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Hubungan Obesitas dengan Gangguan Menstruasi pada Remaja Putri di SMKN 1 Kota Kediri Jihan Salsabila Hermawan; Desy Dwi Cahyani; Rahajeng Siti Nur Rahmawati; Dwi Estuning Rahayu
Galen: Jurnal Riset Ilmu Farmasi dan Kesehatan Vol. 1 No. 2 (2025): Galen: Jurnal Riset Ilmu Farmasi dan Kesehatan
Publisher : PT Pustaka Cendekia Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71417/galen.v1i2.21

Abstract

Obesitas di kalangan remaja berpotensi mempengaruhi keseimbangan hormon reproduksi. Gangguan menstruasi sering ditemukan pada remaja dengan obesitas, yang dapat berdampak pada kesehatan reproduksi jangka panjang. Penelitian ini menggunakan desain cross-sectional dengan sampel remaja putri di SMKN 1 Kota Kediri yang mengalami obesitas. Sampel diambil dengan teknik simple random sampling yang terdiri dari remaja obesitas. Data dikumpulkan melalui pengukuran indeks massa tubuh (IMT) untuk menentukan obesitas serta kuesioner untuk menilai karakteristik menstruasi, termasuk keteraturan siklus, durasi, dan volume perdarahan. Analisis data dilakukan dengan uji chi-square untuk mengetahui hubungan antara obesitas dan gangguan menstruasi. Hasil penelitian menunjukkan bahwa terdapat hubungan yang signifikan antara obesitas dengan gangguan menstruasi pada remaja putri (p < 0,00). Ketidakseimbangan hormon reproduksi pada remaja obesitas dapat memengaruhi proses ovulasi, yang berakibat pada gangguan siklus menstruasi. Peningkatan kadar estrogen akibat jaringan lemak berlebih dapat menghambat umpan balik negatif terhadap hormon luteinizing hormone (LH) dan follicle-stimulating hormone (FSH), sehingga mengganggu pematangan folikel dan ovulasi. Selain itu, resistensi insulin yang sering terjadi pada individu obesitas dapat meningkatkan produksi androgen ovarium, yang berkontribusi terhadap anovulasi dan siklus menstruasi yang tidak teratur. Kondisi ini dapat meningkatkan risiko terjadinya gangguan reproduksi jangka panjang, seperti hiperplasia endometrium dan infertilitas. Oleh karena itu, edukasi tentang pola hidup sehat penting bagi remaja obesitas untuk mengurangi risiko gangguan menstruasi. 
THE RELATIONSHIP BETWEEN THE IMPLEMENTATION OF EARLY BREASTFEEDING INITIATION (IMD) IN CAESAREAN SECTION DELIVERY AND COLOSTRUM PRODUCTION Desi Andrawati; Dwi Estuning Rahayu; L.A Wijayanti; Koekoeh
Journal for Quality in Women's Health Vol. 8 No. 2 (2025): September
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jqwh.v8i2.291

Abstract

One cause of colostrum discharge in caesarean section delivery is the implementation of early initiation of breastfeeding (IMD). The study's objective was to investigate the relationship between the implementation of IMD caesarean section delivery and colostrum discharge. The study design was cross-sectional , the population was 50 mothers who underwent caesarean section delivery , sampling using systematic sampling techniques , the number of respondents was 34 people according to the inclusion criteria. The research instruments were questionnaires and observations, then analyzed using Chi-square correlation. and it was found that χ2 count was 5.37 , with a p-value of 0.02 (<0.05), a moderate relationship of 0.37. It was found that the implementation of I MD with an optimal duration (more than 60 minutes) in caesarean section delivery can play a role in accelerating the release of colostrum (less than 24 hours).
Asuhan Kebidanan Continuity of Care (COC) pada Ny. DRW dari Masa Kehamilan hingga Masa Interval Al Maajid, Putri; Dwi Estuning Rahayu; Indah Rahmaningtyas; Ira Titisari
J-CEKI : Jurnal Cendekia Ilmiah Vol. 4 No. 6: Oktober 2025
Publisher : CV. ULIL ALBAB CORP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56799/jceki.v4i6.10987

Abstract

Angka Kematian Ibu (AKI) dan Angka Kematian Bayi (AKB) di Indonesia masih menjadi tantangan besar dalam pembangunan kesehatan. Continuity of Care (COC) merupakan pendekatan asuhan kebidanan yang berkesinambungan mulai masa kehamilan, persalinan, nifas, neonatus hingga keluarga berencana, dengan fokus pada pencegahan komplikasi dan peningkatan kesehatan ibu serta bayi. Studi kasus ini mendeskripsikan implementasi COC pada Ny. DRW di TPMB Yetty Sherot Setianingsih, Desa Kranggan, Kecamatan Gurah, Kabupaten Kediri (11 November 2024 – 22 Maret 2025). Data dikumpulkan melalui wawancara, observasi, dan dokumentasi SOAP. Hasil menunjukkan deteksi anemia ringan pada kehamilan dapat ditangani, persalinan berlangsung normal, pemulihan nifas lebih cepat, bayi berkembang optimal, dan ibu memilih kontrasepsi mantap (MOW). Keseluruhan proses menunjukkan Asuhan Kebidanan Continuity of Care efektif meningkatkan kualitas asuhan kebidanan dan keselamatan maternal-neonatal.
Phoenix Dactylifera Accelerates Duration The Active Phase of The First Stage of Labor: A Quasi Experiment Kundarti, Finta Isti; Titisari, Ira; Rahayu, Dwi Estuning; Susatia, Budi; Nurlaili, Anis
JURNAL INFO KESEHATAN Vol 23 No 3 (2025): JURNAL INFO KESEHATAN
Publisher : Research and Community Service Unit, Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/infokes.Vol23.Iss3.1670

Abstract

Cases of prolonged labor in women in the world are still quite high. Inadequate uterine contractions are the main cause of complications in women's deaths worldwide. The aim of this study was to determine the effect of Phoenix Dactylifera on the length of labor in the active phase of the first stage. This research was carried out through a Quasi-Experimental design Quasi-Experimental. The 60 participants were divided into 2 groups, the intervention group (30 participants) and control (30 participants) at the Kediri Regency Health Center. Sampling uses simple random sampling. The intervention group was given 70 grams of phoenix dactylifera fruit daily from 37 weeks of gestation until labor, while the control group was given standard care. The results of the Paired t-test, the average length of labor in the first stage of the active phase in the intervension group (m=90.57, SD=56.507) p-value 0.000, and the control group (m= 271.33, SD=151.361) p-value 0.100. The difference in the average of the two groups is tested using an independent t-test. The difference in mean length of labor in the first stage of the active phase posttest in the intervention vs. the control group (m=90.57, SD=56.507vs m=271.33, SD=151.361) p-value 0.000. The difference in length of labor in the first stage of the active phase in the two groups was 180.76 minutes/ (3 hours 36 minutes). The Phoenix Dactylifera can shorten duration of the active phase of labor in the first stage of labor. It is recommended for health workers to give phoenix Dactylifera at the right dose to pregnant women in the third trimester to increase stamina during pregnancy and good uterine contractions.             
THE EFFECTIVENESS OF THE DEVELOPMENT OF GROSS MOTORIC SKILLS AMONG PRESCHOOL CHILDREN BETWEEN PRE AND POST STIMULATION OF TRADITIONAL ENGKLEK GAMES Rose, Andiny; Rahmaningtyas, Indah; Rahayu, Dwi Estuning; Antono, Sumy Dwi
Indonesian Midwifery and Health Sciences Journal Vol. 9 No. 3 (2025): Indonesian Midwifery and Health Sciences Journal, July 2025
Publisher : UNIVERSITAS AIRLANGGA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/imhsj.v9i3.2025.333-344

Abstract

Background: Gross motoric skills are essential abilities during preschool children's development, involving significant body movements such as running, jumping, and maintaining balance. One traditional Indonesian game, called “engklek”, is believed to support the development of children's gross motor skills. A lack of gross motor stimulation can negatively impact the child's growth and development. Therefore, it is crucial for parents, teachers, and guardians to ensure children engage in activities that stimulate gross motoric skills. Method: This study employed a pre-experimental design, specifically using a one-group pre-test and post-test design. The population consisted of 39 preschool children, with 36 respondents randomly selected through simple random sampling. The instrument used in this study was the traditional game of ”engklek” to collect data, with pre-tests and post-tests conducted to measure the respondents' ability to lift their legs according to their age. Data were analyzed using the Wilcoxon signed-rank test, with significant results (p < 0.005).Results: The final results showed that stimulation using the traditional “engklek” game positively impacted the gross motor development of preschool children aged 5 to 6 years at Al-Amin Kindergarten in Kediri City. Discussion: This study will highlight the importance of paying attention to gross motor stimulation in preschool children, including through traditional games like “engklek”. It will also emphasize the need to monitor children's gross motor development according to their age to ensure optimal progress
Hubungan Self Efficacy Terhadap Minat Berwirausaha Mahasiswa Program Studi Sarjana Terapan Kebidanan Kediri Poltekkes Kemenkes Malang Shintya Okta Rihandhini; Dwi Estuning Rahayu; Susanti Pratamaningtyas; Ira Titisari
Jurnal Ilmiah Manajemen dan Kewirausahaan Vol. 4 No. 1 (2025): Jurnal Ilmiah Manajemen dan Kewirausahaan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jimak.v4i1.5330

Abstract

The high number of midwife graduates each year has led to an increase in unemployment in Indonesia, making it necessary to find ways to overcome this high unemployment rate. High unemployment will become a problem in itself in economic terms, leading to poverty and other social problems. Therefore, alternatives are needed to create businesses that will open up job opportunities for oneself and others through entrepreneurship. One such alternative is to become an entrepreneur by fostering an interest in entrepreneurship. Students' interest in entrepreneurship can be influenced by self-efficacy. To start and run a business, one needs the confidence that they will succeed. Self-efficacy can influence interest in entrepreneurship. The purpose of this study was to determine the relationship of self-efficacy with student entrepreneurial interest. This research is a cross-sectional approach, with a population of 90 people, then obtained a sample of 73 people using a proportionate stratified random sampling technique. The population of this study were students of the 2020 and 2021 Applied Bachelor's Degree Program of Midwifery in Kediri. Data obtained from questionnaires and analyzed univariately and bivariately with the Spearman Rank statistical test. Most of the students who have self-efficacy was in the middle level which was with a percentage of 58.9% and the students who have an interest in entrepreneurship was mostly in the high level with a percentage of 54.8%. From the results of statistical tests, there is a correlation (p <0.05) between self-efficacy with interest in student entrepreneurship with a moderate correlation (r = 0.534). Students' interest in entrepreneurship will increase if they have high self-efficacy. It is expected that students of the Applied Bachelor's Degree Program of Midwifery in Kediri can increase self-efficacy as an effective strategy for the stimulation of interest and entrepreneurship.
Anemia in Pregnant Women Correlated with The Estimated Fetal Weight Ratna Puspita Sari; Susanti Pratamaningtyas; Dwi Estuning Rahayu
Journal of Ners and Midwifery Vol 11 No 1 (2024)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v11i1.ART.p068-074

Abstract

During pregnancy, the body's need for oxygen increases, causing an increase in erythropoietin production. An increase in plasma volume has an effect on fluid retention and blood dilution in pregnancy, causing a decrease in hematocrit, causing a decrease in Hb concentration and causing anemia. One possible impact is hampering fetal growth and development. The development of the fetus in the womb can be monitored by estimating the fetus's weight to detect fetal growth abnormalities early. This study aimed to understand the correlation between anemia in pregnant women and estimated fetal weight in the working area of the Sambi Health Center, Kediri Regency. The design of the study was cross-sectional, with a sample of 34 pregnant women with anemia. The sampling technique applied consecutive sampling. The instruments of the study were met line, Sysmex hematology analyzer and observation sheet. The results of this study were analyzed using the Kendall Tau test, and obtained a ρ value of 0.03˂α 0.05, namely H0 was rejected so that there was a correlation between anemia in pregnant women and the estimated weight of the fetus in the working area of the Sambi Community Health Center, Kediri Regency. When a pregnant woman experiences anemia, it results in disturbances in metabolism and exchange of substances in the tissues, then the placenta shrinks, resulting in a decrease in the transfer of important nutrients for the growth and development of the fetus. The impact of this situation is a slowdown in fetal growth which results in a low estimated fetal weight.
Pengaruh Endorphine Massage Terhadap Kualitas Tidur Ibu Hamil Usia Kehamilan 37- 40 Minggu Unida, Anya; Dwi Estuning Rahayu; Susanti Pratamaningtyas
JURNAL KEBIDANAN Vol. 13 No. 01 (2024): Jurnal Kebidanan Dharma Husada
Publisher : AKADEMI KEBIDANAN DHARMA HUSADA KEDIRI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35890/jkdh.v13i01.323

Abstract

The decrease sleep duration during pregnancy increases in the third trimester. Giving non-pharmacological therapies that can be done to help improve sleep quality is to do an endorphine massage. The aim of this study was to determine the effect of endorphine massage on the sleep quality of pregnant women 37-40 weeks in the Working Area of the Mojo Health Center, Kediri Regency. The method of this research is Pre-Experiment with One Group Pretest-Posttest Design without a control group, using a total sampling technique with a total sample of 30 respondents. Endorphine massage intervention will be carried out 2 times in a row with the duration of 15-20 minutes each session. Data collection used the questionnaire PSQI, analysis used Mc Nemar test obtained P-Value 1 > 0.05, it can be concluded that statistically, there is no effect of endorphine massage on the sleep quality of pregnant women 37-40 weeks in the Working Area of the Mojo Health Center, Kediri Regency. Poor sleep quality in pregnant women due to frequent awakening from sleep. This makes it difficult for pregnant women to achieve deep sleep. So it is necessary to do endorphine massage regularly by paying attention to disturbing factors, so that pregnant women can experience better quality sleep.
Effectiveness of Online Mindfulness-Based Intervention on Depression in Pregnancy Kundarti, Finta Isti; Titisari, Ira; Kiswati, Kiswati; Jamhariyah, Jamhariyah; Rahayu, Dwi Estuning
JURNAL INFO KESEHATAN Vol 21 No 2 (2023): JURNAL INFO KESEHATAN
Publisher : Research and Community Service Unit, Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/infokes.Vol21.Iss2.1186

Abstract

The high prevalence of depression in developed and developing countries requires a relevant intervention to suppress its incidence. Mindfulness-based intervention is given online as a new complementary intervention that can help reduce symptoms of depression. This study aimed to determine the effectiveness of online mindfulness-based interventions in reducing depressive symptoms in pregnancy. This research method used a randomized control trial, with 66 participants consisting of the mindfulness-based Intervention (MBI) group of 33 participants and the control group of 33 participants. The MBI intervention was provided for eight weeks online. The study uses simple random sampling. Depression was assessed using DASS 42. Data were tested using the Mann-Whitney U Test and t-test and processed with SPSS version 23. The results showed that there was a significant decrease in depression levels in the online MBI group after being given intervention compared to the control group (7.55 ± 2.181 vs 11.00 ± 2.345) p=0.000. Mindfulness-based intervention online can reduce depressive symptoms in pregnant women, so that the intervention becomes a feasible, cheap and easy intervention for pregnant women in improving mental health. In the future, this research can develop other types of complementary interventions to improve maternal and fetal health.
Hubungan Pengetahuan Menstruasi dengan Kesiapan Menghadapi Menarche pada Siswi SD Kelas IV, V, VI Wijayanti, Lumastari Ajeng; Ningrum, Fadhliya Ika; Rahayu, Dwi Estuning; Indriani, Ririn
MAHESA : Malahayati Health Student Journal Vol 5, No 11 (2025): Volume 5 Nomor 11 (2025)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v5i11.21786

Abstract

ABSTRACT The Indonesian Demographic and Health Survey (SDKI) for Adolescents in 2021 found that the average age of menarche occurred in 27.7% of girls aged 13, 22.9% aged 14, 10.9% aged 15, 2.3% aged 16, and 3.6% aged 17. This study aims to determine the level of menstrual knowledge, the readiness to face menarche, and the relationship between the two.This research used a quantitative approach with a cross-sectional correlational design. A total of 45 female students were selected through simple random sampling. The research instrument used was a structured questionnaire, and data analysis was conducted using the Spearman Rank test.The results showed that most respondents had a moderate level of menstrual knowledge (62.2%), followed by good knowledge (20%), and low knowledge (17.8%). In terms of readiness for menarche, 37.8% were ready, while 62.2% were not. The statistical test showed a significant relationship between menstrual knowledge and readiness for menarche (p = 0.001). Improving early education on menstruation is crucial in preparing young girls emotionally and cognitively to face the changes of puberty with confidence. Keywords: Menstrual Knowledge, Menarche Readiness, Female Students, Elementary School.  ABSTRAK Survei Demografi Kesehatan Indonesia (SDKI) Remaja tahun 2021 menemukan bahwa rata-rata usia Menarche adalah 27,7% pada anak berusia 13 tahun, 22,9% pada anak berusia 14 tahun, 10,9% pada anak berusia 15 tahun, 2,3% pada anak berusia 16 tahun, dan 3,6% untuk anak berusia 17 tahun. Penelitian ini bertujuan untuk mengetahui tingkat pengetahuan tentang menstruasi, kesiapan menghadapi menarche, dan hubungan antara keduanya.Penelitian ini menggunakan pendekatan kuantitatif dengan desain korelasi cross-sectional. Jumlah sampel sebanyak 45 siswi, diambil secara simple random sampling. Instrumen yang digunakan berupa kuesioner terstruktur, dan analisis data menggunakan uji Spearman Rank.Hasil penelitian menunjukkan sebagian besar responden memiliki pengetahuan cukup tentang menstruasi (62,2%), berpengetahuan baik (20%), dan memiliki pengetahuan kurang (17,8%). Sebanyak 37,8% responden siap menghadapi menarche, sementara 62,2% tidak siap. Uji statistik menunjukkan terdapat hubungan yang signifikan antara pengetahuan menstruasi dengan kesiapan menghadapi menarche (p=0,001). Kesimpulan: Peningkatan edukasi mengenai menstruasi sejak dini sangat diperlukan untuk membentuk kesiapan emosional dan pengetahuan remaja putri menjelang masa pubertas. Kata Kunci: Pengetahuan Menstruasi, Kesiapan Menarche, Siswi, Sekolah Dasar
Co-Authors Al Maajid, Putri Anggraeniy, Mayang Eustacia Antono, Sumy Dwi Ardinata, Syanofa Cardia Ari Sandy, Pavita Azra Ayu Safitri, Dwi Azmi, Putri Acacia Fadhilah Budi Susatia Cahyani, Desy Dwi Desi Andrawati Desy Dwi Cahyani Dewi Marianthi Dian Lutfi Rahmawati Diana Sulistyo Rini Diana Sulistyo Rini Dinasti Siswahyuning Dias Dwi Antono, Sumy Dyah Widodo Ekanana Prahitasari ERNA RAHMA YANI Esa Yuliant, Rechi Fadila, Safira Hanin Iffa Putri Fitri Meilia Fitri Meilia Fitri Meilia Fitri Meilia Hanna Salehtra Hardiati Indah Rahmaningtyas Indah Rahmaningtyas Indriani, Ririn Ira Titisari Ira Titisari Jamhariyah Jamhariyah Jihan Salsabila Hermawan Jundiyaturrohman, Salsabila Khammidah, Rysma Dhella Kiswati Kiswati Kiswati Koekoeh Koekoeh Hardjito Koen, Dorothy Carissa Aditya Kundarti, Finta Isti L.A Wijayanti Miftahul Hasanah Mustika Putri Fadelika Ningrum, Fadhliya Ika Nurani, Calista Baby Anggun nuri alfina komariyati Nurlaili, Anis Putri, Alvi Nur Puspita Rahajeng Siti Nur Rahmawati Ramadana, Rima Fitri Ratna Puspita Sari Reni Utami Rima Eka Pratiwi Ririn Indriani Rose, Andiny Rosyadah, Ning Arum Nur Salwantomo, Lumastari Ajeng Wijayanti Selvyra Eka Masturina Sendra, Eny Shintya Okta Rihandhini Sinta Kristianti Siska Woro Andhani Siti Aisyah Siti Asiyah Siti Asiyah Sumy Dwi Antono Sumy DwiAntono Sumy DwiAntono Suryani, Pudji Susanti Pratamaningtyas Triatmi Andri Yanuarini Triatmi Andri Yanuarini Unida, Anya Wardani, Heni Setiya wati, Evi liana Widyani, Bernadita Wijayanti, Lumastari Ajeng Wiranti Dwi Novita Isnaeni Yenika - Anggraeni