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All Journal INTERNATIONAL JOURNAL OF NURSING AND MIDWIFERY SCIENCE (IJNMS) Jurnal Kesehatan Contagion: Scientific Periodical Journal of Public Health and Coastal Health Jurnal Aisyah : Jurnal Ilmu Kesehatan Jurnal Ilmiah Kebidanan Imelda JUKESHUM: Jurnal Pengabdian Masyarakat Jurnal EduHealth International Journal of Midwifery Research Excellent Midwifery Journal Journal of Health and Medical Science JHeS (Journal of Health Studies) Jurnal Ilmiah Pengabdian Kepada Masyarakat Journal of Public Health Science (JoPHS) Jurnal Kesehatan, Rekam Medis dan Farmasi (JUK-Medifa)
Sebayang, Wellina BR
Universitas Imelda Medan
Humanities Biochemistry, Genetics & Molecular Biology Computer Science & IT Economics, Econometrics & Finance Education Health Professions Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary Other

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Factors Associated With Preeclampsia: A Systematic Review Hotmauli BR. Sitanggang; Asroh Yuliana; Wellina BR. Sebayang
Jurnal EduHealth Vol. 16 No. 01 (2025): Jurnal EduHealt, Edition January - March, 2025
Publisher : Sean Institute

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

Abstract

Preeclampsia remains a significant public health threat in developed and developing countries, contributing to maternal and perinatal morbidity and mortality globally. The prevalence of preeclampsia in developed countries is 1.3% - 6%, while in other developing countries it is 1.8% - 18%. Preeclampsia is a pregnancy complication characterized by an increase in blood pressure (hypertension) that usually appears after 20 weeks of gestation, accompanied by damage to organs such as the kidneys, which can be seen from the presence of protein in the urine (proteinuria). The goal is to find out what are the factors that cause preeclampsia in mothers. This study uses the Systematic Review method in accordance with the PRISMA Guidelines. The focus of the review is determined by keywords, inclusion and exclusion criteria, article search strategies with relevant databases (PubMed, Scince Direct, and Wiley), the article selection process is described in the PRISMA flowchart, Critical Appraisal using CEBM, then data extraction, and presenting the results. There are 106 articles that are removed duplicates which are then selected from titles, abstra to full text. Finally, 11 selected articles that met the inclusion criteria, Nine themes were found in this study, namely Demographic factors, Obstetric History, Health Conditions, Family Health History, ANC Visits, PAPP-P and  β hCG, P53 Gene Changes, Based on Sex, Nonproteinuric and Placenta Location. In this review, an article related to the factors that cause preeclampsia in mothers was obtained, so it is recommended that researchers conduct further research related to preeclampsia management based on the causative factors. This is so that the problem of preeclampsia in mothers can be solved.
GAMBARAN KEJADIAN BABY BLUES PADA IBU POSTPARTUM DI KOTA MEDAN Wellina BR Sebayang; Ravika Dewi; Feni Hati Halawa
Jurnal Ilmiah Kebidanan Imelda Vol. 10 No. 1 (2024): Jurnal Ilmiah Kebidanan Imelda
Publisher : Program Studi S1 & DIII-Kebidanan Universitas Imelda Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52943/jikebi.v10i1.1335

Abstract

Postpartum depression in postpartum mothers usually begins with the postpartum blues or baby blues. Baby blues syndrome is often considered not very important and is arely considered, because even if many experience it, it is often only seen as a side effect of fatigue after giving birth. But basically abby blues are very dangerous for the healt of postpartum mothers and also dangerous for their babies. The purpose of this research is to find out how the prevalence of abbay blues in the city of Medan, North Sumatera. The samples taken in this study were 80 postpartum mothers. The method used is descriptive quantitative research with primary data collection through questionnaire interviews according to the Edinburgh Postpartum Depression Scale. The result of study can be stated that many mothers experience baby blues as much as 92,5% of respondents. Mothers who experienced the incidence of baby blues from the age of <20 were 56,25%. As well as the incidence of postpartum blues in primipadra mothers as much as 72,52%. Symptoms of postpartum blues are characterized by the presence of disturbances such as reaction of depression or sadbess, crying,irritability, anxiety, feeling unstable, tending to blame oneself, impaired appetite.
STUDY MIXED METHODS PPNMSS (PERCEIVED PRENATAL MATERNAL STRESS SCALE) TERHADAP TINGKAT STRES IBU REMAJA DENGAN KTD (KEHAMILAN TIDAK DIINGINKAN) Risatantry Gultom; Wellina Br Sebayang; Hotmauli Sitanggang
Jurnal Ilmiah Kebidanan Imelda Vol. 10 No. 2 (2024): Jurnal Ilmiah Kebidanan Imelda
Publisher : Program Studi S1 & DIII-Kebidanan Universitas Imelda Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52943/jikebi.v10i2.1754

Abstract

Teenage pregnancy is a global phenomenon with well-known causes and serious health, social and economic impacts. Globally, the Adolescent Birth Rate (ABR) is decreasing, but the rate of change is uneven across regions. Adolescent mothers (aged 10–19 years) face a higher risk of eclampsia, puerperal endometritis, and systemic infections than women aged 20–24 years, and infants of adolescent mothers face a higher risk of low birth weight, preterm birth, and neonatal emergencies. The purpose of this study was to analyze and explore the stress levels of adolescent mothers with PPNMSS in unintended pregnancies. The research method used was a mixed method with a Sequential Explanatory Design approach. The sample in this study was 45 adolescent pregnant women and those who were used as qualitative research informants were adolescent pregnant women who experienced severe stress. This study used a purposive sampling technique. Data collection using the PPNMSS questionnaire and in-depth interviews. Data analysis was carried out using univariate tests with the aim of describing the characteristics of informants and the stress levels of pregnant women. In the bivariate test with the chi square test through SPSS version 25 aims to see what is related to the stress level of pregnant women who are teenagers. While qualitative analysis can be done after finding pregnant teenage mothers with the highest scores who experience stress during pregnancy. The analysis used with thematic analysis with Nvivo 12 Plus software starting from data collection, data reduction, data display, verification and confirmation of conclusions (conclusion drawing and verification). The results of the study showed that pregnant women who were teenagers were mostly 19 years old (33.0%), the majority of junior high school education (42.0%), the majority of teenage mothers did not work (80.0%) and the majority experienced severe stress (29.0%). Based on the Pearson chi-square value (0.001; 0.024; 0.029) showed a relationship between age, education and work with the stress level of pregnant women who were teenagers. The research theme consists of factors causing Unwanted Pregnancy (KTD), coping strategies for Unwanted Pregnancy, the impact of Unwanted Pregnancy. Conclusion: High stress on unwanted pregnancy and high desire among adolescent couples to have abortion, highlight the need for coping strategies and information support from health workers, especially through social media promotion.
PENGALAMAN KELUARGA DALAM PERAWATAN ANAK SPEECH DELAY DI WILAYAH KERJA PUSKESMAS TERJUN Nova Linda Rambe; Wellina BR. Sebayang; Debora Lestari Simamora; Amelia Syafitri
Jurnal Ilmiah Kebidanan Imelda Vol. 12 No. 1 (2026): Jurnal Ilmiah Kebidanan Imelda
Publisher : Program Studi S1 & DIII-Kebidanan Universitas Imelda Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52943/jikebi.v12i1.2169

Abstract

Speech delay in children is a developmental disorder frequently found in the service area of Terjun Community Health Center. This study aimed to explore children's nutritional intake, sources of information, family management practices, and factors contributing to speech delay in children in this area. This study employed a qualitative method using a phenomenological approach with a snowball sampling technique. Data were collected through in-depth interviews with 5 families who had children with speech delay. The findings indicated that children's diets were relatively limited and lacked nutritional variety, consisting mainly of rice, vegetables, fish, eggs, and several fruits such as bananas and papaya. Most mothers provided formula milk from infancy due to difficulties in breastfeeding, which may influence children’s speech development. The inconsistent administration of supplements such as Cerebrovit, vitamin C, herbal honey, and fish oil may reduce their potential effectiveness. Parental experience also played an important role in recognizing speech delay, as parents compared their child’s speech development with that of older siblings. Family management strategies included intensive interaction and speech stimulation, and some families sought professional assistance for speech therapy. Genetic predisposition was also identified as a contributing factor. In addition, inadequate maternal nutritional intake during pregnancy due to economic constraints was reported to contribute to speech delay in children. In conclusion, speech delay among children in the Terjun Community Health Center area is associated with multiple factors, including limited dietary intake, inconsistent supplement administration, parental experience in recognizing developmental delays, genetic predisposition, and inadequate maternal nutrition during pregnancy.
A Conceptual Model of Family Assistance for Working Mothers in Preventing and Managing Postpartum Blues in Urban Areas Elvalini Warnelis Sinaga; Rahmawani Fauza; Debora Lestari Simamora; Nova Linda Rambe; Wellina Br. Sebayang
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 8, No 2 (2026): Contagion
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v8i2.28729

Abstract

Physical recovery after childbirth. This study aimed to analyze factors influencing prevention and management efforts for postpartum blues among working mothers in an urban setting and to formulate a conceptual family-assistance model based on the significant predictors. A quantitative analytic study with a cross-sectional design was conducted among 206 working postpartum mothers in urban areas of Medan City, Indonesia. Postpartum blues symptoms were screened using the Edinburgh Postnatal Depression Scale (EPDS), with a cut-off score of ≥10. Data were analyzed using Partial Least Squares Structural Equation Modeling (PLS-SEM). The measurement model was evaluated through outer loading, Cronbach's alpha, rho_A, composite reliability, and average variance extracted (AVE). In contrast, the structural model was assessed using R-square, path coefficients, t-statistics, and p-values. Results: The mean EPDS score was 12.45 ± 3.18, and 142 respondents (69.0%) were categorized as having postpartum blues symptoms. All indicators demonstrated adequate outer loadings (>0.70), and all constructs met reliability and convergent validity criteria. The model explained 95.1% of the variance in prevention and management efforts for postpartum blues (R² = 0.951; adjusted R² = 0.947). The Health Belief Model had the strongest effect (β=0.312; T=7.428; p=0.000), followed by family assistance (β=0.288; T=5.236; p=0.000), psychological factors (β=0.254; T=5.644; p=0.000), social factors (β=0.210; T=3.442; p=0.001), physical factors (β=0.198; T=3.413; p=0.001), and demographic factors (β=0.185; T=3.557; p=0.000). Prevention and management of postpartum blues among working mothers should emphasize health beliefs, family assistance, psychological readiness, social support, physical recovery, and demographic vulnerability. The proposed conceptual model highlights the family as a key support system for early detection, help-seeking, and adherence to postpartum care Keywords: Postpartum Blues, Family Assistance, Working Mothers, Health Belief Model
Co-Authors Amelia Syafitri Arifa Masyitah Panjaitan Asroh Yuliana Aulia Azmi Carolina Theresia Simanjuntak Christina Magdalena Debora Lestari Simamora Debora Lestari Simamora Devi Damayanti Dhani Syahputra Bukit Elfalini Warnelis Elisabet Hasudungan Putri Sulung Putri Sulung Etti Sudaryati Fadilah Aini Feni Hati Halawa Fikarwin Zuska Fitriana Ritonga Fitriana Ritonga Griselli Saragih Gultom, Risatantry Halawa, Feni Hati Hedy Tan Hotmauli BR. Sitanggang Hotmauli Sitanggang Hutabarat, Eva Nirwana Ida Yustina Indah Sari Ridwan Indrayani, Mira Irsani, Nami Khairun Nisa Lidya Natalia Br Sinuhaji Manurung, Sarida Martalena Br S. Kembaren Melati Hutauruk, Puput MELATI, PUPUT Mutiara, Della Ndruru, Ernawati Nurmaini Nurmaini Pasaribu, Dina Putri, Muliana R.Kintoko Rochadi Rahmawani Fauza Rambe, Nova Linda Ravika Dewi Ravika Dewi Rilie Ritonga Risatantry Gultom Riska Susanti Pasaribu Ritonga , Fitriana Ritonga, Fitriana Saragih, Griselli Serin Widya Lestari Simamora Debora Lestari Simamora, Debora Lestari Sitanggang, Hotmauli Sukma Aden Nurintan Harahap