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All Journal Jurnal Penelitian Kesehatan Suara Forikes Health Notions Jurnal Kesehatan 2-TRIK: TUNAS-TUNAS RISET KESEHATAN AloHA International Journal of Health Advancement (AIJHA) Global Health Science (GHS) International Journal of Advanced Health Science and Technology Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Health Community Engagement International Journal of Health Sciences Health Dynamics Indonesian Journal of Community Empowerment Jurnal Ilmu Psikologi dan Kesehatan Borneo Nursing Journal
Nuryani, Nuryani
Poltekkes Kemenkes Surabaya
Agriculture, Biological Sciences & Forestry Humanities Biochemistry, Genetics & Molecular Biology Dentistry Education Electrical & Electronics Engineering Environmental Science Health Professions Immunology & microbiology Library & Information Science Medicine & Pharmacology Neuroscience Nursing Public Health

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The Efficacy Of Couples’ Classes In Increasing Breastmilk Expression And In Preventing Breast Engorgement Amid The Pandemic Ayesha Hendriana Ngestiningrum; Nuryani Nuryani
Health Notions Vol 9, No 4 (2025): October-December
Publisher : Humanistic Network for Science and Technology (HNST)

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

There are still obstacles to practicing exclusive breastfeeding. Issues often arise due to a lack of couples’ knowledge. A couple’s class during pregnancy can be a solution to this. This research aims to analyze the effectiveness of a couple’s class in increasing breastmilk expression and in preventing breast engorgement. This was a quasi-experiment with post-tests and a control group design. The population consists of pregnant women in the third trimester and their husbands who live in one house and who are willing to be examined. The number of samples of each group is 25 people that were chosen through the simple random sampling technique. Intervention groups participated in an online couple class and direct guidance once in the first week of giving birth and twice more during the neonatal period. Breastmilk expression and breast engorgement prevention were measured using a checklist. The exclusive breastfeeding in the first month was analyzed using a chi-square examination. The researcher analyzed the difference in breast engorgement between the control group and the treated group using chi-square. There were differences in exclusive breastfeeding between the two groups in the first month with a significance value of  0.034. There was a difference in breast engorgement prevention between the two groups with a significance value of 0.017. The couple’s classes were effective in increasing breastmilk expression and in preventing breast engorgement. The online classes were quite effective and efficient during the Covid-19 pandemic.
STAY ON TRACK WITH MMS : HUBUNGAN KEPATUHAN KONSUMSI MULTIPLE MICRONUTRIENT SUPPLEMENT DAN STATUS HEMOGLOBIN IBU HAMIL Risma Nabila Febrianti; Tinuk Esti Handayani; Nuryani Nuryani; Rahayu Sumaningsih
MAJU : Indonesian Journal of Community Empowerment Vol. 3 No. 5 (2026): MAJU : Indonesian Journal of Community Empowerment, September 2026
Publisher : Lembaga Pendidikan dan Penelitian Manggala Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62335/maju.v3i5.3016

Abstract

Anemia during pregnancy can increase the risk of complications during pregnancy and childbirth. If not properly managed, anemia may have serious consequences throughout pregnancy, childbirth, and the postpartum period, and may also pose risks to the fetus and newborn. This study aimed to determine the association between adherence to Multiple Micronutrient Supplement (MMS) consumption and increased hemoglobin levels among pregnant women.  This study employed a cross-sectional design involving all third-trimester pregnant women at Candirejo Community Health Center, Magetan, during March–April 2026. The study variables included adherence to MMS consumption and increased hemoglobin levels. Adherence was assessed using the Medication Adherence Rating Scale (MARS) questionnaire. The results of the Chi-Square test showed that most third-trimester pregnant women had good adherence to MMS consumption. Most participants also experienced an increase in hemoglobin levels after consuming MMS. The analysis demonstrated a significant association between adherence to MMS consumption and increased hemoglobin levels among pregnant women. Most pregnant women demonstrated good adherence and experienced increased hemoglobin levels after consuming MMS. Pregnant women are encouraged to maintain adherence to regular MMS consumption to minimize the risk of anemia. Support and motivation from husbands, family members, and the surrounding community are also needed to help pregnant women maintain adherence to MMS consumption. In addition, health cadres and midwives are expected to play an active role in monitoring MMS consumption and providing education on the importance of MMS supplementation during pregnancy
Factors Associated with Labor Complications at Plaosan Community Health Center Dianingtyas Febrianti; Nurwening Tyas Wisnu; Nuryani Nuryani; Nurlailis Saadah
Health Notions Vol 10, No 3 (2026): July-September
Publisher : Humanistic Network for Science and Technology (HNST)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hn10306

Abstract

Labor complications are conditions that hinder the normal progress of childbirth and increase the risk of morbidity and mortality for both mothers and infants. At Plaosan Community Health Center, the most common labor complications identified were premature rupture of membranes (PROM), preeclampsia, and prolonged first stage of labor. This study aimed to identify labor complications and determine the most influential factors associated with labor complications at Plaosan Community Health Center during 2023–2025. This study employed a quantitative analytic observational design with a cross-sectional approach. The sample consisted of all mothers with labor complications recorded in the medical records of Plaosan Community Health Center from 2023 to 2025, totaling 97 respondents, selected using total sampling. The dependent variable was labor complications, while the independent variables included maternal age, parity, and occupation. Data were analyzed using multinomial logistic regression with a significance level of α = 0.05. The results showed that most mothers experiencing labor complications were within the healthy reproductive age group, had primiparous parity, and were unemployed. Labor complications were predominantly found in the first stage of labor. Multinomial logistic regression analysis revealed p-values > 0.05, indicating that maternal age, parity, and occupation had no significant effect on the type of labor complications experienced. However, parity was identified as the dominant variable, although it did not show a statistically significant association. It can be concluded that maternal age, parity, and occupation did not significantly influence labor complications at Plaosan Community Health Center.Keywords: labor complications; maternal age; parity; employment status mothers in labor; community health center
A Significant Association Between Nutritional Status and Hypertension Among Adolescents Iena Shopieana Putri Al Azhari; Nuryani Nuryani; Tutiek Herlina; Astuti Setiyani
Health Notions Vol 10, No 4 (2026): October-December
Publisher : Humanistic Network for Science and Technology (HNST)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hn10403

Abstract

Hypertension in adolescents is an increasingly significant public health issue. Data from the 2025 Free Health Check-Up (FHC) Program in Magetan Regency reported that 13.4% of senior high school students were pre-hypertensive, 7.0% had Stage 1 hypertension, and 1.6% had Stage 2 hypertension; at SMAN 2 Magetan, the prevalence was even higher at 28.7%, 13.1%, and 2.2%, respectively. Nutritional problems were also prominent, with 29.3% of students undernourished, 8.9% overweight, and 3.5% obese. This study aimed to examine the association between nutritional status and hypertension incidence among Grade X students at SMAN 2 Magetan in 2025. An observational analytic study with a cross-sectional design was conducted. Of 313 Grade X students, 176 were selected through simple random sampling. Nutritional status (BMI, WHO 2007 criteria) was assessed as the independent variable, while hypertension incidence (AAP 2017 criteria) served as the dependent variable. Secondary data from the 2025 FHC Program were analyzed using the Spearman Rank Correlation test (α = 0.05). Most students had normal nutritional status (54.55%) and normal blood pressure (43.75%). The Spearman test showed r = 0.158 and p = 0.037 (p < 0.05), indicating a statistically significant but very weak positive correlation between nutritional status and hypertension incidence. As a cross-sectional study relying on single-point blood pressure measurement, causal interpretation and identification of white-coat effects were limited. In conclusion, nutritional status is significantly associated with hypertension incidence among adolescents, although the correlation is very weak. These findings highlight the need for strengthened school-based health promotion to prevent early-onset hypertension and its long-term consequences.Keywords: nutritional status; hypertension; adolescents
Characteristics of Preconception Readiness in Women Married 1–2 Years with Obesity Status at Community Health Center Intan Auria; Sulikah Sulikah; Sunarto Sunarto; Nuryani Nuryani
Health Notions Vol 10, No 3 (2026): July-September
Publisher : Humanistic Network for Science and Technology (HNST)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hn10304

Abstract

Obesity among women of reproductive age is a significant preconception risk factor because hormonal, metabolic, and psychosocial disturbances associated with obesity can adversely affect fertility and pregnancy outcomes. In 2025, the prevalence of obesity among couples at the Panekan Community Health Center in Magetan Regency reached 9.19%, ranking among the highest in the district. This study aimed to describe physical, psychological, and attitudinal readiness among 44 women married for 1–2 years with obesity. A descriptive cross-sectional design with total sampling was used. Data were collected from January to May 2026 using the Health Promoting Lifestyle Profile II (HPLP II), consisting of 52 Likert-scale items, and the Preconception Care Improvement Scale (PCIS), consisting of 17 nominal-scale items. Descriptive analysis used frequencies and percentages, while bivariate analysis used cross-tabulations. Respondents were aged 21–35 years (mean 27.11 years); most had senior high school education (79.55%) and were unemployed (61.36%). Physical, psychological, and attitudinal readiness were sufficient in 75.00%, 77.27%, and 70.45% of respondents, respectively. All respondents (100%) were classified as preconception-ready based on PCIS. In conclusion, although overall preconception readiness was sufficient/ready, obesity remains a critical fertility-related risk, particularly in the physical domain, and therefore requires intensive and structured preconception management. Health centers should integrate nutrition counseling, structured weight management, and psychological support into preconception services.Keywords: obesity; preconception readiness; newly married women; reproductive age; cross-sectional
Co-Authors Afitsya Salsa Ayudi Astin Nur Hanifah Astuti Setiyani Astuti Setiyani, Astuti Ayesha H.N, Nurwening T.W. Ayesha Ngestiningrum Dhita Amalya Reivanda Dianingtyas Febrianti Dwi Indah Cahyaningsari Dwi Yuniarti Galuh Nirmala Handayani, Tinuk Esti Heru Santoso Wahito Nugroho Iena Shopieana Putri Al Azhari Intan Auria Nana Usnawati Ngestiningrum, Ayesha Hendriana Novia Fitriani Nur Khoirin Diah Kumalasari nurlailis saadah Nurlailis Sa’adah Nurwening Tyas Wisnu Nurweningtyas Nurweningtyas Purwanto, Triana Septianti Rahayu Sumaningsih Rahayu, Teta Puji Rezqiqah Aulia Rahmat Rina Cahya Nurani Risma Nabila Febrianti Ruli Agustina Santosa, Budi Joko Suharto, Agung Sulikah, Sulikah Sumasto, Hery Sunarto Sunarto Suparji Suparji Suparji Suparji Surtinah, N Susi Ahmawati Tinuk Esti Handyani Titin Wulandari Triana Septianti Triana Septianti Tutiek Herlina Wella Nur Hidayah Wisnu, Nurwening Tyas