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The Impact of Homecare on Breastfeeding Skills in Postpartum Mothers Parwatiningsih, Sri Anggarini; Kartikasari, M. Nur Dewi; Juwita, Septiana
JURNAL INFO KESEHATAN Vol 23 No 2 (2025): JURNAL INFO KESEHATAN
Publisher : Research and Community Service Unit, Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/infokes.Vol23.Iss2.1794

The postpartum period is a critical phase for both mothers and newborns, during which the mother's physical and psychological recovery occurs alongside the initiation of breastfeeding. Although breastfeeding is a natural process, many postpartum mothers face challenges in initiating and sustaining effective breastfeeding practices. Homecare has emerged as an effective strategy to improve maternal and child health. This study aims to analyze the impact of homecare on breastfeeding skills in postpartum mothers. The study was conducted in Surakarta City used a quasi-experimental design with a pretest-posttest with control group approach. Purposive sampling was employed, involving a total of 50 respondents divided equally into two groups: an intervention group and a control group. A 30-day breastfeeding skills training intervention was provided to postpartum mothers, carried out by midwives, with each session lasting 30 minutes per day. Data analysis was conducted used the paired t-test the Wilcoxon signed- rank test. Results showed that the paired t-test of the control group pretest and posttest with a mean value of 0.52 and the paired t-test of the intervention group pretest and posttest with a mean value of 5.44. While the statistical significance showed the p-value for the control group was 0.0018 and for the intervention group was approximately 0.0000000596. These findings demonstrate strong statistical significance, supporting the hypothesis that homecare exert a positive effect. In conclusion, homecare play a significant role in enhancing breastfeeding skills among postpartum mothers, with greater improvements observed in the intervention group compared to the control group.

SCOPING REVIEW: MENGKAJI DAMPAK PERKAWINAN ANAK Argaheni, Niken Bayu; Juwita, Septiana
Prosiding Seminar Informasi Kesehatan Nasional 2023 : SIKesNas 2023
Publisher : Fakultas Ilmu Kesehatan Universitas Duta Bangsa Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47701/sikenas.vi.2869

Pendahuluan: Perkawinan anak merupakan isu global dengan implikasi sosial, ekonomi, dan kesehatan yang signifikan bagi individu dan masyarakat. Tujuan: scoping review ini bertujuan untuk mengeksplorasi dampak perkawinan anak pada berbagai aspek kehidupan individu. Metode: Metodologi penelitian ini adalah tinjauan pelingkupan menggunakan daftar periksa prisma-ScR, alat penilaian kritis Joanna Briggs Institute (JBI), dan kerangka kerja PEO. Ini menggunakan empat databaseâ€”Pubmed, Willey, Proquest, dan ScienceDirectâ€”yang kriteria inklusinya adalah artikel asli berbahasa Inggris yang dapat diakses dalam teks lengkap antara 2019 dan 2023. Hasil: Dari 395 publikasi, kami menemukan sembilan yang berkaitan dengan tujuan penelitian. Kajian pelingkupan saat ini mengidentifikasi mortalitas dan morbiditas, akses ke dan penggunaan layanan kesehatan seksual dan reproduksi, pendaftaran pernikahan dan kelahiran, dan hubungan dengan mertua. Kesehatan seksual dan reproduksi, nutrisi, dan anemia. Sementara mengidentifikasi intervensi efektif yang dapat mengatasi tantangan yang dihadapi oleh pengantin anak berada di luar cakupan penelitian ini, temuan kami menggarisbawahi pentingnya intervensi yang menunda inisiasi pernikahan dan reproduksi, serta kebijakan dan program yang mengenali risiko yang unik dan akut. kerentanan yang dihadapi oleh gadis-gadis yang sudah menikah. Kesimpulan: Temuan tinjauan pelingkupan ini menyoroti dampak buruk perkawinan anak terhadap status gizi dan perkembangan. Pernikahan dini sering mengakibatkan terbatasnya kesempatan pendidikan bagi anak perempuan, kehamilan dini, akses kesehatan yang tidak memadai, dan praktik gizi ibu dan anak yang buruk. Faktor-faktor tersebut berkontribusi terhadap peningkatan risiko stunting pada anak yang lahir dari pengantin anak.

Non-Pharmacological Approaches in the Management of Primary Dysmenorrhea: A Literature Review Mulyaningsih, Erika Agung; Juwita, septiana; Nahariani, Pepin; Mudhawaroh, Mudhawaroh
Jurnal Kebidanan dan Kesehatan Tradisional Jurnal Kebidanan dan Kesehatan Tradisional Volume 10 Number 2 Year 2025
Publisher : Poltekkes Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37341/jkkt.v10i2.591

Background: The incidence of primary dysmenorrhea is a condition experienced by almost all adolescent women and of childbearing age, negatively impacting their quality of life and productivity. Although pharmacological treatments such as NSAIDs are frequently used, many individuals seek non-pharmacological alternatives to avoid long-term side effects. This study aims to explore the effectiveness of complementary therapies, including acupressure, herbal medicine, and yoga, in managing primary dysmenorrhea. Method: A systematic literature review (SLR) was conducted using the PRISMA approach, selecting relevant articles from PubMed, ScienceDirect, and Google Scholar based on specific keywords. Articles that met the inclusion criteria, such as publication range (2020-2025) and topic relevance, were further analyzed. Results: From a review of 17 articles that met the inclusion criteria, it was found that yoga can significantly reduce pain intensity by increasing relaxation and improving blood circulation in the pelvic area. Acupressure therapy, particularly on the SP6 point, has been proven effective in reducing menstrual pain by increasing the release of beta-endorphins. In addition, consumption of herbal medicines such as ginger has anti-inflammatory effects that help reduce the production of prostaglandins, one of the main causes of menstrual pain. Conclusion: Non-pharmacological therapies—such as yoga, acupressure, and herbal remedies—are effective, safe, and affordable alternatives to pharmacological management. It is recommended that healthcare professionals, particularly midwives, provide education and facilitate the implementation of these complementary therapies as part of promotive and preventive efforts to address menstrual pain in adolescents and women of childbearing age.

Non-Pharmacological Approaches in the Management of Primary Dysmenorrhea: A Literature Review Mulyaningsih, Erika Agung; Juwita, septiana; Nahariani, Pepin; Mudhawaroh, Mudhawaroh
Jurnal Kebidanan dan Kesehatan Tradisional Jurnal Kebidanan dan Kesehatan Tradisional Volume 10 Number 2 Year 2025
Publisher : Poltekkes Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37341/jkkt.v10i2.591

Background: The incidence of primary dysmenorrhea is a condition experienced by almost all adolescent women and of childbearing age, negatively impacting their quality of life and productivity. Although pharmacological treatments such as NSAIDs are frequently used, many individuals seek non-pharmacological alternatives to avoid long-term side effects. This study aims to explore the effectiveness of complementary therapies, including acupressure, herbal medicine, and yoga, in managing primary dysmenorrhea. Method: A systematic literature review (SLR) was conducted using the PRISMA approach, selecting relevant articles from PubMed, ScienceDirect, and Google Scholar based on specific keywords. Articles that met the inclusion criteria, such as publication range (2020-2025) and topic relevance, were further analyzed. Results: From a review of 17 articles that met the inclusion criteria, it was found that yoga can significantly reduce pain intensity by increasing relaxation and improving blood circulation in the pelvic area. Acupressure therapy, particularly on the SP6 point, has been proven effective in reducing menstrual pain by increasing the release of beta-endorphins. In addition, consumption of herbal medicines such as ginger has anti-inflammatory effects that help reduce the production of prostaglandins, one of the main causes of menstrual pain. Conclusion: Non-pharmacological therapies—such as yoga, acupressure, and herbal remedies—are effective, safe, and affordable alternatives to pharmacological management. It is recommended that healthcare professionals, particularly midwives, provide education and facilitate the implementation of these complementary therapies as part of promotive and preventive efforts to address menstrual pain in adolescents and women of childbearing age.

PENTINGNYA RELAKSASI IBU HAMIL TRIMESTER KETIGA MELALUI YOGA KEHAMILAN UNTUK MENCEGAH KECEMASAN YANG BERLEBIHAN Argaheni, Niken Bayu; Juwita, Septiana; Laili, Nur; Darmiati; Kurniawati, Endah
Jurnal Pengabdian Masyarakat Bumi Rafflesia Vol. 6 No. 2 (2023): Agustus : Jurnal Pengabdian Kepada Masyarakat Bumi Raflesia
Publisher : Universitas Muhammadiyah Bengkulu

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

Sebagian besar perempuan menganggap kehamilan sebagai sumber kegembiraan, kepuasan, kedewasaan, realisasi diri, dan kebahagiaan, namun disisi lainnya banyak perempuan mengalami kecemasan. Dewasa ini, yoga menjadi olahraga populer di seluruh dunia. Yoga merupakan suatu olahraga yang memadukan postur tubuh, pengaturan napas, dan dan meditasi dikaitkan dengan perkembangan kesehatan dan kesadaran tubuh. Tujuan pengabdian adalah untuk melakukan edukasi mengenai kecemasan kehamilan trimester kedua dan ketiga serta mengatasi masalah yang dialami dengan senam yoga melalui kelas hamil. Metode yang digunakan berupa edukasi kecemasan melalui kelas hamil. Hasil pengabdian menunjukkan 93,3% ibu hamil mengatakan kecemasannya berkurang. Dapat disimpulkan bahwa yoga dapat menjadi media yang efektif untuk dapat mengurangi kecemasan pada ibu hamil. Seyogyanya tenaga Kesehatan harus lebih sadar dengan kecemasan ibu dan melakukan intervensi yang tepat. Kata Kunci: Kehamilan; Yoga; Kecemasan

THE INFLUENCE OF KNOWLEDGE AND MOTIVATION ON BREASTFEEDING BEHAVIOR IN MOTHERS: A PATH ANALYSIS Juwita, Septiana; Parwatiningsih, Sri Anggarini
Jurnal Kebidanan Indonesia Vol 17, No 1 (2026): JANUARI
Publisher : STIKES Mamba'ul 'Ulum Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36419/jki.v17i1.1448

Exclusive breastfeeding during the first six months of life is a global recommendation that has been proven to provide optimal benefits for infant health and development. However, the coverage rate of exclusive breastfeeding in Indonesia has not yet met the national target. This study aims to analyze the influence of knowledge and motivation on maternal breastfeeding behavior, both directly and indirectly, using a path analysis approach.This research employed a quantitative cross-sectional design involving 129 breastfeeding mothers within the working area of the Surakarta Health Office. Data were collected through a questionnaire and analyzed using the AMOS program.The findings revealed that knowledge significantly influenced motivation (β = 0.873) and breastfeeding behavior (β = 0.765), while motivation also had a significant effect on behavior (β = 0.249). The total effect of knowledge on breastfeeding behavior was β = 0.983, including an indirect effect through motivation amounting to 0.218.These findings highlight that knowledge is the dominant factor in shaping breastfeeding behavior, with motivation acting as a partial mediator. Integrated educational and motivational interventions are therefore necessary to enhance the success of exclusive breastfeeding.

Spiritual mindfulness in supporting pregnant women for the prevention of low birth weight Juwita, Septiana; Risnawati, Indah; Kulsum, Ummi; Astuti, Dwi; Zumrotun Nisak, Ana
Avicenna : Journal of Health Research Vol 9, No 1 (2026): MARET
Publisher : STIKES Mamba'ul 'Ulum Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36419/avicenna.v9i1.1742

Background: Spiritual mindfulness plays a role in reducing pregnancy-related stress and supporting favorable birth outcomes, thereby representing a potential strategy for prevention of low birth weight (LBW). The aimed to analyze necessity for spiritual mindfulness among pregnant women as an effort to prevent LBW. Methods: A qualitative designed with a phenomenological approach to explore subjective meanings, lived experiences, and spiritual mindfulness practices of pregnant women in relation to LBW prevention. Participants were selected using purposive sampling based on predefined inclusion and exclusion criteria. Key informants were pregnant women who met the eligibility criteria, while village midwives served as the main subjects, and community health volunteers acted as supporting informants. Data were collected through Focus Group Discussions (FGDs). Instruments study included researcher as primary instrument, a semi-structured interview guide, and informed consent forms. Data analysis used thematic analysis. Validity was ensured through the application of trustworthiness criteria. Results: LBW cases are still present and associated with various maternal and obstetric risk factors, particularly hypertensive disorders of pregnancy, anemia, premature rupture of membranes, and chronic energy deficiency. Psychosocial factors also contribute to risk of LBW. Maternal stress and anxiety, especially in unplanned pregnancies, may adversely affect maternal and fetal health. Social support from family members and supportive approaches from healthcare providers emerged as important protective factors in maintaining maternal well-being. Additionally, they demonstrated limited understanding of LBW. Conclusion: Spiritual mindfulness emerged as a psychosocial necessity that supports pregnant women in managing stress, enhancing inner calmness, and promoting positive health behaviors during pregnancy.

SCOPING REVIEW: APPLICATION OF TACTILE/KINESTHETIC STIMULATION IN PRETERM INFANTS Juwita, Septiana; Argaheni, Niken Bayu; Alristina, Arie Dwi
Placentum: Jurnal Ilmiah Kesehatan dan Aplikasinya Vol 11, No 1 (2023): February
Publisher : Program Studi Kebidanan Fakultas Kedokteran Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20961/placentum.v11i1.66530

Background: Premature birth is the birth of a baby born less than 37 weeks gestational age with low birth weight are still a major concern in developing countries Low Birth Weight (LBW). That is puts babies at risk not only for neonatal complications, but also for other high-risk factors such as developmental disorders that can be indicated by the baby's physiological and behavioral responses.Objective: To assess the effect of tactile/kinesthetic stimulation on weight gain in preterm infants.Methods: literature search was conducted from the Google Scholar database. Clinical trials studying tactile stimulation or massage therapy in Indonesia whether or not it is related to kinesthetic stimulation of premature infants; who assessed weight gain after the intervention; which has a control group and is compiled in Indonesian. Search results using these keywords yielded 31 articles. Then filtered articles with inclusion and exclusion criteria obtained 24 articles. Selection of the next article by eliminating duplication of articles with the results of 17 articles. Furthermore, the elimination of articles based on a complete arrangement of as many as 4 articles. Of these, meet the inclusion criteria.Result: There are many differences in the application of tactile/kinesthetic stimulation techniques to research. Also, many studies do not describe the side effects that occur during stimulation, the actions taken when the event occurs, and their effect on outcomes.Conclusion: These studies make a relevant contribution to the indications for tactile/kinesthetic stimulation. However, there is no standard for such applications. Future studies should describe the side effects of tactile/kinesthetic stimulation interventions.

Mothers' Needs in Managing Stunting among Under-Two Children: A Qualitative Study in Surakarta City Sukamto, Ika Sumiyarsi; Juwita, Septiana
Placentum: Jurnal Ilmiah Kesehatan dan Aplikasinya Vol 13, No 2 (2025): August
Publisher : Program Studi Kebidanan Fakultas Kedokteran Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20961/placentum.v13i2.108410

Background: Although the government has implemented various interventions, stunting remains a serious public health issue in Indonesia. This condition calls for a new understanding, particularly from the perspective of mothers with stunted children. Objective: This study aims to explore the mothers’ needs managing stunting under-two children in Surakarta City.Method: A qualitative was employed through focus group discussions (FGDs). A total of 20 informants aged 24–50 years were selected as participants. They resided in Surakarta City and were divided into two groups: the first group consisted of four nutritionists from health facilities and six health cadres, while the second group included ten mothers of stunted children. Data were analysed using Colaizzi’s method and managed with Nvivo software.Result: The study revealed five main themes related to mothers’ needs: (1) societal perceptions of stunting, (2) program availability, (3) barriers to program implementation, (4) expected prevention efforts, and (5) stunting management requirements. These findings indicate that mothers of stunted children require a deeper understanding of effective stunting management strategies and access to affordable nutritional resources to support their children’s physical growth and cognitive development.Conclusion: Social support from the community, easy access to information, and education on healthy eating patterns and stunting prevention are crucial aspects. Mothers with stunted children need adequate information on proper stunting management and access to affordable nutrition. Furthermore, community support and the availability of easily understandable information, including through audio-visual media, play a significant role in stunting prevention and management.

Upaya Pencegahan dan Penanganan Stunting dengan Pengenalan Program Siganting Melalui Kader Di Kota Surakarta Sukamto, Ika Sumiyarsi; Argaheni, Niken Bayu; Juwita, Septiana
Journal of Midwifery in Community Vol 1, No 2 (2023): Oktober
Publisher : Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20961/jmc.v1i2.79355

Introduction: Stunting, a condition where toddlers have a height significantly below the normal for their age, remains a serious issue in Indonesia, including the city of Surakarta. This has serious implications for a child's physical and cognitive development. Factors contributing to stunting are divided into direct factors (maternal nutrition, feeding practices, exclusive breastfeeding) and indirect factors (healthcare, education, environmental sanitation). Addressing stunting requires the involvement of healthcare professionals and community health volunteers. Effective training is crucial to enable kader to play a significant role in this effort.Method: This community engagement introduces the Siganting Program, a mobile application designed for stunting prevention. The program was presented to healthcare professionals and kader in Surakarta through lectures and discussions. Pre- and post-tests were used to assess participants' understanding of the program.Results: The Siganting Program successfully increased participants' understanding of stunting prevention. Before the program introduction, the average pre-test score was 76.4%, while the post-test showed 100% comprehension among participants.Conclusion: The Siganting Program is a valuable tool for stunting prevention and management, especially for mothers with infants under two years old. It can help Surakarta move closer to its goal of reducing stunting prevalence to zero. This mobile application provides accessible and flexible support for mothers and has been well-received by healthcare professionals and kader. The use of technology like Siganting can assist in achieving a significant reduction in stunting rates in Surakarta and its surrounding areas.

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