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Analysis of Health Belief Model Factors on Parental Participation in Posyandu After Complete Basic Immunization Agustiningrum, Rita; Rinata, Evi
Jurnal Kebidanan Midwiferia Vol. 11 No. 1 (2025): April
Publisher : Universitas Muhammadiyah Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21070/midwiferia.v11i1.1716

Abstract

The low level of parental visits to Posyandu in Pasuruan Regency is a concern, where the coverage of complete basic immunization has only reached 53.72% in 2023. The most visits occurred in infants aged 0-6 months, but decreased significantly after that age. The Health Belief Model (HBM) was used to understand the factors that influence participation, including perceptions of vulnerability, severity, benefits, perceived barriers, cues to action, and self-efficacy. Objective: to analyze relationships implementing HBM on parental participation in Posyandu after toddlers have completed complete basic immunization. This study is an analytical study with a cross-sectional design. A sample of 61 toddlers aged 1-5 years, the sampling technique used a purposive sampling technique. Data were collected through questionnaires that had been tested for validity and reliability. Data analysis used the Spearman's rho test. The results of the analysis showed that only perceptions of benefits had a significant relationship with parental participation in Posyandu after complete basic immunization (p = 0.027; r = 0.283). Other variables such as perceived susceptibility (p = 0.198; r = 0.167), perceived severity (p = 0.849; r = -0.013), perceived barriers (p = 0.082; r = -0.243), cues to action (p = 0.062; r = 0.252), and self-efficacy (p = 0.130; r = 0.205) did not show significant relationships (p > 0.05). Perceived benefits play an important role in increasing parental participation in Posyandu after complete basic immunization. The HBM approach can strengthen these perceptions to increase visits.
Prediction instrument for obstructed labor Rosyidah, Rafhani; Azizah, Nurul; Rinata, Evi
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 13, No 2 (2025)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2025.13(2).226-237

Abstract

Background: Obstructed labor is a complication during childbirth that can increase maternal and neonatal mortality and morbidity, making early detection crucial for prevention. However, currently, no instrument is available to predict the occurrence of obstructed labor.Objectives: This study aims to develop an effective prediction instrument for the early identification of obstructed labor, enabling timely interventions to reduce associated risks. Methods: The study employs a case-control design for the development of the instrument and a cohort design for its testing. The research is conducted in three phases: Phase I involves a literature review to identify risk factors, Phase II focuses on the initial testing of the instrument, and Phase III includes the validation of the instrument in a clinical setting. The study population consists of 360 women in labor for instrument development and 40 women for instrument testing. Bivariate analysis is conducted using chi-square tests, while multivariate analysis is performed using logistic regression, followed by ROC curve analysis to determine the optimal cutoff point. Results: The results indicate significant associations between obstructed labor and factors such as infant birth weight, maternal height, age, obesity, upper arm circumference, anemia, history of abdominal surgery, and weight gain during pregnancy. The final predictive model demonstrated an AUC of 0.908, indicating excellent predictive performance with a sensitivity of 85.7% and specificity of 80.8%. Conclusions: This study highlights the importance of early risk detection and intervention and contributes to the literature by providing an instrument capable of predicting the risk of obstructed labor.
Education for Pregnant Women with Malocclusion in Their First, Second, and Third Trimesters Regarding the Risk of Gingivitis and Periodontitis: Edukasi Ibu Hamil dengan Maloklusi Pada Usia Produktif Trimester Satu Dua dan Tiga Terhadap Risiko Gingivitis dan Periodontitis Muntadir, Lila; Rinata, Evi; Azhari, Tontowi; Puspitasari, Dini Ayu; Tsabita, Nabila Fatya
Indonesian Journal of Cultural and Community Development Vol. 16 No. 2 (2025): June
Publisher : Universitas Muhammadiyah Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21070/ijccd.v16i2.1223

Abstract

Background: During pregnancy, physiological hormonal changes increase inflammatory responses, particularly in gingival tissue, making gingivitis and periodontitis more likely to occur, which can lead to pregnancy complications such as premature birth and low birth weight. This risk is even higher in pregnant women with malocclusion, especially during the first, second, and third trimesters. Therefore, appropriate and continuous education is crucial for pregnant women with malocclusion to enhance awareness of oral hygiene and health, as well as early detection during pregnancy. Objective: To implement preventive educational efforts targeting the risk of gingivitis and periodontitis among pregnant women with malocclusion who visit the Sedati Sidoarjo Health Centre, regardless of whether they are undergoing orthodontic treatment or not. Method: Interactive education and question-and-answer sessions based on extraoral and intraoral photographs and oral cavity examinations were conducted on 51 pregnant women who came for check-ups at the KIA clinic. All of the pregnant women had malocclusion, and 10 of them wore braces. The examination was conducted to assess the condition of the gums, teeth, and periodontal tissues. Results: The pregnant women enthusiastically participated in the activity, becoming familiar with the terms gingivitis, periodontitis, and malocclusion, and understanding the importance of maintaining oral hygiene, especially during pregnancy. The examination results showed that dental plaque (86.27%) and red gums (54.9%) were most prevalent among women aged 20–35 years and in the second and third trimesters. Conclusion: Interactive education combined with extraoral and intraoral examinations is highly effective in improving oral health during pregnancy and serves as an early detection method for gingivitis, periodontitis, and malocclusion. Most pregnant women with malocclusion in their reproductive years experienced gingivitis, and some also had periodontitis. Highlights: Hormonal changes increase gingivitis and periodontitis risk during pregnancy. Malocclusion worsens oral health issues, especially in the 2nd and 3rd trimesters. Interactive education and examinations improve awareness and early detection. Keywords: reproductive age of pregnant women, trimester of pregnancy, gingivitis, periodontitis in pregnant women, malocclusion in pregnant women
Anxiety Levels and Emesis Gravidarum Severity in Pregnant Women: Tingkat Kecemasan dan Derajat Keparahan Mual Hamil pada Wanita Hamil Putri, Arizki Amalia; Cholifah , Siti; Widowati, Hesty; Rinata, Evi
Indonesian Journal on Health Science and Medicine Vol. 2 No. 2 (2025): Oktober
Publisher : Universitas Muhammadiyah Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21070/ijhsm.v2i2.215

Abstract

Abstract — General Background: Emesis gravidarum is one of the most common early pregnancy symptoms, influenced by hormonal, psychosocial, nutritional, and maternal factors. Specific Background: Psychological distress, particularly anxiety, is believed to exacerbate nausea and vomiting during pregnancy, but evidence in the Indonesian context remains limited. Knowledge Gap: Previous studies have not sufficiently explored the association between maternal anxiety and the severity of emesis gravidarum in first-trimester pregnancies using validated tools. Aims: This study aimed to examine the relationship between maternal anxiety levels and the severity of emesis gravidarum. Results: An analytic survey with a cross-sectional design was conducted among 30 first-trimester pregnant women selected by quota sampling. Data were collected using the Depression Anxiety Stress Scale (DASS) and PUQE-24 questionnaire. Fisher’s Exact Test revealed a significant association (p = 0.006 < α = 0.05) between maternal anxiety levels and emesis gravidarum severity. Novelty: This study provides empirical evidence on the role of psychological status, particularly anxiety, in influencing emesis gravidarum symptoms among Indonesian primigravida. Implications: The findings suggest the importance of early screening and anxiety management interventions by healthcare providers to prevent worsening conditions such as hyperemesis gravidarum. Highlights: Anxiety severity is significantly linked to emesis gravidarum levels. Primigravida mothers are more vulnerable to moderate nausea and vomiting. Early anxiety management may reduce the risk of hyperemesis gravidarum. Keywords: Emesis Gravidarum, Anxiety, DASS, PUQE-24, Pregnancy
The Relationship of Gravida, Gestational Age, and Education with Gingivitis and Periodontitis in Pregnant Women with Malocclusion Muntadir, Lila; Rinata, Evi; Ashari, Tontowi; Setyawardana, Eka; Puspitasari, Dini Ayu; Tsabita, Nabila Fatya
Cakradonya Dental Journal Vol 17, No 2 (2025): Agustus 2025
Publisher : FKG Universitas Syiah Kuala

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24815/cdj.v17i2.47872

Abstract

Hormonal changes, number of pregnancies (gravida), gestational age, education level, and the presence of malocclusionespecially if accompanied by the use of bracescan increase the risk of gingivitis and periodontitis in pregnant women. This study aims to analyze the relationship between gravida, gestational age, and education level on the incidence of gingivitis in pregnant women with malocclusion. The study involved 51 pregnant women who met the inclusion criteria and provided consent by signing an informed consent form. Interviews and oral screenings were conducted, and the data were analyzed using the Chi-squared test. The results of this study found that the number of pregnancies (gravida) had a significant relationship with the incidence of gingivitis (p = 0.024) and dental caries (p = 0.029). Gestational age showed a significant relationship with the incidence of periodontitis (p = 0.003) and dental caries (p = 0.020). Meanwhile, educational level did not show a significant relationship with gingivitis or periodontitis, but was significantly associated with dental caries (p = 0.050). It is concluded that there is a significant relationship between gravida, gestational and education level with dental caries in pregnant women with malocclusion. Gestational age is significantly associated with periodontitis, and gravida is significantly associated with gingivitis.
Maternal Anemia, Nutrition, and Pregnancy Spacing as Determinants of Stunting: Anemia pada Ibu Hamil, Gizi, dan Jarak Antarkehamilan sebagai Faktor Penentu Stunting Khasanah, Nur Riska Alfiyah; Azizah, Nurul; Rinata, Evi; Purwanti, Yanik
Indonesian Journal on Health Science and Medicine Vol. 2 No. 2 (2025): Oktober
Publisher : Universitas Muhammadiyah Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21070/ijhsm.v2i2.283

Abstract

General Background: Stunting remains a major public health concern, particularly in Indonesia, where nutritional deficiencies and maternal conditions contribute significantly to its prevalence. Specific Background: Maternal anemia, chronic energy deficiency, and short pregnancy spacing are identified as major maternal factors influencing childhood stunting. Knowledge Gap: However, the combined role of these maternal factors in determining stunting among toddlers is still underexplored in regional contexts. Aims: This study aims to analyze the association between maternal anemia, nutritional status, and pregnancy spacing with stunting incidence among toddlers in Jabon Community Health Center. Results: A cross-sectional design involving 96 toddlers aged 24–59 months revealed significant associations through chi-square tests (p=0.000 for all variables). Logistic regression showed maternal anemia (p=0.000; OR=244.6) and short pregnancy spacing (p=0.003; OR=17.5) as strong predictors of stunting, while nutritional status showed no significant effect (p=0.107). Novelty: The study highlights anemia during pregnancy as the most dominant determinant, with a risk 244 times higher for producing stunted children. Implications: These findings emphasize the importance of anemia prevention and reproductive health education as key interventions to reduce stunting prevalence, suggesting that early maternal care and optimal pregnancy spacing should be prioritized in public health programs. Highlights: Maternal anemia is the strongest determinant of stunting Short pregnancy spacing significantly increases stunting risk Nutritional status showed no significant multivariate effect Keywords: Maternal Anemia, Pregnancy Spacing, Nutritional Status, Toddlers, Stunting
Korelasi Antara Kadar C-Reactive Protein dengan Procalcitonin Pada Pasien Terkonfirmasi Covid-19 Puspitasari, P; Aliviameita, Andika; Rinata, Evi; Salim, Siti Zaenab
Prosiding University Research Colloquium Proceeding of The 13th University Research Colloquium 2021: Kesehatan dan MIPA
Publisher : Konsorsium Lembaga Penelitian dan Pengabdian kepada Masyarakat Perguruan Tinggi Muhammadiyah 'Aisyiyah (PTMA) Koordinator Wilayah Jawa Tengah - DIY

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Covid-19 merupakan penyakit baru di tahun 2019 yang saat ini menjadi pandemi. C-Reactive Protein (CRP) dan procalcitonin merupakan beberapa penanda inflamasi akut dan meningkat pada kelompok pasien Covid-19 yang meninggal. Penelitian ini bertujuan untuk mengetahui korelasi antara hasil pemeriksaan CRP dengan Procalcitonin pada pasien terkonfirmasi Covid-19. Desain penelitian yang digunakan yaitu cross sectional. Sampel sebanyak 50 diambil dengan teknik purposive random sampling. Data yang digunakan merupakan data sekunder hasil pemeriksaan CRP dan Procalcitonin metode Rate Scattering Turbidimetric pada pasien terkonfirmasi Covid-19 yang dirawat di Rumah Sakit Aisyiyah Siti Fatimah Tulangan Sidoarjo pada bulan November 2020- Januari 2021. Data dianalisis menggunakan uji statistik korelasi spearman dan didapatkan hasil yaitu terdapat korelasi CRP dengan Procalcitonin (p value=0,005, r= 0,393). Kesimpulan dari penelitian adalah terdapat korelasi yang cukup antara kadar CRP dengan procalcitonin pada pasien terkonfirmasi Covid-19 dan signifikan secara statistik.
HUBUNGAN PEMENUHAN KEBUTUHAN DASAR ANAK OLEH KELUARGA TERHADAP PERTUMBUHAN DAN PERKEMBANGAN ANAK BALITA Kartikasari, Dwi Ajeng; Rinata, Evi; Widowati, Hesti; Hidayanti, Henny
Jambura Journal of Health Sciences and Research Vol 6, No 4 (2024): OKTOBER: JAMBURA JOURNAL OF HEALTH SCIENCES AND RESEARCH
Publisher : Universitas Negeri Gorontalo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35971/jjhsr.v6i4.26994

Abstract

Pemenuhan kebutuhan dasar anak usia 1-5 tahun memiliki peranan penting dalam masa pertumbuhan dan perkembangannya. Angka gangguan/keterlambatan terhadap balita mungkin disebabkan oleh ketidakmampuan keluarga (Ibu) dalam memenuhi kebutuhan dasar anak. Keluarga (ibu) dapat melakukan pemantauan perkembangan dan pertumbuhan anak lewat buku KIA. Namun pemanfaatan buku KIA di Indonesia masih belum optimal. Kebaruan dalam penelitian ini karena menganalisis hubungan antara dasar anak oleh keluarga terhadap pertumbuhan dan perkembangan balita. Tujuan penelitian untuk menganalisis bagaimana tumbuh kembang anak usia satu hingga lima tahun berhubungan dengan kebutuhan dasar oleh keluarga. Penelitian ini menggunakan desain penelitian cross-sectional, jenis penelitian kuantitatif, dan desain penelitian observasional. Sampel dalam penelitian berjumlah 80 sampel di Desa Plumbungan, semuanya memenuhi syarat penelitian. Simple random sampling adalah metode yang digunakan untuk pengambilan sampel. Alat penelitiannya antara lain KMS dan KPSP serta kuesioner. Uji statistik menggunakan Spearman rank yaitu kebutuhan dasar Asuh mempunyai nilai pertumbuhan P=0,000, P=0,001 untuk Asih, dan P=0,000 untuk Asah. Kebutuhan pokok Asuh mempunyai nilai perkembangan P=0,000 untuk Asih, P=0,000 untuk Asah, dan P=0,000 untuk Asuh. Hasil dari penelitian mengenai pemenuhan kebutuhan dasar keluarga (ibu), menunjukkan adanya hubungan antara tumbuh kembang balita karena P-value ≤ 0,05. Kesimpulan penelitian bahwa adanya hubungan antara pemenuhan kebutuhan dasar oleh ibu terhadap pertumbuhan dan perkembangan anak. Kategori sedang/cukup mewakili nilai koefisien korelasi antara pola asuh orang tua dengan perkembangan dan balita.
Midwifery Care for Pregnant Women with Discomfort of Leucorrhoea in Maternity Hospital: Asuhan Kebidanan pada Ibu Hamil dengan Ketidaknyamanan Keputihan di Rumah Sakit Bersalin Fitriani, Dwi Ayu; Rinata, Evi
Indonesian Journal of Innovation Studies Vol. 10 (2020): April
Publisher : Universitas Muhammadiyah Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (968.189 KB) | DOI: 10.21070/ijins.v10i.499

Abstract

Pregnancy is the process of fertilization of sperm and ovum that occurs in the fallopian tube. In the third trimester of pregnancy there are various kinds of physiological discomfort, one of which is vaginal discharge. Vaginal discharge is the discharge of mucus from the vagina. Based on data in Indonesia in 2020 there are 25-40% of women who experience vaginal discharge during pregnancy. The purpose of this case study is to determine midwifery care for pregnant women with vaginal discharge discomfort. The case study method used is the observational method. This case study was conducted at PMB Hj. Nafsul Muslichah Magersari Sidoarjo, from 30 December 2019 to 2 February 2020. The process of midwifery care is carried out in a Continuity of Care (CoC) manner and the vaginal discharge experienced by the mother is physiological. And the results obtained from the data collection did not find any gaps with the theory.
Education on periodontitis prevention in pregnant women with and without orthodontic brackets [Edukasi pencegahan periodontitis pada ibu hamil pengguna bracket ortodonti dan non-bracket] Muntadir, Lila; Rinata, Evi; Ashari, Tontowi; Setyawardana, Eka; Puspitasari, Dini Ayu; Tsabita, Nabila Fatya
Buletin Pengabdian Vol 5, No 3 (2025): Bull. Community. Serv.
Publisher : Universitas Syiah Kuala

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24815/bulpen.v5i3.47768

Abstract

The risk of periodontitis is greater in pregnant women with malocclusion, especially if they use fixed orthodontic appliances (brackets) because it is difficult to maintain oral hygiene. Untreated periodontal infection can trigger systemic inflammation and the production of pro-inflammatory cytokines, which have an impact on uterine contractions and fetal growth, and increase the risk of premature birth and low birth weight (LBW). The purpose of this community services is to carry out preventive educational efforts on the risk of periodontitis in pregnant women with malocclusion at the Sedati Health Center, both those undergoing orthodontic treatment and those not. This community services method is through interactive education, clinical examinations and facial profile photos, oral cavity to 51 pregnant women with malocclusion who undergo routine examinations at the Sedati Health Center. Interactive education by providing question and answer sheets, clinical examinations including gingival sulcus, gingival recession, periodontal exudate, tartar, tooth mobility and taking photos of the face and oral cavity profile. Result, all pregnant women do not understand periodontitis and its risks, pregnant women who use brackets have a higher percentage of pus/periodontal exudate indicators (10%) and loose teeth (30%) compared to those who do not use brackets. Pregnant women without brackets show a higher prevalence of gingival recession (19.5%) and tartar (97.6%). Conclusion, preventive education is needed comprehensively for pregnant women with malocclusion, both those who use brackets and those who do not, in order to reduce the risk of periodontitis which can have an impact on pregnancy complications.
Co-Authors Agmar, Alfisyar Agus Muji Santoso Agus Salim Agus Syahrani Agus Syahrani Agustiningrum, Rita Aini, Latifatul Alia Bihrajihant Raya Alia Bihrajihant Raya Anang Wahid M.Diah Andayani, Gita Ayu Andayani, Gita Ayu Andika Aliviameita Anggraeni Dyah S Anggraeni Dyah Sulistiowati Anggraini, Sekarlita Normaulida Arifin Dwi Saputro Azhari, Tontowi Azizah, Nurul Bachtiar, Willy Baso, Siti Nur Azizah Sucitra Cholifah , Siti Dewi Izzatus Tsamroh Dewi Komala Sari Dian Delta Dina Trikumalasari Dira Nadila Effy Wardati Maryam Finda Meyditia Finda Meyditia Fitriani, Dwi Ayu Hamdi, Hafmi Putri Syahilda Hendy Setiawan Hendy Setiawan Henny hidayanti Herlina, Lien Hesti Widowati Iflahah, Dini Ika Ratna Indra Astutik Indahyanti , Uce Isna Fitria Agustina Istiqomah , Dani Kartikasari, Dwi Ajeng Khasanah, Nur Riska Alfiyah Livia Nur Azzah M. Suryawinata M. Suryawinata Miftahul Mushlih Muntadir, Lila Nanang Wahyudin Nanang Wahyudin Normaulida Anggraini, sekarlita NURUL AZIZAH Okky Elvira Novianti p Puspitasari, p Paramitha Amelia Kusumawardani Pardede, Akim Manaor Hara Prigi Dewi Gita Aristanti Pungzup, Saowaros Puspitasari Puspitasari Puspitasari Puspitasari Puspitasari, Dini Ayu Putri Anjar Sari Putri Anjar Sari Putri, Arizki Amalia Qilmia Fanani Rafhani Rosyidah Rafhani Rosyidah rima siburian Rohman Dijaya Ronny Lesmana Rosyidah, Rafhani Rusdyati, Tutik Saidah, Sukma Nur Salim, Siti Zaenab Sari, Dwi Siska Mayang Sari, Putri Anjar Setyawardana, Eka Siska Aprilia Siti Zaenab Salim Soekarno, Krisjayanti Sri Mukhodim Faridah Hanum Tontowi Ashari Tsabita, Nabila Fatya Tutik Rusdyati Widowati, Hesti Widowati, Hesty Widya Nurfadillah Widyarini Susilo Putri Willy Bachtiar Yanik Purwanti Yanik Purwanti Yanuar Dwi Prastyo Yasmin, Rizka Afifah Yonika