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Exploring Contraceptive Use Among Reproductive Woman at Pamekasan, Madura Island Dwi Jayanti, Ratna; Ivon Diah Wittiarika; Agnestia Naning Dian Lovita; Euvanggelia Dwilda Ferdinandus; Nurul Azizah; Rafhani Rosyidah; Pionera Seconda Giyanti Putri
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 5 (2026): KESANS: International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v5i5.572

Abstract

Introduction: Unintended pregnancy remains a major global and national concern, with 64 unintended pregnancies per 1,000 women worldwide and 15.5% of pregnancies in Indonesia reported as unwanted; the Indonesian government addresses this issue through the Family Planning program, where contraceptive use has reached 62.38% nationally. Even while long-term methods like IUDs and implants are very effective, their use is still inconsistent, whereas short-term like injectable contraception is most often used. Objective: this study aimed to exploring contraceptive use among reproductive woman at rural area. Method: A cross-sectional study using consecutive sampling involved 69 women of reproductive age completing structured questionnaires on contraceptive use, analyzed using descriptive statistics. Result and Discussion: Most respondent in 40-49 group age (42%), have secondary education level (57%), have no working (77%), and Married woman (91%). Most participants (54.4%) not used contraception although 74% ever used contraception, with the hormone injection were the preferred contraceptive methods. Conclusions: This study show a sociodemographic characteristic that can be analyzed in the future study.
Pengaruh Posisi Knee-Chest Terhadap Kenyamanan Ibu Hamil Dengan Presentasi Sungsang Nurul Azizah; Rafhani Rosyidah; Ratna Dwi Jayanti
Hospital Majapahit (JURNAL ILMIAH KESEHATAN POLITEKNIK KESEHATAN MOJOKERTO) Vol. 18 No. 1 (2026): FEBRUARI
Publisher : LPPM Sekolah Tinggi Ilmu Kesehatan Majapahit Mojokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55316/hm.v18i1.1200

Abstract

Breech presentation pregnancies often cause physical discomfort and anxiety, which can impact maternal well-being. The knee-chest intervention is a non-pharmacological intervention that, physiologically, has the potential to improve maternal comfort, but scientific evidence remains very limited. This study aimed to analyze the effect of the knee-chest position on the comfort of pregnant women with breech presentation, providing evidence that can inform clinical practice and improve patient care. This study used a quasi-experimental design with a control group, involving nineteen third-trimester pregnant women with breech presentation divided into an intervention group (n=10) and a control group (n=9). The intervention group received routine knee-chest exercises, while the control group received standard antenatal care. Comfort levels were measured using the General Comfort Questionnaire (GCQ) before and after the intervention. Data analysis was both descriptive and inferential, comparing changes in comfort scores across groups to ensure reliable results for healthcare professionals and researchers. The intervention group showed a significant increase in the total GCQ comfort score after the knee-chest intervention, encompassing physical, psychospiritual, and environmental aspects, compared with the control group. Clarifying how these improvements translate to maternal well-being can help readers assess practical benefits
Midwifery Care with Frequent Urination on Pregnant Women at BPM Nuril Masrukah Candi Sidoarjo: Asuhan Kebidanan Dengan Sering Buang Air Kecil Pada Ibu Hamil Di BPM Nuril Masrukah Candi Sidoarjo Okky Elvira Novianti; Evi Rinata; Rafhani Rosyidah
Academia Open Vol. 5 (2021): December
Publisher : Universitas Muhammadiyah Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21070/acopen.5.2021.1908

Abstract

Pregnancy is the fertilization or fusion of spermatozoa and ovum which is followed by bullying. Normal pregnancy lasts in 9 to 10 months. Complaints and discomfort can arise from the beginning of pregnancy to the end of pregnancy which can affect the physical and psychological condition of the mother. Pregnant women often complain in the third trimester and 96.7% experience complaints of frequent urination. The case study method used is observational (COC) Continuity of Care. From data collection and inspection there were no gaps and problem found, so no further special handling was needed.
Anemia's Role in Premature Rupture of Membranes: Peran Anemia dalam Ketuban Pecah Dini Isnaniyah; Rafhani Rosyidah
Academia Open Vol. 9 No. 2 (2024): December
Publisher : Universitas Muhammadiyah Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21070/acopen.9.2024.5928

Abstract

Premature Rupture of Membranes (PROM) occurs before labor, typically at or beyond 37 weeks of gestation. This study investigates the relationship between anemia, Chronic Energy Deficiency (CED), and cesarean section history with PROM to aid early detection and prevention. Using a cross-sectional design, data from 94 third trimester pregnant women at the Wonoayu Health Center (January 2021 - June 2022) were analyzed. Results showed anemia was significantly associated with PROM (p=0.012), while CED and cesarean history were not. The study concludes that managing anemia in pregnant women is crucial to reduce PROM risk, highlighting the need for timely education and intervention. Highlight: Anemia significantly increases PROM risk. No link between CED, cesarean history, and PROM. Managing anemia crucial for PROM prevention. Keyword: Premature Rupture of Membranes, Anemia, Chronic Energy Deficiency, Cesarean Section, Pregnancy
Acupuncture at points LI4 and SP6 on Postpartum Sectio Caesarea (SC) Pain: Akupunktur pada titik LI4 dan SP6 pada Nyeri Postpartum Sectio Caeasarea (SC) Nurul Azizah; Rafhani Rosyidah; Jamilahtur Rohamah
Academia Open Vol. 8 No. 1 (2023): June
Publisher : Universitas Muhammadiyah Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21070/acopen.8.2023.6980

Abstract

This study will look at the effect of acupuncture at LI4 and SP6 points on postpartum SC pain. The research design is a quasi experimental clinical non-equivalent pre-post test control group design. The total sample is 60 respondents consisting of the intervention and control groups. The instrument used was the PNRS pain scale by measuring the level of pain before and after the intervention was given. Bivariate analysis using Independent Sample t-Test. The results of the study stated that the average pain intensity score before acupuncture intervention using PNRS there was a decrease after acupuncture intervention at points LI4 and SP6 after acupuncture intervention at points LI4 and SP6 for 30 minutes, analysis p value 0.00 <0.05. Conclusion There is a significant effect after being given acupuncture intervention at points LI4 and SP6 on reducing pain intensity in postpartum SC. Highlights: The study examines the effect of acupuncture on postpartum SC pain using a quasi-experimental design with intervention and control groups (n=60). Acupuncture at LI4 and SP6 points significantly reduces pain intensity in postpartum SC, as measured by the PNRS pain scale. Bivariate analysis (Independent Sample t-Test) shows a significant decrease in pain intensity after 30 minutes of acupuncture intervention at LI4 and SP6 points. Keywords: Acupuncture, Postpartum SC pain, LI4, SP6, Pain intensity.
Analisis Faktor yang Berhubungan dengan Janin Letak Sungsang Esti Dwi Yulianita; Rafhani Rosyidah
Malahayati Nursing Journal Vol 7, No 3 (2025): Volume 7 Nomor 3 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v7i3.18647

Abstract

ABSTRACT Breech presentation is one of the leading causes of maternal mortality, although it occurs in only 2-3% of pregnancies, it carries significant risks of complications, including an increased risk of maternal death by 20-30%. The purpose of this study is to analyze the factors associated with breech presentation. This study uses an analytical design with a Cross-Sectional approach to analyze the relationship between several factors such as age, parity, polyhydramnios, maternal height, and placenta previa with the incidence of breech presentation. The study population consists of third-trimester pregnant women with a gestational age of 36-42 weeks who meet the inclusion criteria. The sample size of this study is 114 pregnant women in each group, calculated using the Lemeshow formula. Data was collected secondarily from medical records and analyzed using univariate analysis through frequency distribution tables, bivariate analysis using the chi-square test with a significance level of 0.05, and the prevalence of breech delivery was calculated using Prevalence Ratio (PR).  Keywords: Breech Presentation, Pregnancy, Risk Factors.  ABSTRAK Sungsang menjadi salah satu penyebab utama angka kematian ibu, yang walaupun hanya terjadi pada 2-3% kehamilan, tetapi memiliki risiko komplikasi yang signifikan, termasuk peningkatan risiko kematian ibu hingga 20-30%. Tujuan penelitian ini adalah menganalisis faktor yang berhubungan dengan janin letak sungsang. Penelitian ini menggunakan desain analitik dengan pendekatan Cross Sectional untuk menganalisis hubungan antara beberapa faktor seperti usia, paritas, hidramnion, tinggi badan ibu, dan placenta previa dengan kejadian letak sungsang. Populasi penelitian adalah ibu hamil trimester III dengan usia kehamilan 36-42 minggu yang memenuhi kriteria inklusi. Biesar sampiel pienielitian ini adalah 114 ibu hamil tiap kielompok yang di hitung mienggunakan rumus Liemieshow. Data dikumpulkan secara sekunder dari rekam medis dan dianalisis menggunakan analisis univariat dengan menggunakan tabel distribusi frekuensi, analisis bivariat dengan menggunakan uji chi – square dengan tingkat kemaknaan 0,05 serta besar prevalensi persalinan sungsang dihitung menggunakan RP (Rasio Prevalensi). Kata Kunci: Letak Sungsang, Kehamilan, Faktor Resiko.
Islamic Guided Imagery for Reducing Postpartum Fatigue and Anxiety: Development of Midwifery Care Azizah, Nurul; Rosyidah, Rafhani; Jayanti, Ratna Dwi
Care : Jurnal Ilmiah Ilmu Kesehatan Vol 14, No 1 (2026): EDITION MARCH 2026
Publisher : Universitas Tribhuwana Tunggadewi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33366/jc.v14i1.8360

Abstract

The high incidence of postpartum fatigue and anxiety in Indonesia hindering mothers’ recovery and breastfeeding success. Non-pharmacological and safe interventions aligned with local cultural values are needed. Islamic guided imagery provides relaxation that integrates positive visualization with the spiritual value of zikr. This study aims to examine the effectiveness of Islamic guided imagery in reducing fatigue and anxiety scores in postpartum mothers. The study used a quasi-experimental design with a pre-posttest and a control group. A total of 45 postpartum mothers (0–6 weeks) were recruited using consecutive sampling techniques and divided into intervention (n = 23) and control (n = 22) groups. The Islamic guided imagery intervention was delivered in audio format for 15–20 minutes per day for 3 days, demonstrating its simplicity and feasibility for busy postpartum care routines. Fatigue levels were measured using the Postpartum Fatigue Scale (PFS), and anxiety was measured using the State Anxiety Inventory (STAI-S). Data were analyzed using an independent t-test. The intervention group showed a significant and progressive reduction in fatigue and anxiety scores from day 1 to day 3 compared with the control group (p 0.001). The quick improvements of -15.8 and -17.7 points in fatigue and anxiety scores, respectively, can inspire healthcare providers and researchers to consider this intervention as an effective, fast-acting option. The Islamic guided imagery effectively reduces postpartum fatigue and anxiety by strengthening emotional regulation and spiritual coping. Recommendations for future research include conducting randomized controlled trials with longer follow-up and including stress biomarker measurements to strengthen the generalizability of findings.