Didien Ika Setyarini
Politeknik Kesehatan Kemenkes Malang

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The Relationship Between Previous Childbirth Experience and Self-Efficacy Among Third-Trimester Multigravida Pregnant Women in Preparing for Childbirth at Santi Rahayu Independent Midwifery Practice, Malang Regency Nabella Sintia Deby; Asworoningrum Yulindahwati; Didien Ika Setyarini; Ita Yuliani; Retno Dumilah
Hippocratica : Journal of Modern Medicine and Healthcare Practice Vol. 1 No. 2 (2026): : June: Hippocratica: Journal of Modern Medicine and Healthcare Practice
Publisher : CV SCRIPTA INTELEKTUAL MANDIRI

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Abstract

Childbirth is a complex physiological and psychological experience in which previous birth experiences may influence women's confidence in preparing for subsequent deliveries. This study aimed to examine the relationship between previous childbirth experience and childbirth self-efficacy among third-trimester multigravida pregnant women at Santi Rahayu Independent Midwifery Practice, Malang Regency. This empirical study employed a quantitative correlational design with a cross-sectional approach. The study involved 31 third-trimester multigravida pregnant women with gestational ages of 28–40 weeks who were recruited using total population sampling during March–April 2022. Data were collected using the Childbirth Experience Questionnaire version 2 (CEQ-2) and the Childbirth Self-Efficacy Inventory (CBSEI), and were analyzed using Spearman's Rank correlation test. The findings showed that 71.0% of respondents reported negative childbirth experiences and 51.6% demonstrated low childbirth self-efficacy. Statistical analysis revealed a significant positive relationship between previous childbirth experience and childbirth self-efficacy (p < 0.001) with a strong correlation coefficient (ρ = 0.600). The findings indicate that women with more positive previous childbirth experiences tend to have higher confidence in preparing for childbirth. Assessing previous childbirth experiences during antenatal care may support individualized psychological interventions to strengthen maternal confidence before labor.
Determinants of Adolescents Pregnancy and the Incidence of Stunting in Children 24-59 Months of Age Didien Ika Setyarini; Reni Wahyu Triningsih; Hening Ryan Aryani; Dwi Estuning Rahayu
Journal of Ners and Midwifery Vol 13 No 1 (2026)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk..v13i1.ART.p093-105

Abstract

Adolescent pregnancy is a significant public health issue that can lead to various adverse outcomes, including stunting in children. This study aims to investigate the determinants of adolescent pregnancy and their association with the incidence of stunting in children aged 24-59 months at Poncokusumo Health Center, Malang Regency. The research employs a cross-sectional design, collecting primary data through interviews and secondary data from the Puskesmas Poncokusumo. The study includes 93 mothers of stunted toddlers with a history of adolescent pregnancy. The sampling technique used purposive sampling. Data were analyzed by chi-square.The analysis reveals significant relationships between educational level economic status, knowledge, the role of healthcare providers, and family support with the incidence of stunting, while employment status shows no significant correlation. The findings suggest that targeted interventions addressing these determinants could mitigate stunting rates among children born to adolescent mothers. Further research should explore the psychosocial impacts and long-term outcomes for these children, as well as the effectiveness of existing healthcare interventions
Health Belief Model and Contraceptive Choice Among High-Risk Women: A Cross-Sectional Study Hayunda Shasta Deasy; Nurul Pujiastuti; Sunaeni; Didien Ika Setyarini
Jurnal Kebidanan Midwiferia Vol. 12 No. 1 (2026): April
Publisher : Universitas Muhammadiyah Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21070/midwiferia.v12i1.1795

Abstract

Inappropriate contraceptive choice among high-risk women of reproductive age (WRA) may increase the risk of unintended pregnancy and adverse maternal outcomes. Individual perceptions and beliefs regarding health risks and preventive actions, as described in the Health Belief Model (HBM), may influence contraceptive choice. However, evidence regarding the relationship between HBM components and contraceptive choice among high-risk WRA at the community level remains limited. This study aimed to analyze the relationship between Health Belief Model components and contraceptive choice among high-risk WRA in Mulyorejo Village, Sukun Subdistrict, Malang City. This study used a quantitative correlational design with a cross-sectional approach conducted from November 2024 to January 2025. A total of 64 respondents were selected using purposive sampling. Data were collected using a structured questionnaire and analyzed using the Spearman Rank correlation test with a significance level of 0.05. The results showed statistically significant relationships between all HBM components and contraceptive choice among high-risk WRA. Perceived susceptibility was associated with contraceptive choice (r = 0.301; p = 0.016), as were perceived severity (r = 0.349; p = 0.005), perceived benefits (r = 0.314; p = 0.011), perceived barriers (r = 0.313; p = 0.012), and cues to action (r = 0.307; p = 0.014). All correlations were categorized as low to moderate. The findings indicate that HBM components play an important role in influencing contraceptive choice among high-risk WRA. Strengthening women’s perceptions of pregnancy risk and improving counseling strategies may support appropriate contraceptive selection and improve reproductive health outcomes.