Lina Puspitasari
School Of Midwifery, Graha Mandiri, Cilacap

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Enhancing childbirth outcomes: The impact of pelvic floor muscle and abdominal exercises Lina Puspitasari; Raheleh Babazadeh; Misrina Retnowati; Yenni Kristiana
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol. 14 No. 2 (2026)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2026.14(2).252-266

Abstract

Background: Childbirth is a critical physiological process experienced by women that requires optimal physical and psychological preparation. Inadequate preparation may contribute to prolonged labor and increased pain intensity. Prenatal exercise is recognized as a non-pharmacological approach to improve maternal readiness. A combination of pelvic floor muscle (PFM) exercise and abdominal exercise is considered beneficial for strengthening muscles involved in the labor process, potentially influencing both labor duration and pain perception. Therefore, this study aimed to analyze the effect of combined pelvic floor muscle and abdominal exercises on labor pain intensity and duration of labor among pregnant women. Methods: This study employed a quasi-experimental design with a posttest-only nonequivalent control group approach. The total sample consisted of 60 pregnant women, divided equally into an intervention group and a control group (1:1 ratio). Participants were selected using convenience non-probability sampling. The intervention group received prenatal exercise combining PFM and abdominal exercises starting from 38 weeks of gestation until delivery, while the control group received standard care. Data were analyzed using independent t-tests to compare outcomes between groups. Results: The findings demonstrated that the intervention group had significantly lower mean pain scores compared to the control group at 8 cm cervical dilation (t = -3.828, p = 0.001) and at complete dilation (t = -3.865, p = 0.001). Additionally, the duration of the first stage of labor (t = -3.118, p = 0.003) and the second stage of labor (t = -2.122, p = 0.038) were significantly shorter in the intervention group. Conclusions: Prenatal exercise combining pelvic floor muscle and abdominal exercises has a positive effect on the childbirth process by reducing labor pain and shortening the duration of labor stages. This intervention can be recommended as part of routine antenatal care to improve maternal outcomes.
Social Support on the Adherence to Treatment of Tuberculosis in Cilacap, Indonesia Lina Puspitasari; Bhisma Murti; Argyo Demartoto
Journal of Epidemiology and Public Health Vol. 1 No. 1 (2016)
Publisher : Masters Program in Public Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (305.176 KB)

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Background: Country Indonesia liquid high-burden countries in the case of Tuberculosis resistant adenocarcinoma. One of the causes of MDR-TB was OAT drink irregularly. Many of the changes that occur in people with tuberculosis physical, psychological and social influence on irregularity OAT drink. The purpose of this research is to know the contribution of the social support against tuberculosis treatment regularity in Cilacap Regency.Subject and Method: This was a quantitative study with observational analytic design, carried out in twelve clinics and hospitals, inCilacap. A total of 128 samples were consisted of  42 groups and control group 86. The dependent variables was the regularity of the medication, and the independent variable were the intention, attitude, distance, self-efficacy, social support, education and knowledge. The Data collected using the questionnaire and medical record data and analyzed usingpath analysis.Results: There is a direct relationship between education with knowledge, education and knowledge, as well as attitudes toward intentions with the regularity of medical treatment. There is an indirect relationship between posture, distance, social support and self-efficacy with the OAT drink regularity through intention. A positive relationship between education with knowledge (b = 0.17; 95%CI = 0.02 to 0.13; p = 0.023). A positive relationship between education with attitude (b = 1.23; 95% CI = 0.29 to 2.16; p = 0.01). Positive relationship knowledge with attitude (b = 0.56; 95% CI =-1.47 to 0.35; p = 0.228). The relationship of positive attitude with the intention (b = 0.99; CI 95% = 0.05 to 1.94; p = 0.039). Negative relationship of distance with the intention (b =-0.59; 95% CI =-1.49 to 0.31; p = 0.202). Positive relationships support social (social support) and intention (b = 0.5; 95% CI =-0.22 to 1.89; p = 0123). A positive relationship with self-efficacy of intention (b = 1.04;95% CI =-0.16 to 2.26; p = 0.089). A positive relationship with the intention to ordertreatment of TB (b = 2.1; CI 95% = 1.24 to 2.97; p = 0.001).Conclusion: Education, knowledge, attitude, social support self-efficacy related to improve the regularity of treatment of TB through the intention to treat.Keywords:Attitude, Distance, Social Support, Self-Efficacy, Consistency of Treatment of TBCorrespondence: Lina Puspitasari. Midwifery Academic Graha Mandiri Cilacap. Email: Lina_Puspitasari@yahoo.co.idJournal of Epidemiology and Public Health, 2016, 1(1): 58-65https://doi.org/10.26911/jepublichealth.2016.01.01.07