Midwiferia: Jurnal Kebidanan
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Effectiveness of Ketoprofen Suppositories in Reducing the Risk of Preterm Labor at a Teaching Hospital in Malang
Full text linkPartus prematurus imminens (PPI) was a condition that threatened preterm labor, marked by labor signs before term (20 to <37 weeks) and birth weight under 2500 grams. Management included rest, hydration, and pharmacological measures. One approach used to delay labor was tocolytic therapy, such as ketoprofen suppositories, to inhibit uterine contractions. This study aimed to analyze the difference in uterine contractions before and after the administration of ketoprofen suppositories in women at risk of preterm labor. This study used a quasi-experimental design with a pre-test and post-test without a control group. The sample included 30 pregnant women with PPI who met the inclusion criteria. Consecutive sampling was used. The intervention administered was ketoprofen suppository therapy, 200 mg (2 tablets) given rectally. Data were collected using an observation sheet and analyzed using the Wilcoxon signed-rank test. The results showed that the mean uterine contraction score before therapy was 2,17, which decreased to 1,20 after therapy. There was a statistically significant difference in uterine contractions before and after the intervention. The Wilcoxon signed-rank test resulted in a p-value of 0,001 (p ≤ 0,05). The findings indicated a significant difference in uterine contractions before and after the administration of ketoprofen suppositories in pregnant women at risk of preterm labor. Ketoprofen suppository therapy was effective in reducing uterine contractions in pregnant women at risk of preterm labor, with routine fetal monitoring ensuring the safety of the intervention.
Factors Influencing Patient Satisfaction in the KIA Unit
Full text linkThe quality of midwifery services has three main components: patient care, technical quality, and customer quality. Service quality refers to non-healthcare aspects of care and reflects the patient's experience with the healthcare system, including the relationship between the client and the provider and the standard of facilities. Service satisfaction is now a usual way to check how good healthcare is. This study looked at how midwifery services at the Jeruk Community Health Center in Pacitan Regency affected how satisfied patients were. The study used a cross-sectional method to look at the data. It took place at the Jeruk Community Health Center in Pacitan Regency in January 2024. A total of 125 people got a 3-month injection. From these, 54 were chosen as participants through simple random sampling. Information was collected using a questionnaire. The data was analyzed using a chi-square test. The results showed Midwifery services on patient satisfaction are an indicator of the Community Health Center's success in providing services. Therefore, the performance of both health workers and other supporting staff needs to be maintained and further improved to improve health services at the Jeruk Community Health Center in Pacitan Regency
The Effect of Beetroot Juice on Hemoglobin Levels in Female Adolescents at MA Jamilurrahman Bantul, Yogyakarta
Full text linkAnemia is a significant global public health issue, particularly among children and adolescent girls, as it can lead to reduced physical endurance, lower fitness, and decreased cognitive agility, ultimately affecting academic performance. In Indonesia, the 2018 data revealed that 26.8% of children aged 5–14 and 32% of those aged 15–24 suffered from anemia. A survey by the Yogyakarta Health Service in the same year found that 19.3% of adolescent girls had hemoglobin levels below 12 g/dL, indicating anemia, and 46% were at risk of chronic energy deficiency based on upper arm circumference measurements below 23.5 cm. One of the non-pharmacological approaches to address anemia is beetroot, which is rich in folic acid (108 mg), making it a beneficial dietary option. This study aimed to evaluate the effect of beetroot juice on increasing hemoglobin levels in female adolescents at Madrasah Aliyah (MA) Jamilurrahman Bantul as a preventive measure for anemia. The research used a quantitative, pre-experimental one-group pretest-posttest design involving 21 adolescent girls with anemia, selected through total sampling. Data were analyzed using bivariate statistical methods, including the Shapiro-Wilk test for normality and a paired sample t-test using SPSS software. The results indicated a significant increase in average hemoglobin levels from 10.84 g/dL before intervention to 13.39 g/dL after 14 days of beetroot juice consumption. The statistical analysis yielded a p-value of 0.000 (p < 0.05), confirming that beetroot juice significantly improves hemoglobin levels. Thus, beetroot juice can be considered a viable alternative treatment for anemia in adolescents
Effectiveness of Prenatal Yoga on Pregnancy Discomfort in Pregnant Women in the II and III Terms
Full text linkPregnancy often leads to physical and psychological changes that can cause significant discomfort for expectant mothers. While such discomforts are generally physiological, they require attention to prevent negative effects on both maternal and fetal health. Prenatal yoga is a non-pharmacological intervention that may help alleviate these discomforts and support a smoother labor process. This study aims to evaluate the effectiveness of prenatal yoga in reducing discomfort levels among pregnant women in their second and third trimesters. A quasi-experimental design with a one-group pre-test post-test approach was used. The study involved 30 pregnant women in their second and third trimesters, selected through purposive sampling. Participants attended prenatal yoga sessions four times per week, with each session lasting 60 minutes. Data were collected using the Numeric Rating Scale (NRS) for back pain and leg cramps, the Pittsburgh Sleep Quality Index (PSQI) for sleep quality, and the Hamilton Rating Scale for Anxiety (HRS-A) to assess anxiety levels. Data analysis was conducted using the Wilcoxon test, with a significance threshold of p < 0.05. The results showed a p-value of 0.000 for all measured variables—indicating significant improvements in back pain, leg cramps, sleep quality, and anxiety levels after the yoga intervention. These findings suggest that prenatal yoga is effective in reducing both physical and psychological discomforts during pregnancy. It can be considered a beneficial, low-risk strategy to enhance maternal well-being in the later stages of pregnancy
The Effect of Lactation Counseling on Mothers' Breastfeeding Ability with the LATCH Method Approach
Full text linkBackground: Breastfeeding success is influenced by a mother's breastfeeding skills. The LATCH score is an instrument used to objectively assess breastfeeding skills. However, many postpartum mothers still experience difficulties breastfeeding due to a lack of understanding of correct breastfeeding techniques. Counseling on breastfeeding techniques is an effort that can improve postpartum mothers' ability to breastfeed optimally. Objective: To determine the effectiveness of breastfeeding technique counseling on postpartum mothers' breastfeeding skills based on the LATCH score. Methods: This study used a quasi-experimental design with a pretest-posttest control group approach. The sample consisted of postpartum mothers who met the inclusion criteria (n =50), divided into an intervention group and a control group. The intervention group received breastfeeding technique counseling for 4 sessions, while the control group received standard care. The breastfeeding skills instrument used the LATCH observation sheet. Data analysis was performed using paired t-tests and independent t-tests. Results: The average LATCH score in the intervention group increased significantly after counseling (p < 0.05), while the control group showed no significant change. There was a significant difference in LATCH scores between the intervention and control groups after treatment. Conclusion: Breastfeeding technique counseling effectively improved postpartum mothers' breastfeeding skills, as measured by LATCH scores
Effectiveness of the Lactation Buddy Intervention Based on WhatsApp Group on the Success of Exclusive Breastfeeding
Full text linkExclusive breastfeeding is the most effective nutritional intervention to prevent stunting. However, Lamongan Regency still records low exclusive breastfeeding coverage. This study aimed to analyze the effectiveness of the Lactation Buddy intervention through WhatsApp Group in supporting exclusive breastfeeding practice. This research employed a quasi-experimental design with a non-randomized control group pretest-posttest. The study was conducted in Deket Kulon Village, Deket Sub-district, Lamongan Regency, involving 60 mothers with infants aged 0–6 months who were recruited using purposive sampling and divided into intervention (n=30) and control (n=30) groups. The intervention group received three-month assistance through WhatsApp Group facilitated by health workers and lactation counselors, while the control group obtained standard care. Data were collected using structured questionnaires, interviews, and observations. Results indicated significant improvement in the intervention group: the average knowledge score increased from 65.3 to 85.7 (p<0.001), positive attitudes toward breastfeeding rose from 60% to 80% (p=0.002), and correct breastfeeding practices improved from 53.3% to 83.3% (p<0.001). Furthermore, exclusive breastfeeding success was achieved by 83.3% of mothers in the intervention group compared to 56.7% in the control group (p=0.01). The findings confirm that the Lactation Buddy intervention via WhatsApp Group is effective in improving maternal knowledge, attitudes, practices, and exclusive breastfeeding success, and may serve as a scalable strategy to support stunting prevention in Deket Kulon Village, Deket Sub-district, Lamongan Regency
Effect of Recovery Supplementary Feeding on Height Improvement in Stunted Toddlers: A Study at Mijen Health Center, Semarang, Central Java
Full text linkBackground: The level of child malnutrition in Indonesia is considered to be high in the world. Some efforts were granted including the provision of supplementary food in some areas of Indonesia. The effort is chosen as a step to fulfill the need for nutrition in children. Objectives: This study aims to determine the relationship between providing supplementary food recovery and height gain in stunted toddlers at Mijen Health Center, Semarang City, Central Java. Method: This research employed a descriptive quantitative approach with a cross-sectional survey design. A checklist was used in the study. The sample consisted of 50 stunted toddlers selected through saturation sampling. Statistical analysis utilized the Chi-Square test with a confidence level of 95%. Results: As many as 52% of respondents have spent the recovery supplemental feeding (PMT) consumed for 60 days. The height of toddlers given recovery PMT increased, which previously had an average Z-score of -2.03, then increased to -1.86. Based on the results of the Chi-Square test, a P-Value of 0.009 (<0.05) can be interpreted that there is a significant relationship because the P-Value is <0.05; OR of 5,500 can be interpreted that recovery supplements that are not eaten out have a 5,500 times greater risk of no increase in height of stunted toddlers compared to toddlers who consume recovery PMT. Conclusion: This study concludes that there is a relationship between the provision of recovery supplementary food and height gain in stunted toddlers in the operational area of Mijen Health Center, Semarang City, Central Java
Measles and Its Association with Blood, Organ Functions, and Growth in Children
Full text linkMeasles is a febrile illness with a systemic rash disease vaccine. It raises morbidity and mortality rates globally even though a safe and efficient live attenuated vaccine is available. To evaluate the impact of measles on blood cell composition, liver and kidney functions, physical growth, and nutritional status in children during the first 14 days of infection. A cross-sectional observational study was conducted in Al-Rifai Teaching Hospital during the period from April to October 2024. The study included a convenient sample of 50 children under the age of 10 years who were diagnosed with measles. The data was collected by the researcher during the first 14 days of infection and included complete blood count, liver function test, renal function, anthropometric data measurement, and vaccination status. Regarding the haematological parameters, 24 (48%) of the patients had a low WBC count, 12 (24%) had low Hb, and 7 (14%) of them had a low platelet count. About the liver and renal function, 5 (10%) of the patients had elevated GOT, 3 (6%) had elevated GPT, 2 (%) had elevated blood urea, and 7 (14%) of them had elevated serum creatinine. Measles significantly impacts blood cell composition, liver function, and nutritional status in children. The findings underscore the importance of vaccination and the need for nutritional support during and after infection to minimize complications
Effectiveness of Maternal Class Programme on Knowledge of Pregnancy Danger Signs: Efektifitas Program Kelas Ibu Terhadap Pengetahuan Tanda Bahaya Kehamilan
Full text linkThe socialisation of the Pregnant Women's Class was conducted in 2008 but the implementation was in 2009, and it became one of the Health Office's programmes. Pregnant Mother Classes through face-to-face will provide opportunities for pregnant women to learn health issues such as health during pregnancy, childbirth, postpartum period, care for babies and birth certificates, and infectious diseases. This study was conducted to determine the effectiveness of the implementation of pregnant mother classes on knowledge of pregnancy danger signs at UPT Puskesmas Talegong Garut West Java 2023. This study used a pseudo-experimental design before and after in 2 groups with a sample of 72 respondents, consisting of 2 groups, namely 36 respondents in the intervention group and 36 respondents in the control group. Sampling method using random sampling technique. The research instrument used a questionnaire about the implementation of pregnant women's classes. The questionnaire has been tested to ensure its validity and reliability. Data were analysed with descriptive and Wilcoxon tests to determine the difference in knowledge scores between the 2 groups. There was a significant difference in knowledge score about pregnancy danger signs pretest and posttest in the intervention group (p-value 0.000). Conclusion: Maternal class is effective to improve the knowledge of pregnant women. Suggestion: It is expected that health services can improve maternal class services as an effort to prepare a healthy pregnancy
Ethnographic Study: The Choice of Place and Birth Attendants from the Socio-Cultural Perspective in the Tunjung Benuaq Dayak Tribe
Full text linkWHO recommends Skill Birth Attendants (SBA) for all births. Around 50 million mothers in developing countries give birth at home without the help of medical personnel. The trust in traditional birth attendants (TBA), meaning that social and cultural influences still strongest. Objective: to analyze the choice of place and birth attendants in the Tunjung Benuaq Dayak Tribe through a socio-cultural perspective in the working area of the Barong Tongkok Community Health Center. Methodology: Qualitative Design with Ethnographic study using the Rapid Ethnographic Assessment Procedure (REAP) method. Snowball sampling is a variation of Purposive Sampling. In-depth interviews were conducted with 12 informants. Data analysis uses Thematic analysis. Results: The Tunjung Benuaq Dayak tribe upholds the values of balance and harmonization regarding human relationships with God, human and the environment. They developed local cultures based on complementary belief systems. There is a positive acceptance of science. The local wisdom of Santaap, eating a small portion of the food served, illustrates that they can accept little of knowledge. Customs are still maintained in the birthing process which is carried out by village shamans who are highly trusted by the community. They make the rituals, belief in myths (tempuunt), the existence of spirits who guard and interfere with the birthing process. Conclusion: Socio-cultural values such as trust, knowledge, and customs are very strong guidelines for the Tunjung Benuaq Dayak tribe in choosing a place and birth attendant. Suggestion: preservation of culture and customs that are still considered good in childbirth practices is highly desirable