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All Journal Jurnal Penelitian Kesehatan Suara Forikes Health Notions Jurnal Kesehatan Manarang Jurnal Pendidikan dan Pelayanan Kebidanan Indonesia (Indonesian Journal of Education and Midwifery Care) Jurnal Kesehatan 2-TRIK: TUNAS-TUNAS RISET KESEHATAN Journal of Issues in Midwifery JURNAL ILMIAH OBSGIN : Jurnal Ilmiah Ilmu Kebidanan & Kandungan Jurnal Ilmiah Kebidanan (The Journal Of Midwifery) Indian Journal of Forensic Medicine & Toxicology AloHA International Journal of Health Advancement (AIJHA) Jurnal Abdi Masyarakat Indonesia International Journal of Advanced Health Science and Technology Media Publikasi Promosi Kesehatan Indonesia (MPPKI) EJOIN : Jurnal Pengabdian Masyarakat Gema Bidan Indonesia (e- Journal). Frontiers in Community Service and Empowerment Health Dynamics Indonesian Journal of Community Empowerment Jurnal Ilmu Psikologi dan Kesehatan Gema Bidan Indonesia (e-Journal) Borneo Nursing Journal
Nana Usnawati
Poltekkes Kemenkes Surabaya
Agriculture, Biological Sciences & Forestry Humanities Biochemistry, Genetics & Molecular Biology Dentistry Economics, Econometrics & Finance Education Electrical & Electronics Engineering Engineering Environmental Science Health Professions Immunology & microbiology Law, Crime, Criminology & Criminal Justice Library & Information Science Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Other

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The Effectiveness of Neroli Aromatherapy in Reducing Labor Pain Intensity During the Active Phase Among Mothers at RSUD Dr. Sayidiman Magetan Rizki Tweniari; Tutiek Herlina; Nana Usnawati; Rahayu Sumaningsih
International Journal of Advanced Health Science and Technology Vol. 6 No. 1 (2026): February
Publisher : Forum Ilmiah Teknologi dan Ilmu Kesehatan (FORITIKES)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/ijahst.v6i1.504

Abstract

Labor pain during the active phase of childbirth remains a significant clinical and psychological challenge for mothers and is often associated with increased anxiety, prolonged labor, and negative birth experiences. In many maternity settings, pain management is still limited to basic relaxation techniques, while evidence-based non-pharmacological alternatives such as aromatherapy are not routinely implemented. This study aimed to examine the effectiveness of neroli (Citrus aurantium) aromatherapy in reducing labor pain intensity during the active phase of the first stage of labor. A quasiexperimental study with a pretest–posttest control group design was conducted at RSUD dr. Sayidiman Magetan. A total of 60 laboring mothers in the active phase (cervical dilatation 4–6 cm) were recruited using consecutive sampling and equally allocated into an intervention group (neroli aromatherapy) and a control group (breathing relaxation). The intervention consisted of inhalation of neroli essential oil via an ultrasonic diffuser for 45 minutes under standardized environmental conditions. Labor pain intensity was measured before and after the intervention using the Visual Analog Scale (VAS). Data were analyzed using the Wilcoxon Signed-Rank test and the Mann–Whitney U test. The results demonstrated a significant reduction in pain intensity in the intervention group, with a mean VAS score decreasing from 6.77 to 5.43 (mean difference = 1.33; p < 0.001). In contrast, the control group experienced a slight increase in pain intensity, with mean scores rising from 6.57 to 6.97 (mean difference = +0.40; p = 0.005). Post-intervention comparisons between groups showed a statistically significant difference (p < 0.001), indicating superior pain reduction in the aromatherapy group. In conclusion, neroli aromatherapy is an effective, safe, and non-pharmacological intervention for reducing labor pain during the active phase of childbirth. Its integration into routine midwifery care may enhance maternal comfort and support a more positive labor experience.
The Effectiveness of Health Promotion Media on Increasing Knowledge and Participation of Women of Reproductive Age in VIA Screening: A Systematic Literature Review Astin Nur Hanifah; Nana Usnawati; Nuryani Nuryani
Media Publikasi Promosi Kesehatan Indonesia Vol. 9 No. 2 (2026)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i2.8991

Abstract

Introduction: Cervical cancer remains a major cause of morbidity and mortality among women in Indonesia, largely due to low awareness and limited participation in Visual Inspection with Acetic Acid (VIA) screening. Health promotion media are essential to improving knowledge, shaping positive attitudes, and increasing willingness to participate in early detection efforts. This systematic literature review evaluates the effectiveness of various health promotion media in increasing knowledge and VIA screening participation among women of reproductive age (WRA). Methods: This review followed the PRISMA 2020 protocol. Literature searches were conducted exclusively through Google Scholar for studies published between 2021 and 2025. Thirteen eligible studies were analyzed using the PICO framework, focusing on population characteristics, intervention types, comparison strategies, and measured outcomes. Most studies used quasi-experimental pre-post designs. This review has limitations, including reliance on a single database, restriction to Indonesian studies, and predominance of quasi-experimental designs without control groups. These limitations may introduce selection bias and reduce generalizability. Results: Overall findings show significant improvements (p<0.05) in knowledge, attitudes, and VIA participation following health promotion interventions. Audiovisual media, mobile-based applications and live demonstrations produced the strongest effects by enhancing multisensory learning and reducing psychological barriers such as fear or embarrassment. Printed media, including booklets, modules and leaflets remained effective as complementary tools, especially in areas with limited digital access. Intervention success was also supported by family involvement, cultural appropriateness, and active engagement of health workers. Conclusion: In conclusion, multimodal and community-centered health promotion strategies are effective in increasing WRA knowledge and participation in VIA screening. Future research should employ stronger methodological design, expand database coverage, and incorporate cross-national comparisons to enhance the evidence base for cervical cancer screening programs.
PEMBENTUKAN KELOMPOK PENDUKUNG AIR SUSU IBU (KP-ASI)  DI DESA SUMBERDODOL KECAMATAN PANEKAN KABUPATEN MAGETAN Astin Nur Hanifah; Agung Suharto; Heru SWN; Teta Puji Rahayu; Sunarto Sunarto; Sulikah Sulikah; Nurweningtyas Nurweningtyas; Tinuk Esti Handayani; Tutiek Herlina; Nurlailis Saadah; Budi Joko Santosa; Nana Usnawati; Suparji Suparji; Rahayu Sumaningsih; Nuryani Nuryani; Triana Septianti; Astuti Setiyani
MAJU : Indonesian Journal of Community Empowerment Vol. 3 No. 1 (2026): MAJU : Indonesian Journal of Community Empowerment, January 2026
Publisher : Lembaga Pendidikan dan Penelitian Manggala Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62335/maju.v3i1.2050

Abstract

The development of the health sector, as part of national development, is directed toward improving the quality of human resources. One of the indicators of successful health development is the reduction of infant mortality rates and the improvement of community nutritional status. Optimal nutritional status can only be achieved when good nutritional practices are implemented at every stage of life, including during infancy . Failures in breastfeeding often stem from a lack of information. The study by Ambarwati, Setiyani, and Usnawati (2017) indicates that breastfeeding discussion classes can improve breastfeeding practices among breastfeeding mothers (Ambarwati, Setiyani, and Usnawati, 2017). Parents’ Education has also been shown to be effective in improving the knowledge and attitudes of primigravida couples regarding exclusive breastfeeding. Efforts to enhance knowledge and attitudes toward exclusive breastfeeding must be continuously strengthened and followed by an evaluation of exclusive breastfeeding practices (Usnawati, 2017). Based on these findings, it is necessary to establish a Breastfeeding Support Group (KP-ASI) and implement breastfeeding assistance programs. The establishment of KP-ASI and the breastfeeding assistance program will be carried out through the following strategies: Phase 1: Issuance of an official request letter from Sumberdodol Village for the formation of a breastfeeding support group. Educational materials will be provided to third-trimester pregnant women and breastfeeding mothers. Phase 2: Delivery of educational materials to Posyandu cadres, third-trimester pregnant women, and breastfeeding mothers. The training session will be conducted once. The education session in the village is scheduled for Tuesday, September 9, 2025. Phase 3: Developing a meeting plan and activity schedule for the members and committee of the Breastfeeding Support Group (KP-ASI) for the following month.  
REFRESING KADER POSYANDU TENTANG PENCEGAHAN DAN DETEKSI STUNTING DI DESA TAPAK KECAMATAN PANEKAN KABUPATEN MAGETAN Agung Suharto; Astin Nur Hanifah; Heru SWN; Teta Puji Rahayu; Sunarto Sunarto; Sulikah Sulikah; Nurweningtyas Nurweningtyas; Tinuk Esti Handayani; Tutiek Herlina; Nurlailis Saadah; Budi Joko Santosa; Nana Usnawati; Suparji Suparji; Rahayu Sumaningsih; Nuryani Nuryani; Triana Septianti; Astuti Setiyani
MAJU : Indonesian Journal of Community Empowerment Vol. 3 No. 1 (2026): MAJU : Indonesian Journal of Community Empowerment, January 2026
Publisher : Lembaga Pendidikan dan Penelitian Manggala Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62335/maju.v3i1.2227

Abstract

Introduction: Posyandu cadres are community members who are involved in the community health center to manage the posyandu voluntarily. They are the main pillar and the front line of defense in improving the health status of the community because they are the ones who best understand the characteristics of the community in their area. Cadres also remind the community about the posyandu schedule, encourage pregnant women and parents of toddlers to come to the posyandu to monitor nutritional status and health. Objective: To determine the increase in knowledge of posyandu cadres in preventing stunting. Method: Conducting refresher posyandu cadres about prevention and detection of stunting in Tapak Village, the working area of ​​the Panekan Community Health Center, Magetan Regency, including providing health information to cadres so that it can be passed on to the community. Training on measuring and determining nutritional status aims to enable cadres to determine the nutritional status of toddlers accurately and provide actual and accurate reports to the community health center. Results: Of the 18 Posyandu cadre participants who attended the Posyandu refreshing activity held on September 9, 2025 with material on stunting prevention and toddler growth detection at the Tapak Village Hall, Panekan District, Pre-test scores were obtained, a small portion received a score of 8, namely 11% and most received a score of 10, namely 44%. While the post-test results obtained a small portion received a score of 9, namely 28% and most received a score of 10, namely 72%. Conclusion: There was an increase from the pre-test results to the post-test of knowledge and skills about stunting prevention in Posyandu cadres.
STIMULASI DETEKSI INTERVENSI DINI TUMBUH KEMBANG ANAK BAGI GURU PAUD/RA KABUPATEN MAGETAN Tinuk Esti Handyani; Agung Suharto; Tutiek Herlina; Nana Usnawati; Nuryani Nuryani; Astuti Setiyani; Sulikah Sulikah; Astin Nur Hanifah; Nurlailis Sa’adah; Rahayu Sumaningsih; Nurweningtyas Wisnu; Triana Septianti Purwanto; Teta Puji Rahayu
MAJU : Indonesian Journal of Community Empowerment Vol. 3 No. 4 (2026): MAJU : Indonesian Journal of Community Empowerment, Juli 2026
Publisher : Lembaga Pendidikan dan Penelitian Manggala Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62335/maju.v3i4.2842

Abstract

Background: Stimulation, Early Detection, and Early Intervention for Child Growth and Development (SDIDTK) is an essential strategy for identifying developmental deviations at an early stage, enabling timely intervention. Early childhood teachers play a strategic role in implementing SDIDTK but require adequate competency through technical training. Objective: To analyze the effectiveness of SDIDTK Technical Guidance (Bimbingan Teknis/Bimtek) in improving the knowledge of PAUD/RA teachers in Magetan Regency. Methods: A one-group pretest–posttest design was conducted involving 71 PAUD/RA teachers participating in a two-day technical training. Data were analyzed descriptively and using the Wilcoxon Signed Rank Test. Results: The proportion of participants with good knowledge increased from 5.64% to 63.38%, while poor knowledge decreased from 74.64% to 0%. Overall, 92.96% of participants demonstrated improved scores, with a statistically significant difference (p < 0.001). Conclusion: SDIDTK technical training effectively improved teachers' knowledge and has the potential to strengthen SDIDTK implementation and early identification of child growth and developmental disorders.
A Review of Factors Influencing Postpartum Hemorrhage: Age, Parity, Pregnancy Spacing, Anemia, Newborn Weight, Prolonged Labor, Perineal Tear, and Type of Labor Nana Usnawati; Astin Nur Hanifah
Health Dynamics Vol 1, No 11 (2024): November 2024
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd11104

Abstract

Postpartum hemorrhage is one of the most common causes of maternal mortality worldwide. One of the main causes of maternal mortality is bleeding, it is estimated that around 70% of maternal mortality are caused by postpartum hemorrhage. According to data from the Indonesian Ministry of Health in 2022 the number of maternal mortalities in East Java was 499 deaths, the causes of which were found in hypertensive disorders of pregnancy (24.45%) and bleeding (21.24%). The purpose of this systematic literature review is to summarize and examine the literature related to risk factors that affect postpartum hemorrhage. The framework used was PICOC with a population of laboring mothers who experienced postpartum hemorrhage. Systematic literature review using 1 data source, namely google scholar with 169 articles and filtering articles and critical appraisal so that 6 articles were reviewed. The 6 articles showed that age, parity, gestational distance, birth weight, prolonged parturition, perineal tear and type of delivery were associated with the incidence of postpartum hemorrhage. It is recommended to increase education about healthy reproductive age, regulate the number of parity and maintain pregnancy distance, early detection of anemia, administration of 90 FE tablets during pregnancy, early detection of risk factors for postpartum hemorrhage, and delivery planning and prevention of complications.
Community Empowerment to Create Healthy Villages Free of Stunting Through the Implementation of a Mobile Application to Monitor Breast Milk Expenditure and Adequacy for Babies Agung Suharto; Nana Usnawati; Astin Nur Hanifah
Frontiers in Community Service and Empowerment Vol. 5 No. 1 (2026): March
Publisher : Forum Ilmiah Teknologi dan Ilmu Kesehatan (FORITIKES)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/ficse.v5i1.114

Abstract

Stunting is a condition of growth failure in children due to chronic malnutrition, especially in the first thousand days of life. Stunting affects brain growth and development. Reducing stunting requires integrated interventions including specific nutritional interventions, integrated pregnancy care, maternal nutrition monitoring, anemia monitoring, child growth and development monitoring, exclusive breastfeeding, provision of nutritionally adequate complementary foods, family empowerment to monitor the provision of Fe tablets for pregnant women, vitamin A for toddlers, PHBS, use of iodized salt, monitoring consumption of street snacks. This community service method is education about community empowerment to create a healthy village free from stunting through the implementation of a Mobile Application for monitoring breast milk expenditure and sufficiency for babies. The targets of this community service activity are breastfeeding mothers, posyandu cadres and community leaders. The results showed an increase in knowledge about stunting prevention. The results of statistical analysis obtained a p value = 0.000 (p <0.05) there was an increase in knowledge before and after being given education about the use of mobile applications to monitor breast milk expenditure and sufficiency proven effective in supporting stunting prevention. Conclusion: Community empowerment through the use of mobile applications to monitor breast milk expenditure and sufficiency has proven effective in supporting stunting prevention
Risiko Perilaku Makan Selama Hamil Terhadap Kejadian Preeklamsia Di Puskesmas Panekan Tahun 2018: The Risk of Eating Behavior During Pregnancy on the Incidence of Preeclampsia at Panekan Health Center in 2018 Anik Suparti; Suparji Suparji; Nana Usnawati
Gema Bidan Indonesia Vol. 10 No. 2 (2021): September
Publisher : Jurusan Kebidanan Politeknik Kesehatan Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/gebindo.v10i1.5

Abstract

Preeclampsia (PE) is a contributor to mortality and morbidity of mothers and babies. Preeclampsia is the second biggest cause of maternal mortality, affecting 3% to 8% of pregnant women worldwide. The prevalence of preeclampsia in pregnant women in Magetan in 2017 as many as 189 people, while in 2018 as many as 270 people. An increase in the incidence of pre-eclampsia from 2017 to 2018 as many as 81 people. The research objective to analyze the risks of eating behavior during pregnancy on the incidence of preeclampsia in Puskesmas Panekan 2018. This study is a retrospective observational analytic approach (case- control). The subjects were birth mothers, 27 respondents in the case group and 27 respondents in the control group, for a total of 54 respondents. Data was collected by using a questionnaire, conducted on birth mothers in Puskesmas Panekan Year 2018. The analysis technique used is logistic regression. The results used logistic regression eating behavior p value = 0.00 (p <0.05) and OR (Exp B) 35.714. Based on the description above can be concluded that the eating behavior influenced the incidence of preeclampsia. pregnant women who have unhealthy eating behaviors have 35x greater risk for preeclampsia than women who have healthy eating behaviors, so it is advised untuk reduce the incidence of pre-eclampsia in pregnant women with preeclampsia risk factor control needed in pregnancy that is by implementing a healthy eating behavior. Keywords :Preeclampsia, eating behavior.
Case Report: Ibu Hamil Grande Multigravida Trimester Ii Resiko Tinggi Revalina Anissa Azzahra; Astuti Setiyani; Suparji Suparji; Nana Usnawati Suparji
Jurnal Ilmu Psikologi dan Kesehatan | E-ISSN : 3063-1467 Vol. 3 No. 2 (2026): Juli - September
Publisher : CV. ITTC INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62379/jipk.v3i2.2330

Abstract

Introduction: Very High-Risk Pregnancy (KRST) increases the likelihood of maternal and fetal complications. Risk factors include advanced maternal age, grande multigravida, an interpregnancy interval, previous Cesarean sections, and non-use of postpartum contraception. This case report aimed to describe midwifery care for a woman with KRST. Methods: A case report using the SOAP approach was conducted on a 36-year-old pregnant woman (G6P30023) in her second trimester with grande multigravida, an 18-month interpregnancy interval, and no postpartum contraception. Care was provided over one month through five visits. Data were collected through interviews, observation, physical examination, and documentation review. Results: Comprehensive care, including maternal-fetal monitoring, nutritional education, iron (Fe) and MMS administration, and postpartum contraception counseling, maintained stable maternal and fetal conditions without complications while improving maternal knowledge and readiness to use postpartum contraception. Conclusion: Comprehensive and continuous midwifery care maintained maternal and fetal health and minimized the risk of complications in KRST.
Asuhan Kebidanan Pada Kehamilan Trimester III Dengan Maplpresentasi Janin Letak Lintang Dalam Kategori Kehamilan Risiko Tinggi Di Wilayah Kerja Puskesmas Plaosan Kabupaten Magetan: A Case Report Rafa Rizki Fitriana; Nana Usnawati; Astin Nur Hanifah
Borneo Nursing Journal (BNJ) Vol. 8 No. 2 (2026)
Publisher : Akademi Keperawatan Yarsi Samarinda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61878/bnj.v8i2.1097

Abstract

Malpresentasi janin letak lintang merupakan kondisi kehamilan risiko tinggi yang berpotensimenimbulkan komplikasi pada ibu dan janin sehingga memerlukan deteksi dini, pemantauanberkelanjutan, dan perencanaan persalinan yang tepat. Laporan kasus ini bertujuan menggambarkanpenerapan asuhan kebidanan pada ibu hamil trimester III dengan malpresentasi letak lintang. Metodeyang digunakan adalah case report dengan pendekatan SOAP pada Ny. “P”, usia 29 tahun, G2P1A0,usia kehamilan 35–36 minggu, yang mengalami malpresentasi janin letak lintang selama 14 hari.Asuhan dilakukan dalam empat kali kunjungan di wilayah kerja Puskesmas Plaosan, KabupatenMagetan. Data dikumpulkan melalui anamnesis, pemeriksaan fisik, pemeriksaan penunjang, dandokumentasi Buku KIA, kemudian dianalisis secara deskriptif. Hasil menunjukkan bahwa asuhankebidanan komprehensif berupa senam hamil menurunkan skala nyeri punggung dari 5 menjadi 3,sedangkan latihan posisi knee chest membantu perubahan posisi janin dari letak lintang menjadimembujur serta mencegah komplikasi lebih lanjut. Penerapan asuhan kebidanan secara komprehensifdan berkesinambungan efektif dalam menurunkan nyeri punggung ibu serta mendukung perubahanposisi janin menjadi membujur.
Co-Authors Agustina Abuk Seran Ambarwati, Maria Retno Anik Suparti Anik Suparti Aries Prasetyo Ashriady, Ashriady Astin Nur Hanifah Astuti Setiyani, Astuti Ayu Riningsih Belva Azzahra Syafiqni Bero, Kornelia Alexia Boimau, Adriana M. Budi Joko Santoso Christine Inventor Reyes Crysma Alfina Damayanti Desti Ria Fortuna Isatanto Dwi Indah Cahyaningsari Dwi Prasetyo Elsa Setiawati Evi Agustina Fairus, Hana Putri Farid Husin Fresha Galuh Mahendra Handayani, Tinuik Esti Handayani, Tinuk Esti Heru Santoso Wahito Nugroho Huru, Matje Meriaty Imelda Cahya Aprilia Irnama Syahara Kharisma Kusumaningtyas Kusnandi Rusmil Mamoh, Kamilus Maria Retno Ambarwati Mega Fatimah Rosana Meita Dhamayanti Nabella Rahmadhani Nabila Syahda Arsanti Nani Surtinah Nayla Shaffira Aniq Ngestiningrum, Ayesha Hendriana Novia Fitriani Nur Husnina, Nabilah Zul Awanis Nur Khoirin Diah Kumalasari nurlailis saadah Nurlailis Sa’adah Nurweningtyas Nurweningtyas Nurweningtyas Wisnu Nuryani Nuryani Nuryani, Nuryani Odi Lodya Namangdjabar Pertiwi, Nabila Putri Purwanti, Dwi Purwanto, Triana Septianti Rafa Rizki Fitriana Rahayu Sumaningsih Rahayu, Teta Puji Rahayu, Yunita Diah Revalina Anissa Azzahra Rizki Tweniari RR. Ella Evrita Hestiandari Santosa, Budi Joko Santosa, Budi Joko Serlyansie V. Boimau Siti Alfiah Subagyo Subagyo, Subagyo Suharto, Agung Sulikah, Sulikah Sulistyowati, Niken Dwi Sumasto, Hery Sunarto Sunarto Sunarto Sunarto SUPARJI Suparji Suparji Suparji Suparji Suparji Suparji Suparji Tarissa Ayuni Rismayanti Tinuk Esti Handyani Titi Maharrani Triana Septianti Tutiek Herlina Verlingga Diah Oktiasa Putri Vilia Tri Erlina Wisnu, Nurwening Tyas Yannavita Hadi Suwignyo Yeni Bekti Megananda