Journal of Midwifery and Reproductive Health
Journal of Midwifery and Reproductive Health (JMRH) adalah sebagai wadah untuk penelitian yang berfokus pada masalah utama dalam pengembangan ilmu-ilmu bidang kebidanan. Bidang ilmu mencakup Perawatan Antenatal, Perawatan Intranatal dan Bayi Baru Lahir, Perawatan Pascanatal dan Menyusui, Kesehatan Reproduksi, Keluarga Berencana, Perawatan Darurat Ibu dan Bayi Baru Lahir, Perawatan Kebidanan Masyarakat, Promosi Kesehatan Ibu dan Anak, Teknologi Tepat Guna dalam Kebidanan. Jurnal ini terbit dua kali pada bulan Juni dan Desember. Hak cipta atas artikel yang diterbitkan sepenuhnya menjadi milik Journal of Midwifery and Reproductive Health.
Hak cipta atas artikel yang diterbitkan sepenuhnya menjadi milik Journal of Midwifery and Reproductive Health
REDUCING ADELESCENT MENTAL HEALTH DISORDERS THROUGH DIGITAL INTERVENTION: THE EFFECTIVENESS OF THE FOAM WEBSITE (A QUASI-EXPERIMENTAL STUDY)
Background: Adolescent mental health problems such as depression, anxiety, and stress are increasing and may affect quality of life. Digital-based interventions are needed to improve accessibility and reduce stigma. This study aimed to analyze the effectiveness of the FOAM (Forum and Motivational Articles) website in reducing mental health disorders among adolescents. Methods: This study used a quantitative pre-experimental design with a one-group pretest-posttest approach. The sample consisted of 42 adolescents aged 17–22 years selected using purposive sampling. Data were collected using the DASS-21 questionnaire and analyzed using the Wilcoxon signed-rank test. Results: The results showed a significant decrease in depression, anxiety, and stress levels after the intervention (p=0.000). Before the intervention, most respondents were in the moderate to severe categories, whereas after the intervention, they shifted to the mild and normal categories. Conclusion: The FOAM website is effective as a digital intervention in reducing mental health disorders among adolescents and can be used as an alternative mental health promotion strategy.
adolescents, digital intervention, mental health, website
Copyright (c) 2026 Journal of Midwifery and Reproductive Health http://creativecommons.org/licenses/by/4.0
THE EFFECT OF THE MAKE A MATCH HEALTH EDUCATION MODEL ON ADOLESCENTS’ SELF AWARENESS REGARDING GENITAL HYGIENE
Background: The high incidence of vaginal discharge among adolescents in Indonesia is generally caused by poor genital hygiene practices and low self-awareness regarding reproductive health. Adolescents often perceive vaginal discharge as a normal issue and are reluctant to seek information or medical assistance. This study aimed to determine the effect of health education evaluation using the Make a Match model on adolescent girls’ self-awareness about genital hygiene. Methods: This research used a pre-experimental design with a one-group pre-test and post-test approach involving 30 female students at MTs Al Inayah, Bandung City, selected through total sampling. The intervention consisted of educational videos and a Make-a-Match card game. Data were collected using a self-awareness questionnaire and analyzed with the Wilcoxon test. Results: The intervention resulted in a significant increase in self-awareness (p < 0.05). These findings indicate that the Make a Match learning model is effective in enhancing adolescents’ self-awareness, as it is interactive, enjoyable, and age-appropriate. Conclusion: This model facilitates self reflection and strengthens adolescents’ understanding of the importance of maintaining genital hygiene to prevent future reproductive health problems.
adolescents, genital hygiene, health education, make a match, self-awareness
THE EFFECT OF PRENATAL YOGA ON SLEEP QUALITY IN THIRD-TRIMESTER PREGNANT WOMEN AT RSIA KUSUMA PRADJA SEMARANG
Background: Sleep is vital for maintaining health. Women in their third trimester of pregnancy often face sleep difficulties due to physical and emotional challenges. Prenatal yoga, which combines physical and mental exercises, can help promote relaxation of the body and calmness of the mind, especially during this stage. This study explored the impact of prenatal yoga on sleep quality among third-trimester pregnant women at RSIA Kusuma Pradja Semarang. Methods: A one-group pretest-posttest design was used with 20 third-trimester pregnant women selected through total sampling. Results: Conducted from January to May 2025 at RSIA Kusuma Pradja Semarang, the study included preliminary assessments, prenatal yoga sessions, and data collection before and after the intervention. The yoga was performed six times under the guidance of a certified instructor. Data collection involved the Pittsburgh Sleep Quality Index (PSQI) questionnaire and statistical analysis with Paired-Samples T-Test in SPSS. Prior to the yoga sessions, 12 women (60%) experienced poor sleep quality, and 8 women (40%) had good sleep. Post-intervention, 15 women (75%) reported improved sleep quality, with only 5 women (25%) remaining with poor sleep. The analysis yielded a p-value of 0.001. Conclusion: The findings suggest that prenatal yoga significantly improves sleep quality among third-trimester pregnant women at RSIA Kusuma Pradja Semarang.
prenatal yoga, sleep quality, third-trimester pregnant women
CONTINUITY OF MIDWIFERY CARE IN MRS. V BY APPLYING PRENATAL YOGA TO REDUCE ANXIETY ABOUT CHILD BIRTH
Background: Continuity of midwifery care involves comprehensive services from pregnancy to family planning. It emphasizes the naturalness of pregnancy and childbirth, while also enabling early detection, monitoring, and anticipation of potential complications. In Mrs. V's case, her assessment indicated anxiety about delivery, so a prenatal yoga program was introduced to help alleviate her worries and boost her confidence in a normal delivery. This report aims to demonstrate continuous midwifery support through the implementation of prenatal yoga for Mrs. V at the Majalaya Community Health Center in Bandung Regency. Methods: This report presents a case study employing an evidence-based midwifery management approach, starting at 37 weeks of gestation and encompassing pregnancy care, childbirth, postpartum, newborn care, and family planning. Services were delivered at the Majalaya Community Health Center and the client's home from July to November 2024. Results: All stages proceeded normally. After attending prenatal yoga classes, the mother's anxiety decreased. During labor, the mother's readiness for spontaneous delivery was optimal. The postpartum period proceeded well, marked by uterine involution appropriate for the postpartum age, no signs of infection, and normal lochia. Lactation was optimal, as indicated by effective breastfeeding and no breast problems. In the family planning stage, the mother chose an IUD and received counseling. Midwifery care was provided according to service standards. Conclusion: Prenatal yoga is one of the measures that can be prepared for during pregnancy and has been proven effective in reducing anxiety before delivery.
anxiety, continuity of care, prenatal yoga
Copyright (c) 2025 Journal of Midwifery and Reproductive Health http://creativecommons.org/licenses/by/4.0
LITERATURE REVIEW: THE RELATIONSHIP BETWEEN PERCEIVED INSUFFICIENT MILK SUPPLY AND THE SUCCESS OF EXCLUSIVE BREASTFEEDING
Background: Increasing the duration of exclusive breastfeeding is a national and international priority. The perception of insufficient breast milk is one of the main causes of failure in exclusive breastfeeding. This study is an integrative review of recent studies related to the perception of insufficient breast milk. This study aims to describe the relationship between the perception of insufficient breast milk and the success of exclusive breastfeeding. Method: The method used in this study is a literature review. Data collection was conducted through the PubMed database published from 2020 to 2025, identification based on keywords, titles, and abstracts, and selection based on inclusion and exclusion criteria. A total of 10 articles were reviewed in this literature review. Results: Based on the analysis of the 10 articles, it was found that 26% to 75.3% of breastfeeding mothers stopped breastfeeding earlier due to the perception of insufficient breast milk caused by a lack of knowledge and previous breastfeeding experience. Conclusion: It can be concluded that the perception of insufficient breast milk is related to the success of exclusive breastfeeding.
breastfeeding, exclusive breastfeeding, perception of insufficient breast milk
RELATIONSHIP BETWEEN ANIMAL PROTEIN DIETARY PATTERNS AND THE INCIDENCE OF ANEMIA IN ADOLESCENT GIRLS
Background: Adolescent girls have a higher risk of developing anemia than adolescent boys because they menstruate every month and often lack adequate nutritional intake. Irregular and unbalanced eating patterns are among the factors contributing to anemia. Protein intake in the community is still dominated by vegetable protein, which has a lower absorption capacity compared to animal protein. Animal protein is important because it provides heme iron, which has higher absorption than non-heme iron from plant sources. It contains complete essential amino acids needed for hemoglobin synthesis. Protein also plays a role in iron transport and metabolism through proteins such as transferrin and ferritin. Adequate animal protein intake helps maintain hemoglobin levels and prevents anemia, especially in adolescent girls who experience regular iron loss during menstruation. The aim of this study was to determine the relationship between animal protein consumption patterns and the incidence of anemia among adolescent girls at Citeureup 1 Senior High School. Methods: This study used a case–control design. The population consisted of female adolescents from Citeureup 1 Senior High School who met the inclusion criteria. The total sample was 60 respondents (30 in the case group and 30 in the control group). Data were analyzed using the Chi-Square test. Results: The results showed a significant relationship between animal protein consumption patterns and the incidence of anemia among adolescent girls at Citeureup 1 Senior High School, with a p-value of 0.001 and an Odds Ratio (OR) of 145. Conclusion: The study concludes that adolescent girls need to maintain regular and balanced eating patterns to prevent anemia. Lower protein intake is associated with lower hemoglobin levels.
anemia, consumption patterns, animal protein, adolescent girl
EFFECT OF BREAST CARE EDUCATION USING BOOKLETS ON THIRD-TRIMESTER PREGNANT WOMEN’S KNOWLEDGE
Background: Pregnancy involves a range of physiological and psychological adjustments, including increased body weight and visible changes in skin and breast tissue. According to the 2023 Indonesian Health Profile, approximately 40% of breastfeeding mothers experience nipple soreness and mastitis. The present study sought to examine how health education on breast care, delivered through booklet media, influences the knowledge levels of third-trimester pregnant women at PMB Eny Puji Hastuti, Semarang. Methods: A quantitative, pre-experimental design using a one-group pretest–posttest approach was applied in this research. All 35 third-trimester pregnant women in the study population were recruited as respondents using a purposive sampling technique, and data were collected between January and February 2025. A validated breast care questionnaire served as the primary data-collection instrument, and the Wilcoxon Signed-Rank Test was used to analyze the data. Results: Findings revealed a significant effect of booklet-based health education on breast care, improving the knowledge of third-trimester pregnant women at PMB Eny Puji Hastuti (p-value = 0.000; α ≤ 0.05). Conclusion: Booklet-based health education was found to meaningfully enhance third-trimester pregnant women’s knowledge of breast care at PMB Eny Puji Hastuti, Semarang.
booklet media, breast care, education, knowledge level
SNAKES AND LADDERS EDUCATIONAL MEDIA FOR THE PREVENTION OF SEXUAL VIOLENCE IN PRE-ADOLESCENT CHILDREN
Background: Child sexual abuse is a serious and increasingly prevalent issue each year, with long-term physical, psychological, and social impacts on victims. Children aged 8–9 years are in the stage of concrete operational cognitive development, during which they begin to understand cause-and-effect relationships and think logically about concrete situations. Therefore, an interactive, enjoyable, and developmentally appropriate educational approach is essential. One alternative educational medium is the Snakes and Ladders game. This study aims to determine the effect of the Snakes and Ladders educational game on improving knowledge about sexual abuse among pre-adolescent children. Methods: This study employed a quasi-experimental design with a one-group pretest-posttest approach. The study was conducted at SDN 209 Antapani, Bandung City, from April to May 2025. The sample consisted of 30 pre-adolescent children aged 8–9 years, selected using a probability sampling method with random sampling. Data were collected using a questionnaire and analyzed with the Wilcoxon statistical test. Results: The intervention resulted in a significant increase in knowledge (p < 0.05). Conclusion: This indicates that the Snakes and Ladders game is effective in increasing children’s knowledge about sexual abuse.
knowledge, pre-adolescent children, sexual education, sexual violence, snakes and ladders
THE RELATIONSHIP OF SIDE EFFECTS OF DEPO MEDROXY PROGESTERONE ACETATE (DMPA) INJECTIONS TO CONTINUATION OF CONTRACEPTIVE USE
Background: The increase in population is partly due to the high dropout rate of contraceptive use. The reason for many dropouts is due to side effects. Depo Medroxy Progesterone Acetate (DMPA), as the most popular contraceptive method in Indonesia, has been reported by most acceptors to experience adverse events in the first three months of use. This affects the continuity of contraceptive use. The purpose of this study was to determine the relationship between side effects of DMPA injections and the continuity of contraceptive use at the Ibrahim Adjie community health center. Methods: The research method used was a cross sectional approach. The population was women of childbearing age aged 15-49 years at Puskesmas Ibrahim Adjie, with a sample size of 100 respondents. Consecutive sampling technique. Data analysis chi square test. Results: The results of this study showed that DMPA family planning acceptors who experienced side effects were 64 respondents (64.0%), and those who chose to drop out were 47 respondents (47.0%). The side effects of DMPA family planning caused 44 respondents (44.0%) to drop out. There was a significant relationship between the incidence of side effects of DMPA injections and the continuity of contraceptive use, with a p-value of 0.001≤ 0.05. Conclusion: Side effects of Depo Medroxy Progesterone Acetate (DMPA) injections caused the dropout rate.
continuity, contraceptive use, DMPA, side effects
CONTINUOUS MIDWIFERY CARE FOR MRS.R USING HYPNOBIRTHING
Background: Continuity of midwifery care is a comprehensive service provided from pregnancy, childbirth, postpartum, newborn care, to family planning (FP). This care is very important to enable early detection of problems, monitor development, and anticipate possible complications. Hypnobirthing is known to help reduce anxiety and improve mental preparedness. This report aims to implement continued obstetric care with the application of hypnobirthing for Mother R at the Rancaekek Community Health Center, Bandung Regency. Methods: The report is a case study using an evidence-based midwifery management approach, starting at 37 weeks of gestation and covering antenatal, intrapartum, postpartum, newborn, and FP care, conducted at the client's home and the Puskesmas. Care was provided from July to November 2024. Hypnobirthing was conducted directly by the author during pregnancy to reduce anxiety. During the active phase of labor, hypnobirthing was also provided by the author to reduce pain, with a duration of approximately 15 minutes for each session. Results: Results showed that all stages progressed normally. After hypnobirthing intervention, maternal anxiety decreased based on the Facial Anxiety Scale, and pain was reduced according to the Numeric Rating Scale. The postpartum period went well, marked by appropriate uterine involution, no signs of infection, and normal lochia. Lactation was optimal, as shown by effective breastfeeding, weight gain in the baby, and no breast problems. In the FP stage, the mother chose the 3-month injection and received complete counseling. Midwifery care was provided in accordance with service standards. Conclusion: In conclusion, comprehensive midwifery care and hypnobirthing were effective in reducing anxiety and pain, and in supporting successful postpartum recovery, breastfeeding, and family planning.
anxiety, continuous care, hypnobirthing, pain
KNOWLEDGE OF INJECTABLE CONTRACEPTIVE ACCEPTORS AND DURATION OF USE: A CROSS-SECTIONAL STUDY
Background: Indonesia is still facing population growth challenges, as indicated by the increasing total fertility rate (TFR). Family planning programs play an important role in controlling population growth, with injectable contraceptives being the most widely used method. However, limited knowledge among injectable contraceptive acceptors may contribute to prolonged use and potential health risks. Therefore, this study aimed to analyze the relationship between the knowledge of injectable contraceptive acceptors and the duration of injectable contraceptive use at Batununggal Community Health Center, Bandung. Methods: This study employed a cross-sectional design involving 65 injectable contraceptive acceptors, selected using accidental sampling, and data were analyzed using the chi-square test. Results: Results showed that 38.8% of injectable contraceptive acceptors had poor knowledge, and 47.7% used contraceptives for extended periods. There was a statistically significant relationship between knowledge and duration of injectable contraceptive use (p < 0.001). Conclusion: The study concludes that poor knowledge is associated with prolonged use of injectable contraceptives. Recommendations include providing comprehensive education about hormonal contraception, particularly injectable contraceptives, to minimize long-term usage risks and promote safer contraceptive practices among women of reproductive age
duration of use, injectable contraceptive, injectable contraceptive acceptors
RELATIONSHIP BETWEEN MOTHER'S KNOWLEDGE ABOUT BASIC IMMUNIZATION AND THE COMPLETENESS OF BASIC IMMUNIZATION IN CHILDREN IN WEST KALIMANTAN
Background: In realizing the health of mothers and children in Indonesia, immunization is a public health effort that has proven to be the most cost-effective. Immunization can prevent and reduce the incidence of illness, disability, and death due to Immunization-Preventable Diseases (PD3I). One of the factors that can affect the completeness of immunization is the mother's knowledge of basic immunization. A child's basic immunization is declared complete if they have received one dose of HB-0, one dose of BCG, three doses of DPT-HB-HiB, four doses of polio drops, one dose of polio injection and 1 dose of Measles Rubella. This study aims to determine correlation mother’s knowledge about immunization base to completeness immunization base in children at Posyandu Kasih Ibu, Kenyabur Village West Kalimantan. Methods: This research use cross sectional design. Population in this study are mothers who have children aged 10-24 months at the Posyandu Kasih Ibu Kenyabur Village. The research sample was 32 samples with the total sampling method. Data collection using questionnaires and KIA book. Bivariate analysis using Chi-square test. Results: The majority of mothers' knowledge about basic immunization has sufficient knowledge, namely 18 respondents (56.3%), while the completeness of basic immunization is 19 respondents (59.4%) who have incomplete immunization status. The Chi-square test show that the p-value was (0.027) <α (0.05). Conclusion: There is a correlation between maternal knowledge about basic immunization and the completeness of basic immunization in children at the Posyandu Kasih Ibu, West Kalimantan.
Copyright (c) 2025 Journal of Midwifery and Reproductive Health https://creativecommons.org/licenses/by/4.0
THE EFFECT OF PREOPERATIVE TEACHING ON THE ANXIETY LEVEL OF SECTIO CAESAREA PATIENTS WITH ERACS SYSTEM IN KARANGANYAR
Background: Cesarean section delivery(SC) is the removal of the fetus through initiation made on the abdominal wall and uterus. This procedure is considered major abdominal surgery. To reduce pain and increase early mobilization, a sectio caesarea delivery method was developed with the concept of ERACS (Enhanced Recovery After Cesarean Section) which is more comfortable because the surgery process is less painful and the recovery process after surgery is faster. to determine the effect of preoperative teaching on the anxiety level of sectio caesarea patients with the ERACS system at Jati Husada General Hospital Karanganyar. Methods: This type of research is a quantitative research with a quasi-experiment design. The sample size of this study was 30 women who gave birth by cesarean section with the ERACS system at Jati Husada General Hospital Karanganyar. Results: There is an influence of preoperative teaching on the anxiety level of caesarean section patients with the ERACS system at Jati Husada General Hospital, Karanganyar with a p value of 0.000 <0.05. The anxiety level of Sectio Caesarea delivery mothers with the ERACS System at Jati Husada General Hospital Karanganyar before being given preoperative teaching was included in the category of moderate anxiety (76.7%) and after being given preoperative teaching was included in the category of mild anxiety (100.0%). Conclusion: Preoperative teaching has been proven effective as an alternative to reduce the level of anxiety of caesarean section patients with the ERACS system.
THE RELATIONSHIP OF PREGNANT WOMEN'S KNOWLEDGE LEVEL AND MOTHER'S CAPABILITY IN CARE OF NEWBORN AT THE DADAHUP COMMUNITY HEALTH CENTER
Newborn are susceptible to infection so their care requires optimal attention and mothers must prepare themselves by increasing their knowledge in caring for newborns from the time of pregnancy. The purpose of this study is to find out is to determine the relationship between the level of knowledge of pregnant women and the mother's ability to care for newborns at the Dadahup Community Health Center. The design of this research is an analytic survey with a cross sectional approach. The sampling technique uses total sampling with a sample of 30 pregnant women and the data is primary data obtained from filling out questionnaires by respondents. Data analysis results characteristics of the majority of respondents were in the age range 21-34 years, multigravida pregnancy and gestational age in the 3rd trimester, senior high school education levels, and employment as a housewife. The majority of respondents' knowledge of pregnant women regarding caring for newborns had a good level of knowledge, namely 16 people (53.3%) and the ability of mothers in caring for newborns, the majority of responden had good abilities, namely 15 people (50%). This states that there is a significant relationship between pregnant women's knowledge and ability to care for newborns. Dadahup Community Health Center can optimize information and education, if the mother has good knowledge in caring for newborns.
THE EFFECT OF EARLY MOBILIZATION HEALTH EDUCATION ON THE LEVEL OF POSTPARTUM MOTHERS’S KNOWLEDGE POST SECTIO CAESAREA
Background: Sectio caesarea is birth fetus, placenta and membrane amniotic fluid through the incision made on the stomach wall and uterus. The recovery process carried out after section caesarea operation is early mobilization. One of the factors that influence early mobilization is knowledge. Process recovery carried out after operation sectio caesarea that is early mobilization. One wrong factor affecting early mobilization is knowledge. Knowledge about early mobilization will increase the motivation of mothers post sectio caesarea to carry out early mobilization. Health education is a communication activity that aims to improve public health and prevent or reduce health problems. This study aims to prove the effect of health education on increasing postpartum mothers' knowledge about early mobilization post cesarean section.Methods: This research method is a pre-experimental research with a design study one group pre test-post test design. Sample a total of 44 respondents. The techniques used in this analysis are univariate and bivariate. Normality test using the shapiro wilk method. Results are based on the results of the Wilcoxon test analysis.Results: There is an influence of early mobilization health education about on the level of postpartum mothers’s knowledge post sectio caesarean with a p-value = 0.000 <0.05.Conclusion: This study successfully proved that health education has an influence on increasing the knowledge of postpartum mothers about early mobilization after a caesarean section
The Effect of Postpartum Nutrition Flipbook Media On The Level of Knowledge of Postpartum Mothers In Boyolali, Indonesia
Baground: The birth rate in Indonesia continues to rise among women aged 20–29 years, then declines afterward. Postpartum mothers are prone to anemia (22-80%), postpartum infections (5-7%), and the culture of abstinence from food is still high (95%). Inadequate nutrition during the postpartum period can have an impact on the mother's recovery and the baby's health. However, many postpartum mothers still lack understanding of the importance of nutrition during this period. Flipbook media as an interactive digital educational tool can be a solution to increase the knowledge of postpartum mothers. Preliminary studies at Asy Syifa Sambi Boyolali Hospital showed that some postpartum women had a low level of understanding regarding their nutritional needs. Therefore, this study aims to analyze the effect of flipbook media on increasing the knowledge of postpartum mothers about postpartum nutrition Methods: The research design is quasy experiment with pretest-postest design. Sample selection with purposive sampling, which is 40 respondents. The inclusion criteria of this study were postpartum mothers on day 1-3, stable condition, and had a smartphone. Meanwhile, the exclusion criteria of this study were refusal to participate. Data analysis using the Wilcoxon test. Results: The results showed that there was an effect of the postpartum nutrition flipbook on the level of knowledge of postpartum mothers at Asy Syifa Sambi Boyolali Hospital before and after the intervention with a p value of 0.000 < 0.05 Conclusion: Health workers are expected to take advantage of the results of this study by using flipbook media as a means of counseling for postpartum mothers.
The Effect of Educational Videos on Balanced Nutrition and Chronic Energy Deficiency on the Level of Women Reproductive Age Knowledge
Background: Chronic Energy Deficiency (CED) is a condition of malnutrition that occurs when the food intake consumed does not meet the body's needs and lasts for a long period of time (chronic). Handling the problem of CED requires a holistic approach, one of which is by using educational video-based health education to increase public awareness of the importance of balanced nutrition and meeting sufficient energy needs. This study aims to determine the effect of educational videos on balanced nutrition and Chronic Energy Deficiency (CED) on the level of knowledge of Women of Reproductive Age (WRA) in Bonangan Hamlet, Baturan Village, Colomadu District. Methods: This study uses a quantitative approach with one group pre-test and post-test design. The study population was 56 respondents of women of reproductive age, with a sample of 42 respondents Bonangan Village, Colomadu District taken using simple random sampling. The research instrument was a questionnaire on WRA knowledge.Data analysis was carried out using the Mann-Whitney test. Results: The results of the Mann-Whitney test showed the influence of Education with videos about balanced nutrition to prevent Chronic Energy Deficiency (CED) on the knowledge of Women of Reproductive Age (WRA) in Bonangan Village, Colomadu District with a p value of 0.000 ≤ 0.005. Conclusion: Videos about Balanced Nutrition can be an alternative to increase the knowledge of Women of Reproductive Age (WRA) on how to prevent the occurrence of Chronic Energy Deficiency (CED).
RELATIONSHIP BETWEEN STRESS LEVELS AND MENSTRUAL CYCLE OF FEMALE STUDENTS
Background: Adolescents are highly susceptible to menstrual cycle disorders, especially during the initial year after menarche. A consistent menstrual cycle is significant for women, as it can be related to fertility. The Central Java Provincial Health Office reported that 13.1% of women experienced menstrual cycle disorders. This study analyzed the correlation between stress levels and the menstrual cycle of female students at Madrasah Putri At-Taqwa Karanganyar. Methods: This study used a cross-sectional design conducted at Madrasah Putri At-Taqwa Karanganyar, with a sample of 63 respondents. Data were collected through questionnaires and interviews. The analysis showed that most respondents’ menstrual cycles fell into the regular category (68.2%), and most had normal stress levels (39.7%). A correlational analysis was conducted using Spearman’s Rho test. Results: Correlational analysis was conducted using the Spearman Rho test, resulting in a p-value of 0.259 (P>0.05). The results showed no significant relationship between stress levels and menstrual cycles of female students at Madrasah Putri At-Taqwa Karanganyar. Conclusion: Suggestions for respondents to better understand how to manage stress and reproductive health, and can carry out activities that are expected to reduce stress levels, and seek information related to stress management and reproductive health.
female student, menstrual cycle, stress level
THE EFFECT OF GIVING FLASHCARDS MEDIA ABOUT CHANGES IN PUBERTY ON THE KNOWLEDGE OF ADOLESCENT GIRLS IN SMP NEGERI 01 KARANGPANDAN
Based on the 2010 Population Census, the number of adolescents 10-19 years old in Indonesia reached 43.5 million, about 18% of the world population. The Indonesian Adolescent Reproductive Health Survey shows that adolescents' knowledge of reproductive health is still low, knowledge is the understanding and ability to apply information. Flashcard media, as a development of learning media, can improve knowledge. This study aims to analyse the effect of using flashcard media about puberty changes on the knowledge of adolescent girls at SMP Negeri 1 Karangpandan. This research used pre-experimental method with Pretest-posttes with control group design. The population in this study amounted to 332 people, namely all female students in 2024 at SMP Negri 1 Karangpandan. With a sample size of 80 female students consisting of 40 control group students and 40 treatment groups. This study used random sampling technique. The instrument used was a questionnaire. The results of the Wilcoxon test showed that the asymp.sig in the control and treatment groups was 0.001, (<0.05), so it was concluded that there was a significant difference between the pretest and posttest values in both groups. And the results of the Mann-Whitney test showed an asymp.sig value of 0.001 (<0.05), so the alternative hypothesis (Ha) was accepted, which means that there is an effect of flashcard media on the knowledge of adolescent girls about puberty changes at SMP Negeri 1 Karangpandan.
The Effect Of Baby Massage On The Sleep Quality Of Babies Aged 2-11 Months At Bantarangin Homecare Wonogiri
The prevalence of baby sleep problems in Central Java in 2018 was 44% of babies experiencing sleep disorders such as frequently waking up at night and not getting enough sleep. Baby Massage is an appropriate non-pharmacological therapy to improve sleep quality. The aim of the research is to analyze the effect of Baby Massage on the sleep quality of babies aged 2-11 months at Bantarangin Homecare Wonogiri. Pre-experimental research method, with one group pretest-posttest design type. The research population was babies aged 2-11 months, a total of 30 babies, in total sampling. The research instrument used the standard questionnaire A Brief Infant Sleep Questionnaire (BISQ) and was processed using the Wilcoxon test. The research results showed that the sleep quality of babies aged 2-11 months before being given baby massage was the majority poor, as many as 29 respondents (96.7%) and after having baby massage, the majority was good, as many as 26 respondents (86.7%). The Wilcoxon statistical test shows a significant p-value of 0.000 <0.05, which is less than the research limit of 0.05, so the hypothesis decision is to accept Ha. In conclusion, there is an influence of baby massage on the quality of baby sleep.
Effectiveness of Structured Fetal Optimization Movements on Changes in Presentation From Breech to Head at 28-36 Weeks of Pregnancy at Smilebirth
Pregnancies with breech presentation carry a higher risk of complications, including cesarean delivery. Structured fetal optimization exercises offer an alternative to convert breech presentation to cephalic presentation. This study aims to analyze the effectiveness of these exercises in increasing the likelihood of normal delivery. The research employs a quasi-experimental design (pretest and posttest without a control group) involving 46 pregnant women between 28–36 weeks of gestation participating in the "Optimizing Fetal Positioning" program at Smilebirth. The sampling technique used was accidental sampling. Data were analyzed using the Wilcoxon Signed Rank Test to evaluate changes in fetal presentation before and after the intervention. Most respondents (95.7%) were aged 20–35 years with a gestational age of 28–32 weeks. Prior to the intervention, all fetuses (100%) were in breech presentation. Post-intervention, 87% of fetuses successfully shifted to cephalic presentation, while 13% remained in breech. Maternal adherence to the program significantly influenced intervention outcomes. Structured fetal optimization exercises were found to be effective in converting breech to cephalic presentation in pregnancies between 28–36 weeks, particularly in cases with earlier gestational age and high compliance. These findings support the use of the "Optimizing Fetal Positioning" program as a non-invasive intervention to increase the likelihood of normal delivery.
Structured Fetal Position Optimization Movements
Copyright (c) 2024 Journal of Midwifery and Reproductive Health https://creativecommons.org/licenses/by/4.0
THE RELATIONSHIP BETWEEN EMOTIONAL REGULATION AND THE SEVERITY OF PRIMARY DYSMENORRHEA IN ADOLESCENT GIRLS AT STATE SENIOR HIGH SCHOOL 1 NGAWI
Dysmenorrhea is caused by strong and consistent contractions that occur in the’uterine wall and an increase in the hormone prostaglandin.PDysmenorrheaPcan result in unbearable pain and poor emotional control. This study aims to observe and analyzePthe relationshipPbetween emotional regulation andPthe degreePof primary dysmenorrhea painPinPfemalePadolescents at SMAPNegeriP1 Ngawi. ThisPstudy isPan analytical observationalPresearch study withPa cross-sectionalPapproach.PThis study was conductedPat SMAPNegeriP1 Ngawi in October 2024 withPaPsamplePof 174 respondents whoPhadPmetPthePinclusionPcriteria. Data collectionPwasPcarriedPout byPfillingPout aPquestionnaire and then the dataPwasPanalyzed statisticallyPusingPthe Spearman Rho Test.PThe Spearman Rho test shows aPsignificancePvalue (pP= 0.000 (≤ 0.05), ian rPvaluePof -0.765 and a negative correlation direction. Thus, this study reveals a significant correlation between emotional regulation and the severity of primary dysmenorrhea pain among female adolescents at State Senior High School 1 Ngawi.
DESCRIPTION OF KNOWLEDGE OF PUBLIC MOTHER'S KNOWLEDGE REGARDING CARE OF THE NUMBER CORD IN NEWBORN BABIES IN THE WORKING AREA OF THE DADAHUP PUSKESMAS KAPUAS DISTRICT
Newborns are very susceptible to infections caused by several problems. One of the most common infections in newborns is caused by a problematic umbilical cord. Efforts that can be made to prevent infection in neonates are by performing umbilical cord care. Umbilical cord care by keeping the remaining umbilical cord in an open state so that it is exposed to air The purpose of this study is to find out an overview of the knowledge of postpartum mothers about the care of the umbilical cord of newborns in the Working Area of the UPT Puskesmas Dadahup kabupaten Kapuas. This study uses a quantitative type with a descriptive design. The number of respondents was 33 postpartum mothers who had newborns using total sampling. The instrument uses a questionnaire. The results of the analysis of data on the age characteristics of respondents in the age range of 20-35 years, the most junior high school education level, the most housewife, the most sources of information obtained on social media, the most multi-para parity, and based on the knowledge of postpartum mothers are the most well-knowledged, namely 14 respondents (42%). The results of this study show that the knowledge of postpartum mothers about the care of the umbilical cord of newborns in the working area of the UPT Puskesmas Dadahup kabupaten Kapuas is in the good category.
Comparison Of The Johnson-Toshack and The Risanto Formula In Determining Estimated Fetal Weight (EFW) In Maternity Women Against The Weight Of Newborn Babies At Dr OEN Kandang Sapi Solo Hospital
Prenatal care is a crucial aspect of pregnancy and childbirth management. Among its primary activities, the measurement of the uterine fundus height (UFH) serves as a critical method for estimating fetal weight (EFW). After understanding EFW, health forces such as midwives can predict the problems that will be experienced and can carry out prevention to deal with them. The referral hospital assesses that the patient is unassisted or critical, the calculation of the usual fetal weight is able to help determine the certainty of the decision to be carried out to show the right obstetric service according to the condition of each patient. The Johnson-Toshack formula is the EFW formula commonly used in Indonesia, but the Risanto formula is an expanded formula for Indonesian researchers and is considered increasingly suitable for the material population in Indonesia. This study aims to understand the comparison of EFW evidence on infant birth weight by the use of the Johnson-Toshack and Risanto formulas. Data collection in the delivery room of Dr. OEN Kandang Sapi Hospital Solo and carried out from March to August 2024. All the mothers who have given birth and according to the inclusion specifications and are wiling to join the research. The results of the study stated that the Johnson-Toshack formula and the Risanto formula were appropriate to estimate the birth weight of the baby, with a significance value of < 0,001. The difference in EFW using Risanto’s formula to the baby’s birth weight is smaller than EFW using Johnson-Toshack EFW Risanto came out with 54 grams, EFW Johnson-Toshack came out with a value of 148 grams. In these results, it can be stated that the Risanto formula shows that the calculation follows the birth weight of the baby more than the Johnson-Toshack formula.