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All Journal Journal of Preventive Health and Behavioral Science
Nila Widya Keswara
Institut Teknologi Sains dan Kesehatan Rumah Sakit dr. Soepraoen

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The Effect of the Hypno-Breathing Relaxation Technique on the Intensity of Labor Pain During the First Stage of Labor in Women in Labor Afriyanti Ibrahim; Nila Widya Keswara
Journal of Preventive Health and Behavioral Science Vol. 2 No. 1 (2026): January : Journal of Preventive Health and Behavioral Science
Publisher : CV.MEDINSIGHT PUBLISHING

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Abstract

Labor is a physiological process that is generally accompanied by pain, especially during the first stage; if not properly managed, this pain can increase the mother’s stress, prolong the labor process, and affect the condition of both the mother and the fetus. One nonpharmacological method that can be used to reduce labor pain is the hypno-breathing relaxation technique. This study aimed to analyze the effect of the hypno-breathing relaxation technique on the intensity of labor pain during the first stage in laboring women. The study used a pre-experimental design with a one-group pretest-posttest approach. The study sample consisted of 30 women in the first stage of labor, selected using total sampling. Pain intensity was measured using the Numeric Rating Scale (NRS) before and after the intervention, then analyzed using the Wilcoxon Signed-Rank Test with a 95% significance level. The results showed that before the intervention, 96.7% of the participants experienced severe pain (scale 7–9). After receiving the hypno-breathing technique, all participants experienced a reduction in pain intensity to the mild to moderate category (scale 3–6). The results of the Wilcoxon test showed a significant effect of the hypno-breathing relaxation technique on pain intensity during the first stage of labor (p=0.000). These findings indicate that the hypno-breathing technique is an effective, safe, and easy-to-apply nonpharmacological intervention to help reduce labor pain and improve maternal comfort during the labor process.
The Relationship Between Pregnant Women’s Knowledge of Pregnancy Warning Signs and Their Use of Maternal and Child Health (MCH) Booklets at the Pasi Barat Community Health Center Amelia Kartika Lolung; Nila Widya Keswara
Journal of Preventive Health and Behavioral Science Vol. 2 No. 1 (2026): January : Journal of Preventive Health and Behavioral Science
Publisher : CV.MEDINSIGHT PUBLISHING

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Pregnancy is a physiological process that still carries the risk of complications; therefore, pregnant women need to have a good understanding of the warning signs of pregnancy. One educational tool used to improve this knowledge is the Maternal and Child Health Handbook (KIA Handbook). This study aims to analyze the relationship between pregnant women’s knowledge of pregnancy warning signs and their use of the KIA Handbook at the Pasi Barat Community Health Center. The study employed an analytical observational design with a cross-sectional approach. The sample consisted of 20 pregnant women selected using total sampling. Data were collected via a questionnaire and analyzed using univariate and bivariate analyses, including the Spearman’s Rho test. The results showed that the majority of respondents had “adequate” knowledge (55.0%) and “inadequate” utilization of the KIA Book (60.0%). Bivariate analysis revealed a significant and strong relationship between pregnant women’s knowledge of pregnancy danger signs and their utilization of the KIA Book (p=0.000; r=0.732). The better the knowledge of pregnant women, the more optimal the use of the KIA Book as a health education tool. These findings highlight the importance of improving education on danger signs of pregnancy and optimizing the use of the KIA Book in antenatal care to support the early detection of complications and improve the health of mothers and fetuses.
The Effectiveness of Oxytocin Massage and Breast Care in Increasing Breast Milk Production in Postpartum Mothers at the Konaro Community Health Center Angreini Giovana Lombu; Nila Widya Keswara
Journal of Preventive Health and Behavioral Science Vol. 2 No. 1 (2026): January : Journal of Preventive Health and Behavioral Science
Publisher : CV.MEDINSIGHT PUBLISHING

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Suboptimal breast milk production during the postpartum period is one of the causes of low rates of exclusive breastfeeding. Various nonpharmacological interventions have been developed to increase breast milk production, one of which involves a combination of oxytocin massage and breast care. This study aimed to analyze the effectiveness of a combination of oxytocin massage and breast care in increasing breast milk production among postpartum mothers at the Konaro Community Health Center. The study employed a quantitative approach with a pre-experimental design using a one-group pretest–posttest design. The study sample consisted of 25 postpartum mothers selected using total sampling. Breast milk production was measured based on breast milk volume before and after the intervention. Data analysis included the Shapiro–Wilk normality test and a paired t-test with a 95% significance level. The results showed that the average breast milk production volume increased from 34.00 ± 11.71 mL before the intervention to 106.52 ± 34.13 mL after the intervention, with an average increase of 72.52 mL. The results of the paired t-test showed a statistically significant increase in breast milk production following the combination of oxytocin massage and breast care (p=0.000). The combination of these two interventions is effective in increasing breast milk production and has the potential to become a safe, easy-to-implement, and nonpharmacological intervention that can be integrated into midwifery care to support the success of exclusive breastfeeding among postpartum mothers.  
The Effect of Ginger Drink on Reducing Morning Sickness in First-Trimester Pregnant Women at the Mopuya Community Health Center Nila Widya Keswara; Ayu Sinta Bella
Journal of Preventive Health and Behavioral Science Vol. 2 No. 1 (2026): January : Journal of Preventive Health and Behavioral Science
Publisher : CV.MEDINSIGHT PUBLISHING

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Morning sickness is a common complaint experienced by pregnant women in the first trimester due to hormonal changes during pregnancy. Although generally physiological in nature, this condition can interfere with nutritional intake, daily activities, and quality of life if not properly managed. One complementary therapy considered safe and easy to implement is the administration of ginger drinks. This study aimed to analyze the effect of ginger drink administration on reducing morning sickness in first-trimester pregnant women at the Mopuya Community Health Center. The study used a pre-experimental design with a one-group pretest-posttest design. The study sample consisted of 21 first-trimester pregnant women selected using total sampling. The severity of morning sickness was measured using the Pregnancy-Unique Quantification of Emesis and Nausea (PUQE) instrument before and after the intervention. Data analysis was performed using univariate and bivariate methods, specifically the Wilcoxon Signed-Rank test, with a 95% confidence level. The results showed that the mean PUQE score decreased from 8.00 ± 1.18 before the intervention to 3.38 ± 1.32 after the intervention. The Wilcoxon test results indicated that the administration of ginger drink had a significant effect on reducing morning sickness (p = 0.000). Thus, ginger drinks can serve as an effective, safe, and easily implemented nonpharmacological complementary therapy in antenatal care to help reduce nausea and vomiting in first-trimester pregnant women and improve their comfort during pregnancy.  
The Effect of Red Spinach Consumption on Hb Levels in Pregnant Women with Anemia at Budi Satia Langoan General Hospital Beiby Prinzessa Mukuan; Nila Widya Keswara
Journal of Preventive Health and Behavioral Science Vol. 2 No. 1 (2026): January : Journal of Preventive Health and Behavioral Science
Publisher : CV.MEDINSIGHT PUBLISHING

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Abstract

Anemia during pregnancy remains a health issue that increases the risk of complications for both the mother and the fetus. In addition to iron supplement tablets, the consumption of local iron-rich foods, such as red spinach (Amaranthus tricolor), has the potential to serve as a complementary intervention to increase hemoglobin (Hb) levels. This study aimed to analyze the effect of red amaranth consumption on Hb levels in pregnant women with anemia at Budi Satia Langowan General Hospital. The study employed a pre-experimental design with a one-group pretest–posttest approach. The sample consisted of 30 pregnant women with anemia selected using total sampling. Hb levels were measured before and after the intervention, which consisted of consuming 100 grams of red spinach daily for one week. Data were analyzed univariately and bivariately using the Wilcoxon Signed-Rank test. The results showed an increase in the mean Hb level from 10.23 g/dL before the intervention to 11.38 g/dL after the intervention. Statistical analysis indicated a significant effect of red spinach consumption on the increase in Hb levels in pregnant women with anemia (p=0.000). These findings suggest that red spinach has the potential to serve as an effective, locally sourced dietary intervention to complement iron supplement tablets. The use of red spinach may be considered in nutrition education during antenatal care to support the prevention and management of anemia during pregnancy.
A Comparative Study: The Influence of Prenatal Exercise Frequency on Normal Vaginal Delivery among Parturient Mothers at  IBUNDA Maternity Clinic Conny Felma Gonibala; Nila Widya Keswara
Journal of Preventive Health and Behavioral Science Vol. 2 No. 2 (2026): July : Journal of Preventive Health and Behavioral Science
Publisher : CV.MEDINSIGHT PUBLISHING

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Background: The rise in operative obstetric interventions during delivery is frequently triggered by prolonged labor or uterine dystocia caused by inadequate maternal physical endurance. Although structured prenatal exercise conditions the birth canal, empirical evidence regarding the dose-response relationship of cumulative sessions in primary care settings remains limited.  Objective: To analyze the influence of cumulative prenatal exercise frequency on achieving normal vaginal delivery among delivering mothers at the Ibunda Maternity Clinic.  Methodology: This analytical cross-sectional study involved 40 delivering mothers (N = 40) from May to June 2026, recruited via consecutive sampling. Inclusion criteria comprised single live fetuses under ideal baseline obstetric conditions (92.5% vertex presentation, normal birth weight) to minimize confounding factors. Since the exercise frequency data were non-normally distributed according to the Shapiro-Wilk test (p = 0.000), bivariate analysis utilized the non-parametric Mann-Whitney U test (alpha = 0.05) to compare the normal vaginal delivery group (n = 33) and the assisted/SC group (n = 7).  Results and Discussion: Respondents attended prenatal exercise within a range of 2–24 sessions, with a mean of 11.70 \pm 6.82 sessions. The Mann-Whitney U test revealed a statistically significant difference in exercise frequency between the two delivery outcome groups (U = 20.000; Z = -3.439; p = 0.001). The normal delivery group exhibited a significantly higher Mean Rank (23.39) compared to the assisted/SC group (6.86). Physiologically and psychologically, a higher frequency of physical training enhances pelvic joint flexibility and suppresses stress hormones, thereby mitigating maternal exhaustion during the second stage of labor.  Conclusion: There is a statistically significant difference in prenatal exercise frequency based on delivery outcomes. Regular and repetitive participation in prenatal exercise significantly improves the likelihood of achieving a normal spontaneous vaginal delivery.
The Effectiveness of Papaya in Increasing Breast Milk Production in Breastfeeding Mothers at the Maelang Community Health Center Etwinda Sumaga; Nila Widya Keswara
Journal of Preventive Health and Behavioral Science Vol. 2 No. 2 (2026): July : Journal of Preventive Health and Behavioral Science
Publisher : CV.MEDINSIGHT PUBLISHING

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Abstract

Suboptimal breast milk production remains one of the obstacles to successful exclusive breastfeeding. Various efforts have been made to increase breast milk production, one of which is through the use of papaya as a readily available and nutrient-rich natural galactagogue. This study aimed to analyze the effectiveness of papaya consumption on increasing breast milk production among breastfeeding mothers at the Maelang Community Health Center. The study used a pre-experimental design with a one-group pretest–posttest approach. The sample consisted of 30 breastfeeding mothers selected using total sampling. Breast milk production was assessed based on breast milk volume, breastfeeding frequency, breastfeeding duration, and the infant’s urination frequency before and after papaya consumption over a seven-day period. Data analysis was performed using the Wilcoxon test with a significance level of p < 0.05. The results showed that the average breast milk volume increased from 163.00 mL to 310.00 mL after the intervention, accompanied by an increase in breastfeeding frequency and duration as well as the frequency of the infants’ urination. The Wilcoxon test indicated a significant effect of papaya administration on increased breast milk production (p=0.000). It was concluded that papaya is effective as a complementary therapy based on local food to increase breast milk production in breastfeeding mothers. The use of papaya can be considered as part of midwifery education and services to support the success of exclusive breastfeeding programs.  
Co-Authors Afriyanti Ibrahim Amelia Kartika Lolung Angreini Giovana Lombu Ayu Sinta Bella Beiby Prinzessa Mukuan Conny Felma Gonibala Etwinda Sumaga