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All Journal WOMB Midwifery Journal Journal Research Midwifery Politeknik Tegal
Okta Zenita Siti Fatimah
Universitas Bhakti Pertiwi Indonesia
Health Professions Medicine & Pharmacology Nursing Public Health

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Analisis Faktor Risiko Kejadian Anemia Pada Periode Nifas Okta Zenita Siti Fatimah; Seventina Nurul Hidayah; Rosa Susanti
WOMB Midwifery Journal Vol. 5 No. 1 (2026): Juni 2026
Publisher : Pusat Penelitian dan Pengabdian Masyarakat (PPPM) STIKes Banyuwangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54832/wombmidj.v5i1.838

Abstract

Latar Belakang: Anemia merupakan salah satu masalah kesehatan yang dapat terjadi pada ibu nifas dan dapat memengaruhi proses pemulihan setelah persalinan. Anemia pada masa nifas dapat disebabkan oleh kehilangan darah saat persalinan, kurangnya asupan nutrisi, serta kondisi kesehatan ibu selama kehamilan. Faktor yang diduga berhubungan dengan kejadian anemia pada ibu nifas meliputi usia, paritas, pendidikan, pekerjaan, status gizi, dan pengetahuan. Metode: Penelitian ini menggunakan metode kuantitatif analitik observasional dengan desain cross-sectional. Penelitian dilakukan di Klinik Pratama Rawat Inap Cici Lian Kranggan Tahun 2025 dengan jumlah responden sebanyak 85 ibu nifas. Variabel penelitian terdiri dari kejadian anemia (variabel terikat) serta umur, paritas, pendidikan, pekerjaan, status gizi (LiLA), dan pengetahuan (variabel bebas). Instrumen yang digunakan meliputi kuesioner untuk data pengetahuan dan sosiodemografi, lembar observasi rekam medis untuk umur dan paritas, serta pita LiLA untuk mengukur status gizi. Analisis data menggunakan Uji Chi-Square. Hasil: Penelitian menunjukkan bahwa umur ibu (p<0,002), pendidikan (p<0,028), paritas (p<0,034), pekerjaan (p<0,014), status gizi (p<0,004), dan pengetahuan (p<0,003) berhubungan dengan kejadian anemia pada ibu nifas. Kesimpulan: Karakteristik sosiodemografi, biologis, dan perilaku berhubungan dengan kejadian anemia ibu nifas. Direkomendasikan bagi pihak klinik untuk menerapkan program pemantauan terpadu yang mencakup skrining Hb berkala pada kunjungan nifas, konseling pemenuhan gizi KEK, edukasi KB pascapersalinan untuk pembatasan paritas, serta penyediaan media KIE (Komunikasi, Informasi, Edukasi) yang fleksibel bagi ibu nifas yang bekerja.
DETERMINANTS OF ANEMIA AMONG THIRD TRIMESTER PREGNANT WOMEN Rosa Susanti; Okta Zenita Siti Fatimah; Wanti Astriani Hasan; Seventina Nurul Hidayah
Siklus : Journal Research Midwifery Politeknik Tegal Vol 15, No 2 (2026)
Publisher : Pusat Penelitian dan Pengabdian Masyarakat Politeknik Harapan Bersama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30591/siklus.v15i2.10320

Abstract

The Indonesian Health Survey (SKI) 2023 revealed that 27.7% of pregnant women suffered from anemia. Data from the Larangan Utara Public Health Center (UPT Puskesmas) in Tangerang City indicated an upward trend in anemia cases among women in their third trimester of pregnancy. In 2022, anemia was identified in 122 women (13.7%) out of 887 who were examined for hemoglobin levels, and the number increased to 135 women (15.5%) out of 867 in 2023. This study aimed to determine the primary factors contributing to anemia among third-trimester pregnant women at the Larangan Utara Public Health Center, Tangerang City, in 2024. The research adopted a quantitative approach with a logistic regression design. A total of 60 respondents were included through a total sampling technique. Data collection was conducted using a structured questionnaire, and analysis was performed using multivariate linear regression. The findings indicated that three main factors were significantly associated with anemia: Chronic Energy Deficiency (CED) (p = 0.000), educational level (p = 0.031), and compliance with iron (Fe) tablet intake (p = 0.035). Among these, Chronic Energy Deficiency was identified as the most dominant factor influencing anemia occurrence. In conclusion, anemia among third-trimester pregnant women is influenced by chronic energy deficiency, educational level, and adherence to Fe tablet consumption, with CED being the most significant determinant. It is recommended that healthcare providers at the Larangan Utara Public Health Center implement more effective prevention and management strategies, including nutrition education, infection control, and enhanced monitoring for high-risk pregnant women.
EFFORTS TO INCREASE EXCLUSIVE BREASTFEEDING AMONG POSTPARTUM MOTHERS Okta Zenita Siti Fatimah; Seventina Nurul Hidayah
Siklus : Journal Research Midwifery Politeknik Tegal Vol 15, No 2 (2026)
Publisher : Pusat Penelitian dan Pengabdian Masyarakat Politeknik Harapan Bersama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30591/siklus.v15i2.10321

Abstract

Exclusive breastfeeding is crucial for improving maternal and infant health and reducing neonatal morbidity and mortality, yet implementation obstacles remain. Preliminary observations at Pasar Rebo Regional General Hospital (RSUD), East Jakarta, showed suboptimal exclusive breastfeeding coverage, with only 65% of mothers breastfeeding exclusively during care, while others used formula or faced difficulties. This qualitative case study aimed to evaluate efforts to increase exclusive breastfeeding at RSUD Pasar Rebo. Using purposive sampling, 15 informants were selected: 5 experienced healthcare workers (midwives, nurses, lactation counselors) and 10 postpartum mothers (days 1–42). Data were gathered through in-depth interviews, Focus Group Discussions, and direct observations, then analyzed using content and thematic analysis. Results identified key efforts: breastfeeding education, Early Initiation of Breastfeeding (EIBF/IMD), rooming-in, and technique counseling. Supporting factors included available healthcare staff, hospital policies, and family support. Conversely, main barriers were maternal lack of knowledge, postpartum fatigue, and misconceptions about milk supply. Although efforts exist, continuous education and support remain essential.
OPTIMISING THE ROLE OF POSYANDU HEALTH WORKERS IN INCREASING POSTNATAL VISITS TO POSYANDU Okta Zenita Siti Fatimah; Seventina Nurul Hidayah
Siklus : Journal Research Midwifery Politeknik Tegal Vol 15, No 1 (2026)
Publisher : Pusat Penelitian dan Pengabdian Masyarakat Politeknik Harapan Bersama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30591/siklus.v15i1.9837

Abstract

The postpartum period is a critical phase that requires regular maternal health monitoring to prevent complications such as bleeding and infection. However, data from the Tegal District Health Office in 2024 indicate that postpartum mothers’ attendance at posyandu remains relatively low, at only about 58%, which has not yet met the national target of 80%. This condition highlights the need for active involvement of posyandu cadres in improving postpartum visit rates. This study aims to identify the efforts made by posyandu cadres to increase postpartum mothers’ attendance at posyandu in Slawi Wetan Urban Village. The research employed a descriptive qualitative approach. Informants consisted of five posyandu cadres and four postpartum mothers who actively participated in posyandu activities. Data were collected through in-depth interviews and observation, then analyzed thematically. The results show that posyandu cadres undertook various efforts, including providing education on the importance of postpartum check-ups, conducting home visits, and reminding mothers of activity schedules through communication platforms such as WhatsApp. Supporting factors included assistance from health center staff and community enthusiasm, while challenges involved cadres’ limited time and low awareness among some postpartum mothers. In conclusion, posyandu cadres play an essential role in increasing postpartum visit rates through educational, persuasive, and personal approaches, although cross-sectoral support is still needed to achieve the expected target.
Co-Authors Rosa Susanti Seventina Nurul Hidayah Seventina Nurul Hidayah Wanti Astriani Hasan