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All Journal Jurnal Kebidanan
Niken Meilani
Jurusan Kebidanan Poltekkes Kemenkes Yogyakarta

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Factors Associated to Pap Smear Cervical Screening Behavior among Midwives in Yogyakarta, Indonesia Niken Meilani; Nanik Setiyawati
JURNAL KEBIDANAN Vol 12, No 1 (2022): April 2022
Publisher : Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jkb.v12i1.6773

Abstract

Cervical cancer was the fourth most frequent cancer and approximately 90% of death occurred in low- and middle-income countries. Indonesia was the second country which has the most cervical cancer cases in the world. One recommended method of cervical cancer screening was pap smear test. This study aims to determine the factors that associated in midwive’s pap smear behavior. This study used a quantitative cross-sectional design. Subjects were 65 midwives in primary health care in Yogyakarta City.  Combination Theory used Precede and Procede and Health Belief Model. This research analysis  used univariate, bivariate and multivariate analysis. The results showed that there were 61.5% of midwives have did implementation of pap smear. There was a relationship between age (p=0.002), attitude (p=0.028), cost (p=0.208) and vulnerability (p=0.001) with pap smear behavior. There was no correlation between value  (p=0.724), benefit (p=0.403) and severity (p=0.813) with pap smear behavior. Multivariate analysis showed that age was the most dominant factors affecting pap smear behavior (p-value 0.009; PR 26.903; CI 95% 2.251-321.490). Need to improved promotive efforts about pap smear among midwives and also women in general.
Warm Aluminum Foil Blankets to Prevent Hypothermia during Early Breastfeeding after Cesarean Delivery Siti Mar’atus Sholikhah; Agus Kharmayana Rubaya; Niken Meilani
JURNAL KEBIDANAN Vol 14, No 1 (2024): April 2024
Publisher : Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jkb.v14i1.11213

Abstract

Early Initiating Breastfeeding after cesarean delivery can increase the risk of hypothermia in the baby due to the cold temperature of the operating room and the mother's lowered body temperature. To prevent hypothermia, a heating method during breastfeeding initiation is needed. This study aims to evaluate the effectiveness of using aluminum foil warm blankets in preventing hypothermia in newborns after caesarean during early breastfeeding initiation. The study used a True Experiment Pretest Posttest Control Group Design with consecutive sampling. The research groups were randomly allocated. A total of 50 infants were included, with 25 infants receiving aluminum foil warm blankets in the experimental group, and 25 infants receiving warm blankets only in the control group. The treatment was given for 30 minutes in the recovery room, and the infant's temperature was measured with an axillary digital thermometer. Data analysis using the Wilcoxon Signed Rank Test showed that the body temperature of infants increased from moderate hypothermia (35.75°C in the experimental group and 35.8°C in the control one) to mild hypothermia (36.34°C in the experimental group and 36.12°C in the control one). The Mann-Whitney U test showed a significant difference in the average body temperature of newborns between the experimental group and the control group, with a p-value0.05. The study concluded that using aluminum foil warm blankets is better than using warm blankets alone in increasing the body temperature of babies born through cesarean section during early breastfeeding initiation in the recovery room.