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All Journal Nursing Inside Community Nursing and Health Sciences Journal (NHSJ) International Journal of Midwifery and Health Sciences International Journal of Community Services International Health Sciences Journal Journal of Global Research in Public Health
Rukmaini
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Biochemistry, Genetics & Molecular Biology Dentistry Environmental Science Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Physics Public Health

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Analysis of the causative factors of chronic energy deficiency and the health impact on adolescent girls Handayani, Delly; Widowati, Retno; Silawati, Vivi; Rukmaini
Nursing and Health Sciences Journal (NHSJ) Vol. 6 No. 1 (2026): March 2026
Publisher : KHD-Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/nhsj.v6i1.613

Abstract

Chronic Energy Deficiency (CED) among adolescent girls remains a major public health concern. This condition affects not only physical health but also psychological well-being and overall quality of life, necessitating a comprehensive study of its contributing factors and impacts. This study aimed to identify the factors contributing to CED and assess its impact on the health of adolescent girls. A quantitative design with a descriptive correlational approach was employed. Using stratified random sampling by grade level, 184 respondents were selected using Slovin's formula. Data were collected via standardized questionnaires, Mid-Upper Arm Circumference (MUAC) measurements, and hemoglobin examinations. Data analysis used Pearson's Correlation and multiple linear regression. The prevalence of CED among adolescent girls was 60.9%. Significant factors associated with CED included knowledge, nutritional intake (energy, carbohydrates, protein, fat), sleep quality, stress, and family support (p < 0.05), which collectively accounted for 77% of the variance in CED incidence. Conversely, body image showed no significant association. Regarding health impacts, CED was significantly correlated only with self-efficacy (r = -0.270; p < 0.001); hemoglobin levels, menstrual cycles, and academic performance showed no significant associations. Nutrition education programs are needed to improve balanced dietary intake. Furthermore, strengthening the roles of families and schools is recommended to support the prevention and management of CED among adolescent girls.
Analysis of Weight Faltering among Toddlers in Jakarta in 2025 Paryanti, Nanik Paryanti; Rukmaini; Putri Azzahroh
International Journal of Midwifery and Health Sciences Vol. 4 No. 1 (2026): IJMHS Vol 4 No 1 (2026)
Publisher : Rajaki of Tulip Medika Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61777/ijmhs.v4i1.141

Abstract

Weight Faltering in toddlers is an early indicator of nutritional status disorders that can impact a child's growth and development. This condition reflects an imbalance between nutritional intake, metabolic needs, and infectious disease factors. In Indonesia, cases of Weight Faltering in toddlers are still quite high and are a concern in efforts to improve toddler nutrition, including in the Jakarta area. The objective was to analyze factors related to the incidence of Weight Faltering in toddlers. These factors included a history of exclusive breastfeeding, dietary patterns, history of infectious diseases, and immunization history. The study used a quantitative descriptive correlational design with a cross-sectional approach. The study population was 87 toddlers in the Jakarta area, using a total sampling technique. Data were collected through weight measurements, interviews using questionnaires, 24-hour dietary recall forms, and searches of KIA books. Data analysis was performed using univariate and bivariate methods. The results of the bivariate analysis showed that dietary patterns (p = 0.002) and history of infectious diseases (p = <0.001) had a significant relationship with the incidence of Weight Faltering in toddlers. Toddlers with poor diets and a history of infectious diseases are at higher risk of experiencing poor Weight Faltering . Weight Faltering in toddlers is influenced by diet and a history of infectious diseases. A history of exclusive breastfeeding and immunizations are not directly related to the incidence of poor or stable weight faltering.
The effectiveness of Woolwich massage on the smooth flow of breast milk in postpartum mothers in the Kampung Melayu sub-district, Bengkulu City. Dhevia Hilmana Sukma; Rukmaini; Shinta Novelia
International Journal of Midwifery and Health Sciences Vol. 4 No. 1 (2026): IJMHS Vol 4 No 1 (2026)
Publisher : Rajaki of Tulip Medika Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61777/ijmhs.v4i1.145

Abstract

Background Smooth breast milk flow is an important factor in successful breastfeeding during the postpartum period, but in the early days after delivery, some postpartum mothers experience difficulty in breast milk flow due to lack of breast stimulation and inhibition of the oxytocin reflex. One non-pharmacological effort that can be done to increase the smoothness of breast milk flow is Woolwich Massage, a breast massage technique that aims to stimulate the milk ejection reflex. The purpose of this study was to determine the effect of Woolwich Massage on the smoothness of breast milk flow and the differences between the intervention group and the control group in postpartum mothers in PMB in the Kampung Melayu District, Bengkulu City. The quasi-experimental design method with a post-test only approach with a control group in 30 postpartum mothers who were divided into an intervention group and a control group. The intervention group was given Woolwich Massage for three consecutive days, while the control group was not given any intervention, then the smoothness of breast milk flow was measured on the 7th day using an observation sheet. Data were analyzed using the Mann–Whitney test. The results of the study showed that the mean rank value of smoothness of breast milk release in the intervention group was 19.33 higher than the control group of 11.67, with a p value = 0.013 (p < 0.05), which indicates a significant difference between the two groups. The conclusion of this study is that Woolwich Massage has a significant effect on smoothness of breast milk release in postpartum mothers and is proven to be more effective than without intervention and can be considered as one of the non-pharmacological interventions in midwifery services, especially in postpartum maternal care, to help improve smoothness of breast milk release.
Factors Associated with Motivation to Provide Exclusive Breastfeeding among Post-ERACS Cesarean Section Mothers at RSIA Bina Medika, Indonesia Wirasanti, Saksi; Vivi Silawati; Rukmaini
International Journal of Midwifery and Health Sciences Vol. 4 No. 1 (2026): IJMHS Vol 4 No 1 (2026)
Publisher : Rajaki of Tulip Medika Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61777/ijmhs.v4i1.146

Abstract

Background: Exclusive breastfeeding is recommended for the first six months of life; however, its implementation remains suboptimal among post-cesarean mothers, particularly those undergoing the Enhanced Recovery After Caesarean Section (ERACS) protocol.Objective: This study aimed to analyze factors associated with maternal motivation to provide exclusive breastfeeding among post-ERACS mothers.Methods: A quantitative cross-sectional study was conducted among 60 postpartum mothers using total sampling. Data were collected using structured questionnaires and analyzed using Chi-Square tests.Results: Occupation, knowledge, attitude, self-efficacy, lifestyle, perceived benefits and barriers, sociocultural factors, and family support were significantly associated with maternal motivation (p < 0.05).Conclusion: Maternal motivation to provide exclusive breastfeeding is influenced by psychosocial, behavioral, and environmental factors.
Co-Authors Adegi, Luthfiyah Ahmad Nawawi, Puji Al Silva Nur Aniza Anni Suciawati Arofah, Silmiani Azizah, Iza Siti Bunga Tiara Carolin Dewi, Sri Komala Dhevia Hilmana Sukma Diana Damayanty Elisa Eneng Kurnia Dewi Enok Siti Roiyatul Mahmudah Ernawati Eti Herawati Feni Oktaviani Fitriawati Gunawan, Rina Halimatussayidah Handayani, Delly Ida Nopiah Salipah Inayah, Halida Islamagesvi, Anggie Jeni Purba Jenny Anna Siauta Lisa Trina Arlym Luthfiyah Adegi Maman, Arita Yuanita Mariana, Siska Mery Merdiani Mimi Nanda Sari Nazmi Hasanah Nova Iswanda S Nuning Nurmalasari, Mia Paryanti, Nanik Paryanti Puji Hastutiningsih Putri Azzahroh Putri Azzahroh Rahmatilah, Ari Maolana Ramadani, Uswah Zayidah Rena Herlina Resti Aananda Retno Widowati Rianti, Ririn Rifiana, Andi Julia Rini Indriani Rini Kundaryati Riri Handayani Risky Pratiwi, Risky Rivi Aniah Rochyani, Dwi Rodiawati Rofyati, Noli Rosmawaty Lubis Santi Damayanti Santi Mala Shinta Novelia Siauta, Jenny Siauta, Jenny Anna Siburian, Claranita Silawati, Vivi Siti Komariyah Sri Ati Rahmawati Sri Komala Dewi Sri Suparti Suciawati, Anni Sugiyono, Iis Suraini Surani Suwarni, Rini Trina Arlym, Lisa Usu Vivi Silawati Wanti Warsiti Wanti, Asri Retno Wirasanti, Saksi Yenny Aulya