Jurnal Kebidanan Dan Kesehatan Tradisional
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Guazuma Ulmifolia Lamk Leaf Tea to Decrease Blood Lipid Profiles in Depo-Medroxyprogesterone Acetate (DMPA) Acceptors
No full textBackground: Depo Medroxyprogesterone Acetate (DMPA) is an injectable contraceptive method that is widely used in Indonesia and has the side effect of increasing the blood lipid profile. Guazuma ulmifolia Lamk. leaf has been proven to have benefits in controlling blood lipid levels. However, in previous research, giving Guazuma ulmifolia Lamk. leaves was mostly done only on experimental animals. It is important to measure changes in blood lipid levels of cholesterol, LDL, HDL and triglycerides after consuming guazuma ulmifolia lamk leaf in DMPA acceptor.
Methods: Quasi-experiment with one group pretest-posttest design, with 48 respondents using purposive sampling. The intervention was carried out for 10 days routinely, twice a day, by giving 2 grams of Guazuma ulmifolia Lamk leaf tea. Analyse data of cholesterol levels and HDL levels using the T-test, while LDL and triglyceride levels using the Wilcoxon signed ranks test.
Results: There was a decrease in cholesterol levels (p-value = <0.001) and a decrease in LDL levels (p-value = <0.001), but it was not proven to increase HDL levels (p-value = 0.185) and decrease triglyceride levels (p-value = 0.353).
Conclusion: Giving guazuma ulmifolia lamk leaf tea was effective in decreasing cholesterol levels and decreasing LDL levels of DMPA acceptors. It is hoped that health workers can provide guazuma ulmifolia lamk leaf tea as an alternative or additional medicine to reduce cholesterol levels due to the side effects of DMPA injections
A Descriptive Study of First Trimester Pregnant Women\u27s Knowledge of Nausea and Vomiting
No full textBackground: Pregnancy causes various physiological changes in women, one of which is hormonal changes that often cause discomfort in the form of nausea and vomiting in the first trimester. If not treated immediately, this condition can lead to fluid loss, fetal growth and development disorders, and even the risk of maternal death. This study aims to determine the level of knowledge of pregnant women in their first trimester about nausea and vomiting at the Bayat Community Health Center in Klaten Regency.
Methods: This study used a quantitative descriptive design with total sampling technique. The population consisted of all pregnant women in their first trimester who visited the Bayat Community Health Center in October 2022, totaling 60 respondents. The research instrument used a structured questionnaire, and the data were analyzed using frequency distribution.
Results: The results showed that most respondents were aged 20–35 years, had a high school education, worked as housewives, had received information about nausea and vomiting from midwives, and had two to four children. The level of knowledge of pregnant women in their first trimester was classified as good in terms of understanding, signs and symptoms, causes, prevention, and the effects of nausea and vomiting.
Conclusion: The knowledge of pregnant women in their first trimester at the Bayat Community Health Center in Klaten Regency about nausea and vomiting was in the good category. It is recommended that health workers, especially midwives, continue to improve education and counseling for pregnant women in their first trimester regarding the prevention and treatment of nausea and vomiting to reduce the risk of pregnancy complications
Differences in Maternal Care Patterns for Toddlers with Growth Disorders and Normal Growth
No full textBackground: Toddler growth reflects nutritional status and health, which are greatly influenced by maternal parenting patterns in meeting children\u27s basic needs. Inappropriate parenting patterns can cause growth disorders such as low weight and below-normal height. This study aims to determine the differences in maternal parenting patterns among toddlers with growth disorders and toddlers with normal growth in Candirejo Village, Ngawen District, Klaten Regency.
Methods: This study used a comparative design with descriptive methods. The study population consisted of all mothers with toddlers aged 0–5 years, with a sample size of 70 respondents selected using purposive sampling. The research instrument was a structured questionnaire that had been tested for validity and reliability. Data analysis was performed using univariate and bivariate analysis with the Kendall Tau test.
Results: The results showed that most mothers were aged 20–35 years, had a high school education, and worked as housewives. Most mothers had good parenting patterns (95.7%), and most toddlers experienced normal growth (67.1%). Statistical test results showed a significant difference between mothers\u27 parenting patterns and toddlers\u27 growth (p = 0.0012; α < 0.05).
Conclusion: There is a difference in maternal parenting patterns and toddler growth. It is recommended that health workers increase education about the importance of proper nutritional parenting patterns and provide assistance to mothers in monitoring toddler growth and development regularly at health posts
Factors of Low Birth Weight (LBW) Most Related to Stunting in Toddlers
No full textBackground: Stunting is a condition of growth failure in toddlers due to chronic malnutrition, resulting in children being too short for their age, which has an impact on mortality, motor development, and language skills. This study aims to determine the factors associated with stunting in toddlers in Semen Village, Jatisrono District, Wonogiri Regency.
Methods: This study used an observational analytical design with a case-control approach. Sampling was conducted using total sampling technique, resulting in 62 respondents. The research instruments were questionnaires and medical records, while data analysis was performed using the Chi-square test and logistic regression to identify the relationship between variables.
Results: The results showed that factors significantly associated with stunting were maternal age (χ² = 4.509; p = 0.034), family income (χ² = 5.599; p = 0.018), and low birth weight (LBW) (χ² = 9.378; p = 0.002). The most dominant factor associated with stunting was LBW. The variables of education (χ² = 0.622; p = 0.430), parity (χ² = 0.295; p = 0.587), and exclusive breastfeeding (χ² = 0.081; p = 0.776) did not show a significant relationship.
Conclusion: Factors associated with stunting are maternal age, family income, and low birth weight. The most dominant factor associated with stunting is low birth weight. Health workers and village governments can improve nutrition education for expectant mothers, monitor infant growth from birth, and provide special interventions for infants with LBW to prevent stunting
Breastfeeding Self-Efficacy Related to Postpartum Depression Tendency
No full textBackground: Postpartum depression (PPD) is a psychological disorder that is related to insecure relationships, mother-child bonding disorders, and also has an impact on increasing the risk of maternal suicide. Breastfeeding self-efficacy (BSE) is related to physical and psychological adjustment in postpartum mothers and is one of the factors that can influence postpartum depression, plus breastfeeding is one of the main tasks of every postpartum mother. The purpose of this study was to analyze the relationship between breastfeeding self efficacy and tendency of postpartum depression at PMB S Blimbing District, Malang City, Indonesia.
Methods: The study had used correlational analytic design with a cross sectional. The number of samples were 48 people, done by quota sampling technique. The tool of collecting data was questionnaire by Breastfeeding Self Efficacy Scale-Short Form (BSES-SF) and Edinburgh Postnatal Depression Scale (EPDS). Analysis data procedure was using spearman correlation test.
Results: Data showed the age range of respondents were 20-35 years(83.3%); senior high school (50%); not working (75%); multipara (77.1%); high breastfeeding self efficacy (66.7%); not tendency of postpartum depression (81.2%); and respondent with high BSE who experienced not tendency of PPD (66.6%). The result showed there was a relationship between breastfeeding self efficacy and tendency of postpartum depression (p=0.000).
Conclusion: Based on result of study, it is known that respondent who have high BSE came from respondents who not tendency of PPD. It means that BSE is one of the factors that can influence postpartum depression and it is impotant to scale up
Improving Sleep Quality in Third Trimester Pregnant Woman: The Effect of Chamomile Aromatherapy
No full textBackground: Sleep quality during pregnancy decreases significantly as pregnancy progresses. Poor sleep quality can be addressed with various methods, including aromatherapy as a relaxation technique. Chamomile aromatherapy contains compounds that increase gamma-aminobutyric acid (GABA) receptor activity, thereby promoting muscle relaxation and inducing sleepiness. This study aims to assess improvement in sleep quality in third-trimester pregnant women after receiving chamomile aromatherapy.
Methods: This study used a pre-experimental one-group pretest–posttest design. The sample consisted of 30 participants, all of whom were pregnant women in their third trimester. Data were collected using the Pittsburgh Sleep Quality Index (PSQI) questionnaire and an observation sheet. The chamomile aromatherapy intervention was administered before bedtime for 14 consecutive days by adding three drops of chamomile essential oil to a humidifier containing 100 ml of water, which was diffused for 10 minutes.
Results: A total of 53.3% of respondents had poor sleep quality before the chamomile aromatherapy intervention, which increased to 53.3% with excellent sleep quality after the intervention. The results of the Wilcoxon Signed-Rank Test showed a statistically significant improvement in sleep quality (p = <0.001). The Wilcoxon Signed Rank Test showed a significant improvement in sleep quality (p = <0.001).
Conclusion: Chamomile aromatherapy significantly improves sleep quality in third trimester pregnant women. Health workers, especially midwives and nurses, should provide education and guidance on the safe use of chamomile aromatherapy
Early Mobilization Accelerates Gastrointestinal Function Recovery in Postoperative Cesarean Section Patients
No full textBackground: Early mobilization is an important intervention for post-cesarean section patients as it can accelerate flatus time and reduce gas accumulation in the digestive organs. This effort also helps prevent post-operative complications such as gastrointestinal disorders, circulatory disorders, and abdominal distension through increased gastrointestinal muscle tone and stimulation of intestinal peristalsis. The purpose of this study was to determine the effect of early mobilization on normal digestive function in post-cesarean section patients in the Drupadi Room of Bagas Waras Klaten Regional General Hospital.
Methods: This study used a quasi-experimental design with a post-test only with control group. The study was conducted in November 2022 in the Drupadi Room of Bagas Waras Klaten Regional General Hospital. The sample consisted of 40 post-cesarean section mothers selected using purposive sampling. The research instrument was a flatus time observation sheet. Data analysis was performed using an independent t-test to determine the difference in digestive function between the early mobilization group and the control group.
Results: The results showed a significant difference between the early mobilization group and the control group in terms of flatus time (p-value <0.001). The average flatus time in the early mobilization group was 206.40 minutes, while in the control group it was 485.75 minutes.
Conclusion: Early mobilization has a significant effect on accelerating normal digestive function in patients after cesarean section. Midwives can optimize the implementation of early mobilization as part of standard post-cesarean section care to accelerate gastrointestinal function recovery
Mothers\u27 Knowledge about Complementary Feeding Using the Baby Led Weaning (BLW) Method in Infants Aged 6-12 Months: A Descriptive Study
No full textBackground: The period of complementary feeding is an important period in infant growth. One method that is currently developing is Baby Led Weaning (BLW), which is a method that allows infants to eat independently according to their motor skills without being spoon-fed. However, the success of this method is greatly influenced by mothers\u27 knowledge of the principles, benefits, and risks of BLW. This study aims to determine mothers\u27 knowledge of complementary feeding using the Baby Led Weaning method for infants aged 6–12 months.
Methods: This study is a quantitative descriptive study with a cross-sectional approach. The population in this study consisted of all mothers who had infants aged 6–12 months in the working area of the Community Health Center where the study was conducted. The sample consisted of 40 respondents selected using purposive sampling. The research instrument was a questionnaire that had been tested for validity and reliability. The data were analyzed univariately and presented in the form of frequency distributions and percentages.
Results: The results of this study show that of the 35 mothers, 16 mothers (45.7%) had good knowledge, 7 mothers (20%) had sufficient knowledge, and 12 mothers (34.3%) had poor knowledge.
Conclusion: Mothers\u27 knowledge of the BLW method is generally good, but there is a need for improved education regarding implementation techniques and food safety. Health workers are expected to provide counseling and practical guidance on the BLW method so that mothers can apply it correctly to support optimal infant growth and development
The Relationship Between Knowledge of Anemia and Its the Incidence Among Pregnant Women
No full textBackground: The woman and fetus may suffer from anemia during pregnancy, which can lead to infection, early birth, and maternal and child deaths. Insufficient understanding of anemia is one of the factors contributing to anemia during pregnancy. Pregnant women\u27s attitudes and behaviors to prevent anemia in pregnancy can be impacted by their ignorance of anemia. The purpose of this study was to determine the relationship between knowledge about anemia and its occurrence in pregnant women at Puskesmas Klaten Utara.
Methods: This research is a descriptive analytical study with a cross-sectional approach. The population in this study consisted of pregnant women who were registered and attended antenatal care at Puskesmas Klaten Utara during October–November 2023. A total of 50 respondents who met the inclusion criteria were selected using accidental sampling technique. Data were collected through questionnaires and analyzed using the Spearman Rank correlation test.
Results: According to statistical studies, the incidence of anemia in pregnant women at Puskesmas Klaten Utara is correlated with the amount of knowledge about anemia in pregnant women, with a correlation value of 0.442 and a significant value of p-value = 0.001 (p-value <0.05).
Conclusion: There is a significant positive correlation between pregnant women\u27s knowledge and the incidence of anaemia at the North Klaten Community Health Centre. Strengthening anaemia prevention programmes through regular supervision and health education is essential. Midwives are expected to raise awareness and compliance among pregnant women in taking iron tablets to reduce the incidence of anaemia
A Review of Coffee Kombucha Brewing and Health Effects as a Fermented Beverage
No full textBackground: Coffee kombucha, or what many kombucha brewers call koffucha, is one of the new varieties of kombucha, by replacing the tea infusion with coffee extract. However, the method of making koffucha still varies, like the coffee varieties, coffee extraction method, SCOBY and starter ratio, sugar ratio, fermentation time, and second fermentation. This review aims to examine koffucha brewing methods and its potential health benefits.
Methods: This study reviewed the study about koffucha from previous literature using PRISMA method. The literature was gathered through a systematic search of PubMed, Scopus, and Google Scholar databases. Search terms included "coffee" and "kombucha," combined using Boolean operators.
Results: The optimum method for koffucha brewing is 12 days of fermentation at room temperature 25˚C with a 10% sugar ratio. Robusta is considered better at total phenolic content, antioxidant level, and low sugar koffucha. Those who prefer low caffeine could opt for arabica with a lighter roasting level instead. The starter ratio and coffee ratio still vary and could not be concluded.
Conclusion: The fermentation of coffee might increase its health properties, including antimicrobial, antifungal, anti-aging, and anti-neurodegenerative. In vivo study showed no sign of toxicity of koffucha. Koffucha shows potential as a functional beverage, but standardized methods and further validation are needed