Astuti Setiyani
Department of Midwifery, Poltekkes Kemenkes Surabaya, Surabaya, Indonesia

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The Relationship of Husband Support with Unmet Need Family Planning in Couples of Childbearing Age Aqila Fahru Sidqia; Tinuk Esti Handayani; Sunarto; Astuti Setiyani
International Journal of Advanced Health Science and Technology Vol. 5 No. 5 (2025): October
Publisher : Forum Ilmiah Teknologi dan Ilmu Kesehatan (FORITIKES)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/ijahst.v5i5.484

Abstract

Unmet need is a condition where women of reproductive age (WUS) are sexually active but do not use contraception. In 2024, Terung Village recorded an unmet need rate of 11.31%. This condition poses a risk to population control efforts. One contributing factor is the level of husband support. This study aims to analyze the relationship between husband support and unmet need incidence in WUS in Terung Village. The research used an observational, cross-sectional design with 163 respondents selected through simple random sampling. Husband support served as the independent variable, while unmet need was the dependent variable. Data were collected using questionnaires and open interviews, and analyzed using the Chi-Square test.Results showed that 30.1% of WUS experienced unmet need, primarily among women over 35 years old, with elementary education, as housewives, having more than one child, and middle-income status. WUS without husband support had a higher unmet need rate (45.2%) compared to those with full support (10%). The Chi-Square analysis indicated a significant relationship between husband support and unmet need (p = 0.000; α = 0.05). The novelty of this study lies in the considerable disparity in unmet need based on the presence or absence of husband support. Findings emphasize the importance of involving men in family planning decisions, suggesting the need for community-based education to enhance husband participation in contraceptive use.
Association Between Anxiety And Labor PainIntensity During The First Stage Of Active Labor in Primigravidas Novi Danisia Ekayanti; Nurlailis Saadah; Astuti Setiyani; Budi Joko Santosa
International Journal of Advanced Health Science and Technology Vol. 5 No. 6 (2025): December
Publisher : Forum Ilmiah Teknologi dan Ilmu Kesehatan (FORITIKES)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/ijahst.v5i6.490

Abstract

Maternal anxiety during childbirth is widely recognized as a psychological factor that may intensify perceivedpain and affect labor progress; however, its specific association with pain levels in primigravidas during the first active stage of labor remains under-investigated, particularly in Indonesian clinical settings. This study aimed to examine the correlation between maternal anxiety and labor pain intensity among primigravida women in the active phase of first-stage labor. An analytical observational approach with a cross-sectional design was employed. A sample of 37 primigravidas was recruited using simple random sampling at RSUD Dr. Sayidiman Magetan. Anxiety levels were measured using the Pregnancy-Related Anxiety Questionnaire-Revised (PRAQ-R2), and labor pain intensity was assessed using the Numerical Rating Scale (NRS). Data were analyzed using the Spearman Rank correlation test with a significance threshold of p < 0.05. The findings showed that the majority of respondents experienced severe anxiety, and all reported severe labor pain. Statistical testing demonstrated a moderate positive correlation between maternal anxiety and pain intensity (rho = 0.48; p = 0.002), indicating that higher anxiety was associated with heightened pain perception. In conclusion, maternal anxiety is significantly associated with increased labor pain during the first active stage in primigravidas, suggesting that psychological distress may amplify physiological pain responses during childbirth. These results highlight the importance of integrating psychological assessment and supportive interventions such as antenatal counseling, breathing regulation, structured emotional support, and relaxation techniques into maternity care practices. Future research should incorporate larger and more diverse cohorts, additional psychosocial determinants, and interventional analyses to further elucidate causal mechanisms and improve labor management strategies.
Effect of Breastfeeding Technique Education on Breastfeeding Success Among Primiparous Postpartum Mothers in Magetan Nunung Devi M; Nurlailis Saadah; Astuti Setiyani; Budi Joko Santosa
International Journal of Advanced Health Science and Technology Vol. 6 No. 1 (2026): February
Publisher : Forum Ilmiah Teknologi dan Ilmu Kesehatan (FORITIKES)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/ijahst.v6i1.493

Abstract

Exclusive breastfeeding rates in Indonesia remain below national and global targets, with a substantial proportion of postpartum mothers experiencing breastfeeding difficulties, particularly among primiparous women. Inadequate breastfeeding technique is a major contributing factor, often resulting from limited experience, insufficient education, and lack of hands-on guidance during the early postpartum period. These challenges may compromise breastfeeding success, maternal confidence, and infant nutrition outcomes. This study aimed to examine the effect of structured breastfeeding technique education on breastfeeding success among primiparous postpartum mothers. A quantitative pre-experimental study with a onegroup pretest–posttest design was conducted at RSUD dr. Sayidiman Magetan. Forty primiparous postpartum mothers were recruited using non-probability sampling based on predefined inclusion criteria. The intervention consisted of structured breastfeeding technique education delivered by trained midwives through direct explanation, visual leaflets, practical demonstrations, and interactive discussion sessions. Breastfeeding success was assessed before and after the intervention using the LATCH scoring system, which evaluates latch, audible swallowing, nipple type, maternal comfort, and infant positioning. Data were analyzed using the Wilcoxon Signed-Rank Test. The results demonstrated a statistically significant improvement in breastfeeding success following the educational intervention (Z = −5.35, p < 0.005), with a large effect size (r = 0.85). Prior to education, 75% of mothers were classified in the “not successful” category, while none achieved a “good” score. After the intervention, 70% of participants attained good breastfeeding success, and the proportion of mothers with inadequate scores decreased to 2.5%. Improvements were consistently observed across all LATCH components. In conclusion, structured breastfeeding technique education significantly enhances breastfeeding success among primiparous postpartum mothers. Integrating systematic, hands-on breastfeeding education into routine postnatal care is strongly recommended to promote effective breastfeeding practices and support exclusive breastfeeding goals.
The Effect of Chronic Energy Deficiency on the Incidence of Stunting in Childern Aged 24-59 Months Nisa Khoirotul Qoni'ah; Astuti Setiyani; Nurlailis Saadah; Sulikah Sulikah
International Journal of Advanced Health Science and Technology Vol. 6 No. 1 (2026): February
Publisher : Forum Ilmiah Teknologi dan Ilmu Kesehatan (FORITIKES)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/ijahst.v6i1.495

Abstract

Chronic Energy Deficiency (CED) during pregnancy is a significant public health concern with long-term effects on maternal and child health. The study explores the impact of maternal CED on stunting in children aged 24-59 months in Ngariboyo Public Health Center, where the prevalence of CED among pregnant women was 11.01% in 2023, and stunting affected 8.2% of children. The primary aim of this study is to determine the relationship between maternal CED and the incidence of stunting in the target population. Employing an analytical observational approach, this case-control study included 32 children with stunting as the case group and 64 non-stunted children as the control group, selected through random sampling methods. Data on maternal CED were obtained from maternal and child health records, while stunting data were gathered via questionnaires. The analysis utilized chi-square and Mantel-Haenszel common odds ratio tests to evaluate the association. The results indicated a significant association (p=0.021) between maternal CED and stunting, with an odds ratio of 3.201, suggesting that mothers with CED have a 3.2 times higher risk of giving birth to stunted children compared to mothers without CED. The study concludes that maternal CED is a crucial factor contributing to stunting in children. Therefore, interventionssuch as early identification and nutritional education for pregnant women are essential for stunting prevention. The findings emphasize the need for targeted public health policies to address maternal nutrition in rural settings.