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Titin Martini
Midwifery Study Program, Faculty of Health Sciences, Universitas Muhammadiyah Tangerang, Indonesia
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health Veterinary

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The Implementation of Mind–Body Therapy–Based Complementary Midwifery Care on Reproductive Well-Being among Women of Reproductive Age Hikmah Hikmah; Eka Mardiana Afrilia; Titin Martini
Media of Health Research Vol. 4 No. 3 (2026): Media of Health Research, August 2026
Publisher : Lembaga Publikasi Ilmiah Nusantara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70716/mohr.v4i3.644

Abstract

Reproductive well-being is influenced not only by physiological factors but also by psychological conditions such as stress and emotional imbalance. Mind–body therapy has emerged as a complementary approach that may enhance psychological regulation and overall well-being. This study aimed to examine the effect of mind–body therapy–based complementary midwifery care on reproductive well-being among women of reproductive age. Methods: A quasi-experimental study with a one-group pretest–posttest design was conducted among 30 women aged 15–49 years, selected through purposive sampling. The intervention consisted of four weekly sessions of breathing exercises, mindfulness meditation, and progressive relaxation. Reproductive well-being was measured with a structured questionnaire before and after the intervention and analyzed using a paired-sample t-test (α = 0.05). Results: The mean reproductive well-being score increased from 58.93 to 77.43 after the intervention. A paired-sample t-test showed a statistically significant improvement (t(29) = -29.970, p < 0.001, 95% CI [-19.762, -17.238]), with a very large effect size (Cohen’s d = 5.47). Conclusion: Mind–body therapy–based complementary midwifery care significantly improved reproductive well-being among women of reproductive age and may serve as a valuable, non-pharmacological strategy for holistic, patient-centered reproductive health services.
Complementary and Integrated Nutritional Interventions in Midwifery Care for Adolescent Reproductive and Respiratory Health in Urban Communities: A Systematic Literature Review Titin Martini; Hikmah Hikmah; Eka Mardiana Afrilia
Media of Health Research Vol. 4 No. 3 (2026): Media of Health Research, August 2026
Publisher : Lembaga Publikasi Ilmiah Nusantara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70716/mohr.v4i3.645

Abstract

Urban adolescents and women of reproductive age continue to experience interconnected nutritional, reproductive, and respiratory health challenges, particularly in low- and middle-income countries. This systematic review aimed to synthesize recent evidence on complementary and integrated nutritional interventions within midwifery care to improve reproductive and respiratory health outcomes among urban adolescents. Following PRISMA 2020 guidelines, we conducted a systematic search in Scopus and supplemented it with manual reference screening for studies published between 2017 and 2025. Eligible studies included peer-reviewed English-language articles involving adolescents or women of reproductive age in urban settings. A total of 24 studies met the inclusion criteria. Four key themes emerged: anemia and nutritional deficiencies, reproductive health knowledge and access, respiratory health and environmental risks, and systemic barriers to healthcare services. The findings revealed persistent issues related to anemia, malnutrition, menstrual health, and limited reproductive health knowledge, while environmental exposures and unhealthy lifestyles contributed to poor respiratory outcomes. Socioeconomic inequality and restricted healthcare access further exacerbated these challenges. The review highlights the importance of integrated, community-based nutritional interventions within midwifery services to support better health outcomes and reduce urban health disparities.
Integrating Acupressure and Nutritional Support Within a Positive Youth Development-Based Midwifery Model to Improve Reproductive Health Among Young Women Eka Mardiana Afrilia; Titin Martini; Hikmah Hikmah
Media of Health Research Vol. 4 No. 3 (2026): Media of Health Research, August 2026
Publisher : Lembaga Publikasi Ilmiah Nusantara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70716/mohr.v4i3.628

Abstract

Reproductive health among young women is influenced by physical, nutritional, and psychosocial factors; however, most interventions address these aspects separately. This study aimed to evaluate the effectiveness of integrating acupressure and nutritional support within a Positive Youth Development (PYD)-based midwifery care model to improve reproductive health among young women. This study employed a quasi-experimental design with a pretest–posttest control group approach. A total of 60 young women aged 15–24 years were selected using purposive sampling and assigned to intervention and control groups. Data were collected using a validated and reliable questionnaire, and the intervention was conducted over six weeks. Statistical analysis was performed using paired-sample t-tests and independent-samples t-tests. The results showed that the mean reproductive health score in the intervention group increased from 60.27 to 82.30, whereas the control group increased from 58.43 to 65.50. A statistically significant difference was observed between the two groups (p = 0.000), indicating that the integrated intervention was more effective than standard reproductive health education. These findings suggest that a midwifery care model integrating acupressure, nutritional support, and Positive Youth Development effectively improves reproductive health among young women. This approach offers a holistic, youth-friendly strategy that may be incorporated into reproductive health promotion and preventive care programs.
Co-Authors Eka Mardiana Afrilia Hikmah Hikmah