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p-Index From 2021 - 2026
0.444
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All Journal Journal of Midwifery and Nursing Journal of Health and Nutrition Research
Br GINTING, ASTARIA
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Health Professions Medicine & Pharmacology Nursing Public Health

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Factors influencing the occurrence of perineal rupture at BPM Mesrida Simarmata, AmKeb Srininta, Srininta; Simarmata, Mesrida; Purnamasari, Eka; Br Ginting, Astaria; Sihotang, Dini
Journal of Midwifery and Nursing Vol. 6 No. 1 (2024): January: Health Science
Publisher : Institute Of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/jmn.v6i1.4460

Abstract

Perineal rupture is an injury to the perineum that is caused by natural tissue damage due to pressure on the fetal head or shoulders during delivery. To determine the factors that influence the incidence of perineal rupture in mothers giving birth at BPM Mesrida Simarmata, Am Keb in 2022. This type of research is quantitative descriptive with a retrospective approach. The population of this study was pregnant women who experienced perineal rupture in 2022. The total population was 30 people and with a total sampling technique. The instrument uses a checklist and the data analysis technique uses analysis. The majority of respondents had grade 2 perineal rupture. The mother's age was 20-35 years as many as 27 people (90%), the majority of parity were multiparous as many as 18 people (60%). BBL 2500-3500 grams was 26 people (67%) and pregnancy interval > 2 years was 16 (53%). The majority of respondents are in normal condition, it is necessary to investigate things that cause perineal rupture, such as pushing techniques and efforts to make the perineum elastic. The parity of multiparous respondents needs to be researched with the variable history of previous perineal rupture.
Flipbook-Based Nutrition Education: A Strategy to Improve Self-Efficacy for Stunting Prevention Among Pregnant Women During the First 1,000 Days of Life Simarmata, Mesrida; Agussamad, Indra; Seriati Situmorang, Tetti; Br Ginting, Astaria; Herani, Zahara; Herawati, Fahrunnisa
Journal of Health and Nutrition Research Vol. 5 No. 1 (2026)
Publisher : Media Publikasi Cendekia Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56303/jhnresearch.v5i1.836

Abstract

Maternal self-efficacy is a critical determinant in the application of nutritional knowledge to prevent stunting during the first 1,000 days of life. Innovative educational tools are needed to bolster pregnant women's confidence in managing their nutritional needs. This study aimed to evaluate the effectiveness of a flipbook-based nutritional education intervention on pregnant women's self-efficacy in preventing stunting. This quantitative study employed a quasi-experimental design with a two-group pre-post test. A total of 40 pregnant women at the Medan Denai Health Center were selected using total sampling and randomly assigned into two groups: a treatment group (n=20) receiving flipbook-based education and a control group (n=20) receiving education without flipbooks. Self-efficacy was measured using a validated 15-item questionnaire. Data analysis was performed using the Wilcoxon and Mann-Whitney tests due to the non-normal distribution of the data. In the treatment group, self-efficacy scores significantly improved from a pre-test mean of 35.75 to a post-test mean of 51.05 (Wilcoxon test, p=0.000). The control group showed a minimal increase from 35.35 to 36.25 (Wilcoxon test, p=0.041). A comparison between the two groups revealed that the treatment group achieved a significantly higher mean rank (29.88) compared to the control group (11.13). The Mann-Whitney test confirmed a significant difference (p<0.001), indicating that the flipbook intervention was more effective in increasing maternal self-efficacy than conventional methods. Flipbook-based educational innovation is an effective and promising tool for enhancing the self-efficacy of pregnant women in practicing stunting prevention during the first 1,000 days of life.
Co-Authors Agussamad, Indra Herani, Zahara Herawati, Fahrunnisa Purnamasari, Eka Seriati Situmorang, Tetti Sihotang, Dini Simarmata, Mesrida Srininta, Srininta