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All Journal Muhammadiyah Journal of Midwifery (MyJM) Jurnal Ilmiah Kesehatan Sandi Husada (JIKSH)
Sari, Lili Purnama
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Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health

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Pengaruh Pemberian Layanan Home care terhadap Kejadian Bendungan ASI pada Ibu Nifas Lili Purnama Sari; Uliarta Marbun; Dahniar, Dahniar; Irnawati, Irnawati
Muhammadiyah Journal of Midwifery Vol. 6 No. 1 (2025): MUHAMMADIYAH JOURNAL OF MIDWIFERY (MYJM)
Publisher : Faculty of Medicine and Health Universitas Muhammadiyah Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24853/myjm.6.1.18-27

Abstract

Latar Belakang: Bendungan ASI merupakan salah satu masalah laktasi yang sering dialami ibu nifas dan dapat mengganggu keberhasilan pemberian ASI eksklusif. Upaya pencegahan bendungan ASI dapat dilakukan melalui layanan home care yang memberikan edukasi, pemantauan, dan tindakan langsung oleh tenaga kesehatan. Tujuan: Penelitian ini bertujuan untuk mengetahui pengaruh pemberian layanan home care terhadap kejadian bendungan ASI pada ibu nifas di Puskesmas Pattingalloang. Metode: Penelitian ini menggunakan desain quasi eksperimen dengan pendekatan pretest-posttest control group. Sampel berjumlah 30 ibu nifas yang dibagi menjadi kelompok intervensi (mendapat layanan home care) dan kelompok kontrol (tidak mendapat layanan home care). Instrumen penelitian berupa kuesioner kejadian bendungan ASI dan lembar observasi jumlah produksi ASI (mL). Analisis data menggunakan uji Chi-square, paired t-test, dan regresi logistik dengan derajat kepercayaan 95%. Hasil: penelitian menunjukkan terdapat hubungan bermakna antara layanan home care dengan kejadian bendungan ASI (χ² = 26,25; p = 0,000). Rata-rata produksi ASI meningkat signifikan dari 211,0 mL sebelum intervensi menjadi 270,2 mL sesudah intervensi (p < 0,001). Analisis regresi logistik menunjukkan layanan home care bersifat protektif terhadap kejadian bendungan ASI meskipun model regresi tidak stabil karena distribusi data. Simpulan: Layanan home care berpengaruh signifikan dalam mencegah kejadian bendungan ASI serta meningkatkan produksi ASI pada ibu nifas. Disarankan agar layanan home care menjadi bagian dari program pelayanan kesehatan ibu nifas untuk mendukung keberhasilan pemberian ASI eksklusif.
Effect of Home Care Services on Anxiety in Pregnant Women Facing Childbirth: A Quasi-Experimental Study Marbun, Uliarta; Irnawati, Irnawati; Purnama Sari, Lili; Dahniar, Dahniar; Kadir, Arisna
Jurnal Ilmiah Kesehatan Sandi Husada Vol. 15 No. 1 (2026): January - June
Publisher : LPPM Politeknik Sandi Karsa, South Sulawesi, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35816/jiksh.v15i1.205

Abstract

Introduction: Anxiety during pregnancy, particularly in the third trimester, is a common psychological condition that may adversely affect the childbirth process and maternal well-being. Home care services provide a holistic and continuous approach that integrates education, emotional support, and family involvement, potentially reducing childbirth-related anxiety. However, evidence on the effectiveness of home care in primary health care settings remains limited. This study aimed to examine the effect of home care services on anxiety levels among third-trimester pregnant women facing childbirth. Research Methodology: A quantitative quasi-experimental study with a posttest-only control group design was conducted at Pattingaloang Primary Health Center from June to August 2025. A total of 40 third-trimester pregnant women were selected using accidental sampling and assigned to an intervention group (n = 20) receiving home care services and a control group (n = 20) receiving standard antenatal care. Anxiety levels were measured using a structured questionnaire. Data were analyzed using univariate analysis and the Independent Sample t-test. Results: Most pregnant women in the intervention group were not anxious (85.0%), while the majority in the control group experienced anxiety (75.0%). The mean anxiety score in the intervention group was significantly lower than that in the control group (17.90 ± 4.05 vs. 25.80 ± 5.12; p < 0.001). Conclusion: Home care services significantly reduce anxiety among third-trimester pregnant women facing childbirth. Integrating home care into routine antenatal services may enhance psychological preparedness and maternal well-being.
Determinants of subdermal contraceptive use among women of reproductive age: A Cross-Sectional Study Dahniar, Dahniar; Marbun, Uliarta; Purnama Sari, Lili; Irnawati, Irnawati; Kadir, Arisna
Jurnal Ilmiah Kesehatan Sandi Husada Vol. 15 No. 1 (2026): January - June
Publisher : LPPM Politeknik Sandi Karsa, South Sulawesi, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35816/jiksh.v15i1.211

Abstract

Introduction: Family planning is a key global public health strategy to reduce maternal morbidity and mortality. The World Health Organization (WHO) reports that millions of women of reproductive age worldwide still have unmet needs for modern contraception, contributing to preventable maternal deaths and adverse reproductive outcomes. Although long-acting reversible contraceptives such as subdermal implants are highly effective (failure rate <1%), their utilization remains lower than short-term methods in many low- and middle-income countries, including Indonesia. Understanding the determinants of implant use is essential to strengthening family planning programs at the primary health care level. Objective: To analyze factors associated with the use of subdermal contraceptives (Alat Kontrasepsi Bawah Kulit/AKBK) among women of reproductive age at Puskesmas Pattingalloang. Research Methodology: An analytic cross-sectional study was conducted among 50 women of reproductive age, selected by simple random sampling, between December 2024 and January 2025. Data were collected using validated structured questionnaires. Descriptive statistics, chi-square tests, and multivariate logistic regression were performed using SPSS version 26. Statistical significance was set at α = 0.05. Results: Good information exposure (AOR = 9.12; 95% CI: 1.78–46.76; p = 0.008), good husband’s support (AOR = 7.45; 95% CI: 1.56–35.58; p = 0.012), good knowledge (AOR = 6.74; 95% CI: 1.38–32.94; p = 0.019), and age 20–30 years (AOR = 5.21; 95% CI: 1.02–26.60; p = 0.047) were independently associated with AKBK use. Parity, education level, and duration of contraceptive use were not significantly associated. Conclusion: Cognitive and relational determinants play a central role in subdermal contraceptive uptake. Strengthening structured counseling, improving information dissemination, and implementing couple-centered family planning interventions are recommended to enhance long-acting contraceptive utilization and improve maternal health outcomes
Co-Authors Dahniar Dahniar Irnawati Irnawati Kadir, Arisna Uliarta Marbun Uliarta Marbun