Siskha Maya Herlina
Midwifery Study Program, Undergraduate Program, INKES Yarsi Mataram, Mataram, Indonesia

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POSTPARTUM HOME CARE NEEDS AND MIDWIVES’ READINESS: A CROSS-SECTIONAL STUDY IN LOMBOK, INDONESIA Yopi Suryatim Pratiwi; Yesvi Zulfiana; Siskha Maya Herlina; Sri Handayani
Jurnal Kesehatan Kusuma Husada Vol. 17 No. 2, Juli 2026
Publisher : Universitas Kusuma Husada Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34035/jk.v17i2.2075

Abstract

Background: The postpartum period is a critical phase requiring intensive monitoring, as postpartum complications remain a leading cause of maternal mortality, while the coverage of home-based care services in Indonesia remains limited. This study aimed to assess the need for postpartum home care services from the perspectives of postpartum mothers and midwives.Methods: A quantitative descriptive study with a cross-sectional design and purposive sampling was conducted, involving 100 postpartum mothers and 40 midwives across four regions in Lombok, Indonesia. Data were collected using structured 4-point Likert-scale questionnaires that had been tested for validity and reliability.Results: All postpartum mothers (100%) had never received home-based care, with a high level of need (mean score 3.3/4). The highest demand was for perineal/wound care (96%). Midwives demonstrated high readiness (mean score 2.9/4) but faced major constraints: limited portable medical equipment (87.5%), insufficient financial incentives (80%), and heavy workloads (75%). None of the midwives had received specific home care training. Both groups supported the development of smartphone applications with live chat and video education features (scores >3.2), but rejected the complete substitution of in-person visits (mothers scored 2.9/4; midwives 2.5/4).Conclusion: This study is the first quantitative study in Indonesia to simultaneously integrate the perspectives of postpartum mothers and midwives, providing empirical evidence that digital technology serves as a complement, not a substitute, for in-person visits, thereby recommending a hybrid model (home visits, telehealth, and digital education) as the ideal approach. A gap exists between the high demand for home-based care among postpartum mothers and midwives' implementation capacity, which is constrained by systemic factors. National standards, infrastructure strengthening, incentives, training, and integrated technological support are essential to establish effective and sustainable postpartum home care services.
THE RELATIONSHIP BETWEEN FACTORS THAT CONTRIBUTE TO ANXIETY BEFORE CHILDBIRTH Siskha Maya Herlina; Yopi Suryatim Pratiwi; Yadul Ulya; Regina Pricilia Yunika
Jurnal Kesehatan Kusuma Husada Vol. 17 No. 2, Juli 2026
Publisher : Universitas Kusuma Husada Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34035/jk.v17i2.2097

Abstract

Background: Anxiety before childbirth is one of the psychological problems often experienced by pregnant women, especially in the final trimester. This condition can be influenced by various factors, both internal and external, that affect a mother’s readiness to face childbirth.Method: This quantitative descriptive design involves 45 samples of pregnant women in their third trimester who are approaching labor. The sampling technique uses purposive sampling to examine whether there’s a relationship between mothers’ age, education, and occupation and anxiety at the community health center in Mataram, West Nusa Tenggara.Result: The research results show that, out of 45 respondents, the P-value from the Pearson chi-square test is 0.018, which is less than 0.05. Therefore, it can be concluded that there is a significant relationship between the factors causing labor and anxiety before labor.Conclusion: There is a significant relationship between factors causing childbirth and anxiety before delivery. Factors causing anxiety before delivery include husband support and parity factors. There is a significant relationship between the factors causing labor and anxiety before giving birth. Factors like the age of the pregnant mother, education, and occupation can affect anxiety in pregnant women in the third trimester before giving birth.