Jurnal Kebidanan Kestra (JKK) provides space for academics, researchers and users of the results of research and service to disseminate, inform, discuss and use the results of research and service as an effort to improve the quality of policies in the field of midwifery based on scientific and accountable. This journal presents the results of research, community service and scientific articles in the field of midwifery. The Jurnal Kebidanan Kestra (JKK) is independent, scientific, giving equal opportunities to academics from various levels and origins of higher education. The Jurnal Kebidanan Kestra (JKK) has an e-ISSN number that is officially issued by LIPI and is also indexed in various Journal Indexing Institutions. e ISSN: 2655-0822 Journal of Midwifery Kestra (JKK) has been indexed By:
Fakultas Kebidanan Institut Kesehatan Medistra Lubuk Pakam
Copyright in each article is the property of the Author.
Coverage and Determinants of the Success of Antenatal Care (ANC) in First Trimester Pregnant Women at Lubuk Pakam Public Health Center
Antenatal Care (ANC) services play a crucial role in the early detection of pregnancy complications, prevention of maternal morbidity and mortality, and overall improvement of maternal and fetal health. High-quality ANC provides opportunities for healthcare providers to conduct screening, health education, and promotive as well as preventive interventions throughout pregnancy. However, its implementation in the field still faces challenges related to service completeness, continuity, and quality. This study aimed to assess the coverage and quality of Integrated Antenatal Care (ANC) services among first-trimester pregnant women at Lubuk Pakam Health Center. A quantitative descriptive design was used with a total sampling technique involving 120 respondents. Data were collected through structured interviews, direct observation, and document review of medical records. The results showed that 78.3% of mothers had attended ANC visits, but only 58.3% received the complete 10T standard services. Laboratory examinations (60%) and referrals (25%) remained below national standards. The dominant factors influencing ANC success were maternal knowledge, family support, and access to health facilities. Therefore, strategies to improve ANC quality should include strengthening laboratory and human resources, providing continuous staff training, and enhancing maternal and family education to ensure optimal and comprehensive antenatal care services.
ANC ; Pregnant Women ; First Trimester ; Influencing Factors ; Maternal Health Services
Copyright (c) 2025 Nathasia Elga Haryono, Via Wiyana, Martine Agustina Meha, Kurniawati http://creativecommons.org/licenses/by/4.0
The Effect of Progressive Muscle Relaxation on Fear of Childbirth in Primigravida Mothers
Pregnancy and childbirth are extraordinary physiological experiences but can also be a source of psychological stress for women, especially for primigravidas who have no previous experience. Fear of childbirth often arises from uncertainty about pain management, concerns about the fetus's condition, and a lack of adequate information. This condition results in increased stress, sleep disturbances, and even mild depression, which can affect the mother's physical and mental readiness for childbirth. This study aims to analyze the effect of progressive muscle relaxation on fear of childbirth in primigravida mothers. The type of research used is an experimental study with a pretest-posttest without a control group. The sample consisted of third-trimester primigravida pregnant women who met the inclusion criteria, using a purposive sampling technique. The intervention in the form of progressive muscle relaxation exercises was given for 2 weeks at a frequency of three times per week and independent practice at home. The research instruments used were the Wijma Delivery Expectancy/Experience Questionnaire (W-DEQ), a demographic and obstetric history questionnaire, and a compliance sheet. Data analysis used dependent and independent t-tests. The results showed a significant decrease in fear of childbirth scores after progressive muscle relaxation with a p-value of 0.001. In conclusion, progressive muscle relaxation training is effective in improving the physical and psychological readiness of primigravida mothers for childbirth. This study recommends that health workers, particularly midwives, integrate progressive muscle relaxation training as a non-pharmacological intervention in prenatal classes.
muscle progress relaxation; fear; childbirth; primigravida mothers
Copyright (c) 2025 Diah Evawanna Anuhgera, Yohana Putri Apryanti, Lidia Lushinta http://creativecommons.org/licenses/by/4.0
Effectiveness of Red Bean (Phaseolus vulgaris L.) Processing on Improving Hemoglobin in Anemic Pregnant Women
Anemia during pregnancy is still a common health problem and can have serious impacts on the health of both the mother and the fetus. Iron deficiency is the main cause, thus effective prevention and management efforts are needed, either through supplementation or the intake of nutritious foods rich in iron. One natural food ingredient that has the potential to increase hemoglobin levels is red beans (Phaseolus vulgaris). The purpose of this study is to determine the effectiveness of red bean preparations in increasing hemoglobin in pregnant women experiencing anemia at the Mars Clinic. The study used a Quasi-Experimental method with a One Group Pre Test Post Test approach. By using a total sampling technique, 17 respondents were obtained. The results of the Wilcoxon statistical test showed a p-value of 0.001 (p < 0.05), which means there is a significant effect of giving red bean porridge on the increase of hemoglobin levels in pregnant women. It is recommended that healthcare workers, especially midwives, promote the prevention and management of anemia by utilizing foods such as red beans.
Copyright (c) 2025 mayang citra hariati, Ika Nur Saputri; Pitriani ., Rani Cahya http://creativecommons.org/licenses/by/4.0
The Effect of Endorphin Massage on Back Pain in Pregnant Women
During pregnancy, the mother's body undergoes postural changes as a form of adjustment to the increase in the weight of the uterus. Back pain experienced by pregnant women can hinder daily activities and cause discomfort that affects the mother's physical and emotional condition. Therefore, back pain in pregnant women needs to be treated as early as possible so that the health of the mother and fetus is maintained during pregnancy. Endorphin massage is a form of therapy performed through gentle and calming massage, which is very beneficial for pregnant women. This study is a quasi-experimental quantitative research design, using a pretest-posttest one-group design to examine the effect of endorphin massage on back pain in pregnant women at the Putri Ayu Community Health Center in Jambi City. The average pain score before intervention was 6.00, indicating a fairly high level of pain. After the endorphin massage intervention, there was a significant change in pain distribution to 2.27. The results of the study indicate that endorphin massage has a significant effect on reducing the intensity of back pain in pregnant women in the working area of the Putri Ayu Community Health Center, with a significance value (p = 0.000).
Copyright (c) 2025 Lidwina Trieleventa Lumruan Sihombing, Siska Anri Yani, Nadhiati Awlia Nasution http://creativecommons.org/licenses/by/4.0
The Effect of Giving Soy Milk (Glycine Max) on Breast Milk Production in Breastfeeding Mothers at the Nurtiana Midwife Clinic
Suboptimall brealst milk production remalins al problem for some brealstfeeding mothers, primalrily due to inaldequalte intalke of nutrients thalt support lalctaltion, such als plalnt protein, fluids, alnd phytoestrogens. Soy milk (Glycine malx) is known to contalin isoflalvones alnd proteins thalt stimulalte the hormones prolalctin alnd oxytocin, thereby helping to increalse brealst milk production. This study alimed to determine the effect of soy milk on brealst milk production in brealstfeeding mothers alt the Nurtialnal Midwife Clinic. This study used al qualsi-experimentall design with al one-group pretest–posttest design. The study populaltion consisted of 10 brealstfeeding mothers, alll of whom were salmpled using al totall salmpling technique. Daltal were collected through observaltions before alnd alfter the intervention of aldministering 250 ml of soy milk three times dalily for seven dalys. Daltal were alnallyzed using univalrialte methods to determine frequency distribution, alnd bivalrialte methods using the Wilcoxon test to determine differences in brealst milk production before alnd alfter the intervention. ALfter the intervention, 80% of respondents experienced improved brealst milk production. The Wilcoxon test showed al p-vallue of 0.005 (<0.05), indicalting al significalnt relaltionship between soy milk consumption alnd increalsed brealst milk production. Therefore, it caln be concluded thalt soy milk consumption hals al positive impalct on increalsing brealst milk production in brealstfeeding mothers. Consuming soy milk caln allso be al nalturall allternaltive to support the success of aln exclusive brealstfeeding progralm.
Soy Milk 1; Brealst Milk Production 2; Brealstfeeding Mothers 3.
Copyright (c) 2025 Sri Putri Sinaga, Dinar Manalu, Sunengsih, Lely Masnita, Nova SJ http://creativecommons.org/licenses/by/4.0
The Effect of Warm Water Compresson Breast Milk Production Postpartum Mothers at Juliana's Independent Midwifery Practice
Background: The smooth process of breast milk (ASI) production and secretion is often an obstacle for postpartum mothers, and this condition can affect the success of the exclusive breastfeeding program. One of the non-pharmacological approaches that can be applied to overcome this problem is by giving warm compresses to the breast areola area. Objective: This study aims to evaluate the effect of warm compresses on breast milk secretion in postpartum mothers at the independent midwifery practice of Juliana. Method: This study used a pre-experimental design with a one-group pretest-posttest model. A total of 35 postpartum mothers were selected as samples using purposive sampling techniques. The Shapiro-Wilk normality test showed that the data were not normally distributed; therefore, hypothesis testing was conducted using the Wilcoxon Signed-Rank test. Results: Before the intervention, all respondents (100%) experienced insufficient breast milk secretion. After applying warm compresses, 28 respondents (80%) showed improvement with smooth milk secretion. The Wilcoxon test yielded a value of Z = -5.292 and p-value = 0.000 (p < 0.05), indicating a significant difference before and after the intervention. Conclusion: The administration of warm compresses proved to have a significant effect on improving breast milk secretion in postpartum mothers. This intervention can serve as a simple, effective, and easily applicable non-pharmacological alternative to support successful breastfeeding.
Walrm compresses, , brealst milk, postpalrtum mothers, brealst milk production.
Copyright (c) 2025 Desika Wali Pardede, Meriati Bungal Arta Purba, Yunita Sari Purba http://creativecommons.org/licenses/by/4.0
The Level of Student Knowledge about Reproductive Health at the Faculty of Midwifery, Medistra Lubuk Pakam
Reproductive health is a fundamental competency that must be mastered by midwifery students because it is closely related to professional practice in maternal and child health services. This study aims to analyze determine the level of knowledge of students of the Faculty of Midwifery at the Medistra Health Institute, Lubuk Pakam, regarding reproductive health. The study design used a quantitative descriptive approach with a cross-sectional method. The study sample consisted of 100 students selected using a purposive sampling technique. Data were collected using a structured questionnaire and analyzed using SPSS software with descriptive statistical tests and Pearson correlation. The results showed that 72% of students had a good level of knowledge, 20% had a sufficient level of knowledge, and 8% had a poor level of knowledge. The correlation analysis showed a positive relationship between knowledge level and semester (r = 0.416; p < 0.05), meaning that the higher the semester, the better the level of knowledge. The conclusion of this study indicates that the level of student knowledge about reproductive health is quite good, but it is necessary to improve continuous education through contextual learning and field-based training.
Reproductive Health; Midwifery Students; Knowledge.
Copyright (c) 2025 Fiyola Ladyvia, Natasha Elga Haryono, Ismah Khaerunisa http://creativecommons.org/licenses/by/4.0
The Effect Of Education On Correct Breastfeeding Techniques Using Breast Model On Breastfeeding Behavior In Postpartum Mothers
The postpartum period is a crucial period for the success of exclusive breastfeeding. A mother's understanding of proper breastfeeding techniques is one of the factors influencing breastfeeding success. Education using demonstration media such as breast models can improve mothers' understanding and skills in breastfeeding. This study aims to determine the effect of education on proper breastfeeding techniques using breast models on breastfeeding behavior in postpartum mothers at the Nining Pelawati Midwife Clinic in Lubuk Pakam. This study used a pre-experimental design with a one-group pretest-posttest approach. The sample in the study was 18 respondents selected using a purposive sampling technique. Data were collected through a breastfeeding behavior questionnaire before and after education. The results of the analysis showed a significant increase in breastfeeding behavior after education was provided, with a p-value of 0.015 (p <0.05). Therefore, it can be concluded that education on proper breastfeeding techniques using breast models is effective in improving breastfeeding behavior in postpartum mothers. Therefore, the use of demonstration media in breastfeeding education is highly recommended in health care facilities. in health care facilities.
Education, Breastfeeding Techniques, Breast Model, Breastfeeding Behavior, Postpartum Mothers
Copyright (c) 2025 Meria Turnip, Nikmah Jaliliah Ritonga, Elvi Era Liesmayani, Ulfah Khomaina Aulia http://creativecommons.org/licenses/by/4.0
The Effect Of Soaking Feet In Warm Water On Edema Of Pregnant Women's Feet In The Trimester III At ThemidwifeSiswani Lubuk Pakam Clinic In 2025
Edema is a common complaint experienced by pregnant women, especially in the third trimester, due to physiological changes during pregnancy such as increased blood volume and uterine pressure on the veins. Untreated edema can cause discomfort and health risks. One non-pharmacological method that is believed to be effective in reducing edema is soaking feet in warm water. Objective: This study aims to determine the effect of soaking feet in warm water on the degree of foot edema in pregnant women in the third trimester. MethodThis study used a pre-experimental design with a one group pretest-posttest approach. A sample of 11 pregnant women in the third trimester was selected using purposive sampling. Foot edema data were measured before and after the foot soaking intervention in warm water for several sessions. Data analysis used a Paired Sample t-test to determine the difference in the degree of edema before and after the intervention Result The results showed that the average foot edema score before the intervention was 2.55 with a standard deviation of 0.522, while after the intervention it decreased to 1.73 with a standard deviation of 0.786. Statistical test shows a p-value of 0.000 (p < 0.05), which means there is a significant difference between the edema condition before and after soaking feet in warm water. Conclusion: Soaking feet in warm water has a significant effect on reducing the degree of edema in pregnant women in the third trimester..
Copyright (c) 2025 Astri Ulina Saragih, Risky Yulanda, Santa Natalia, Sri Andini Herawati http://creativecommons.org/licenses/by/4.0
The Role of Leaflets as a Means of Reproductive Health Education for Adolescents at Trisakti Private Middle School, Lubuk Pakam
Adolescents are in a critical stage of growth and development, making reproductive health education essential. This study aimed to analyze the role of leaflet media as an educational tool in improving adolescents' knowledge about reproductive health at SMP Swasta Trisakti Lubuk Pakam. The research used a quantitative design with a pre-test and post-test approach involving 41 respondents selected purposively. Data were collected using questionnaires before and after the health promotion intervention. Analysis was conducted with paired sample t-test. The results show a significant increase in knowledge after leaflet distribution, with respondents in the good knowledge category increasing from 56.1% to 78.0%. The statistical test yielded a p-value = 0.001 (p < 0.05), indicating a significant effect. It can be concluded that leaflet media is effective as an educational tool to increase adolescent reproductive health knowledge, and it can be recommended as a school-based health promotion strategy.
Leaflet; Reproductive Health; Adolescents; Health Promotion; Knowledge
Copyright (c) 2025 Raisha Octavariny, Sri Melda Br Bangun, Wilda Wahyuni Siregar, Helni W.L Simarmata http://creativecommons.org/licenses/by/4.0
The Relationship Between the History of Providing Complementary Foods Under 6 Months and the Incidence of Stunting in Toddlers
The health and well-being of infants throughout their lives are significantly influenced by adequate nutrition. Nutritional deficiencies, often associated with stunting, can negatively impact a child's physical growth, motor development, and cognitive abilities. Infants who receive complementary foods (MPASI) before 6 months of age are at higher risk of experiencing essential nutrient deficiencies. This study aims to determine the relationship between the history of MPASI provision under 6 months of age and the incidence of stunting in toddlers in the Lumpue Community Health Center (Puskesmas) work area. The method used was a quantitative study with a cross-sectional design. The study population included all toddlers registered at the Lumpue Community Health Center in May 2025, totaling 97 children, with a sample size of 78 toddlers. The research instrument was a questionnaire, while data analysis used the chi-square test. The analysis results showed a p-value of 0.000, so the alternative hypothesis (Ha) was accepted and the null hypothesis (H0) was rejected. Thus, there is a significant relationship between the provision of MPASI before 6 months of age and the incidence of stunting in toddlers. It is hoped that further research will be able to examine in more depth other factors such as the quality of complementary feeding, parenting patterns, and the role of health education in shaping the behavior of providing complementary feeding.
Copyright (c) 2025 Yulianti, Deviani Fatimah http://creativecommons.org/licenses/by/4.0
The Effect Of Common cold Massage To Reduce Cough Symptoms In Toddlers At Ramdani Husada Clinic
Common cold is an upper respiratory tract disorder that often occurs in infants and toddlers. This condition is caused by a viral infection, with rhinovirusas the most dominan etiologic agent. Treatment for common cold can be done through two main approaches, namely pharmacological and non-pharmacological. Pharmacological therapy involves of antipyretics such as paracetamol, and expectorans such as glyceryl guaicolate. On the other hand, non-pharmacological approache is a form of complementary therapy. One method used is common cold massage, which is claimed to provides a relaxing effect and help relieve respiratory symptoms through simulation at certain points. This study aims to determine the effect of common coldand cold symptoms in toddlers. This study uses a quantitative design with a quasi experimental. The sampling technique was carried out by purposive sampling. The sampling by purposive sampling, with a total of 22 toddlers as respondents. Data analysis was performed univarieately dan bivariately, using the Wilcoxon test to test the difference in symptom scores before and after the intervention. Pre-test data showed that 50%of respondents were in the sever cough and common cold category. After the intervention, the post-test results showed that 68,2% of toddlers decrease in to the mild category. The Wilcoxon test results showed a significance value of p = 0,000 (p = <0,005), which indicated thet there was a significant effect between common cold massage therapy and a decrease in cough and cold symptoms.
Copyright (c) 2025 Febri Rosanti, Rosyidah Alfitri http://creativecommons.org/licenses/by/4.0
The Relationship Between The Level Of Knowledge And The Implementation Of Early Mobilization On Wound Healing In Post-Caesarean Section Mothers At The Kotamobagu City Hospital.
The healing process of incisional wounds after cesarean section (SC) surgery is a multifactorial outcome influenced by both cognitive and behavioral aspects, particularly the mother's level of knowledge and the implementation of early mobilization. Early mobilization is proven to accelerate tissue repair by enhancing physiological recovery mechanisms, yet its effectiveness highly depends on the mother’s understanding and willingness to initiate movement postoperatively. This study aims to examine the relationship between knowledge level and early mobilization practices on wound healing outcomes among post-SC mothers at the Regional Public Hospital (RSUD) of Kota Kotamobagu. A quantitative analytic study was conducted using a cross-sectional design, involving 40 respondents selected through total sampling. Data were collected via structured questionnaires and clinical observation of wound healing on the third postoperative day. Statistical analyses included Chi-Square tests and multivariate logistic regression. The results showed that all mothers with low knowledge or poor mobilization practices experienced delayed wound healing, whereas those with moderate to high knowledge and proper mobilization demonstrated optimal recovery. A p-value of 0.000 was obtained for both variables, indicating a highly significant relationship. Early mobilization was the strongest predictor of wound healing success (OR = 25.98), followed by good knowledge levels (OR = 8.52). The study concludes that both knowledge and early mobilization behavior significantly contribute to postoperative recovery in SC patients. Educational reinforcement and psychosocial support during hospitalization are essential to promote early mobilization practices and empower mothers in participating actively in their healing process.
Copyright (c) 2025 Dinalisnawaty Akri Daeng Maeta, Widia Shofa Ilmiah http://creativecommons.org/licenses/by/4.0
The Relationship Between Knowledge of Personal Hygiene and Cases of Vaginal Discharge Among Adolescent Girls at SMK Negeri Pinolosian Timur, Bolaang Mongondow Selatan Regency
Kesehatan reproduksi remaja putri sangat rentan mengalami gangguan seperti keputihan patologis, yang dapat menurunkan kualitas hidup mereka. Penelitian ini bertujuan untuk menganalisis hubungan antara tingkat pengetahuan personal hygiene dengan kejadian keputihan patologis pada remaja putri di SMK Negeri Pinolosian Timur Kabupaten Bolaang Mongondow Selatan. Penelitian menggunakan metode cross-sectional dengan total sampling sebanyak 45 responden. Pengukuran dilakukan menggunakan kuesioner terstruktur dan observasi langsung, kemudian data dianalisis menggunakan uji korelasi Kendall’s Tau-b. Hasil menunjukkan mayoritas responden memiliki tingkat pengetahuan personal hygiene kategori cukup (51,1%), baik (33,3%), dan kurang (15,6%). Keputihan patologis ditemukan pada 15,6% responden, sedangkan sisanya mengalami keputihan fisiologis. Terdapat korelasi positif kuat antara tingkat pengetahuan personal hygiene dan kejadian keputihan patologis (?=0,660; p=0,000). Remaja dengan tingkat pengetahuan personal hygiene yang rendah lebih rentan mengalami keputihan patologis. Hasil penelitian ini menggarisbawahi pentingnya edukasi kesehatan reproduksi berbasis sekolah untuk meningkatkan pemahaman remaja tentang personal hygiene. Peningkatan pengetahuan tersebut diharapkan mampu mencegah kejadian keputihan patologis serta dampak negatifnya secara klinis maupun psikososial, sehingga dapat meningkatkan kualitas kesehatan reproduksi remaja putri secara optimal.
Copyright (c) 2025 Ni Made Widyani, Widia Shofa Ilmiah http://creativecommons.org/licenses/by/4.0
An Overview of Knowledge and Attitude About Premenstrual Syndrome on 9th Grade Students at Junior High School Number 1 West Selemadeg
Background: Culture plays a significant role in shaping the habits, beliefs, and health decisions during pregnancy. Cultural practices can support maternal and fetal health, but they can also potentially pose risks, such as unhealthy diets or excessive physical activity. Studies in Ethiopia and Tanzania have shown that cultural habits can hinder access to modern healthcare services. Therefore, a deep understanding of the local culture is crucial for designing culturally sensitive health interventions. Objective: To enhance understanding and awareness of pregnancy, especially high-risk pregnancies, by considering the cultural influences on habits, beliefs, and health decisions made by mothers to support the optimal well-being of mothers and babies. Methods: This study utilized a scoping review design based on PRISMA guidelines. A total of 27.454 articles were identified and screened based on inclusion criteria, which included publications from 2020 to 2024 and available in full-text format. Results: The analysis revealed that culture plays a crucial role in influencing the health and behavior of pregnant women. Various cultural practices can promote health but may also pose risks. From the 15 articles analyzed, patterns emerged showing how traditions, norms, and beliefs influence health decisions, dietary patterns, and access to healthcare services. Conclusion: Understanding the cultural influences in the context of pregnancy is critical. Culturally-based and collaborative health interventions can help address the challenges faced by pregnant women, especially those at high risk. By considering cultural values and traditional practices, healthcare services can become more effective and relevant, supporting the health of mothers and the optimal development of the fetus.
Cultural Influence, Pregnancy, Cultural Practices
Copyright (c) 2025 Della amelia putri, Nurul Azmi Aprianti http://creativecommons.org/licenses/by/4.0
The Relationship Between Cross-Program and Cross-Sectoral Support and the Achievement of Nutrition Programs in Stunting Reduction
Background: Stunting remains a major public health challenge in Indonesia. One of the factors influencing the success of nutrition programs for stunting prevention is cross-program and cross-sectoral support, which significantly affects intervention effectiveness at the primary healthcare level. Objective: This study aimed to analyze the relationship between cross-program and cross-sectoral support and the achievement of nutrition programs for stunting prevention at Batang Kuis Health Center, Deli Serdang Regency. Research Methods: A quantitative approach with a descriptive analytic design was employed. A total of 50 respondents, including health workers, health cadres, and representatives from education and social sectors, were selected through purposive sampling. Data were collected using questionnaires and in-depth interviews and analyzed with Pearson correlation and chi-square tests. Results: The study revealed a significant relationship between cross-program and cross-sectoral support and nutrition program achievements (p=0.003; r=0.65). Sector coordination, budget allocation, and monitoring were found to be suboptimal, contributing to an increase in stunting prevalence from 12.5% to 14.3% in 2022. Conclusion: Cross-sectoral and cross-program support plays a crucial role in the success of nutrition programs to combat stunting. Strengthening sectoral coordination, increasing nutrition program budgets, and empowering communities are recommended to accelerate stunting reduction efforts.
Copyright (c) 2025 Harris Rambey http://creativecommons.org/licenses/by/4.0
The Effect of Breastcare on the Smoothness of Breast Milk in Postpartum Mothers
Breast Care is one method that can be used to overcome problems in the breastfeeding process, especially during the postpartum period, so that the process of releasing breast milk can run smoothly. Side effects that arise due to the use of drugs containing chemicals, a simple and efficient care solution is needed. Health services highlight the importance of providing quality and effective care, which can also be done independently. This study applies a pre-experimental design with a one-group pretest-posttest design approach. The study was conducted at PMB E in January 2025, involving 15 breastfeeding postpartum mothers selected using the total sampling method. Measurement of pain levels was carried out using the Numeric Rating Scale (NRS), while breast engorgement was assessed using the Six Point Engorgement Scale (SPES), both before and after the intervention was given. The results of this study indicate that breastcare interventions are effective in reducing breast engorgement and pain intensity in postpartum mothers. The average breast engorgement decreased from 2.46 to 1.32 after the intervention, with a decrease of 1.14. Meanwhile, the average pain intensity decreased from 3.88 to 2.34 after the intervention, with a decrease of 1.54. The results of the Wilcoxon statistical test showed that there was a significant effect of breast care on the smoothness of breast milk in postpartum mothers, with a p value = 0.000 (? <0.05). Therefore, breast care can be used as an effective alternative therapy to increase the smoothness of breast milk in postpartum mothers.
Copyright (c) 2025 Fiyola Ladyvia http://creativecommons.org/licenses/by/4.0
The Impact of the Implementation of the Posbindu PTM Program on the Coverage of Early Detection of Non-Communicable Diseases
Background: Non-Communicable Diseases (NCDs) are the leading cause of death globally, including in Indonesia, which is experiencing an increasing prevalence of hypertension and diabetes. To address this challenge, the Indonesian government developed the Posbindu PTM program as an early detection effort for NCD risk factors at the community level. However, the effectiveness of the program implementation still faces various challenges in the field. Objective: This study aims to analyze the impact of the Posbindu PTM program implementation on the coverage of early detection of Non-Communicable Diseases in the working area of Merek Health Center, Karo District. Methods: This research employed a quantitative approach with a cross-sectional analytic design. Data were collected from 422 respondents who were active participants of Posbindu PTM using structured questionnaires, observations, and document reviews. Data were analyzed through univariate, bivariate (using Chi-Square tests), and multivariate analysis (using logistic regression). Results: The majority of respondents were female (60.2%) and aged 45–59 years (35.1%). The Posbindu activities were conducted ?3 times per year (68.2%), facilities and infrastructure were adequate (71.3%), cadres' competence was good (64.9%), and health workers’ involvement was high (59.5%). Coverage of blood pressure checks reached 74.4%, Body Mass Index (BMI) measurement 68.0%, random blood sugar checks 62.8%, and education on NCD risk factors 71.1%. A significant relationship was found between the program implementation and early detection coverage. Conclusion: The implementation of the Posbindu PTM program at Merek Health Center was fairly optimal and positively influenced the improvement of early NCD detection coverage. This program plays an important role in empowering communities to prevent and control NCDs through regular screening and health education.
Copyright (c) 2025 Reni Aprinawaty Sirait http://creativecommons.org/licenses/by/4.0
Influence of Health Promotion on Infant and Young Child Feeding (IYCF) Behavior by Mothers of Toddlers
Background: Malnutrition in infants and young children, especially stunting, remains a major public health challenge in Indonesia. Health promotion is believed to improve appropriate Infant and Young Child Feeding (IYCF) practices. Objective: To analyze the influence of health promotion on IYCF behavior among mothers of toddlers in the working area of Lubuk Pakam Health Center. Research Methods: This was a quantitative analytic study with a cross-sectional design. A total of 120 mothers with children aged 6–24 months were selected using purposive sampling. Data were collected through structured questionnaires and analyzed using Chi-square tests. Results: About 70% of respondents had received health promotion, mainly through Posyandu (60.7%). Most mothers (62.5%) demonstrated good IYCF practices. A significant relationship was found between health promotion and IYCF behavior (p=0.0001). Conclusion: Health promotion significantly influences improved IYCF practices. Strengthening community-based health promotion, improving maternal nutrition literacy, and optimizing primary health care services are crucial for enhancing IYCF practices and reducing stunting rates.
Copyright (c) 2025 Rotua Sumihar Sitorus http://creativecommons.org/licenses/by/4.0
The Effect of Acupressure at Meridian Points BL67 (Zhiyin) and LI4 (Hegu) on Labor Progress in Primigravida Mothers During the Active Phase of the First Stage of Labor
According to the World Health Organization (WHO), approximately 75% of all maternal deaths are caused by various types of complications, one of which is prolonged labor. One non-pharmacological approach that can be used to address this issue is acupressure therapy at the BL67 and LI4 meridian points. The aim of this study was to evaluate the progress of labor in primigravida mothers by comparing the effectiveness of acupressure at the BL67 and LI4 points.This research employed a quasi-experimental method with a post-test only design. A total of 40 primigravida mothers in the active phase of the first stage of labor were evenly divided into two groups: 20 participants received acupressure at the BL67 point and the other 20 at the LI4 point. Data analysis was conducted using an independent sample t-test.The results showed that the significance value for the duration of labor progress in the active phase of the first stage was 0.199, which is greater than the significance threshold of 0.05. Therefore, the null hypothesis (H?) was accepted, indicating that there was no statistically significant difference in the average duration of labor between the group receiving acupressure at BL67 and the group receiving it at LI4.In conclusion, acupressure at both the BL67 and LI4 points can be considered an effective non-pharmacological method to support labor progress.
Copyright (c) 2025 Nathasia Elga Haryono, Via Wiyana, Martine Agustina Meha, Resha Astari http://creativecommons.org/licenses/by/4.0
The Relationship Between Postpartum Mothers' Knowledge About Breast Care and Smooth Breast Milk Flow at The Millennium Clinic
The smooth provision of breast milk (ASI) during the postpartum period is still a challenge that needs special attention, one of which is influenced by the level of knowledge of mothers about breast care. This study aims to analyze the relationship between the level of knowledge of postpartum mothers about breast care and the smoothness of breastfeeding at the Millenium Clinic in 2024. This study used an analytical survey design with a cross-sectional approach. The population in this study were all postpartum mothers who visited the Millenium Clinic as many as 31 people (N = 31). The total population technique was used so that the entire population was used as a sample. The results showed that most postpartum mothers (19 respondents, 61.3%) had a low level of knowledge, while 7 respondents (22.6%) had a sufficient level of knowledge, and only 5 respondents (16.1%) had good knowledge. In addition, the majority of postpartum mothers (21 respondents, 67.7%) experienced poor breastfeeding, while 10 respondents (32.3%) reported smooth breastfeeding. The results of statistical analysis with a 95% confidence level showed a significant relationship between the level of knowledge of postpartum mothers about breast care and the smoothness of breast milk production (p < 0.001). It can be concluded that increasing postpartum mothers' knowledge about breast care is closely related to the smoothness of breast milk production. Therefore, it is recommended for health workers to develop comprehensive health promotion and education programs regarding breast care, especially for postpartum mothers in their respective work areas.
Penelitian ini menggunakan desain survei analitik dengan pendekatan cross-sectional. Populasi yakni semua ibu nifas di Klinik Millenium (N=31). Total Population digunakan dalam studi ini, sehingga keseluruhan populasi diikutsertakan sebagai sampel. Temuan mengindikasikan sebagian besar ibu nifas (19 dari 31 responden, atau 61,3%) memiliki pengetahuan yang tergolong kurang. Hanya sebagian kecil ibu nifas (5 dari 31 responden, atau 16,1%) yang memiliki pengetahuan dalam kategori baik.
Copyright (c) 2025 Sri Putriani Sinaga, Dinar Manalu, Sunengsih, Lely Masnita, Nova SJ http://creativecommons.org/licenses/by/4.0
Optimization of Congenital Hypothyroidism Screening (SHK) Actions in Newborns in the Perinatology Room
Background: Congenital Hypothyroidism (CH) is a thyroid dysfunction disorder present at birth. Congenital Hypothyroidism Screening (CHS) is performed a few days after birth to detect CH early and prevent negative impacts on the child's growth and development. However, the implementation of CHS in healthcare facilities often faces challenges.Objective: This study aims to describe and analyze the efforts to optimize the implementation of CHS for newborns in the perinatology room of RSUD dr. H. Kumpulan Pane, Tebing Tinggi City. Research Method: This descriptive qualitative study used snowball sampling technique to select informants. Data was collected through interviews and observations, with five main informants and fifteen additional informants. The research was conducted from January to March 2024. Results: The implementation of CHS at RSUD dr. H. Kumpulan Pane still faces several challenges, such as limited knowledge and skills of the staff, only one trained staff member, and ineffective communication. Additionally, the procurement of disposable medical supplies (BMHP) from the Tebing Tinggi City Health Office for 2024 is still unclear. Conclusion: The implementation of CHS at RSUD dr. H. Kumpulan Pane needs improvement, particularly in staff training, internal communication, and BMHP procurement. The Health Office is advised to enhance training, ensure BMHP procurement, and strengthen monitoring and cooperation with the hospital to make CHS more effective.
Congenital Hypothyroidism Screening (CHS)
Copyright (c) 2025 Lili Marliana, Felix Kasim, Okto Hebron Purba http://creativecommons.org/licenses/by/4.0
Association Between Maternal Anemia and the Incidence of Postpartum Hemorrhage: A Study at Dr. H. Koesnadi General Hospital, Bondowoso
Postpartum hemorrhage (PPH) constitutes a critical obstetric emergency arising subsequent to either vaginal birth or cesarean delivery. Its defining characteristic is a quantifiable blood loss surpassing a volume of 500 milliliters. PPH underscores its significance as a major factor influencing both the prevalence of maternal illness and the rates of maternal death in Indonesia and globally. This study aimed to examine the effect of anemia in pregnant women on the PPH incidence at dr. H. Koesnadi General Hospital, Bondowoso, in 2018. The design used a retrospective study with a cross-sectional. The population consisted of 57 postpartum mothers, with 46 respondents as samples determined using Slovin's formula. Probability sampling technique was employed, specifically simple random sampling. Data acquisition was conducted utilizing a standardized checklist, and subsequent statistical analysis involved the application of the Chi-Square test, executed via SPSS version 25. The analysis yielded a statistically significant result, with a p-value of 0.001 (p<0.05), leading to the rejection of the null hypothesis. Consequently, the findings indicate a significant association between the presence of anemia and the PPH occurrence. In anemic pregnant women, reduced oxygen supply leads to fatigue and inadequate uterine muscle contractions, resulting in postpartum hemorrhage.
Tujuan penelitian ini yaitu mengetahui pengaruh anemia pada ibu hamil dengan kejadian Postpartum Hemorrhage (PPH) di RSU dr. H. Koesnadi Bondowoso Tahun 2018.
Copyright (c) 2025 Wiwit Indriyani Aslina, Silviatul Amalia http://creativecommons.org/licenses/by/4.0
Literature Review: Aplying Warm Compressed For Breast Engorgement
Breast engorgement is a condition in which the breasts become overly filled with milk, causing swelling, hardness, and pain. The prevalence of breast engorgement Indonesia in 2021 was 37.12%, which was the highest in ASEAN. The condition can be alleviated through non-pharmacological methods, such as warm compresses, which have no side effects. The study aimed to determine the application of warm compresses in managing breast engorgement. This study used a literature review with a scoping review approach. The study was conducted from November 2024 to February 2025. Data were collected from various digital databases, including PubMed Central, ScienceDirect, DOAJ, SINTA, Google Scholar, and Portal Garuda published from 2020 to 2024. Thematic analysis was used to interpret the data. Relevant articles was selected based on inclusion and exclusion criteria, and processed using the PRISMA-ScR flow diagram. 12 articles were identified for analysis.12 articles were analized by thematic analysis. The application of warm compresses 5 between 30 minutes in 3 days significantly reduces breast engorgement. Warm compress therapy offers several benefits, including reducing breast pain and swelling, promoting vasodilation, enhancing milk production, facilitating smoother milk flow, stimulating the let-down reflex, and improving breast emptying.
Copyright (c) 2025 Ziadati Shoulhuna; Yulizawati; Hardisman, Rauza Sukma Rita, Henni Fitria http://creativecommons.org/licenses/by/4.0
Relationship between the Utilization of Maternal and Child Health Books and Compliance with Antenatal Care (ANC) Visits in Pregnant Women at the Tanjung Tiram Batu Bara Health Center
and child health. The KIA book is useful in providing information and guidance for mothers and children. In addition, the KIA book plays a role in monitoring fetal development during pregnancy, so that more effective referrals can be obtained. ANC examination is an examination carried out during pregnancy to ensure the health of the mother and fetus. The aim is to detect early potential dangers that may occur to the mother and fetus and to improve the physical and mental health of pregnant women. The examination is processed periodically with a minimum of six times during pregnancy. The type of research uses a quantitative research design in the form of an observational analytical survey through a cross-sectional approach which aims to identify the Relationship between the Utilization of the KIA Book and Compliance with ANC Visits of Pregnant Women. The number of samples was 32 pregnant women in the third trimester who were determined by total sampling. The results prove that most respondents do not utilize the KIA book so that they are less compliant in making ANC visits. In addition, the p value of 0.011 means that there is a close relationship between the utilization of the KIA book and the compliance of pregnant women in attending ANC visits. It is necessary to increase the interest of pregnant women to always use the KIA book correctly so that they will routinely comply with attending ANC visits and can improve the health of mothers and babies.
Copyright (c) 2025 Irma Nurianti, Nur Azlina Akrom http://creativecommons.org/licenses/by/4.0
The Influence of Prenatal Classes on Anxiety in Primigravida Mothers
Psychological conditions such as anxiety in pregnant women can have a significant impact on the health of the mother and fetus. One of the methods that can be used to minimize this level of anxiety is by providing education through Prenatal class activities. This study aims to evaluate the effect of participation in Prenatal classes on the level of anxiety in mothers with their first pregnancy. The method used in this study is quantitative with a quasi-experimental design using a non-equivalent control group design. The population in this study included all mothers with their first pregnancy in the Lubuk Pakam Health Center working area, totaling 46 people, with a sample size of 30 people selected by purposive sampling. Data analysis was carried out using the Wilcoxon test with a significance level of 0.05. The test results stated that in the experimental group the p-value was 0.000, while in the control group it was 0.041. Based on these results, it can be concluded that involvement in the pregnant mother class has an impact on reducing the level of anxiety in mothers with their first pregnancy in the area.
Copyright (c) 2025 Astri Ulina Saragih, Yessy Arisman, Ulfa Khomania Aulia, Risky Yulanda http://creativecommons.org/licenses/by/4.0
Factors Affecting Implementation Early Initiation of Breastfeeding
Early breastfeeding initiation (EBI) is the stage of breastfeeding that begins immediately after birth, where the baby is placed in skin contact with the mother. This process lasts for at least one hour. This process brings various benefits, both for the baby and the mother. However, the implementation of Early Breastfeeding Initiation (EBI) is often caused by various factors, both from within the mother and from the surrounding environment. The following study aims to identify factors that can influence the implementation of IMD at Butar Community Health Centre. The type of research conducted is descriptive analytics through a cross-sectional design. The population in the following study includes all mothers who received delivery services at Butar Community Health Centre during the period July to November, with a total of 128 people. A total of 103 respondents were selected as samples using the Slovin formula technique. Data analysis was carried out univariately and bivariately by applying the chi-square test. The study results showed a p-value of 0.000<0.05, which proves that there is no significant correlation between husband support and the implementation of Early Breastfeeding Initiation (EBI). In addition, a p-value of 0.900 > 0.05 also indicates that there is no significant correlation between community trust and the implementation of EBF. It is hoped that this research will motivate all health workers and health service providers to better understand the EBF protocol in accordance with WHO and Ministry of Health standards. Furthermore, it is hoped that the officers will be able to encourage mothers to immediately carry out EBF after receiving delivery assistance.
Copyright (c) 2025 Sri Wahyuni Hutabarat, Feedia Mona Saragih, Thaharatun Zuhra, Syarifah Aini Lidia, Sri Rahayu, Sri Herni Harmoni http://creativecommons.org/licenses/by/4.0
The Relationship of the Incident of Obesity and Early Providing MPASI to Babies at the Juli Puskemas Juli District, Bireuen District
Childhood obesity is defined as excessive accumulation of body fat, which can trigger various diseases. Exclusive breastfeeding is very important to prevent babies from gaining weight too quickly. The purpose of this study was to determine the relationship between obesity and early complementary feeding in infants. This study used an analytical approach with a cross-sectional study type. The sample in this study were respondents who met the established criteria. Sampling in this study used accidental sampling, with a sample of 42 respondents. The results showed that the majority of respondents were aged > 18 - 24 months, namely 14 respondents (33.33%) and were male, namely 25 respondents (59.52%). The majority of infants' weight was in the normal category, namely 41 respondents (97.62%). The majority of early complementary feeding was not given, namely 22 respondents (52.35%). Statistical analysis using Chi-square test obtained a value of ? (0.300) > ? (0.05), so there was no significant relationship between the provision of early complementary foods and the incidence of obesity in infants. The conclusion of this study is that there is no relationship between the incidence of obesity and the provision of early complementary foods. By increasing the knowledge of mothers about complementary foods through cooperation between educators and health institutions, it is expected to improve the nutritional quality of infants and support their optimal growth and development
Copyright (c) 2025 Intan Mandira, Debi Novita Siregar, Gracetika Jeny Chlaudya Simanjuntak, Ika Lestari Siregar, Julia, Imtihani http://creativecommons.org/licenses/by/4.0
Evaluation Of Emergency Neonatal Obstetric Services (PONED) On The Degree Of Mother's Health In The Work Area Of The State Dolok Public Health Center, Silou District, Kahean, Simalungun Regency, In 2023
Background: Mortality rates over time can describe the state and development of public health. Maternal Mortality Rate is one of the important indicators in determining the public health. Improving the health status of mothers and children (KIA) is still one of the main priorities in health development in Indonesia, due to the still high Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR) in Indonesia.Objectives: to evaluate Basic Emergency Obstetric Neonatal Services (PONED) on Maternal Health Levels in the working area of ??the Dolok State Health Center, Silou Kahean District, Simalungun Regency in 2023.Research method: qualitative method with a qualitative descriptive approach that does not provide treatment to research subjects with the aim of obtaining a detailed picture of the subjects and using an in-depth interview method with informants that begins with observation and is accompanied by documentation to obtain research data.Results: The informant said that the supporting health equipment for PONED was available but not yet complete, while the equipment at the Dolok Public Health Center was mostly available and there were several equipment that did not function properly. The availability of human resources and facilities was good, but it required more attention for virgins in terms of function.Conclusion: The number of those who understand PONED at the Dolok Public Health Center is still lacking, the facilities and infrastructure at the PONED health center are quite adequate, and the implementation of obstetric and neonatal emergencies, PONED health workers are not on duty for 24 hours. Training and efforts to fulfill the needs of medical devices await realization.
Copyright (c) 2025 Kristin Natalia Pasaribu, Novita Br Ginting Munthe http://creativecommons.org/licenses/by/4.0
The Role of Social Media on Adolescent Behavior in Accessing Pornographic Content
The development of the era followed by an increase in technological sophistication has resulted in easy access to information through various media including social media. Teenagers as one of the most active groups of people using technology are highly exposed to the influence of social media. This phenomenon has both positive and negative impacts on the behavior and mindset of adolescents, especially in accessing pornographic content. This study aims to look at the relationship between social media exposure and adolescent behavior in accessing pornographic content. This study used a cross-sectional analytic research approach with a total sample size of 76 samples. The sampling method used was probability proportional to size. The data source in this study is primary data obtained directly from adolescents through filling out questionnaires. Adolescents who easily access information media and have consumed pornography amounted to 48.7%, while adolescents who have difficulty accessing information media and have consumed pornography amounted to 83.8%, with a p value of 0.001. There is a relationship between information media access and pornography consumption. Despite the government's efforts to restrict pornographic content, this does not prevent teenagers from consuming pornographic content. They look for other alternatives in the form of media to access the content as stated by the teenagers in this study. Teenagers admitted that pornographic content is mostly accessed through websites, social media, whatsapp groups and telegrams. They access pornographic videos and photos more than pornographic stories/comics or porn games.
Copyright (c) 2025 Ni Kadek Ayu Dwi Utami Ds, Komang Srititin Agustina, Ni Rai Sintya Agustini, Lina Darmayanti Bainuan http://creativecommons.org/licenses/by/4.0