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Effect of Positive Affirmation on Breastfeeding Outcomes among Mothers at Risk of Preeclampsia: A Quasi-Experimental Study Ahmaniyah; Astutik, Reni Yuli
Journal Of Nursing Practice Vol. 9 No. 3 (2026): April
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v9i3.1103

Abstract

Background: Preeclampsia is associated with increased risk of breastfeeding difficulties, including delayed lactogenesis and reduced exclusive breastfeeding. Psychological factors may influence breastfeeding outcomes, and simple psychosocial interventions such as positive affirmations may offer potential benefits. Purpose: To evaluate the effectiveness of a positive-affirmation intervention on breastfeeding outcomes among mothers at risk of preeclampsia. Methods: A quasi-experimental study with a non-equivalent control group design was conducted in Sumenep from November 2025 to January 2026. A total of 98 mothers were recruited using purposive sampling and allocated into intervention (n = 49) and control (n = 49) groups. The intervention consisted of positive affirmations delivered for 10 minutes per session, twice weekly for four weeks. Outcomes included early initiation of breastfeeding, onset of lactogenesis, and exclusive breastfeeding at one month postpartum. Data were analyzed using independent t-tests and Chi-square tests. Effect sizes were reported as odds ratios (OR) with 95% confidence intervals (CI), and multivariate logistic regression was performed to control for confounders. Results: The intervention group showed a higher rate of successful early initiation of breastfeeding (77.6% vs 55.1%; OR = 2.82; 95% CI: 1.20–6.62; p = 0.018), earlier onset of lactogenesis (42.3 ± 10.5 vs 50.8 ± 12.1 hours; mean difference = −8.5 hours; 95% CI: −13.2 to −3.8; p = 0.001), and higher exclusive breastfeeding rates at one month postpartum (71.4% vs 51.0%; OR = 2.40; 95% CI: 1.08–5.33; p = 0.038). After adjustment, the intervention remained significantly associated with improved breastfeeding outcomes (adjusted OR = 2.40; 95% CI: 1.10–5.50; p = 0.030). Conclusion: Positive-affirmation intervention is associated with improved breastfeeding outcomes among mothers at risk of preeclampsia. Given its simplicity and feasibility, this intervention may be integrated into postpartum care to support breastfeeding practices in high-risk populations.
Upaya Peningkatan Perilaku Pencegahan KEK (Kurang Energi Kronis) pada Ibu Hamil di UPT Puskesmas Dolo Kabupaten Sigi Sulawesi Tengah Astutik, Reni Yuli; Serenggu, Putri
AJAD : Jurnal Pengabdian kepada Masyarakat Vol. 6 No. 1 (2026): APRIL 2026
Publisher : Divisi Riset, Lembaga Mitra Solusi Teknologi Informasi (L-MSTI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59431/ajad.v6i1.753

Abstract

Chronic Energy Deficiency (CED) is a nutritional problem in pregnant women caused by a prolonged lack of energy intake. The prevalence of CED among pregnant women in Central Sulawesi Province has been recorded at 2,449 cases, with Sigi Regency ranking third highest with a prevalence of 3.25%. The long-term impacts of CED on pregnant women include the risk of maternal death, chronic anemia, and hemorrhage. For the fetus/child, the impacts include stunting, low birth weight, and intellectual disabilities. Many pregnant women still have limited knowledge regarding balanced nutrition during pregnancy, which may affect the health of both mother and baby. In 2025, there were 189 pregnant women with CED (14.41%) recorded in the working area of UPT Dolo Public Health Center. A community service program in the form of education on CED prevention and management was conducted at the Posyandu in Kotapulu Village, Sigi District, Sigi Regency. The results showed an increase in pregnant women's knowledge by 77.8%.
Edukasi Promotif-Preventif untuk Pencegahan Anemia pada Ibu Hamil di UPTD Puskesmas Dolo Kabupaten Sigi Astutik, Reni Yuli; Asmawaty, Asmawaty
Sasambo: Jurnal Abdimas (Journal of Community Service) Vol. 8 No. 2 (2026): Mei
Publisher : Lembaga Penelitian dan Pemberdayaan Masyarakat (LITPAM)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36312/3zt83d18

Abstract

Kegiatan pengabdian kepada masyarakat ini dimaksudkan guna mengoptimalkan pencegahan anemia pada ibu hamil di UPTD Puskesmas Dolo Kabupaten Sigi Sulawesi Tengah. Metode yang dimanfaatkan yakni pendekatan edukatif promotif–preventif melalui penyuluhan, diskusi, dan demonstrasi mengenai anemia, konsumsi tablet tambah darah, serta pengolahan pangan lokal kaya zat besi. Sasaran kegiatan adalah ibu hamil yang dipilih melalui koordinasi dengan tenaga kesehatan dan kader. Melalui penggunaan pre-test dan post-test yang disertai observasi terhadap partisipasi peserta, kegiatan evaluasi dilaksanakan. Hasilnya memperoleh adanya peningkatan pemahaman, dimana seluruh peserta mencapai kategori pengetahuan baik setelah intervensi. Selain itu, terjadi perubahan perilaku terutama dalam kepatuhan konsumsi tablet tambah darah dan pemenuhan gizi. Meskipun terdapat keterbatasan waktu dan jumlah peserta, kegiatan ini efektif meningkatkan kesadaran dan praktik pencegahan anemia. Diperlukan edukasi berkelanjutan dan dukungan masyarakat untuk mempertahankan hasil tersebut. Promotive–Preventive Education for Anemia Prevention among Pregnant Women at Dolo Public Health Center (UPTD Puskesmas Dolo), Sigi Regency  This community service program aimed to optimize anemia prevention among pregnant women at Dolo Public Health Center, Sigi Regency Central Sulawesi. The activity used a promotive–preventive educational approach through structured counseling sessions, including lectures, discussions, and demonstrations on anemia, iron supplementation, and local iron rich food processing. Participants were pregnant women selected through coordination with health workers and cadres. Evaluation was conducted using pre-test and post-test questionnaires and participatory observation. Results showed an improvement in participants’ knowledge, with all participants reaching a good knowledge category after the intervention. The program also encouraged behavioral changes, particularly in adherence to iron tablet consumption and nutritional practices. Despite limitations such as time constraints and limited participant attendance, the program proved effective in enhancing awareness and preventive practices. Continuous education and community support are recommended to sustain anemia prevention efforts among pregnant women.