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All Journal AloHA International Journal of Health Advancement (AIJHA) Gema Bidan Indonesia (e-Journal) Journal of Research in Midwifery and Healthcare
Triana Septianti Purwanto
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Biochemistry, Genetics & Molecular Biology Dentistry Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health Other

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Pengaruh Kematangan Emosi Terhadap Kesiapan Pernikahan Siswa Tingkat Akhir Poltekkes Kemenkes Surabaya: The Effect of Emotional Maturity on The Marriage Readiness of Final Year Students of the Ministry of Health Polytechnic of The Ministry of Health Surabaya Shela Putri; Tatarini Ika Pipitcahyani; Triana Septianti Purwanto; Esyuananik
Gema Bidan Indonesia Vol. 14 No. 1 (2025): Maret
Publisher : Jurusan Kebidanan Politeknik Kesehatan Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/gebindo.v14i1.218

Abstract

Introduction : The emotional maturity is crucial in maritial life as it enables individuals to approach marriage with a mature mindset and handle it effectively. Divorce is a common issue within households, emphasizing the significance of emotional readiness and maturity in forming a happy family. Both elements are pivotal in preparing for marriage, indicating readiness. A mature individual, having met these criteria, can be deemed ready for marriage. This study aims to investigate the influence of emotional maturity on marriage readiness among senior female students at the Surabaya Health Polytechnic. Methods : The research design employed an analytical survey with a cross-sectional design, involved 180 female students selected through proportionate stratified random sampling at the Surabaya Health Polytechnic. The independent variable is emotional maturity, on the other hand the dependent variable is marriage readiness. Primary data collection are conducted through the Emotional Maturity Scale and Marriage Readiness Scale’s questionnaires. Result : The analysis using chi-square, reveals a significant association between high levels of emotional maturity and marriage readiness, with a p-value of 0.04. High emotional maturity have significantly influences marriage readiness among senior female students at the Surabaya Health Polytechnic Disscusion : It is hoped that all female students recognize the importance of emotional maturity, particularly in preparing for marriage, thereby preventing divorce rates.
Effectiveness of Take and Give Method on Knowledge, Attitude, Adherence Iron Tablets in Pregnant Women Milkah Ummi Nur Fadlilah; Triana Septianti Purwanto; Kharisma Kusumaningtyas; Uswatun Khasanah
Journal of Research in Midwifery and Healthcare Vol 1 No 2 (2025): Journal of Research in Midwifery and Healthcare, December 2025
Publisher : Faculty of Medicine, Universitas Negeri Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26740/jrmh.v1i2.43499

Abstract

Anemia in pregnancy remains a significant concern due to its potential adverse effects on both mother and fetus. This study aimed to assess the effectiveness of the Take and Give method in improving pregnant women's knowledge, attitude, and adherence to iron tablet consumption. A quasi-experimental design with a pre-test–post-test control group was employed, involving 60 pregnant women divided into intervention and control groups. The intervention group received education using the Take and Give method, while the control group used standard KIA books. Data were analyzed using the Wilcoxon and Mann-Whitney U tests. Data analysis results indicated that the 'Take and Give' method significantly influenced the increase in knowledge (p-value 0.000 < 0.05), attitude (p-value 0.000 < 0.05), and adherence (p-value 0.000 < 0.05). Furthermore, the 'Take and Give' method was more effective in improving pregnant women's knowledge, attitude, and adherence to iron tablet consumption compared to using KIA book media (knowledge p-value 0.003 < 0.05, attitude p-value 0.001 < 0.05, adherence p-value 0.049 < 0.05). The Take and Give method not only conveys information but also effectively shapes understanding and emotional responses affectively and evaluatively. This study recommends it as an innovative strategy to enhance understanding and positive behavioral changes in iron tablet consumption among pregnant women. The Take and Give method proved more effective than conventional methods in enhancing health behavior regarding iron supplementation in pregnancy.
Case Report: Post-Cesarean Section Wound Dehiscence in a Postpartum Woman with Obesity Rheinanda Inez Syagita Cinantya; Triana Septianti Purwanto; Sulikah Sulikah; Astin Nur Hanifah
Aloha International Journal of Health Advancement (AIJHA) Vol 7, No 9 (2026): September 2026 (In Production)
Publisher : Alliance oh Health Activists (AloHA)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/%x

Abstract

Wound dehiscence is a postoperative complication of cesarean section that may delay wound healing and increase the risk of infection. Obesity is a major contributing risk factor because impaired tissue perfusion reduces oxygen and nutrient delivery to the wound, resulting in slower healing. This case report aimed to describe the implementation of comprehensive midwifery care for a postpartum woman with obesity who developed post-cesarean section wound dehiscence. This study employed a descriptive case report design involving a 41-year-old multiparous postpartum woman (P20002) with Grade II obesity who presented with wound dehiscence on the 20th day following cesarean section. Midwifery care was provided at Taji Community Health Center, Magetan Regency, Indonesia, from January 31 to February 9, 2026. The care consisted of one initial assessment followed by three home visits using Varney’s Midwifery Management Approach, with all findings documented using the SOAP format. The interventions included aseptic wound care, education on self-wound care, a high-protein nutritional plan, gradual mobilization, body mechanics education, non-pharmacological pain management, breastfeeding position counseling, and regular wound assessment using the REEDA scale and the Numeric Rating Scale (NRS). The patient's condition improved progressively throughout the course of care. The REEDA score decreased from 4 to 0, while the pain intensity measured by the NRS decreased from 4 to 0. The wound healed completely without signs of infection. In addition, the patient demonstrated improved adherence to wound care practices, nutritional recommendations, and other self-care instructions provided during the postpartum period. This case suggests that comprehensive midwifery care may contribute to successful healing of post-cesarean section wound dehiscence in women with obesity through appropriate wound management, continuous health education, adequate nutritional support, gradual mobilization, and regular monitoring, thereby promoting optimal recovery during the postpartum period. Keywords: Cesarean section, Midwifery care, Obesity, Postpartum period, Wound dehiscence
Case Report: Type I Obesity Associated With Three-Month Injectable Contraceptive Use At Mrs. "P" Independent Midwifery Practice Refiola Priska Talia; Triana Septianti Purwanto; Agung Suharto; Astuti Setiyani
Aloha International Journal of Health Advancement (AIJHA) Vol 7, No 9 (2026): September 2026 (In Production)
Publisher : Alliance oh Health Activists (AloHA)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/%x

Abstract

Type I obesity is a condition of weight gain observed in a user of the 3-month injectable contraceptive, characterized by a Body Mass Index (BMI) of 25–29.9 kg/m². Long-term use (over 10 years) of this contraceptive was associated with a weight gain of 17 kg. This is attributed to the progesterone hormone in DMPA, which increases appetite and affects fat metabolism, thereby contributing to weight gain. The objective was to describe the implementation of midwifery care for a 3-month injectable contraceptive user with Type I obesity. This report employs a case study method focusing on Mrs. E, a user of the 3-month injectable contraceptive with Type I obesity, at the Independent Midwifery Practice (TPMB) of Mrs. "P" in Magetan Regency. Midwifery care was provided over four weeks, involving three nutritional guidance visits facilitated by a midwife; the process included comprehensive assessment, monitoring of weight and BMI, a low-calorie diet, increased physical activity, and counseling regarding hormonal contraceptive use. The comprehensive and continuous midwifery care provided proved successful, resulting in a weight loss of 3 kg. The client's weight gradually decreased from 67 kg to 64 kg over the one-month care period (comprising three sessions), accompanied by reductions in waist circumference and BMI. Periodic monitoring helped control weight gain and prevent obesity-related complications.Through a balanced, low-calorie diet, the client was able to maintain a healthy lifestyle by adhering to balanced nutrition, engaging in regular physical activity, and monitoring weight periodically; these measures prevent the worsening of obesity and the onset of complications. Keywords: Obesity; KB; injection; Acceptor
Case Report: High-Risk Factors in an Elderly Primigravida with Dwarfism and Chronic Energy Deficiency at Ngariboyo Community Health Center Fauzia Prima Hadianita; Rahayu Sumaningsih; Triana Septianti Purwanto
Aloha International Journal of Health Advancement (AIJHA) Vol 7, No 9 (2026): September 2026 (In Production)
Publisher : Alliance oh Health Activists (AloHA)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/%x

Abstract

Background: High-risk pregnancy in elderly primigravida with dwarfism and Chronic Energy Deficiency (CED) presents complex challenges due to anatomical constraints and nutritional insufficiency. This case report describes the midwifery care provided to a 36-year-old primigravida with dwarfism (height 136 cm) and CED at Ngariboyo Community Health Center, Magetan Regency. Objective: To comprehensively describe the clinical condition and midwifery management of a high-risk pregnancy involving advanced maternal age, dwarfism, and CED through the Continuity of Care approach. Case Presentation: Mrs. K, a 36-year-old primigravida at 22 weeks gestation with G1P00000, presented with dwarfism (height 136 cm), pre-pregnancy BMI of 17.60 kg/m², and MUAC of 20 cm indicating CED. The KSPR score of 10 classified her as high-risk. Comprehensive antenatal care was delivered through five home visits from January to April 2026. Interventions: Midwifery management included nutritional education emphasizing high-calorie and high-protein foods, complementary therapies (lime water, acupressure, relaxation techniques, aromatherapy), family-centered care with husband involvement, interprofessional collaboration, and delivery planning through the P4K program. Results: Over the monitoring period, the patient showed significant improvement evidenced by weight gain from 33.95 kg to 39 kg (total gain 6.5 kg), MUAC increase from 20 cm to 22 cm, resolution of dizziness, fatigue, and constipation complaints, improved appetite and dietary patterns, and stable maternal and fetal conditions. Fetal growth progressed with estimated fetal weight increasing from 465 grams to 2,323 grams. Conclusion: The Continuity of Care approach incorporating nutritional interventions, family support, complementary therapies, and comprehensive monitoring proved effective in improving maternal nutritional status and maintaining maternal-fetal well-being throughout pregnancy in this complex high-risk case. Keywords: Elderly primigravida, Dwarfism, Chronic Energy Deficiency, High-risk pregnancy, Continuity of Care
Comprehensive Midwifery Care in Very High-Risk Pregnancy with Hyperemesis Gravidarum Febriarti Putri Primanti Cahyaningtyas; Triana Septianti Purwanto; Sunarto Sunarto
Aloha International Journal of Health Advancement (AIJHA) Vol 7, No 9 (2026): September 2026 (In Production)
Publisher : Alliance oh Health Activists (AloHA)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/%x

Abstract

Introduction: Hyperemesis gravidarum (HEG) is a multifactorial condition that may be aggravated by high-risk pregnancy factors such as advanced maternal age, grand multiparity, short interpregnancy interval, and history of cesarean section or intrauterine fetal death (IUFD). Methods: This descriptive case report was conducted from January 27 to February 9, 2026, at Puskesmas P, Parang District, Magetan Regency, Indonesia, involving a 37-year-old grandemultigravida (G5P4A0H3) with a KSPR score of 22. Data collection applied the SOAP approach with observation sheets, PUQE scoring, weight monitoring, and blood pressure measurement. Results: Clinical findings included recurrent nausea and vomiting, reduced nutritional intake, 7.14% weight loss, dehydration, and hemoconcentration, with an initial PUQE score of 12 (moderate). After intravenous rehydration, antiemetic therapy, nutritional counseling, and psychological support, progressive improvement was observed with PUQE scores decreasing to 3, cessation of vomiting, improved intake, and weight gain to 53 kg. Discussion: The case highlights the multifactorial nature of HEG and demonstrates that effective management requires a dynamic approach, shifting from acute treatment of dehydration and nutritional deficits to ongoing surveillance of very high-risk pregnancy, prevention of complications, and preparation for safe delivery. Conclusion: Comprehensive midwifery care integrating medical collaboration, supportive interventions, and continuous monitoring proved effective in resolving HEG and optimizing maternal and fetal outcomes, while antenatal surveillance remained essential due to the persistently high-risk profile. Keywords: Pregnancy, very high risk, hyperemesis gravidarum.
Co-Authors Agung Suharto Astin Nur Hanifah Astuti Setiyani, Astuti Esyuananik Fauzia Prima Hadianita Febriarti Putri Primanti Cahyaningtyas Milkah Ummi Nur Fadlilah Rahayu Sumaningsih Refiola Priska Talia Rheinanda Inez Syagita Cinantya Shela Putri Sulikah Sulikah Sunarto Sunarto Tatarini Ika Pipitcahyani