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All Journal Jurnal Penelitian dan Pengembangan Sains dan Humaniora (JPPSH) Jurnal Penelitian dan Evaluasi pendidikan Public Health of Indonesia Bunda Edu-Midwifery Journal (BEMJ) WIDYA LAKSANA International Journal of Natural Science and Engineering Abdimas Umtas : Jurnal Pengabdian kepada Masyarakat Journal of Holistics and Health Sciences (JHHS) Midwinerslion : Jurnal Kesehatan STIKes Buleleng Indonesian Journal of Midwifery (IJM) Jurnal manajemen informasi kesehatan PROMOTIF: Jurnal Pengabdian Kepada Masyarakat Bulletin of Inspiring Developments and Achievements in Midwifery
LUH MERTASARI .
Universitas Pendidikan Ganesha
Religion Agriculture, Biological Sciences & Forestry Arts Decision Sciences, Operations Research & Management Education Engineering Health Professions Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Nursing Public Health Social Sciences Other

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Determinants of Exclusive Breastfeeding Among Mothers in Buleleng Regency, Bali: A Cross-Sectional Study Luh Mertasari; Luh Nik Armini; Ria Tri Harini; Ineke Permatasari
Jurnal Manajemen Informasi Kesehatan (Health Information Management) Vol. 11 No. 1 (2026): Health Information and Management
Publisher : Sekolah Tinggi Ilmu Kesehatan Sapta Bakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51851/jmik.v11i1.943

Abstract

Background: Exclusive breastfeeding plays a crucial role in supporting infant growth, health, and development during the first six months of life. Despite ongoing breastfeeding promotion efforts, the proportion of infants receiving exclusive breastfeeding remains inadequate in several parts of Indonesia. Identifying factors that influence breastfeeding behavior is essential for developing targeted maternal and child health programs. This study explored determinants associated with exclusive breastfeeding among mothers residing in Buleleng Regency, Bali. Method: A community-based analytical study with a cross-sectional approach was undertaken between June and July 2025. The study involved 144 mothers who had children aged 6–24 months. Eligible participants were selected from public health service areas through purposive recruitment. Information was gathered through face-to-face structured interviews, and factors related to exclusive breastfeeding were examined using multivariable logistic regression. Result: Of all respondents, 43.1% reported practicing exclusive breastfeeding during the first six months after birth. After controlling for potential confounding factors, mothers from lower-income households were less likely to exclusively breastfeed than those from higher-income households (AOR=0.20; 95%CI: 0.07–0.60; p=0.005). Receipt of breastfeeding information during the postpartum period was strongly associated with increased odds of exclusive breastfeeding (AOR=23.82; 95%CI: 3.10–182.94; p=0.001). In addition, mode of birth remained significantly related to breastfeeding practice, with mothers who delivered by cesarean section showing higher odds of exclusive breastfeeding than those who delivered vaginally (AOR=4.50; 95%CI: 1.39–15.12; p=0.012). Conclusion: Exclusive breastfeeding prevalence in Buleleng Regency has not yet reached optimal levels. Household economic status, childbirth-related factors, and postpartum breastfeeding support were identified as important determinants of breastfeeding continuation. Expanding breastfeeding assistance after delivery may contribute to improving exclusive breastfeeding outcomes in community settings.
The Effect of Digital-Based Nutrition Education on the Pattern of Complementary Feeding in Infants Rochmanita Sandya Afindaningrum; Luh Mertasari; Nofita Setiorini Futri Purwanto; Sony Bernike Magdalena Sitorus; Nur Sri Atik
Bulletin of Inspiring Developments and Achievements in Midwifery Vol. 3 No. 1 (2026): June, 2026
Publisher : CV. Get Press Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69855/bidan.v3i1.646

Abstract

Improper complementary feeding (MP-ASI) is still a nutritional problem in infants, influenced by lack of maternal knowledge and limited access to effective education. The use of digital media has the potential to increase the understanding of mothers in a more flexible and sustainable manner. This study aims to analyze the effect of digital-based nutrition education on patterns of complementary feeding in infants. The study used a quantitative design with a type of quasi-experimental one group pretest-posttest. The location of the study in Posyandu Kelurahan Anduring, Padang, with a sample of 45 mothers who have babies aged 6-12 months, was selected using purposive sampling technique. Data were collected through structured questionnaires and observation of complementary feeding practices before and after the digital education intervention. Data analysis was conducted univariate to see the frequency distribution and bivariate using paired t-test. The univariate results showed an increase in maternal knowledge scores from an average of 62.4 to 82.7 and good complementary feeding practices increased from 40% to 75.6%. Bivariate analysis showed that there is a significant effect of digital education on knowledge (p=0.001) and practice of complementary feeding (p=0.002). It was concluded that digital-based nutrition education is effective in improving the knowledge and practice of mothers in providing complementary feeding. The implication of this study is the need for the integration of digital education programs in posyandu activities as a preventive promotive strategy to improve the quality of MP-ASI delivery in a sustainable manner.
Hubungan Indeks Massa Tubuh (IMT) dengan Hipertensi pada Ibu Hamil di TPMB “LM” Tahun 2024-2025: The Association of Body Mass Index (BMI) with Hypertension in Pregnant Women in TPMB “LM” during 2024-2025 Period Nyoman Gita Laksmi Maharani; Ni Nyoman Ayu Desy Sekarini; Putu Irma Pratiwi; Luh Mertasari
Indonesian Journal of Midwifery (IJM) Vol. 9 No. 1 (2026): Maret 2026
Publisher : Universitas Ngudi waluyo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35473/ijm.v9i1.4958

Abstract

Hypertensive disorders during pregnancy remain one of the leading obstetric complications contributing significantly to the high Maternal Mortality Rate (MMR). Maternal nutritional status, commonly assessed using Body Mass Index (BMI) measurement, has been recognized as a significant risk factor for the development of hypertension during pregnancy. Monitoring BMI from early pregnancy constitutes an essential component of antenatal care to support early detection and prevention of hypertensive disorders in pregnancy. This research aimed to determine the association between BMI and the incidence of hypertension among pregnant women. A quantitative descriptive study with cross-sectional design was conducted using secondary data obtained from medical records and maternal registers at the Independent Midwife Practice “LM” during the 2024-2025 period. This study sample consisted of 188 pregnant women selected through a total sampling technique based on predefined inclusion and exclusion criteria. Data were analyzed using univariate and bivariate approaches with the Chi-Square test at a significant level of ≤0,05. The findings indicated that the majority of respondents had a normal BMI (52,1%) and did not experience hypertension (66,5%). Statistical analysis indicated a significant association between BMI and the incidence of hypertension in pregnancy, with p-value of 0,000 (p≤0,05). A higher proportion of hypertension was observed among pregnant women classified as overweight and obese BMI compared to those with underweight or normal BMI. Therefore, optimizing BMI monitoring and nutritional status management from early pregnancy is necessary as part of preventive efforts against hypertension in pregnant women.   Abstrak Gangguan hipertensi dalam kehamilan merupakan salah satu komplikasi obstetri yang berkontribusi terhadap tingginya Angka Kematian Ibu (AKI). Status gizi ibu hamil yang dinilai melalui pengukuran Indeks Massa Tubuh (IMT) diketahui berperan besar sebagai faktor risiko terjadinya hipertensi pada ibu hamil. Pemantauan IMT sejak awal kehamilan menjadi komponen penting dalam pelayanan antenatal untuk mendukung upaya deteksi dini dan pencegahan hipertensi dalam kehamilan. Penelitian ini bertujuan untuk mengetahui hubungan antara IMT dengan kejadian hipertensi pada ibu hamil. Penelitian menggunakan metode deskriptif kuantitatif dengan pendekatan cross-sectional berdasarkan data sekunder yang diperoleh dari rekam medis dan buku register ibu hamil di Tempat Praktik Mandiri Bidan (TPMB) “LM” tahun 2024-2025. Sampel penelitian berjumlah 188 ibu hamil yang ditentukan melalui teknik total sampling sesuai kriteria inklusi dan eksklusi. Analisis data dilakukan secara univariat dan secara bivariat menggunakan uji Chi-Square dengan tingkat signifikansi ≤0,05. Hasil penelitian menunjukkan bahwa sebagian besar responden memiliki IMT normal (52,1) dan tidak mengalami hipertensi (66,5%). Uji statistik menunjukkan adanya hubungan yang bermakna antara IMT dengan kejadian hipertensi pada ibu hamil dengan p-value 0,000 (p≤0,05). Proporsi kejadian hipertensi lebih tinggi ditemukan pada ibu hamil dengan IMT gemuk dan obesitas dibandingkan dengan ibu hamil dengan IMT kurus atau normal. Sehingga, optimalisasi pemantauan IMT dan pengendalian status gizi sejak awal kehamilan perlu dilakukan sebagai bagian dari upaya pencegahan hipertensi pada ibu hamil.
Analisis Hubungan Paritas dan Usia Ibu dengan Kejadian Kekurangan Energi Kronik (KEK) pada Ibu Hamil : Analysis of the Association Between Parity and Maternal Age and the Occurrence of Chronic Energy Deficiency (CED) Among Pregnant Women Kadek Karunia Dita Rahayu; Ni Nyoman Ayu Desy Sekarini; Putu Irma Pratiwi; Luh Mertasari
Journal of Holistics and Health Sciences Vol. 8 No. 1 (2026): Journal of Holistics and Health Sciences (JHHS), Maret
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat, Universitas Ngudi Waluyo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35473/jhhs.v8i1.700

Abstract

Chronic Energy Deficiency (CED) in pregnancy remains a nutritional problem that may increase maternal health risks and hinder fetal growth. Parity and maternal age are often discussed as related factors, yet previous evidence is inconsistent, especially across midwifery care settings. This study examined the association of parity and maternal age with CED among pregnant women attending antenatal care (ANC) at TPMB Luh Mertasari in 2024-2025. A quantitative analytical observational study with a cross-sectional design was conducted using ANC medical records. Total sampling included 188 pregnant women. CED status was determined using mid-upper arm circumference (MUAC): MUAC <23.5 cm was classified as CED and MUAC ≥23.5 cm as non-CED. Data were summarized using frequencies and percentages. Associations were tested using Fisher’s Exact test (two-sided) because at least one contingency-table cell had an expected count <5, with p<0.05 considered significant. Most participants were non-CED (90.4%). No CED cases were found in the high-risk parity group (n=26), while 18 women (11.1%) in the non-high-risk parity group (n=162) were classified as CED (p=0.141). In the high-risk age group (n=33), 3 women (9.1%) were classified as CED, and in the non-high-risk age group (n=155), 15 women (9.7%) were classified as CED (p=1.000). In conclusion, CED in this setting was not significantly associated with parity or maternal age. Given the multifactorial nature of CED, prevention should emphasize routine nutritional screening and strengthened nutrition interventions for all pregnant women during ANC. ABSTRAK Kekurangan Energi Kronik (KEK) pada ibu hamil masih menjadi masalah gizi yang dapat meningkatkan risiko gangguan kesehatan ibu dan menghambat pertumbuhan janin. Paritas dan usia ibu kerap dipertimbangkan sebagai faktor yang berkaitan dengan KEK. Namun, temuan penelitian terdahulu masih bervariasi sehingga diperlukan bukti pada konteks pelayanan kebidanan. Penelitian ini menganalisis hubungan paritas dan usia ibu dengan kejadian KEK pada ibu hamil yang melakukan kunjungan antenatal (ANC) di TPMB Luh Mertasari tahun 2024-2025. Penelitian menggunakan desain kuantitatif observasional analitik dengan pendekatan cross-sectional. Data diperoleh dari rekam medis pelayanan ANC, dengan total sampling sebanyak 188 ibu hamil. Status KEK ditentukan berdasarkan Lingkar Lengan Atas (LiLA), yaitu KEK jika LiLA <23,5 cm dan tidak KEK jika LiLA ≥23,5 cm. Analisis univariat disajikan dalam frekuensi dan persentase, sedangkan analisis bivariat menggunakan Fisher’s Exact (2-sided) karena terdapat expected count <5, dengan p<0,05. Hasil menunjukkan sebagian besar responden tidak mengalami KEK (90,4%). Pada paritas berisiko (n=26) tidak ditemukan KEK, sedangkan pada paritas tidak berisiko (n=162) terdapat 18 responden (11,1%) dengan KEK, uji Fisher menunjukkan p=0,141. Pada usia berisiko (n=33) terdapat 3 responden (9,1%) dengan KEK dan pada usia tidak berisiko (n=155) terdapat 15 responden (9,7%) dengan KEK, uji Fisher menunjukkan p=1,000. Hasil analisis menunjukkan bahwa kejadian KEK pada ibu hamil di TPMB Luh Mertasari tahun 2024-2025 tidak berkaitan secara signifikan dengan paritas maupun usia ibu. Mengingat KEK bersifat multifaktorial, upaya pencegahan perlu menekankan skrining status gizi secara rutin dan penguatan intervensi gizi pada seluruh ibu hamil selama pelayanan ANC.
Co-Authors Anak Agung Ngurah Jaya Kusuma Dewi Tarini, Wayan Duarsa, Dyah Paramita Govinda Vittala I Gede Herry Purnama I Gusti Ngurah Juniartha I Made Bakta Ida Bagus Nyoman Putra Dwija Ineke Permatasari Kadek Karunia Dita Rahayu Ketut Espana Giri Komang Sulyastini Luh Nik Armini Luh Seri Ani Luh Seri Ani Made Agus Hendrayana Made Juliani Made Kurnia Widiastuti Giri Ni Ketut Erawati Ni Ketut Suarni Ni Ketut Widiartini Ni Komang Sulyastini Ni Made Desi Suzika Dewi Ni Nyoman Ayu Desy Sekarini Ni Wayan Arya Utami Nofita Setiorini Futri Purwanto Nur Sri Atik Nyoman Gita Laksmi Maharani Pratiwi, Putu Irma Putu Paramitha Budiartami Ria Tri Harini Ria Tri Harini Dwi Rusiawati Rochmanita Sandya Afindaningrum Sony Bernike Magdalena Sitorus Sulyastini, Ni Komang wayan sugan dini Wayan Sugandini