Indonesian Midwifery and Health Sciences Journal <strong>Indonesian Midwifery and Health Sciences Journal</strong> (<a href="">e-ISSN 2656-7806</a>) is a peer-reviewed open access scientific journal published by <strong>Universitas Airlangga.</strong> The scope for<strong> Indonesian Midwifery and Health Sciences Journal</strong> consist of all aspect of midwifery discipline, clinical and interprofessional topics including perinatal care, maternal and neonatal care, all aspect of obstetric discipline , gynaecology, sexual and reproductive health, management midwifery care services, primary care, public health, health care policy, and global health. Articles published in <strong>Indonesian Midwifery and Health Sciences Journal</strong> include <em>original articles </em>and <em>literature reviews</em>. Articles could be written in either Bahasa Indonesia or English. Contributors for <strong>Indonesian Midwifery and Health Sciences Journal</strong> are researchers, lecturers, students, midwifery practitioners and other practitioners that focus on midwifery and health sciences in Indonesia and worldwide. UNIVERSITAS AIRLANGGA en-US Indonesian Midwifery and Health Sciences Journal 2656-7806 <p>1. The journal allows <span class="m_-8872622167488361851m_3889253648079045002m_3801934354951983127m_-2782718132241447849m_-7691471417709598651m_7256872056212528454m_3794665997207553305gmail-animated">the author to hold the copyright of the article without restrictions</span>.</p><p align="justify">2. The journal allows the author(s) to retain publishing rights without restrictions</p><p align="justify">3. <span>The formal legal aspect of journal publication accessibility refers to Creative Commons Atribution-Share Alike 4.0 (CC BY-SA).</span></p><p align="justify"> </p><p><a href="" rel="license"><img src="" alt="Creative Commons License" /></a></p><p> This Journal (<a href="" target="_blank">e-ISSN 2656-7806</a>) is licensed under a <a href="" rel="license">Creative Commons Attributi</a><a href="" rel="license">on-ShareAlike 4.0 International License</a>.</p><p align="justify"><span><br /></span></p> PREGNANCY LEAVE’S IMPACT ON ENERGY BALANCE AND LABOR PERIOD IN WORKING MOTHERS <p><strong>Background: </strong>Maternity leave is a right of female workers granted by the government. Pregnant women have the right to rest for 1.5 months before giving birth and 1.5 months after giving birth according to Law No. 13 of 2003. Pregnant women who take late maternity leave are at risk of experiencing a longer second period. This study aims to determine the relationship between maternity leave and energy balance and the length of the second stage of labor. <strong>Method:</strong> The research method uses a comparative study approach because researchers will compare the energy balance and length of the second stage of labor in working mothers who take maternity leave and those who delay taking maternity leave. The sample in this study was mothers giving birth at RSI Jemursari Surabaya who met the inclusion criteria. The instruments used were medical record books, partograph sheets and data collection sheets. Research data was analyzed using Fisher's exact test. <strong>Result:</strong> The results showed that majority of respondents (77%) had a negative energy balance and majority of respondents (80.9%) experienced the second stage of labor in less than 90 minutes. The statistical test results of the maternity leave period with energy balance obtained a value of p = 1.000 and the results of statistical tests between the period of maternity leave and the second stage of labor obtained a value of p = 0.421. <strong>Conclusion:</strong> These data show that there is no relationship between the period of maternity leave and energy balance and there is no significant relationship between the period of maternity leave and the second stage of labor in working mothers.</p> Feras Inar Melati Bambang Purwanto Pirlina Umiastuti Copyright (c) 2024 Feras 2024-01-27 2024-01-27 8 1 12 23 10.20473/imhsj.v8i1.2024.12-23 CORRELATION BETWEEN FEMALE JUNIOR HIGH SCHOOL STUDENTS KNOWLEDGE AND BREAST SELF EXAMINATION BEHAVIOR <p><strong>Background</strong> : Breast cancer is a painless lump, can develop and invade surrounding breast tissue then spread to nearby lymph nodes or to other organs in the body. The high mortality rate of breast cancer is due to a lack of knowledge about breast cancer and early detection so that it comes to health services at late stage. As recommended by the government, the most effective screening method is Breast Self Examination which is very easy but many teenagers do not know this method. The aim of this study is to know correlation between students knowledge and Breast Self Examination Behavior. <strong>Method</strong> : Descriptive quantitative reasearch through a cross sectional approach. Population in this study were 218 female students at Ananda Junior High School Bekasi City West Java in 2022 with 141 students for sample using simple random sampling technique. Research instruments using questionnaires about knowledge of pathophysiology and breast cancer prevention as independent variable and Breast Self Examination behavior as a dependent variable using the chi square statistical test. <strong>Results</strong> : Majority as many 91.5% of Ananda Junior High School students had never done Breast Self Examination, had poor knowledge about the pathophysiology of breast cancer (93.6%) and breast cancer prevention (83.7%). Then obtained a p value of 0.000 (p &lt; 0.05) which means that there is a significant correlation between knowledge about the pathophysiology and breast cancer prevention with Breast Self Examination behavior. <strong>Conclusion</strong> : The proportion of Breast Self Examination behaviour of Ananda Bekasi junior high school students is very low (8.5%). Most respondents had less knowledge about the pathophysiology of breast cancer (93.6%) and breast cancer prevention (83.7%). <strong>Suggestions</strong>: Conduct ongoing research to see any changes in respondent behavior in the future.</p> <p> </p> Winda Ayu Juwita Karni Dewi Rostianingsih Lenny Irmawaty Sirait Copyright (c) 2024 Winda Ayu Juwita Karni; Dewi Rostianingsih; Lenny Irmawaty Sirait 2024-01-28 2024-01-28 8 1 24 30 10.20473/imhsj.v8i1.2024.24-30 EFFECTS OF PRENATAL YOGA ON THE ANXIETY OF PREGNANT WOMEN BEFORE BIRTH <p><strong>Background</strong>: Anxiety in the last trimester of pregnancy will be different from anxiety in the previous trimester. Stress during pregnancy will affect the growth and development of the fetus. Anxiety is three times more likely to increase fear of childbirth and 1.7 times more likely to require a cesarean section. Stress during pregnancy can be reduced by exercising. One of the recommended sports is prenatal yoga. Practicing prenatal yoga during pregnancy is more effective in reducing stress and depression. Because in yoga, in addition to practicing, pregnant women also receive positive affirmations so that they can respond to physical changes during pregnancy and childbirth. to determine the effect of pregnancy yoga on the anxiety of pregnant women before birth. <strong>Method:</strong> A study uses a quasi-experimental design to examine the impact and effectiveness of treatment. The design of this study uses groups of subjects. Observations will be made before and after treatment. The sample for this study was pregnant women between 14 and 40 weeks of gestation. The instrument used to measure anxiety levels is the standard Hamilton Anxiety Rating Scale questionnaire (HARS). This research was carried out in the working area of ​Puskesmas Ngletih, Kediri Regency. The <strong>study</strong> population <strong>included</strong> all pregnant women who <strong>attended</strong><strong> a </strong>yoga class <strong>for</strong><strong> pregnant women at</strong> Puskesmas <strong>Ngletih</strong><strong> Workspace,</strong> Kediri Regency, for <strong>a</strong><strong> total of </strong>12 people. Result<strong>:</strong> The results of a study conducted at Ngletih Community Health Center, Kediri Town, in 2023. <strong>Result : </strong>Practicing gentle yoga before giving birth has an effect on pregnant women's anxiety about labor, with a p value of &lt;0.001 (p &lt;0.05).<strong>C</strong><strong>onclusion :</strong> It is hoped that all pregnant women with a gestational age of 14–40 weeks can do prenatal yoga.</p> Anggraini Dyah Setiyarini Ellatyas Rahmawati Tejo Putri Dwi Margareta Andini Erna Rahmawati Copyright (c) 2024 Anggraini Dyah Setiyarini 2024-01-28 2024-01-28 8 1 31 37 10.20473/imhsj.v8i1.2024.31-37 THE CORRELATION BEETWEEN MOTHER'S NUTRITIONAL STATUS AND PARITY WITH THE INCIDENT OF LOW BIRTH WEIGHT (LBW) AT A PUBLIC HEALTH CENTER SURABAYA <p><strong>Background</strong>: One of the highest causative factors of neonatal death in Indonesia is low birth weight (LBW), around 7,150 (35.3%) cases. Even though the trend of LBW incidents in East Java is decreasing, in the city of Surabaya itself the death rate due to LBW has increased from 31 deaths to 51 deaths. Simomulyo Public Health Center was ranked first with the highest incidence of LBW in Surabaya with 45 cases in 2019. Even though there was a decrease in cases in 2020, the death rate actually increased from 1 death to 4 deaths. WHO (2017) defines LBW as babies born weighing ≤ 2500 gr. Nutritional status and parity are two of the many risk factors for LBW. Knowing the causal relationship with the occurrence of LBW is important to do at the public Health Center as a first step in preventing LBW in the future. <strong>Method</strong><strong>:</strong> This research is quantitative with an analytical observational design using a cross-sectional approach. Samples were taken using probability sampling techniques, namely random sampling. The total samples taken were 96 samples. <strong>Result:</strong> The results of the research was found that there was a relationship between nutritional status and the incidence of LBW with a value of p=0.005 (p&lt;0.05) and the relationship between parity and the incidence of LBW with a value of p=0.001 (p &lt; 0.05). <strong>Conclusion:</strong> there is a correlation between nutritional status and parity and the incidence of LBW at the Simomulyo Public Health Center Surabaya.</p> Fransiska Niken Hapsari Astika Gita Ningrum Muhammad Ardian Cahya Laksana Widati Fatmaningrum Copyright (c) 2024 Fransiska Niken Hapsari, Astika Gita Ningrum, Muhammad Ardian Cahya Laksana, Widati Fatmaningrum 2024-01-28 2024-01-28 8 1 38 46 10.20473/imhsj.v8i1.2024.38-46 THE EFFECTIVENESS OF HOLISTIC CARE-BASED HEALTH EDUCATION PREVENTS EARLY TEENAGE MARRIAGE AT ISLAMIC SENIOR HIGH SCHOOL 4 BAOURNE BOJONEGORO <p><strong>Background</strong>: Teenage are in the age range between 10-19 years. Meanwhile, teenage is a period of transitional development from childhood to adulthood so that it will influence holistic changes both biologically, psychologically, socially and spiritually. Early marriages (&lt;19 tahun) should not be carried out considering the many risks that may occur to the mother and baby. Therefore, it is important to know the influence of holistic care-based health education on efforts to prevent early teenage marriage. <strong>Method</strong><strong>:</strong> &nbsp;The design of this research is quasi-experimental with a pre-posttest control group design. The population in the study was all MAN 4 Baureno school student totaling 313 respondents. The sample was 37 respondents using a non-probability method using purposive sampling technique. Data was collected using a questionnaire and the Wilcoxon Sign Ranks Test was carried out with a significance level of 0.05.<strong>Result:</strong> The results of the Wilcoxon Signed Ranks Test showed a value of p = 0.000 (p&lt;0.05) meaning that there was a significant difference in the level of knowledge and after holistic care education was carried out. <strong>Conclusion :</strong> Holistic care-based education can increase knowledge. Holistic care-based education seen from a biological, psychological, social and spiritual perspective is very suitable for health education, health services and health development that is suitable for adolescent children.</p> Wiwik Muhidayati Titik Nuryanti NUR AZIZAH agus ari afandi yuli Admasari Copyright (c) 2024 Wiwik Muhidayati, Titik Nuryanti, NUR AZIZAH, agus ari afandi, yuli Admasari 2024-01-28 2024-01-28 8 1 47 53 10.20473/imhsj.v8i1.2024.47-53 FACTORS AFFECTING EARLY COMPLEMENTARY FEEDING OF MOTHERS WITH BABIES AGED 0-6 MONTHS <p>Background: Exclusive breastfeeding for babies from 0 to 6 months of age and continued until 2 years of age can promote healthy growth and development. According to the WHO, in 2020, if a child receives complementary foods before 6 months of age, their growth will be delayed, and the risk of diarrhea is 17 times higher and the risk of upper respiratory tract infection is 3 times higher. The problem of this study is that the rate of early complementary food distribution for babies aged 0–6 months is still high. This study aims to determine factors affecting early complementary feeding for babies from 0 to 6 months of age. Method: The design of this research is descriptive with a cross-sectional approach. The research was carried out in July–September 2023 in Banaran Village, Kediri East Java, with a sample of 32 respondents consisting of mothers with babies aged 0–6 months who had been given early complementary feeding. Sampling is done by consecutive sampling. The variables in this study are factors that influence the provision of early complementary feeding for mothers with babies aged 0–6 months. Data was obtained through direct interviews with respondents using a questionnaire. Results: This study showed that the factors affecting early complementary feeding are socio-cultural factors with high category (81.3%), knowledge level factors with medium category (50%), personal factors with low category (87.6%) and promotional advertising for infant formula and baby food have medium category (71.9%). Conclusion: research results shows that the factors affecting early complementary feeding for babies from aged 0-6 months are socio-cultural factors, personal factors, and promotional advertising factors.</p> Candra Dewinataningtyas nataningtyas Dian Kumalasari Mia Ashari Kurniasari Ellatyas Rahmawati Tejo Putri Copyright (c) 2024 Candra Dewinataningtyas nataningtyas, Dian Kumalasari, Mia Ashari Kurniasari, Ellatyas Rahmawati Tejo Putri 2024-01-28 2024-01-28 8 1 54 63 10.20473/imhsj.v8i1.2024.54-63 SNOWBALL-THROWING METHOD EDUCATION INCREASES THE KNOWLEDGE AND ATTITUDES OF ADOLESCENTS ABOUT THE MATURATION OF MARRIAGE AGE (PUP) <p><strong>Background</strong>: Maturation of Marital Age is an effort to raise the age of child marriage. The number of underage marriages results in rapid population development, high maternal and infant mortality rates, low maternal and child health, families are often not harmonious, domestic violence occurs, and is prone to divorce. The rate of child marriage in Central Sulawesi is very high, one of which is in Donggala district. Donggala Regency ranks 3rd with 196 child marriages in 2022. A contributing factor is the lack of knowledge and attitudes of adolescents about maturing marriage age. The purpose of the study was to determine the effect of snowball throwing method counseling on the management and attitudes of adolescents about the maturation of marriage age at SMKS Al-Amin Wani <strong>Method</strong><strong>:</strong> The pre-experimental research with <em>one group pretest-posttest design</em> was conducted from April 14 to May 20, 2023, at SMKS Al-Amin Wani.<em> Proportional stratified random sampling</em> technique of 75 respondents. Analyzes data through <em>the Wilcoxon</em> test<em>. </em><strong>Result:</strong> 31 respondents (41.3%) is 16 years old, 55 respondents (73.3%) is female. the most dominant knowledge was in a good category, 75 respondents (100%). Average increase in knowledge and attitude score of 38.00 and p-value of 0.000. <strong>Conclusion:</strong> Education on snowball throwing method can improve teenagers' knowledge and attitudes about <em>marriage-age maturity</em> at SMKS Al-Amin Wani.</p> Narmin Narmin Amsal Amsal Yuli Admasari Munifa Amalia Copyright (c) 2024 Narmin, Amsal, Yuli Admasari, Munifa Amalia 2024-01-28 2024-01-28 8 1 64 72 10.20473/imhsj.v8i1.2024.64-72 FACTORS RELATED TO INCIDENCE OF MALNUTRITION IN UNDER FIVE CHILDREN <p><strong>Background</strong>: Malnutrition is one of the main nutritional problems in Indonesia and East Java. Malnutrition is the cause of more than 1/3 of 9.2 million deaths in children under the age of 5 in the world. Toddlers are a very vulnerable group related to nutrition in society. If the nutrition of children under five is not fulfilled continuously it will cause stunting. <strong>Method:</strong> This study uses descriptive analysis to overview of the problem of factors related to the incidence of undernutrition in children under five at Posyandu Randugading, Tajinan District, Malang Regency. The sample consisted of 36 children under five using a total sampling technique. This data was obtained from the nutritional status report of the Tajinan Community Health Center which met the nutritional criteria of less than -3 SD to &lt;-2 SD based on the z-score formula. This research instrument used a questionnaire, data collection was carried out by interviews to obtain data on variables Frequency of giving MP-ASI, Infectious diseases, Exclusive breastfeeding, Mother's weight gain during pregnancy, and Number of siblings. The data collection period was carried out on 18 April 2023–25 April 2023. <strong>Result:</strong> from 36 children showed that 30.55% giving MP-ASI at most was according to the child’s request, children who have had history of an infectious disease 58.33%, exclusive breastfeeding was 50 %, weight gain during pregnancy less as it shouls was 50%, children who have siblirng is more than 2 was 63.89%. <strong>Conclusion: </strong>Malnutrition children under five year old in Posyandu Randugading, Tajinan District, Malang Regency have characteristic related to feeding meals was most of them according to the child’s request, majority children have history of an infectious disease, Mother wight gain during pregnancy lower as it should, majority children have more than 2 sibling.</p> Jaa Oktafa Once Okta Annasari Mustafa Ika Yudianti Copyright (c) 2024 Jaa Oktafa Once Okta, Annasari Mustafa , Ika Yudianti 2024-01-28 2024-01-28 8 1 73 83 10.20473/imhsj.v8i1.2024.73-83 THE RELATIONSHIP BETWEEN EXCLUSIVE BREASTFEEDING AND THE INCIDENCE OF STUNTED GROWTH IN INFANTS IN THE VILLAGE OF TALANGKUSKO, TUREN DISTRICT, MALANG <p><strong>Background: </strong>Stunted is a chronic malnutrition problem caused by malnutrition in the first 1,000 days of life. One of the risk factors for stunted growth is suboptimal exclusive breastfeeding. This study aimed to determine the relationship between exclusive breastfeeding and stunted growth incidence in infants in Talangsuko Village, Turen District, Malang. <strong>Methods:</strong> This study used an analytical observational research design with a cross-sectional approach. The research sample was 118 respondents of mothers with infants aged 6-24 months in Talangsuko Village, Turen District, Malang. The measured variables are stunted status and exclusive breastfeeding. Data was collected through questionnaires and height measurements. The research data was processed using SPSS with Chi-square analysis. <strong>Results:</strong> The results showed that 16 (13,6%) child stunted, 73 respondents (61.9%) received exclusive breastfeeding, while 45 respondents (38.1%) did not receive exclusive breastfeeding. The results of the chi-square test showed that there was a significant relationship between exclusive breastfeeding and stunted growth incidence (p=0,000). <strong>Conclusion:</strong> The conclusion of this study is that there is a significant relationship between exclusive breastfeeding and stunted growth incidence in infants in Talangsuko Village, Turen District, Malang. Therefore, exclusive breastfeeding is one of the important efforts to prevent stunted growth in infants.</p> Riza Arsanty Fahrina Rize Budi Amalia Copyright (c) 2024 Riza Arsanty Fahrina, Rize Budi Amalia 2024-01-28 2024-01-28 8 1 84 92 10.20473/imhsj.v8i1.2024.84-92 THE COMPREHENSIVE MIDWIFERY CARE WITH NY. R IN DEPENDENT MIDWIFERY PRACTICE NURIL’S SIDOARJO <p style="font-weight: 400;"><strong>Background:</strong> The maternal mortality rate in Indonesia in 2022 will be 189 / 100 thousand live births. This figure is still high when compared to the MMR target in 2024, namely 183 / 100 thousand live births. One of the midwives' efforts to reduce MMR is by providing comprehensive/ sustainable midwifery care (CoC). The purpose of this case study is to describe the results of implementing CoC midwifery care for Mrs. R aged 29 years at TPMB Nuril Sidoarjo for 3 days.<strong> Method:</strong> This midwifery care case study uses a descriptive method, where Mrs. R is given care starting from the third trimester of pregnancy, childbirth, newborns, postpartum to family planning. CoC midwifery care provided to Mrs. R is standard midwifery care. <strong>Result:</strong> The results of the case study show that from the midwifery care given to Mrs. R, it was found that the condition of the mother and baby was still within normal limits without any complications until the end of the implementation of comprehensive midwifery care. <strong>Conclusion : </strong>The midwifery care provided to the subject was in accordance with applicable standard midwifery care procedures. So that no complications occur in the subject when midwifery care is provided.</p> Lidya Agustin Tjondro Nurul Azizah Copyright (c) 2024 Lidya Agustin Tjondro , Nurul Azizah 2024-01-27 2024-01-27 8 1 1 11 10.20473/imhsj.v8i1.2024.1-11