Pediomaternal Nursing Journal

Front Matter

Novalia Puspitasary — Sun, 01 Sep 2024 00:00:00 +0700

Back Matter

Novalia Puspitasary — Sun, 01 Sep 2024 00:00:00 +0700

Postpartum Fatigue: A Critical Challenge for New Mothers

Aria Aulia Nastiti — Sun, 01 Sep 2024 00:00:00 +0700

Postpartum fatigue (PPF) is a pervasive and often underrecognized challenge affecting 45-95% of new mothers. This editorial explores the prevalence, impact, and management of PPF, emphasizing its far-reaching consequences on maternal health, mother-infant bonding, and family dynamics. The article highlights the critical role of nurses in addressing PPF through early identification, education, and support. Key strategies include proactive screening, promoting self-care practices, and advocating for comprehensive postpartum care. The importance of building strong support networks and referring mothers to appropriate specialists is underscored. By recognizing PPF as a serious health concern rather than an inevitable aspect of motherhood, healthcare providers can significantly improve outcomes for new mothers and their families. This piece calls for continued research and the development of patient-centered care strategies to effectively manage postpartum fatigue and support maternal well-being.

Keywords: fatigue; maternal health; nurse’s role; postpartum fatigue

Peer educator’s role in sharing sexuality and reproductive health information among adolescents

Fransiska Imavike Fevriasanty, Laily Yuliatun, Ayut Merdikawati — Sun, 01 Sep 2024 00:00:00 +0700

Introduction: Adolescents, driven by their curiosity, are often inclined to explore new experiences, including premarital sexual behavior. The prevalence of such behavior among teenagers increases the risk of unwanted pregnancies. A lack of comprehensive information on sexuality and reproductive health contributes to the likelihood of engaging in risky sexual activities. Peer educators are considered effective in delivering crucial information on these topics. This study aims to evaluate the role of peer educators in providing sexuality and reproductive health education to adolescents.

Method: This study employed a one-group pretest-posttest design, conducted at SMAN Taruna Nala Malang with a sample of 60 students. Due to the non-normal distribution of the data, the Wilcoxon statistical test was used for analysis.

Results: The statistical analysis yielded a P-value of 0.329, indicating no significant difference between the pre-test and post-test results before and after the intervention. The lack of significance may be attributed to the peer educators' proficiency in delivering the information.

Conclusions: There is a need to strengthen reproductive health education for high school students by integrating it into the academic curriculum. This approach can serve as an early intervention to prevent premarital sexual behavior among adolescents.

Keywords: adolescent; peer educator; reproductive health; sexuality

The combination effect of moringa leaf and white rice flour as a facial mask on acne vulgaris among female teenagers

Lilis Fatmawati, Khoiroh Umah, Silvia Zulmiatin — Sun, 01 Sep 2024 00:00:00 +0700

Introduction: Acne vulgaris, commonly known as acne, is an inflammatory skin condition characterized by comedones, papules, pustules, and nodules, primarily affecting adolescents. Although not dangerous, it can be managed with both pharmacological and non-pharmacological treatments, such as facial masks made from a combination of Moringa leaves and white rice flour. This study aims to evaluate the effect of Moringa leaf masks combined with white rice flour on the healing of acne vulgaris with two different dosages.

Methods: This study used a two-group pre-post test design. A non-probability purposive sampling technique was employed to select 35 respondents. The independent variable was the administration of Moringa leaf masks combined with white rice flour, while the dependent variable was the healing of acne vulgaris in adolescents. The mask combinations used were 10 grams of Moringa leaves and 5 grams of rice flour, and vice versa. An observation sheet assessed the level of acne vulgaris severity. Data were analyzed using the Wilcoxon Signed Rank Test and the Mann-Whitney Test.

Results: The Wilcoxon Signed Rank Test showed a P-value 0.083 for dose 1, indicating that the intervention had no significant effect on acne vulgaris healing between pre-test and post-test. However, dose 2 had a P-value 0.046, suggesting a significant effect in reducing acne vulgaris. The Mann-Whitney Test revealed a P-value 0.551, indicating no significant difference between dose 1 and dose 2 in the healing of acne vulgaris after the intervention.

Conclusion: Both dosages of the Moringa leaf mask combined with white rice flour were effective in reducing the severity of acne vulgaris.

Keywords: acne vulgaris; face mask; moringa leaves; rice flour

Episiotomy-related perineal pain and breastfeeding self-efficacy among postpartum mothers

Zümrüt Bilgin, Seda Küçükoğlu — Sun, 01 Sep 2024 00:00:00 +0700

Introduction: Episiotomy-related perineal pain may significantly impact breastfeeding self-efficacy, influencing new mothers' ability to successfully initiate and maintain breastfeeding. The aim of this study was to determine the relationship between MPQ-SF and postpartum BSES-SF scores.

Methods: This descriptive study was conducted at a maternity hospital in Istanbul and involved 208 volunteer mothers who had undergone an episiotomy during childbirth. Data were collected using a “Participant Information Form,” the “McGill Pain Questionnaire-Short Form,” the “Postpartum Breastfeeding Self-Efficacy Scale-Short Form,” and the “Visual Analogue Scale.” The data were analyzed using a statistical program, with significance set at P-value < 0.05.

Results: The average age of the mothers was 27.29 ± 5.88 years, with 44.7% experiencing their first childbirth. Severe perineal pain was reported by 9.1% of the mothers, and 35.6% indicated that this pain affected their ability to breastfeed. A significant relationship was found between perineal pain and both the McGill Pain Questionnaire score and breastfeeding self-efficacy score (P-value < 0.05). Additionally, there was a negative correlation between postpartum McGill Pain Questionnaire scores and postpartum breastfeeding self-efficacy scores (P-value < 0.05).

Conclusion: Postpartum perineal pain affected mothers' breastfeeding self-efficacy. It is recommended to take measures to reduce perineal pain that negatively affects mothers' breastfeeding.

Keywords: breastfeeding; episiotomy; perineal pain; postpartum; self-sufficiency

Mobile application intervention to improve nutritional literacy of mothers with stunting children: A systematic review

Diana Sukmawati Hasan, Yuni Sufyanti Arief , Ilya Krisnana — Sun, 01 Sep 2024 00:00:00 +0700

Introduction: The lack of maternal nutritional literacy has a high impact on the health of stunted children. This can be overcome by providing information to the mother with the help of a mobile application. The purpose of this review is to identify and systematically analyze mobile application interventions on maternal nutritional literacy, including increasing knowledge, attitudes, and feeding practices in stunted children.

Method: This systematic review was based on PRISMA, with inclusion criteria including samples of stunted children aged under 5 years, mobile application interventions, and measures of knowledge, attitudes, and practices. Most of the studies in this review utilized randomized controlled trial (RCT) designs. The literature search was conducted using multiple databases, including Scopus, Web of Science (WoS), EBSCO, ProQuest, and PubMed. The search was restricted to full-text articles published between 2018 and 2022.

Results: There are 3 forms and media of mobile application interventions. This systematic review shows that mobile application interventions significantly improve maternal literacy related to increasing knowledge, attitudes, and practices in mothers with stunted children, the duration of mobile applications used in each session is 1 minute to 25 minutes per week. With application content on nutritional principles based on children's age, the introduction of appropriate complementary foods and semi-solid foods according to age, food diversity, and providing special supplementary foods and infant and child feeding training (IYCF).

Conclusions: The form and media of application video intervention and counseling in mobile application intervention show a positive impact in increasing nutritional literacy in mothers including knowledge, attitudes, and feeding practices for stunted children under 5 years old.

Keywords: mothers with stunted children; mobile application; nutritional literacy

Stress-related psychosocial intervention among pregnant woman with history of miscarriage: A scoping review

Putri Karisa, Ema Arum Rukmasari, Muhamad Gustaf Al Fajar — Sun, 01 Sep 2024 00:00:00 +0700

Introduction: Miscarriage is a traumatic experience for the mother and can lead to stress due to lack of family and social support. This event can be harmful to the woman as it can lead to pregnancy trauma and more severe psychological disorders such as depression and suicide. Providing psychosocial support to women experiencing miscarriage can be a positive supportive care option. This article aimed to identify psychosocial interventions to reduce stress levels in pregnant women with a history of miscarriage.

Method: A scoping review was conducted using PubMed, Google Scholar, Science Direct, and SAGE Journal databases. Keywords used include psychosocial intervention, stress level, and pregnancy. Articles were selected based on the criteria of publication year 2017-2022, English language, randomized controlled trial research design and research results according to the topic.

Results: The results obtained 6 articles that met the criteria. Psychosocial interventions to reduce stress levels in pregnant women with a history of miscarriage can be done through mindfulness therapy, supportive care, family support, brief supportive psychotherapy, cognitive narrative intervention, and happiness counseling programs.

Conclusions: Psychosocial-based interventions can be used as supportive therapy to improve the psychological well-being of women with a history of miscarriage.

Keywords: miscarriage; pregnancy; psychosocial intervention; stress level

Interventions to prevent hypertension in pregnant women: A systematic review

Fanny Nayluzzuharo, Joni Haryanto, Aria Aulia Nastiti — Sun, 01 Sep 2024 00:00:00 +0700

Introduction: Pre-eclampsia is one of the serious complications of pregnancy with a high incidence rate, which is about 5-8% in pregnancies worldwide. Although often experienced by pregnant women, the aetiology of pre-eclampsia is still largely unknown. This systematic review article aims to conduct a systematic review of various interventions that have been tested to prevent hypertension in pregnant women.

Methods: This systematic review article was conducted based on literature obtained from several databases SAGE Journals, ProQuest, PubMed, Scopus, and ScienceDirect by synthesising relevant research articles on hypertension prevention interventions in pregnant women using Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) checklist method.

Results: The research results of this systematic review identified 6 articles published between 2019 and 2024. The articles included in this systematic review included studies conducted in 3 geographical regions, including: Asia, America, and Europe. Some of the interventions included in these studies include the development of educational mobile apps on pre eclampsia for pregnant women, provision of educational tools such as pamphlets and videos, dietary management, and evaluation of low-dose aspirin and probiotics

Conclusion: Several hypertension prevention interventions that can be implemented in the care of pregnant women include education on risk factor management, lifestyle modification, and pharmacological therapy.

Keywords: pregnancy; pre-eclampsia; hypertension prevention