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All Journal Nurse Media Journal of Nursing Jurnal Aisyah : Jurnal Ilmu Kesehatan International Journal of Science and Society (IJSOC) Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)
Sari, Dewi Nirmala
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Health Professions Materials Science & Nanotechnology Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary

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Constructing Sustainable Maternal and Child Health Strategies: Analyzing Factors Associated with Low-Birth-Weight Incidence in Indonesia Sari, Gita Nirmala; Sari, Dewi Nirmala; Fratidhina, Yudhia; Mulyati, Sri
Nurse Media Journal of Nursing Vol 15, No 2 (2025): (August 2025) [In Progress]
Publisher : Department of Nursing, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v15i2.63181

Abstract

Background: Maternal and child health (MCH) is crucial for public health, especially in low- and middle-income countries like Indonesia. Despite improvements in healthcare infrastructure, challenges remain in reducing maternal and neonatal mortality rates, with low birth weight (LBW) posing a significant concern. Previous research has largely examined individual factors, such as maternal age, parity, or nutritional status, in isolation. To date, there has been no comprehensive analysis integrating the various determinants of LBW within the Indonesian context.Purpose: This study aimed to comprehensively analyze factors associated with LBW incidence in Indonesia to inform sustainable MCH strategies.Methods: A cross-sectional study design was used to analyze data from 420 newborns and their mothers. A structured questionnaire and medical record reviews were used to collect data on maternal characteristics, antenatal care attendance, birth outcomes, and infant characteristics. Data were obtained from maternal and child health reports collected by primary health centers and hospitals under the Ministry of Health between 2021 and 2023. Statistical analyses, including bivariate Chi-square tests and multivariable logistic regression, were conducted to identify factors associated with LBW incidence.Results: The prevalence of LBW among newborns was 34.3%. Significant associations were found between LBW and maternal anemia (OR = 1.53; 95% CI = 1.16–2.03), irregular antenatal care attendance (OR 11.9; 95% CI 8.17–17.32), multiparity (OR = 0.61; 95% CI = 0.43–0.88), and preterm birth (OR = 11.22; 95% CI = 7.55–16.68). Primiparous mothers and full-term infants were less likely to experience LBW. Among the associated factors, irregular antenatal care visits and preterm birth emerged as the most dominant risk factors. No significant associations were observed with maternal complications, chronic diseases, infant gender, mode of delivery, or maternal age.Conclusion: Targeted interventions addressing maternal anemia, improving access to and adherence with antenatal care, and preventing preterm births are critical strategies for reducing LBW in Indonesia. The findings in this study underscore the need to improve maternal nutrition and encourage pregnant women to attend regular antenatal care visits.
The Effectiveness of Remote Patient Monitoring in Reducing the Risk of Rehospitalizations in COVID-19 Patients: A Meta-Analysis Riadi, Dela; Trihandini, Indang; Sari, Dewi Nirmala; Wijaya, Fikri
Kesmas Vol. 20, No. 5
Publisher : UI Scholars Hub

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Abstract

An integrated analysis of various Remote Patient Monitoring (RPM) studies is needed to evaluate the reduction rate of the risk of rehospitalization in COVID-19 patients. This meta-analysis aimed to provide an overview of the effectiveness of RPM. A literature search through online databases (PubMed, Science Direct, Scopus, ProQuest, and Embase) was conducted from 2019 to 2022. After using the Cochrane Collaboration's risk of bias tool, five studies on COVID-19 were selected. Based on the data collected from 2,685 participants (intervention = 1,060, control = 1,625), the use of RPM was found to reduce rehospitalization by 0.56 times compared to not using RPM (I2 = 9%; n = 2,685; OR 0.56 [95% CI 0.39-0.82]; p-value = 0.003). According to the characteristics analysis, sex, comorbidity of hypertension, heart failure, obesity, chronic lung, and chronic kidney disease had no significant effect on the risk being studied. It was only the comorbidity of diabetes that showed a significant impact. Both RPM intervention duration and long-term monitoring effectively reduced rehospitalization (>14 days). In brief, RPM may reduce hospitalizations in response to an impending epidemic. Future research should look into using RPM to treat chronic post-hospitalization conditions.
Reducing anxiety and depression symptoms in pregnancy: Case report of maternal mental health from Indonesia Sari, Dewi Nirmala; Safrudin, Safrudin; Mardeyanti, Mardeyanti; Karningsih, Karningsih; Yulfitria, Fauziah
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 8, No 3: September 2023
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30604/jika.v8i3.303

Abstract

Mental health is neglected in antenatal care in Low- and Middle-Income Countries, whereas the prevalence of anxiety and depression symptoms in pregnant women is increasing yearly. Mindfulness is a new recommended method to prevent and reduce symptoms of anxiety and depression, but it is still rarely practised in Indonesia. This case report aimed to explore mindfulness-based interventions reducing anxiety and depression in pregnant women. The subjects of this study were two pregnant women who had symptoms of anxiety and depression. The research was conducted at the Community Health Centers from April to May 2023. The results were that mindfulness-based interventions built with husbands’ involvement can help reduce anxiety and depression symptoms in pregnancy. Mindfulness-based interventions are a practical and inexpensive program. Based on our findings, mindfulness programs should be taken into strategies to prevent mental health disorders in antenatal care. Health professionals can teach this method during pregnant women's antenatal care visits or in pregnant women's classes.
Effectiveness of Pelvic Rocking Exercise with Birth Ball on the Duration of Third Stage of Labor Karningsih; Mardeyanti; Yulfitria, Fauziah; Sari, Dewi Nirmala; Purwanti, Dwi
International Journal of Science and Society Vol 6 No 1 (2024): International Journal of Science and Society (IJSOC)
Publisher : GoAcademica Research & Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54783/ijsoc.v6i1.1078

Abstract

The method involving pelvic rocking exercises using a birth ball combined with acupressure represents a strategy in midwifery aimed at easing tension in the pelvic muscles, beneficial for shortening the length of labor, particularly in its third stage. This approach significantly enhances uterine contractions by prompting the pituitary gland to release oxytocin, thereby aiding in the swift expulsion of the placenta. The objective of this study is to evaluate the comparative effectiveness of pelvic rocking exercises with a birth ball and SP6 acupressure on shortening the third stage of labor. The Research design was Quasi-Experimental with Two Group Comparison, and the research was conducted in a maternity clinic in East Jakarta. The Respondents of this study were women in the active phase of the first stage of Labor. Participants and Sampling Technique: The total sample size was 64 respondents, divided into two groups of 32 each. The initial group underwent an intervention involving pelvic rocking exercises using a birth ball, whereas the second group was treated with SP6 acupressure. The method of selection used was purposive sampling, enabling the investigators to choose subjects according to predefined eligibility criteria. The Results were analyzed using bivariate analysis with the Mann-Whitney U test, as all variables were found to have non-normal distributions. The study findings indicated a statistically significant difference in the duration of the third stage of labor between the group that received the pelvic rocking exercise with a birth ball and the group that underwent the Acupressure SP6 intervention, as shown by a p-value of 0.005 (< 0.05). The data analysis demonstrated that the group participating in the pelvic rocking exercise with a birth ball experienced a quicker third stage of labor, with an average rank of 26.38, in contrast to the acupressure SP6 group, which had an average rank of 38.63. Therefore, it can be concluded that employing the pelvic rocking exercise with a birth ball is an effective method for reducing the length of the third stage of labor, proving to be a safe option for expecting mothers.
Co-Authors Dela Riadi Dwi Purwanti Fratidhina, Yudhia Indang Trihandini Karningsih Karningsih Karningsih Mardeyanti Mardeyanti, Mardeyanti Safrudin Safrudin Sari, Gita Nirmala Sri Mulyati Wijaya, Fikri Yulfitria, Fauziah