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THE PERINATAL ANXIETY SCREENING SCALE (PASS) ASSESSMENT OF HIGHRISK PREGNANT WOMEN Mardianingsih, Siti; Mutianingsih, Rosa; Abdiani, Baiq Tuhu; fatawi, zulhadi
Indonesian Midwifery and Health Sciences Journal Vol. 8 No. 2 (2024): Indonesian Midwifery and Health Sciences Journal, April 2024
Publisher : UNIVERSITAS AIRLANGGA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/imhsj.v8i2.2024.202-210

Abstract

Background: Psychological changes in pregnant women can be caused by hormonal imbalances. Imbalance can give rise to an anxiety response caused by conditions within oneself and the environment. Excessive anxiety can stimulate uterine contractions which can lead to pathological risks in the pregnancy. The aim of this research is to determine the anxiety and psychological domains of high-risk pregnant women. Method: The research design was descriptive research with a sample size of 30 pregnant women who had a history of high risk in Batu Kute village, Narmada subdistrict using cluster sampling technique. The instrument used was the PASS (perinatal anxiety screening scale) questionnaire. Result: The research results obtained were that most pregnant women experienced anxiety on a mild - moderate scale with a percentage of 70% experienced by mothers in the first and third trimesters of pregnancy. is in the domain category of excessive worry and specific fear as much as 57% and anxiety and active adjustment as much as 23.3%. The level of anxiety of pregnant women in the first trimester is due to the adaptation process to changes in a woman and will increasingly increase in the third trimester of pregnancy leading up to delivery. Conclusion: Anxiety conditions with or without previous symptoms will increase in high-risk third trimester mothers because they feel anxious about the condition of themselves and their fetus. If not treated, it will pose a risk to the mother, fetus and the birth process that will occur.
TODDLERS DEVELOPMENT MONITORING WITH EARLY DETECTION STIMULATION ACTION Mutianingsih, Rosa; Melinda, Ema
INTERNATIONAL JOURNAL OF MIDWIFERY RESEARCH Vol. 1 No. 2 (2021): International Journal of Midwifery Research
Publisher : Department of Midwifery, Faculty of Nursing and Midwifery, Institut Ilmu Kesehatan Nahdlatul Ulama Tuban

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47710/ijmr.v1i2.13

Abstract

Repeated and continuous stimulation in every aspect of development means that it has provided opportunities for children to grow and develop optimally. The purpose of this study was to determine the use of early detection stimulation measures on the development of toddlers aged 2-5 years at Karang Taliwang Health Center. The design of this research is descriptive. The population is all toddlers aged 2-5 years who are in the working area of ​​the Karang Taliwang Community Health Center. The instrument of collection used a questionnaire. The analysis used in this research is univariate analysis. From the results of the study, it was shown that 59 (67.8%) stimulation measures were performed with appropriate developments, 24 (27.6%) stimulation measures performed and 4 (4.6%) stimulators were carried out with developmental deviations. ). It is hoped that the results of this study can be used as learning materials to determine the use of early stimulation measures on the development of toddlers aged 2-5 years.
Hambatan Sosial Budaya dalam Pencegahan Anemia pada ibu Hamil: Studi Fenomenologis di Wilayah Lombok Timur, NTB Safinatunnaja, Bq.; Mawaddah, Shohipatul; Mutianingsih, Rosa
JIKF Vol 13 No 1 (2025): Jurnal Ilmu Kesehatan dan Farmasi
Publisher : Fakultas Ilmu Kesehatan Universitas Nahdlatul Wathan Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51673/jikf.v13i1.2657

Abstract

Anemia during pregnancy remains a significant public health issue in Indonesia, including in West Nusa Tenggara Province. Despite various intervention efforts, such as the distribution of Iron and Folic Acid (IFA) tablets, the prevalence of anemia remains high. This study aims to explore the socio-cultural barriers faced by pregnant women in preventing anemia, particularly in East Lombok Regency, using a qualitative phenomenological approach. Data were collected through in-depth interviews, participatory observations, and document reviews, and analyzed using a thematic interpretative approach based on the Health Belief Model (HBM). The findings indicate that low risk perception, limited understanding of the dangers of anemia, physical and cultural barriers to IFA tablet consumption, and lack of support from families and healthcare providers are the main factors influencing anemia prevention behavior. This study recommends the need for a contextual education approach rooted in local cultural values, as well as the active involvement of community leaders and family members in promoting maternal health.
Evaluation of the Quality of Midwifery Care Based on Continuity of Care for Pregnant Adolescents in Central Lombok: Qualitative Study Supiana, Nia; Safinatunnaja, Bq; Mutianingsih, Rosa; Mawaddah, Shohipatul; Daniyati, Asri
Ahmar Metastasis Health Journal Vol. 5 No. 2 (2025): Ahmar Metastasis Health Journal
Publisher : Yayasan Ahmad Mansyur Nasirah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/amhj.v5i2.526

Abstract

Adolescents who experience pregnancy are a vulnerable group in accessing reproductive health services. The implementation of continuous midwifery services or Continuity of Care (CoC) is believed to be able to improve the quality of services, but so far, its implementation in adolescent groups has not been widely studied. This research aims to explore perceptions, experiences and identify factors that support and hinder the implementation of CoC-based midwifery services.  This study uses a qualitative design with a phenomenological approach. The research locations were in two Community Health Centers in the Central Lombok region, namely work areas that have a high prevalence of teenage pregnancy rates, namely the Sengkol and Batu Jangkih Community Health Centers. Involving 12 teenagers at various stages of pregnancy and 1 head of community health center, as well as 5 midwives implementing the CoC program. Purposive sampling technique was used to select informants. Data collection was carried out through in-depth interviews using semi-structured guidelines, observation of service interactions, and review of service documents conducted over 2 months. Data validity is strengthened by source triangulation and member checking. Data were analyzed using a thematic approach. The research results show that the CoC is implemented consistently and builds adolescent trust through ongoing relationships with midwives, however the quality of service is not optimal due to limited staff, lack of psychosocial approach, stigma, low health literacy, as well as transportation and economic barriers. To increase the effectiveness of the CoC, it is necessary to strengthen the service system and cross-sector support and requires in-depth studies for future researchers regarding the involvement of adolescents in the medical decision-making process, the impact of using digital technology, the relationship between socio-economic factors and the implementation of CoC, and comparing the implementation of CoC in rural areas with urban areas.
Case Report on Pre-Marital Screening, Information Communication, and Reproductive Health Education for Prospective Brides Mawaddah, Shohipatul; Munawarah, Ziadatul; Kamila, Nurul Aulia; Mutianingsih, Rosa; Mardianingsih, Siti
Indonesian Journal of Global Health Research Vol 6 No S6 (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.v6iS6.5115

Abstract

Premarital screening is one of the government's program strategies for all prospective brides and grooms to find out the risks that will be faced by the couple, and also for their children in the future. Many things can be anticipated by conducting this screening, such as the risk of disease transmission, infertility, maternal and child mortality during childbirth, and birth defects. The purpose of this case study is to conduct premarital screening and assistance in the form of providing health reproductive (communication, information, education). A pair of prospective brides and grooms (calon pengantin) planning to get married in 1 month visit the Health Center for a premarital examination. As per the Health Center's work procedure, they undergo a premarital screening examination and receive follow-up. The results of anamnesis and physical examination of both candidates were normal, laboratory examination results showed that only the bride to be's hemoglobin levels was below normal (10.8 gr/dL). Assistance was provided to both brides and grooms 3 times, 1 time at the Health Center and 2 home visits, midwifery care provided in the form of providing iron tablets and Tetanus Toxoid immunization to the bride and health reproductive (communication, information, education) to both. The final visit showed that the knowledge of both brides and grooms was in the very good category. Both prospective brides and grooms are ideal age biologically and psychologically to get married.