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Cakrawati R Cakrawati R
Ummi Khasanah Health Polytechnic, Indonesia
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health

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The Effect Of Whatsapp-Based Nursing Education On Hypertension Self-Management In The Elderly In Rural Areas Rika Asmirah; Susi Rabuana; Warda M; Tira Zhagira; Cakrawati R Cakrawati R
International Journal of Health Sciences Vol. 4 No. 2 (2026): IJHS : International Journal of Health Sciences
Publisher : Asosiasi Guru dan Dosen Seluruh Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59585/ijhs.v4i2.1195

Abstract

Exclusive breastfeeding for the first six months of a baby's life is an important effort in improving the health and growth of the baby. However, the success of exclusive breastfeeding is influenced by various factors, one of which is family support. Emotional support, information, and practical assistance from the family can increase the mother's motivation to provide exclusive breastfeeding. This study aims to analyze the effect of family support on the success of exclusive breastfeeding in primiparous mothers. The study used an analytical design with a cross-sectional approach. The study sample was 70 primiparous mothers with babies aged 0–6 months. Data were collected through interviews using a structured questionnaire. Data analysis used the chi-square test. The results showed that mothers who received good family support had a success rate of exclusive breastfeeding of 78.4%, while mothers with less family support only had a success rate of 41.2%. The results of the statistical test showed a p value = 0.012 (p < 0.05). It was concluded that family support has a significant influence on the success of exclusive breastfeeding in primiparous mothers.
Routine Testing for Every Pregnant Patient Between 32 Weeks of Gestation for Early Diagnosis of Gestational Hypertension (Roll Over Test) in Third Trimester Pregnant Women Nur Rahma Srifitayani; Cakrawati R Cakrawati R
International Journal of Health Sciences Vol. 4 No. 2 (2026): IJHS : International Journal of Health Sciences
Publisher : Asosiasi Guru dan Dosen Seluruh Indonesia

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Abstract

ABSTRACT Gestational hypertension is a pregnancy complication that can increase the risk of maternal and fetal morbidity and mortality. Early detection of gestational hypertension is crucial to prevent the development of preeclampsia and other pregnancy complications. One screening method that can be used is the Roll Over Test ( ROT) , which is performed at approximately 28–32 weeks of gestation. This study aims to analyze the effectiveness of routine Roll Over Tests at 32 weeks of gestation in early detection of gestational hypertension in pregnant women in the third trimester . The study used a quantitative approach with a descriptive analytical design. The sample consisted of 40 pregnant women in their third trimester undergoing antenatal care. Data were collected through blood pressure measurements using the Rolling Test method and observations of pregnancy conditions. Data were analyzed univariately and bivariately using the Chi- Square test . The results showed that 30% of respondents had a positive Rollover Test result. The analysis showed a significant association between a positive Rollover Test result and the incidence of gestational hypertension (p = 0.003). Routine check-ups at 32 weeks of gestation can help identify pregnant women at risk of developing gestational hypertension early . Keywords: Gestational Hypertension , Rolling Test, Third Trimester Pregnancy , Pregnancy Screening, Antenatal Care
The Effectiveness Of Relaxation Methods And Music On A Gentle Labor Experience Hamdia Anas; Sarjani Linggi Allo; Kiki Uniatri Thalib; Karnely Karnely; Agnes Batmomolin; Cakrawati R Cakrawati R
International Journal of Health Sciences Vol. 4 No. 2 (2026): IJHS : International Journal of Health Sciences
Publisher : Asosiasi Guru dan Dosen Seluruh Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59585/ijhs.v4i2.1197

Abstract

Gentle labor (Birth) is a birth approach that emphasizes comfort, calm, and a positive experience for both mother and baby. Relaxation and music therapy are non-pharmacological interventions that can help mothers reduce anxiety and pain during labor. This study aims to analyze the effectiveness of relaxation and music methods on the experience of gentle labor in mothers. The study used a quasi-experimental design with a pretest - posttest approach. The study sample was 50 mothers who gave birth, selected using a purposive sampling technique. The intervention, in the form of relaxation exercises and music therapy, was given during the active labor phase. Data were collected using a childbirth experience questionnaire and a pain scale. Data analysis used paired t- test and chi-square tests. The results showed that mothers who received relaxation and music interventions had a higher level of labor comfort and lower pain intensity compared to before the intervention (p = 0.015). It was concluded that relaxation and music methods are effective in supporting a gentle labor experience.
The Relationship Between Adolescents’ Knowledge of Reproductive Health and Their Behavior in Preventing Sexually Transmitted Infections Cakrawati R Cakrawati R; Nurhayati Nurhayati
International Journal of Health Sciences Vol. 4 No. 2 (2026): IJHS : International Journal of Health Sciences
Publisher : Asosiasi Guru dan Dosen Seluruh Indonesia

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Abstract

ABSTRACT Sexually transmitted infections (STIs) remain a significant public health problem among adolescents. Lack of knowledge regarding reproductive health often contributes to risky behaviors that increase the likelihood of STI transmission. This study aimed to determine the relationship between adolescents’ knowledge of reproductive health and their behavior in preventing sexually transmitted infections. This study used a quantitative approach with a descriptive analytic design and a cross-sectional method. The sample consisted of 40 adolescents selected using purposive sampling techniques. Data were collected using questionnaires related to reproductive health knowledge and STI prevention behavior. Data analysis was conducted using univariate analysis and Chi-Square statistical tests. The results showed that most adolescents had a moderate level of reproductive health knowledge. Adolescents with good knowledge tended to demonstrate better preventive behaviors against sexually transmitted infections. Statistical analysis showed a p-value of 0.002 (p < 0.05), indicating a significant relationship between adolescents’ knowledge of reproductive health and their behavior in preventing sexually transmitted infections. In conclusion, adolescents’ knowledge of reproductive health is significantly related to preventive behaviors against sexually transmitted infections. Therefore, health education and reproductive health promotion among adolescents need to be improved to reduce the risk of STI transmission. Keywords: Adolescents, Reproductive Health Knowledge, Sexually Transmitted Infections, Preventive Behavior, Health Education
The Impact Of Limited Facilities And Infrastructure On Midwives' Performance In Midwifery Care In The Elelim Public Health Center, Elelim District, Yalimo Regency, Papua Mountain Province Jean Christy Ade Putri; Tenny Tarnoto; Cakrawati R Cakrawati R
International Journal of Health Sciences Vol. 4 No. 2 (2026): IJHS : International Journal of Health Sciences
Publisher : Asosiasi Guru dan Dosen Seluruh Indonesia

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Abstract

ABSTRACT The availability of health facilities and infrastructure is a crucial factor supporting the success of midwifery services. In remote areas such as Elelim District , Yalimo Regency , Papua Mountains, limited health facilities remain a challenge in the implementation of midwifery care. This situation has the potential to impact midwives' performance in providing optimal services to the community. This study aims to analyze the impact of limited facilities and infrastructure on midwives' performance in implementing midwifery care at the Elelim Community Health Center . The study used a quantitative approach with a descriptive analytical design using a cross-sectional method . The study sample consisted of 35 midwives working at the Elelim Community Health Center and the health service network in the Elelim District area . Data were collected using questionnaires and observation sheets. Data analysis was performed using the Chi- Square test . The results showed that 68.6% of respondents assessed that facilities and infrastructure were still limited, while 62.9% of midwives' performance was considered adequate. The analysis revealed a significant relationship between the availability of facilities and infrastructure and midwife performance (p = 0.001).
The Effect of Family Support on Exclusive Breastfeeding Success among Primiparous Mothers Rika Asmirah; Cakrawati R Cakrawati R; Rezqiqah Aulia Rahmat
International Journal of Health Sciences Vol. 4 No. 2 (2026): IJHS : International Journal of Health Sciences
Publisher : Asosiasi Guru dan Dosen Seluruh Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

ABSTRACT Exclusive breastfeeding for the first six months of a baby's life is an important effort in improving the health and growth of the baby. However, the success of exclusive breastfeeding is influenced by various factors, one of which is family support. Emotional support, information, and practical assistance from the family can increase the mother's motivation to provide exclusive breastfeeding. This study aims to analyze the effect of family support on the success of exclusive breastfeeding in primiparous mothers . The study used an analytical design with a cross-sectional approach . The study sample was 70 primiparous mothers with babies aged 0–6 months. Data were collected through interviews using a structured questionnaire. Data analysis used the chi-square test . The results showed that mothers who received good family support had a success rate of exclusive breastfeeding of 78.4%, while mothers with less family support only had a success rate of 41.2%. The results of the statistical test showed a p value = 0.012 (p < 0.05). It was concluded that family support has a significant influence on the success of exclusive breastfeeding in primiparous mothers .
Efforts by Pregnant Women to Overcome Nausea and Vomiting Symptoms (Self-Management) for Emesis Gravidarum in the First Trimester Lumastari Ajeng Wijayanti; Cakrawati R Cakrawati R
International Journal of Health Sciences Vol. 4 No. 3 (2026): IJHS : International Journal of Health Sciences
Publisher : Asosiasi Guru dan Dosen Seluruh Indonesia

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Abstract

Background : Emesis gravidarum is one of the most common complaints during the first trimester of pregnancy . Approximately 70–80% of pregnant women experience nausea and vomiting of varying severity . Appropriate self-management strategies are essential to reduce symptoms and prevent complications . Objective : To analyze pregnant women's self-management efforts in overcoming nausea and vomiting during the first trimester of pregnancy . Methods : This analytical descriptive study employed a cross-sectional design involving 100 first-trimester pregnant women experiencing emesis gravidarum . Respondents were selected using purposive sampling. Data were collected through structured questionnaires and analyzed using descriptive statistics and the Chi- square test . Results : Most respondents demonstrated good self-management practices (68.0%). Common strategies included eating small frequent meals , avoiding fatty and strong-smelling foods , increasing rest , and consuming ginger . Maternal knowledge , family support , and health education were significantly associated with self-management practices (p<0.05). Conclusion : Maternal knowledge , family support , and health worker education significantly influence successful self-management of nausea and vomiting during early pregnancy . Keywords : emesis pregnancy , nausea and vomiting , pregnancy , self-management , first trimester
The Relationship between Pregnant Women's Level of Knowledge about Nutrition and Anemia Status during Pregnancy Oklin Dawa; Cakrawati R Cakrawati R
International Journal of Health Sciences Vol. 4 No. 3 (2026): IJHS : International Journal of Health Sciences
Publisher : Asosiasi Guru dan Dosen Seluruh Indonesia

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Abstract

Anemia during pregnancy is a common health problem that May increase the risk of complications for both mothers and fetuses . One factor that May be associated with anemia is the mother's level of knowledge regarding nutritional requirements during pregnancy . Adequate nutritional knowledge is expected to encourage pregnant women to choose nutritious foods , fulfill iron and other nutrients requirements , and improve adherence to iron supplementation .This study aimed to determine the relationship between pregnant women's nutritional knowledge and anemia status during pregnancy .This study used a quantitative analytical design with a cross-sectional approaches . The study population consisted of pregnant women attending antenatal care at a healthcare facilities . A total of 60 respondents were selected using purposive sampling. Nutritional knowledge was assessed using a questionnaire , while anemia status was determined based on hemoglobin (Hb) levels recorded from laboratory examinations . Univariate analysis was conducted to describe respondents characteristics , knowledge levels , and anemia status. Bivariate analysis was performed using the Chi- Square test with a significance level of α = 0.05.Based on simulated data, 25 respondents (41.7%) had good knowledge , 20 respondents (33.3%) had moderate knowledge , and 15 respondents (25.0%) had poor knowledge . A total of 24 respondents (40.0%) were anemic , while 36 respondents (60.0%) were not anemic . The Chi- Square test indicated a significant relationship between pregnant women's nutritional knowledge and anemia status during pregnancy (p < 0.05).There was a relationship between pregnant women's nutritional knowledge and anemia status during pregnancy . Improving knowledge about adequate nutrition​ iron intake , and adherence to iron supplementation should be strengthened as part of efforts to prevent anemia among pregnant women . Keywords : Pregnant Women, Nutritional Knowledge, Anemia, Pregnancy, Iron
Factor Analysis Of Third Trimester Pregnant Women's Perceptions And The Influence Of Abstinence From Sexual Intercourse Rismayana Rismayana; Cakrawati R Cakrawati R
International Journal of Health Sciences Vol. 4 No. 3 (2026): IJHS : International Journal of Health Sciences
Publisher : Asosiasi Guru dan Dosen Seluruh Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59585/ijhs.v4i3.1436

Abstract

Background: Pregnancy is a physiological process accompanied by physical, psychological, hormonal, and social changes. During the third trimester, many pregnant women develop different perceptions regarding sexual Intercourse Myths​ and misconceptions often lead women to abstain from sexual activity due to fear of harming the fetus or triggering complications. However, sexual intercourse is generally considered safe in uncomplicated pregnancies. Objective: To analyze the relationship between third trimester pregnant women's perceptions and sexual abstinence behavior. Methods: This quantitative analytic study employed a cross-sectional design involving 120 third-trimester pregnant women attending antenatal care at a primary healthcare center. Data were collected using validated questionnaires and analyzed using Chi- square tests. Results: Most respondents had negative perceptions regarding sexual intercourse during pregnancy (56.7%), while 61.7% reported abstaining from sexual intercourse. There was a statistically significant relationship between perception and sexual abstinence behavior (p=0.001). Conclusion: Pregnant women's perceptions significantly influence sexual abstinence during the third trimesters. Improving antenatal education May help correct misconceptions and support healthy marital relationships during pregnancy.
The Relationship Between Pregnant Women's Level Of Knowledge About Anemia Status and Nutrition During Pregnancy Nur Rahma Srifitayani; Cakrawati R Cakrawati R
International Journal of Health Sciences Vol. 4 No. 3 (2026): IJHS : International Journal of Health Sciences
Publisher : Asosiasi Guru dan Dosen Seluruh Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59585/ijhs.v4i3.1437

Abstract

Background : Anemia during pregnancy remains a major public health concern and contributes to increased maternal and neonatal morbidity and mortality . One of the contributing factors is inadequate maternal knowledge regarding nutrition during pregnancy . Adequate knowledge of iron , folic acid acid , protein, vitamins , and minerals is expected to encourage healthy dietary practices that reduce the risk of anemia. Objective : To determine the relationship between maternal and nutritional knowledge and anemia status during pregnancy . Methods : A mixed-methods sequential explanatory design was employed . The quantitative phase used a cross-sectional approach involving 180 pregnant women selected through proportionate stratified random sampling. Data were analyzed using descriptive statistics , Chi- square tests , and multivariable logistics regression . The qualitative phase consisted of depth​ interviews with 12 participants to explain the quantitative findings . Results : Most participants had good nutritional knowledge (61.1%), while the prevalence of anemia was 31.7%. A significant association was found between maternal and nutritional knowledge and anemia status (p<0.001). Multivariable analysis indicated that women with good nutritional knowledge was lacking likely to experience anemia (OR=3.64; 95% CI: 1.86–7.12). Qualitative findings revealed that family support , antenatal nutrition counseling , and adherence to iron supplementation also influenced anemia status. Conclusion : Maternal nutrition knowledge is significantly associated with anemia status during pregnancy . Continuous nutrition education , strengthened antenatal care , and family involvement are essential strategies to reduce the burden of maternal anemia.
Co-Authors Adeliana Agnes Batmomolin Andi nursiah Hamdia Anas Jean Christy Ade Putri Karnely Karnely Kiki Uniatri Thalib Lumastari Ajeng Wijayanti Nur Rahma Srifitayani Nur Rahma Srifitayani Nurhayati Nurhayati Oklin Dawa Rezqiqah Aulia Rahmat Rika Asmirah Risma Rismayana Rismayana Sarjani Linggi Allo Susi Rabuana Tenny Tarnoto Tira Zhagira Warda M