Indonesian Midwifery and Health Sciences Journal

ANXIETY MANAGEMENT METHODS THROUGH PHYSICAL ACTIVITY IN PREGNANT WOMEN: A LITERATURE REVIEW

Nur Ilmya Nugraha Ningrum Irfandi Putri , Riska Oktaviana; Rery Afianto — Tue, 28 Jan 2025 00:00:00 +0700

Background: Anxiety and depression are the most common mental disorders in the peripartum period. Therefore, this study will examine more deeply the treatment of anxiety through physical activity in pregnant women. In Indonesia, there are 373,000,000 cases of anxiety that occur in pregnant women. A total of 107,000,000 or around 28.7% of these cases occur in pregnant women before the delivery process (RI, 2018). Therefore, this study will examine more deeply the management of anxiety through physical activity in pregnant women. Method: This study uses the Narrative Literature Review method, which begins with reading various relevant articles carefully, then summarizing, drawing conclusions, and identifying gaps that are relevant to the topic or research question. The article search used the following keywords: method AND managing OR reducing AND anxiety AND physical activity OR exercise OR yoga OR aerobic AND pregnant women. The inclusion criteria used in this research article are articles that discuss methods of managing anxiety through physical activity (all types of physical activity) in pregnant women. The articles used must be published in the range of 2020 to 2024 and fully accessible, and in Indonesian or English. The synthesis results found a total of 10 articles that met the inclusion criteria. Result: The review found that physical activity has positive benefits in reducing anxiety levels in pregnant women. Physical activity can be an effective strategy in managing anxiety through the influence of hormones and various psychosocial mechanisms. Various types of physical activity, such as moderate exercise, strength training, and yoga, can improve mood and reduce symptoms of depression and anxiety through biochemical and physiological processes. Therefore, the recommendation given by practitioners to pregnant women is to engage in moderate-intensity aerobic physical activity for at least 150 minutes per week.

SYSTEMATIC REVIEW: THE RELATIONSHIP BETWEEN MOTHER'S AGE AND HYPERTENSION IN PREGNANCY

Tsana Vania Yanata, Lestari Sudaryanti — Tue, 28 Jan 2025 00:00:00 +0700

Background: The high maternal mortality rate is caused by a high risk of pregnancy. High risk is a condition that can endanger the mother and fetus and is associated with pregnancy, childbirth and the puerperium. 90% of maternal deaths are caused by obstetric risk complications and increasing 15% in mothers who have risk factors. Hypertension in pregnancy is a high risk for pregnant women and can be caused by several risk factors. Several risk factors of hypertension in pregnancy are age, history of hypertension, family support, and stress levels. The purpose of this study was to determine the relationship between maternal age and the incidence of hypertension in pregnancy. Method: This research is a systematic review with inclusion criteria are Indonesian journal from 2020 – 2022, full article, and open access. Researchers will exclude any other journal not in Indonesian or English, not an open acces article and not a research study of mother’s age and hypertension in pregnancy. This research is a literature study using descriptive method and conducting journal searches on several scientific websites with keywords relationship, factors, age, and hypertension in pregnancy. Results: Based on a literature study of the 5 journals found, it was found most of the mothers are at risk of experiencing hypertension in pregnancy. Age at risk is more susceptible to experiencing hypertension in pregnancy, it is caused by the development of reproductive organs that are not optimal enough in mothers who are too young and degenerative processes in old mothers. Conclusion: Age at risk or < 20 years and > 35 years has a significant relationship with hypertension in pregnancy.

PARENTING PREPARATION EDUCATION IMPROVES SELF EFFICACY IN PREGNANT WOMEN

Nuria Dianita Murwika , Machria Rachman, Fransisca Retno Asih — Tue, 28 Jan 2025 00:00:00 +0700

Background: In Indonesia, 42.3% of pregnant women have low self-efficacy and 68.7% women are not physically and knowledge-wise ready to become mothers. Willingness to become parents is very important to create a better future generation. Education with audio-visual media is preferred and easy to understand. This study aims to determine the effect of education on preparation for becoming parents on the self-efficacy of pregnant women. Method: The design of this study was a quasi-experimental design with a pre-test post-test non-equivalent with control group design approach, which was conducted at the Songgon Health Center Banyuwangi, Indonesia in June 2024. The sample size consisted of 36 people selected through purposive sampling. The subjects of this study, pregnant women who met the inclusion and exclusion criteria, were divided into two groups: the intervention group (18 respondents), which received educational animated videos on parenthood preparation, and the control group (18 respondents), which received standard ANC interventions. Self-efficacy was measured using the Maternal Self-Efficacy in Parenting Preparation questionnaire. The statistical analysis was conducted using the Mann-Whitney and Wilcoxon tests. Result: The average increase in self-efficacy in the intervention group was greater than in the control group (10.72> 5.50). The results of the statistical test showed a p-value of 0.019 (p <0.05), namely there was an effect of education on preparation for becoming parents on the self-efficacy of pregnant women. Conclusion: Education about preparing to become parents using animated videos can be applied during pregnancy classes or during antenatal care.

THE CORRELATION OF MACRONUTRIENT INTAKE, NUTRITIONAL STATUS AND AGE OF MENARCHE WITH PRIMARY DYSMENORHORE

Dena Ajeng Maesaroh, Sugiyanta Sugiyanta, Eny Nurmaida — Tue, 28 Jan 2025 00:00:00 +0700

Background: Pain during menstruation that does not cause any abnormalities is called primary dysmenorrhea, while menstrual pain that is related to abnormalities in the pelvis is called secondary dysmenorrhea. According to data from WHO, 90% of women experience severe dysmenorrhea. The aim of this study was to find out the correlation between macronutrient intake, nutritional status, and age of menarche with primary dysmenorrhea in medical students at the University of Jember, Indonesia. Method: This type of research was carried out with a cross-sectional study design. The research was conducted online and carried out in December 2023-February 2024. Samples were taken using the proportionate stratified random sampling technique. The number of samples in this study was 79 pre-clinical female students. Data was obtained by respondents filling out Google Form and interviews via zoom to fill out the SQ-FFQ questionnaire. The analytical test used in this research is the Spearman test. Result: Correlation analysis showed there was no relationship between carbohydrate (p=0.518), fat (p=0.124) and protein (p=0.260) intake and primary dysmenorrhea. The correlation test of nutritional status with primary dysmenorrhea also produced a significance of 0.703 (p>0.05), which means there is no correlation. Correlation analysis of age of menarche with primary dysmenorrhea produced a significance of 0.003 (p<0.05), which means a correlation was found. Conclusion : No correlation was found between macronutrient intake and nutritional status and primary dysmenorrhea, and a correlation was found between age at menarche and primary dysmenorrhea.

EFFECTIVENESS OF ROLLING MASSAGE AND COMPRESS TECHNIQUES WARM TO BREAST MILK EXPENDITURE IN MOTHERS POST SECTION CAESARIA

Lilis Fatmawati, Nurul Fahmi Rizka Laily, Nahdiyatul Ilmiyah — Tue, 28 Jan 2025 00:00:00 +0700

Background. Inadequate breastfeeding is a problem often experienced by mothers who are breastfeeding. Breast milk release time in post sectio caesarean mothers is later than normal postpartum mothers. This study aims to determine the rolling massage technique and warm compresses on breast milk production in post-section caesaria mothers at hospital Denisa. Method. The research design of this study is Quasy Experimental with design (pre post test design). Purposive sampling method. The sample taken was 28 respondents. Divided into 2 groups, 14 respondents were intervened with rolling massage techniques and 14 respondents get warm compresses. Independent variables were rolling massage techniques and warm compresses. The dependent variable is breast milk production in post-section caesarea mothers. Data collection was using the SOP (Standard Operating Procedure) rolling massage technique, warm compress SOP and questionnaire sheet. Result. Wilcoxon test results p-value = 0.001 for breast milk production in the rolling massage technique. Rolling massage technique means there is an influence on breast milk production. The Wilcoxon test result p value = 0.001 for the result of Wilcoxon test showed that the p-value = 0.001 for breast milk production on warm compress means that there is an effect on breast milk production. The Mann Whitney U Test statistical test results obtained a significance value of p = 0.009 so that there is a difference between rolling massage and warm compress techniques on breast milk production. Conclusion. The rolling massage technique and warm compress can be used as a therapy for breast milk production.

RISK FACTORS ASSOCIATED WITH SPONTANEOUS ABORTION AT DR. SOETOMO HOSPITAL IN 2019–2023

Rania Sabrina, Dwi Aprilawati, Sri Ratna Dwiningsih — Tue, 28 Jan 2025 00:00:00 +0700

Background: Spontaneous abortion or miscarriage is one of the pregnancy complications which can cause vaginal bleeding, as well as a significant impact on women's psychology. The occurrence of spontaneous abortion is caused by several risk factors that need to be considered. This research is aimed to analyze risk factors related to spontaneous abortion in pregnant women at Dr. Soetomo Hospital. Method: The study used a cross-sectional approach. The population was women who checked their pregnancy at Dr. Soetomo Hospital who experienced spontaneous abortion and did not experience spontaneous abortion. The number of samples was 55 for the case group and 55 for the control group. Data were obtained from medical records at Dr. Soetomo Hospital Surabaya. Bivariate chi-square statistical analysis and multivariate logistic regression were performed using SPSS software. Results: The risk factors found to be significant for the occurrence of spontaneous abortion were maternal age (p = 0.003), pregnancy interval (p = 0.005), and hemoglobin levels (p = 0.005). Meanwhile, the insignificant risk factors for the occurrence of spontaneous abortion were parity (p = 0.070) and body mass index (p = 0.525). The most dominant risk factor associated with the occurrence of spontaneous abortion was maternal age <20 or >35 years (OR = 6,769). Conclusion: maternal age, pregnancy interval, and hemoglobin level have been shown to be the significant risk factors for spontaneous abortion in pregnant women.

THE EFFECT OF NON-PHARMACOLOGICAL INTERVENTION ON VITAL SIGNS IN PREGNANT WOMEN WITH HYPERTENSION

Rizqi Dian Pratiwi — Tue, 28 Jan 2025 00:00:00 +0700

Abstract

Background: Pregnancy induced Hypertension (PIH) is a significant cause of maternal and fetal death. Although, the intervention approach that takes into account physical and psychological conditions is not yet optimal. This study aims to determine the efforts of relaxation technique therapy on the difference in heart rate dan oxygen saturation level (SpO₂) in pregnant women with hypertension. Method: This study used a cross-over design. A total of 36 pregnant women with third trimester hypertension obtained by random sampling technique were given bed rest therapy for 5 days 1 x 20 minutes and given relaxation therapy for 5 days 1 x 20 minutes. Bedrest is a health treatment where the client lies in bed certain period of time and relaxation therapy is techniques involve tensing and relaxing muscles in sequence which is a psychological mechanism that connects the mind and body. Measurements using a pulse oximeter. Data were analyzed using the Friedman and Wilcoxon tests. Results: The results of the study showed a significant difference in relaxation technique therapy and bed rest therapy on reducing in normal heart rate (P <0.001) and oxygen saturation levels (SpO₂) with P < 0,05. The average decrease in heart rate and increased oxygen saturation levels (SpO₂) was greater in the relaxation technique therapy group and the confounding variables have no effect on either. Conclusion: Relaxation techniques can reduce heart rate and increased SpO₂ to optimal in pregnant women with hypertension. Relaxation techniques can be a complementary therapy in midwifery care for pregnant women with hypertension.

RELATIONSHIP BETWEEN THE LEVEL OF EDUCATION AND KNOWLEDGE WITH THE USE OF INTRAUTERINE DEVICE CONTRACEPTIVES

pety merita sari, Elin Soyanita , Candra Dewi Nataningtyas — Tue, 28 Jan 2025 00:00:00 +0700

Background: The high birth rate is the main reason for the need for family planning services. Data at the Semen Health Center shows low interest in IUD compared to other contraceptives, this can be caused by several existing factors. This study aims to determine the relationship between the level of education and knowledge of acceptors with the use of IUD (Intrauterine Device) contraceptives at the UPTD Semen Health Center, Kediri Regency East Java Indonesia. Method: This study is a quantitative study with a Cross-Sectional research plan. The sampling technique used in this study was Purposive Sampling with a sample size of 100 KB acceptor respondents in Semen District, Kediri Regency. This study was conducted in April 2024. Data collection used a questionnaire instrument. Data were analyzed using the Spearman's rho test. Result: Secondary education level (SLTA/SMK) (51%) and basic education level (SD-SMP) (43%). High knowledge, namely 83 respondents (83%). Half of the birth control acceptors are non-IUD users (74%). The results of the analysis of the Spearman's Rho test at the education level with the use of IUD contraceptives are known that the results of sig. (2-tailed) of .140, and knowledge with the use of IUD contraceptives is known as the results of sig. (2-tailed) of .038. Conclusion : There was no relationship between education level and IUD contraceptive use and there was a significant relationship between knowledge and use of birth control. Acceptors need to be proactive in seeking information about the use of IUD contraceptives through various sources such as print media, electronic media, the internet, and consultation with health professionals. This can help in choosing the right method or contraceptive for them to use.

ANALYSIS FACTORS AFFECTING OPPORTUNISTIC INFECTIONS IN WOMEN HIV IN DR SOETOMO HOSPITAL

Dea Praditya Trisnashanti, Achmad Chusnu Romdhoni, Muhammad Vitanata Arfijanto — Tue, 28 Jan 2025 00:00:00 +0700

Background: Human Immunodeficiency Virus (HIV) remains a major global health concern. In Indonesia, women account for 35.1% of HIV cases. In East Java alone, 1,062 new cases were reported between January and March 2023, with Surabaya recording the highest number at 663 cases. Opportunistic infections frequently affect HIV patients due to weakened immune systems. Tuberculosis is the most prevalent OI among HIV patients in Indonesia, accounting for 62.1% of cases, and is commonly found in women, posing a risk of vertical transmission. This study aims to analyze the factors influencing of opportunistic infections in women living with HIV. Methods: A quantitative approach with an observational analytic design and retrospective method. Used a total sampling technique involving all female HIV patients diagnosed with opportunistic infections at HIV clinic of Dr. Soetomo Hospital from January-December 2023, meet the inclusion criteria. The research was conducted from December 2023-October 2024. The dependent variable is opportunistic infections, while the independent variables are duration of HIV infection, adherence to antiretroviral therapy, CD4 cell count, and viral load. Data were analyzed using univariate and bivariate methods, with the Chi-Square test. Results: The results, duration of HIV infection was not significantly associated with opportunistic infections (p = 0.402). However, ARV adherence (p = 0.003), CD4 count (p < 0.001), and viral load (p = 0.001) were significantly associated with increased risk of opportunistic infections. Conclusion: In conclusion, ARV adherence, CD4 count, and viral load significantly influence the occurrence of opportunistic infections among HIV-positive women at Dr. Soetomo Hospital