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Characteristics of Multiparous Delivering Mothers with Perineal Rupture Grevillea Julce Peday; Hamdiah Ahmar; Jan Pieter E. A. Kambu; Risna Yunita Asmin; Ayu Kurnia Anggraeni
International Journal Of Health Science Vol. 3 No. 2 (2023): July : International Journal of Health
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/ijhs.v3i2.2363

Perineal rupture is a cause of postpartum bleeding within the first 24 hours. Hemorrhage is the primary cause of maternal mortality in Indonesia; birth canal trauma is the second leading cause of bleeding after uterine atony. The higher the mother's parity, the more reproductive functions tend to decline. The purpose of this research is to understand the characteristics of multiparous delivering mothers with perineal rupture. This study employs a quantitative descriptive approach. Data collection is derived from secondary sources obtained from medical records in the Delivery Room of the Sorong Regency General Hospital. The study was conducted in June 2023. The sample comprises all multiparous delivering mothers who experienced perineal rupture and met the inclusion criteria in the Delivery Room of the Sorong Regency General Hospital, totaling 242 delivering mothers from January to December 2022. The sampling technique used is Purposive Sampling. Univariate analysis is employed to calculate the frequency distribution, including the age of the mothers, education, occupation, perineal rupture, and newborn baby's weight. The majority of multiparous delivering mothers are between 20-35 years old, totaling 195 individuals (80.6%). The respondents' educational level is predominantly high school (SMA), totaling 124 individuals (51.2%). Non-working mothers account for 166 individuals (68.6%). The most frequent occurrence of perineal rupture is categorized as Level 1, totaling 81 individuals (33.5%). Newborns with the largest birth weight fall into the Normal category (2500-4000 grams), totaling 210 individuals (86.8%). Perineal rupture is one of the factors contributing to postpartum hemorrhage, which can lead to maternal death if not properly managed.

Hyzine Flipbook as an Innovative Digital Learning Media for the Reproduction Module: An Effort to Improve Student Learning Achievement Ahmar, Hamdiah; Andriany, Alia; Papendang , Harry Allan
Edu Cendikia: Jurnal Ilmiah Kependidikan Vol. 4 No. 03 (2024): Research Articles, December 2024
Publisher : ITScience (Information Technology and Science)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47709/educendikia.v4i03.5112

Advancements in education alongside technological developments have given rise to numerous innovations and creative solutions, making it easier for people to carry out their activities. This study aims to determine the effectiveness of using Hyzine Flipbook-based modules in improving student learning achievement in reproductive anatomy and physiology material. This study is a Research and Development (R&D) project aimed at developing instructional materials in the form of reproductive anatomy and physiology modules based on a flipbook format by adopting a development model. The development procedure follows the ADDIE model, which includes the stages of analysis, design, development, implementation, and evaluation. This manuscript focuses on the analysis phase, particularly regarding the characteristics of the students. Data analysis was conducted using univariate analysis techniques. The study was carried out over approximately five months, from July 2024 to December 2024. The sample consisted of 32 respondents, who were medical students selected using a purposive sampling method. The research instruments included various data collection methods such as questionnaires, interviews, observations, and evaluations tailored to each research variable. Data were collected by asking respondents to complete a questionnaire that reviewed the characteristics of the students. A total of 45% of students reported using digital media daily, while 50% reported using digital media several times a week.

Mitigating Child Stunting: Community-Based Strategies in Maibo Village, Sorong Regency, Indonesia Andriany, Alia; Ahmar, Hamdiah; Sianturi, Sintong Halomoan
Journal of Current Health Sciences Vol. 5 No. 2: 2025
Publisher : Utan Kayu Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47679/jchs.2025114

Stunting significantly impairs cognitive development, potentially leading to long-term intellectual disabilities, compromised learning abilities, and an elevated risk of chronic illnesses. This study investigates the prevalence and determinants of stunting among toddlers in Maibo Village, Aimas District, Sorong Regency, employing a descriptive quantitative approach. Data were sourced from the 2024 Sorong District Health Office report covering 19 public health centers, focusing specifically on Malawili Health Center. Spatial-temporal analyses revealed high stunting prevalence rates in Seget (44.1%), Makbon (37.4%), and Maudus (36.6%) health centers, whereas Maibo Village had a lower prevalence rate of 17.22%. A concerning increase in stunting cases was observed at Malawili Health Center from 92 in 2021 to 261 cases in 2024. Key local determinants identified include limited nutritional access, inadequate sanitation, and socioeconomic challenges. The findings highlight the necessity of targeted nutritional education, particularly regarding balanced diets, exclusive breastfeeding, and appropriate complementary feeding, to be delivered through community-based programs and healthcare services. These interventions, supported by strengthened cross-sectoral collaboration between local governments, private entities, and communities, are critical for mitigating stunting prevalence. Future qualitative research is recommended to deepen the understanding of community-specific nutritional practices and enhance the effectiveness of intervention strategies.

Labor Position and Its Impact on The Birth Process: A Literature Review Ahmar, Hamdiah; Sofyana , Sherllia; Suciati , Siti; Ernawati, Ernawati; Liantanty , Firda
Journal of Current Health Sciences Vol. 5 No. 2: 2025
Publisher : Utan Kayu Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47679/jchs.2025115

Variations in labor positions can enhance childbirth by improving maternal comfort, satisfaction, and reducing complications like prolonged labor and perineal trauma. This review aimed to evaluate the impact of labor positions on specific outcomes: duration of labor, perineal integrity, maternal comfort, and medical intervention rates. A systematic literature search was conducted in April 2025 using PubMed, SpringerLink, and ScienceDirect databases, employing keywords such as "birthing position," "maternal outcomes," and "alternative position during labor." Inclusion criteria were quantitative studies, systematic reviews, and international guidelines; opinion articles, editorials, and case reports were excluded. The PRISMA approach identified 13 studies from an initial 58 records, assessed using the GRADE criteria. Results indicated upright positions (standing, squatting, sitting, kneeling) utilize gravity to significantly shorten the second labor stage, widen pelvic diameter, and reduce medical interventions like cesarean sections. Squatting and kneeling specifically facilitated faster fetal expulsion, whereas lateral positions improved perineal integrity and minimized trauma. This review recommends healthcare facilities adopt flexible labor position policies and highlights the importance of longitudinal and population-based research to further assess the long-term maternal and neonatal impacts of implementing these alternative labor positions.

Malaria in Pregnancy: Systematic Review of Maternal and Fetal Outcomes and Effectiveness of Preventive Strategies Ahmar, Hamdiah; Jayanti, Nur; Jayanti, Ira; Fatmasari, Baiq Dika; Sharief, Suchi Avnalurini
Journal of Current Health Sciences Vol. 5 No. 3: 2025
Publisher : Utan Kayu Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47679/jchs.2025123

This literature review aims to systematically assess the maternal and fetal health risks associated with malaria infection during pregnancy and evaluate the effectiveness of current prevention and management strategies. A narrative synthesis approach was employed, screening articles published from January 2014 to March 2025 in PubMed, ScienceDirect, and SpringerLink. Of 68 initially identified articles, 20 met the inclusion criteria, focusing on clinical outcomes such as anemia, preeclampsia, low birth weight, and neonatal mortality in malaria-endemic settings. The review demonstrates that malaria during pregnancy significantly increases the risk of maternal anemia (OR 2.40), placental malaria (up to 65.9% in primigravidas), preterm birth (OR 1.65), and neonatal death (OR 1.40), with highest burdens in sub-Saharan Africa and vulnerable groups. Key interventions—intermittent preventive treatment in pregnancy (IPTp) and long-lasting insecticidal nets (LLINs)—consistently reduce these risks, but face implementation barriers such as drug resistance and limited healthcare access. This review highlights the urgent need for further research on malaria vaccination in pregnancy and innovative diagnostic technologies, as well as cross-sectoral efforts to address socioeconomic barriers and strengthen surveillance, policy, and health system capacity. Abstrak: Literature review ini bertujuan untuk menilai secara sistematis risiko kesehatan maternal dan fetal yang terkait dengan infeksi malaria selama kehamilan serta mengevaluasi efektivitas strategi pencegahan dan penatalaksanaan terkini. Pendekatan sintesis naratif digunakan dengan menelaah artikel yang dipublikasikan antara Januari 2014 hingga Maret 2025 di PubMed, ScienceDirect, dan SpringerLink. Dari 68 artikel yang diidentifikasi, 20 memenuhi kriteria inklusi dengan fokus pada luaran klinis seperti anemia, preeklamsia, berat badan lahir rendah, dan kematian neonatal pada wilayah endemis malaria. Hasil tinjauan menunjukkan bahwa malaria selama kehamilan secara signifikan meningkatkan risiko anemia maternal (OR 2,40), malaria plasenta (hingga 65,9% pada primigravida), kelahiran prematur (OR 1,65), dan kematian neonatal (OR 1,40), dengan beban tertinggi di Afrika Sub-Sahara dan kelompok rentan. Intervensi utama—intermittent preventive treatment in pregnancy (IPTp) dan penggunaan kelambu berinsektisida jangka panjang (LLINs)—secara konsisten menurunkan risiko ini, namun masih menghadapi hambatan implementasi seperti resistensi obat dan keterbatasan akses layanan kesehatan. Tinjauan ini menyoroti kebutuhan mendesak akan penelitian lebih lanjut terkait vaksinasi malaria pada kehamilan dan inovasi teknologi diagnostik, serta upaya lintas sektor untuk mengatasi hambatan sosial ekonomi dan memperkuat sistem surveilans, kebijakan, serta kapasitas sistem kesehatan.

Survey of Traumatic Childbirth Experiences in Postpartum Mothers Using the City Birth Trauma Scale in Sorong Regency Ahmar, Hamdiah; Andriany, Alia; Maharani, Rafika
Poltekita : Jurnal Ilmu Kesehatan Vol. 17 No. 4 (2024): February
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jik.v17i4.3529

The mental health of postpartum mothers is influenced by traumatic childbirth experiences that can result in Post Traumatic Stress Disorder (PTSD). Individuals experiencing PTSD tend to be more sensitive. Poor mental health during the postpartum period can alter a woman's self-perception and disrupt family relationships. This research aims to conduct a Survey of Traumatic Childbirth Experiences in Postpartum Mothers Using the City Birth Trauma Scale in Sorong Regency. This is a quantitative survey research using the survey method to analyze risk factors for postpartum trauma incidents, employing the City Birth Trauma Scale 5 questionnaire by examining exposure or Odds Ratio (OR). Meanwhile, to test the validity and reliability of the Indonesian version of the City Birth Trauma Scale instrument, the Pearson Product-Moment Correlation and Cronbach's Alpha methods were used. The study was conducted in August-September 2023 at 2 Public Health Centers in Sorong Regency, Malawili Public Health Center, and Marian Public Health Center, with a sample of 70 postpartum mothers drawn using purposive sampling. The research results show that 24 respondents (100%) meet the diagnostic criteria for PTSD. Only 1 respondent (4%) does not meet the criteria for Non-Diagnostic PTSD. The conclusion of this research is that there is no significant relationship between the evaluated factors in the table and trauma symptoms, based on the analysis of the given P values and Odds Ratios (OR). Regular monitoring of postpartum mental health is necessary, especially for those experiencing early trauma symptoms.

The Relationship between Pregnant Mothers' Behavior and Adherence to Folic Acid Consumption Ahmar, Hamdiah; Mulalinda, Andhika Muhammad Fadhly; Jabiy, Filvanus; Ernawati, Ernawati; Suryani, Naning
Babali Nursing Research Vol. 5 No. 1 (2024): January
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2024.51336

Introduction: Pregnancy, defined as the state in which a woman carries an embryo in her uterus for approximately 38 to 40 weeks from the first day of menstruation. According to WHO standards, the normal pregnancy period ranges from 37 to 42 weeks. Prenatal care is highly recommended to reduce the risk of fetal death and complications. Folic acid supplementation during pregnancy is considered crucial in preventing neural tube defects and congenital abnormalities, with WHO recommending supplementation as a preventive measure. Despite evolving information on the benefits of folic acid, the compliance level of pregnant women remains low. Therefore, this research becomes an interesting exploration. The research aims to explore the behavior of pregnant women regarding compliance with folic acid consumption in the working area of Malawei Public Health Center, Manoi District, Sorong City. Methods: The applied method is an analytical design with a Cross-Sectional approach, conducted from May to July 2023. The study population involved 197 first-trimester pregnant women, with a sample size of 70 respondents selected using accidental sampling. Data were analyzed using the chi-square test. Results: Findings indicate that the majority of respondents are aged 20-35 years, unemployed, have a high school education, and income ranging from Rp1,000,000 to Rp5,000,000. 58.6% of pregnant women exhibited sufficient behavior, and 85.7% of them were classified as compliant in consuming folic acid. The chi-square test analysis shows a significant relationship between the behavior of first-trimester pregnant women and compliance with folic acid consumption, with a p-value of 0.004, indicating that the p-value is < 0.05. Conclusion: There is a correlation between the behavior of pregnant women and the extent to which they comply with folic acid consumption. The implication of this research is the need for the development of interventions or health education programs focused on improving the behavior of pregnant women to enhance compliance with folic acid consumption during pregnancy.

Characteristics of Multiparous Delivering Mothers with Perineal Rupture Grevillea Julce Peday; Hamdiah Ahmar; Jan Pieter E. A. Kambu; Risna Yunita Asmin; Ayu Kurnia Anggraeni
International Journal Of Health Science Vol. 3 No. 2 (2023): July : International Journal of Health
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/ijhs.v3i2.2363

Perineal rupture is a cause of postpartum bleeding within the first 24 hours. Hemorrhage is the primary cause of maternal mortality in Indonesia; birth canal trauma is the second leading cause of bleeding after uterine atony. The higher the mother's parity, the more reproductive functions tend to decline. The purpose of this research is to understand the characteristics of multiparous delivering mothers with perineal rupture. This study employs a quantitative descriptive approach. Data collection is derived from secondary sources obtained from medical records in the Delivery Room of the Sorong Regency General Hospital. The study was conducted in June 2023. The sample comprises all multiparous delivering mothers who experienced perineal rupture and met the inclusion criteria in the Delivery Room of the Sorong Regency General Hospital, totaling 242 delivering mothers from January to December 2022. The sampling technique used is Purposive Sampling. Univariate analysis is employed to calculate the frequency distribution, including the age of the mothers, education, occupation, perineal rupture, and newborn baby's weight. The majority of multiparous delivering mothers are between 20-35 years old, totaling 195 individuals (80.6%). The respondents' educational level is predominantly high school (SMA), totaling 124 individuals (51.2%). Non-working mothers account for 166 individuals (68.6%). The most frequent occurrence of perineal rupture is categorized as Level 1, totaling 81 individuals (33.5%). Newborns with the largest birth weight fall into the Normal category (2500-4000 grams), totaling 210 individuals (86.8%). Perineal rupture is one of the factors contributing to postpartum hemorrhage, which can lead to maternal death if not properly managed.

Transformasi Perilaku Hidup Bersih dan Sehat melalui Kolaborasi Pemberantasan Sarang Nyamuk (PSN) dan Pemeriksaan Kesehatan di Wilayah Endemis Herlina Yulidia; Alia Andriany; Sintong Halomoan Sianturi; Andrew Ivan Humonobe; Laura Putri Risty Lumban Tobing; Yanti Pesurnay; Hamdiah Ahmar; Rosdiana Naibey; Anjela M.Jitmau; Atira Tilik
Jurnal Pengabdian Ilmu Kesehatan Vol. 5 No. 3 (2025): November: Jurnal Pengabdian Ilmu Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jpikes.v5i2.5631

Malaria remains a major public health challenge, particularly in remote areas. In 2023, 379 cases of malaria were recorded, with the highest number in Maibo Village (111 cases). To address this issue, a Community Service Program (PKM) was conducted, focusing on health checks and malaria screening in Maibo Village as a preventive and promotive effort in controlling the disease. This activity is expected to reduce the burden of malaria in areas with high prevalence rates. This PKM involved three series of activities: Mosquito Nest Eradication (PSN), Malaria Prevention Counseling, and Health Checks. This activity was attended by various parties, including the UNIPA Faculty of Medicine Community Service Committee and Implementers, consisting of the Dean of UNIPA Faculty of Medicine and 15 others, 14 UNIPA Faculty of Medicine Community Service Students Class of 2020, as well as members of the 20/PPA Battalion (Yon Zipur 20/PPA) (24 people), the Aimas Police (9 people), and the Malawili Community Health Center Technical Implementation Unit (UPTD) (5 people). The average age of the respondents who participated in this activity was 35 years, with an age range of 1 to 71 years, and the majority of participants were women (59 people, 39.74%). The examination results showed that 9 people (11.53%) were diagnosed with malaria, while the majority of respondents experienced other complaints, such as skin diseases (23.07%) and muscle pain (15.38%). This indicates an urgent need for integrated health services to address the various complaints that arise in the community. This activity had a positive impact in increasing awareness among the Maibo Village community regarding malaria prevention and the importance of a clean and healthy lifestyle (PHBS). It is recommended that education, regular check-ups, and active community involvement continue to be strengthened.

Penguatan Kapasitas Kader Malaria dalam Pemeriksaan Rapid Diagnostic Tests sebagai Upaya Deteksi Dini Berbasis Komunitas Ahmar, Hamdiah; Pesurnay, Yanti; Mbusango, Amin
Ahmar Metakarya: Jurnal Pengabdian Masyarakat Vol. 5 No. 2 (2026): Ahmar Metakarya: Jurnal Pengabdian Masyarakat
Publisher : Yayasan Ahmad Mansyur Nasirah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/amjpm.v5i2.609

Malaria masih menjadi masalah kesehatan masyarakat yang signifikan di Indonesia, khususnya di wilayah Papua. Deteksi dini merupakan strategi penting dalam pengendalian malaria, salah satunya melalui penggunaan Rapid Diagnostic Test (RDT). Kegiatan pengabdian kepada masyarakat ini bertujuan untuk meningkatkan kapasitas Kader Malaria dalam melakukan pemeriksaan malaria menggunakan RDT. Pelatihan dilaksanakan selama satu hari dengan melibatkan 23 kader malaria melalui metode ceramah interaktif, demonstrasi, dan praktik lapangan yang didampingi fasilitator. Evaluasi dilakukan sebagai bagian dari pemantauan kegiatan menggunakan pre-test dan post-test untuk menilai pengetahuan, serta observasi terstruktur untuk menilai keterampilan praktik berdasarkan pedoman WHO dan Kementerian Kesehatan. Hasil kegiatan menunjukkan adanya peningkatan kapasitas kader secara deskriptif, dengan 87% peserta berada pada kategori keterampilan praktik baik, terutama pada aspek interpretasi hasil. Kegiatan ini menegaskan peran kader sebagai garda terdepan dalam deteksi dini malaria berbasis komunitas serta menunjukkan kontribusi pelatihan terstruktur terhadap penguatan upaya pengendalian malaria di tingkat lokal.

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