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QUALITATIVE STUDY : COPING OF THE MOTHERS AFTER SPONTANEOUS ABORTIONS Dwy Kartika, Enthyn Anaway Bintang; Pratiwi, Cesa Septiana; Mamnu’ah, Mamnu’ah
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 8, No 4: Desember 2023
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30604/jika.v8i4.2372

Abstract

Background: The incidence of spontaneous abortion reaches 226 people per 100,000 live births.  Mothers with a history of spontaneous abortion have short- to long-term psychological vulnerabilities and comorbidities. Psychological disorders can persist for up to 1 year after spontaneous abortion and can affect the social impact on the affected mother. Objective:  This study aimed to explore in depth the coping of spontaneous post-abortion womens. Method: This qualitative research uses a phenomenological approach. Participants were taken using Purposive Sampling technique with 8 mothers who had a history of spontaneous abortion for a maximum of 3 months and were recorded as patients at Pratama Gemilang Medika Piyungan Bantul Clinic Yogyakarta. In this study, data analysis uses Thematic analysis. Result: Formed in 8 main themes, namely physical (total rest at home), accepting (determined to heal), spiritual (surrendering to God and sincere, listening to tausiah in the surrounding environment, listening to da'wah through social media, praying a lot and strengthening prayers and increasing Quran reading), refreshing (walking with husband), distraction (busying yourself), hobby (me time or healing), positive thinking and preparing carefully for the next pregnancy program. The theme has been identified in reference to a general purpose. Conclusion: The coping strategy chosen for each post-abortion mother is adjusted to the emotional condition experienced, chosen by herself without interference from other parties, by letting the post-abortion mother determine which strategy is more appropriate and can make her take a positive meaning of the situation she is experiencing. It is hoped that there will be Continuity Of Care (COC) and spiritual support provided by midwives as health workers, especially to spontaneous abortion mothers.
Midwives' Role in Managing Pregnant Women with Mental Health Issues and Disorders in Developing Countries: A Rapid Review Rohani, Rohani; Pratiwi, Cesa Septiana
Poltekita : Jurnal Ilmu Kesehatan Vol. 17 No. 4 (2024): February
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jik.v17i4.3570

Abstract

The mental health issues of pregnant women must be detected early and addressed quickly to prevent negative impacts on the mother, fetus, and newborn. This review aims to identify current evidence on the role of midwives in managing pregnant women with mental health problems and disorders in developing countries. The review method employed is a rapid review, utilizing the PRISMA-ScR checklist, the PCC framework, and a critical appraisal tool adapted from the Joanna Briggs Institute (JBI) for assessment. A literature search was conducted across three databases (PubMed, Wiley, Science Direct), Google Scholar, and Research Rabbit, with inclusion criteria consisting of all original articles in English or Indonesian from 2018 to 2023, discussing management, midwives' roles, inhibiting factors, supporting factors, and full-text availability. From the search, 300 articles were retrieved, of which 7 were duplicates. Screening based on inclusion criteria yielded 7 articles published in 2020 (2 articles), and 2021 (2 articles),. and 2023 (3 articles), with qualitative design (n=4, 57.2%) and cross-sectional design (n=3, 42.8%). Two articles were from Ghana, while the remaining five were from Uganda, Sri Lanka, Ethiopia, China, and India. Three themes emerged regarding the midwives' role in managing pregnant women with mental health problems and disorders: screening, referral, barriers, and supportive factors. Further research is needed to test the effectiveness of midwives' screening for maternal mental health and to develop and evaluate integrated perinatal mental health service models.
HUBUNGAN TINGKAT KECEMASAN PADA IBU HAMIL TRIMESTER III DENGAN SKOR PRENATAL ATTACHMENTHUBUNGAN TINGKAT KECEMASAN PADA IBU HAMIL TRIMESTER III DENGAN SKOR PRENATAL ATTACHMENT Indarti Dinti Lestari, Corrynia; Septiana Pratiwi, Cesa
Avicenna : Journal of Health Research Vol 7, No 1 (2024): MARET
Publisher : STIKES Mamba'ul 'Ulum Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36419/avicenna.v7i1.1024

Abstract

Impact of IUFD on Mothers in Developing Countries: A Rapid Review Jesus, Helena Marques de; Pratiwi, Cesa Septiana
Women, Midwives and Midwifery Vol. 4 No. 3 (2024): Women, Midwives and Midwifery journal
Publisher : Asosiasi Pendidikan Kebidanan Indonesia (AIPKIND)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36749/wmm.4.3.63-81.2024

Abstract

Background: Losing a baby to IUFD has a profound emotional impact on mothers. This not only affects their mental health and quality of life but also emphasizes the importance of psychological support in the recovery process. Objectives: This review aims to explore recent evidence on the biological, psychological, and social impact of intrauterine fetal death (IUFD) on mothers in developing countries. Methods: This review involved searching databases from 2015 to 2023 through sources such as PubMed, ScienceDirect, and Wiley, as well as search engines such as Google Scholar and Research Rabbit. Articles were selected with the help of Mendeley and evaluated using the JBI Critical Appraisal Guidelines for Qualitative Research. Of the 314 articles found, 5 articles met the inclusion criteria. Results: This review identified three main themes: biological impact (disturbing physical changes and danger warning signs), psychological impact (mothers' emotional responses), and social impact (moral support, negative stigma, health workers' misbehavior, and the need for better social protection). Conclusions: To provide adequate emotional support as well as clear and comprehensive information about the causes and next steps after fetal death, health workers need to be equipped with skills and knowledge. In situations that require difficult information delivery, midwives also need to have the sensitivity and skills to help parents manage and respond appropriately to their emotions.ABSTRACT Background: Losing a baby to IUFD has a profound emotional impact on mothers. This not only affects their mental health and quality of life but also emphasizes the importance of psychological support in the recovery process. Objectives: This review aims to explore recent evidence on the biological, psychological, and social impact of intrauterine fetal death (IUFD) on mothers in developing countries. Methods: This review involved searching databases from 2015 to 2023 through sources such as PubMed, ScienceDirect, and Wiley, as well as search engines such as Google Scholar and Research Rabbit. Articles were selected with the help of Mendeley and evaluated using the JBI Critical Appraisal Guidelines for Qualitative Research. Of the 314 articles found, 5 articles met the inclusion criteria. Results: This review identified three main themes: biological impact (disturbing physical changes and danger warning signs), psychological impact (mothers' emotional responses), and social impact (moral support, negative stigma, health workers' misbehavior, and the need for better social protection). Conclusions: To provide adequate emotional support as well as clear and comprehensive information about the causes and next steps after fetal death, health workers need to be equipped with skills and knowledge. In situations that require difficult information delivery, midwives also need to have the sensitivity and skills to help parents manage and respond appropriately to their emotions.      
Analysis of the Implementation of Mental Health Screening of Pregnant Women by Midwives in Bantul Regency, Yogyakarta: A Mixed Methods Study Rohani, Rohani; Pratiwi, Cesa Septiana; Sarwinanti, Sarwinanti
Journal of Health and Nutrition Research Vol. 4 No. 3 (2025)
Publisher : Media Publikasi Cendekia Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56303/jhnresearch.v4i3.564

Abstract

Mental health disorders during pregnancy are a very important issue for maternal and fetal health. Screening for conditions such as depression and anxiety is needed, but often overlooked in Indonesia. This study aims to analyze the implementation of mental health screening of pregnant women by midwives in Bantul Regency, Yogyakarta. This study used a mixed methods approach   with a sequential explanatory approach consisting of a quantitative online survey followed by qualitative FGDs. The results of the study showed that 115 midwives 67.0% only screened less than 25% of the total pregnant women they served. Only a small proportion conducted routine screening (13.0% 5-10 times, and 14.8% more than 10 times). Qualitative findings from 12 midwives confirmed that while screening can identify mental health concerns, its application is inconsistent and faces substantial barriers, including limited time, privacy, insufficient training, and lack of screening tools. Despite these challenges, midwives showed a generally positive perception of the importance of mental health screening for both mothers and fetuses. Supporting factors for screening include policy, education, integrated services, professional collaboration, SOPs, and additional human resources. In conclusion, this study highlights gaps in mental health screening practices and emphasizes the importance of improving training, access to screening tools, and supportive policies. Further research is needed to explore strategies for addressing these barriers and consider the role of technology, while multicenter studies could be conducted to expand the scope of this study, making the results more representative
PERINATAL MOOD AND ANXIETY DISORDERS AND DEVELOPMENTAL OUTCOMES IN TODDLERS: A SCOPING REVIEW Putri, Rachma Octarinaprawastya; Pratiwi, Cesa Septiana; Arifin, Siti Roshaidai Mohd
Media Penelitian dan Pengembangan Kesehatan Vol. 35 No. 4 (2025): MEDIA PENELITIAN DAN PENGEMBANGAN KESEHATAN
Publisher : Poltekkes Kemenkes Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34011/jmp2k.v35i4.3146

Abstract

Kesejahteraan psikologis perinatal memainkan peran penting dalam tahap awal perkembangan anak. Memahami hubungan antara kesehatan mental ibu dan sifat perkembangan anak yang beragam merupakan titik fokus penting untuk intervensi dini. Studi ini bertujuan untuk memetakan badan penelitian saat ini tentang hubungan antara suasana hati perinatal dan gangguan kecemasan (PMAD) dan keterlambatan perkembangan pada balita. Tinjauan cakupan ini dilakukan dengan menggunakan daftar periksa PRISMA-ScR dan kerangka kerja Population-Concept-Context (PCC). Basis data elektronik yang dicari termasuk PubMed, ScienceDirect, EBSCO, Research Rabbit, dan Google Scholar. Kriteria inklusi terdiri dari artikel penelitian asli yang diterbitkan antara 2013 dan 2023 yang membahas gangguan mood dan kecemasan perinatal, melibatkan wanita hamil atau orang tua dari anak-anak berusia 0-5 tahun, dan menggunakan desain kohort, cross-sectional, atau quasi-experimental. Sebanyak 16 artikel memenuhi kriteria inklusi, memberikan wawasan dari negara maju dan berkembang. Analisis tersebut mengungkapkan hubungan yang konsisten antara suasana hati perinatal dan gangguan kecemasan dan keterlambatan perkembangan pada balita. Temuan utama mencakup berbagai dimensi PMAD (misalnya, simtomatologi, tingkat keparahan dan waktu paparan, faktor risiko, peristiwa kehidupan yang signifikan, dan dukungan sosial) serta sifat keterlambatan perkembangan (misalnya, faktor risiko orang tua dan domain keterlambatan tertentu). Temuan ini menggarisbawahi pentingnya skrining dini dan penerapan intervensi yang ditargetkan selama kehamilan dan periode pasca persalinan.
Implementasi model of care praktik kebidanan dalam upaya mengurangi burnout di lingkungan kerja: Narrative review Rahmawati, Rahmawati; Ulfa, Farah Wardya; Astika, Astika; Umaroh, Viana Bari; Agreena, Tulus; Perwata, Alya Nursyifa; Lawo, Frederika Eufrasia; Guterres, Dulce Maria; Pratiwi, Cesa Septiana
Jurnal Riset Kebidanan Indonesia Vol 9, No 2 (2025): Desember
Publisher : AIPKEMA (Asosiasi Institusi Pendidikan Kebidanan Muhammadiyah-'Aisyiyah Indonesia)

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

Abstract

Latar belakang: Burnout pada bidan adalah kondisi kelelahan fisik, mental, dan emosional akibat stres dan beban kerja tinggi, yang dapat menurunkan produktivitas serta kualitas pelayanan. Profesi ini rentan terhadap burnout, dengan prevalensi tinggi di berbagai negara, dan dapat menghilangkan motivasi serta menimbulkan pikiran negatif. Tujuan penelitian: Review ini bertujuan merangkum dan menganalisis secara kritis literatur yang relevan mengenai implementasi model of care praktik kebidanan dalam upaya mengurangi burnout di lingkungan kerja. Metode: Narrative Review dilakukan pada database PubMed, Research Rabbit, dan Wiley Library Online untuk periode 2020-2025. Kriteria inklusi mencakup studi kualitatif/kuantitatif, artikel 5 tahun terakhir, berbahasa Indonesia/Inggris, dan teks lengkap. Hasil: Faktor pemicu burnout meliputi lingkungan praktik tidak mendukung, beban kerja tinggi, konflik kebijakan, kurangnya kerja sama tim, karakteristik individu, serta masalah kesehatan mental. Model praktik kebidanan yang efektif mengurangi burnout adalah berbasis pemberdayaan, dukungan organisasi, koping/spiritualitas, dan caseload midwifery, karena meningkatkan otonomi, dukungan, ketahanan mental, dan kesejahteraan emosional. Kesimpulan: Burnout pada bidan adalah masalah kompleks yang berdampak serius. Penanganannya memerlukan pendekatan menyeluruh, mencakup reformasi sistem kerja (misalnya caseload midwifery), peningkatan dukungan organisasi, pelatihan resiliensi, dan pemantauan kesehatan mental berkala, guna menjamin pelayanan berkualitas dan kesejahteraan bidan.
Family and Midwife Support in Perinatal Mental Health: A Mixed Methods Study Pragastiwi, Enggar Avilia; Isnaeni, Yuli; Pratiwi, Cesa Septiana
Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Vol. 14 No. 1 (2026): Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Educatio
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jpk.V14.I1.2026.70-83

Abstract

Background: Women's mental health during the perinatal period influences the well-being of mothers, infants, and families. Untreated perinatal depression can negatively affect health and quality of life for both mothers and babies. Objective: This study assesses the knowledge of midwives and experiences of perinatal women regarding mental health disorders, aiming to address gaps in comprehensive care during this period. Method: A mixed-methods design with a Sequential Explanatory approach was used. Quantitative data were collected from 103 women in the perinatal period and 23 midwives using the DASS-21 and Motherhope Indonesia questionnaires, analyzed via univariate methods. Qualitative data involved semi-structured interviews with five women and five midwives, selected through purposive sampling, analyzed phenomenologically. Results: Seventeen women reported anxiety symptoms, mainly due to new responsibilities and social pressures. Among midwives, 52.2% demonstrated good knowledge of perinatal mental health, 30.4% had adequate knowledge, and 17.4% showed deficiencies. Qualitative themes among women included symptoms, impacts, support received, and internal coping strategies. Midwives focused on their sources of knowledge, management techniques, and challenges in providing care. Women identified support systems, role understanding, and positive mindset cultivation as key in managing anxiety. Midwives emphasized the importance of formal and informal education, collaboration, and streamlined management procedures for effective detection and intervention. Conclusion: Family support plays a vital role in addressing mental health issues. Enhancing midwives’ roles in early detection and management through screening is essential to improve outcomes during the perinatal period.
Psychosocial Conditions of Parents with Premature and Low Birth Weight Infants in Developing Countries: Scoping Review Winanti, Della; Septiana Pratiwi, Cesa; Koni Suryaningsih, Endang
Jurnal Berita Ilmu Keperawatan Vol. 18 No. 2 (2025): July
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/bik.v18i2.8737

Abstract

Premature and low birth weight (LBW) infants will increase the risk of mortality, morbidity, and disability, resulting in psychological distress felt by parents. The purpose of this scoping review is to map published articles related to the psychosocial conditions of parents who have premature and LBW infants, especially in developing countries. This study employed PCC Framework (Population, Concept and Context), Prisma ScR checklist, 3 databases (PubMed, Wiley Online Library, Taylor & Francis) and 1 gray literature (Research Rabbit), published from 2019-2024, in English, original articles, free full text, articles from developing countries and used quantitative and qualitative methods. This study used the keywords “Parents” AND “Low birth weight” OR “Psychological wellbeing” OR “Parental stress” OR “Psychosocial health” AND “Developing Countries”. This scoping review used JBI Critical Appraisal Tools such as the Checklist for Analytical Cross-Sectional and Qualitative Research. Of the 1,939 articles selected through the Prisma Flowchart and Critical Appraisal using the Joanna Briggs Institute (JBI), 9 articles were found suitable. This study focused on social support provided to parents to reduce psychological problems and disorders and improve quality of life. This study highlights the importance of parents’ support in preterm and LBW infants in developing countries, in order to minimize their psychological problems and disorders. The author suggests that the use of a qualitative research method for the next research should be applied to explore the psychological conditions of fathers who have premature and LBW infants in developing countries comprehensively.
PENGGUNAAN SKOR LATCH UNTUK MEMPREDIKSI KEBERHASILAN ASI EKSKLUSIF Wahyuningsih, Rina Febri; Pratiwi, Cesa Septiana
Jurnal Kesehatan - STIKes Prima Nusantara Vol 13 No 1 (2022): Jurnal Kesehatan
Publisher : LPPM Universitas Prima Nusantara Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35730/jk.v13i1.534

Abstract

Latar Belakang: ASI memiliki kandungan protektif dan nutrient yang menjamin status gizi bayi sehingga angka kesakitan dan kematian anak dapat menurun. Pemberian ASI Eksklusif adalah ASI yang diberikan kepada bayi sejak dilahirkan selama enam bulan, tanpa menambahkan dan/atau mengganti dengan makanan atau minuman lain (kecuali obat, vitamin, dan mineral). Telah dikembangkan beberapa instrument asesmen untuk mengetahui keberhasilan menyusui. Instrument asesmen menyusui dikembangkan dengan tujuan menilai proses menyusui secara subyektif melalui perspektif ibu, mengukur secara objektif berdasar kondisi bayi, mencari faktor risiko penghentian ASI, dan menganalisis efektifitas menyusui.  Skor LATCH merupakan salah satu instrument asesmen menyusui yang populer. Skor LATCH terdiri atas 5 indikator perlekatan (LATCH-on), bunyi menelan (Audible swallowing), Tipe atau bentuk puting (type or shape of the nipple), kenyamana (Comfort), dan posisi bayi (Hold positioning).Tujuan: Untuk mengetahui literatur yang telah dipublikasikan yang mendiskusikan tentang penggunaan skor LATCH untuk memprediksi keberhasilan ASI eksklusif.Metode: Penulis mengacu pada Arksey dan Malley tahun 2005 dalam menentukan langkah-langkah Scoping Review. Langkah pertama penulis mengidentifikasi pertanyaan scoping review dengan menggunakan framework POEs. Langkah kedua penulis mengidentifikasi artikel yang relevan dengan pertanyaan scoping review dengan menggunakan database Pubmed, Wiley dan ScienceDirect.  Langkah ketiga penulis melakukan seleksi artikel yang relevan dengan critical appraisal kemudian menggunakan prisma flow chart. Langkah keempat penulis melakukan pemetaan literatur yang akan digunakan dalam scoping review. Langkah kelima penulis menyusun, melaporkan hasil analisis literatur yang digunakan, kemudian mengkonsultasikan hasil kepada pihak yang kompeten.Hasil: Diperoleh 7 artikel kuantitaif dengan 2 study cohort, 3 study cross-sectional dan 2 deskriptif. Lima artikel dengan grade A dan dua artikel dengan grade B, kelebihan semua artikel menggunakan total sampling. Berdasarkan 7 artikel yang diperoleh didapatkan dua tema utama yaitu deteminan skore LACTH dan penggunaan skore LACTH.Kesimpulan:  Sebagai alat penilaian, fokus skor LATCH mencakup komponen utama menyusui. Kelima area penilaian skor LATCH menguraikan informasi dasar yang sesuai dengan prinsip menyusui yang efektif.  Waktu pemeriksaan skor LATCH dapat dilakukan mulai dari segera setelah lahir hingga 72 jam pasca persalinan. Pemeriksaan skor LATCH dapat dilakukan setiap 15 menit dan setiap 2–4 jam sekali. Sedangkan pada kasus pasca operasi frenulotomi pemeriksaan skor LATCH dapat dilakukan pada 24 jam dan 1 minggu setelah operasi. Ibu dengan nilai skor LATCH lebih tinggi maka akan memiliki kemungkinan lebih tinggi memberikan ASI eksklusif pada bayinya. Skor LATCH dipengaruhi oleh beberapa faktor antara lain jenis persalinan, paritas, waktu awal mulai menyusi (IMD) dan adanya nyeri putting susu.
Co-Authors Afita, Anggit Asnea Agreena, Tulus Al-fauzia N, Awwal Anjarwati Anjarwati Anjarwati Anjarwati, Anjarwati Arifin, Siti Roshaidai Mohd Astika Astika, Astika Bayti Jannah Bayti Jannah Bayti Cahya, Sara Eka Daryanti, Menik Sri Dea Pebrianti Diana, Gimanda Nahdiah Dina Afrianty Dulce Maria Guterres Dwy Kartika, Enthyn Anaway Bintang Dyah Ayu Utari Eka Septianingrum Elsye Maria Rosa Endah Kusumaningtyas Wahyudi Endang Koni Suryaningsih, Endang Koni Enggar Avilia Pragastiwi Evi Wahyuntari Fitriana Murriya Ekawati GANA RENDRA WINARTI Gana Rendra Winarti Glover, Pauline Guterres, Dulce Maria Heldalia Faiza Putri Heni Angraini Herlin Fitriani Kurniawati Indarti Dinti Lestari, Corrynia Indra Sulistiawati Ismarwati Ismarwati Ismarwati Ismarwati Jannah, Bayti Jesus, Helena Marques De Juliandari, Kriska Afri Khairani, Nur Khoiriyah, Hikmatul Khoirotul Umul Latifah Kit, Ayano Lawo, Frederika Eufrasia Lukman, Sesaria Luluk Rosida M. Hakimi Mamnuah, Mamnuah Mamnu’ah, Mamnu’ah Migita Vidia Amita Mohammad Hakimi Nurhidaya Fitria Nurma Hidayati Nurul Hidayah NURUL HIDAYAH Pauline Glover Perwata, Alya Nursyifa Pragastiwi, Enggar Avilia Purwitasari, Alief Ayu Putri, Rachma Octarinaprawastya Rahmawati Rahmawati, Rahmawati Rina Febri Wahyuningsih Rizki Tsalatshita Khair Mahardya Rohani Rohani Sarwinanti, Sarwinanti Septianingrum, Eka Silvia Rizki Syah Putri Sri Handayani Sri Handayani Sri Ratna Ningsih, Sri Ratna Sri Ratnaningsih Sulistiani Sulistiani SULISTIANI SULISTIANI Sulistiani Sulistiani, Sulistiani Sulistiawati, Indra Suryani Suryani Susi Fitriani Suyani Suyani, Suyani Syah Putri, Silvia Rizki Tri Sunarsih TRI SUSANTI Ulfa, Farah Wardya Umaroh, Viana Bari Utami, Fitria Siswi Vanny Oktaviani Jaya Viana Bari Umaroh Wahab, Munirang Wahyudi, Endah Kusumaningtyas Wahyuningsih, Rina Febri wijayanti, dian trilus Winanti, Della Winarsih Winarsih Winarti, Gana Rendra Yuli Isnaeni Zaenal Muttaqien