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Faktor-Faktor Yang Berhubungan Dengan Kunjungan Antenatal Care Di UPT Puskesmas Binaus Yasinta Obenu; Dwi Wahyu Wulan Sulistyowati; Rekawati Susilaningrum; Novita Eka Kusuma Wardani
Gema Bidan Indonesia Vol. 13 No. 1 (2024): Maret
Publisher : Jurusan Kebidanan Politeknik Kesehatan Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/gebindo.v13i1.200

Abstract

Kehamilan dan persalinan adalah proses alami, tetapi sering kali disertai dengan komplikasi baik bagi ibu maupun bayi. Pemanfaatan pelayanan antenatal care oleh ibu hamil di Indonesia juga belum sepenuhnya sesuai dengan pedoman yang sudah ditetapkan, yang cenderung menyulitkan tenaga kesehatan dalam mendeteksi faktor risiko kehamilan dan persalinan secara dini. Tujuan penelitian ini adalah untuk mengetahui hubungan antara tingkat pengetahuan, jarak tempat tinggal, pendapatan keluarga, dan sikap suami terhadap kunjungan antenatal care di UPT Puskesmas Binaus Kabupaten Timor Tengah Selatan. Desain penelitian ini menggunakan survei analitik dengan desain cross-sectional. Jumlah sampel penelitian adalah 34 ibu hamil yang dipilih menggunakan probability sampling, yaitu purpusive sampling. Variabel independen dalam penelitian ini adalah tingkat pengetahuan, jarak tempat tinggal, pendapatan keluarga, dan sikap suami, sedangkan variabel dependennya adalah kunjungan antenatal care. Teknik pengumpulan data dilakukan secara primer dan sekunder melalui kuesioner. Analisis yang digunakan untuk menguji penelitian ini adalah chi-square. Hasil penelitian ini menunjukkan bahwa terdapat hubungan antara tingkat pengetahuan dengan kunjungan antenatal care dengan nilai p-value sebesar 0,002 < α (0,05), terdapat hubungan antara jarak tempat tinggal dengan kunjungan antenatal care dengan nilai p-value 0,003 < α (0,05), terdapat hubungan antara pendapatan keluarga dengan kunjungan antenatal care dengan nilai p-value 0,002 < α (0,05), dan terdapat hubungan antara sikap su ami dengan kunjungan antenatal care dengan nilai p-value 0,001 < α (0,05). Kunjungan antenatal care dipengaruhi oleh faktor-faktor seperti tingkat pengetahuan, jarak tempat tinggal, pendapatan keluarga, dan sikap suami. Oleh karena itu, disarankan kepada tenaga kesehatan untuk melakukan kunjungan rumah jika ada ibu hamil yang tidak memeriksakan diri di fasilitas kesehatan, sehingga dapat mendeteksi faktor risiko kehamilan dan persalinan secara dini.  
Hubungan Pola Asuh Orang Tua dengan Keberhasilan Toilet Training pada Anak Usia 1-3 Tahun Hilyatul Adeliyah; Titi Maharrani; Rekawati Susilaningrum; Uswatun Khasanah
Gema Bidan Indonesia Vol. 13 No. 2 (2024): Juni
Publisher : Jurusan Kebidanan Politeknik Kesehatan Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/gebindo.v13i2.208

Abstract

Pola asuh orang tua merupakan pola pengasuhan anak yang berlaku dalam keluarga dimana pola asuh membentuk perilaku generasi berikut sesuai dengan norma dan nilai yang baik sesuai dengan kehidupan masyarakat. Pola asuh orang tua sangat bepengaruh dalam membantu keberhasilan toilet training pada anak secara maksimal. Tujuan penelitian ini adalah untuk mengetahui hubungan pola asuh orang tua terhadap keberhasilan toilet training di Sekolah PG Al-Islah dan KB Al-Kautsar Desa Janganansem Jabon Sidoarjo. Desain penelitian ini menggunakan survei analitik dengan desain cross-sectional. Jumlah sampel penelitian adalah 36 anak PG Al-Islah dan 37 anak KB Al-Kautsar yang dipilih menggunakan Cluster Random Sampling. Variabel independen dalam penelitian ini adalah pola asuh orang tua sedangkan variabel dependennya adalah keberhasilan toilet training. Teknik pengumpulan data dilakukan secara primer dan sekunder melalui kuesioner. Analisis yang digunakan untuk menguji penelitian ini adalah chi-square. Hasil frekuensi pada pola asuh orang tua frekuesi terbanyak dengan pola asuh demokrasi sebanyak 38,36%, dan frekuensi toilet training pada anak terbanyak berhasil yaitu sebanyak 58,90%. Hasil statistik ini menyatakan nilai p-value 0,003 < α (0,05) terdapat hubungan pola asuh orang tua dengan keberhasilan toilet training pada anak usia todler di PG Al-Islah dan KB Al-Kautsar di Desa Janganasem tahun 2024. Pola asuh orang tua menurut hurlock ada tiga yaitu demokratis, permisif dan otoriter. Adapun bebrapa faktor yang mempengaruhi pola asuh seperti kepribadian orang tua, tingkat pendidikan orang tua, jumlah anak, dan usia. Oleh karena itu, disarankan kepada orang tua untuk menerapkan pola asuh yang sesuai agar dapat membantu dalam keberhasilan toilet training anak.
Hubungan Intensitas Penggunaan Smartphone dengan Perkembangan pada Anak Prasekolah Farah Hanifah; Rekawati Susilaningrum; Ani Media Harumi; Astuti Setiyani
Gema Bidan Indonesia Vol. 13 No. 2 (2024): Juni
Publisher : Jurusan Kebidanan Politeknik Kesehatan Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/gebindo.v13i2.210

Abstract

Masa prasekolah merupakan periode penting dalam proses perkembangan anak. World Health Organization (WHO) melaporkan bahwa 5-25% dari anak-anak usia prasekolah menderita gangguan perkembangan. Perkembangan dimasa itu menjadi penentu keberhasilan perkembangan anak prasekolah di periode yang akan datang. Smartphone membuat anak semakin mudah mendapatkan akses media informasi dan teknologi, sehingga anak-anak malas menjadi malas bergerak dan beraktivitas. Tujuan penelitian ini adalah untuk membuktikan hubungan intensitas penggunaan smartphone dengan perkembangan anak pasekolah di TK Aisyiyah Busthanul Athfal 45 Surabaya. Penelitian bersifat observasional dengan desain cross sectional. Hasil penelitian yang telah dilakukan diketahui ada hubungan intensitas penggunaan smartphone dengan perkembanagan anak hasil menggunakan uji chi square menunjukkan  p-value = (0,024) < (0,05). Kesimpulan dari penelitian ini adanya hubungan antara intensitas penggunaan smartphone dengan perkembangan pada anak prasekolah di TK Aisyiyah Busthanul Athfal 45 Surabaya. Saran bagi para orang tua sebaiknya anak tetap dalam pengawasan ketika menggunkan smartphone. Perkembangan anak juga tetap terus dipantau dengan deteksi dini ke tenaga kesehatan, agar stimulasi perkembangan anak tetap stabil sesuai dengan usianya.
Edukasi pada Masyarakat tentang Pemberian Makanan Tambahan pada Balita di Wonoayu Sidoarjo Susilaningrum, Rekawati; Kusumaningtyas, Kharisma; Sulistyowati, Dwi Wahyu Wulan
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 8, No 1 (2025): Volume 8 No 1 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v8i1.17242

Abstract

ABSTRAK Berdasarkan data di desa Pilang Wonoayu Kabupaten Sidoarjo, dari 213 bayi, balita dan anak prasekolah, ada 96,7% bayi status gizi normal, selebihnya  (2,34%) mengalami didapatkan analisis status gizi di KMS yang normal sebesar 206 (96,7%), BGM 5 (2,34 %), dan Obesitas 2 (0,93%) . Pada kegiatan Posyandu pernah dilakukan edukasi cara pembuatan dan pemberian PMT pada balita BGM tetapi dalam penerapannya masih kurang. Sebanyak 50% Kader belum pernah mendapatkan edukasi cara pembuatan dan pemberian PMT pada balita BGM. Keterbatasan edukasi cara pembuatan dan pemberian PMT pada balita BGM di Posyandu. Tujuan kegiatan adalah memberikan edukasi pengetahuan dan ketrampilan kader dan keluarga dalam pemberian PMT pada balita. Metode kegiatan ini adalah ceramah, tanya jawab dan praktik. Media yang digunakan leaflet, PPT dan peralatan untuk memasak.  Sasarannya adalah kader dan keluarga yang mempunyai balita sebanyak 40 orang. Kegiatan dibagi 2 sesi. Sesi 1 pemberian materi dan tanya jawab tentang makanan pendamping ASI (MP ASI) dan PMT. Sesi 2 dengan praktik pembuatan MP ASI dan PMT. Sebagai evaluasi kegiatan dilaksanakan pre dan post test. Kegiatan diperoleh ada peningkatan pengetahuan usia peserta, prosentase paling sedikit berada  pada rentang usia 21-30 tahun. Selebihnya berada diatas 30 tahun. Untuk pendidikan, peserta sebagian besar berpendidikan setingkat SMA/Sederajat. Sedangkan untuk pekerjaan, hampir seluruh peserta sebagai ibu rumah tangga. Hanya sebagian kecil yang bereja sebagai pedagang/karyawan. sebelum pelatihan, prosentase terbanyak (47,5%) pengetahuan ibu dalam kategori cukup. Setelah pelatihan, sebagian besar pengetahuan ibu dalam kategori baik (86,7). Ada peningkatan yang signifikan setelah pelatihan. Sebelum pelatihan skore rata-rata 65, setelah pelatihan skore rata-rata 92. Peserta sangat antusia saat kegiatan praktik membuat MP ASI dan PMT. Kegiatan pendampingan pada warga dalam upaya pemenuhan gizi untuk balita sangat perlu dilakukan agar anak tidak mengalami masalah dan gangguan status gizi. Kata Kunci: Edukasi, Makanan Tambahan, Balita    ABSTRACT Based on data in the village of Pilang Wonoayu Sidoarjo Regency, out of 213 infants, toddlers and preschool children, there are 96.7% of normal nutritional status babies, the rest (2.34%) have obtained nutritional status analysis in KMS which is normal at 206 (96.7%), BGM 5 (2.34%), and Obesity 2 (0.93%). In Posyandu activities, education on how to make and provide PMT to BGM toddlers has been carried out but the application is still lacking. As many as 50% of cadres have never received education on how to make and give PMT to children under five years of age. Limitations of education on how to make and provide PMT for BGM toddlers at Posyandu. The purpose of the activity is to provide education on the knowledge and skills of cadres and families in providing PMT to toddlers. The method of this activity is lecture, question and answer and practice. The media used were leaflets, PPT and cooking utensils.  The targets were 40 cadres and families with toddlers. The activity was divided into 2 sessions. Session 1 provided material and questions and answers about complementary foods (MP ASI) and PMT. Session 2 with the practice of making breast milk MP and PMT. As an evaluation of the activity, pre and post tests were conducted. The activity obtained an increase in knowledge of the age of the participants, the least percentage was in the age range of 21-30 years. The rest were above 30 years old. For education, most participants have a high school / equivalent education. As for employment, almost all participants are housewives. Before the training, the highest percentage (47.5%) of mothers' knowledge was in the moderate category. After the training, most mothers' knowledge was in the good category (86.7). There was a significant improvement after the training. Before the training, the average score was 65, after the training the average score was 92. Participants were very enthusiastic during the practical activities of making breast milk MP and PMT. Assistance activities for residents in efforts to fulfill nutrition for toddlers are very necessary so that children do not experience problems and nutritional status disorders. Keywords: Kader, Growth and Development Monitoring, KIA Book
Strengthening Family Commitment in Monitoring Child Development through the Role of Filial Values Utami, Sri; Susilaningrum, Rekawati; Yunita, Evi
Health Dynamics Vol 2, No 2s (2025): February 2025 (Special Issue)
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd202s02

Abstract

Background: Monitoring the development of children under five by families is essential for optimal child development. Family commitment in this context is influenced by various factors, including personal factors and family resources. This study aims to analyze the influence of monitoring on child development, with a focus on the role of filial values as a mediator variable. Methods: This study used an explanatory, cross-sectional design. The sample consisted of 275 families with toddlers within the health center working area in Surabaya City, selected through simple random sampling. The variables assessed include factors influencing family commitment. Data were collected using a questionnaire and analyzed using SEM-PLS. Results: The findings showed that personal factors and resource factors significantly influence family commitment to monitoring the development of children under five, mediated by the filial values. The coefficient for the effect of personal factors on behavioral factors was 0.149 (p = 0.028); for resource factors on cognition behavior, 0.541 (p = 0.000); for cognition behavior on filial values, 0.493 (p = 0.000); for cognition behavior on commitment, 0.1113 (p = 0.024); and for filial values on commitment, 0.697 (p = 0.000). Conclusions: Filial values play a crucial role in enhancing the impact of personal factors and family resources on family commitment to monitoring the child development. Further research is needed on an intervention that strengthens the filial value of families to enhance family commitment to optimizing the monitoring of children’s development. Personal factors and family resources are key in shaping family commitment, with filial values strengthening this relationship. Emphasizing personal aspects, family resources, and filial values is essential to increase family commitment in monitoring child development.
The Relationship between Antenatal Care (ANC) Compliance with Pregnancy Risk Detection Rancakasari, Ayu Ditya; Kasiati, Klanting; Setiyani, Astuti; Susilaningrum, Rekawati
JURNAL KEBIDANAN Vol 15, No 1 (2025): April 2025
Publisher : Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jkb.v15i1.11488

Abstract

Increased risk factors during pregnancy are caused by the failure of pregnant women to comply with pregnancy checks. This study aims to identify compliance with ANC visit frequency, identify compliance with iron tablet consumption, identify compliance with calcium consumption, identify pregnancy risk detection, analyze the relationship between ANC visit compliance and pregnancy risk detection, analyze the relationship between compliance with iron tablet consumption with pregnancy risk detection, and analyze the relationship Compliance with calcium consumption and detection of pregnancy risk. This type of research uses analytical observational through a cross sectional approach. The population in this study was 156 people and the research sample was 113 people using purposive sampling. The results of research from 113 respondents, according on the Chi Square test, showed that there was a relationship between compliance with ANC visits and detection of pregnancy risk (0.022 α), there was a relationship between compliance with consuming iron tablets and detection of pregnancy risk (0.024 α), and there was a relationship between compliance with calcium consumption and detection of pregnancy risk (0.013 α). According on the description above, it is concluded that there is a relationship between compliance with ANC visits and the detection of pregnancy risk, compliance with the consumption of iron tablets with the detection of the risk of pregnancy, and there is a relationship between compliance with calcium consumption also the detection of the risk of pregnancy. The suggestions for institutions are used as a reference for knowledge and information, for health services can be used to conduct health education, and for pregnant women can be used as learning to be aware of pregnancy risks.
Development of a family empowerment model to enhance the parental monitoring of child development and reduce stunting through filial values Utami, Sri; Susilaningrum, Rekawati; Yunita, Evi; Nursalam, Nursalam
Pediomaternal Nursing Journal Vol. 11 No. 2 (2025): VOLUME 11 NO 2 SEPTEMBER 2025
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/pmnj.v11i2.70338

Abstract

Introduction: The monitoring of child development by parents plays an important role in reducing the incidence of stunting. This research aimed to develop a family empowerment model regarding the ability to monitor child development through the role of filial value. Methods: The research design used was an explanatory survey method. The study population was all families with children living in the working area of the Health Center in Surabaya. Sampling was carried out using simple random sampling of 275 families from April to September 2024. A questionnaire was used and the secondary data was related to the nutritional status of toddlers. The data analysis involved the use of the smart PLS (Partial Least Squares) statistical test with a significance level of T > 1.96. Results: Core values have a big impact on the commitment to monitoring toddler development (t = 14.375). Core values cannot directly influence monitoring toddler development (t = .664; P-value= .507) but must go through commitment (t = 2.521; P-value = .012) and empowerment (t = 3.781; P-value= < .001). Conclusion: The role of filial value through commitment can shape family empowerment regarding the ability to monitor the development of children. These findings can be applied to families with children to accelerate the reduction in stunting rates. Further research is needed regarding the implementation of this model. Keywords: children; empowerment; family; filial value; monitoring ability; stunting
Pelatihan Kader dalam Deteksi Dini Risiko Berat Bayi Lahir Rendah di Kelurahan Tambak Wedi Surabaya Susilaningrum, Rekawati; Utami, Sri; Nurulaini, Elfira
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 8, No 11 (2025): Volume 8 No 11 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v8i11.22434

Abstract

ABSTRAK Angka kematian bayi di Kelurahan Tambak Wedi masih cukup tinggi, yaitu 8,5 per 1.000 kelahiran hidup pada tahun 2022. Salah satu penyumbang angka kematian bayi tersebut adalah tingginya angka kejadian bayi berat lahir rendah (BBLR). Beberapa faktor risiko terjadinya BBLR sebenarnya dapat diketahui secara dini oleh ibu maupun kader kesehatan. Namun permasalahan yang ditemui adalah kurangnya pengetahuan dan keterampilan kader kesehatan untuk mengenali secara dini faktor risiko kelahiran BBLR. Hal ini mengakibatkan pengenalan dan pencegahan kelahiran BBLR menjadi terlambat. Kelahiran BBLR berisiko meningkatkan kesakitan dan kematian pada bayi. Kondisi ini memerlukan intervensi untuk meningkatkan kemampuan masyarakat, terutama kader, dalam melakukan upaya deteksi dini bayi BBLR. Keterbatasan pengetahuan masyarakat menjadi kendala dalam upaya deteksi dini tersebut. Meningkatkan kemampuan masyarakat, khususnya kader, dalam melakukan upaya deteksi dini bayi BBLR. Pelatihan pada Kader tentang deteksi dini resiko BBLR. Usia peserta terbanyak berada pada rentang 41-45 tahun, sebagian besar berpendidikan setingkat SMA/Sederajat dan telah menjadi kader Surabaya Hebat (KSK) selama 6-10 tahun. Rata-rata skor sebelum pelatihan sebesar 79,3 sedangkan setelah pelatihan skorenya 85,2. Dengan demikian ada kenaikan sebesar 5,9.sebagian besar kader peserta kegiatan pengmas meningkat pengetahuannya. Simpangan baku saat pre test diperoleh nilai sebesar 11,97, sedangkan saat post test diperoleh nilai simpangan baku sebesar 7,92. Simpangan baku saat pretest memiliki sebaran yang lebih luas sehingga ada perbedaan skore yang cukup besar antar peserta. Untuk simpangan baku saat post test, variasi sebaran lebih menurun, sehingga skore lebih homogen. Pelatihan kader ini dapat meningkatkan pengetahuan dan pemahaman ibu dalam deteksi dini resiko BBLR. Perlu ada penyegaraan dengan pelatihan secara berkala pada Masyarakat khususnya kader tentang deteksi BBLR dan Upaya pencegahannya.   Kata Kunci: Kader, Deteksi Dini, BBLR  ABSTRACT The infant mortality rate in Tambak Wedi Village remains quite high, at 8.5 per 1,000 live births in 2022. One of the contributing factors to this infant mortality rate is the high incidence of low birth weight (LBW) babies. Several risk factors for LBW can actually be identified early by mothers and health workers. However, the problem encountered is the lack of knowledge and skills among health workers to recognize the risk factors for LBW early on. This results in late identification and prevention of LBW. LBW births increase the risk of morbidity and mortality in infants. This condition requires intervention to improve the ability of the community, especially cadres, to detect LBW infants early. Limited community knowledge is an obstacle to early detection efforts.   To improve the ability of the community, especially cadres, to detect LBW babies early. Training for Cadres on early detection of LBW risk. The majority of participants were aged between 41 and 45 years old, most of whom had a high school education and had been members of Surabaya Hebat (KSK) for 6-10 years. The average score before the training was 79.3, while after the training it was 85.2. Thus, there was an increase of 5.9. Most of the participants increased their knowledge. The standard deviation during the pre-test was 11.97, while during the post-test, the standard deviation was 7.92. The standard deviation during the pre-test had a wider distribution, resulting in significant score differences between participants. For the standard deviation during the post-test, the distribution variation decreased, resulting in more homogeneous scores. This cadre training can improve mothers' knowledge and understanding of early detection of LBW risk. There is a need for refresher training on a regular basis for the community, especially cadres, on LBW detection and prevention efforts.   Keywords: Cadres, Early Detection, LBW
The Relationship between Antenatal Care (ANC) Compliance with Pregnancy Risk Detection Rancakasari, Ayu Ditya; Kasiati, Klanting; Setiyani, Astuti; Susilaningrum, Rekawati
JURNAL KEBIDANAN Vol. 15 No. 1 (2025): April 2025
Publisher : Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jkb.v15i1.11488

Abstract

Increased risk factors during pregnancy are caused by the failure of pregnant women to comply with pregnancy checks. This study aims to identify compliance with ANC visit frequency, identify compliance with iron tablet consumption, identify compliance with calcium consumption, identify pregnancy risk detection, analyze the relationship between ANC visit compliance and pregnancy risk detection, analyze the relationship between compliance with iron tablet consumption with pregnancy risk detection, and analyze the relationship Compliance with calcium consumption and detection of pregnancy risk. This type of research uses analytical observational through a cross sectional approach. The population in this study was 156 people and the research sample was 113 people using purposive sampling. The results of research from 113 respondents, according on the Chi Square test, showed that there was a relationship between compliance with ANC visits and detection of pregnancy risk (0.022 < α), there was a relationship between compliance with consuming iron tablets and detection of pregnancy risk (0.024 < α), and there was a relationship between compliance with calcium consumption and detection of pregnancy risk (0.013 < α). According on the description above, it is concluded that there is a relationship between compliance with ANC visits and the detection of pregnancy risk, compliance with the consumption of iron tablets with the detection of the risk of pregnancy, and there is a relationship between compliance with calcium consumption also the detection of the risk of pregnancy. The suggestions for institutions are used as a reference for knowledge and information, for health services can be used to conduct health education, and for pregnant women can be used as learning to be aware of pregnancy risks.
Analysis of the causes of low birth weight infants in terms of nutritional status and maternal health history Utami, Sri; Susilaningrum, Rekawati
Jurnal Ners Vol. 17 No. 2 (2022): OCTOBER 2022
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v17i2.38318

Abstract

Introduction: The incidence of low-birth-weight infants is still high and requires serious attention to prevent infant mortality. This study aimed to analyze the causes of low-birth-weight infants' nutritional status and maternal health history. Methods: This cross-sectional study was conducted in May to July 2021 at two hospitals in Surabaya. The study involved 498 mothers who had newborns within three years from 2019 and were recruited using simple random sampling. The inferential test was conducted using logistics regression with a significance level of 0.05. Results: According to the adjusted model, variables that were significantly associated with the incidence of low-birthweight infants were the husband's job as private worker (OR=0.021; 95% CI = 0.023-0.123), child number as one (OR=0.214; 95% CI = 0.114-3.428), parity as prime (OR=0.749; 95% CI = 0.197-3.652) and history of low-birth-weight infants in previous births (OR=0.015; 95% CI = 0.004-0.006). Conclusions: Individual and family factors remand an essential variable in low-birth-weight prevalence. Nurses are responsible for providing socialization to mothers and fathers who are having and planning to have children. Cultural factors in the family and community where the mother lives also need to be carried out in further research.