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All Journal JURNAL KEBIDANAN KESTRA (JKK) Jurnal Kesmas dan Gizi (JKG) Contagion: Scientific Periodical Journal of Public Health and Coastal Health Best Journal (Biology Education, Sains and Technology) Jurnal Doppler Jurnal Doppler Science Midwifery Indonesian Journal of Global Health research JURNAL PENELITIAN KESMASY JURNAL PENELITIAN KEBIDANAN & KESPRO JURNAL PENELITIAN KEPERAWATAN MEDIK JURNAL KAJIAN KESEHATAN MASYARAKAT JURNAL INOVASI KESEHTAN MASYARAKAT Nursing and Health Sciences Journal (NHSJ) Jurnal Pengabdian Masyarakat Putri Hijau Jurnal Kedokteran Ibnu Nafis Journal of Public Health Science (JoPHS) Pengabdian Deli Sumatera
Ariescha, Putri Ayu Yessy
Institut Kesehatan DELI HUSADA Deli Tua
Agriculture, Biological Sciences & Forestry Humanities Biochemistry, Genetics & Molecular Biology Dentistry Economics, Econometrics & Finance Education Environmental Science Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary

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Perbandingan Kadar Hemoglobin Pada Ibu Hamil Sebelum Dan Sesudah Diberi Tablet Besi (Fe) Di Wilayah Kerja UPT Puskesmas Hutabaginda Sulastri, Sulastri; Ariescha, Putri Ayu Yessy; Siagian, Nurul Aini; Anggita, Rizliana; Meliala, Alprindo Sembiring
BEST Journal (Biology Education, Sains and Technology) Vol 8, No 1 (2025): Juni 2025
Publisher : Program Studi Pendidikan Biologi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30743/best.v8i1.11964

Abstract

Anemia pada ibu hamil merupakan salah satu masalah kesehatan yang dapat berdampak buruk bagi ibu maupun janin. Upaya pencegahan dan penanggulangan anemia dilakukan melalui pemberian suplementasi tablet besi (Fe). Penelitian ini bertujuan untuk mengetahui perbandingan kadar hemoglobin pada ibu hamil sebelum dan sesudah diberi tablet besi di wilayah kerja UPT Puskesmas Hutabaginda. Desain penelitian menggunakan metode pre-eksperimental dengan pendekatan one group pretest-posttest. Populasi adalah seluruh ibu hamil yang memeriksakan kehamilannya di UPT Puskesmas Hutabaginda, dengan sampel yang dipilih menggunakan teknik purposive sampling. Data kadar hemoglobin diperoleh melalui pemeriksaan laboratorium sebelum dan sesudah intervensi pemberian tablet besi. Analisis data dilakukan menggunakan uji paired sample t-test. Hasil penelitian menunjukkan adanya peningkatan rata-rata kadar hemoglobin ibu hamil setelah mengonsumsi tablet besi, dan secara statistik terdapat perbedaan bermakna (p < 0,05) antara kadar hemoglobin sebelum dan sesudah intervensi. Kesimpulan penelitian ini adalah pemberian tablet besi berpengaruh signifikan terhadap peningkatan kadar hemoglobin pada ibu hamil di wilayah kerja UPT Puskesmas Hutabaginda. Disarankan agar tenaga kesehatan meningkatkan upaya edukasi dan kepatuhan konsumsi tablet besi untuk mencegah anemia pada ibu hamil
The Barriers of Antenatal Care Visits in Rural Mother’s Community in Padang Lawas Regency: A Qualitative Study Ariescha, Putri Ayu Yessy; Machmud, Rizanda; Ocviyanti, Dwiana; Syah, Nur Afrainin; Yusrawati, Yusrawati; Bachtiar, Adang; Chatra, Emeraldy; Yani, Finny Fitry
Indonesian Journal of Global Health Research Vol 6 No 5 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6i5.3779

Abstract

The low utilization of antenatal care services has an impact on the condition of the pregnancy not being monitored which will cause danger signs of pregnancy to go undetected and can lead to maternal death. Padang Lawas is the area with the lowest coverage of antenatal care visits in north Sumatra province. The majority of pregnant women in Padang Lawas district do not receive standard antenatal care services. Efforts to increase coverage rates for Antenatal Care visits have been carried out by the Health Service but have not produced any real impact. Objective: This study aims to find out more about the perspective of antenatal care visits for pregnant women. Method: This study was qualitative with a grounded theory approach. The informants in this study were 5 mothers, 5 husbands, 3 midwives, and 1 community figure who were recruited using purposive sampling. Data were collected using semi-structured interviews. Data were analyzed using the Content Analysis. Results: The study emerged 4 themes: (1) Culture about pregnancy, (2) Infrastructure in antenatal care, (3) Economic issues, and (4) Mother's behavior in carrying out antenatal care. Conclusions: The findings show that there are several barriers of antenatal care visits in rural maternal communities, so the government needs to pay attention to them in following up on the barriers found in these areas.
PENGARUH EDUKASI BERBASIS LEMBAR BALIK TERHADAP PENINGKATAN PENGETAHUAN IBU HAMIL TENTANG TANDA BAHAYA KEHAMILAN Ariescha, Putri Ayu Yessy; Ariani, Peny; Purba, Silvia Kartika
Jurnal Inovasi Kesehatan Masyarakat Vol 6 No 2 (2025): Jurnal Inovasi Kesehatan Masyarakat (JIKM)
Publisher : Fakultas Kesehatan Masyarakat, Institut Kesehatan Deli Husada Deli Tua

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36656/jikm.v7i1.2757

Abstract

The maternal mortality rate (MMR) remains a significant public health concern in Indonesia and serves as a key indicator in achieving the targets of the Sustainable Development Goals (SDGs). One of the major contributing factors to the high MMR is the delay in recognizing and managing pregnancy danger signs, which is often due to a lack of knowledge among pregnant women. Additionally, the suboptimal coverage of antenatal care (ANC) visits exacerbates this issue, as fewer women receive critical information during pregnancy. Providing education to pregnant women is a strategic effort to enhance their understanding and foster positive attitudes throughout pregnancy. One educational medium that can be utilized is the flipchart an interactive, visual, and communicative tool designed to deliver health information in an engaging and easy-to-understand manner. This study aimed to analyze the effect of flipchart-based education on improving pregnant women’s knowledge of pregnancy danger signs. A quasi-experimental design with a one-group pre-test–post-test approach was employed. The sample consisted of 17 primigravida women receiving antenatal care at Juliana Dalimunthe Clinic, selected through purposive sampling. A validated and reliable knowledge questionnaire was administered before and after the educational intervention. Data were analyzed using a paired sample t-test. The results showed a significant increase in knowledge among pregnant women regarding danger signs of pregnancy following the educational intervention, with a significance value of p = 0.004. These findings indicate that flipchart media is an effective educational tool in maternal health promotion. Not only does it improve maternal understanding of danger signs, but it is also expected to enhance awareness and motivation to attend regular ANC visits. Therefore, it is recommended that healthcare providers optimize the use of flipcharts in health education and counseling sessions for pregnant women, as part of preventive efforts to reduce complications.
Systemic Barriers to Postpartum Midwifery Visits and Their Effect on Exclusive Breastfeeding in Rural Indonesia Ariani, Peny; Ariescha, Putri Ayu Yessy; Bahar, Dinillah Salsabila; Siahaan, Jekson Martiar; Sari, Nurmala
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 7, No 2 (2025): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v7i2.24285

Abstract

Postpartum visits by independent midwives play a critical role in initiating and sustaining exclusive breastfeeding. However, operational and institutional barriers may compromise their effectiveness, particularly in semi‑urban and rural settings such as Deli Tua District. This study examined the association between these barriers and exclusive breastfeeding practices among mothers in Deli Tua. A quantitative cross-sectional study was conducted in 2025, involving all independent midwives in the district (n = 85) and a purposive sample of 120 postpartum mothers (1-6 weeks post-delivery). Data were collected using structured questionnaires and analyzed through Chi-Square tests and multivariate logistic regression at a 95% confidence level. Key barriers negatively associated with exclusive breastfeeding included lack of government incentives (OR = 0.23; 95% CI: 0.09-0.61; p = 0.004), excessive workload and fatigue (OR = 0.33; 95% CI: 0.14-0.78; p = 0.013), high operational costs (OR = 0.38; 95% CI: 0.17-0.83; p = 0.015), and limited time for visits (OR = 0.43; 95% CI: 0.19-0.96; p = 0.043). Conversely, institutional support from health centers significantly increased the likelihood of breastfeeding success (OR = 2.01; 95% CI: 1.01-4.01; p = 0.046). Socio-cultural factors such as stigma and customary practices showed no significant association. To enhance the effectiveness of postpartum care and promote exclusive breastfeeding, the study recommends implementing performance-based incentives, reducing workload burdens, providing financial subsidies, and establishing standardized visit-time guidelines. Strengthening cross-sectoral collaboration and resource allocation is essential to improve service delivery and breastfeeding outcomes. Keywords: Exclusive breastfeeding, postpartum care, health system barriers, community midwives, maternal health services
Maternal Risk Factors Associated with Low Birth Weight: A Case Control Study in Deli Tua District Sari, Nur Mala; Ariani, Peny; Yessy Ariescha, Putri Ayu
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 7, No 2 (2025): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v7i2.24528

Abstract

Low birth weight (LBW) remains a significant public health concern in Indonesia, contributing to neonatal morbidity, mortality, and long-term developmental challenges. Although numerous studies have explored LBW, evidence on maternal risk factors in low-resource settings particularly within independent midwife practices remains scarce. This study examined the associations between maternal age, parity, antenatal care (ANC) visits, history of anemia, and gestational weight gain with LBW incidence in Deli Tua Sub-District, Deli Serdang Regency. A case-control design was employed from December 2024 to March 2025, involving 95 postpartum mothers (35 cases, 60 controls) selected through purposive sampling. Data were collected using validated questionnaires (Content Validity Index = 0.82; Cronbach's α = 0.85) and maternal health records, and analyzed using Chi-square tests and multivariate logistic regression (SPSS version 22). Multivariate analysis identified maternal age at risk (<25 or >35 years) as the sole significant predictor of LBW (OR = 6.69; 95% CI = 3.21-25.22; p = 0.006). Parity (OR = 2.76; p = 0.077), ANC visits (OR = 1.22; p = 0.797), history of anemia (OR = 0.57; p = 0.421), and gestational weight gain (OR = 1.20; p = 0.773) were not significantly associated with LBW. The model demonstrated acceptable fit (Hosmer Lemeshow p = 0.49; Nagelkerke R² = 0.29). Maternal age emerged as the most influential determinant of LBW in this population. These findings underscore the importance of targeted surveillance for high-risk age groups and the enhancement of promotive and preventive strategies including improved ANC service quality, nutritional counseling, and family engagement in maternal care to reduce LBW incidence in resource-limited settings. Keywords: Anemia, Antenatal Care, Gestational Weight Gain, Low Birth Weight, Maternal Age, Parity
EDUKASI PENTINGNYA TABLET Fe UNTUK PENCEGAHAN ANEMIA PADA IBU HAMIL DI PMB EKA SRIWAHYUNI Sulastri; Putri Ayu Yessy Ariescha; Nurul Aini Siagian
Pengabdian Deli Sumatera Vol 4 No 1 (2025): Artikel Pengabdian Juli 2025
Publisher : LLPM Universitas Deli Sumatera

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

Abstract

Anemia selama kehamilan merupakan masalah kesehatan yang cukup prevalen di Indonesia dan dapat menimbulkan komplikasi serius bagi ibu dan janin, seperti persalinan prematur dan berat badan lahir rendah. Kekurangan zat besi (Fe) merupakan penyebab utama anemia pada ibu hamil. Salah satu upaya pencegahan yang efektif adalah dengan rutin mengonsumsi tablet Fe selama kehamilan. Namun, tingkat pengetahuan ibu hamil tentang pentingnya konsumsi tablet Fe masih rendah di wilayah PMB Eka Sriwahyuni. Melalui kegiatan edukasi dan sosialisasi, diharapkan peningkatan pengetahuan dan sikap positif terhadap konsumsi tablet Fe dapat tercapai. Metode yang digunakan meliputi penyuluhan langsung, distribusi brosur, dan diskusi interaktif kepada ibu hamil di posyandu. Hasil dari kegiatan ini menunjukkan adanya peningkatan pengetahuan dan kesadaran ibu hamil mengenai manfaat tablet Fe, serta peningkatan jumlah ibu hamil yang rutin mengkonsumsi tablet Fe. Diharapkan, kegiatan ini dapat berkontribusi dalam menurunkan angka anemia selama kehamilan dan meningkatkan kesehatan ibu dan janin di wilayah tersebut.
Family support as a predictor of breastfeeding self-efficacy among postpartum mothers Purba, Tetty Junita; Peny Ariani; Mutiara Dwi Yanti; Putri Ayu Yessy Ariescha; Friska Ernita Sitorus; Jekson Martiar Siahaan
Nursing and Health Sciences Journal (NHSJ) Vol. 6 No. 1 (2026): March 2026
Publisher : KHD-Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/nhsj.v6i1.665

Abstract

While family support is widely acknowledged as a critical determinant of breastfeeding self-efficacy, research on its independent predictive effect remains sparse. This limitation is particularly pronounced among postpartum mothers in Indonesia, where context-specific evidence is currently insufficient. This study aimed to analyze the relationships and effects of family support, educational level, and parity status on postpartum mothers' breastfeeding self-efficacy. A multicenter cross-sectional study was conducted among 180 postpartum mothers recruited from nine primary health centers across urban, semi-urban, and rural areas using purposive sampling. Family support was measured using a Friedman-based questionnaire, and breastfeeding self-efficacy was assessed using the Breastfeeding Self-Efficacy Scale–Short Form (BSES-SF). Spearman correlation and multiple linear regression were performed. Family support showed a moderate positive correlation with breastfeeding self-efficacy (rs = 0.559, p < 0.01). In multivariate analysis, family support remained the strongest predictor of breastfeeding self-efficacy (β = 0.509, p < 0.01), followed by parity (β = 0.255, p < 0.001), whereas maternal education was not statistically significant. Family support is the primary determinant of breastfeeding self-efficacy among postpartum mothers. Interventions to improve breastfeeding outcomes should integrate family-centered support strategies, particularly for first-time mothers.
Co-Authors Adang Bachtiar Ali Imran Alprindo Sembiring Meliala Amanda, Cindy Aulia Amirah, Nada Andayani Boang Manalu Andayani Boang Manalu Andayani Boang Manalu Andriani Andriani Angelika Terulin Anggita, Rizliana Ariani, Peny Aryani, Peny Bahar, Dinillah Salsabila Batubara, Saiful Bella Agustria Chaniago, Arnia Dewi Tiansa Barus Dwiana Ocviyanti Emeraldy Chatra Finny Fitry Yani Fitriani Fitriani Friska Ernita Sitorus Hadi, Milvan Halawa, Kris Angelina husna, zumrohtul Hutabarat, Vitrilina Jon Piter Sinaga, Jon Piter Krisna, Putri Kristin Natalia Mardiah . Mutiara Dwi Yanti Nency Melinda Nur Afrainin Syah Nurmala Sari Nurul Aini Siagian Pittauli, Nova Purba, Amril Purba, Silvia Kartika Purba, Tetty Junita Raden Mohamad Herdian Bhakti Rani Mariana Rehulina Tarigan Ria Novita Sari Riristio Panggabean Rizanda Machmud Saragih, Erika Sari, Nur Mala Siagian, Nurul Aini Siahaan, Jekson Martiar Sinaga, Eva Dona Sinulingga, Diana Sulastri Sulastri Sulastri Tarida Evelina Sihombing Tetty Junita Purba Ucy Tryaningsih Vivi Elvira Yuki Nia Nadia Nahdeak Yulia Fahmila Yusrawati Yusrawati