) with a positive direction, indicating that regular TTD consumption is associated with an increase in Hb levels.
Conclusion: There is a moderate positive correlation between iron supplement consumption and hemoglobin levels in pregnant women at the Bayat Community Health Center. It is recommended to improve program interventions: strengthening counseling and education on iron supplement consumption compliance, monitoring compliance by health workers, providing adequate supplements, and conducting periodic Hb checks and follow-ups for mothers who do not show an increase in Hb
Feeding Patterns Related to Nutritional Status in Stunted Toddlers
Background: Stunting can occur as a result of malnutrition, especially during the first 1000 days of life (HPK). Poor nutrition during pregnancy, growth, and early childhood can cause children to become stunted. The purpose of this study was to determine the relationship between feeding patterns and nutritional status in stunted toddlers at the North Klaten Community Health Center in Klaten Regency.
Methods: This study used an analytical observational design with a cross-sectional approach. The study population consisted of all mothers with stunted toddlers, totaling 234 people, using proportional stratified random sampling, resulting in a sample of 71 respondents. The research instruments used were the CFQ (Child Feeding Questionnaire) and anthropometric observation sheets. The validity and reliability of the instruments had been tested in previous studies. Data were analyzed univariately and bivariately using the chi-square test.
Results: The results showed that most feeding patterns were inappropriate (69%) and the nutritional status of stunted toddlers was classified as short (56.3%). The chi-square test obtained a p-value of 0.004 (p<0.05), which means that there is a significant relationship between feeding patterns and the nutritional status of stunted toddlers.
Conclusion: The study shows that the more appropriate the feeding patterns applied by mothers, the better the nutritional status of their children. Health workers need to improve education for mothers about the importance of feeding patterns appropriate for their children\u27s age and involve nutritionists and posyandu cadres in monitoring toddler growth
Adolescent Girls\u27 Knowledge About Iron Tablets: A Descriptive Study
Background: Adolescent girls are a group that is vulnerable to anemia due to increased iron requirements during growth and menstruation. Lack of knowledge about the importance of iron tablet consumption is one of the factors causing low compliance in anemia prevention. This study aims to determine the knowledge of adolescent girls about iron tablets at MTs Muhammadiyah Special Program Bayat, Klaten.
Methods: A quantitative descriptive design with total sampling technique was used. The sample consisted of 50 respondents who met the inclusion criteria. The research instrument used a structured questionnaire that had been tested for validity and reliability. Data analysis was performed univariately with frequency distribution using statistical data processing software.
Results: The results showed that most adolescent girls had a good level of knowledge about iron tablets, with 34 respondents (68%). Based on age characteristics, good knowledge was more prevalent among early adolescents, with 26 respondents (68%), while based on grade level, the majority were in grade VII, with 15 respondents (64%). The most common source of information was teachers, with 18 respondents (82%).
Conclusion: Most female adolescents at MTs Muhammadiyah Program Khusus Bayat have good knowledge about iron tablets. The recommendation from this study is the need to improve health education through UKS activities and regular counseling by health workers and teachers so that adolescents better understand the importance of regular iron tablet consumption to prevent anemia
Back Pain Intensity in Third Trimester Pregnant Women Participating in Prenatal Yoga
Background: Back pain is one of the most common complaints experienced by pregnant women in the third trimester due to changes in posture, weight gain, and the effects of estrogen and progesterone hormones, which cause ligament and joint relaxation. This condition can reduce the comfort and quality of life of pregnant women. Prenatal yoga is a gentle relaxation and stretching exercise designed to increase flexibility, improve posture, and reduce muscle tension. This study aims to determine the response to back pain in pregnant women in their third trimester who participate in prenatal yoga in the Wedi Community Health Center working area.
Methods: This study used a descriptive approach with total sampling technique. The study population consisted of all pregnant women in their third trimester who experienced lower back pain in the working area of the Wedi Community Health Center in Klaten Regency in 2022, totaling 42 people, all of whom were included in the sample. The research instrument used a Numeric Rating Scale (NRS) checklist to measure pain levels. Data were analyzed descriptively using frequency distribution and percentages.
Results: Before participating in prenatal yoga, most pregnant women experienced moderate pain on a scale of 5, with 19 respondents (45.2%), while after participating in prenatal yoga, the pain decreased to a scale of 2 in 16 respondents (38.1%).
Conclusion: Prenatal yoga has been proven to help reduce the intensity of back pain in pregnant women in their third trimester safely and effectively. It is recommended that health workers develop prenatal yoga classes in health care facilities as a promotional and preventive measure to improve the comfort and well-being of pregnant women