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The Effect of Early Mobilization on the Uterine Involution Process in Postpartum Mothers at the Gandasuli Community Health Center Sartika Paemboan; Widia Shofa Ilmiah
NAJ Nursing Applied Journal Vol. 3 No. 4 (2025): October : Nursing Applied Journal
Publisher : LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57213/naj.v3i4.1040

Early mobilization is an important component of postpartum care that may influence the speed of uterine involution. Delayed uterine involution can increase the risk of postpartum complications, including hemorrhage and prolonged recovery. This study aimed to analyze the relationship between early mobilization and uterine involution among postpartum mothers at Gandasuli Public Health Center. An analytical observational study with a cross-sectional design was conducted from September to November 2025. The study population consisted of 56 postpartum mothers, selected using a total sampling technique. The independent variable was early mobilization, categorized based on the type of activity performed, while the dependent variable was uterine involution assessed through uterine fundal height reduction. Data were analyzed using descriptive statistics and Kendall’s tau-b correlation test. The results showed that most respondents practiced early mobilization, particularly standing and walking, and the majority experienced rapid uterine involution. Bivariate analysis revealed a statistically significant relationship between early mobilization and uterine involution (τ = -0.321; p = 0.010). In conclusion, early mobilization is significantly associated with faster uterine involution among postpartum mothers. Promoting early mobilization should be emphasized as part of routine postpartum care to support maternal recovery.

The Effect of Oxytocin Massage and Breast Care on Breast Milk Production in Primiparous Breastfeeding Mothers on Days 3-7 at the Sahu Public Health Center, West Halmahera Sunarti Yanto; Widia Shofa Ilmiah
NAJ Nursing Applied Journal Vol. 3 No. 3 (2025): July : Nursing Applied Journal
Publisher : LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57213/naj.v3i3.1041

Breast milk production in the early postpartum period is a crucial factor for successful breastfeeding, particularly among primiparous mothers who often experience lactation difficulties during days 3–7 after childbirth. Non-pharmacological interventions such as oxytocin massage and breast care are considered effective approaches to support milk production by enhancing hormonal release and breast stimulation.This study employed a quantitative quasi-experimental design with a one-group pretest–posttest approach. The study was conducted at the Sahu Public Health Center, West Halmahera, involving 20 primiparous breastfeeding mothers on days 3–7 postpartum selected through purposive sampling. Oxytocin massage and breast care were administered according to standardized procedures. Breast milk production was assessed before and after the intervention using observational indicators of milk flow. Data were analyzed using the Wilcoxon Signed Rank Test. The results showed a significant improvement in breast milk production after the intervention. The mean breast milk production score decreased from 1.95 before the intervention to 1.15 after the intervention, indicating smoother milk flow. Statistical analysis revealed a significant difference in breast milk production before and after oxytocin massage and breast care (Z = −3.358; p = 0.001). Oxytocin massage combined with breast care significantly improves breast milk production among primiparous breastfeeding mothers during days 3–7 postpartum. These non-pharmacological interventions are safe, practical, and effective, and are recommended to be integrated into routine postpartum care to support early lactation success.

The Effect of Warm Compresses on the Intensity of Dysmenorrhea Pain in Adolescents Rosi Melisa Angow; Widia Shofa Ilmiah
International Journal of Medicine and Health Vol. 4 No. 4 (2025): Desember : International Journal of Medicine and Health
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/ijmh.v4i4.6120

Dysmenorrhea, which is common in adolescent girls, is a painful menstrual cycle that frequently interferes with daily activities, both in the classroom and in social situations. Dysmenorrhea is a common condition that needs particular care as a reproductive health concern, notably among young people. Both pharmacological and non-pharmacological approaches can be used to treat dysmenorrhea. The use of warm water compresses is a simple, inexpensive, and effective non-pharmacological approach. By increasing blood vessel dilatation, enhancing blood circulation, lowering muscular tension, and lowering pain perceptions, warm water compresses aid in alleviating dysmenorrhea symptoms. The objective of this study is to assess the impact of warm compresses on the severity of dysmenorrhea pain scales in teenage girls at the Buntalo Community Health Center. The design of this trial was pre-experimental, using a one-group pretest-posttest technique. Using a purposive sampling method, a sample of 20 respondents was chosen. The Wilcoxon test was used to conduct the data analysis. According to the data, there was a statistically significant reduction in pain intensity, with a Z value of -4.065 and a p-value of 0.000 (p < 0.05). The average pain scale decreased from 2.95 to 1.80. Based on these findings, it is reasonable to conclude that warm water compresses are helpful in alleviating dysmenorrhea pain in young women. One of the suggestions for non-pharmacological treatments to help alleviate dysmenorrhea symptoms in adolescents is anticipated to be the outcome of this research.

The Relationship Between Social Media Exposure and Parental Role with Adolescent Pregnancy Rahmawati HS; Widia Shofa Ilmiah
Green Health International Journal of Health Sciences Nursing and Nutrition Vol. 3 No. 1 (2026): January: Green Health: Journal of Health Sciences, Nursing and Nutrition
Publisher : International Forum of Researchers and Lecturers

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70062/greenhealth.v3i1.334

Adolescent pregnancy remains a significant public health issue influenced by various social, environmental, and familial factors. The rapid growth of social media has introduced new challenges, as adolescents are increasingly exposed to information that may shape their attitudes and behaviors toward reproductive health. In addition, parental role plays a crucial protective factor in guiding adolescents and preventing risky behaviors. This study aimed to analyze the relationship between social media exposure and parental role with adolescent pregnancy in the working area of the Soligi Village Auxiliary Community Health Center. This research employed a quantitative approach with a cross-sectional design involving 119 respondents. Data were analyzed using univariate, bivariate (Chi-Square), and multivariate (logistic regression) analyses. The results showed that both social media exposure and parental role were significantly associated with adolescent pregnancy (p < 0.05). However, parental role was identified as the most dominant factor, with adolescents who had low parental involvement being 48 times more at risk of experiencing pregnancy. These findings highlight the importance of strengthening parental engagement and improving adolescents’ media literacy as key strategies in preventing teenage pregnancy and promoting reproductive health awareness.

The Effect of Educational Intervention on Complete Basic Immunization on Parents' Knowledge and Attitudes at Dolik Community Health Center Sakila abd. Fatah; Widia Shofa Ilmiah
Green Health International Journal of Health Sciences Nursing and Nutrition Vol. 3 No. 2 (2026): April: Green Health: Journal of Health Sciences, Nursing and Nutrition
Publisher : International Forum of Researchers and Lecturers

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70062/greenhealth.v3i2.336

The purpose of this study was to analyze the effect of educational intervention on parents' knowledge and attitudes regarding complete basic immunization at Dolik Community Health Center. This study employed a quantitative approach with a pre-experimental one-group pretest-posttest design. A total of 16 parents participated as respondents. Data were collected using structured questionnaires to measure knowledge and attitudes before and after the educational intervention. Univariate analysis was used to describe respondent characteristics, while bivariate analysis was conducted using the Wilcoxon Signed Ranks Test. The results showed a substantial improvement in the proportion of respondents with good knowledge, increasing from 37.5% before the intervention to 75.0% after the intervention. Positive attitudes also increased significantly from 25.0% to 93.8% following the educational program. Statistical analysis demonstrated significant differences between pretest and posttest scores for both knowledge (p = 0.008) and attitudes (p = 0.001). These findings indicate that educational intervention is effective in improving parents' understanding and attitudes toward complete basic immunization. Strengthening structured health education programs at primary healthcare facilities may contribute to increased parental awareness, reduced vaccine hesitancy, and better adherence to childhood immunization schedules.

The Relationship between Social Media Use and Adolescent Mental Health among Students Sally Evitta Yoel; Widia Shofa Ilmiah
Green Health International Journal of Health Sciences Nursing and Nutrition Vol. 3 No. 2 (2026): April: Green Health: Journal of Health Sciences, Nursing and Nutrition
Publisher : International Forum of Researchers and Lecturers

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70062/greenhealth.v3i2.337

The exponential rise in social media consumption among young demographics has fueled widespread concern regarding its long-term footprint on psychological equilibrium. While compulsive platform immersion is frequently linked to various psychological challenges, empirical findings across different student cohorts remain highly fragmented. This inquiry set out to evaluate the statistical relationship connecting social media engagement and adolescent mental health status among students enrolled at SMP Negeri 6 Halmahera Selatan. Operating under a quantitative framework, the study applied an analytical observational design paired with a cross-sectional approach, tracking 36 respondents selected via a total sampling technique. Primary metrics were secured via structured, self-administered questionnaires to assess digital habits and mental health indicators, which were subsequently analyzed using descriptive statistics and Kendall's tau-b correlation test. The descriptive outputs revealed that while 72.2% of the cohort fell into the active social media user bracket, an overwhelming 83.3% successfully maintained normal mental health profiles. Furthermore, the Kendall's tau-b mathematical validation yielded a correlation coefficient of -0.274 with a p-value of 0.102, confirming that there is no statistically significant or meaningful association between the two target variables. These insights demonstrate that adolescent mental wellness is a complex construct governed by a multi-layered matrix of environmental factors beyond simple screen time. Consequently, unified structural efforts from domestic circles, educational institutions, and community healthcare systems remain vital to champion digital mindfulness and secure the psychological well-being of youth.

Effect of Spinach Leaf Consumption on Changes in Hemoglobin Levels Among Pregnant Women at Sagerat Community Health Center Mayalita Tukiran; Widia Shofa Ilmiah
The International Science of Health Journal Vol. 3 No. 1 (2025): March : The International Science of Health Journal
Publisher : Sekolah Tinggi Ilmu Kesehatan Kesdam IV, Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/ishel.v3i1.2821

Anemia during pregnancy is a critical global public health concern that elevates risks for adverse maternal and neonatal outcomes. Ensuring adequate dietary intake of essential hematinic substrates, especially foods rich in bioavailable iron and folate, is indispensable for sustaining optimal maternal hemoglobin (Hb) homeostasis. Spinach leaves represent an accessible, indigenous botanical resource rich in non-heme iron, folate, ascorbic acid, and antioxidants that synergistically stimulate erythropoiesis and elevate hemoglobin concentrations. This study evaluated the therapeutic effect of structured spinach leaf consumption on changes in hemoglobin levels among pregnant women at the Sagerat Community Health Center. A pre-experimental design using a one-group pretest–posttest approach was executed involving 31 expectant mothers selected via purposive sampling. Maternal hemoglobin levels were quantified at baseline and post-intervention using a calibrated digital analyzer, with data analyzed via descriptive statistics and the Wilcoxon Signed-Rank Test. The empirical metrics demonstrated that the cohort's mean hemoglobin levels rose from a baseline of g/dL to a post-intervention average of g/dL. Inferential modeling confirmed that this upward shift was highly significant (). Regular dietary integration of fresh spinach leaves serves as an effective, affordable, and practical food-based strategy for optimizing hemoglobin profiles.

The Effect of Pregnancy Exercise on Blood Pressure Among Pregnant Women with Hypertension at Sagerat Public Health Center Maita Jois Damopoli; Widia Shofa Ilmiah
The International Science of Health Journal Vol. 3 No. 1 (2025): March : The International Science of Health Journal
Publisher : Sekolah Tinggi Ilmu Kesehatan Kesdam IV, Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/ishel.v3i1.2822

Gestational hypertensive phenotypes remain a critical catalyst driving global maternal and perinatal morbidity and lethality. Alongside standard pharmacological management, the clinical integration of structured pregnancy exercise is increasingly recommended as a non-pharmacological adjuvant to optimize maternal cardiovascular resilience and modulate arterial tension trajectories. This investigative endeavor aimed to analyze the definitive impact of structured physical exercise on blood pressure parameters among pregnant women presenting with hypertensive conditions at the Sagerat Public Health Center, Bitung City. Employing a quasi-experimental one-group pretest–posttest configuration, the study enrolled a total cohort of 15 hypertensive pregnant women captured via an exhaustive total sampling methodology. Hemodynamic tracking cataloged arterial tension metrics immediately prior to and following consistent engagement within the structured kinetic program. The empirical data were evaluated using descriptive computation and the non-parametric Wilcoxon signed-rank test anchored to a significance threshold of 0.05. The baseline assessment established a complete diagnostic saturation wherein 100.0% of the subjects exhibited hypertensive states, whereas post-intervention monitoring revealed that 66.7% of the cohort successfully transitioned to normotensive parameters, leaving 33.3% within the hypertensive corridor. Inferential analysis confirmed a highly significant down-regulation of blood pressure metrics post-exercise (Z = –3.162; p = 0.002). These outcomes demonstrate that structured pregnancy exercise serves as an effective, non-invasive therapeutic intervention for managing gestational blood pressure, highlighting its value as a permanent component within primary antenatal care services to improve maternal physical outcomes.

Effectiveness of Innovative Complementary Feeding (MPASI) Based on Local Marine Fish Products on Weight Gain Among Infants Aged 7–12 Months Nathasa Anastya Putri Arbie; Widia Shofa Ilmiah
The International Science of Health Journal Vol. 3 No. 1 (2025): March : The International Science of Health Journal
Publisher : Sekolah Tinggi Ilmu Kesehatan Kesdam IV, Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/ishel.v3i1.2823

Appropriate complementary feeding is essential to meet the increasing nutritional requirements of infants aged 7–12 months and to support optimal growth. However, inadequate complementary feeding practices remain a challenge in improving infant nutritional status, particularly body weight. This study aimed to evaluate the effectiveness of innovative complementary feeding based on locally processed marine fish in increasing body weight among infants aged 7–12 months at Papusungan Community Health Center, Bitung. A pre-experimental study with a one-group pretest–posttest design was conducted involving 30 infants selected through total sampling. The intervention consisted of providing innovative complementary feeding prepared from locally processed marine fish for 14 consecutive days. Body weight was measured before and after the intervention, and the data were analyzed using descriptive statistics and a paired t-test. The results showed that the mean body weight increased from 8.37 ± 0.69 kg before the intervention to 9.10 ± 0.82 kg afterward. A total of 26 infants (86.7%) experienced weight gain, while four infants (13.3%) showed no increase. The paired t-test revealed a statistically significant difference in body weight before and after the intervention (p < 0.001). These findings indicate that innovative complementary feeding based on locally processed marine fish is an effective, affordable, and sustainable nutritional strategy for improving body weight among infants and may support community-based nutrition programs.

Association Between Local Sweet Potato Consumption and Mild Anemia Among Postpartum Mothers Trivena Montolalu; Widia Shofa Ilmiah
The International Science of Health Journal Vol. 3 No. 1 (2025): March : The International Science of Health Journal
Publisher : Sekolah Tinggi Ilmu Kesehatan Kesdam IV, Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/ishel.v3i1.2824

Postpartum anemia persists as a prevalent maternal health challenge that can delay physiological recovery and compromise maternal well-being. Targeted nutritional management leveraging indigenous food commodities like the sweet potato (Ipomoea batatas L.) offers a practical strategy to enhance hemoglobin levels due to its rich iron, vitamin C, folate, and antioxidant matrix. This study aimed to examine the association between localized sweet potato consumption and mild anemia among postpartum mothers at Robert Wolter Monginsidi Level II Hospital, Manado. An analytical observational study utilizing a cross-sectional design was conducted with 55 postpartum mothers selected via purposive sampling. Dietary intake was measured using a Food Frequency Questionnaire, while hemoglobin parameters were extracted from medical charts. Data were evaluated via descriptive statistics and the Pearson Product-Moment Correlation Test. The metrics revealed that 60.0% of respondents frequently consumed sweet potatoes, whereas 32.7% exhibited mild anemia. A statistically significant positive correlation was identified between sweet potato ingestion and hemoglobin (; ), showing that higher intake frequencies track with elevated hemoglobin parameters. Consequently, local sweet potato consumption supports maternal hematological status and should be actively advocated within postpartum nutritional counseling.

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