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<![CDATA[DIFFERENCES IN THE LEVEL OF ANXIETY OF PREGNANT WOMEN IN THE I, II, AND III TRIMESTER ]]>
<![CDATA[Rachma, Gading Nurhafiza]]>;
<![CDATA[Irwanto, Irwanto]]>;
<![CDATA[Izzati, Dwi]]>
<![CDATA[ Indonesian Midwifery and Health Sciences Journal Vol. 8 No. 2 (2024): Indonesian Midwifery and Health Sciences Journal, April 2024 ]]>
Publisher : <![CDATA[UNIVERSITAS AIRLANGGA ]]>
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DOI: 10.20473/imhsj.v8i2.2024.156-170
<![CDATA[Background: Pregnancy is a physiological period that requires various adjustments to the changes that occur and can induce anxiety. Anxiety during pregnancy can be experienced from the first trimester to the third trimester. This anxiety can have negative impacts on both the mother and the fetus. This research aimed to determine the differences in the anxiety levels of pregnant women in the first, second, and third trimesters in the working area of the Gading Surabaya Health Center. Method: This is a quantitative research with an observational analytic method and a cross-sectional design. The study population consists of pregnant women in the first, second, and third trimesters in the working area of Gading Surabaya Health Center. The study involved 100 samples of pregnant women in the first, second, and third trimesters selected using the simple random sampling method. The instrument used is a questionnaire, namely the Perinatal Anxiety Screening Scale (PASS). The analysis method used is the Kruskal-Wallis test. Results: The statistical test results show a p-value (0.023) < α (0.05), indicating a significant difference in anxiety levels among pregnant women in the first, second, and third trimesters. Most pregnant women in the first trimester (56.7%) and second trimester (70.7%) did not experience anxiety symptoms, while pregnant women in the third trimester (51.7%) experienced mild to moderate anxiety. Conclusion: There is a significant difference in anxiety levels among pregnant women in the first, second, and third trimesters.]]>
<![CDATA[Faktor Implementasi Inisiasi Menyusu Dini (IMD) pada Persalinan Sesar: Studi di Salah Satu Rumah Sakit Rujukan Sekunder di Surabaya, Indonesia ]]>
<![CDATA[Farizi, Sofia Al]]>;
<![CDATA[Dewi, Vienne Citra]]>;
<![CDATA[Izzati, Dwi]]>
<![CDATA[ BIOGRAPH-I: Journal of Biostatistics and Demographic Dynamic Vol 4 No 1 (2024): May ]]>
Publisher : <![CDATA[Fakultas Kesehatan Masyarakat Universitas Jember ]]>
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DOI: 10.19184/biograph-i.v4i1.49466
<![CDATA[Latar belakang: Persalinan sesar di Indonesia mencapai angka 17,6% pada tahun 2018 yang menghambat pelaksanaan Inisiasi Menyusu Dini (IMD). IMD berperan penting dalam keberhasilan ASI eksklusif dan kesejahteraan neonatus. Penelitian ini bertujuan untuk menganalisis faktor implementasi IMD pada salah satu rumah sakit rujukan sekunder di Kota Surabaya. Metode: Penelitian observasional retrospektif menggunakan data rekam medik pasien. Sampel dalam penelitian ini sebanyak 248 perempuan bersalin yang diambil dengan random sampling. Analisis yang digunakan menggunakan pendekatan univariate dan bivariate dengan uji chi-square. Hasil: Hasil penelitian ini menunjukkan bahwa IMD yang tidak berhasil terjadi pada ibu yang bersalin sesar dengan karakteristik usia diantara 15 sampai dengan 20 tahun (70%), pendidikan SD (85.4%), primipara (91.8%) dan dengan sesar CITO (97.1%). Tingkat pendidikan, paritas, jenis sesar merupakan variabel yang memiliki hubungan signifikan dengan keberhasilan IMD. Kesimpulan: Deteksi dini dan pencegahan komplikasi harus menjadi prioritas terutama untuk komplikasi dan indikasi medis sesar, dan perlu adanya komitmen rumah sakit untuk mendukung IMD pada persalinan sesar melalui kebijakan dan regulasi rumah sakit.]]>
<![CDATA[Optimalisasi Kelas Ibu Hamil Dan Pelatihan Kader Posyandu Ibu Balita Sebagai Upaya Pencegahan Stunting ]]>
<![CDATA[Frety, Endyka Erye]]>;
<![CDATA[Ningrum, Astika Gita]]>;
<![CDATA[Prasetyo, Budi]]>;
<![CDATA[Izzati, Dwi]]>
<![CDATA[ Jurnal Pengabdian Masyarakat Bangsa Vol. 1 No. 12 (2024): Februari ]]>
Publisher : <![CDATA[Amirul Bangun Bangsa ]]>
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DOI: 10.59837/jpmba.v1i12.761
<![CDATA[Kejadian stunting disebabkan oleh berbagai macam hal, diantaranya faktor ibu saat hamil, intake gizi saat balita, infeksi, faktor lingkungan dan pola asuh. Pencegahan yang dilakukan dapat dilakukan semenjak dini yaitu pada saat bayi dalam kandungan (saat ibu hamil) harus mendapatkan gizi yang seimbang. Di wilayah keluarahan Dupak terdapat 50,7 % ibu hamil mengalami anemia. Selain ibu hami di wilayah Kelurahan Dupak kurang begitu paham dan mengeri tentang kebutuhan nutrisi yang baik pada ibu hamil, serta apa akibat yang terjadi jika kebutuhan nutrisi saat hamil tidak dapat dipenuhi dengan baik. Tujuan dari pengabdian masyarakat ini adalah untuk meningkatkan pengetahuan dan kaderisasai kader posyandu tentang pentingnya nutrisi yang tepat saat hamil sebagai upaya dini mencegah stunting. Metode Kegiatan pengabdian masyarakat terdiri atas 3 kegiatan yaitu pemberikan penguluhan, diskusi dan konseling kepada ibu hamil pada kegiatan kelas ibu hamil. Pemberian edukasi tentang stunting dan nutrisi pada ada ibu hamil dan evaluasi. Pada kegiatan evaluasi evaluasi pola makan ibu selama hamil. Hasil pengabdian masyarakat didapatkan peningkatan pengetahuan baik tentang stunting dan pentingnya nutrisi saat hamil sebesar 80 % dibandingkan pengetuan sebelum dilakukan kegiatan mayoritas sebasar 70 % pengetahuannya kurang pada ibu hamil dan kader posyandu. Kegiatan ini harapannya dalam dilakukan dan dievaluasi secara rutin untuk dapat membantu dalam upaya pencegahan stunting.]]>
<![CDATA[Description of The Implementation of The Domestic Violence Control Program During The Covid-19 Pandemic by Midwife ]]>
<![CDATA[Noriko Dyah Ayu Saraswati]]>;
<![CDATA[Budi Prasetyo]]>;
<![CDATA[Dwi Izzati Budiono]]>;
<![CDATA[Azimatul Karimah]]>
<![CDATA[ Jurnal Kebidanan Vol 13, No 2 (2024): August 2024 ]]>
Publisher : <![CDATA[Universitas Muhammadiyah Semarang ]]>
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DOI: 10.26714/jk.13.2.2024.80-86
<![CDATA[The COVID-19 pandemic is a multidimensional problem. Proofed by the increasing number of domestic violence (DV). DV has many negative impacts, such as reproductive disorders. So, an effort needs to be done to control the cases. Such as, involving midwives to carry out promotional and preventive activities. However, with changes in the health care system as a form of adaptation and there are no reports on the program. Those conditions became the reason to conduct research aimed at doing an overview of the DV control program during COVID-19 pandemic by midwives. This research is quantitative with descriptive method. The sample in this study was determined by a total sampling technique, namely all midwives who practiced during the COVID-19 pandemic era at the Lakarsantri District Health Center, Surabaya. The instruments used in the questionnaire are mixed types. The collected data will be processed and analyzed by descriptive analysis. The results obtained were 71.4% of 14 midwives were aware of the workplace policies for controlling DV and 50% stated that there was training. The implementation of DV education has been carried out by 92.9% of midwives and early detection has been carried out by 42.9% of midwives. Also, 14.3% said there were obstacles. The conclusion of this study is that efforts to control domestic violence during the COVID-19 pandemic by midwives have been carried out. However, the role of midwives and the form of services that have been adapted to the new normal still need to be improved.]]>
<![CDATA[Ethnographic Study: The Choice of Place and Birth Attendants from the Socio-Cultural Perspective in the Tunjung Benuaq Dayak Tribe ]]>
<![CDATA[Oktaviana, Lydia]]>;
<![CDATA[Prasetyo, Budi]]>;
<![CDATA[Izzati, Dwi]]>;
<![CDATA[Djuari, Lilik]]>
<![CDATA[ Jurnal Kebidanan Midwiferia Vol. 10 No. 2 (2024): Oktober ]]>
Publisher : <![CDATA[Universitas Muhammadiyah Sidoarjo ]]>
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DOI: 10.21070/midwiferia.v10i2.1695
<![CDATA[WHO recommends Skill Birth Attendants (SBA) for all births. Around 50 million mothers in developing countries give birth at home without the help of medical personnel. The trust in traditional birth attendants (TBA), meaning that social and cultural influences still strongest. Objective: to analyze the choice of place and birth attendants in the Tunjung Benuaq Dayak Tribe through a socio-cultural perspective in the working area of the Barong Tongkok Community Health Center. Methodology: Qualitative Design with Ethnographic study using the Rapid Ethnographic Assessment Procedure (REAP) method. Snowball sampling is a variation of Purposive Sampling. In-depth interviews were conducted with 12 informants. Data analysis uses Thematic analysis. Results: The Tunjung Benuaq Dayak tribe upholds the values of balance and harmonization regarding human relationships with God, human and the environment. They developed local cultures based on complementary belief systems. There is a positive acceptance of science. The local wisdom of Santaap, eating a small portion of the food served, illustrates that they can accept little of knowledge. Customs are still maintained in the birthing process which is carried out by village shamans who are highly trusted by the community. They make the rituals, belief in myths (tempuunt), the existence of spirits who guard and interfere with the birthing process. Conclusion: Socio-cultural values such as trust, knowledge, and customs are very strong guidelines for the Tunjung Benuaq Dayak tribe in choosing a place and birth attendant. Suggestion: preservation of culture and customs that are still considered good in childbirth practices is highly desirable.]]>
<![CDATA[DETERMINANT FACTORS AFFECTING THE INCIDENCE OF PLACENTA ACCRETA ]]>
<![CDATA[hakim, novita dwihastuti]]>;
<![CDATA[Dwi Izzati]]>;
<![CDATA[Ernawati]]>
<![CDATA[ Indonesian Midwifery and Health Sciences Journal Vol. 8 No. 4 (2024): Indonesian Midwifery and Health Sciences Journal, October 2024 ]]>
Publisher : <![CDATA[UNIVERSITAS AIRLANGGA ]]>
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DOI: 10.20473/imhsj.v8i4.2024.404-414
<![CDATA[Background: Placenta accreta is a rare condition during pregnancy characterized by abnormal placentation that can increase maternal morbidity and mortality. The increase in the incidence of placenta accreta is directly related to the increase in section caesarean rates. The maternal mortality rate in NTB in 2021 was 15% due to hemorrhage, in 2022 there was an increase in the incidence of placenta accreta at the NTB Provincial Hospital. The aim of the research is to identify the determinant factors affecting the incidence of placenta accreta at the NTB Provincial Hospital in 2022. Methods: This was a descriptive observational study. The population in this study were all mothers who delivered at the NTB Provincial Hospital from January to December 2022. The sample number was 50 patients diagnosed with placenta accreta. The sampling technique used was total sampling with the research variable of maternal characteristics. Data were collected from the medical records of mothers with placenta accreta from January to December 2022, and the results were analyzed using descriptive analysis. Results: Placenta accreta patients were more common in mothers with age ≤ 35 years with a median of 34.34 ± 4.28, multiparous parity (76%), overweight BMI (54%), 3-9 years labour spacing (82%), history of SC ˂ 2 times (52%) and ≥ 2 times (48%), and with a history of uterine surgery 24%. Conclusion: Determinant factors that affect the incidence of placenta accreta in NTB Provincial Hospital in 2022 are mothers with age < 35 years, multigravida, overweight body mass index, mostly with a parity of 3-9 years, without degenerative diseases, all have a history of cesarean section and almost a quarter have a history of other operations on the uterus.]]>
<![CDATA[RELATIONSHIP BETWEEN POSTPARTUM ANXIETY AND BABY BLUES SYNDROME AT UNIVERSITAS AIRLANGGA HOSPITAL ]]>
<![CDATA[Intan Fairuz Zakia]]>;
<![CDATA[Izzati, Dwi]]>;
<![CDATA[Atika, Atika]]>
<![CDATA[ Indonesian Midwifery and Health Sciences Journal Vol. 8 No. 4 (2024): Indonesian Midwifery and Health Sciences Journal, October 2024 ]]>
Publisher : <![CDATA[UNIVERSITAS AIRLANGGA ]]>
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DOI: 10.20473/imhsj.v8i4.2024.326-339
<![CDATA[Background: Postpartum mothers are vulnerable to mental health problems, including baby blues syndrome, which occurs in the first week. Baby blues syndrome has the potential to predict postpartum depression, and if left untreated, it can lead to more severe mental disorders. This study aims to determine the relationship between the level of postpartum maternal anxiety and the occurrence of baby blues syndrome at Universitas Airlangga Hospital. Method: This was a quantitative study with an observational analytic method and a cross-sectional design. The population in this study was mothers 1-2 days postpartum who were treated at Universitas Airlangga Hospital in December 2023. The study involved 33 postpartum mothers sampled using the consecutive sampling method. The instruments used were questionnaires, the Perinatal Anxiety Screening Scale (PASS) to measure anxiety and the Edinburgh Postnatal Depression Scale (EPDS) to measure symptoms of baby blues syndrome. The analysis method used was the chi-square test. Results: Respondents with anxiety without symptoms were 12 (36.36%), none of whom experienced baby blues syndrome. Out of 16 respondents with mild to moderate anxiety and experienced baby blues syndrome, one person (3.03%) did. And out of 5 respondents with severe anxiety and experienced baby blues syndrome, one person (3.03%). The p-value of 0.289 based on the chi-square test. Conclusion: The level of anxiety in postpartum mothers is not related to the incidence of Baby Blues Syndrome.]]>
<![CDATA[HUBUNGAN PENGETAHUAN DAN DUKUNGAN SUAMI DENGAN CAKUPAN ANTENATAL CARE DI WILAYAH KERJA PUSKESMAS WELULI KABUPATEN BELU ]]>
<![CDATA[Mau, Imelda Yovita]]>;
<![CDATA[Izzati, Dwi]]>;
<![CDATA[Akbar, Muhammad Ilham Aldika]]>
<![CDATA[ Jurnal Kebidanan Khatulistiwa Vol 11, No 1 (2025): Jurnal Kebidanan Khatulistiwa ]]>
Publisher : <![CDATA[Poltekkes Kemenkes Pontianak ]]>
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DOI: 10.30602/jkk.v11i1.1322
<![CDATA[Latar belakang: Angka Kematian Ibu (AKI) menjadi pertimbangan pemerintah Indonesia dalam memformulasikan kebijakan bidang kesehatan. Antenatal care (ANC) menjadi strategi utama guna meminimalkan morbiditas dan mortalitas ibu, namun kenyataanya pada tahun 2021 cakupan ANC di kabupaten Belu, khususnya pada puskesmas Weluli berada di angka 66,91%. Angka cakupan ini masih terpaut jauh dibandingkan target nasional yakni sebesar 85%. Tujuan: Menganalisis hubungan pengetahuan dan dukungan suami dengan cakupan ANC di Puskesmas Weluli Kabupaten Belu tahun 2023. Metode: Penelitian kuantitatif dengan pendekatan cross sectional. Sampel pada penelitian ini diambil menggunakan teknik purpose sampling yang berjumlah 60 responden ibu hamil dengan kehamilan ≥36 minggu yang telah memenuhi kriteria inklusi maupun eksklusi. Penelitian ini menggunakan data primer yang di kumpulkan melalui kuisioner dan data sekunder di ambil dari register ibu hamil serta buku KIA. Data penelitian ini dianalisis menggunakan uji Chi Square. Hasil: Hasil uji Chi Square memperlihatkan terdapat hubungan yang signifikan antara dukungan suami dengan cakupan kunjungan ANC (p=0,038), tetapi tidak terdapat hubungan antara pengetahuan dengan cakupan antenatal care. Kesimpulan: dukungan suami mempunyai hubungan yang signifikan dengan cakupan kunjungan ANC, namun pengetahuan tidak memiliki hubungan dengan cakupan kunjungan ANC.]]>
<![CDATA[Peningkatan Pengetahuan Continuity of Care pada Bidan untuk Cegah AKI-AKB & Stunting ]]>
<![CDATA[Andriyanti, Andriyanti]]>;
<![CDATA[Izzati, Dwi]]>;
<![CDATA[Ningtyas, Woro Setia]]>;
<![CDATA[Sabilillah, Nabilah]]>
<![CDATA[ ABHIPRAYA: Jurnal Pengabdian Masyarakat Kesehatan dan Sains Vol 2 No 1 (2024): Desember 2024 ]]>
Publisher : <![CDATA[Universitas Nusantara PGRI Kediri ]]>
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DOI: 10.29407/abhipraya.v2i1.23758
<![CDATA[Stunting is one of the indicators to determine the quality of health services.. A strategic effort to overcome this is by implementing Midwife Continuity of Care (CoC) on the 1000 HPK (First Day of Life) by midwives. Probolinggo Regency has the 5th highest mortality rate in East Java Province with an MMR of 201 per 100,000 live births in 2022, while the IMR rate reaches 10.4 per 1,000 live births. One of the factors that influences this problem is the midwife's lack of knowledge regarding CoC care. Research shows that implementing CoC can significantly reduce the risk of maternal and neonatal complications. The aim of this community service activity is to increase midwives' knowledge regarding Continuity of Care. Methods include module development, training, and interactive discussions. The first stage is creating a CoC guide module for midwives and a parenting guide for parents. The second stage involves training for midwives and cadres on the concepts and implementation of CoC. Additionally, the activity is conducted in the form of interactive discussions and reflections on the CoC practices carried out by the midwives and cadres. The final stage is the ASAH (Asih, Asah, and Asuh) class for mothers with infants and toddlers, aimed at enhancing their knowledge in monitoring child growth and development. The results of this activity show an increase in midwives' knowledge of 21% after participating in training and simulations. The midwives involved also showed a commitment to implementing CoC in daily services, with the hope of contributing to improving the quality of sustainable midwifery services in their area. This program is expected to be an important step in and accelerate efforts to prevent MMR, IMR and Stunting in Indonesia]]>
<![CDATA[The Importance of Continuity of Care (COC) as a Support System During Pregnancy: a Case Report ]]>
<![CDATA[Natalia Putri Aricahyo]]>;
<![CDATA[Dwi Izzati]]>;
<![CDATA[Ivon Diah]]>
<![CDATA[ Jurnal EduHealth Vol. 16 No. 03 (2025): Jurnal EduHealt, Edition July - September , 2025 ]]>
Publisher : <![CDATA[Sean Institute ]]>
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<![CDATA[Support systems during pregnancy play an important role in maintaining the physical and mental health of pregnant women, as well as supporting fetal development. Emotional support from partners, family, and friends can help pregnant women manage the stress and anxiety that often arise during pregnancy and after childbirth. CoC (Continuity of Care) assistance has a role in providing ongoing support as well as providing counseling and education regarding childbirth preparation and parenting. Case Report: The mother with G1P000 pregnancy at the beginning of the second trimester experiences psychological changes such as mood swings, anxiety, and loneliness due to lack of support from the support system. Support from the closest people such as husband, family, and health workers have an important role in the physical and psychological condition of the mother, especially during pregnancy. With the collaboration between the mother, family and companion will minimize the impact that can occur for the health of the mother and fetus: Conclusion: Assistance carried out through continuous care has become an important part of midwifery service delivery. The role of the companion in the pregnancy process is very important, not only as a provider of information and health monitor, but also as a source of emotional and psychosocial support for pregnant women.]]>
