Midwiferia: Jurnal Kebidanan
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Analysis of the Relationship Between Parenting Patterns and Supplementary Feeding on Stunting Incidence in Gedungboyountung Village
Full text linkStunting is a persistent public health problem in Indonesia, particularly in rural communities, and is influenced by caregiving practices and dietary patterns. This study aimed to analyze the association between parenting practices, supplementary feeding (PMT), and the incidence of stunting among children aged 6–59 months in Gedungboyountung Village. A cross-sectional analytic design was conducted from June to August 2025 with 60 respondents selected through purposive sampling. Parenting and feeding practices were assessed using structured questionnaires, while stunting was determined based on height-for-age z-scores. Data were analyzed using the Chi-square test. The findings showed that 8.3% (5 children) were stunted. A significant association was observed between parenting practices and stunting (p = 0.028), indicating that children raised with poor parenting were more likely to be stunted. Supplementary feeding was also significantly associated with stunting (p = 0.014), with inappropriate or low-quality feeding practices increasing the risk of growth faltering. These results suggest that stunting in rural areas is strongly linked to behavioral and caregiving factors, especially the adequacy of food provision and the quality of parenting. Strengthening community-based health education programs to improve parenting skills and ensure appropriate supplementary feeding may serve as effective strategies to reduce stunting prevalence. Further studies with larger sample sizes and longitudinal approaches are recommended to confirm these findings and to explore additional determinants such as socioeconomic conditions, maternal education, and sanitation
How Women Experience and Evaluate Midwifery-Led Care During Childbirth: Insights from a Mixed-Method Study
Full text linkBackground: Midwifery-led care has been associated with improved childbirth experiences in various settings; however, evidence from low-resource and culturally distinct contexts remains limited. Objective: To examine women’s experiences and satisfaction with midwifery-led care during childbirth in Thi-Qar, Iraq, and to compare it with physician-led care. Methods: A convergent parallel mixed-methods study was conducted among 150 postpartum women (≤6 weeks). Quantitative data were collected using the Mackey Childbirth Satisfaction Rating Scale (MCSRS) and analyzed with descriptive statistics, independent-samples t-tests, and Pearson/Spearman correlations. Qualitative data were obtained from 15–20 semi-structured interviews and underwent thematic analysis. Results: Mean item scores for midwifery-led care ranged from 2.76 to 3.15 (1–5 scale), indicating moderate satisfaction; maternal satisfaction scores ranged 2.89–3.04. No statistically significant correlation was observed between midwifery-led care scores and overall maternal satisfaction (Pearson r = –0.085; p = 0.298). Thematic analysis revealed strong communication and information provision but identified gaps in continuous emotional support, privacy, and pain management. Conclusion: While midwifery-led care was perceived positively in terms of communication, it did not consistently translate into higher maternal satisfaction in this setting. Interventions targeting continuous emotional support, pain relief, and birth environment may enhance satisfaction
Validity and Reliability Test New Questionnaire of Knowledge, Perception, Family Support, and Adherence of Pregnant Women with Anemia Using TTD Supplement
Full text linkAnemia according to WHO (World Health Organization) is defined as crucial incidence during pregnancy. In adult groups, it is common in women of reproductive age, especially in pregnant women due to iron deficiency. Pregnant women need to consume Iron Folic Acid Supplement/Tablet Tambah Darah (TTD) regularly to prevent and overcome anemia. Several factors are important to be studied in anemic pregnant women. Therefore, researchers wanted to examine the validity and reliability of the new questionnaire. The purpose of this study was to determine the validity and reliability of the questionnaire on the level of knowledge, perceived barriers, perceived benefits, and adherence in anemic pregnant women in the use of TTD. This study uses quantitative research in the form of descriptive research and uses a cross-sectional design. Using non- probability sampling with purposive sampling technique and 100 mothers. In research conducted in September 2023 showed that the validity and reliability test questionnaire on the questionnaire level of knowledge, perceived barriers, perceived benefits, family support and adherence questions are valid and also reliable with Cronbach alpha above 0.6
Relationship of Cholinesterase with Erythrocyte Index of Female Farmers in Vegetable Farming Area
Full text linkReproductive and maternal health in female farmers, especially those exposed to pesticides, is an urgent issue in Indonesia. Pesticide exposure during agricultural activities can cause disorders in the reproductive system, pregnancy, and fetal development. This study aims to analyze the relationship between cholinesterase levels (an indicator of pesticide exposure) and erythrocyte indices (including Hb, MCV, MCH, and MCHC) in female farmers working in vegetable farming areas in Agam Regency, West Sumatra. A total of 33 female farmers divided into two groups, namely the pesticide-exposed group (17 people) and the control group (16 people), were used as research samples. The results showed that the group exposed to pesticides had lower cholinesterase levels than the control group, with a significant difference. In addition, there was a significant relationship between decreased cholinesterase levels and decreased MCHC and increased risk of anemia in the exposed group. This decrease in cholinesterase indicates the adverse effects of pesticide exposure on the hematological system, which has the potential to cause complications in reproductive health such as menstrual disorders, infertility, and pregnancy complications. Therefore, this study provides important evidence regarding the need for better health screening for female farmers in agricultural areas. Routine monitoring of cholinesterase levels and erythrocyte indices can be an effective preventive measure in protecting the reproductive and maternal health of women working in the agricultural sector
The Relationship Between Nutritional Status and Diet Patterns and Anemia in Adolescent Girls at MA Jamilurrahman Bantul Yogyakarta
Full text linkAnemia is the impact of nutritional problems in adolescent girls. Nutritional anemia is caused by a lack of nutrients that play a role in the formation of hemoglobin, which can be due to lack of consumption or abortion disorders. The impact of anemia that can occur in adolescent girls is a decrease in immunity which causes adolescent girls to be susceptible to disease. The Bantul Regency Health Office conducted a Hemoglobin examination in 2022 on 700 adolescent girls in Bantul, the results of the health office found 29% or 203 adolescent girls suffering from anemia. With the value stating that there are two variables that have a relationship with nutritional status with the incidence of anemia, namely (p-value 0.001) and the relationship between diet and the incidence of anemia, namely (p-value 0.009). Health workers are expected to be able to provide services in schools, especially related to anemia management by preventing anemia through counseling related to adolescent nutrition and anemia and conducting anemia screening by conducting hemoglobin examinations. Based on the results of research on the relationship between nutritional status and eating patterns and anemia in adolescent girls at MA Jamilurrahman Bantul Yogyakarta, it was found that there was a relationship between nutritional status and the incidence of anemia
Correlation Between Birth Weight and Exclusive Breastfeeding with Stunting in Children Aged 6–24 Months
Full text linkStunting remains a chronic nutritional issue in Indonesia, particularly among children under the age of two. Two crucial factors influencing stunting status are birth weight and exclusive breastfeeding. This study aims to determine the correlation between birth weight, exclusive breastfeeding, and stunting in children aged 6–24 months. This study employed an analytical quantitative design with a cross-sectional approach. A total of 120 children aged 6–24 months and their mothers were selected using purposive sampling at Deket Community Health Center Lamongan. Data were collected through interviews using structured questionnaires and anthropometric measurements. Data analysis was conducted using chi-square tests and logistic regression. The analysis revealed a significant association between birth weight and stunting (p = 0.003), and a significant association between exclusive breastfeeding and stunting (p = 0.001). Children with low birth weight (<2500 grams) had a 3.1 times higher risk of stunting, while children who were not exclusively breastfed had a 2.7 times higher risk of stunting compared to those who were exclusively breastfeed. Although the study provides valuable insights, its cross-sectional nature limits causal interpretation, and recall bias may have affected the accuracy of reported breastfeeding practices. Despite these limitations, the findings underscore the need for strengthened prenatal and breastfeeding interventions to prevent stunting. Birth weight and exclusive breastfeeding are significantly associated with stunting in children aged 6–24 months. Promotive and preventive interventions through pregnancy monitoring and breastfeeding education are crucial efforts in preventing stunting
The Relationship Between Vitamin D Levels in Pregnant Women and Spontaneous Abortion During Early Pregnancy
Full text linkBackground: About 10-15% of clinically detectable pregnancies end in a spontaneous abortion. This research set out to examine Iraqi pregnant women's vitamin D levels in connection to their risk of miscarriage. Our goal is to learn more about the correlation between vitamin D insufficiency and abortion rates by analyzing blood vitamin D concentrations in women who have experienced spontaneous miscarriages. Materials and methods: An investigation of a cross-sectional nature was carried out at the Al Diwaniya Maternity and Child Teaching Hospital in Iraq between the months of August 2016 and August 2017. Using well-established laboratory procedures, 42 women who had previously experienced an abortion of their own accord provided blood samples for the purpose of determining their vitamin D levels. Result: The average concentration of vitamin D in the serum was 21.48 ± 11.82 ng/ml, while sixty percent of the participants had levels that were insufficient (less than twenty ng/ml). It was shown that there was a significant negative correlation (r = -0.717, p < 0.001) between the levels of vitamin D and the occurrence of miscarriages. Using regression analysis, it was discovered that vitamin D levels were responsible for explaining 51.4% of the variance in the incidences of miscarriage. Conclusion: Vitamin D deficiency is significantly associated with an increased risk of spontaneous miscarriage. Preventing vitamin D insufficiency may reduce miscarriage rates among Iraqi women
Individual, Organizational, and Work Environment Factors Associated with Burnout among Nurses at Sumberglagah Regional Public Hospital
Full text linkBackground: Burnout syndrome among nurses is a critical occupational health issue that can impair job performance, reduce patient safety, and increase turnover rates. This study aimed to analyze the influence of individual factors, organizational factors, and work environment on the incidence of burnout syndrome among nurses at Sumberglagah Regional Public Hospital. Method: A cross-sectional design was employed, involving 99 nurses selected through simple random sampling from a total population of 131 nurses. Data were collected using validated questionnaires measuring individual factors, organizational support, work environment quality, and burnout syndrome using the Maslach Burnout Inventory-Human Services Survey (MBI-HSS). Data analysis included univariate, bivariate (Chi-square), and multivariate (multiple linear regression) tests. Result: The results showed that individual factors (p = 0.000, β = –15.763) and work environment (p = 0.000, β = –10.671) had a significant negative effect on burnout syndrome, indicating that higher scores in these areas were associated with lower burnout levels. Organizational factors (p = 0.107, β = –5.667) were not found to have a statistically significant independent effect. Conclusion: These findings highlight the need for integrated interventions combining personal resilience training with improvements in workplace conditions. Strengthening coping skills, fostering positive thinking, ensuring adequate staffing, and providing supportive physical and psychosocial environments are recommended strategies to reduce burnout risk. Implementing such measures is essential for protecting nurse well-being and maintaining the quality and safety of healthcare services.
Analysis of Health Belief Model Factors on Parental Participation in Posyandu After Complete Basic Immunization
Full text linkThe low level of parental visits to Posyandu in Pasuruan Regency is a concern, where the coverage of complete basic immunization has only reached 53.72% in 2023. The most visits occurred in infants aged 0-6 months, but decreased significantly after that age. The Health Belief Model (HBM) was used to understand the factors that influence participation, including perceptions of vulnerability, severity, benefits, perceived barriers, cues to action, and self-efficacy. Objective: to analyze relationships implementing HBM on parental participation in Posyandu after toddlers have completed complete basic immunization. This study is an analytical study with a cross-sectional design. A sample of 61 toddlers aged 1-5 years, the sampling technique used a purposive sampling technique. Data were collected through questionnaires that had been tested for validity and reliability. Data analysis used the Spearman's rho test. The results of the analysis showed that only perceptions of benefits had a significant relationship with parental participation in Posyandu after complete basic immunization (p = 0.027; r = 0.283). Other variables such as perceived susceptibility (p = 0.198; r = 0.167), perceived severity (p = 0.849; r = -0.013), perceived barriers (p = 0.082; r = -0.243), cues to action (p = 0.062; r = 0.252), and self-efficacy (p = 0.130; r = 0.205) did not show significant relationships (p > 0.05). Perceived benefits play an important role in increasing parental participation in Posyandu after complete basic immunization. The HBM approach can strengthen these perceptions to increase visits
The Role of Audio Visual Education in Contraceptive Use in 48-Hour Postpartum Women
Full text linkThe 48-hour postpartum period is the ideal time to choose contraception because ovulation can occur 34 days postpartum for mothers who are not breastfeeding optimally. Audio-visual contraceptive education is provided during pregnancy to facilitate contraceptive use during the 48-hour postpartum period. This study aims to determine the relationship between knowledge levels after audio-visual education and contraceptive use during the 48-hour postpartum period. It also aims to identify contraceptive method use during the 48-hour postpartum period. This study is a pre-experimental study with a one-group post-test only design involving 30 pregnant women in the third trimester with a gestational age of ≥ 36 weeks, selected through consecutive sampling. The intervention was provided in the form of audio-visual education. Knowledge levels were measured using a questionnaire after the intervention. Postpartum contraceptive use was identified using medical records. The relationship between knowledge levels after the intervention and contraceptive use during the 48-hour postpartum period was measured using a chi-square test, yielding a p-value of 0.002, indicating a significant association between knowledge after the audio-visual education intervention and contraceptive use during the 48-hour postpartum perio. One of the key components of the Childbirth Planning and Complication Prevention Programme (P4K) is education about contraception during pregnancy. Family planning counselling and contraceptive methods during pregnancy can increase mothers' awareness of contraceptive use