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Faktor Determinan Rutur Perineum Derajat I dan III Widyana, Erni Dwi; Toyibah, Afnani; Martina, Siti
Malang Journal of Midwifery (MAJORY) Vol. 1 No. 2 (2019): MAJORY
Publisher : Poltekkes Kemenkes Malang & IBI Ranting Pendidikan Kota Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/majory.v1i2.3052

Postpartum hemorrhage reaches 50% in Indonesia in 2010. postpartum hemorrhage is an important cause of maternal mortality, especially in developing countries. The things that cause postpartum hemorrhage was atonic uterus, birth canal injury, the release of part of the placenta from the uterus, such as the lagging portion of the placenta or placenta suksenturiata cotyledons. Injury in the birth canal that cause a lot of bleeding is the rupture of the perineum. The research objective was to determine the determinant factors which affect the rupture of the perineum in BPM "I" Malang. The study design was analytic correlation with cross sectional approach. A population of 35 people and the number of samples of 35 people by using total sampling. Collection of data using interviews and observation sheet. Based on logistic regression test showed that the 0.05 sign of the determinant factors including parity, maternal age, duration of the second stage, and the weight of newborns only the most determinant parity against rupture perineum. Expected health workers more attention in providing services intranatal care so as to prevent and reduce the incidence of ruptured perineum. Keywords: Determinant Factors, Rupture perineum

Hubungan Self Efficacy dengan Persiapan Kehamilan Sehat Pada Calon Pengantin Wanita Nina, Nina Sefia Sari; Toyibah, Afnani; Apsari, Duhita Dyah; Triningsih, Reni Wahyu
Malang Journal of Midwifery (MAJORY) Vol. 5 No. 2 (2023): MAJORY
Publisher : Poltekkes Kemenkes Malang & IBI Ranting Pendidikan Kota Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/majory.v5i2.4226

Self-efficacy affects one's health behavior including behavior in preparing for pregnancy during the preconception period. Pregnancy that is not properly prepared can trigger various problems in pregnancy and childbirth such as; KEK, anemia, antepartum bleeding, and LBW. his study aims to determine the correlation between self efficacy and preparation for pregnancy of the premarital women. Correlational analytic design with a cross sectional approach was used in this study. Purposive sampling technique was used to obtain 57 respondents who met the inclusion criteria. This study used the Perceived Health Competence Scale (PHCS) and preparation for pregnancy questionnaire as the instrument for data collection. The results of the Spearman rank correlation test analysis showed a correlation coefficient of 0.359 with a significance level of 0.006 <0.05 which indicated that there was a moderate relationship between self-efficacy and preparation for a healthy pregnancy in prospective brides at KUA Lowokwaru, Malang. The higher the self-efficacy, the better the preparation for pregnancy. So, it is better to increase the provision of information regarding the importance of convincing oneself to manage health and prepare for pregnancy to adolescents.

Hubungan Paritas Dengan Kejadian Bayi Berat Lahir Rendah Exna Putri, Meilina Angita; Toyibah, Afnani; Setyarini, Arika Indah
Malang Journal of Midwifery (MAJORY) Vol. 4 No. 2 (2022): MAJORY
Publisher : Poltekkes Kemenkes Malang & IBI Ranting Pendidikan Kota Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/majory.v4i2.3193

Low Birth Weight Babies (LBW) are still very important in public health, with variables defined by WHO as weighing less than 2500 grams at birth. Birth with LBW is still a major factor in increasing mortality, morbidity and disability in neonates, infants and children, so that it can have a long-term impact on future life. This study aims to determine whether there is a relationship between parity and the incidence of low birth weight babies. This study uses a literature review design. Search journal articles using the PICO format and analysis was carried out. The search was carried out on several databases, namely Google Scholar, PubMed and DOAJ using keywords that had been determined by the researchers (Parity and Low Birth Weight Babies, Relationship and Parity Low Birth Weight Babies, Parity and LBW, or Parity and Low Birth Weight Babies, or The Relationship between Parity and Low Birth Weight Babies). Of the 10 journals from 2016 to 2020, which have been analyzed, there are 8 journals which state that there is a relationship between parity and the incidence of LBW. There is a relationship between parity and the incidence of low birth weight babies. The need for increased monitoring and provision of IEC to mothers with risk factors, so that they can overcome the incidence of LBW in early pregnancy

Literature Review: Pendorong dan Penghambat Keputusan Perempuan Mengungkap Kekerasan Rindana, Sevi; Toyibah, Afnani; Aristina, Nur Eva
Jurnal Pendidikan Tambusai Vol. 6 No. 2 (2022): Agustus 2022
Publisher : LPPM Universitas Pahlawan Tuanku Tambusai, Riau, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jptam.v6i2.4262

Lebih dari sepertiga perempuan tidak melaporkan atau mengungkap kejadian kekerasan. Penelitian ini bertujuan untuk mengetahui pendorong dan penghambat keputusan perempuan untuk mengungkap kekerasan. Desain penelitian adalah Literature Review, data yang digunakan adalah data sekunder berasal dari 3 database yaitu Google scholar, DOAJ, dan PubMed dari tahun 2016-2020, dengan menggunakan kata kunci “keputusan perempuan mengungkap kejadian kekerasan” dan “women disclosure of violence”. Dalam 16 jurnal internasional, ditemukan faktor penghambat: mewajarkan kekerasan/perempuan merasa sebagai penyebab kekerasan, malu, takut, trauma, persepsi mengungkap kekerasan tidak akan membantu, kurangnya informasi pengungkapan kekerasan, lingkungan/reaksi sosial, keberadaan anak-anak/hamil, kerahasiaan/kepercayaan terhadap orang lain, status pekerjaan perempuan, pengalaman mendapat kekerasan, peran tenaga kesehatan atau profesional, dan usia perempuan saat pertama kali menikah, sedangkan faktor pendorong, antara lain: keparahan kekerasan, keberadaan anak/hamil, motivasi perempuan/berbagi pengalaman, perilaku pasangan yang terlalu mengontrol, pendidikan perempuan, usia perempuan, pasangan mengonsumsi alkohol, dan trauma. Keputusan perempuan mengungkap kekerasan dipengaruhi oleh faktor pendorong dan penghambat.

Breastfeeding Self-Efficacy Related to Postpartum Depression Tendency Anjani, Arum Yunia; Kostania, Gita; Toyibah, Afnani
Jurnal Kebidanan dan Kesehatan Tradisional Jurnal Kebidanan dan Kesehatan Tradisional Volume 10 Number 1 Year 2025
Publisher : Poltekkes Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37341/jkkt.v10i1.463

Background: Postpartum depression (PPD) is a psychological disorder that is related to insecure relationships, mother-child bonding disorders, and also has an impact on increasing the risk of maternal suicide. Breastfeeding self-efficacy (BSE) is related to physical and psychological adjustment in postpartum mothers and is one of the factors that can influence postpartum depression, plus breastfeeding is one of the main tasks of every postpartum mother. The purpose of this study was to analyze the relationship between breastfeeding self efficacy and tendency of postpartum depression at PMB S Blimbing District, Malang City, Indonesia. Methods: The study had used correlational analytic design with a cross sectional. The number of samples were 48 people, done by quota sampling technique. The tool of collecting data was questionnaire by Breastfeeding Self Efficacy Scale-Short Form (BSES-SF) and Edinburgh Postnatal Depression Scale (EPDS). Analysis data procedure was using spearman correlation test. Results: Data showed the age range of respondents were 20-35 years(83.3%); senior high school (50%); not working (75%); multipara (77.1%); high breastfeeding self efficacy (66.7%); not tendency of postpartum depression (81.2%); and respondent with high BSE who experienced not tendency of PPD (66.6%). The result showed there was a relationship between breastfeeding self efficacy and tendency of postpartum depression (p=0.000). Conclusion: Based on result of study, it is known that respondent who have high BSE came from respondents who not tendency of PPD. It means that BSE is one of the factors that can influence postpartum depression and it is impotant to scale up.

PENGARUH EDUKASI ANEMIA MENGGUNAKAN E-BOOKLET TERHADAP PERAN ORANG TUA DALAM UPAYA PENANGGULANGAN ANEMIA PADA REMAJA PUTRI Fuadia, Eka Tafrihatul; Jupriyono, Jupriyono; Toyibah, Afnani; Yudianti, Ika
Malang Journal of Midwifery (MAJORY) Vol. 7 No. 2 (2025): MAJORY : Malang Journal of Midwifery
Publisher : Poltekkes Kemenkes Malang & IBI Ranting Pendidikan Kota Malang

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

Anemia masih menjadi salah satu permasalahan kesehatan yang sering dialami oleh remaja putri. Kekurangan kadar haemoglobin dalam darah dapat berdampak pada proses tumbuh kembang, menurunkan konsentrasi belajar, serta menyebabkan rasa lelah dan penurunan aktivitas sehari-hari. Peran orang tua sangat penting dalam penanggulangan anemia, salah satunya melalui pemberian edukasi anemia menggunakan media e-booklet. Penelitian ini menggunakan desain pre-eksperimental dengan pendekatan one group pretest-postest design. Populasi berjumlah 58 orang tua siswi kelas VII yang anaknya mengalami anemia di MTsN 3 Malang, dengan sampel 38 responden yang dipilih melalui teknik purposive sampling. Pengumpulan data dilakukan selama 3 minggu dengan menggunakan kuesioner pretest dan posttest setelah tiga kali intervensi edukasi secara langsung dengan kunjungan ke rumah. Penelitian ini bertujuan untuk mengetahui pengaruh edukasi anemia menggunakan e-booklet terhadap peran orang tua dalam penanggulangan anemia pada remaja putri. Instrumen telah diuji validitas (r = 0,413) dan reliabilitas (r = 0,740). Analisis data menggunakan uji Wilcoxon Signed Rank Test. Hasil menunjukkan peningkatan peran orang tua setelah diberikan intervensi berupa edukasi anemia menggunakan e-booklet dengan nilai ρ value = 0,001. Pemberian edukasi anemia menggunakan e-booklet efektif meningkatkan peran orang tua dalam penanggulangan anemia pada remaja putri. Diharapkan orang tua dapat mempertahankan dan menerapkan pengetahuan yang diperoleh untuk mendukung penanggulangan anemia pada remaja

Penguatan Kapabilitas Internal Berbasis Inovasi dan Kompetensi SDM untuk Pencapaian Maturity Rating BLU Toyibah, Afnani
Jurnal Pendidikan Kesehatan (e-Journal) Vol. 14 No. 2 (2025): Jurnal Pendidikan Kesehatan (E-Journal)
Publisher : Poltekkes Kemenkes Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/jpk.v14i2.6000

This study aims to examine efforts to enhance internal capabilities through innovation and employee participation at the Public Service Agency (BLU) of the Politeknik Kesehatan, Ministry of Health (PKM) Malang. A qualitative approach was employed, with data obtained through in-depth interviews with several informants from different work units. The findings reveal that BLU PKM management demonstrates a high level of openness in accepting creative ideas from employees, thereby fostering a conducive participatory climate. Institutional support for human resource (HR) capacity development is evident through the facilitation of training, seminars, and the acceptance of innovative ideas, many of which originate from staff-level employees. The mechanism for submitting ideas is flexible, allowing both informal and formal channels, and students are also involved as stakeholders through discussion forums. Decentralization of authority at the department and study program levels further strengthens the organization’s responsiveness to innovation. Overall, the enhancement of internal capabilities at BLU PKM has progressed well through managerial openness, active employee participation, and HR development support, although further reinforcement in digitalization is needed to ensure more sustainable innovation

The Correlation of the Open Dry Treatment to Umbilical Cord Separation Time on Newborns Devira Natalia; Eny Sendra; Afnani Toyibah; Lumastari Ajeng Wijayanti; Arika Indah Setyarini
Journal of Ners and Midwifery Vol 9 No 1 (2022)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v9i1.ART.p079-083

According to East Java health profile (2019), the number of neonatal tetanus is 10 cases because of inappropriate treatment. Thus, bacteria enter the body and prolong the umbilical cord separation time. WHO (2010) and Ministry of Health Republic of Indonesia (2015) recommend umbilical cord care using an open dry method. This study attempts to identify the correlation of the open dry treatment to umbilical cord separation time according to literary results. Literature review was used to analyze the data from three online databases: PubMed, Google Scholar, and DOAJ using inclusion-exclusion criteria. The keywords were â€œUmbilical Dry Cord Care,â€â€œDay of Release of the Umbilical Cord,â€ â€œPerawatanTali Pusat Kering Terbuka,â€ and â€œLama PelepasanTali Pusat.â€ The analysis method was compared and contrast. Based on 16 articles, the results showed three categories of umbilical cord separation time by using the open dry method. Four articles indicated the fast category (< 5 days), other ten as normal (5-7 days), and the other two the slow category (> 7 days). The accurate method for the umbilical cord care is open dry because the separation time is the fastest. However, further research using primary data is needed.

Breastfeeding Self-Efficacy Related to Postpartum Depression Tendency Anjani, Arum Yunia; Kostania, Gita; Toyibah, Afnani
Jurnal Kebidanan dan Kesehatan Tradisional Jurnal Kebidanan dan Kesehatan Tradisional Volume 10 Number 1 Year 2025
Publisher : Poltekkes Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37341/jkkt.v10i1.463

Background: Postpartum depression (PPD) is a psychological disorder that is related to insecure relationships, mother-child bonding disorders, and also has an impact on increasing the risk of maternal suicide. Breastfeeding self-efficacy (BSE) is related to physical and psychological adjustment in postpartum mothers and is one of the factors that can influence postpartum depression, plus breastfeeding is one of the main tasks of every postpartum mother. The purpose of this study was to analyze the relationship between breastfeeding self efficacy and tendency of postpartum depression at PMB S Blimbing District, Malang City, Indonesia. Methods: The study had used correlational analytic design with a cross sectional. The number of samples were 48 people, done by quota sampling technique. The tool of collecting data was questionnaire by Breastfeeding Self Efficacy Scale-Short Form (BSES-SF) and Edinburgh Postnatal Depression Scale (EPDS). Analysis data procedure was using spearman correlation test. Results: Data showed the age range of respondents were 20-35 years(83.3%); senior high school (50%); not working (75%); multipara (77.1%); high breastfeeding self efficacy (66.7%); not tendency of postpartum depression (81.2%); and respondent with high BSE who experienced not tendency of PPD (66.6%). The result showed there was a relationship between breastfeeding self efficacy and tendency of postpartum depression (p=0.000). Conclusion: Based on result of study, it is known that respondent who have high BSE came from respondents who not tendency of PPD. It means that BSE is one of the factors that can influence postpartum depression and it is impotant to scale up.

Hubungan Persepsi Dengan Perilaku Ibu Dalam Persiapan Masa Pubertas Pada Pra Remaja Chuzaini, Ananda Putri Nida'ul; Mustafa, Annasari; Kundarti, Finti Isti; Toyibah, Afnani
Madu Jurnal Ilmu Kebidanan Vol 14, No 2: Desember 2025
Publisher : Program Studi DIV Kebidanan Fakultas Ilmu Kesehatan Universitas Muhammadiyah Gorontalo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31314/mjk.14.2.220-226.2025

Puberty is a critical phase in a child’s development requiring physical, psychological, and social readiness. Mothers, as primary caregivers, play an important role in accompanying and providing education during this transition. Inaccurate perceptions by mothers may affect the quality of their supportive behavior. This study aims to examine the relationship between mothers’ perception and behavior in preparing children for puberty. This analytic observational study used a cross-sectional design. The sample consisted of 45 mothers with preadolescent children at MI Sunan Kalijaga Mergan, Malang City, selected by purposive sampling. Perception data were collected using a Likert scale questionnaire (1–4), while behavior was measured through narrative observation sheets. Data were analyzed using Spearman’s correlation test. Results showed that most respondents had positive (55.6%) and moderate (37.8%) perception categories, and behaviors in moderate (62.2%) and good (31.1%) categories. Statistical analysis revealed a significant relationship between perception and behavior (p = 0.002; r = 0.455). The more positive the mother’s perception, the better the supportive behavior. These findings emphasize the importance of improving mothers’ perceptions through appropriate education to enhance supportive behavior during their children’s puberty transition.

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