Journal of Health and Midwifery Soepraoen
Journal of Health and Midwifery Innovation Soepraoen (JoHMIS) is a peer-reviewed scientific journal published by the Department of Midwifery, Faculty of Health Science, ITSK RS dr Soepraoen. JoHMIS was established in 2025, with p-ISSN…… ; e-ISSN…. . JoHMIS is published periodically thrice a year (January, May, and September). Journal of Health and Midwifery Innovation Soepraoen (JoHMIS) is intended to Provide for dissemination of original and quality research on various topics in health, midwifery and nursing. Journal Name : Journal of Health and Midwifery Innovation Soepraoen Journal Abbr. : JoHMIS ISSN : DOI : 10.47794 Pub. Frequency : Triannual (January, May & September) Accreditation : Publisher : Department of Midwifery, ITSK RS dr Soepraoen Editorial Office : https://maps.app.goo.gl/GJHXngz3kP8AMcv86 Official Site : https://johmis.itsk-soepraoen.ac.id/index.php/johmis Chief In Editor : Dr. Rifzul Maulina, S.ST., M.Kes
Institut Teknologi, Sains, dan Kesehatan RS.DR. Soepraoen Kesdam V/BRW
Influencing Factors Of Preeclampsia Among Expectant Mothers At Marisa Primary Health Care, Pohuwato Regency
Preeclampsia remains a major contributor to maternal morbidity and mortality worldwide. Nutritional status is considered a modifiable risk factor, particularly during the third trimester when maternal physiological demands increase. This study aimed to determine the relationship between nutritional status and the occurrence of preeclampsia among third-trimester pregnant women at Pohuwato Regency Primary Health Care. A quantitative analytic study with a cross-sectional design was conducted among 30 third-trimester pregnant women selected through purposive sampling. Nutritional status was assessed using Body Mass Index (BMI), while preeclampsia was identified based on clinical diagnosis, including elevated blood pressure and proteinuria. Data were analyzed using the Chi-square test with a significance level of p < 0.05. Of the respondents, 53.3% had normal nutritional status, 33.3% were overweight or obese, and 13.3% were underweight. Preeclampsia occurred in 36.7% of respondents, mostly among overweight or obese women. Statistical analysis showed a significant relationship between nutritional status and preeclampsia (p = 0.045). Nutritional status, particularly overweight or obesity, is significantly associated with preeclampsia in third-trimester pregnant women.
Copyright (c) 2026 jiarti kusbandiyah, Junita Ishak https://creativecommons.org/licenses/by-sa/4.0
The Role of Maternal Knowledge and Family Support in the Failure of Exclusive Breastfeeding in Infants Aged 0–6 Months
Exclusive breastfeeding is the provision of pure breast milk, uncontaminated with other foods or drinks, for the first six months of a baby's life. Breast milk is given to babies without any other food supplements. This study aims to determine the factors influencing the failure of exclusive breastfeeding in infants aged 0–6 months. This study used a quantitative descriptive method, namely research that aims to present the factors influencing the failure of exclusive breastfeeding in infants aged 0–6 months by describing a number of variables. The study used a descriptive analysis with a cross-sectional approach, meaning that variables were measured only once. The population in this study were all mothers who exclusively breastfed, resulting in a sample size of 30 respondens The results showed no relationship between knowledge and exclusive breastfeeding, with a chi-square test yielding a p-value of 0.123 (p > 0.05). There was a relationship between family support and exclusive breastfeeding, with a chi-square test yielding a p-value of 0.001 (p < 0.05).
Copyright (c) 2026 Misra Sabir; Rani Safitri; Gayatri Kintan Larasati, Endah Susanti, Ade Kurniati https://creativecommons.org/licenses/by-sa/4.0
Early pregnancy and perineal rupture at North Bolaang Mongondow Regional Hospital
Early pregnancy is a reproductive health issue that may negatively affect maternal and neonatal outcomes. One complication commonly associated with early pregnancy is perineal rupture, particularly among adolescents whose reproductive organs and perineal tissues have not yet reached optimal physiological maturity and elasticity. This study aimed to analyze the relationship between early pregnancy and the incidence of perineal rupture among women giving birth at North Bolaang Mongondow Regional Hospital. This analytical observational study used a cross-sectional design. A total of 16 postpartum mothers were selected using purposive sampling. Data were collected through structured interviews, questionnaires, and direct observation during the intrapartum and postpartum periods. Data were analyzed using the Wilcoxon test with a significance level of p < 0.05. Most respondents who experienced early pregnancy also suffered perineal rupture, accounting for 93.8% of the total sample. The Wilcoxon test showed a significant relationship between early pregnancy and perineal rupture (p = 0.000). Early pregnancy is significantly associated with an increased risk of perineal rupture. Reproductive health education for adolescents and improved labor management among young mothers are needed to reduce childbirth-related complications.
Copyright (c) 2026 Evi Dwi Prastiwi; Detia Delsi Goma https://creativecommons.org/licenses/by-sa/4.0
Association Between Maternal Anemia During Pregnancy and Postpartum Hemorrhage in the Libano Public Health Center Area
Anemia during pregnancy is a common condition that significantly contributes to maternal and neonatal morbidity and mortality, particularly in developing regions. Postpartum hemorrhage (PPH) remains a leading cause of maternal death globally, with anemia identified as a major risk factor. This study aimed to examine the association between maternal anemia and PPH in the Libano Public Health Center area, Morotai Jaya District. A retrospective analytical observational design was applied to 100 pregnant women based on medical records from 2023. Data were analyzed using chi-square tests and logistic regression. The findings indicated that maternal anemia significantly increased the risk of PPH, with severe anemia showing the highest odds ratio (OR 6.8; p < 0.001), followed by moderate anemia (OR 4.5; p < 0.001). Additional contributing factors included maternal age <20 years (OR 2.1; p = 0.020), interpregnancy interval <2 years (OR 2.5; p = 0.010), and undernutrition (OR 1.6; p = 0.050). Overall, 38% of participants experienced PPH, with the highest prevalence observed among those with severe anemia (80%). Early detection of anemia, effective iron supplementation, and antenatal education are essential to reduce the risk of PPH. Integrated preventive and curative interventions are required to improve maternal health outcomes, particularly in high-prevalence settings.
Copyright (c) 2026 Olha Bosu; Reny Retnaningsih; Riski Candra Karisma, Farah Milla Dwi Purwasari, Dina Hanifa https://creativecommons.org/licenses/by-sa/4.0
The Association Between Knowledge, Iron Tablet Compliance, And Iron Deficiency Anaemia
B Background: Iron deficiency anemia among adolescent girls in Indonesia remains a public health concern, with a reported prevalence of 21.7%. Anemia may impair learning concentration, reduce productivity, and increase susceptibility to infection. The government has implemented weekly iron tablet supplementation for adolescent girls in junior and senior high schools; however, low adherence remains a major challenge, partly due to limited knowledge about anemia and iron supplementation. Objective: This literature review aims to examine the relationship between knowledge, adherence to iron tablet consumption, and the incidence of anemia among adolescent girls. Methods: Articles published within the last 10 years were searched through Google Scholar and PubMed. Of 25 articles identified, 12 were selected based on their relevance to the topic, objectives, and study findings. Results: Most reviewed studies showed that better knowledge about anemia prevention, nutrition, and iron intake was associated with higher adherence to iron supplementation. Consistent consumption of iron tablets was also linked to increased hemoglobin levels and lower anemia prevalence. Conclusion: Knowledge of anemia and adherence to iron tablet supplementation influence hemoglobin levels among adolescent girls. Results: The reviewed articles indicate that adolescents' knowledge about anemia and adherence to iron supplementation are associated with the incidence of anemia. Good knowledge about anemia and nutrition will influence adolescents' dietary patterns, thereby preventing anemia. Furthermore, adherence to iron supplementation will also affect blood levels. Hemoglobin in adolescents Conclusion: Adolescents' knowledge of anemia and adherence to iron supplementation tablets will affect their hemoglobin levels.
Copyright (c) 2026 Eka Dewi Astuti; Aryunani https://creativecommons.org/licenses/by-sa/4.0
The effect of baby massage on weight gain in infants aged 2-12 months
Infant growth and development is an important aspect of the early phase of life. One of the main indicators of healthy growth is weight gain. Infant massage is believed to promote infant growth by stimulating blood circulation and the digestive system. However, its effectiveness on weight gain is still a matter of debate. This study used a pre-experiment design with a pretest-posttest approach to evaluate the effect of infant massage on weight gain of infants aged 2-12 months. The sample amounted to 30 infants who were selected using purposive sampling technique. Data were collected through weight observation sheets before and after treatment. Data were analyzed using Fisher Exact test. The majority of infants (80%) received regular infant massage, while the other 20% received irregular infant massage. A total of 73.3% of infants experienced weight gain, while 26.7% did not experience weight gain. Fisher Exact test results showed a p-value = 0.480 (p > 0.05), indicating that there was no significant association between the frequency of infant massage and weight gain. This result indicates that infant massage, whether done regularly or not, does not significantly affect the increase in infant weight. The difference in the results of previous studies can be caused by factors such as frequency, massage technique, nutritional intake, and the health condition of the baby. Although no significant association was found, education on proper infant massage techniques still needs to be improved so that parents can apply it optimally as part of infant care.
Copyright (c) 2026 Meliya Nursani, Nicky Danur Jayanti, Pramita https://creativecommons.org/licenses/by-sa/4.0
The Effect of Deep Breathing Relaxation Techniques on Labor Pain Reduction in Budi Setia Hospital, Longawan Minahasa District
Effective pain management during labor is essential to improve maternal comfort and reduce complications related to stress and muscle tension. Deep breathing relaxation is a non-pharmacological method shown to decrease pain intensity, enhance maternal control, and reduce anxiety. This study used a pre-experimental design with purposive sampling and a one-group pretest–posttest approach. Sixteen laboring mothers at Budi Setia Langowan Hospital participated. Pain levels were measured before and after the intervention, and data were analyzed using the Wilcoxon Matched-Pairs Test. The analysis revealed a significant reduction in labor pain after the intervention. Statistical testing showed a p-value of 0.002 (≤ 0.05), indicating differences in pain scores before and after treatment. Deep breathing relaxation techniques significantly reduce labor pain and can serve as a safe, effective non-pharmacological alternative for mothers during childbirth. This technique may be integrated into routine maternity care and considered for postpartum pain management
Copyright (c) 2026 Anggreyni Kartini Kaumpungan; Rosyidah Alfitri; Purwika Widayati, Zainal Alim, Dyah Ayu Septika Wijaya https://creativecommons.org/licenses/by-sa/4.0
The Effect of Squat Movement on the Length of the First Stage in Multigravida
Prolonged first-stage labor increases risks for both mother and baby. Squat movement is a simple method that may accelerate cervical dilation by increasing pressure on the birth canal, but evidence in multigravida mothers remains limited. Objective: To analyze the effect of squat movement on the duration of the first stage of labor in multigravida mothers at Morotai Island Regency Hospital. This study used a pre-experimental one-group pretest–posttest design ith 16 respondents selected through purposive sampling. Squat movement as applied during the active phase, ith The duration of labor progression after implementation of squat movement as observed and analyzed. Data ere analyzed using the Wilcoxon test (α = 0.05). The analysis sho ed a significant effect (p = 0.000), indicating a shorter duration of the first stage after intervention. Squat movement effectively accelerates the first stage of labor in multigravida mothers and can be used as a non-pharmacological method to support labor. Future studies should include larger samples and consider factors such as maternal age, body mass index, and obstetric history. Mid ives should educate pregnant women on squat movement as part of labor preparation.
Copyright (c) 2026 Diana Wahid; Miftakhul Mahfirah Ermadona https://creativecommons.org/licenses/by-sa/4.0
The relationship between maternal employment and exclusive breastfeeding in Moyag Tampoan Village, East Kotamobagu District
Exclusive breastfeeding during the first six months is essential for optimal infant gro th and development. Ho ever, maternal employment often becomes a barrier due to limited time and lack of workplace support. This study examines the relationship between maternal occupation and exclusive breastfeeding in Moyag Tampoan Village, East Kotamobagu District. This analytical cross-sectional study involved 16 mothers with infants aged 0–6 months, selected through purposive sampling. Data were collected using questionnaires and analyzed with the Fisher’s Exact Test (α = 0.05). The analysis sho ed a significant relationship bet een maternal occupation and exclusive breastfeeding (p = 0.000). Working mothers were less likely to provide exclusive breastfeeding compared to non- orking mothers. Maternal employment significantly affects exclusive breastfeeding. Working mothers face greater challenges in maintaining exclusive breastfeeding. This study aimed to analyze the relationship bet een maternal employment and exclusive breastfeeding in Moyag Tampoan Village
Copyright (c) 2026 Meliya Nursani, Nicky Danur Jayanti; Pramita https://creativecommons.org/licenses/by-sa/4.0
Knowledge, Attitude, and Compliance With Iron Tablet Consumption Among Adolescent Girls at Haruai Health Center
Adolescence is a growth period marked by increased iron requirements. Iron deficiency may lead to anemia, which can affect the health and productivity of adolescent girls. Routine consumption of iron tablets is one strategy to prevent anemia, but adherence may be influenced by adolescents’ knowledge and attitudes. This study aimed to analyze the relationship between knowledge level, attitude, and compliance with iron tablet consumption among adolescent girls in the working area of Haruai Health Center, Tabalong Regency, South Kalimantan Province. This observational analytic study used a cross-sectional design. A total of 25 adolescent girls who met the inclusion criteria were selected using total sampling. Data were collected through questionnaires and analyzed using the Chi-Square test with SPSS. The study found a significant relationship between knowledge level and compliance with iron tablet consumption (p = 0.000), as well as between attitude and compliance (p = 0.012). Adolescents with good knowledge and positive attitudes tended to be more compliant. Knowledge and attitude are significantly associated with compliance in consuming iron tablets. Strengthening health education is needed to support anemia prevention programs among adolescent
Copyright (c) 2026 Icha Marshella; Evi Dwi Prastiwi https://creativecommons.org/licenses/by-sa/4.0
Peppermint aromatherapy for nausea and vomiting in first-trimester pregnant women
Emesis gravidarum is a common condition experienced by first-trimester pregnant women and may negatively affect maternal well-being and daily activities. Peppermint (Mentha piperita) contains menthol, which has antiemetic and antispasmodic properties that may help reduce nausea and vomiting. This study aimed to determine the effectiveness of peppermint aromatherapy in reducing the frequency of nausea and vomiting among first-trimester pregnant women. A pre-experimental one-group pretest–posttest design was conducted involving 10 pregnant women with emesis gravidarum selected through purposive sampling. Data were collected using questionnaires and observation sheets. The intervention followed a Standard Operating Procedure (SOP), consisting of inhaling 2–3 drops of peppermint essential oil applied to a tissue for approximately 10 minutes. Data were analyzed using a paired sample t-test. Before the intervention, 60% of respondents experienced moderate and 40% severe emesis gravidarum. After the intervention, 90% were categorized as mild and 10% as moderate. Statistical analysis showed a significant reduction in symptoms (p < 0.001). These findings indicate that peppermint aromatherapy is an effective, safe, and simple non-pharmacological intervention for reducing nausea and vomiting and improving maternal comfort during early pregnancy.
Copyright (c) 2026 Hendrita A Mohi; Heppy Rina Mardiana, Hayun Manudyaning Susilo https://creativecommons.org/licenses/by-sa/4.0
The Influence of Parity and Knowledge on Anxiety Levels Among Pregnant Women at Sahu Health Center
Pregnancy is often accompanied by psychological challenges, particularly anxiety related to childbirth. In Indonesia, the prevalence of anxiety among pregnant women reaches 28.7%. A preliminary study conducted at Sahu Health Center in October 2025 found that among 10 third-trimester pregnant women, 40% were experiencing their first pregnancy, 40% lacked knowledge regarding childbirth preparation and labor processes, and 20% reported anxiety due to limited family support because their husbands worked outside the area. This study aimed to analyze the influence of parity and knowledge on anxiety levels among pregnant women at Sahu Health Center. A quantitative cross-sectional design was employed involving 40 third-trimester pregnant women selected through purposive sampling. Data were collected using questionnaires assessing parity, knowledge of childbirth, and anxiety levels. Data were analyzed using cross-tabulation and ordinal regression. The results demonstrated a significant association between parity and anxiety levels (p=0.000), whereas knowledge level was not significantly associated with anxiety (p=0.064). These findings indicate that parity is an important factor influencing maternal anxiety, while knowledge alone may not be sufficient to reduce anxiety. Emotional readiness and social support should therefore be strengthened, particularly among first-time mothers, to improve maternal well-being during pregnancy and childbirth.
Copyright (c) 2026 Devianti -, Widia; Nur Zad Malikha https://creativecommons.org/licenses/by-sa/4.0
The Relationship Between the Use of Birth Control 3-month injection birth control and Weight Gain in Libano Community Health Center, Morotai Island
Background: Implant contraception is one of the long-term birth control methods that is effective in preventing pregnancy. However, the use of implant contraception is often associated with side effects, one of which is weight gain. This weight gain can affect compliance and sustainability of the use of implant contraception in the community. Therefore, it is important to understand the relationship between the use of implant contraception and weight gain area. Objective: This study aims to analyze the relationship between the use of implant contraception and weight gain in acceptors area. Method: This study used a quantitative method with a cross-sectional design. The sample in this study were 30 respondents who were acceptors of implant contraception area. Data collection was carried out through interviews and weight measurements before and after using implant contraception. Data analysis was carried out using the chi-square test with a significance level of p <0.05. Results: The results showed that most respondents experienced weight gain after using implant contraception. Statistical analysis with the chi-square test produced a p-value = 0.009, which means that there is a significant relationship between the use of implant contraception and weight gain. Conclusion: There is a significant relationship between the use of contraceptive 3-month injection birth control and weight gain in acceptors area. This weight gain is likely caused by hormonal changes that occur due to the use of contraceptive 3-month injection birth control . Suggestion: Further education is needed for prospective acceptors of contraceptive 3-month injection birth control regarding possible side effects, including weight gain. In addition, health workers need to provide assistance and weight management strategies, such as education on healthy eating patterns and physical activity, to reduce the impact of contraceptive implant use.
Copyright (c) 2026 Novi Budi Ningrum; Merlia Labuha https://creativecommons.org/licenses/by-sa/4.0
Effectiveness of Katuk Leaves on Breast Milk Production: A Literature Review
Abstract Background: Breast milk constitutes an ideal source of nutrition for infants, containing antibodies, enzymes, and bioactive components essential for optimal growth and development. The World Health Organization (WHO) recommends exclusive breastfeeding for the first six months of life to reduce infant morbidity and mortality rates. However, various obstacles, particularly inadequate breast milk production, represent major barriers to successful exclusive breastfeeding programs in Indonesia. Maternal diet significantly influences both the quality and quantity of breast milk produced. Katuk leaves, rich in natural vitamin B complex, can enhance the health of nursing mothers and increase breast milk production. Objective: This study aims to describe the knowledge of mothers with infants aged 0-6 months regarding the utilization of katuk leaves in enhancing breast milk production. Methods: This study is a literature review employing the PICO format (Population, Intervention, Comparison, Outcome): P (Population): Breastfeeding mothers; I (Intervention): Katuk leaf extract; C (Comparison): None; O (Outcome): Enhanced breast milk production. The literature review was conducted by searching articles from various journals using search engines including Google Scholar, repositories, ResearchGate, and PubMed/Medline. A total of nine journals were utilized. Results: Among the nine articles reviewed, findings indicate that katuk leaves, in various processed forms, demonstrably enhance breast milk production in nursing mothers, thereby achieving adequate breast milk supply. Conclusion: The intervention utilizing katuk leaves is recommended by the Indonesian Ministry of Health due to its proven effectiveness. The Indonesian population's cultural practice of consuming traditional herbal remedies facilitates greater acceptance of this intervention. Keywords: Katuk Leaves, Breastfeeding Mothers, Breast Milk Production
Copyright (c) 2026 Raden Maria Veronika Widiatrilupi; Wiwit Cahyaning Wulandari, Endah Susanti https://creativecommons.org/licenses/by-sa/4.0
The Effect of Health Promotion Through Audio Visual on Knowledge of Danger Signs of Pregnancy
The World Health Organization estimates that approximately 303,000 maternal deaths occur globally each year. In ASEAN countries, the maternal mortality ratio reaches 235 deaths per 100,000 live births. One of the contributing factors to the high maternal mortality rate is the lack of maternal knowledge regarding pregnancy danger signs, which can lead to delays in seeking appropriate care. This study aimed to determine the effect of health promotion using audiovisual media on primigravida mothers’ knowledge of pregnancy danger signs. This quantitative study employed a pre-experimental design using a one-group pretest–posttest approach without a control group. The study population consisted of 70 primigravida mothers, from which 59 respondents were selected using probability sampling techniques. Data were collected before and after the intervention to assess changes in knowledge levels. The results showed that prior to the audiovisual health promotion, most respondents had a low level of knowledge (57.6%). After the intervention, the majority of respondents demonstrated good knowledge (88.1%). Statistical analysis indicated a significant increase in knowledge, with a p-value of 0.000 (p < 0.05).
Copyright (c) 2026 Aryunani; Aldona M Moraka https://creativecommons.org/licenses/by-sa/4.0
The Relationship Between Maternal Parenting Practices and the Incidence of Stunting Among Children Aged 0–59 Months
Abstract Stunting is a condition of growth failure in infants (0–11 months) and children under five (12–59 months) resulting from chronic malnutrition, particularly during the first 1,000 days of life. One of the contributing factors to stunting is inadequate parenting practices, which encompass parental attitudes, feeding behaviors, hygiene practices, and health-seeking behaviors within the household. This study aimed to examine the relationship between maternal parenting patterns and the incidence of stunting among children aged 0–59 months. This quantitative study employed a correlational design. A total of 85 mothers were selected using non-probability sampling with a systematic sampling technique. Data were collected using a structured closed-ended questionnaire and analyzed through univariate analysis (frequency distribution) and bivariate analysis using the chi-square test. The results showed that 41.2% of mothers had poor parenting patterns, while 62.4% of children were classified as stunted. Statistical analysis revealed a significant association between maternal parenting patterns and stunting incidence (p = 0.000). Detailed distributions and associations are presented in the Results section tables. In conclusion, maternal parenting patterns are significantly associated with stunting among children under five. Strengthening maternal knowledge and parenting practices through integrated health education is essential for stunting prevention.
Copyright (c) 2026 Sulistiyah Sulistiyah; Nurrina Usman, Gayatri Kintan Larasati https://creativecommons.org/licenses/by-sa/4.0
The Effect of Pregnancy Health Education on Anxiety in Third Trimester Pregnant Women
The third trimester of pregnancy is a critical period that often increases anxiety due to the approaching delivery and significant physical and psychological changes. Unmanaged anxiety may negatively affect both maternal and fetal health. This study aimed to analyze the effect of pregnancy health education on anxiety levels among third trimester pregnant women at the Berlian Community Health Center, Boalemo Regency. A pre-experimental study with a one-group pretest–posttest design was conducted involving 24 third trimester pregnant women selected through total sampling. Anxiety levels were measured using the Hamilton Anxiety Rating Scale (HARS) before and after a structured, face-to-face pregnancy health education intervention. Data were analyzed using the Wilcoxon signed-rank test. The results showed a significant decrease in mean anxiety scores from 21.58 (pretest) to 14.83 (posttest). Statistical analysis revealed a Z value of −4.128 with p < 0.05, indicating a significant effect of the intervention. Pregnancy health education was proven effective in reducing anxiety, improving psychological readiness, and supporting maternal mental well-being. These findings highlight the importance of integrating structured health education into routine antenatal care services.
Copyright (c) 2026 Astri Yunita; Pricicilia Ahmad Isa https://creativecommons.org/licenses/by-sa/4.0
Iron Intake and Socio-Economic Factors With The Incidence of Anemia in Pregnant Women
Maternal mortality is increased in pregnant women with anemia. The prevalence of anemia is linked to inadequate information, education, and iron intake. The purpose of this study was to examine the association between the occurrence of anemia in pregnant women and socioeconomic variables and iron consumption. It was a cross-sectional study. Using sequential sampling, 140 respondents made up the sample size. Anemia and iron intake were shown to be significantly correlated (p=0.03). Anemia did not substantially correlate with socioeconomic factors, such as mother work (p=0.40), maternal education (p=0.05), or family income (p=0.85). It is advised that midwives educate patients about the value of consuming iron.
Copyright (c) 2026 Rifzul Maulina; Aisa Saban, Riski Candra Karisma https://creativecommons.org/licenses/by-sa/4.0
The Relationship Between Maternal Age And Low Birth Weight Incidents at Popayato Health Center In Pohuwato Regency
Low birth weight (LBW) remains a major maternal and infant health problem that significantly contributes to neonatal morbidity and mortality, particularly in developing countries including Indonesia. One key maternal factor in low birth weight (LBW) cases is the mother's age during pregnancy and delivery. Pregnancy at extreme ages, whether too young or too old, is known to carry a higher risk of poor pregnancy outcomes.This study aims to analyze the relationship between maternal age and the incidence of low birth weight at Popayato Health Center, Pohuwato Regency. This study used an analytical design with a cross-sectional approach. The study sample consisted of 30 postpartum mothers who were selected using a purposive sampling technique based on medical record data at Popayato Community Health Center for the period of January–March 2024The independent variable is the mother's age, categorized into <20 years, 20–35 years, and >35 years, while the dependent variable is the occurrence of low birth weight (LBW). Data were collected using a checklist and analyzed univariately and bivariately using the Chi-Square test with a significance level of α = 0.05. The research results show that the majority of babies born fall into the low birth weight category. Bivariate analysis showed a significant relationship between maternal age and the incidence of low birth weight (p-value = 0.038). A higher proportion of low birth weight (LBW) was found in mothers under 20 years old and over 35 years old compared to mothers aged 20–35 years. It can be concluded that maternal age is associated with the occurrence of LBW. These findings underscore the importance of age-based pregnancy risk screening as well as strengthening antenatal monitoring and reproductive health education as efforts to prevent low birth weight at the primary healthcare level.
Copyright (c) 2026 Anik Purwati; Frianti R Belike https://creativecommons.org/licenses/by-sa/4.0
Connection Parity With Anxiety Levels of Pregnant Women in the Third Trimester Facing Childbirth
Anxiety during pregnancy and childbirth can lead to birth complications such as uterine inertia, prolonged labor, and postpartum hemorrhage. Factors that can influence anxiety in pregnant women include age, education level, and parity. This study aims to determine the relationship between parity and maternal anxiety levels in dealing with childbirth in pregnant women in the third trimester at the Community Health Center. This study used observational analytical research with a cross-sectional approach . The independent variable namely parity and the dependent variable is anxiety. The population was 344 pregnant women in their third trimester who underwent antenatal care (ANC) at the Community Health Center in 2025, with a sample size of 77 respondents. The sampling technique used was The method used in this study was purposive sampling. Data analysis used Chi-Square . The results of this study prove the results of the analysis using the Chi-Square test. a significant value of 0.00 3 was obtained , because the significant value ( p-value ) obtained was 0.00 3 which is smaller than a = 0.05 (p < 0.05), the statistical results show that there is a relationship between parity with the level of maternal anxiety in facing childbirth in third trimester pregnant women at the Community Health Center. The conclusion that can be drawn from this study is that there is a relationship between parity and the level of maternal anxiety in facing childbirth in third trimester pregnant women at the East Amurang Community Health Center.
Copyright (c) 2026 Rima Maya Mantiri; Rosyidah Alfitri https://creativecommons.org/licenses/by-sa/4.0
The Relationship Between Mother's Knowledge And Exclusive Breastfeeding Behavior
Exclusive breastfeeding provides important health benefits for infants, such as strengthening the immune system and reducing the risk of disease. However, the practice of exclusive breastfeeding is still not optimal, and one of the influencing factors is maternal knowledge. This study aimed to examine the relationship between maternal knowledge and attitudes toward exclusive breastfeeding. A quantitative cross-sectional design was used, involving 30 mothers with infants aged 0–6 months selected through stratified random sampling. Data were collected using questionnaires to assess mothers’ knowledge and attitudes and analyzed using the Contingency Coefficient test with SPSS. The results showed that most mothers had sufficient (50%) to good (43.3%) knowledge, and 63.3% demonstrated positive attitudes toward exclusive breastfeeding. Statistical analysis indicated a significant relationship between knowledge and attitude (p = 0.028; r = 0.438), meaning higher knowledge was associated with more positive attitudes. These findings support the Health Belief Model and Planned Behavior Theory. Therefore, improving education and counseling on exclusive breastfeeding is necessary, especially for primigravida mothers and those with lower educational backgrounds.
Copyright (c) 2026 Syarifah Fathul Janah Asmi, Nila Widya Keswara, Purwika Widayati https://creativecommons.org/licenses/by-sa/4.0
The Relationship Between Food Abstinence Behaviour and Perineal Wounds in Postpartum Mothers on Days 1-7
The postpartum period is a critical phase of maternal recovery in which adequate nutrition is essential for preventing complications and promoting perineal wound healing. However, cultural practices involving dietary restrictions are still commonly observed and may negatively affect nutritional intake and healing outcomes. This study aimed to examine the relationship between dietary restriction culture and perineal wound healing among postpartum mothers. A quantitative descriptive–analytical study with a cross-sectional design was conducted involving 32 postpartum mothers within 3–14 days after delivery who experienced perineal lacerations. Samples were selected using simple random sampling. Data were collected using a structured questionnaire to assess dietary restriction practices and the REEDA scale to evaluate perineal wound healing. Descriptive statistics were used for univariate analysis, while the Spearman rank correlation test was applied for bivariate analysis (α = 0.05). The results showed that 53.1% of respondents did not practice dietary restrictions, and wound healing outcomes were evenly divided between good and poor categories (50.0% each). Statistical analysis revealed a significant relationship between dietary restriction culture and perineal wound healing (p = 0.001), with a very strong negative correlation (r = −0.932). In conclusion, dietary restriction practices are strongly associated with poorer perineal wound healing. Adequate and balanced nutrition during the postpartum period is therefore essential to support wound healing and improve maternal health outcomes.
Copyright (c) 2026 Iin Danial; Hayun Manudyaning Susilo https://creativecommons.org/licenses/by-sa/4.0
The Relationship Between the Educational Level of Couples in Premarital Stage and Their Knowledge of Healthy Pregnancy Preparation
Knowledge of prospective couples regarding healthy pregnancy preparation is an essential factor in promoting maternal and child health. Educational attainment is widely recognized as a determinant of health literacy, including the ability to understand nutritional requirements, routine health examinations, and risk management during pregnancy. This study employed an analytical cross-sectional design involving 58 prospective brides and grooms who participated in premarital counseling at the Office of Religious Affairs (KUA) in Haruai District, Tabalong Regency. Data were collected using structured questionnaires assessing educational level and knowledge of healthy pregnancy preparation. Statistical analysis was performed using the chi-square test with a 5% significance level. The findings demonstrated a significant relationship between educational level and knowledge of healthy pregnancy preparation (p = 0.002). Respondents with higher educational backgrounds showed better knowledge in areas related to nutrition, antenatal health check-ups, and pregnancy risk management. Education plays a pivotal role in shaping health literacy among prospective couples. Strengthening premarital counseling with adaptive and interactive materials tailored to diverse educational backgrounds is recommended to enhance preparedness for a healthy pregnancy.
Copyright (c) 2026 Erike Yunicha Viridula; Sri Herlinda, Dyah Ayu Septika Wijaya https://creativecommons.org/licenses/by-sa/4.0
The Impact of Administering Acupressure Massage on The Nausea and Vomiting in Pregnancy During The First Trimester
NVP are common conditions experienced by pregnant women in the first trimester due to hormonal changes. If left untreated, this condition can interfere with daily activities and cause nutritional disorders. The objective to analyze the impact of administering acupressure massage on the NVP during the first trimester. Method is quantitative study with a pre-experimental one group pretest-posttest design. A mount of 20 respondents were selected by total sampling from pregnant women in the first trimester who experienced NVP at the Ternate City Health Center. The intervention was acupressure therapy. Analized was use the Wilcoxon Signed Ranks Test. The results was a significant decrease in the frequency of NVP after being given acupressure with p-value = 0.000 (p <0.05). Thus, acupressure has been proven effective in reducing the frequency of emesis gravidarum and can be recommended as a safe complementary method for pregnant women.
Copyright (c) 2026 Anita Wahyuni Tanlai, Dewi Rakhmawati https://creativecommons.org/licenses/by-sa/4.0
Relationship Between Anemia In Pregnancy And Postpartum Incidents
In Indonesia, the Maternal Mortality Rate (MMR) is still a problem. Postpartum hemorrhage, which accounts for 19.3% of all maternal deaths in Indonesia, is the leading cause of death for pregnant women. One of the risk factors for postpartum hemorrhage is anemia. The aim is to analyze the relationship between anemia in pregnancy and the frequency of postpartum hemorrhage at the Tapa Health Center. The study design used case-control methodology and was an analytical observational study. With 150 samples, this sample used a 1:1 ratio between the control and case groups. Univariate and bivariate analysis techniques were used to analyze the data with the chi-square test and OR calculation. The results of the bivariate test on the variable of hemoglobin levels in trimesters 1, 2 and 3 with the incidence of postpartum hemorrhage each obtained statistically significant results with p equal to 0.000 (p <0.005), 0.000 (p <0.005) and 0.000 (p <0.005) which indicates that there is a relationship between mothers who experience anemia in pregnancy with the incidence of postpartum hemorrhage at the Tapa Health Center. And the OR results, 25.351x, 10.804x, and 35.821x, are the risk levels for experiencing postpartum hemorrhage. And the causes of postpartum hemorrhage were placental retention (44%), uterine atony (28%), uterine rupture (18.6%), and uterine inversion (9.4%). Conclusion: There is a relationship between anemia in pregnancy with the incidence of postpartum hemorrhage; the risk level of postpartum hemorrhage is higher in anemia in trimester 3, and the main cause is placental retention.
Copyright (c) 2025 Friliana Abdullah, Tut Rayani Aksohini Wijayanti https://creativecommons.org/licenses/by-sa/4.0
The Relationship Between Knowledge Level and Attitude of Adolescent Girls About Sadari as Early Detection of Breast Cancer
Breast cancer cases increase every year and rank second after cervical cancer in Indonesia. Mortality rates increase due to being found at an advanced stage, and therefore, knowledge of BSE in adolescents must be improved. Breast self-examination (BSE) is a method to find out if there are lumps or changes in the breast by knowing the normal shape of the breast and feeling for changes in the occurrence of tumors or breast cancer. Adolescents' knowledge is needed for breast cancer as early as possible so that it can be detected. The purpose of this research is to describe the knowledge and attitudes of adolescents through the use of descriptive research. The population of the research is 400 people, and the sample is 80 people, using a random sampling technique. The results of this research show that the majority of female students' knowledge is lacking, as many as 32 female students (40.0%) and the majority of negative attitudes are 43 female students (53.8%).
Copyright (c) 2025 Nurjannah Abubakar; Zainal Alim https://creativecommons.org/licenses/by-sa/4.0
The Influence Of Pregnant Women Class On The Level Of Anxiety In Primigravida Mothers At Gambesi Health Center Ternate City
A primigravida pregnancy is a pregnancy that is accompanied by both physical and psychological changes. Anxiety is one of the psychological factors that might affect a person throughout their pregnancy. Pregnant women who experience anxiety during pregnancy will be at risk of emotional disorders. An activity that is available during the examination of pregnant women is mother's class. At the mother's class, a mother can get information about pregnancy clearly and completely, and will get information about childbirth and baby care. The purpose of this study was to determine whether there was an effect of maternal classes on feelings of anxiety in primigravida mothers at Gambesi Community Health Centre, Ternate City. This research uses quantitative research with correlational type and cross sectional approach. The research sample was collected by total sampling of 30 people by filling out a questionnaire with the Hamilton Anxiety Rating Scale (HARS) questionnaire which can be used to determine the level of anxiety. This study used the Spearman's rho test with SPSS and obtained the results of a p value of 0.010, so it was concluded that there was an effect of pregnant women's classes on anxiety levels in primigravida mothers at Gambesi Community Health Centre, Ternate City.
Copyright (c) 2025 Journal of Health and Midwifery Soepraoen https://creativecommons.org/licenses/by-sa/4.0
The relationship between compliance in consuming iron tablets and the incidence of anemia in pregnant women in the third trimester at the Tilango Health Center
Background: Anemia in pregnant women is one of the most common health problems, especially in the third trimester of pregnancy. Anemia in pregnancy can have a negative impact on the mother and fetus, including the risk of premature birth, low birth weight (LBW), and other complications. One of the main factors contributing to the incidence of anemia in pregnant women is compliance in consuming iron (Fe) tablets. The provision of Fe tablets has become part of the maternal health program to prevent and reduce the incidence of anemia. However, there are still many pregnant women who are not compliant in consuming Fe tablets as recommended. Objective: This study aims to determine the relationship between compliance in consuming Fe tablets and the incidence of anemia in pregnant women in the third trimester at the Tilango Health Center. Method: This study used a quantitative research design with a cross-sectional approach. The sample in this study was 16 pregnant women in the third trimester who were selected using a purposive sampling technique. Data were collected through interviews using questionnaires and hemoglobin (Hb) level examinations. Data analysis was carried out using the chi-square test to see the relationship between compliance in consuming Fe tablets and the incidence of anemia. Results: The results of the chi-square test analysis showed a p-value of 0.000 (<0.05), which means that there is a significant relationship between compliance in consuming Fe tablets and the incidence of anemia in pregnant women in the third trimester at the Tilango Health Center. Pregnant women who are compliant in consuming Fe tablets tend to have normal hemoglobin levels, while pregnant women who are not compliant are at greater risk of experiencing anemia. Conclusion: Compliance in consuming Fe tablets has a significant relationship with the incidence of anemia in pregnant women in the third trimester. Therefore, it is necessary to increase education and monitoring of Fe tablet consumption to reduce the incidence of anemia in pregnant women. Suggestions: Increase education for pregnant women regarding the importance of consuming Fe tablets regularly. Tighter supervision by health workers in ensuring compliance of pregnant women in consuming Fe tablets
Copyright (c) 2025 anggi fresilia, Anik Sri Purwanti https://creativecommons.org/licenses/by-sa/4.0
The Relationship between Pregnant Women's Knowledge and Participation in Pregnant Women's Classes
The success of efforts to improve maternal health can be seen from the maternal mortality rate (MMR). In Indonesia itself, a program of pregnancy classes has been issued. Pregnancy classes are a place for pregnant women and families to learn together about maternal health, the aim is to improve mothers' knowledge and skills about pregnancy, childbirth, childbirth care and newborn care through the practice of using the KIA (Maternal and Child Health) book . The purpose of this study was to determine the relationship between pregnant women's knowledge and participation in pregnancy classes in Wayau Village, Tanjung District, Tabalong Regency, South Kalimantan. This study uses descriptive correlative with a cross-sectional approach. The sampling technique used total sampling of 22 pregnant women who attended the pregnancy class in Wayau village. The statistical results obtained a Chi-Square value of 0.001 (P value <0.05) which means that there is a relationship between the knowledge of pregnant women and participation in the pregnancy class in Wayau village, Tanjung District, Tabalong Regency, South Kalimantan. The conclusion is There is a relationship between the knowledge of pregnant women and participation in pregnancy classes in Wayau Village, Tanjung District, Tabalong Regency, South Kalimantan.
Copyright (c) 2025 Desy Afrida Trijayanti, Ayesha Hendriana Ngestiningrum https://creativecommons.org/licenses/by-sa/4.0
Utilization of ALBPK (Decision-Making Aid Tools) in Selecting Postpartum Contraceptives for Mothers in the Maternity Room of RSTN Boalemo
Abstract Lembar Bantuan Pengambilan Keputusan dalam Perencanaan Keluarga (ALBPK) adalah alat konseling perencanaan keluarga yang membantu dalam pengambilan keputusan terkait metode kontrasepsi yang tepat sesuai dengan kebutuhan klien, serta menjadi alat dalam memecahkan masalah penggunaan kontrasepsi. Penggunaan ALBPK dapat meningkatkan efektivitas konseling karena instrumen ini memuat informasi yang rinci dan jelas mengenai kontrasepsi. Tujuan dari penelitian ini adalah untuk menganalisis penggunaan ALBPK dalam pemilihan kontrasepsi pada ibu pascapersalinan. Penelitian ini menggunakan metode penelitian kualitatif dengan pendekatan potong lintang (cross sectional). Sampel penelitian menggunakan teknik total sampling dengan jumlah 21 ibu pascapersalinan di RSTN Boalemo. Analisis bivariat menggunakan uji Fisher Exact. Hasil: Penggunaan ALBPK di RSTN Boalemo dilakukan pada 16 orang (76,1%). Kontrasepsi yang digunakan oleh ibu pascapersalinan di RSTN Boalemo menunjukkan bahwa dari 17 orang yang memilih kontrasepsi, 13 orang memilih kontrasepsi hormonal dan 4 orang memilih kontrasepsi non-hormonal. Hasil uji statistik menunjukkan nilai p = 0,001 yang berarti terdapat hubungan antara penggunaan ALBPK dengan pemilihan kontrasepsi pascapersalinan di RSTN Boalemo. Kesimpulan: Terdapat hubungan antara penggunaan alat bantu pengambilan keputusan (ALBPK) dengan pemilihan kontrasepsi pada ibu pascapersalinan. Kata Kunci: ALBPK. Kontrasepsi, Keluarga Berencana, Pascasalin ABSTRACT The Family Planning Decision Support Sheet (ALBPK) is a counseling tool designed to assist clients in choosing the most appropriate contraceptive method according to their needs and to help solve problems related to contraceptive use. The use of ALBPK can improve the effectiveness of counseling because it provides detailed and clear information about contraception. The purpose of this study was to analyze the use of ALBPK in contraceptive selection among postpartum women. This research used a qualitative approach with a cross-sectional design. The sample consisted of 21 postpartum women at RSTN Boalemo, selected using a total sampling technique. Bivariate analysis was conducted using the Fisher Exact test. Results: ALBPK was used in 16 respondents (76.1%). Among 17 women who chose contraception, 13 chose hormonal methods and 4 chose non-hormonal methods. The statistical result showed a p-value of 0.001, indicating a significant relationship between the use of ALBPK and the choice of postpartum contraceptive methods at RSTN Boalemo. Conclusion: There is a significant relationship between the use of decision aids (ALBPK) and the selection of contraceptive methods among postpartum women. Keywords: ALBPK, contraceptive selection, family planning, postpartum women
Copyright (c) 2025 suyanti https://creativecommons.org/licenses/by-sa/4.0