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All Journal INOTEKS : Jurnal Inovasi Ilmu Pengetahuan, Teknologi, dan Seni Jurnal NERS Jurnal Kebidanan Midwiferia Jurnal Kebidanan Journal of Medicine and Health JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) EMBRIO : Jurnal Kebidanan Jurnal Penamas Adi Buana Manuju : Malahayati Nursing Journal Health Sciences Journal Care : Jurnal Ilmiah Ilmu Kesehatan Journal of Issues in Midwifery Jurnal Midpro PREPOTIF : Jurnal Kesehatan Masyarakat Journal of Telenursing (JOTING) Indonesian Journal of Law and Economics Review INDONESIAN MIDWIFERY HEALTH AND SCIENCES JOURNAL DedikasiMU: Journal of Community Service KESANS : International Journal of Health and Science Indonesian Journal of Innovation Studies Healthy Tadulako Journal (Jurnal Kesehatan Tadulako) Jurnal Riset Kebidanan Indonesia Jurnal Abdi Medika Ranah Research : Journal of Multidisciplinary Research and Development JAMAS: Jurnal Abdi Masyarakat International Journal Multidisciplinary Journal of Social Comunity Services Kanigara IJOT Indonesian Journal Health Science and Medicine Journal of Medicine and Health Academia Open
Rafhani Rosyidah
Program Studi Pendidikan Bidan, Universitas Muhammadiyah Sidoarjo
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IMPLEMENTASI MEOWS (MATERNAL EARLY OBSTETRIC WARNING SCORE) SEBAGAI PREDIKTOR PERAWATAN PASIEN PREEKLAMPSIA DI ICU (INTENSIVE CARE UNIT) puji astutik, eka; Rosyidah, Rafhani; Cholifah, Siti
PREPOTIF : JURNAL KESEHATAN MASYARAKAT Vol. 9 No. 1 (2025): APRIL 2025
Publisher : Universitas Pahlawan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/prepotif.v9i1.42801

Abstract

Pendahuluan Preeklampsia merupakan komplikasi kehamilan yang serius dan sering kali memerlukan perawatan di ICU. Tantangan utama dalam penanganannya adalah mengidentifikasi pasien yang membutuhkan perawatan intensif sejak dini. Maternal Early Obstetric Warning Score (MEOWS) telah digunakan untuk mendeteksi kelainan tanda-tanda vital, tetapi efektivitasnya dalam memprediksi kebutuhan ICU pada pasien preeklampsia masih belum banyak diteliti. Metode: Penelitian ini adalah studi kohort retrospektif analitik yang melibatkan 276 pasien preeklampsia di RSUD R.T. Notopuro Sidoarjo selama periode Juni 2023 hingga Juni 2024. Data yang digunakan merupakan data sekunder dari rekam medis. Analisis dilakukan menggunakan kurva ROC untuk menentukan titik cut-off MEOWS, serta uji sensitivitas, spesifisitas, dan regresi logistik guna mengontrol faktor perancu. Hasil: Dari total pasien yang diteliti, 9,1% memerlukan perawatan di ICU. Analisis menunjukkan bahwa Area Under the ROC Curve (AUC) untuk MEOWS adalah 0,686 (p = 0,001), yang mengindikasikan kemampuan prediksi yang sedang. Titik cut-off optimal ditentukan untuk mencapai keseimbangan terbaik antara sensitivitas dan spesifisitas dalam mendeteksi kebutuhan ICU. Analisis dan Diskusi: MEOWS menunjukkan tingkat akurasi yang cukup dalam mengidentifikasi pasien preeklampsia dengan risiko tinggi memerlukan perawatan intensif. Skor ini dapat digunakan sebagai alat skrining awal untuk membantu tenaga medis dalam pengambilan keputusan terkait perawatan ICU. Namun, diperlukan penelitian lebih lanjut guna meningkatkan akurasi serta validasi eksternal dari skor ini. Kesimpulan: MEOWS dapat digunakan sebagai alat prediksi kebutuhan ICU pada pasien preeklampsia dengan tingkat akurasi yang moderat. Penerapan skor ini berpotensi untuk meningkatkan deteksi dini serta manajemen pasien yang berisiko tinggi.
PENINGKATAN KESADARAN KESEHATAN REPRODUKSI DAN LITERASI DIGITAL BAGI REMAJA PUTRI MELALUI PENDEKATAN PSIKOEDUKATIF KOMUNITAS Rosyidah, Rafhani
DedikasiMU : Journal of Community Service Vol. 7 No. 2 (2025): DedikasiMU Juni
Publisher : Universitas Muhammadiyah Gresik

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30587/dedikasimu.v7i2.9852

Abstract

Remaja putri merupakan kelompok strategis dalam siklus kehidupan masyarakat yang memegang peran penting dalam menciptakan generasi sehat dan berkualitas. Di Desa Tambak Kalisogo, Kecamatan Jabon, Kabupaten Sidoarjo, masih ditemukan tantangan terkait rendahnya literasi kesehatan reproduksi dan pemanfaatan teknologi digital di kalangan remaja. Kondisi ini diperburuk oleh tingginya angka pernikahan dini dan risiko stunting. Oleh karena itu, kegiatan pengabdian ini bertujuan untuk meningkatkan pemahaman remaja putri mengenai kesehatan reproduksi dan literasi digital sebagai bagian dari upaya pencegahan pernikahan dini dan reduksi stunting. Metode yang digunakan adalah pendekatan Community-Based Research (CBR) yang menggabungkan keterlibatan dosen, mahasiswa, dan masyarakat. Kegiatan edukasi dilakukan dalam bentuk psikoedukasi partisipatif, diskusi kelompok, dan simulasi. Evaluasi dilakukan melalui pretest dan posttest yang diberikan kepada 21 peserta pada dua topik utama, yaitu kesehatan reproduksi remaja dan literasi digital. Kegiatan dilaksanakan pada tanggal 8 Mei 2024. Hasil evaluasi menunjukkan adanya peningkatan skor rata-rata pada kedua topik. Nilai rata-rata pretest untuk kesehatan reproduksi adalah 8,29 dan meningkat menjadi 9,10 pada posttest. Pada literasi digital, skor meningkat dari 8,43 menjadi 9,43. Temuan ini menunjukkan bahwa kegiatan edukatif berbasis komunitas yang disampaikan dengan pendekatan interaktif mampu meningkatkan kesadaran dan pemahaman remaja putri terhadap isu-isu penting yang berkaitan dengan kesehatan dan digitalisasi.
PREVENTIVE EFFORTS FOR PREGNANT WOMEN'S DENTAL HEALTH THROUGH STRUCTURED COUNSELING AND CLINICAL EXAMINATION IN BABADAN VILLAGE Hayati, Anis Khoirin; Rosyidah, Rafhani Rosyidah; Salma Tsaniyah; Davinaiella R G Prameswari
Journal of Social Comunity Services Vol. 2 No. 3 (2025): Journal of Social Community Service (JSCS)
Publisher : Antis-publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61796/jscs.v2i3.344

Abstract

Objective: This community service program aimed to improve pregnant women’s oral health literacy through a structured educational and clinical intervention in Babadan Village, Ngancar District, Kediri Regency. Poor oral health during pregnancy has been associated with complications such as premature birth and low birth weight, yet awareness and access to dental care remain limited, especially in rural areas. This initiative responded to the high prevalence of untreated dental conditions and the persistence of local myths discouraging pregnant women from seeking dental treatment. Method: The intervention adopted a quantitative pre-experimental design, utilizing pre-test and post-test evaluations to measure knowledge change among participants. Educational sessions were conducted using culturally adapted visual media, combining lectures, discussions, and demonstrations to address the participants’ knowledge gaps. Clinical examinations followed, carried out by certified dentists in accordance with WHO diagnostic standards, to identify the prevalence of dental issues such as caries and gingivitis. Post-test assessments were used to evaluate the effectiveness of the educational approach. Results: Findings demonstrated a significant increase in average knowledge scores—from 55 before the intervention to 85 afterward—highlighting the success of the communication strategies and community-centered approach. Moreover, early indications of behavioral change were observed, such as participants expressing intent to seek routine dental care and adopt proper brushing techniques. This program not only addressed immediate health education needs but also laid a foundation for sustained improvements in maternal oral health practices. Novelty: This intervention model is scalable and adaptable for similar rural contexts, underscoring the critical role of health education in preventive maternal care and community empowerment.
Murottal Surah Ar-Rahman and Aromatheraphy Lavender (Lavendula Augustfolia) Inhalation to Decrease Labor Pain on First Stage Active Phase Azizah, Nurul; Rosyidah, Rafhani; Destiana, Evi
Jurnal Midpro Vol. 12 No. 1 (2020): JURNAL MIDPRO
Publisher : Universitas Islam Lamongan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30736/md.v12i1.192

Abstract

Childbirth is a natural process and causes pain, but many mothers can not resist the pain because it is influenced by stress. The study using non-phamacological pain relief therapy with aromatherapy which is believed to reduce pain and the aims to compare between murotal Al-Qur'an Surat Ar-rahman therapy and inhalation of lavender aromatherapy to reduce the intensity of labor pain when first active phase.The research design used Quasi Experimental with Non-equivalent Control Group Design method and using pretest - posttest. The population of the first phase active labor mothers in RB Nuril Masrukha Candi Sidoarjo. The technique sampling used Consecutive sampling. Data collected by observing 2 groups of labor mothers: 30 respondents listened to surah Ar-Rahman murottal and 30 respondents inhaled Lavender Aromatherapy. In both of groups, the pretest was given before treatment, then posttest was done after treatment using observation sheet assessment of pain scale with behavioral observation (FLACC behavioral scale). Data analysis using Independent Sample T-Test with a significance level α = 0.05. The results showed that the difference in pain score reduction in lavender aromatherapy inhalation was 3.26 ± 0.25, whereas in the murottal group of the Ar-Rahman Surah mean decrease in pain score was 2.62 ± 0.057 with P value <0.001, that showed a significant relationship.The conclusion is inhalation of aromatherapy lavender (Lavendula Augustfolia) and murottal surah Ar-Rahman can reduce intensity of labor pain during the first active phase, but inhalation group of aromatherapy lavender has a greater pain reduction score than murottal surah Ar-Rahman group.  
The Effectiveness of Acupressure for 3-Month Birth Control Acceptors Who Complaint of Menometrorrhagia Winarti, Sri; Mukhodim Faridah Hanum, Sri; Rosyidah, Rafhani
Jurnal Midpro Vol. 17 No. 1 (2025): JURNAL MIDPRO
Publisher : Universitas Islam Lamongan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30736/md.v17i1.814

Abstract

The use of hormonal contraception, such as 3-month injectable birth control, is often associated with side effects of menstrual disorders, one of which is menometrorrhagia. Untreated menometrorrhagia can affect the quality of life of birth control acceptors. This study aims to evaluate the effectiveness of acupressure therapy in 3-month contraceptive injection acceptors who experience complaints of menometrorrhagia. The research used an experimental method with a posttest-only non-equivalent control group design. The sample consisted of 23 acceptors of 3-month contraceptive injections who were divided into two intervention groups: Intervention 1 (reducing complaints from moderate to mild) and Intervention 2 (reducing complaints from mild to very mild or cured). The intervention was carried out for 7 days, focusing on the SP6, LI4, LV3, CV3 and CV4 acupressure points with a duration of 15–20 seconds per point. The results of statistical analysis showed that the average rating of menometrorrhagia complaints in the Intervention 1 group (14.23) was higher than Intervention 2 (9.10) with a significant value (p = 0.029). This shows that there is a significant difference between the two intervention groups, where Intervention 1 is more effective in reducing complaints of menometrorrhagia. These findings indicate that acupressure therapy is an effective method and can be applied as a non-pharmacological alternative to treat menometrorrhagia in 3-month contraceptive injection acceptors.    
Prediction instrument for obstructed labor Rosyidah, Rafhani; Azizah, Nurul; Rinata, Evi
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 13, No 2 (2025)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2025.13(2).226-237

Abstract

Background: Obstructed labor is a complication during childbirth that can increase maternal and neonatal mortality and morbidity, making early detection crucial for prevention. However, currently, no instrument is available to predict the occurrence of obstructed labor.Objectives: This study aims to develop an effective prediction instrument for the early identification of obstructed labor, enabling timely interventions to reduce associated risks. Methods: The study employs a case-control design for the development of the instrument and a cohort design for its testing. The research is conducted in three phases: Phase I involves a literature review to identify risk factors, Phase II focuses on the initial testing of the instrument, and Phase III includes the validation of the instrument in a clinical setting. The study population consists of 360 women in labor for instrument development and 40 women for instrument testing. Bivariate analysis is conducted using chi-square tests, while multivariate analysis is performed using logistic regression, followed by ROC curve analysis to determine the optimal cutoff point. Results: The results indicate significant associations between obstructed labor and factors such as infant birth weight, maternal height, age, obesity, upper arm circumference, anemia, history of abdominal surgery, and weight gain during pregnancy. The final predictive model demonstrated an AUC of 0.908, indicating excellent predictive performance with a sensitivity of 85.7% and specificity of 80.8%. Conclusions: This study highlights the importance of early risk detection and intervention and contributes to the literature by providing an instrument capable of predicting the risk of obstructed labor.
Exclusive Breastfeeding, Nutritional Status, and Diarrhea Incidence among Toddlers: Menyusui Eksklusif, Status Gizi, dan Insidensi Diare pada Balita Jannah, Raudhatul Rayhannatil; Purwanti, Yanik; Rosyidah, Rafhani; Widowaty, Hesty
Indonesian Journal on Health Science and Medicine Vol. 2 No. 2 (2025): Oktober
Publisher : Universitas Muhammadiyah Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21070/ijhsm.v2i2.280

Abstract

Background : In Sidoarjo Regency, cases increased annually, with 65,813 cases recorded in 2021. Exclusive breastfeeding and adequate nutrition are crucial protective factors.Knowledge Gap: Previous studies identified various risk factors, yet limited evidence exists on their combined association in local community settings.Aim: This study examined the relationship between exclusive breastfeeding history and nutritional status with diarrhea incidence among toddlers in the Candi Sidoarjo Health Center area.Methods: A cross-sectional study was conducted on 45 mothers with toddlers aged 6–59 months using random sampling. Data were collected via questionnaires and anthropometric measurements, analyzed with chi-square tests.Results: Among toddlers, 60% received exclusive breastfeeding and 68.9% had normal nutritional status. Diarrhea incidence in the past three months was 55.6%. Chi-square analysis showed significant associations between exclusive breastfeeding (p=0.014) and nutritional status (p=0.037) with diarrhea occurrence.Novelty: The findings highlight how breastfeeding practices and nutritional adequacy collectively reduce diarrhea risk in community-level settings.Implications: Strengthening maternal awareness and nutrition interventions may lower diarrhea incidence and improve child health outcomes in similar populations. Highlights: Exclusive breastfeeding reduces diarrhea in toddlers Nutritional status significantly linked to diarrhea incidence Community-based evidence from Sidoarjo Keywords: Exclusive Breastfeeding, Nutritional Status, Diarrhea, Toddlers, Sidoarjo
Adolescent Posyandu Visits, Diet, Nutritional Status, and Anemia in Penatarsewu: Kunjungan Posyandu Remaja, Pola Makan, Status Gizi, dan Anemia di Penatarsewu Khotimah, Devi Husnul; Cholifah, Cholifah; Rosyidah, Rafhani; Hanum, Sri Mukhodim Faridah
Indonesian Journal on Health Science and Medicine Vol. 2 No. 2 (2025): Oktober
Publisher : Universitas Muhammadiyah Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21070/ijhsm.v2i2.282

Abstract

Background : In Sidoarjo, anemia prevalence among adolescent girls increased from 32.9% in 2020 to 51.6% in 2023, raising concerns about nutrition and preventive health service utilization.Knowledge gap: Although diet, nutritional status, and adolescent Posyandu visits are considered determinants of anemia, the consistency of their relationship is unclear.Aim: This study investigated the relationship between adolescent Posyandu visits, diet, and nutritional status with anemia incidence in Penatarsewu Village.Results: Using a cross-sectional design with total sampling of 32 respondents, hemoglobin levels, BMI, and dietary patterns were assessed. Fisher’s exact test showed no significant relationship between Posyandu visits (p=0.338), diet (p=0.581), or nutritional status (p=0.198) with anemia incidence.Novelty: Unlike many prior studies linking nutrition to anemia, this study reveals that these factors may not directly correlate with anemia in this population.Implications: Other variables, including menstruation, chronic illness, socioeconomic, and environmental factors, should be explored in future studies with larger samples to strengthen anemia prevention strategies. Highlights: Adolescent anemia remains high in Sidoarjo. No significant link between diet, nutrition, visits, and anemia. Broader factors must be considered for anemia prevention. Keywords: Anemia, Adolescent Girls, Posyandu Visits, Diet, Nutritional Status
Risk prediction instrument for premature rupture of membranes based on clinical parameters and obstetric history Rosyidah, Rafhani; Azizah, Nurul; Cholifah, Siti
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 13, No 3 (2025)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2025.13(3).401-414

Abstract

Background: Premature rupture of membranes is one of the most significant obstetric complications, with a direct impact on increasing the risk of infection, preterm labor, and perinatal mortality. In Indonesia, the main challenge in managing premature rupture of membranes is the late identification of at-risk pregnant women due to the unavailability of objective and practical screening instruments.Objective: This study aims to develop and test the validity of a clinical and obstetric history-based early rupture risk prediction instrument that can be widely applied in primary health care.Methods: The research design used a case control approach with a total of 450 respondents, consisting of case and control groups. Data were obtained from medical records and analyzed through chi-square test and logistic regression to identify significant risk factors. A score prediction model was then developed and validated using ROC curve, Youden index, and sensitivity-specificity analysis.Results: Four variables proved significant in the final model: age beyond 20-35 years, at-risk parity (primipara or grandemultipara), anemia, and fetal abnormality. The prediction score constructed based on these four factors had an Area Under the Curve value of 0.887, with a sensitivity of 82.4% and specificity of 84.8% at a cut-off point of >2.50. The overall accuracy of the model reached 0.86, indicating excellent classification performance.Conclusions: This score-based prediction model was shown to be valid and can be used as a practical screening tool to detect early risk of premature rupture of membranes. Its application is expected to strengthen efforts to prevent obstetric complications and improve the quality of maternal care in Indonesia
ASUHAN KEBIDANAN CONTINUITY OF CARE DI PMB EVA SAFITRI, CANDI SIDOARJO Syu'bah, Afinatus; Rosyidah, Rafhani
Health Sciences Journal Vol. 8 No. 2 (2024): OKTOBER
Publisher : Universitas Muhammadiyah Ponorogo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24269/hsj.v8i2.2768

Abstract

In East Java, especially in Sidoarjo District, the maternal mortality rate in 2022 was 68.90 per 100,000 live births. This figure increased when compared to the realization in 2021, which was 59.69 per 100,000 live births. The highest maternal mortality rate is in the Candi Health Center working area, this occurs because the risk screening carried out on pregnant women is not optimal, including the competence of health workers in handling maternal emergencies and back referrals. Data collection techniques based on subjective and objective data obtained through interviews and direct physical examination. Total midwifery care in pregnancy was 2x because the mother had entered the third trimester, delivery 1x visit, postpartum period 2x visits, LBW 2x visits and family planning 1x visit. At the first visit of pregnancy the mother complained of tightness that was not accompanied by pain, at the second visit the mother complained of lower abdominal pain. In labor care, the mother came with an opening of 4cm with intact amniotic fluid, the baby was born at 13.30 WIB, the delivery process went normally in accordance with the standards of Normal Labor Care (APN). In the postpartum period, the first visit was carried out 6 hours postpartum with maternal complaints of suture wound pain and breast milk still coming out a little, at the second visit the postpartum period was found that breast milk production had increased. The mother has chosen to use IUD contraception which according to the client is a practical long-term contraception because it does not need to be remembered every day. This Continuity Of Care midwifery care takes place physiologically and there is no gap between theory and case.
Co-Authors ., Sulistiyah Agnestia Naning Dian Lovita Agung Dewanto Amelia Kusumawardani Andry Rachmadhany Anis Khoirin Hayati Aprilia, Puput Artha Meivia Putri, Bunga Auliyaur Rabbani Baso, Siti Nur Azizah Sucitra Cholifah, Cholifah Cholifah, Siti Cindy Taurusta Davinaiella R G Prameswari Dwi Nastiti Dwitania, Erina Febi Esti Dwi Yulianita Evi Rinata Evie Destiana Ferdinandus, Euvanggelia Dwilda Ghozali Rusyid Affandi Gita, Prigi Dewi Hafifa, Hafifa Hanik Machfudloh, Hanik Hanik Mahfudloh Hanum, SM. Faridah Hanum, Sri Mukhodim Farida Hasna Rosyidah Hayatun Nufus Hesty Widowati Hidayah, Widya Awwalul Humairoh, Monique Nada Ida Ruspita Intan Rohma Nurmalasari Isnaniyah Isnaniyah Ivon Diah Wittiarika Jamilahtur Rohamah Jamilatur Rohmah Jannah, Raudhatul Rayhannatil Jayanti, Ratna Dwi Khotimah, Devi Husnul Kiswara, NilaWidya Kusumawardhani, Paramitha Amelia Mohammad Suryawinata Nela Akhmalia Ningsih, Ririn Wahyu Nurul Azizah NURUL AZIZAH Nurul Azizah Nurul Azizah Okky Elvira Novianti Paramitha Amelia Kusumawardani Paramtha Amelia Kusumawardani Pionera Seconda Giyanti Putri PUJI ASTUTIK, EKA Purwanti, Mutiara Frizka Indra Purwanti, Yanik Puspitasari, Dini Ayu Putri, Bunga Artha Meivia Raden Maria Veronika Widiatrilupi Rimonta F Gunanegara Salma Tsaniyah Siti Cholifah SITI CHOLIFAH Siti Nur Azizah, Siti Nur Sri Mukhodim Faridah Hanum Sri Winarti Sunarti Sunarti Syu'bah, Afinatus Tjondro, Lidya Agustin Wahyu Taufiq Widi Arti Widowaty, Hesty Widya Nurfadillah