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GAMBARAN LUARAN BAYI PADA IBU DENGAN RIWAYAT KEKURANGAN ENERGI KRONIS (KEK) DI WILAYAH KERJA PUSKESMAS SADANANYA TAHUN 2020 Rini Ayu Rismawati; Widya Maya Ningrum
Journal of Midwifery and Public Health Vol 3, No 1 (2021): Mei
Publisher : Universitas Galuh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25157/jmph.v3i1.6790

Masalah gizi di Indonesia masih merupakan masalah kesehatan masyarakat yang utama Salah satu masalah kekurangan gizi di Indonesia yaitu Kekurangan Energi Kronis (KEK). KEK adalah keadaan seseorang yang menderita kekurangan makanan yang berlangsung menahun (kronis) yang ditandai dengan lingkar lengan atas (LILA) < 23,5 cm sehingga mengakibatkan timbulnya gangguan kesehatan. KEK selama hamil akan menimbulkan masalah, salah satunya dapat mempengaruhi proses pertumbuhan janin yang dapat menimbulkan abortus, bayi lahir mati, kematian neonatal, cacat bawaan, anemia pada bayi, asfiksia intra partum, lahir dengan bayi berat lahir rendah (BBLR). Penelitian ini adalah untuk mengetahui Gambaran Luaran Bayi Pada Ibu Dengan Riwayat Kekurangan Energi Kronis (KEK) Di Wilayah Kerja Puskesmas Sadananya, Tahun 2020. Menggunakan penelitian deskriptif dengan uji SPSS. Ibu hamil yang mengalami KEK di dapatkan yang mengalami abortus, sebanyak 5 orang (33,3 %), ibu hamil yang mengalami KEK di dapatkan yang mengalami bayi lahir mati tidak ada, ibu hamil yang mengalami KEK di dapatkan bayi yang mengalami kematian neonatal tidak ada, ibu hamil yang mengalami KEK di dapatkan bayi yang mengalami asfiksia, sebanyak 1 orang (6,7 %), ibu hamil yang mengalami KEK di dapatkan bayi yang mengalami BBLR, sebanyak 9 orang (60,0 %), ibu hamil yang mengalami KEK di dapatkan bayi yang mengalami kelainan kongenital, sebanyak 1 orang (6,7 %) Berdasarkan hasil penelitian dapat disimpulkan bahwa luaran bayi pada ibu hamil yang mengalami KEK sebagian besar tidak beresiko hanya beberapa kejadian saja yang memang terdapat resiko yaitu abortus dan BBLR.Dengan adanya penelitian ini diharapkan kejadian KEK terhadap ibu hamil bisa teratasi dengan baik dan tidak lagi menimbulkan berbagai macam masalah bagi bayi.Nutrition problems in Indonesia are still a major public health problem. One of the problems of malnutrition in Indonesia is Chronic Energy Deficiency (CED). CED is a condition of a person who suffers from a chronic (chronic) shortage of food characterized by a circumference of the upper arm (CUA) <23.5 cm, resulting in health problems. CED during pregnancy will cause problems, one of which can affect the process of fetal growth which can cause abortion, stillbirth, neonatal death, congenital defects, anemia in infants, intra-partum asphyxia, birth with low birth weight babie (LBW). This study was to find out the description of infant outcome in mothers with a history of chronic energy deficiency (CED) in Sadananya Community Health Center working area, 2020. Using descriptive research with SPSS test It is found that there are 5 Pregnant women (33.3%) having CED had abortion. 70 (100%) babies were born alive to mothers who have CED. There are 70 (100%) babies were born alive from mothers who have CED. There is one mother with CED gets baby with asphyxia (6.7%). There are 9 pregnant women (60.0%) pregnant women with CED gets babies with LBW. There is one pregnant woman with CED (6.7%) had baby with congenital defect. Based on the results of the study, it can be concluded that the infant output in pregnant women who have CED is mostly not at risk. Only a few cases do have a risk, namely abortion and LBW. This research is expected to resolve the case of CED in pregnant women properly and there will be no longer various kinds of problems for babies.

GAMBARAN TEKNIK RELAKSASI NAFAS PADA IBU BERSALIN DI PRAKTIK MANDIRI BIDAN “N” TAHUN 2021 Aan Juanti; Widya Maya Ningrum
Journal of Midwifery and Public Health Vol 3, No 1 (2021): Mei
Publisher : Universitas Galuh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25157/jmph.v3i1.6783

Nyeri dalam persalinan dapat memiliki dampak yang berbahaya pada ibu dan janin yaitu hiperventilasi. Berdasarkan survey awal yang dilakukan di Praktik Mandiri Bidan N Cipaku pada bulan Januari tahun 2021, ditemukan 7 dari 10 ibu bersalin mengalami nyeri yang luar biasa dan tidak tertahankan. Tujuan penelitian ini adalah untuk mengetahui Gambaran Teknik Relaksasi Nafas Pada Ibu Bersalin di Praktik Mandiri Bidan “N” Periode April Tahun 2021. Metode penelitian ini menggunakan metode penelitian deskriptif dengan jumlah sempel sebanyak 35 orang. Pengambilan sampel yang digunakan dalam penelitian ini adalah metode total Sampling. Diketahui Lebih dari setengahnya responden melakukan teknik relaksasi nafas pada proses persalinannya secara baik sebanyak 19 orang (54,3%) dan kurang dari setengahnya responden melakukan teknik relaksasi nafas secara sedang pada proses persalinannya sebanyak 11 orang (31,4%) dan sebagian kecil responden melakukan teknik relaksasi nafas pada proses persalinannya secara kurang sebanyak 5 orang (14,3%). Lebih dari setengahnya responden melakukan teknik relaksasi nafas pada proses persalinannya secara baik.Saran: Diharapkan Tenaga kesehatan khusunya bidan sebagai penolong persalinan dapat membantu ibu bersalin dalam memenuhi kebutuhan ibu akan rasa nyaman dalam pengontrolan nyeri dan dapat meningkatkan kegiatan penyuluhan tentang teknik relaksasi nafas pada proses persalinan yang dapat membantu ibu bersalin mengurangi nyeri pada saat persalinan.Background: Pain in labor can have a dangerous impact on the mother and fetus, namely hyperventilation.4 Based on an initial survey conducted at the Independent Practice of Midwives N Cipaku in January 2021, it was found that 7 out of 10 maternity mothers experienced excruciating pain and did not experience pain. bearable.Objective: The purpose of this study was to find out the description of the Breath Relaxation Technique in Maternity in the Midwife Independent Practice "N" for the April 2021 Period. Methods: This research method used a descriptive research method with a sample of 35 people. The sampling used in this study is the total sampling method. The results: It is known that more than half of the respondents performed breath relaxation techniques during labor well as many as 19 people (54.3%) and less than half of the respondents performed moderate breathing relaxation techniques during labor as many as 11 people (31.4%) and a small proportion of respondents performed breathing relaxation techniques in the process of delivery less than 5 people (14.3%.Conclusion: More than half of the respondents performed the breath relaxation technique well in the labor process.Suggestion: It is expected that health workers, especially midwives as birth attendants, can help birth mothers in meeting the mother's need for comfort in pain control and can increase counseling activities about breath relaxation techniques in the labor process that can help mothers in labor reduce pain during labor.

Kuresif 2.0 Barcode Technology to Improve Maternal Knowledge and Attitudes Regarding Complementary Feeding Ratna Suminar; Henri Setiawan; Fatmawati Karim; Widya Maya Ningrum
Genius Journal Vol. 5 No. 1 (2024): GENIUS JOURNAL
Publisher : Inspirasi Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/gj.v5i1.370

Objective: This study aims to evaluate the effectiveness of Kuresif 2.0: Barcode in enhancing mothers’ knowledge and attitudes regarding complementary feeding rich in animal protein. Method: A quasi-experimental design was employed, utilizing a pretest-posttest control group framework. The sample consisted of 100 mothers of toddlers, divided into 50 in the control group and 50 in the intervention group, selected through total sampling. Statistical analysis was performed using the Wilcoxon Test and Cohen’s d for effect size. A questionnaire served as the research instrument. Results: The findings indicate that Kuresif 2.0: Barcode significantly improved mothers’ knowledge and attitudes regarding complementary feeding rich in animal protein. The knowledge variable exhibited a t-value of -17.955, with a p-value less than 0.001, indicating a highly significant increase in knowledge. Cohen’s effect size for knowledge was calculated at 0.7, suggesting a moderate impact of the intervention. For attitudes, the t-value was -19.298, also with a p-value less than 0.001, confirming a significant influence of the intervention. The effect size for attitudes, represented by Cohen’s d, was 0.4, indicating a small to moderate effect of the intervention on maternal attitudes. Conclusion: Kuresif 2.0: Barcode significantly enhanced mothers’ knowledge, demonstrating a stronger effect than on attitudes. These results underscore the importance of implementing structured interventions to foster improved knowledge and attitudes among mothers related to complementary feeding practices.

Menggali Perspektif Stakeholder: Pengembangan Partograf Digital Untuk Meningkatkan Kompetensi Bidan Widya Maya Ningrum; Soetrisno Soetrisno; Sri Mulyani; Siti Rohmah; Ratna Suminar
Borneo Nursing Journal (BNJ) Vol. 8 No. 1 (2026)
Publisher : Akademi Keperawatan Yarsi Samarinda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61878/bnj.v8i1.409

Angka kematian ibu dan bayi di Indonesia, khususnya di Kabupaten Ciamis, masih tinggi, sebagian besar disebabkan oleh keterlambatan dalam mendeteksi komplikasi persalinan. Partograf manual yang digunakan oleh bidan sering kali dianggap tidak efisien karena memerlukan waktu lama dan sering diisi dengan tidak lengkap. Penelitian ini bertujuan untuk menggali perspektif stakeholder terkait pengembangan partograf digital sebagai alat untuk meningkatkan kompetensi bidan dalam mendeteksi komplikasi persalinan. Dengan menggunakan pendekatan kualitatif, data dikumpulkan melalui Focus Group Discussion (FGD) dan wawancara mendalam dengan 11 stakeholder kunci, termasuk kepala dinas kesehatan, direktur rumah sakit, dan bidan. Analisis data dilakukan menggunakan NVivo untuk mengidentifikasi tema-tema utama seperti kendala penggunaan partograf manual dan potensi partograf digital. Hasil penelitian menunjukkan bahwa partograf digital dapat meningkatkan akurasi pencatatan dan mendukung deteksi dini komplikasi persalinan. Integrasi dengan sistem kesehatan dianggap penting untuk meningkatkan kualitas pelayanan kebidanan dan menurunkan angka kematian ibu dan bayi.

Overview of the Level of Anxiety of Third Trimester Pregnant Women in Facing Labor at TPMB Elis Marlina Ghina Nazla Hidayat; Widya Maya Ningrum; Kurniati Devi Purnamasari
Journal of Midwifery and Public Health Vol 7, No 1 (2025): Maternal and Midwifery Care: From Pregnancy to Postpartum
Publisher : Universitas Galuh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25157/jmph.v7i1.23760

The level of anxiety experienced by third trimester pregnant women in Indonesia, who have anxiety when facing the labor process, is 47.7% severe anxiety, 16.9% moderate anxiety, and 35.4% experience mild anxiety. The purpose of this study was to determine the description of the anxiety level of third trimester pregnant women in facing labor at TPMB Elis Marlina. This study uses a type of quantitative research with a descriptive design that aims to get an overview of the anxiety level of third trimester pregnant women in facing labor. The population in this study consisted of 30 third trimester pregnant women. The sample in this study used total sampling of 30 third trimester pregnant women. The measuring instrument used a questionnaire with direct data collection, data analysis using frequency distribution. The results of the study stated that of the 30 third trimester pregnant women, most of the 11 respondents (36.7%) experienced moderate anxiety, as many as 9 respondents (30%) severe anxiety, as many as 5 respondents (16.7%) mild anxiety, and as many as 5 respondents (16.7%) were not anxious. Based on the results of the study, it can be seen that the anxiety level of pregnant women at TPMB Elis Marlina is in the moderate category. It is expected to increase the provision of counseling to third trimester pregnant women about facing childbirth, or use other methods by holding pregnant women's classes to reduce anxiety facing childbirth.

Factors Influencing the Implementation of Early Initiation of Breastfeeding in Newborns: A Literature Review Kurniati Devi Purnamasari; Widya Maya Ningrum; Adhelia Dwi Lestari
Journal of Midwifery and Public Health Vol 7, No 1 (2025): Maternal and Midwifery Care: From Pregnancy to Postpartum
Publisher : Universitas Galuh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25157/jmph.v7i1.23763

Early Initiation of Breastfeeding (EIBF) is the process where a newborn begins breastfeeding within the first hour after birth through skin-to-skin contact between the mother and baby. The implementation of EIBF is an important intervention to reduce neonatal mortality and increase exclusive breastfeeding success. However, the implementation of EIBF is still not optimal in various health facilities. This study aims to identify factors influencing the implementation of Early Initiation of Breastfeeding in newborns based on previous research findings. The method used was a literature review by analyzing scientific articles obtained from Google Scholar, PubMed, and ScienceDirect databases published within the last 10 years. Articles were selected based on inclusion criteria relevant to the research topic. The results of the review show that factors influencing the implementation of EIBF include maternal knowledge, maternal attitudes toward breastfeeding, support from health workers, family support, mode of delivery, and health facility policies. In conclusion, the success of EIBF implementation is influenced by individual factors, health worker support, and health service system factors. Therefore, increased maternal education and strong support from health workers are needed to improve EIBF implementation.

Prevalence of Early Initiation of Breastfeeding Among Postpartum Mothers in Baregbeg Primary Health Center Kurniati Devi Purnamasari; Widya Maya Ningrum; Adhelia Dwi Lestari
Journal of Midwifery and Public Health Vol 7, No 2 (2025): Current Perspectives in Midwifery and Public Health
Publisher : Universitas Galuh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25157/jmph.v7i2.23805

Background: Early Initiation of Breastfeeding (EIBF) within the first hour after birth is a critical intervention to improve exclusive breastfeeding rates and reduce neonatal mortality. However, its implementation in primary healthcare settings remains suboptimal, indicating a gap between policy and practice. Objective: This study aimed to describe the implementation of Early Initiation of Breastfeeding among newborns at Baregbeg Public Health Center. Methods: A descriptive quantitative study with a cross-sectional approach was conducted. The sample included 22 postpartum mothers (0–40 days) selected using total sampling. Data were collected using observation sheets and analyzed through univariate analysis. Results: The findings showed that 72.7% of mothers implemented EIBF, while 27.3% did not, indicating that although the majority practiced EIBF, a considerable proportion still missed early breastfeeding initiation. Conclusion: The implementation of EIBF at Baregbeg Public Health Center is generally adequate but not yet optimal. Strengthening maternal education and enhancing health worker support are essential to improve EIBF coverage and ensure consistent practice.

Effectiveness of Relaxation Techniques in Reducing Labor Pain: A Systematic Review of Randomized and Observational Studies Widya Maya Ningrum; Kurniati Devi Purnamasari; Shifa Marlieva
Journal of Midwifery and Public Health Vol 7, No 1 (2025): Maternal and Midwifery Care: From Pregnancy to Postpartum
Publisher : Universitas Galuh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25157/jmph.v7i1.23781

Labor pain is a complex experience that may affect maternal outcomes if not properly managed. Relaxation techniques are increasingly used as safe non-pharmacological interventions. To evaluate the effectiveness of relaxation techniques in reducing labor pain. A systematic review following PRISMA 2020 was conducted using PubMed, Scopus, Web of Science, and ScienceDirect (2019–2024). Randomized controlled trials and observational studies assessing relaxation techniques were included. Risk of bias was evaluated using RoB 2 and JBI tools. Thirty-four studies (18 RCTs, 16 observational) were included. Relaxation techniques reduced labor pain by 1.5–3.0 points on the VAS. Hypnobirthing and combined techniques showed the strongest effects, while breathing and mindfulness provided consistent moderate benefits. Relaxation techniques are effective and safe for reducing labor pain and should be integrated into midwifery care.

Determinants of Labor Duration: A Systematic Review of Maternal, Fetal, And Healthcare Factors Widya Maya Ningrum; Kurniati Devi Purnamasari; Silvia Widyani Heriyanti; Kartikasari Kartikasari
Journal of Midwifery and Public Health Vol 7, No 2 (2025): Current Perspectives in Midwifery and Public Health
Publisher : Universitas Galuh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25157/jmph.v7i2.23806

Prolonged labor increases risks of maternal and neonatal complications. Identifying its determinants is essential for improving intrapartum care. This systematic review synthesizes evidence on maternal, fetal, and healthcare factors influencing labor duration. A systematic search was conducted in Google Scholar, PubMed, and ScienceDirect for articles published between 2015–2025. Studies reporting original data on labor duration determinants were included. Fifteen studies met inclusion criteria. Maternal factors (advanced age >35 years, nulliparity, high anxiety) consistently prolonged labor. Fetal factors including macrosomia (>4000 g) and occiput posterior malposition significantly extended labor duration. Healthcare factors such as continuous labor support, maternal mobilization, and appropriate oxytocin use were associated with shorter labor duration. Labor duration is determined by multifactorial interactions. Evidence-based, comprehensive intrapartum care addressing all determinant categories is recommended to optimize maternal and neonatal outcomes.

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