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Efektivitas Prenatal Yoga Dengan Teknik Birth Ball Pada Ibu Hamil Terhadap Nyeri Punggung Ari Shanti, Elvika Fit; Utami, Nendhi Wahyunia
Jurnal Ilmiah Keperawatan STIKES Hang Tuah Surabaya Vol 16 No 1 (2021): March Edition
Publisher : Sekolah Tinggi Ilmu Kesehatan Hang Tuah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30643/jiksht.v16i1.131

Introduction: third-trimester pregnant women will experience discomfort such as increased shortness of breath, leg cramps, and back pain. Muscle imbalance around the pelvis that causes back pain. A method to treat the back pain is through prenatal yoga by using a birth ball which can increase blood circulation to the womb, as well as the ability of the pelvic muscles when the delivery time is incoming and can reduce back pain. Objectives: The purpose of this study is to analyze the effectiveness of prenatal yoga with Birth Ball Technique to pregnant women with back pain. Methods: Experimental design methodology with unpaired two-group difference test. The prerequisite test for the metrics uses the two-sample unpaired T-Test. The difference test used is the Mann-Whitney test. Results: The results of research using birth balls for pregnant women showed no back pain namely 6 pregnant women (42.8). pregnant women with moderate pain (28.5%), 3 mild pain pregnant women (21, 3%), and 1 pregnant woman with severe pain (7.1%). The results of the study without birth ball given show that most pregnant women fall into the moderate pain category as many as 6 respondents or 42.8%, the mild category is 4 respondents (28.5%), 2 pregnant women are in the painless category (14, 2%) and 2 respondents in the severe pain category (14.2%). Conclusions: The average result of the statistical test of the difference in the use of the birth ball with the sig value of 0.378> 0.05, it can be concluded that there is no difference in back pain in the birth ball technique group with the group with no birth ball.

The Yoga meningkatkan kadar Hemoglobin Pada Ibu Hamil Di Wilayah Kerja Puskesmas Cangkringan Sleman Yogayakarta yulinda; Utami, Nendhi Wahyunia; Kusumawardani, Arum Margi
Jurnal Kebidanan VOLUME 15, NO.02 Desember 2023
Publisher : Sekolah Tinggi Ilmu Kesehatan Estu Utomo Boyolali

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35872/jurkeb.v15i02.661

Perubahan fisiologis selama kehamilan terutama perubahan hormon akan memberikan dampak pada sirkulasi darah berupa peningkatan volume darah. Hal tersebut bentuk kompensasi tubuh dalam merespon kebutuhan cairan ibu dan janin yang sedang berkembang. Akibatnya, kadar hemoglobin dalam darah akan menurun. Oleh karenanya, ibu hamil yang akan berisiko mengalami anemia. Jumlah ibu hamil yang mengalami anemia di Indonesia tahun 2019 masih melebihi target nasional 40% yakti 48,9%. Yoga merupakan bentuk latihan fisik yang dapat meningkatkan sirkulasi darah, oksigenasi dan membuat rekalsasi otot-otot tubuh yang dapat membantu meningkatkan kadar hemoglobin. Tujuan penelitian ini untuk mengetahui pengaruh yoga terhadap kadar hemoglobin ibu hamil. Metode dalam penelitian ini adalah quasi eksperiment dengan pre and post test two group design. Sampel penelitian ibu hamil terbagi menjadi dua kelompok yaitu kelompok kontrol dan perlakuan (yoga). Hasil penelitian terdapat perbedaan kadar hemoglobin pada ibu hamil pada kelompok kontrol dan kelompok perlakuan. Terdapat pengaruh yoga terhadap kadar hemoglobin pada ibu hamil p value < 0,05 Kata Kunci: Yoga; Ibu Hamil; Kadar Hemoglobin

Hubungan Antara Paritas Dengan Tingkat Kecemasan Ibu Hamil Di Griya Arin, Yogyakarta Anggraeni, Fatimah Dewi; Utami, Nendhi Wahyunia; Rahmawati, Dechoni
Jurnal Kesehatan Masyarakat dan Lingkungan Hidup Vol 7 No 2 (2022): Jurnal Kesehatan Masyarakat dan Lingkungan Hidup
Publisher : UNIVERSITAS SARI MUTIARA INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51544/jkmlh.v7i2.3522

Approximately 10% of pregnant women experience depression and this condition is higher in developing countries, reaching 15.6% during pregnancy and 19.8% after delivery. Mothers who experience anxiety during pregnancy will affect the intrauterine environment and fetal development. The majority of Primigravida mothers do not have experience and how to handle pregnancy until the delivery process goes smoothly, causing anxiety when compared to multigravidas. The purpose of this study was to determine the relationship between parity and anxiety levels. To determine the relationship between parity and the anxiety level of pregnant women with TM II and III. The type of research used is an analytic survey with a cross sectional approach. The population in this study were all pregnant women with TM II and III at Griya Arin using a purposive random sampling technique with a total of 30 respondents. The data analysis used was the Spearman rho correlation nonparametric statistical test.The parity of most pregnant women in the multigravida pregnancy category was 60% (18 people), while the anxiety level of most pregnant women was in the moderate category, namely 73.3% (22 people). There is a parity relationship with the level of anxiety in pregnant women at Griya Arin Yogyakarta with a p-value of 0.039 and an odds ratio of 1.000 . There is a relationship between parity and the level of anxiety in pregnant women at Griya Arin Yogyakarta.

Analisis Efektivitas Biaya (Cost Effectiveness Analysis) Monoterapi Pada Pasien Preeklampsia Di Rsud Sleman Andriani, Yuni; Hidiyaningtyas, Lutfi; Utami, Nendhi Wahyunia
MEDIA ILMU KESEHATAN Vol 12 No 3 (2023): Media Ilmu Kesehatan
Publisher : Universitas Jenderal Achmad Yani Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30989/mik.v12i3.1234

Background: Preeclampsia treatment if not treated immediately will cause seizures and even cause death. Rational treatment can be seen from the (outcome) therapy and costs. Pharmacoeconomic analysis can be used to see which drug is most effective in terms of therapeutic outcomes and the costs incurred to obtain that therapy.Objective: This study aims to analyze the cost-effective antihypertensive monotherapy in preeclampsia patients.Methods: The research was conducted at the Sleman Regional Hospital on inpatient preeclampsia patients for the 2021-2022 period. Retrospective data collection in the form of medical record data and financial administration. The effectiveness of therapy is calculated based on blood pressure and length of stay with ICER (Incremental Cost-Effectiveness Ratio) calculations.Results: The description of the characteristics of preeclampsia patients at Sleman Regional Hospital is dominated by those aged 20-35 years, 23 patients (51%), without comorbidities, 39 patients (87%). The most widely used antihypertensive monotherapy was Nifedipine in 33 patients (73%). The cost effective monotherapy is Nifedipine, with an ICER value of Rp. 3,258 based on blood pressure and an ICER of -Rp. 6,041 based on LOSConclusion: Monotherapy that cost effective for hospitalized preeclampsia patients at Sleman Regional Hospital is Nifedipine.

Health belief model in pregnant women in the free nutritional meal program: a review Rosdiana; Utami, Nendhi Wahyunia; Sunarsih, Tri; Astuti, Endah Puji; Shanti, Elvika Fit Ari
MEDIA ILMU KESEHATAN Vol 14 No 2 (2025): Media Ilmu Kesehatan
Publisher : Universitas Jenderal Achmad Yani Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30989/mik.v14i2.1646

Background: Stunting is still a serious problem in Indonesia, one of which is caused by malnutrition since pregnancy.Objective: To systematically identify and map the use of HBM in understanding pregnant women's compliance with nutritional intervention programs, especially free nutritious meals.Methods: This scoping review was conducted based on the Arksey and O'Malley framework and followed the PRISMA-ScR guidelines. The literature was searched through the PubMed, ScienceDirect, and Google Scholar databases in 2018–2025. The studies reviewed were original studies with a quantitative, qualitative, or mixed methods approach that used HBM in pregnant women.Results: From 12 selected studies, it was found that HBM components such as perceived benefits, barriers, and cues to action had a significant effect on the nutritional behavior of pregnant women. Driving factors include culture-based education, family support, and the use of educational media. Meanwhile, the main barriers include economic constraints, food access, and cultural norms.Conclusion: HBM effectively understands pregnant women's behavior in the free nutritious meal program. HBM-based educational interventions integrated with community approaches and digital technology are recommended to improve the program's effectiveness.

Pengaruh Prenatal Yoga Terhadap Keadaan Emosi Ibu Hamil di PMB Appi Amelia Kusumaningtyas, Bernadetta; Utami, Nendhi Wahyunia
MEDIA ILMU KESEHATAN Vol 14 No 2 (2025): Media Ilmu Kesehatan
Publisher : Universitas Jenderal Achmad Yani Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30989/mik.v14i2.1505

Background: Most pregnant women are worried about discomfort, especially during labor, which makes them more sensitive to emotional changes. An alternative that can improve health and reduce stress is exercising. Prenatal yoga is used as a way to manage overall stress and as a treatment for anxiety or depression.Objective: To determine prenatal yoga effect on emotional state of pregnant women. Methods: Quantitative research method with a One-Group Pretest-Posttest design was employed, involving 18 pregnant respondents selected through purposive sampling technique. Primary data collection was conducted by distributing the DASS 42 questionnaire, and bivariate data analysis was performed using the Wilcoxon test.Results: The average (mean) levels of stress, anxiety, and depression showed a significant decrease, from 11.11 to 4.50 in the stress category, from 9.17 to 3.44 in the anxiety category, and from 1.67 to 0.28 in the depression category. The Wilcoxon test revealed a p-value of 0.007 in the stress category, 0.001 in the anxiety category, and 0.371 in the depression category.Conclusion: The decrease in the average score of emotional state levels in each category indicates the influence of prenatal yoga on the emotional state of pregnant women.

Gambaran Tingkat Pengetahuan Ibu Nifas Tentang Perawatan Payudara dan Kelancaran Pengeluaran ASI di Praktik Mandiri Bidan Appi Ammelia Hanifah, Septi; Utami, Nendhi Wahyunia
Viva Medika Vol 16 No 3 (2023)
Publisher : Universitas Harapan Bangsa Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35960/vm.v16i3.1008

One of the factors that influence the low level of exclusive breastfeeding is knowledge. Postpartum mothers who have sufficient knowledge and level of understanding of the information received will be quickly captured and understood, including information about breast care during lactation. Knowing the description of the level of knowledge of postpartum mothers about breast care and the smoothness of breastfeeding in the Independent Practice of Midwife Appi Ammelia. This study used a quantitative research design with a cross sectional approach. The population in this study were 26 respondents. Sampling used in this study using total sampling. Collecting data using a questionnaire sheet. Data analysis uses frequency distribution. The results showed that the description of the level of knowledge of postpartum mothers about breast care showed good results (50%) and the smoothness of expressing milk in postpartum mothers showed good results (53.8%). The description of the level of knowledge of postpartum mothers about breast care for postpartum mothers is in the good category and the smoothness of breastfeeding in postpartum mothers is in the smooth category.

Efektivitas Prenatal Yoga Dengan Teknik Birth Ball Pada Ibu Hamil Terhadap Nyeri Punggung Ari Shanti, Elvika Fit; Utami, Nendhi Wahyunia
Jurnal Ilmiah Keperawatan STIKES Hang Tuah Surabaya Vol 16 No 1 (2021): March Edition
Publisher : Sekolah Tinggi Ilmu Kesehatan Hang Tuah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30643/jiksht.v16i1.131

Introduction: third-trimester pregnant women will experience discomfort such as increased shortness of breath, leg cramps, and back pain. Muscle imbalance around the pelvis that causes back pain. A method to treat the back pain is through prenatal yoga by using a birth ball which can increase blood circulation to the womb, as well as the ability of the pelvic muscles when the delivery time is incoming and can reduce back pain. Objectives: The purpose of this study is to analyze the effectiveness of prenatal yoga with Birth Ball Technique to pregnant women with back pain. Methods: Experimental design methodology with unpaired two-group difference test. The prerequisite test for the metrics uses the two-sample unpaired T-Test. The difference test used is the Mann-Whitney test. Results: The results of research using birth balls for pregnant women showed no back pain namely 6 pregnant women (42.8). pregnant women with moderate pain (28.5%), 3 mild pain pregnant women (21, 3%), and 1 pregnant woman with severe pain (7.1%). The results of the study without birth ball given show that most pregnant women fall into the moderate pain category as many as 6 respondents or 42.8%, the mild category is 4 respondents (28.5%), 2 pregnant women are in the painless category (14, 2%) and 2 respondents in the severe pain category (14.2%). Conclusions: The average result of the statistical test of the difference in the use of the birth ball with the sig value of 0.378> 0.05, it can be concluded that there is no difference in back pain in the birth ball technique group with the group with no birth ball.

Health Belief Model of Pregnant Women in Samarinda’s Free Nutritious Meal Program: The Role of Predisposing, Reinforcing, and Enabling Factors in Self-Efficacy Sunarsih, Tri; Rosdiana, Rosdiana; Utami, Nendhi Wahyunia; Astuti, Endah Puji; Shanti, Elvika Fit Ari
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 8 No. 12: DESEMBER 2025 - Media Publikasi Promosi Kesehatan Indonesia (MPPKI)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v8i12.8659

Introduction: Stunting remains a national health priority in Indonesia due to its long-term impact on human capital. One flagship government intervention under the National Strategy for Stunting Reduction 2018–2024 is the provision of free nutritious meals for pregnant women to improve maternal nutritional status and prevent stunting. However, adherence to this program varies widely, and previous studies have rarely examined psychosocial determinants based on behavioural health theories. Objective: This study aimed to analyse factors within the Health Belief Model (HBM), including perceived susceptibility, severity, benefits, barriers, cues to action, and self-efficacy, alongside predisposing, reinforcing, and enabling factors that influence the self-efficacy of pregnant women participating in the free nutritious meal program in Samarinda City. Methods: A quantitative cross-sectional design was applied to 203 pregnant women enrolled in the free nutritious meal program between March and August 2024. Participants were selected purposively to ensure representation of diverse educational backgrounds, parity, and gestational ages according to predefined inclusion criteria. Data were collected using a structured questionnaire based on HBM dimensions, perceived susceptibility, severity, benefits, barriers, cues to action, and self-efficacy, that had been validated and tested for reliability. Partial Least Squares–Structural Equation Modeling (PLS-SEM) was employed due to its suitability for analyzing complex latent constructs and small-to-moderate sample sizes, enabling simultaneous estimation of measurement and structural models. Results: Predisposing factors showed a strong effect on the HBM construct (? = 0.556). Reinforcing factors exerted a greater influence on self-efficacy (? = 0.228) compared with enabling factors (? = 0.142). The HBM construct itself contributed positively to the enhancement of self-efficacy (? = 0.244). The model demonstrated an SRMR of 0.074 (< 0.08), indicating acceptable model fit. Conclusion: Predisposing factors (knowledge, attitudes, and motivation) form the foundation of maternal health perceptions, while social support (reinforcing factors) plays a more dominant role than enabling factors in improving pregnant women’s self-efficacy. This first comprehensive application of the HBM to a free nutritious meal program in Samarinda provides new empirical evidence to guide the design of theory-based maternal nutrition interventions and supports Indonesia’s national stunting reduction efforts. Theoretically, the findings extend the HBM by demonstrating how contextual predisposing and reinforcing factors interact to strengthen self-efficacy within community-based nutrition programs. Practically, policymakers should integrate behavioral counseling and family involvement components into the free meal program to enhance motivation and sustained adherence among pregnant women. Future research should use longitudinal designs to assess long-term program effects and explore contextual factors influencing self-efficacy.

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