INTERNATIONAL JOURNAL OF MIDWIFERY RESEARCH
International Journal of Midwifery Research (IJMR) E-ISSN 2798-7337 (Online/Electronic ISSN) was established and published by Department of Midwifery, Faculty of Nursing and Midwifery, Institut Ilmu Kesehatan Nahdlatul Ulama Tuban, Indonesia International Journal of Midwifery Research (IJMR) publishes articles in the field of Midwifery focusing on preconception, pregnancy, childbirth, maternity, breastfeeding, family planning, reproduction health, adolescent health, maternal health, child health, midwifery complementary, menopause, infertility as well as a variety of other fields related to those disciplines. The articles are research articles, case reports, and literature reviews. To be published in the journal, a manuscript must pass a meticulous editing process by the editors and review process and by competent peer reviewers with national and international reputation, making the articles presented in this journal qualified, updated, and informative. The manuscript must be written in English. International Journal of Midwifery Research (IJMR) is published three times a year, in July, November and March.
Department of Midwifery, Faculty of Nursing and Midwifery, Institut Ilmu Kesehatan Nahdlatul Ulama Tuban
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THE CORRELATION BETWEEN MATERNAL AGE, LEVEL OF EDUCATION, AND OCCUPATIONAL STATUS WITH PREECLAMPSIA INCIDENCE
Background: Preeclampsia remains a critical contributor to global maternal morbidity and mortality, particularly in low-to-middle-income countries. While clinical risk factors are widely recognized, the influence of non-clinical socio-demographic variables requires further empirical evidence to optimize early prevention. Aims: This study aimed to analyze the correlation between maternal age, education level, and occupational status with the incidence of preeclampsia. Methods: An analytical observational study with a cross-sectional design was conducted. The study sample consisted of pregnant women selected through purposive sampling. Data were obtained from medical records and structured interviews, subsequently analyzed using Chi-square and multiple logistic regression. Results: The analysis revealed a significant correlation between maternal age and preeclampsia (p < 0.05), with advanced maternal age (>35 years) exhibiting a 3.5 times higher risk (OR = 3.52). Education level showed a moderate negative correlation (r = -0.42, p = 0.012), indicating that lower educational attainment is associated with increased incidence due to limited health literacy. Furthermore, occupational status involving high physical strain was significantly associated with preeclampsia (p = 0.008) with an Odds Ratio of 2.15. Conclusion: Maternal age, education, and occupational status are significant predictors of preeclampsia. These findings suggest that clinical practitioners must integrate socio-demographic profiling into primary care risk stratification to refine antenatal screening and improve maternal health outcomes.
Copyright (c) 2025 Nurul Azizah https://creativecommons.org/licenses/by/4.0
THE CORRELATION BETWEEN SOCIOECONOMIC STATUS AND STUNTING IN TODDLERS AGED 2-4 YEARS(IN LERAN VILLAGE, MANYAR DISTRICT, GRESIK REGENCY)
Background: Stunting is the final indicator of all the factors that affect the growth and development of children in the first 2 years which will then have a negative impact when they get older. The purpose of this study was to determine the Socio-Economic Relationship with Stunting Incidence in Toddlers Age 2-4 Years in Leran Village, Manyar District, Gresik Regency. Method: Correlational analytic research method, Case Control time approach. The population of all mothers and children under five aged 2-4 years, a large sample of 34 respondents using simple random sampling. The independent variable is socio-economic, the dependent variable is the incidence of stunting. Questionnaire data collection instrument and z-score value. Research analysis using Spearman test. Result: The results of the analysis using SPSS 16.0 for windows, obtained spearman (rs) = -0.360 and the value of Sig. 2 tailed (p) = 0.036 then p <0.05 H1 is accepted meaning that there is a socio-economic relationship with the incidence of stunting with p value (0.000). Conclusion: The results of this study are suggested to be a reference for respondents, health institutions, the community and further researchers in increasing knowledge about stunting.
Copyright (c) 2025 Eva Silviana Rahmawati, Nanik Nuraini https://creativecommons.org/licenses/by/4.0
SELF-HYPNOSIS USING BOOKLET ON ANXIETY IN THIRD TRIMESTER PREGNANCY
Background: Anxiety during pregnancy is a negative emotional state caused by feelings of fear, worry, or restlessness related to various aspects of pregnancy. Self- hypnosis, delivered through a booklet, helps pregnant women achieve a calmer mental state, allowing them to manage anxious thoughts. This study aims to assess the effectiveness of self-hypnosis with a booklet on anxiety during the third trimester. Method: The research design used is a quasi-experimental pretest- posttest with a control group using consecutive sampling. The study subjects comprised 60 pregnant women in the third trimester, divided into 30 women in the intervention group and 30 women in the control group. The intervention was conducted eight times a month for 30 minutes, using the PASS questionnaire. Result: The statistical test results using the paired T-test for pretest and posttest in each group showed p<0.05, meaning that there was significant effectiveness in the intervention group after being given self-hypnosis using a booklet. the majority of respondents answered statement 4 “Worry about many things” with a frequency of “often” to “sometimes” and statement 12 “Wanting things to be perfect” with a frequency of ‘always’ to “sometimes.” Meanwhile, in the control group, the majority of respondents answered statement 4 “Worry about many things” with a frequency of “often” to “always” and statement 12 “Wanting things to be perfect” with a frequency of ‘always’ remained “always”. Conclusion: Self-hypnosis using a booklet can be used as a non-pharmacological alternative to reduce anxiety in pregnant women. Midwives can apply this method.
Copyright (c) 2025 Zetira Salsa Herawati, Yulifah Salistia Budi, Nuristy Brillian Ainindyahsari Winarna https://creativecommons.org/licenses/by/4.0
NUTRITION FLIPBOOK -BASED EDUCATION ON PREGNANT WOMEN'S ATTITUDES TO PREVENT STUNTING
Background​ : Nutrition for 1,000 lives First will filled since child in content until child 2 years old . Negative attitude so inhibitor Because Mother pregnant No know nutrition . Flipbook : information media interesting audio and visual . Objectives : For know effectiveness education based flipbook 1,000 days of nutrition First life to attitude Mother pregnant in prevention stunting . Method : Type of research quantitative , design quasi- experiment t design two group pre post test design . Population: 50 pregnant women undergoing antenatal care at the Medan Denai Community Health Center from January to March 2025. The sample is an inclusion of gestational age <32 weeks, willing to be respondents as many as 40 people. Total sampling technique : A sample of 40 pregnant women was divided into 2 groups: treatment and control using simple random sampling . Research location: Medan Denai Community Health Center. Time: June-September 2025. Pre and post data analysis: Wilcoxon test , for comparison of treatment and control after education using the Mann Whitney test . Results : Treatment: before min- max 13-28 mean 20.90, after min -max 30-35 mean 32.40. Wilcoxon test 0.000. Group control before min- max 12-26 mean 18.45 after min- max 14-27 mean 20.35 Wilcoxon test 0.001. Comparison after the second Mann test group Whitney significant value 0.000 < 0.05 then change attitude group treatment more tall than group control . Conclusion . Education based flipbook effective to change attitude Mother pregnant become positive in prevention stunting
Copyright (c) 2025 Mesrida Simarmata, Indra Agussamad , Srininta, Zahara Herani https://creativecommons.org/licenses/by/4.0
THE EFFECT OF EDUCATION WITH ANIMATED VIDEOS ON KNOWLEDGE ABOUT PREVENTION OF SORE NIPPLES IN POSTPARTUM MOTHERS AT INDEPENDENT MIDWIFE PRACTICE OF SUSIANIBANYUWANGI 2025
Background: Blistered nipples are a common problem faced by breastfeeding mothers, characterized by cracked, red, and sometimes bleeding nipples. This study aims to analyze the influence of education with animated videos on knowledge about the prevention of nipple abrasions in postpartum mothers. Method: This study used quasi-experimental pre-test and post-test design with control group. The subjects of the study of 60 postpartum mothers were divided into two groups each consisting of 30 mothers in the intervention group and 30 mothers in the control group selected by consecutive sampling. The tool used is a questionnaire. The duration of the animation video is seven days, with three sessions. The results of the analysis of the data normality test using Shapiro-Wilk with a value of ≥0.05 showed that the data was distributed normally. Data analysis using the T test is not paired with SPSS 25 for Windows. Result: Before starting the help for the intervention group showed they had an average score of 70.3. Meanwhile, the control group had an average score of 68.2. The average outcome of knowledge after intervention was given in the intervention group was 96.8 and in the control group 69.7. The results of statistical tests using unpaired T tests showed Asymp. Sig (2-tailed) ≤0.000, which indicates a significant effect of this therapy, there was a noticeable difference in how much the two groups knew about preventing sick nipples. Conclusion: Animated videos can be an alternative to increase postpartum mothers' knowledge about the prevention of putting blisters.
Copyright (c) 2025 Endah Kusuma Wardani, Nur Alifia Umah, Wahyu Adri Wirawati https://creativecommons.org/licenses/by/4.0
IMPLEMENTATION OF DIRECTOR GENERAL HEALTH REGULATION ON LOCAL FOOD SUPPLEMENTFOR PREGNANT WOMEN AND TODDLERSTO PREVENT STUNTING
Background: Stunting is a serious public health issue in Indonesia. To address this, the Directorate General of Public Health issued a technical regulation on the provision of local food-based supplementary feeding for pregnant women and toddlers. This study aims to analyze the implementation of Regulation No. HK.02.02/B/1622/2023 regarding this policy in Kediri Regency. Method: A qualitative case study approach was used, with purposive sampling of key informants including heads of community health centers, nutrition officers, cadres, pregnant women, and mothers of stunted toddlers. Data were collected through observations and interviews in July 2025. Ethical approval was obtained. Result: Findings show that the implementation of the supplementary feeding program using local foods positively contributes to stunting prevention among pregnant women and toddlers in Kediri. Program monitoring is conducted through regular recording, structured reporting, and periodic evaluation. Funding primarily comes from the Health Operational Assistance Fund (BOK), managed transparently by the health centers. Conclusion: the policy has been effectively implemented in several health facilities, making it a strategic effort to combat stunting in Kediri Regency, particularly through the distribution of locally based supplementary food.
Copyright (c) 2025 Nur Alim Fatah, Yuly Peristiowati, Ratna Wardani https://creativecommons.org/licenses/by/4.0
THE RELATIONSHIP OF EDUCATION TO DANGEROUS SIGNS OF PREGNANCY TRIMESTER USING AUDIOVISUAL MEDIA TO LEVEL KNOWLEDGE OF PREGNANT WOMEN IN THE III TRIMESTER IN THE REGIONTELAGA DEWA HEALTH CENTER WORKBENGKULU CITY
Backround : Danger signs of pregnancy are symptoms that indicate that the mother and baby are in danger. If the danger signs of pregnancy are not detected early, it can cause problems for the mother and fetus, resulting in a risk of death. Pregnant women's knowledge of the danger signs in pregnancy will minimize obstetric emergencies. Therefore, there is a need for education regarding this matter to increase knowledge among pregnant women. Method : This study employed a pre-experimental design with a one-group pre-test and post-test approach. The sample consisted of 78 third trimester pregnant women selected through simple random sampling. Data collection involved pre-and post-intervention questionnaires, followed by univariate and bivariate analyse. Result : The results of the study showed that there was an increase in the knowledge of pregnant women in the third trimester after being given intervention using audiovisual media, previously there were (34.6%) respondents with good knowledge, (32.1%) with sufficient knowledge, (33.3%) with less knowledge and after being given the intervention it increased to (91.0%) respondents with good knowledge, and (9.0%) respondents with sufficient knowledge. The results of the bivariate test obtained a p-value of 0.001<0.005, which means that audiovisual media can be an effective medium in increasing the knowledge of third trimester pregnant women in the working area of the Telaga Dewa Community Health Center, Bengkulu City. Conclusion : Audiovisual media is effective in increasing pregnant women's knowledge about danger signs in the third trimester.
Danger Signs of Third Trimester Pregnancy
Copyright (c) 2025 Dewi Intan Fitriani, Novianti, S.ST., M.Keb, Deni Maryani, S.ST., M.Keb, Asmariyah, S.ST., M.Keb, Kurnia Dewiani, S.ST., M.Keb https://creativecommons.org/licenses/by/4.0
EFFECTIVENESS OF ORAL MOTOR STIMULATION ON INCREASING THE WEIGHT OF LOW BIRTH WEIGHT INFANTS
Background: Low Birth Weight (LBW) Infants often experiences feeding difficulties due to oromotor function immaturity, which directly inhibits weight gain and prolongs hospitalization. Oral motor stimulation is a promising non-pharmacological intervention to address this issue, but quantitative evidence regarding its impact in the context of local care still needs to be strengthened. Objective: This study aims to analyze the effect of oral motor stimulation intervention on weight gain in LBW infants. Method: This study used a pre-experimental design with a one-group pre-post test design. A total of 18 LBW infants who met the inclusion criteria in the Perinatology Room of R. Ali Manshur Hospital, Tuban, received oral motor stimulation intervention for 15 minutes every day for 7 consecutive days. Weight data before and after intervention were analyzed using the Paired Samples t-Test after meeting the assumption of normality through the Shapiro-Wilk test. Results: The results showed an increase in average body weight from 2122.22 grams (SD=181.68) to 2608.33 grams (SD=88.43). There was a very significant difference in body weight with an average increase of 486.11 grams; t = -13.736; p <0.001). Conclusion: Oral motor stimulation intervention was significantly effective in increasing weight gain in LBW infants. This intervention can be an important component of nursing care to optimize growth outcomes and support readiness to go home in this vulnerable population.
Copyright (c) 2025 INTERNATIONAL JOURNAL OF MIDWIFERY RESEARCH https://creativecommons.org/licenses/by/4.0
DESCRIPTION OF THE LEVEL KNOWLEDGE OF PREGNANT WOMEN ABOUT EARLY DETECTION OF DANGER SIGNS OF PREGNANCY IN THE WORK AREA OF TELAGA DEWA HEALTH CENTER BENGKULU CITY
Backround : Maternal Mortality Rate (MMR) can be defined as the number of maternal deaths in a certain period per 100,000 live births in the same period, which occur in women during pregnancy or within 42 days after the end of pregnancy, regardless of the duration and location of the pregnancy. MMR in Indonesia has experienced a significant decline per 100,000 KH in 2010 to 189 per 100,000 KH in 2020 or a decrease of 45% in the last 10 years. Danger signs of pregnancy are signs that can identify dangers that can occur during pregnancy which if not reported or detected can cause death to the mother. The purpose of this study was to determine the level of knowledge of pregnant women about early detection of danger signs of pregnancy in the work area of the Telaga Dewa Health Center, Bengkulu City. Method : Descriptive research method, namely the researcher describes or provides an overview of the object being studied based on the data obtained. The data source in this study consists of primary data using a questionnaire. The sample in this study a mounted to 110 pregnant women obtained using the Slovin formula with the Quota sampling technique. Result : The results of the study The description of the level of knowledge of pregnant women in the work area of the Telaga Dewa. Health Center, Bengkulu City showed that the highest level of knowledge was in the good category (70%), sufficient knowledge (23.6%), and insufficient knowledge (6.4%). Conclusion : Based on the results of the study, it was found that pregnant women with good knowledge were 70% and those with insufficient knowledge were 6.4%. It is hoped that this study can help become a reference for further researchers to further examine the level of knowledge of pregnant women about early detection signs of pregnancy dangers in a complex manner
Copyright (c) 2025 Hilda Septiani, Novianti, S.ST., M.Keb, Linda Yusanti, S.ST., M.Keb, Yetti Purnama, S.ST., M.Keb, Fitri Ramadhaniati, S.ST., M.Keb https://creativecommons.org/licenses/by/4.0
SPICY FOOD AS A TRIGGERING FACTOR FOR DYSPEPSIA IN FEMALE ADOLESCENTS AT SMP NEGERI 3 TUBAN
Background: Dyspepsia syndrome is a common digestive disorder among adolescents, particularly females, and is influenced by dietary habits, including spicy food consumption. Spicy foods contain capsaicin, which can increase stomach acid production and irritate the gastric mucosa, potentially triggering dyspepsia symptoms. This study aims to examine the relationship between spicy food consumption and dyspepsia syndrome among female students at SMP Negeri 3 Tuban. Method: This study employed a descriptive correlational design with a cross-sectional approach. A total of 105 female students were selected using cluster sampling. Spicy food consumption was assessed using a Likert-scale questionnaire, while dyspepsia symptoms were measured using the Postprandial Distress Syndrome (PDS) scale. Data analysis was conducted using Spearman’s correlation test. Results: The study found that 60% of respondents had a moderate level of spicy food consumption, while 65.7% experienced moderate dyspepsia symptoms. Statistical analysis showed a significant positive correlation between spicy food consumption and dyspepsia syndrome (p = 0.000, r = 0.410), indicating that higher spicy food consumption increases the likelihood of dyspepsia symptoms. Conclusion: There is a significant relationship between spicy food consumption and dyspepsia syndrome among female students. It is recommended that adolescents regulate their spicy food intake and adopt a balanced diet to prevent digestive issues. Schools and families should provide education on healthy eating habits to reduce the risk of dyspepsia. Keywords: spicy food, dyspepsia syndrome, adolescents, dietary habits
RELATIONSHIP BETWEEN KNOWLEDGE, ATTITUDE OF PREGNANT WOMEN ABOUT THE FIRST 1000 DAYS OF LIFE AND STUNTING PREVENTION
Background: Stunting is a condition in which a child experiences growth and development disorders due to lack of nutritional intake for a long time. The First 1000 Days of a baby's life can prevent stunting Mothers' perspectives and understanding of the first 1000 days are crucial in preventing stunting. Objective : to ascertain the relationship In Suka Damai Village, Hinai District, Langkat Regency, a pregnant mother's knowledge and attitude toward the first 1000 days of life with stunting prevention. Method : analytical survey research with design study Which used is cross sectional . Population study This is Mother pregnant who checks Her pregnancy . The population is 40 people and with technique total sampling . Instrument use questionnaire and techniques data analysis using analysis chi square . Results : Most of the twenty-three individuals knew enough. (32.5%), the majority is positive (26, or 65.0%), the minority is good (four, or 10.0%), and the attitude is negative (only 14, or 35.0%). In Peaceful Village, Hinai District, there is a correlation between pregnant women's attitudes throughout the first 1000 days of life and their ability to prevent stunting (p-value = 0.000; p<0.05) Conclusion : In Suka Damai Village, Hinai District, there is information about the attitude of pregnant mothers during the first 1000 days of life and how to prevent stunting. It is advised to try to learn more about mothers' 1000-day life spans in order to prevent stunting
Acupressure, Moxibustion, and Aromatherapy for Nausea and Vomiting in First Trimester Pregnancy: A Literature Review on Potential Stunting Prevention from the Womb
Background: Nausea and vomiting in pregnancy (NVP), often termed emesis gravidarum, is a common physiological occurrence, particularly in the first trimester, affecting 50-90% of women. While often self-limiting, severe NVP can progress to hyperemesis gravidarum, leading to dehydration, electrolyte imbalance, and malnutrition, potentially impacting maternal well-being and fetal development, thus contributing to risks associated with stunting initiated in utero. Complementary therapies offer non-pharmacological alternatives for managing NVP. Objective: This literature review aims to synthesize evidence from 22 provided journal articles on the effectiveness of acupressure, moxibustion, and aromatherapy (lemon, lavender, peppermint, ginger, orange) in managing nausea and vomiting during the first trimester of pregnancy, considering their potential role in early stunting prevention by improving maternal health. Methods: A literature search was conducted based solely on 22 Google Scholar and ScienceDirect for open-access articles published between 2020 and 2024. Keywords related to acupressure, moxibustion, aromatherapy, first-trimester nausea and vomiting, maternal weight, and maternal anxiety were used. Relevant studies meeting predefined criteria were selected and findings were synthesized narratively. Keywords related to acupressure, moxibustion, aromatherapy, first-trimester nausea and vomiting, maternal weight, and maternal anxiety were used. Relevant studies meeting predefined criteria were selected and findings were synthesized narratively. Results: The reviewed articles suggest that acupressure at Pericardium 6 (PC6) and Zusanli (ST36) is effective in reducing NVP. Moxibustion at P6 also showed positive effects, though ST36 was less effective. Aromatherapy using lemon, lavender, and peppermint essential oils consistently demonstrated effectiveness in reducing nausea and vomiting frequency and intensity. Combined aromatherapy approaches and the combination of acupressure with aromatherapy also showed benefits. Conclusion: Based on the reviewed literature, acupressure, moxibustion (particularly at P6), and aromatherapy (lemon, lavender, peppermint) appear to be effective complementary therapies for managing nausea and vomiting in the first trimester. By alleviating NVP, these non-pharmacological methods can contribute to improved maternal nutritional status and hydration, potentially supporting healthier fetal development and playing a role in strategies for stunting prevention starting from the womb.
Copyright (c) 2024 INTERNATIONAL JOURNAL OF MIDWIFERY RESEARCH https://creativecommons.org/licenses/by/4.0
THE EFFECT OF BIRTH BALL ON PAIN RELIEF IN PARTICULAR WOMEN IN THE IST ACTIVE PHASE IN SPACE BANCAR COMMUNITY HEALTH CENTER
was to determine the effect of the Birth Ball on reducing pain in women giving birth during the first active phase in the delivery room at the Bancar Health Center. This type of research used a quasi-experimental design with a two group pretest posttest design. The population of all mothers giving birth from January to February 2022 is 55 respondents, with a sample of 16 respondents as the intervention group and 16 as the control group. Simple random sampling technique. Analysis of this data uses the independent sample T-Test if the data is normal, if the data is not normal using the Mann Whiteney U-Test. SOP Birth Ball and Visual Analog Scale instruments. The results of this statistical test are based on independent sample T-Test decision making with Asymp values. Sig. (2-tailed) 0.012 < 0.05 which means the hypothesis is accepted. There is an influence of the Birth Ball on reducing pain in women giving birth during the first active phase in the birthing room of the Bancar Health Center. This research can be used as a reference in adding information to provide information and education regarding the implementation of birthball therapy for mothers giving birth during the first active phase.
Copyright (c) 2023 INTERNATIONAL JOURNAL OF MIDWIFERY RESEARCH https://creativecommons.org/licenses/by/4.0
The Effect Of Giving Lemon Aromatherapy To Reduce Menstrual Pain (Dysmenorrhea) In Class X Female Students (Montong District, Tuban Regency)
Background: Dysmenorrhea has a high impact on women's lives, resulting in restrictions on daily activities, lower academic achievement in adolescents, and poor sleep quality, as well as causing anxiety and depression . .Objective : This study aims to determine the effect of lemon aromatherapy on female students who experience dysmenorrhea. .Method: This study uses the Pre Experiment method. One Group Pretest – Posttest. Sampling using Accidental sampling technique with a sample of some female students of class X SMAN 1 Montong who experienced dysmenorrhea as many as 16 students a. The independent variable is lemon aromatherapy, the dependent variable is menstrual pain ( dysmenorrhea ). The instrument used was a questionnaire. Data analysis used the Wilcoxon Test statistical test. .Result: Result study Respondent Which experiencing dysmenorrhea, before being given lemon aromatherapy, some big 10 (62.4%) face Moderate dysmenorrhea and after given aromatherapy, part big 13 (81.3%) face dysmenorrhea light. Results test Wilcoxon with significance level α=<0.05 is proven to reduce dysmenorrhea with a value of ???? = 0.000<0.05 which means H 1 accepted so that there is an effect of giving lemon aromatherapy to overcome menstrual pain (dysmenorrhea) in female students of class X SMAN 1 Montong (Montong District, Tuban Regency). ,Conclusion: The conclusion of this study it can be seen that there is the effect of lemon aromatherapy on reducing dysmenorrhea. One alternative way what students who experience dysmenorrhea can do is using aromatherapy which is practical to use, relatively inexpensive, and makes other people feel happy
RELATIONSHIP BETWEEN ECONOMIC STATUS WITH THE OCCURRENCE OF EARLY MARRIAGE (In the Working Area of UOBF Jatirogo Health Center, Jatirogo District, Jatirogo Regency. Tuban)
Marriage is something sacred that is done to achieve certain goals such as continuing offspring, increasing social rank and status, bringing back strained kinship relationships, or even to ensure that wealth does not pass to another party. The aim of this research is to determine the relationship between economic status and promiscuity with the incidence of early marriage in the UOBF work area of ​​the Jatirogo Community Health Center, Kec. Jatirogo, Tuban Regency . This research uses an analytical design with a cross-sectional time approach. The sample collection method used Simple Random Sampling with a partial sample of catin at UOBF Jatirogo Health Center in September-February 2021 as many as 60 people. There are two variables in this research, namely the independent variable is economic status, the dependent variable is early marriage. The instrument used was a questionnaire. Data analysis uses the Contingency Coefficient statistical test . The statistical test results have a significant value of ρ = 0.004 r = 0.391, this shows that the value ρ < α (0.004 < 0.05) which means that H0 is rejected and H1 is accepted, namely that there is a relationship between economic status and the incidence of early marriage at the Jatirogo Community Health Center, Jatirogo District, Tuban Regency. 2024 with weak correlation strength (r = 0.391). (Sopiyudin Dahlan, 2016). Therefore, it is necessary to re-evaluate the education that has been carried out and improve education on the impact of early marriage on teenagers, from teenagers at school to their parents, so that the impact of early marriage can decrease and be resolved.
Copyright (c) 2022 INTERNATIONAL JOURNAL OF MIDWIFERY RESEARCH https://creativecommons.org/licenses/by/4.0
The Influence Of Reproductive Health Education Through Small Group Discussion Method With Knowledge Of Sexual Abuse In Early Adolescence ( At SMP Negeri 1 Grabagan) Tuban Regency )
Sexual violence against children is increasingly common and is becoming global in almost all countries. Cases of sexual violence against children continue to increase from time to time. This increase is not only in terms of quantity or number of cases that occur, but also in terms of quality. The aim of the research is to determine the influence of reproductive health education through the small group discussion method with knowledge about sexual abuse in early adolescents at SMPN 1 Grabagan Tuban. This research used pre-experimental (One group pre-post test design). The sampling method used simple random sampling technique with a sample size of 44 respondents. The instruments used were SOPs and questionnaire sheets. Data analysis used the Wilcoxon test. The research results showed that knowledge about sexual abuse among female students at SMPN 1 before being treated was in the medium category at 30 (68.2). Based on analysis using SPSS For Windows with the Wilcoxon signed ranks test with a significance level of α = 0.05, the result was Asymp.Sig (2-tailed) = 0.000 < 0.05, it was concluded that H1 was accepted, meaning that there was an influence of Reproductive Health Education Through the Small Group Discussion Method with Knowledge about Sexual Abuse in Early Adolescents (At Smp Negeri 1 Grabagan, Tuban Regency). Based on these results, it can be concluded that the influence of reproductive health education using the Small Group Discussion method can increase knowledge about sexual abuse in early adolescents at SMP Negeri 1 Grabagan, Tuban Regency.
THE RELATIONSHIP BETWEEN CHARACTERISTICS OF CONTRACEPTORS AND THE USE OF HORMONAL CONTRACEPTION WITH HYPERTENSION INCIDENT AT PALANG TUBAN COMMUNITY HEALTH CENTER
Supporting factors for couples of childbearing age to choose contraceptives for each individual are different. The side effects are different for each method of contraception. One of the side effects is the incidence of hypertension. This study aims to determine the relationship between the characteristics of family planning acceptors and the use of hormonal family planning with the incidence of hypertension at the Palang Tuban Health Center.The population in this study were family planning acceptors at the Palang Health Center in August 2022 as many as 935 people. The sampling technique used is simple random sampling. The sample in this study were 280 family planning acceptors at the Palang Health Center in August 2022. The design of this research was analytical with a cross sectional approach. Data collection by looking at the medical records of the Palang Community Health Center family planning in August 2022. Using the chi square test (x2) with = 0.05 using the SPSS version 22 method program.The results showed that the characteristics of family planning acceptors at the Palang Health Center were between the ages of 20-35 years, parity > 2 children, working, junior high school education status, duration of use of hormonal contraception 1-5 years, using injection contraceptives, the presence of hypertension sufferers using hormonal contraception . . And the results of the chi square test data analysis (x2) showed age (62.147) = 0.980 parity (23.350) = 0.077, employment status (10.882) = 0.012, educational status (16.915) = 0.050, length of use of family planning ( 27,041) =0.000 types of contraception (153.657) = 0.000 use of hormonal contraception (151.213) = 0.000 where < 0.05.It can be concluded that there is a relationship between the characteristics of family planning acceptors from work status, duration of use of hormonal family planning, types of contraception and use of hormonal contraceptives with the incidence of hypertension at the Palang Tuban Health Center in 2022. Therefore, the introduction of side effects of hormonal family planning is very necessary.
Copyright (c) 2021 INTERNATIONAL JOURNAL OF MIDWIFERY RESEARCH https://creativecommons.org/licenses/by/4.0
RED GUAVA JUICE AND IRON SUPPLEMENTATION ON PREGNANT WOMEN’S HEMOGLOBIN LEVEL
Background: Administering iron tablets (Fe) is one of the measures implemented to prevent anemia. Guava, a fruit abundant in vitamin C, possesses the ability to enhance the absorption of Fe in the human body. The objective of this research is to analyze the impact of providing Fe tablets in conjunction with guava juice on the elevation of Hb levels in pregnant women at the South Tangerang Region Health Center. Methods: This study employed a quasi-experimental two group pre-post design. The sample consisted of 30 pregnant women in their third trimester who were diagnosed with anemia and were divided into two groups: the treatment group and the control group. Purposive sampling was utilized as the sampling technique. Data analysis involved Independent T-test. Results: The outcomes demonstrated a significant disparity in the elevation of Hb levels resulting from the administration of Fe tablets combined with guava juice compared to the sole administration of Fe tablets, with a p-value of 0.000. Conclusion: Consequently, the findings indicate that the administration of Fe tablets in conjunction with guava juice exerts an influence on the elevation of Hb levels in pregnant women. Therefore, it is advisable for pregnant women with anemia to consume Fe tablets along with guava juice
A COMPARATIVE STUDY OF PERINEAL WOUND HEALING RATES IN POSTPARTUM WOMEN CONSUMING SNAKEHEAD AND MACKAREL TUNA FISH
Background: Ideally, perineal wounds take 6-7 days to heal. The wound healing process requires protein that can be obtained from fish as a basic nutrient for cell formation. The availability of fish in Indonesia is very high, but the national fish consumption rate is low. The purpose of this study was to analyze the difference in the speed of perineal wound healing in postpartum mothers with protein intake from snakehead fish and mackarel tuna fish. Method: This study used a quasi-experimental design with a post-test only control group design approach. The number of samples used was 48 respondents who were selected using simple random sampling and divided into three groups. Result: The results of the Kruskal Wallis analysis showed a P value of 0.036, so it can be concluded that there is at least an effect of providing intervention on perineal wound healing. The highest wound healing ranking was in the snakehead fish group with a value of 20.45, then the mackarel tuna fish group 16.45 and the control group 9.60. Conclusion : So mothers who have perineal stitches are advised to increase their protein consumption from either snakehead fish or mackarel tuna fish as an alternative to accelerate the perineal wound healing process.
snakehead fish, mackarel tuna fish, perineal wounds
THE EFFECT OF GIVING PEPPERMINT AROMATHERAPY ON THE INCIDENT OF EMESIS GRAVIDARUM ON TRIMESTER 1 PREGNANT WOMEN AT TPMB RAHMADINA TUBAN
Background: Nausea and vomiting are one of the signs and symptoms of pregnancy that commonly occur in pregnant women. 50-90% of pregnant women experience nausea in the first trimester. Continuous nausea and vomiting can cause the mother to lack nutrition, thereby inhibiting the growth and development of the fetus. Non-pharmacological management of nausea and vomiting during pregnancy can use aromatherapy. Aromatherapy that can be used comes from a type of citrus, namely peppermint, because it contains antispasmodic charismatic effects. Objectives: This study aims to determine the effect of giving peppermint aromatherapy on the incidence of emesis gravidarum in pregnant women in the first trimester at TPMB Rahmadina Tuban. Methods: The research design used in this research is quantitative "pre-experimental" using the research method "one-group pre-post test design". The subject group was observed before the intervention (pre-test), then observed again after the intervention (post-test). The population of this study was 20 pregnant women in the 1st trimester at TPMB Rahmadina Tuban who were selected using a simple random sampling technique, obtaining a sample of 16 pregnant women in the 1st trimester with complaints of nausea and vomiting. Result: The results of the research conducted showed that before being given peppermint aromatherapy, the majority of 13 (81.25%) pregnant women experienced moderate nausea and vomiting. After being given peppermint aromatherapy, the majority of 12 (75%) pregnant women experienced mild nausea and vomiting. The results of the Wilcoxon sign rank test with a significance level of α=<0.05 obtained a value of = 0.001<0.05, which means that H1 was accepted, namely that there is an effect of giving peppermint aromatherapy on the incidence of emesis gravidarum in pregnant women in the 1st trimester. Conclusion: From the description above, it can be concluded that peppermint aromatherapy has an effect on the incidence of emesis gravidarum (in pregnant women in the 1st trimester at TPMB Rahmadina Tuban.
NON-COMPLIANCE OF BLOOD SUPPLEMENT TABLETS CONSUMPTION AMONG ADOLESCENT GIRLS IN SENIOR HIGH SCHOOL 1 KEPAHIANG, BENGKULU PROVINCE, INDONESIA
Background: Anemia remains a significant concern, particularly among adolescent girls in Indonesia. To combat this, one of the key strategies implemented has been the regular weekly distribution of blood supplement tablets, which requires consistent consumption to be effective. Unfortunately, adherence to this regimen remains low. Knowledge is recognized as a crucial factor in influencing behavioral changes. Method: This study explores the correlation between the level of knowledge and adherence to consuming blood supplement tablets among adolescent girls at SMAN 1 Kepahiang, Bengkulu Province, Indonesia. This study employed a quantitative analytic design with a cross-sectional approach. The sample consisted of 219 adolescent girls at SMAN 1 Kepahiang Result: The findings revealed that most participants had a poor level of knowledge, with 188 respondents (85.8%) falling into this category. A smaller proportion, 25 respondents (11.4%), demonstrated sufficient knowledge, while only 6 (2.7%) exhibited good knowledge. In terms of compliance with taking blood supplement tablets, 208 respondents (95.0%) were non-compliant, and just 11 (5.0%) were compliant. The Spearman rank analysis showed a p-value of 0.000 (which is less than 0.05) and an r-coefficient of 0.598, indicating a strong relationship. Conclusion : The level of knowledge correlates with the compliance of adolescent girls in consuming blood supplement tablets with strong relationship. Schools are advised to increase cooperation with related parties to evaluate and monitor the sustainability of the program and develop programs towards mentoring with various media approaches to adolescent girls.
The Relationship Of Knowledge With Mother's Attitudes Pregnant About Gestational Diabetes Mellitus In Baru Village
Background : Diabetes Mellitus Gestational (GDM) is incident improvement glucose in the mother pregnant sick from disturbance tolerance in mother pregnant . can happened to the mother pregnant Because happen improvement estrogen and progesterone hormones so increase hyperplasia pancreatic beta cells so insulin release increases and experiences resistance at the beginning pregnancy . Disorders vision , preeclampsia , fetus large , miscarriage , prolonged labor , premature , cesarean delivery Method : Design study Which used in study This that is analytic correlation with approach cross-sectional . Time and place research : Research This held in June 2024 in New Village , Hinai District , The Land of the Rising Sun North Sumatra Province in 2024. Population and sample : population is Mother pregnant women in Desa Baru with a total sampling of 42 people. Result: Respondents majority knowledge Enough as much as 18 people (43%) and based on attitude majority positive as many as 33 people (79%). Chi square test results obtained is 0.002 . or (0.05). This is state There is connection between knowledge somebody with attitude against diabetes mellitus gestational . Conclusion : There is a relationship knowledge to attitude Mother pregnant about Diabetes Mellitus Gestational so need done improvement knowledge for mothers pregnant behave positive in prevention of diabetes mellitus Gestational
The Effect Of Woolwich Massage Therapy On The Flowness Of Breast Milk In Public Mothers At The Bulu Tuban Community Health Center
Background: : Failure to breastfeed can cause several problems during the postpartum period. Breast care has an important role in this matter, one of which is by carrying out Woolwich massage on postpartum mothers. This study aims to find out whether Woolwich massage therapy has an effect on the smoothness of breastfeeding in postpartum mothers at the Bulu Community Health Cente Tuban Regency. Method: The research was conducted in July 2024 at the Bulu Tuban Community Health Center. The methodology used is quasy experiment. The independent variable is Woolwich massage while the dependent variable is smooth breastfeeding. The sample size was 16 respondents using a simple random sampling technique. Data processing uses the Wilcoxon Signed Rank test with a significance level of ρ < α (0.05).Result: All postpartum mothers experienced that their breast milk was not flowing smoothly before Woolwich massage therapy was carried out, all postpartum mothers experienced smooth milk production after Woolwich massage therapy. After carrying out statistical tests, it was found that the ρ-value was 0.000, so the ρ-value <0.05 so that H₀ was rejected. This proves that there is an influence of Woolwich massage therapy on the smooth flow of breast milk in postpartum mothers at the Bulu Community Health Center Tuban Regency. Conclusion : The results of this study can provide input and information about the effect of Woolwich massage therapy on the smooth flow of breastfeeding in postpartum mothers so that health workers can optimize their provision of midwifery care to postpartum mothers
The Relationship Between Use Of 3 Monthly Contraceptive Injection And Menstrual Disorders At Gloria Clinic
Introduction : Density population has a great influence on welfare and health population . Contraception is tools used​ in prevent the occurrence pregnancy.In​ election usage tool contraception can varies However own advantages and disadvantages of each method contraception. Purpose : To analyze long term relationship 3 month birth control injection with disturbance cycle menstruation Method : Research design survey analytics , with approach cross sectional, namely try dig how and why phenomenon That occurred . Population and Sample: all 3- monthly injectable birth control acceptors who experienced and did not experience experience disturbance at the time menstruation totaling 30 acceptors , the total sampling is then sample a total of 30 acceptors . Place and time : at the Gloria Clinic, Teluk Dalam Market, Teluk Dalam District , South Nias Regency, North Sumatra Province , April -June 2024. Results : Based on The results of the Chi-Square statistical test P= 0.000 (<0.05) that There is Relationship between the duration of use of 3 - month injectable contraceptives and Disturbance Menstruation In Acceptors 3 Months Injectable Birth Control In Di Gloria Clinic, Teluk Dalam Market , Teluk Dalam District, South Nias Regency, North Sumatra Province , 2024 Conclusion : There is a relationship between the length of use 3 month birth control injection with disturbance cycle menstruation
Factors Influencing Anemi In Pregnant Women At Trimurti Clinic
Introduction : Anemia is a condition in which the mother's hemoglobin level is less than 11g/dl due to a lack of iron in red blood cells. The criteria for anemia can be divided into 3, namely mild, moderate and severe anemia . The impact of this anemia can be on the mother and baby. Objective : To analyze the factors that influence the occurrence of anemia in pregnant women at the Trimurti Clinic. Method: observational analytic with approach cross sectional study . Population and Sample: all pregnant women in the third trimester at the Trimurti Badar Setia Clinic, Percut Sei Tuan District, Deli Serdang Regency, as many as 35 people with a total population sampling technique, the number of samples was 35 people. Place and time: Trimurti Badar Setia Clinic, Percut Sei Tuan District , Deli Serdang Regency, North Sumatra Province, April-July 2024. Results : In terms of nutrition of pregnant women, it was found that the p value = 0.503 > 0.05, so there is no relationship between the incidence of anemia and the nutritional status of respondents. From sleep patterns, the p value = 0.025 was found and in terms of socio-economics, the p value = 0.008 <0.05 This means that there is a relationship between the incidence of anemia and the socio-economics of respondents at the Trimurti Clinic Conclusion : There is no relationship between nutritional status and the incidence of anemia and there is a relationship between dietary patterns and socio-economics with the incidence of anemia in pregnant women in the third trimester at the Trimurti Clinic.
The Influence Of Booklet Media On Mothers Of Toddlers Regarding Immunization
Introduction : Infant mortality rate is still high, one of which is caused by infectious diseases. These infectious diseases can be prevented by immunization. Immunization can prevent babies from Tuberculosis (TB), Diphtheria, Tetanus, Hepatitis B, Pertussis, Measles, and Polio . Purpose : Effect Media Booklet on Knowledge and Attitude of Mothers of Toddlers about Complete Immunization . Population and Sample: mothers who have toddlers aged 18-24 years at Rini Clinic as many as 40 people with total population sampling technique, the number of samples is 40 people. Place and time: at the Rini Midwife Clinic, Sunggal District, Medan City, North Sumatra Province on month May – June 2024. Results : The majority of respondents aged 20-35 years were 24 people (60 % ), the majority of high school/equivalent education was 36 people ( 65 people), the majority of housewives were 23 people (58%), the majority of multigravida were 25 people (63%) . The mean score of knowledge before education was 53.38 and after education was 77.00. The attitude score before booklet media education was 15-25 and after the min-max was 22-29. From the Paired T Test The P value was found to be 0.000 < 0.05, so Ha was accepted, namely that there was a relationship between knowledge and attitudes before and after booklet media education for pregnant women and mothers of toddlers. About Basic Immunization Before administration at the Rini Midwife Clinic, Sunggal District, Medan City, North Sumatra Province in 2024. Conclusion : There is a relationship between knowledge and attitudes of mothers of toddlers before and after booklet media education About Basic Immunization at Rini Midwife Clinic, Sunggal District, Medan City, North Sumatra Province in 2024
The Relationship Between Diet Patterns And The Incidence Of Anemia In Pregnant Women At Datuk Bandar Community Health Center
Introduction : Anemia is very dangerous in pregnancy because it can affect the mother and baby. The mother can experience poor body conditions because the blood does not carry enough oxygen and nutrients so that the body is inadequate in getting oxygen and nutrients . Objective : To analyze the Relationship between Pregnant Women's Eating Patterns in the Third Trimester and the incidence of anemia at the Datuk Bandar Health Center . Method: observational research to see if there is a relationship between diet and the incidence of anemia in pregnant women at the Datuk Bandar Health Center. Population and Sample: all pregnant women in the third trimester at the Datuk Bandar Health Center as many as 35 people with the total population sampling technique, the number of samples was 35 people. Place and time: At the Datuk Bandar Health Center, Datuk Bandar District, Tanjung Balai City, North Sumatra Province in February-April 2024. Results : Respondents with poor diet patterns were mostly anemic, 12 people (34%), while respondents with poor diet patterns were mostly not anemic, 20 people (57%). After the chi square test was carried out , the results showed that the p value was 0.000 , so there was a relationship between the respondents' diet patterns and the incidence of anemia in respondents at the Datuk Bandar Health Center, Datuk Bandar District, Tanjung Balai City, North Sumatra Province in 2024. Conclusion : There is a relationship between diet patterns and the incidence of anemia in pregnant women in the third trimester at the Datuk Bandar Health Center in 2024
Factors Influencing The Incidence Of Cervical Cancer In Patients At Adam Malik Hospital
Background: Cancer cervix is disturbance growth mobile And is a group of diseases characterized by failure to control cell proliferation and maturation in cervical tissue . Asia Southeast occupies ranking fifth amount number incident And death the highest, namely 1.91% and 1.16% of people . Objective: to m analyzing Risk Factors Affecting the Occurrence of Cervical Cancer at the H. Adam Malik Central General Hospital, North Sumatra Province in 2024 Method : This type of research is descriptive analytical. with design study Cross Sectional . The population is all those who have cervical cancer at H Adam Malik Hospital. A total of 42 people with a total sampling technique of 42 people. Results : The age of the respondents is mostly 35-45 years old, 25 people (60%), the majority of high school education is 21 people (51%), the majority of injections are 19 people (45%), the majority of cancer stage 2 is 21 people (50%). From the analysis of the chi square test of age with the stage of cervical cancer incidence, the results of the p value p = 0.571 and the results of the square test of contraceptive use with the incidence of cervical cancer p value = 0.401 that there is no relationship between age and contraceptive use with the stage of cancer . Conclusion : Factors that influence the occurrence of cervical cancer at Adam Malik Hospital in 2024 are age >35 years, high school education, users of injectable contraceptives, stage 2, there is no relationship between age and contraceptives with the stage of cervical cancer. Suggestion: It is recommended to do early detection through the IVA test as early as possible so that the incidence of cervical cancer can be overcome earlier
The Effect Of Vinyasa Yoga On Reducing The Intensity Of Primary Dysmenorrhoea In Adolescents Girl At MA Manbail Futuh
Background: Primary dysmenorrhea is an important problem. In Indonesia, the prevalence of primary type dysmenorrhea in adolescent girls ranges from 60%-90%, while the remainder are sufferers of the secondary type (Astuti 2022). From the results of a preliminary study, it was found that 7 out of 10 teenage girls at MA Manbail Futuh experienced primary dysmenorrhea. If primary dysmenorrhea is not treated, it will affect the individual mentally and physically, so it is urgent to take immediate pharmacological and non-pharmacological action. Pharmacological treatment can cause side effects, so alternative non-pharmacological therapy is used, one of which is Vinyasa Yoga. Further research is needed to determine the effect of Vinyasa Yoga on reducing the intensity of primary dysmenorrhea pain. Method: The study used pre-experimental research with One group pretest-posttest design with 55 0f 64 respondents using a simple random sampling technique. Vinyasa Yoga is done at least 3 times for 1 month before menstruation and the instruments were questionnaires and numerical rating scales. Data analysis using the Wicoxon test. Result: The results of the research showed that all respondents experienced a decrease in pain intensity, the test results showed that p = 0.000, it was found that p <0.05, so H0 was rejected. This means that there is a significant effect of Vinyasa Yoga on reducing primary dysmenorrhea scores. Vinyasa yoga, which is done before menstruation regularly and correctly, trains the strength of the core muscles of the abdomen to relax so that it changes the pattern of receiving pain to a more calming pattern so that the intensity of the pain can be reduced.Conclusion : Abstract should be informative , and not only explain P value to show the difference t but also mention value of correlation or differences.
Overview Of Family Informative And Emotional Support About FE Supplementation To Anemia In Adolescent Girls At Stikes Rajekwesi Bojonegoro
Background: Adolescent girls are one group that is prone to suffering from anemia, This is because young women lose iron (Fe) during menstruation so they need more iron (Fe) intake. TTD is given to rheumatism and WUS through supplementation containing at least 60 mg of elemental iron and 400 mcg of folic acid. Objective research is to discribe the informational dan emotional family support to fe suplementation Method: This research uses descriptive research where researchers search description of the object under study. the number of samples was 45 respondents Adolecent girls in High school of science Rajekwesi Bojonegoro, Data collection used a questionnaire instrument and displayed in percentages Result: Research is known that of the 45 respondents, the majority of respondents, namely 22 (48.89%) did not receive enough family informative support is known that of the 45 respondents, the majority of respondents, namely 20 (44.43%) did receive enough family emotional support. Conclusion : Most families provide insufficient informational support to adolescents regarding Fe supplementation in preventing anemia in adolescents, whereas Most families provide sufficient emotional support for Fe supplementation in adolescents at Rajekwesi Bojonegoro High School of Science