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Dampak Riwayat Kebidanan dan Interval Kehamilan pada Anemia Pascapersalinan dan Proses Menyusui: Analisis Cross-sectional Ummah, Kholifatul; Badrus, Arkha Rosyaria; Kwarta, Cityta Putri; Imeldawati, Rakhmalia
JURNAL RISET KESEHATAN POLTEKKES DEPKES BANDUNG, Online ISSN 2579-8103 Vol 18 No 1 (2026): Jurnal Riset Kesehatan Poltekkes Depkes Bandung
Publisher : Poltekkes Kemenkes Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34011/juriskesbdg.v18i1.3192

Abstract

Latar belakang: Tingginya angka kematian ibu di Indonesia berkaitan dengan anemia postpartum. Penelitian ini berfokus pada tingginya prevalensi anemia postpartum (.35%) di Puskesmas Kerek, Tuban. Tujuan: Penelitian ini bertujuan untuk menganalisis pengaruh faktor prediktor (riwayat Perdarahan Pascapersalinan/PPH dan interval kehamilan/PI) terhadap kejadian anemia, serta pengaruh praktik laktasi (Early Initiation of Breastfeeding/EIBF and history of lactation onset) terhadap proses laktasi. Metode: Penelitian ini menggunakan pendekatan cross sectional pad September-Desember 2025. Analisis data dilakukan dengan JASP (0.18). Populasi penelitian adalah seluruh ibu nifas di wilayah kerja puskesmas, dnegan sampel 200 responden menggunakan Teknik total sampling. Variable independent meliputi Riwayat PPH, PI, Riwayat IMD, dan keterlambatan onset laktasi. Variable dependen adalah kejadian anemia dan produksi ASI. Hasil: Terdapat hubungan signifikan antara Riwayat PPH dan kejadian anemia (p-0,001), dengan risiko anemia meningkat 5,006 kali (OR=5,006). Jarak kehamilan ideal (≥2 tahun) menjadi faktor protektif dominan terhadap anemia (OR=0,297; p=0,001). Pada aspek laktasi, riwayat IMD berhubungan signifikan (OR=5,631; p=0,001). Sebaliknya, riwayat keterlambatan onset laktasi juga berhubungan signifikan dengan kegagalan laktasi (OR=0,165; p=0,001). Kesimpulan: Riwayat persalinan berpengaruh signifikan terhadap kejadian anemia dan keberhasilan laktasi. Secara praktis, tenaga kesehatan perlu memprioritaskan skrining dini ibu berisiko tinggi selama antenatal care serta memperkuat program dukungan laktasi.
Analisis Faktor Aksesibilitas dan Dukungan Masyarakat untuk Keberhasilan Program Skrining Sifilis pada Wanita Hamil Badrus, Arkha Rosyaria; Khairoh, Miftahul; Kwarta, Cityta Putri; Purwitasari, Alief Ayu
JURNAL RISET KESEHATAN POLTEKKES DEPKES BANDUNG, Online ISSN 2579-8103 Vol 18 No 1 (2026): Jurnal Riset Kesehatan Poltekkes Depkes Bandung
Publisher : Poltekkes Kemenkes Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34011/juriskesbdg.v18i1.3208

Abstract

Background: Syphilis screening during pregnancy is a critical strategy to prevent adverse outcomes for mothers and newborns. However, in rural areas, the success of screening programs is often influenced by structural barriers and poorly addressed social support systems. Objective: This study aimed to analyze the determinants of successful syphilis screening among pregnant women in Pakong District, Pamekasan, with an emphasis on service accessibility and community support. Methods: This study employed a sequential explanatory mixed methods design. The study population was all pregnant women in the Pakong Community Health Center (Puskesmas) working area from January to December 2024, with a sample of 1,552 respondents drawn using total population sampling. The quantitative phase used a cross-sectional approach analyzed using binary (bivariate and multivariate) logistic regression. The qualitative phase involved in-depth interviews with pregnant women, midwives, and laboratory staff. Thematic analysis was conducted to explain the quantitative findings. Results: Qualitative results indicated that service accessibility and community support were the main determinants of successful screening. Qualitative findings revealed that service accessibility and community support were determinants of successful syphilis screening in rural settings. Conclusion: Strengthening physical access, ensuring the continuity of laboratory services, empowering community cadres, increasing family involvement, and reducing stigma are crucial to increasing the effectiveness and sustainability of syphilis screening programs.
The Correlation of Progressive Muscle Relaxation (PMR) with Massage and Aromatherapy on Reducing Menstrual Pain Intensity (Primary Dysmenorrhea) among Female Students Badrus, Arkha Rosyaria; Khairoh, Miftahul; Purwitasari, Alief Ayu; Anggraeni, Novi; Kwarta, Cityta Putri
EMBRIO: Jurnal Kebidanan Vol 18 No 1 (2026): EMBRIO: Jurnal Kebidanan
Publisher : Program Studi S1 Kebidanan - Fakultas Ilmu Kesehatan Universitas PGRI Adi Buana Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36456/embrio.v18i1.10728

Abstract

Primary dysmenorrhea is one of the most common reproductive health problems experienced by adolescent girls, characterised by lower abdominal pain caused by excessive uterine contractions without any organic abnormalities. High menstrual pain intensity negatively affects learning concentration, school attendance, and overall quality of life. Non-pharmacological management approaches, such as Progressive Muscle Relaxation (PMR), massage, and aromatherapy, are considered safe and effective methods for reducing pain intensity through mechanisms including muscle relaxation, endorphin release, and parasympathetic nerve stimulation. This study aimed to evaluate the effectiveness of combining PMR, massage, and aromatherapy in reducing menstrual pain intensity among female students at Dr. Soetomo High School, Surabaya. A quasi-experimental design with a pretest-posttest control group was employed. A total of 60 respondents were selected using purposive sampling and divided into 2 groups: the intervention group (PMR + massage + aromatherapy) and the control group (health education). Menstrual pain intensity was measured using the Numerical Rating Scale (NRS) before and after the intervention. Data were analysed using a Paired t-test for within-group comparisons and normality tests to assess data distribution. The results showed a significant reduction in pain intensity in the intervention group compared with the control group (p equals 0.001). The median score in the intervention group decreased from 7.0 to 3.0, while the control group showed no significant change (p equals 0.216). The combined intervention demonstrated a large effect size (r equals 0.72), indicating a strong influence on pain reduction. Conclusion: The combination of PMR, massage, and aromatherapy is effective in reducing primary dysmenorrhea and can be recommended as a safe, affordable, and practical complementary therapy for adolescents.