Indonesian Midwifery and Health Sciences Journal

THE INTRAUTERINE DEVICE (IUD) USE AND BACTERIAL VAGINOSIS INCIDENCE, INSIGHTS FORM 2023 STUDY IN A SURABAYA, INDONESIA

2025-01-19T11:20:50+07:00

Background: The Intrauterine device (IUD) is one of the most widely used and effective long-term contraceptive methods, with a success rate exceeding 99%. However, prolonged copper IUD use has been associated with an increased risk of bacterial vaginosis (BV), with users reportedly 1.28 times more likely to develop BV than users of other contraceptive methods.This study aims to assess the association between IUD usage and the incidence of BV. Methods: This cross-sectional analytic observational study included 50 participants using IUDs, recruited from three public health centers in Surabaya between May and December 2023. Vaginal swab samples from suspected BV cases were examined independently by two observers. Data were analyzed using the Chi-square test to assess associations and Cronbach's Alpha to evaluate inter-observer reliability, with significance set at p < 0.05. Results: Most BV cases were found among women aged 30–39 years (40%) and among users of non-hormonal IUDs (76%). Based on Nugent scoring, 26 participants (52%) were diagnosed with definitive BV. The association between IUD use and BV incidence was not statistically significant (p = 0.090). Inter-observer reliability was high, with a Cronbach’s Alpha of 0.963. Conclusion: The study concludes that IUD use is not significantly associated with the occurrence of bacterial vaginosis, based on Nugent score evaluation.

PROFILE OF PREGNANT WOMEN WITH HEPATITIS B IN SURABAYA 2020-2023

2025-07-25T13:31:30+07:00

Background: Hepatitis B virus (HBV) infection is a major public health issue. Worldwide, approximately 2 billion people have been infected, and more than 240 million are chronic carriers at risk of progressive liver diseases such as cirrhosis, liver failure, and hepatocellular carcinoma (HCC) (WHO, 2015). Method: This research method is descriptive with sampling techniques using random sampling that meets the inclusion criteria of 187 samples. The data collection was conducted using secondary data from the SIHEPI application for the years 2020-2023 at the Health Office of Surabaya City. Result: The frequency characteristics were obtained from 187 pregnant women with ages between 20-35 years (70.6%) who were in the third trimester of pregnancy (41.7%) and the majority of mothers were unemployed (58.3%). Most babies born to mothers with hepatitis B received HBIG (95.7%), but one baby was infected with hepatitis B (0.5%) Conclusion : The majority of babies born to mothers with hepatitis B have received HBIG, and 77.0% of babies were not infected.

THE SILENT DRIVERS OF EARLY MARRIAGE: HOW PARENTAL SUPPORT OUTWEIGHS KNOWLEDGE AND ATTITUDE

2025-10-01T08:42:18+07:00

Background: Early marriage is still one of the problems affecting the health of society in Indonesia. The application for marriage dispensation in Jember Regency increases yearly; in 2020, Jember Regency was ranked second nationally. The purpose of this study was to determine the description of knowledge, attitudes and support of parents who have children who marry early in Silo District, Jember Regency. Method: This study is a descriptive study with a quantitative approach in Silo District, Jember Regency from July 2024 - August 2024. The population of this study was 77 parents who had children who married early in Silo District, Jember Regency. The sample was obtained from 75 because two people did not meet the inclusion criteria. The data were then analyzed univariately with a descriptive method before being presented in text and table form. Result: The results showed that 47 respondents (62.7%) had poor knowledge about the impact of early marriage, while only 28 respondents (37.3%) had good knowledge. Parents' attitudes towards early marriage were mainly negative, with 41 respondents (54.7%) having negative attitudes, and 34 respondents (45.3%) having positive attitudes. Conclusion: Most parents support children who marry early, with 52 respondents reporting high support, while 23 respondents reported low support.

THE EFFECT OF “BUFAS SMART” EDUCATION ON THE INCIDENCE OF POSTPARTUM BLUES AT RSUD KARTINI KARANGANYAR

2025-06-14T17:13:57+07:00

Abstract
Background: Postpartum blues, maternity blues or baby blues is a temporary mild mood/affect disorder that occurs on the first day to the 10th day after delivery. Postpartum blues usually occurs on the third or fourth postpartum day and peaks between the fifth postpartum day which is characterized by frequent crying, feelings of loneliness or rejection, anxiety, confusion, anxiety, fatigue, forgetfulness and sleeplessness. One of the preventive efforts through health promotion, one of the effective ways is by using social networks. BUFAS SMART is the name of the whatsapp group used to provide education to postpartum mothers conducted for 3 consecutive days on postpartum mothers on day 3 to day 5 in the intervention group with material containing how to care for babies, how to breastfeed, and psychological changes in postpartum women. Method: The sample of this study amounted to 50 respondents of postpartum mothers with purposive sampling technique. This research design uses quasy experiment. This research instrument uses a questionnaire. Data analysis used is Wilcoxon test and Mann-Whitney test. Result: The effect of “BUFAS SMART” education on the incidence of postpartum blues at Kartini Karanganyar Hospital on respondents in the intervention posttest group and control posttest group was significant with the results of the p-value <0.05, which is 0.000, meaning that there is a significant difference between the pretest and posttests of the control group. Conclusion: BUFAS SMART reduces the incidence of postpartum blues at Kartini Karanganyar Hospital, so the BUFAS SMAST education method is suitable for application in postpartum blues mothers add more in-depth knowledge about the postpartum period.

RISK FACTORS ASSOCIATED WITH CHRONIC ENERGY DEFICIENCY (CED) IN PREGNANT WOMEN

2025-01-19T11:20:59+07:00

Background: Chronic Energy Deficiency is a nutritional problem in pregnancy. The percentage of pregnant women with Chronic Energy Deficiency is the 5th highest among Puskesmas Basarang due to the consequences caused by Chronic Energy Deficiency in Puskesmas Basarang from 2023 to August high in Puskesmas Basarang as much as 22.90%. The study purposed to find out the relationship between maternal knowledge about nutrition, husband's support, family income, maternal age, and pregnancy distance with the incidence of CED in pregnant women in the working area of Puskesmas Basarang, Kapuas Regency in 2023. Method: The research was analytical observational with a cross sectional approach, the sample was 66 pregnant women in the Basarang Community Health Center Working Area, Kapuas Regency, taken using the total sampling technique. The research instrument used a questionnaire. Result: The results of the multivariate test of the variabel of maternal knowledge about nutrition were most associated with the incidence of CED in pregnant women (Exp(B) = 11.655). Conclusion: The most dominant variabel with the incidence of SEEK in pregnant women is maternal knowledge about nutrition.

THE EFFECT OF KUNDALINI ON MUAC AND BODY WEIGHT IN 1ST TRIMESTER WITH EMESIS GRAVIDARUM

2025-01-09T13:20:38+07:00

Background: Emesis gravidarum is a discomfort that occurs in mothers during early pregnancy. If emesis gravidarum is not adequately managed, children are more likely to experience stunting. There may be negative impact on health from stunting. Stunting is a health problem that is still the government's current focus. Kundalini yoga is a physical activity that focuses on breathing, so it is hoped that it can divert nausea. When the nausea disappears it will be increase appetite so it can impact to a person's nutritional intake, which can be seen from an increase in MUAC and body weight. The purpose of this study is to evaluate whether kundalini yoga is associated with increased MUAC and body weight in women who have emesis gravidarum. Method: This study used a pre-test and post-test control group design as a quasi-experiment that provided kundalini yoga intervention for 15 minutes every day for 30 days. The study population comprised 20–35 year old pregnant women experiencing mild–moderate nausea and vomiting throughout the 1^st trimester of their pregnancy. Using the total sampling technique, samples were collected. In this study, body weight gain (BW) and upper arm circumference (MUAC) were the dependent variables, whereas kundalini yoga was the independent variable. The tools used are body measuring tape and body scales. The independent t-test used to examine variations in body weight and upper arm circumference. Result: In the intervention group, the MUAC addition was 0.096 cm, while in the control group, it was 0.012 cm (p = 0.08). Weight gain was 0.512 kg in the control group and 0.952 kg in the intervention group (p = 0.096). Conclusion: Kundalini yoga was not significant in increasing MUAC and body weight.

FACTORS AFFECTING PREGNANT WOMEN'S KNOWLEDGE LEVEL OF PREECLAMPSIA SCREENING

2025-10-05T22:21:05+07:00

Background: Preeclampsia is a hypertensive syndrome affecting 3–8% of pregnancies worldwide, involving multiple organ systems, and typically occurring after 20 weeks of gestation. In Surabaya, 1,265 cases were reported in 2023. Optimal prevention of preeclampsia is achieved through early screening at 11–13 weeks of gestation during antenatal care. Maternal knowledge and awareness are essential determinants of timely screening, as non-adherence to antenatal care has been associated with insufficient understanding of pregnancy management, delayed recognition of complications including preeclampsia and chronic conditions, and has ultimately contributed to the persistently high rates of preeclampsia and maternal and neonatal mortality in Indonesia. The aim was to analyze factors influencing pregnant women’s knowledge regarding preeclampsia screening. Method: This research employed a quantitative design with a cross-sectional approach, using a purposive sampling method. This study involved 91 pregnant women who met the inclusion criteria: women in the first to third trimester of pregnancy who had attended at least two antenatal care visits. A structured questionnaire was used as the research instrument. Data were analyzed using the Spearman rank correlation test to examine the relationship between educational level and parity experience and the pregnant women’s level of knowledge regarding preeclampsia screening. Results: The study included 91 pregnant women as respondents. 56 % respondent had secondary level of education, 52% respondents were moderate parity and 52 % respondents demonstrated good knowledge, Showed significant associations between education level (p < 0.001) and parity (p = 0.031) with knowledge of preeclampsia screening. Conclusions: That demographic factors and reproductive experiences influence maternal knowledge. Therefore, education on preeclampsia screening should be tailored to maternal characteristics, and the active involvement of healthcare providers is essential to support comprehensive, holistic, and sustainable midwifery care.

THE EFFECTIVENESS OF THE DEVELOPMENT OF GROSS MOTORIC SKILLS AMONG PRESCHOOL CHILDREN BETWEEN PRE AND POST STIMULATION OF TRADITIONAL ENGKLEK GAMES

2025-01-09T13:14:08+07:00

Background: Gross motoric skills are essential abilities during preschool children's development, involving significant body movements such as running, jumping, and maintaining balance. One traditional Indonesian game, called “engklek”, is believed to support the development of children's gross motor skills. A lack of gross motor stimulation can negatively impact the child's growth and development. Therefore, it is crucial for parents, teachers, and guardians to ensure children engage in activities that stimulate gross motoric skills. Method: This study employed a pre-experimental design, specifically using a one-group pre-test and post-test design. The population consisted of 39 preschool children, with 36 respondents randomly selected through simple random sampling. The instrument used in this study was the traditional game of ”engklek” to collect data, with pre-tests and post-tests conducted to measure the respondents' ability to lift their legs according to their age. Data were analyzed using the Wilcoxon signed-rank test, with significant results (p < 0.005).Results: The final results showed that stimulation using the traditional “engklek” game positively impacted the gross motor development of preschool children aged 5 to 6 years at Al-Amin Kindergarten in Kediri City. Discussion: This study will highlight the importance of paying attention to gross motor stimulation in preschool children, including through traditional games like “engklek”. It will also emphasize the need to monitor children's gross motor development according to their age to ensure optimal progress

THE EFFECTIVENESS OF SELF-ACCUPRESURE GUIDANCE ON THE REDUCTION OF PRIMARY DYSMINOREA PAIN

2025-10-01T08:45:21+07:00

Background: Incidence rates of Dysmenorrhea is average over 50% worldwide, with Indonesia reporting 55% and East Java specifically showing a prevalence of 71.3%. Dysmenorrhea can reduce sleep quality and have an impact on changes in a person's mood which will cause stress, depression and anxiety. The aim of this study was to determine the effect of self-accupressure guidance on reducing primary dysmenorrhoea pain in adolescent girls. Method:. This was a quasi-experimental design with a one-group pretest-posttest approach. The study population comprised all 66 female students at Manbail Futuh Vocational School. A purposive sampling technique was utilized to select participants who met specific inclusion criteria.This selection process resulted in a sample of 18 adolescent girls. Participants received standardized self-acupressure guidance. The intervention involved a structured guidance session followed by a period where participants were encouraged to practice self-acupressure daily during their menstrual cycle. Pain intensity was measured using a validated numerical rating scale (NRS) before the intervention and after the intervention, specifically during their subsequent menstrual period. The effectiveness of the self-acupressure guidance was assessed by comparing the pretest and posttest pain scores. Result: The results of the Wilcoxon test using SPSS For Windows software with a level of significance obtained p-Value 0.001 < 0.05. Based on the above, it is proven that there was an influence of self-accupressure guidance on reducing primary dysmenorrhea pain experienced by young women. Conclusion: Self-acupressure guidance was effective in reducing the intensity of dysmenorrhea in adolescent girls. This research can be used as one of the interventions in treatment other than using drugs.

ENHANCING PREGNANT WOMEN'S BREASTFEEDING SELF-EFFICACY THROUGH ANIMATED EDUCATIONAL VIDEO INTERVENTION

2025-10-01T08:44:24+07:00

Background: The prevalence of exclusive breastfeeding remains low globally, with only 44% of infants receiving it during the first six months. One contributing factor is low Breastfeeding Self-Efficacy (BSE). In Indonesia, 56% of mothers have low BSE due to inadequate education, limited family support, and psychological challenges. Animated video-based education is considered effective in increasing BSE among pregnant women, potentially enhancing exclusive breastfeeding success. This study aimed to examine the effect of breastfeeding preparation education using animation videos on BSE in third-trimester pregnant women at Tanah Kalikedinding Public Health Center, Surabaya, in 2022. Method: A quasi-experimental design with a pretest-posttest and control group was used. Seventy-four pregnant women (37 per group) were selected through consecutive sampling and met inclusion criteria: gestational age 28–36 weeks, single healthy pregnancy, ability to use WhatsApp, Google Forms, and Zoom, and willingness to participate. Exclusion criteria included serious medical conditions or hearing/vision impairments. The intervention group received an animated video titled “Manfaat ASI dan Persiapan Menyusui” (5 minutes/day for 3 days), along with Q&A and video sharing. The control group was directed to read breastfeeding material from the KIA book. Data were analyzed using Mann-Whitney and Wilcoxon tests via SPSS25. Result: Results showed a significant increase in BSE in the intervention group (mean increase = 4.97) compared to a decrease in the control group (mean decrease = 2.49), with p = 0.000. Conclusion: In conclusion, animated video-based education effectively improves breastfeeding self-efficacy and may support the success of exclusive breastfeeding programs.