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Hubungan Faktor Maternal terhadap Posisi pada Waktu Persalinan Kala II dengan Kejadian Ruptur Perineum Hajrah, Wa Ode; Purbowati, Niken; Nuraini, Novia
Jurnal Bidan Cerdas Vol. 2 No. 1 (2019)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jbc.v2i1.80

erineal rupture needs attention because it can cause dysfunction of the female reproductive organs, as a source of bleeding, a source, or a way in and out of infection, then it can cause death due to bleeding or sepsis. About 85% of Women who delivery vaginally experience perineal rupture, in the age group 25-30 years 24%, while in maternal age 32-39 years by 62%. In Asia, perineal rupture is also a problem in society, 50 % of the world's occurrence is in Asia. The study aims to determine the relationship of maternal factors to the position of the second stage labor and perineal rupture occurrence. This research applied a descriptive-analytic method using a cross-sectional research design. The research sample was 102 respondents, accidental random sampling, which was all labor with perineal rupture in July to November 2018. Statistical tests used chi-square. The results of perineal rupture with maternal age was p-value 0.042 (p <0.05), perineal rupture with maternal parity was p-value 0.01 (p <0.05). Suggestions for various maternal positions in maternity and ANC classes to prevent perineal rupture.

Hubungan Tingkat Pengetahuan dan Sikap dengan Perilaku Mengatasi Ketidaknyamanan pada Masa Klimakterium Niken Purbowati; Wa ode Hajrah; Novia Nuraini
Jurnal Bidan Cerdas Vol. 2 No. 1 (2019)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jbc.v2i1.79

Climacteric is a transitional period from the reproductive phase to the old age phase (senium). Climacteric period 40-85% of women have complaints both physically and psychologically. The differences in knowledge based on personal backgrounds cause the attitude of each individual is different in overcoming the inconvenience of the climacteric phase. This study aims to determine the relationship between the level of knowledge and attitudes towards overcoming discomfort during the climacteric phase. It was a descriptive-analytic research method using a cross-sectional research design. The research sample was 81 respondents. Sampling was stratified random sampling, that is, samples taken per work area randomly. Statistical tests use logistic regression. The results of 81 mothers showed that the proportion of mothers with good knowledge was 87.9%, compared to a lack of knowledge as many as 20.8%. There was a significant relationship between knowledge and behavior to overcome climacteric discomfort (p = 0.029; CI95% = 1.2-27.1). Mothers with good knowledge had a 5.7 times higher chance to behave well in dealing with discomfort during climacteric times, compared to mothers with less knowledge after being controlled by attitude, family roles, and health worker roles.

Hubungan Faktor Maternal terhadap Posisi pada Waktu Persalinan Kala II dengan Kejadian Ruptur Perineum Wa Ode Hajrah; Niken Purbowati; Novia Nuraini
Jurnal Bidan Cerdas Vol. 2 No. 1 (2019)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jbc.v2i1.80

erineal rupture needs attention because it can cause dysfunction of the female reproductive organs, as a source of bleeding, a source, or a way in and out of infection, then it can cause death due to bleeding or sepsis. About 85% of Women who delivery vaginally experience perineal rupture, in the age group 25-30 years 24%, while in maternal age 32-39 years by 62%. In Asia, perineal rupture is also a problem in society, 50 % of the world's occurrence is in Asia. The study aims to determine the relationship of maternal factors to the position of the second stage labor and perineal rupture occurrence. This research applied a descriptive-analytic method using a cross-sectional research design. The research sample was 102 respondents, accidental random sampling, which was all labor with perineal rupture in July to November 2018. Statistical tests used chi-square. The results of perineal rupture with maternal age was p-value 0.042 (p <0.05), perineal rupture with maternal parity was p-value 0.01 (p <0.05). Suggestions for various maternal positions in maternity and ANC classes to prevent perineal rupture.

Kejadian Wasting pada Balita Usia 6-59 Bulan: Wasting Incidence among Toddlers aged 6-59 Months Erika Erika; Yulia Sari; Wa Ode Hajrah
Jurnal Bidan Cerdas Vol. 2 No. 3 (2020)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jbc.v2i3.110

Wasting is an acute malnutrition which could indirectly increase infant mortality and morbidity. Currently, wasting was serious public health problem in Indonesia with 11,1% of prevalence. This study aimed to determine the incidence of wasting in childrens aged 6-59 months in the working area of Puskesmas Kelurahan Penjaringan I, North Jakarta from March to April, 2019. The researcher measured antropometry of children to see nutritional status based on indicator of BB/TB. A case control method, as well as purposive and accidental sampling technique, was carried out in this study. As many as 60 respondents were divided into 2 groups (30 cases group and 30 control group). The data were analyzed by using chi square test and multiple logistic regression. Infectious disease history (p=0.031) and protein intake (p=0.024) were associated with wasting incidence in children. Infectious diseases history was dominant factor determining of wasting in children aged 6-59 months in Puskesmas Kelurahan Penjaringan I, North Jakarta (OR=11.897; 95% CI=1.246-113.570). Fostering integrated health post by providing counseling about increasing nutrient intake especially protein intake and handling infectious diseases in children so that wasting can be handled properly.

THE EFFECT OF DATE PALM JUICE CONSUMPTION ON THE ACTIVE PHASE OF LABOR AMONG PRIMIGRAVIDA Winancy Gunawan; Aticeh; Wa ode Hajrah
SEAJOM: The Southeast Asia Journal of Midwifery Vol 6 No 1 (2020)
Publisher : AIPKIND (Asosiasi Pendidikan Kebidanan Indonesia)

As an alternative to providing energy during late pregnancy and childbirth, dates give many benefits, such as assisting contractions. Dates have high carbohydrate content so that fatigue that occurs during labor, especially in the active phase, can be reduced. By dividing the sample into two groups, namely the experimental group and the control group, the intervention of date palm juice was seen based on the duration of the active phase of labor. It was known that the experimental group had a shorter duration of labor than that of the control group with a p value equal to 0.000. Therefore, date juice is proven to shorten the duration of active phase labor.

Perbandingan Efektivitas Akupresur dan Prenatal Yoga Terhadap Penurunan Nyeri Punggung Bawah Ibu Hamil Sari, Yulia; Hajrah, Wa Ode; Zain, Venny Rafrianti
Muhammadiyah Journal of Midwifery Vol 3, No 2 (2022): 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.3.2.72-79

Latar belakang: Kejadian nyeri punggung bawah pada ibu hamil dapat menyebabkan nyeri kronik dan stress pada ibu hamil sehingga meningkatkan resiko terjadinya persalinan preterm. Dampak dari persalinan preterm adalah bayi lahir berat rendah, pertumbuhan janin terhambat, dan komplikasi kelahiran prematur bagi bayi. Tujuan: Penelitian ini bertujuan untuk mengetahui perbandingan efektivitas akupresur dan prenatal yoga terhadap penurunan nyeri punggung bawah ibu hamil. Metode: Penelitian ini menggunakan metode quasi experiment dengan two group pretest posttest design. Populasi penelitian ini adalah ibu hamil di Rumah Bersalin Zahira yang mengalami nyeri punggung bawah. Penentuan besar sampel dihitung menggunakan rumus uji hipotesis beda 2 mean, penentuan sampel dengan simple random sampling dan didapatkan masing-masing kelompok akupresur dan prenatal yoga 33 responden. Analisis data menggunakan Wilcoxon Signed Rank Test dan Mann- Whitney Test. Hasil: Penelitian menunjukkan uji rerata dalam tiap kelompok perlakuan menunjukkan hasil bermakna (p=0,0001) dengan selisih rerata penurunan intensitas nyeri punggung bawah pada kelompok akupresur sebesar 3,5 dan kelompok yoga sebesar 2,3. Simpulan: Teknik akupresur memiliki efektifitas lebih tinggi dibandingkan dengan prenatal yoga untuk menurunkan nyeri punggung bawah pada ibu hamil. Ibu hamil disarankan untuk menerapkan akupresur dan prenatal yoga dalam mengatasi nyeri punggung bawah serta perlu dilakukan penelitian lebih lanjut terkait faktor-faktor yang dapat mempengaruhi terjadinya nyeri punggung bawah pada ibu hamil.

Analysis of Socio-Cultural Factors in the Decision Making of Women of Childbearing Age Regarding Reproductive and Sexual Health Sari, Yulia; Fitriana, Shentya; Hajrah, Wa Ode; Simbolon, Ganda Agustina Hartati
Jurnal Bidan Cerdas Vol. 6 No. 3 (2024)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jbc.v6i3.3306

Introduction: The right decision-making process will impact to health status of mothers and children, also to increase the human development index, especially health development in Indonesia. 23% of women said their husbands usually made decisions about household expenses, 11% said their husbands decided on their personal health care. Socio-demographic factors, such as the educational level of husband and wife, economic status are potential factors that can influence an individual's decision-making process. Exposure to information and knowledge, individual abilities can have a positive influence for woman's decision making. It was further stated that a woman's decision making on their sexual and reproductive health is highly dependent on the ability to meet her needs and exposure to knowledge. Objective: This study aims to determine socio-cultural factors on the role of women of childbearing age in making reproductive and sexual health decisions. Method: The research design used cross sectional. The sample calculation uses the lameshow formula for the difference in proportion test with a minimum sample size of 159 women of childbearing age. The sampling technique uses purposive sampling. The analysis used chi square and multiple logistic regression. Results: There is a relationship between socioculture and the role of women in decision making regarding reproductive and sexual health after being controlled by the variables husband's education, mother's education, husband's age, and family income (p = 0.006; OR 2.7' min-max 1.3- 5,6). Conclusion: It is necessary to increase women’s knowledge and their partners regarding gender justice in decision-making autonomy regarding sexual and reproductive health.

The Relationship of Respectful Midwifery Care (RMC) Evaluation to Satisfaction of Midwifery Services from the Mother's Perspective in the North Jakarta Region Heriza Syam; Hamdah Ridhaka Waljannah; Wa Ode Hajrah; Rosni Lubis; Ani Kusumastuti; Nina Primasari; Aticeh
Public Health of Indonesia Vol. 11 No. 2 (2025): April - June
Publisher : YCAB Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/phi.v11i2.960

Background: The labor process represents a critical phase in ensuring maternal and neonatal safety. The quality of care provided by midwives during this period plays a vital role in determining health outcomes for both mothers and newborns. To achieve optimal care, midwives are required to possess competencies in line with the standards recommended by the International Confederation of Midwives (ICM), including the implementation of Respectful Midwifery Care (RMC). The concept of RMC has also been promoted by the Indonesian Midwives Association (IBI) as an essential component of quality midwifery services. However, empirical evidence on the implementation of RMC in Indonesia remains limited. This gap highlights the need to explore women’s perspectives on the application of RMC and its association with maternal satisfaction. Objective: This study aims to assess the implementation of Respectful Midwifery Care (RMC) from the perspective of mothers receiving delivery care by midwives and to examine its relationship with maternal satisfaction in midwifery services. Methods: This research employed a quantitative approach using a cross-sectional design. The study involved 111 mothers who underwent physiological childbirth assisted by midwives at Level I Health Facilities in North Jakarta, with no maternal or neonatal complications or emergencies. Participants were selected through purposive sampling. Data were analyzed using the Chi-Square test to determine the relationship between RMC and maternal satisfaction. Results: The findings showed that 80.2% of midwives were perceived to have implemented RMC based on the mothers’ evaluations. A statistically significant association was found between the implementation of RMC and maternal satisfaction with midwifery services in North Jakarta (p = 0.000), with an Odds Ratio (OR) of 18.909. Conclusion: The implementation of Respectful Midwifery Care significantly influences maternal satisfaction with midwifery services. Mothers assisted by midwives who implement RMC are 18 times more likely to report satisfaction with their childbirth experience. The adoption of the RMC approach not only enhances maternal satisfaction but also contributes to the overall improvement of the quality of midwifery care. Keywords: respectful midwifery care; maternal satisfaction; midwifery services; quality of care

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