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The Efficacy of Educational Videos on Perineal Wound Care Using Red Betel Extract Salve in Enhancing the Knowledge and Attitudes of Postpartum Mothers for Improved Healing Fratidhina, Yudhia; Mulyati, Sri; Astri, Hetty; Mulyana, Nana; Sari, Gita Nirmala
Journal of Midwifery Vol. 9 No. 1 (2024): Published on June 2024
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jom.9.1.1-8.2024

Abstract

This study examines how an educational program combined with red betel extract salve application affects postpartum mothers' knowledge and attitudes toward perineal care, focusing on Grade 2 perineal lacerations. With 80 participants split evenly between intervention and control groups, those in the intervention group received education and salve application, leading to significantly improved knowledge and attitudes compared to the control group, which followed standard care protocols. Specifically, the mean knowledge score for the intervention group increased from 7.48 to 9.70 post-intervention, while the control group's knowledge score remained stable at 7.08 (p < 0.001). In terms of attitudes, the intervention group displayed a significantly more positive attitude, with a mean attitude score of 39.12 post-intervention, compared to the control group's score of 35.52 (p < 0.001). These results highlight the potential of educational interventions to substantially improve both knowledge and attitudes related to perineal care among postpartum mothers. These findings contribute to advancing postpartum care practices, benefiting the overall well- being of postpartum mothers during this pivotal stage of their maternal journey.
Association Between Maternal Preeclampsia and Neonatal Asphyxia: A Cross-Sectional Study in a Referral Hospital in Lampung, Indonesia Lestari, Muji; Dahliana, Maya Dika; Sari, Gita Nirmala
Journal of Midwifery Vol. 10 No. 1 (2025): Published on June 2025
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jom.10.1.1-7.2025

Abstract

Preeclampsia is a significant contributor to neonatal complications, particularly neonatal asphyxia, which remains one of the leading causes of early neonatal mortality. This study aimed to determine the association between maternal preeclampsia and neonatal asphyxia and to examine the modifying effects of maternal age and parity. A retrospective cross-sectional study was conducted at a referral hospital in Lampung Province using secondary data from 96 laboring mothers and their newborns in 2024. Preeclampsia was identified based on clinical diagnosis, and neonatal asphyxia was defined by a 1-minute Apgar score below 7. Chi-square test and multivariable logistic regression were used for statistical analysis. The results showed that 62.5% of mothers were diagnosed with preeclampsia, and 43.8% of newborns experienced neonatal asphyxia. A significant association was found between preeclampsia and neonatal asphyxia, with an adjusted odds ratio (OR) of 3.14 (95% CI: 1.29–7.61; p = 0.011). Interaction analysis indicated that maternal age under 20 years (adjusted OR = 4.25; p = 0.039) and primiparity (adjusted OR = 3.78; p = 0.027) significantly increased the risk of neonatal asphyxia among mothers with preeclampsia. These findings highlight the compounded risks in younger and first-time mothers with hypertensive disorders of pregnancy. This study underscores the importance of early detection of preeclampsia, tailored antenatal care, and close monitoring of high-risk pregnancies, particularly among adolescents and primiparous women, to prevent adverse neonatal outcomes such as asphyxia
DETERMINANT OF INFERTILITY: INTERNAL AND EXTERNAL FACTORS IN A CROSS-SECTIONAL STUDY: DETERMINANT OF INFERTILITY: INTERNAL AND EXTERNAL FACTORS IN A CROSS-SECTIONAL STUDY Fitriana, Shentya; Noviyanti, Catur Wida; Jehanara, Jehanara; Sari, Yulia; Sari, Gita Nirmala
Jurnal Kesehatan - STIKes Prima Nusantara Vol 17 No 1 (2026): Jurnal Kesehatan Volume 17 Nomor 1 Tahun 2026 (on progress)
Publisher : LPPM Universitas Prima Nusantara Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35730/jk.v17i1.1431

Abstract

Background: Infertility remains a major reproductive health problem globally, affecting 12–15% of Indonesian couples of reproductive ages. Both biological and lifestyle-related factors contribute to infertility, yet evidence on their relative influence in the Indonesian context is limited. Objectives: This study aimed to identify internal factors (tubal, uterine, ovulation, and sperm issues) and external factors (age, employment status, BMI, and smoking habits) influencing infertility. Methods: This analytical cross-sectional study was conducted at a government fertility clinic. A total of 343 infertile couples were included using a total sampling approach. Secondary data were extracted from medical records using a structured checklist encompassing socio-demographic, lifestyle, and clinical reproductive variables. The dependent variable was infertility type. Independent variables included age, occupation, BMI, smoking, and reproductive organ factors. Bivariate analysis was performed using Chi-square tests, and variables with p < 0.25 were entered into multiple logistic regression to determine the most influential predictors of infertility. Results: Wife’s age (p = 0.001), husband’s age (p = 0.014), ovulation disorders (p < 0.001), and sperm abnormalities (p < 0.001) were significantly associated with infertility. Multivariate analysis identified ovulation disorders (OR = 2.34; 95% CI: 1.35–4.03) and sperm abnormalities (OR = 2.52; 95% CI: 1.45–4.37) as the dominant predictors. Conclusion: Infertility among Indonesian couples is primarily influenced by ovulation and sperm abnormalities, underscoring the need for early reproductive health screening and lifestyle-based prevention strategies.