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THE RELATIONSHIP OF SOCIAL SUPPORT WITH THE DEGREE OF NAUSEA AND VOMITING IN PREGNANCY Cempaka Yudithia Junandar; Ivon Diah Wittiarika; Budi Utomo; Ernawati Ernawati
Indonesian Midwifery and Health Sciences Journal Vol. 4 No. 1 (2020): Indonesian Midwifery and Health Sciences Journal, January 2020
Publisher : UNIVERSITAS AIRLANGGA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/imhsj.v4i1.2020.26-32

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Abstract Background : At the beginning of a pregnancy the mother experiences various processes of transition or adaptation regarding changes in herself, so that she really needs support from her environment. Lack of social support can worsen the physiological complaints of pregnant women including Nausea and Vomiting in Pregnancy (NVP). Complaints of nausea and vomiting can affect the mother in carrying out daily activities, affect the mother's social situation with the environment and cause stress. Therefore, it is important to research the relationship between social support and the degree of nausea and vomiting in first and second-trimester pregnant women. Method : This research method is observational analytic with cross sectional research design. Sampling used the total sampling method with the criteria of pregnant women who had complaints of nausea and vomiting. Collecting data using primary data using a 24-hour PUQE questionnaire that measures the duration and frequency of nausea and vomiting and the MSPSS questionnaire measuring social support. The data collected were analyzed using the Spearman test (p<0.15). Results : Out of 47 respondents, 34 pregnant women (72.3%) received high social support. Besides that, 24 out of 47 respondents (51.1%) experienced moderate degree of NVP. In this study, there were no respondents who experienced severe degree of NVP. Spearman test analysis results obtained p= 0.833 or p>0.15. Conclusion : There is no relationship between social support with NVP in first and second trimester of pregnancy. 
THE DIFFERENCES OF PREGNANT WOMEN KNOWLEDGE LEVEL IN THE OWNERSHIP OF MCH HANDBOOK Anisah Sri Utami; Djohar Nuswantoro; Ivon Diah Wittiarika
Indonesian Midwifery and Health Sciences Journal Vol. 4 No. 2 (2020): Indonesian Midwifery and Health Sciences Journal, April 2020
Publisher : UNIVERSITAS AIRLANGGA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/imhsj.v4i2.2020.90-97

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AbstractBackground: The MCH (Maternal Child Health) Handbook is a mandatory handbook for mother and children that has function as information especially for pregnant women until childbirth and also newborn to toddlers. One of the utilization of MCH Handbook is by an active reading role is considered to be able to  achieve the goal so that mothers can carry out health care independently so that pregnant women can detect complications as early as possible. Method : The research method is analytic Observational with cross-sectional design. The total sample is 114 pregnant women, using purposive sampling technique. The independent variable is the ownership of MCH Handbook which is categorized in 3 groups of reading activities and the dependent variable is the level of knowledge. Data analysis using Kruskal Wallis test. Result : The result showed that pregnant women who read entire contents of the MCH Handbook had a good level of knowledge is 47 respondents and none had sufficient or insufficient knowledge, while pregnant women who read some of the contents of the MCH Handbook had a good level of knowledge is 55 people and 2 others had enough knowledge.For the group of pregnant women who did not read the contents of MCH Handbook, there were 10 people and all of them had a good level of knowledge. The result of Kruskal Wallis test is p values = 0,365 ( p>0,05). Conclusion : There is no different of the knowledge level on 3 reading group.
THE PERCEPTIONS, ATTITUDES AND BEHAVIORS OF MOTHERS IN PROVIDING EARLY SEX EDUCATION Fitri Erna Erfiany; Ahmad Suryawan; Nur Ainy Fardana Nawangsari; Ivon Diah Wittiarika
Indonesian Midwifery and Health Sciences Journal Vol. 4 No. 2 (2020): Indonesian Midwifery and Health Sciences Journal, April 2020
Publisher : UNIVERSITAS AIRLANGGA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/imhsj.v4i2.2020.168-178

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AbstractBackground : Cases of child sexual abuse in Indonesia continue to increase. The need for a parent's role in providing sex education from an early age is expected to prevent children from sexual abuse. Savy Amira Women Crisis Centre mentions that Tambaksari sub-district has the highest crime rate in Surabaya. Perceptions, attitudes and behaviors of parents in the provision of sex education in early childhood can be described in PAUD Tunas Mandiri Pacar Keling Subdistrict Tambaksari Method: This research method is qualitative with phenomenological approach. The number of samples as many as 10 mothers with purposive sampling techniques. The variables studied were perception, attitude and behavior of the mother. Data is collected by indepth interview method and processed with Interactive Model Of Analysis. Result : Most respondents have a perception that sex education is behavior, but respondents know that sex education has a good purpose. This is reflected in the attitudes and behaviors shown by most respondents about how they provide sex education. All they've been doing is part of sex education, it's just that they don't know or realize that. The age, level of education and employment in this study had little effect on perceptions of providing sex education. Conclusion: Almost all mothers interpret the provision of sex education in early childhood is still a taboo thing to give, while for the attitude and behavior of the mother is shown by limiting the child and supervision when playing gadgets,introducing genitalia and teaching toilet training.
FACTORS RELATED TO NUTRITIONAL STATUS IN PRE-SCHOOL CHILDREN Dwi Rahayu Candra Pertiwi; Ivon Diah Wittiarika; Atika Atika; Wahyul Anis
Indonesian Midwifery and Health Sciences Journal Vol. 4 No. 4 (2020): Indonesian Midwifery and Health Sciences Journal, October 2020
Publisher : UNIVERSITAS AIRLANGGA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/imhsj.v4i4.2020.332-343

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AbstractBackground: The problem of nutrition in children at Indonesia was still an unresolved problem. Unicef said that one in ten children were underweighted and a fifth of children were overweighted or obesed. This number will not decrease and it will increase if we not handled this problem seriously. This study was conducted with the aimed of analyzed the factors that influenced nutritional status in pre-school children, so that more effective prevention and treatment can be carried out. Method: This research was a cross sectional study with a total sample of 150 preschool child in the age of 3 to 6 years old and the parents with online questionnaire. Sampling was done by cluster random sampling. The study was conducted in PAUD at Tanah Kali Kedinding, Kenjeran, Surabaya. The data was analyzed with Spearmean test, Chi-square, and Fisher exact. Result: Knowledge p value = 0,025 r = 0,182. Income p value < 0,001 r = 0,368. Eating frequency p value < 0,001 r = 0,721. The amount of food p value < 0,001 r = 0,738. The kind of food p value < 0,001 C = 0,443. Physical activity p value = 0,438. Conclusion: Parental knowledge and income, and children's eating patterns were related to the nutritional status of pre-school children, while the physical activity of children does not affected the nutritional status of children. 
MIDWIFERY CARE OF DELIVERY WITH CHRONIC HYPERTENSION SUPERIMPOSED PREECLAMPSIA AND UTERINE MYOMA (CERVICAL) Ivon Diah Wittiarika; Gitta Arinda Faustina; Zukhrufatin Zukhrufatin
Indonesian Midwifery and Health Sciences Journal Vol. 6 No. 2 (2022): Indonesian Midwifery and Health Sciences Journal, April 2022
Publisher : UNIVERSITAS AIRLANGGA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/imhsj.v6i2.2022.111-122

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Background: the most common causes of maternal death in Indonesia are hypertension/pre-eclampsia/eclampsia, bleeding, and infection. Hypertension in pregnancy ranks first as the cause of death in Indonesia at 33% (SRS Litbangkes, 2016). Cervical fibroids can cause complications in both pregnancy and childbirth. The purpose of this case report is to study midwifery care in complex cases. Case report: A 41-year-old woman, second pregnant, 36-37 week’s gestation, primipaternity, secondary primitua with chronic hypertension and uterine myoma (cervical) was referred to the hospital for delivery. Management focuses on support for the mother, involving the family, fulfill the needs of the mother, collaboration with the doctor conducting informed consent regarding the diagnosis, providing counseling and health education on tubectomy contraception, and accompanying the mother until the time of surgery. The mother's response is good, and optimistic about her condition and the baby. Conclusion: midwives in providing midwifery care in cases of delivery with chronic hypertension, superimposed preeclampsia and uterine myoma at an advanced health facility (Type A Hospital). Midwifery care is provided both independently and in collaboration with other professions. Delivery was carried out by caesarean section in accordance with the indications with the output of the mother and baby being healthy. Early detection, recognition of signs and symptoms, diagnosis, referral process and comprehensive management are carried out appropriately. 
PERCEPTIONS, ATTITUDES, AND PRACTICES OF MIDWIVES TOWARDS THE USE OF TELEHEALTH Avina Oktaviani Algifnita; Budi Prasetyo; Ivon Diah Wittiarika
Indonesian Journal of Health Administration Vol. 10 No. 2 (2022): December
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jaki.v10i2.2022.155-164

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  Background: The COVID-19 pandemic has led to the closure of health facilities and a decrease in the usage of contraceptives. Therefore, the government and professional organizations initiated telehealth services to improve the quality of health services and minimize the risk of COVID-19 transmission. Aims: This study explored the perceptions, attitudes, and usage of telehealth by independent midwives during the COVID-19 pandemic in Surabaya. Methods: This qualitative phenomenology study was conducted from March to April 2021, and it involved independent midwives in Surabaya. The purposive sampling technique was used to select informants, and it obtained seven informants that met the inclusion criteria. Primary data were retrieved through semi-structured in-depth interviews. Results: This is due to the influence of their age, knowledge, the intensity of previous telehealth use, gaps in technology use, availability of facilities and infrastructure, self-motivation, social support, and efforts to find solutions through telehealth. Conclusion: Five out of the seven midwives decided to continue using telehealth in their services after the pandemic because of its benefits and impacts. Midwives, professional organizations, and policymakers need to consider the use of telehealth to improve the future services  
UTILIZATION OF TELEHEALTH IN MIDWIFERY SERVICES DURING THE COVID-19 PANDEMIC: A QUALITATIVE STUDY Avina Oktaviani Algifnita; Ivon Diah Wittiarika
Indonesian Midwifery and Health Sciences Journal Vol. 6 No. 3 (2022): Indonesian Midwifery and Health Sciences Journal, July 2022
Publisher : UNIVERSITAS AIRLANGGA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/imhsj.v6i3.2022.310-318

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Background: The COVID-19 pandemic has a significant impact on midwifery services, especially in Midwife Self-Practice. The government, Dinas Kesehatan, and professional organizations released many health protocols, urging all activities at home as well as regional restrictions to limit the spread of COVID-19. This leads to a slowdown in access to health services, especially midwifery. Telehealth services are recommended by the government and must be implemented in every health facility to strive to improve the quality of health. Midwives are one of the vanguards in and in maternal and child health services that can utilize telehealth in their services in Midwife Self-Practice during the COVID-19 pandemic. Objective: To analyze the influence of telehealth utilization in midwifery services during the COVID-19 Pandemic. Method: A qualitative phenomenology with data collection method through a semi-structured in-depth interview conducted in March-April 2021 at The Midwife Independent Practice in Surabaya. The study participants were midwives who owned The Independent Practice of Midwives using purposive sampling techniques.  Result: During the COVID-19 pandemic, two themes were obtained, namely the utilization of telehealth and the influence of telehealth in obstetric services. Conclusion: Midwives believe that there is a positive influence in the use of telehealth, in addition to being profitable, it can also be used as an alternative in midwifery services during the COVID-19 pandemic. Keywords: Health Policy, Telehealth, Maternal Health, COVID-19
THE EFFECT OF INTRINSIC MOTIVATION AND ATTITUDE TO FULFILLMENT OF IMMUNIZATION DURING PANDEMIC Devika Aulia; Ivon Diah Wittiarika; Irwanto Irwanto
Indonesian Midwifery and Health Sciences Journal Vol. 6 No. 4 (2022): Indonesian Midwifery and Health Sciences Journal, October 2022
Publisher : UNIVERSITAS AIRLANGGA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/imhsj.v6i4.2022.359-370

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Background: The milestone in protecting the nation's next-generation from disease is to provide basic immunization as natural protection against specific infections. Covid-19 has hit Indonesia since early 2020, disrupting all aspects of life, especially health, which is manifested in a decrease in basic immunization coverage. The purpose of this study was to determine the influence between intrinsic motivation and mother's attitude towards the fulfillment of basic immunization during the Covid-19 pandemic. Methods: The research method used is analytic observation using the Spearman test with a p-value <0.05. Respondents of this study were mothers with children aged 0-12 months at Puskesmas Jatibening Baru, Bekasi, as many as 37 respondents with the total sampling method. The research instrument was an online questionnaire with variables of intrinsic motivation and mother's attitude. Results: Based on research analysis using the Spearman test, the p-value = 0.376 and the Spearman correlation coefficient of 0.150 to see the effect between mother's intrinsic motivation and the status of basic immunization fulfillment during the Covid-19 pandemic. The results of the p-value to see the effect of mother's attitude with basic immunization fulfillment status during the Covid-19 pandemic was 0.182, and the Spearman correlation coefficient was 0.224. Conclusion: There is no effect between intrinsic motivation and mother's attitude towards the fulfillment of basic immunization during the Covid-19 pandemic.   Keywords : Attitudes; Basic Immunization; Covid-19; Intrinsic Motivation
MODE OF DELIVERY IN THE SECOND PREGNANCY OF MOTHER WITH HIGH MYOPIA AND HISTORY OF SECTIO CESAREAN: A CASE REPORT Dian Lestari Hidayah; Farida Fitriana; Andriyanti; Ivon Diah Wittiarika; Ratna Dwi Jayanti
Indonesian Midwifery and Health Sciences Journal Vol. 7 No. 2 (2023): Indonesian Midwifery and Health Sciences Journal, April 2023
Publisher : UNIVERSITAS AIRLANGGA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/imhsj.v7i2.2023.164-172

Abstract

Background: Pregnant women with a history of cesarean section have problems choosing the delivery method for their next pregnancy. Sometimes there are still other risk factors, one of which is high myopia, which adds to the problem of choosing an effective delivery method with the advantages and disadvantages of each. Continuity of care in midwifery is very important in providing patients insight, knowledge, and support to make decisions about appropriate and safe delivery methods. Case report: A 29-year-old woman G2P1A0 with high myopia (minus 8) and cesarean scar three years ago for indications of high myopia (minus 10). In this second pregnancy, the mother underwent another SC because of high myopia minus 8, and the mother has not had a retinal laser until the present. Patients receive referrals from a primary health center for antenatal care and preparation for delivery at referral health facilities with high-risk pregnancies. Mothers are faced with two choices: TOLAC (Trial Of Labor After Cesarean Delivery) and ERCD (Elective Repeat Cesarean Delivery). The mother was consulted by an eye specialist at the referral hospital. The condition of the eye’s retina is good from the results of an eye specialist examination. However, it is still necessary to do a retinal laser process as prophylaxis if the mother wants to have a vaginal delivery. In the end, cesarean delivery is the mother's choice. Conclusion: Pregnancies with high myopia and cesarean scars need to receive full support from midwives and families to carry out comprehensive COC care to improve the health of mothers and children by assisting mothers in selecting delivery methods that are effective and safe for both mother and baby.
Hubungan Kecemasan Ibu Hamil dengan Kepatuhan Antenatal Care Selama Pandemi Covid-19 Tri Ayu Kharisma; Manggala Pasca Wardhana; Ivon Diah Wittiarika
Syntax Literate Jurnal Ilmiah Indonesia
Publisher : Syntax Corporation

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (206.598 KB) | DOI: 10.36418/syntax-literate.v7i1.5981

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Latar Belakang : COVID-19 memberikan dampak negatif pada ibu hamil yang berpotensi mempengaruhi kunjungan Antenatal Care (ANC). Penelitian ini bertujuan untuk melihat antara kecemasan dengan kepatuhan Antenatal Care (ANC). Metode : Metode penelitian ini adalah analitik observasional yang berdesain cross sectional yang dilakukan pada masa pandemi COVID-19 (Bulan Oktober-November 2021) di Puskesmas Gamping I dengan cara purposive sampling dan jumlah 40 responden. Instrumen penelitian menggunakan kuesioner yang telah divalidasi dengan analisis data menggunakan Chi-square. Hasil : Hasil penelitian didapatkan ibu hamil yang melakukan ANC termasuk dalam kategori usia tidak beresiko sebanyak 34 orang (85%), pendidikan atas sebanyak 37 orang (92,5%), tidak bekerja sebanyak 25 orang (62,5%), multigravida sebanyak 24 orang (60%), akses ke fasilitas kesehatan yang dekat sebanyak 25 orang (62,5%), dan sudah vaksinasi COVID-19 sebanyak 25 orang (62,5%). Sedangkan pada variabel kecemasan sebanyak 5 orang mengalami kecemasan (12,5%) dan variabel kepatuhan ANC sebanyak 21 orang tidak patuh (52,5%). Analisis variabel karakteristik menunjukkan variabel paritas (p=0,000<α=0,05) dan vaksinasi COVID-19 (p=0,041< α=0,05) memiliki hubungan dengan kepatuhan ANC. Pada penelitian ini juga didapatkan 5 orang mengalami kecemasan (12,5%) dan kepatuhan ANC sebanyak 21 orang (52,5%) dan didapatkan hubungan antara kecemasan dengan kepatuhan ANC dengan p-value sebesar 0,049 (p<0,05). Kesimpulan : kecemasan yang terjadi pada masa COVID-19 menjadi salah satu hal penting yang diperhatikan karena dapat menentukan kepatuhan ANC yang berpotensi mengganggu pelayanan obstetri di masa pandemi COVID-19.
Co-Authors Aditiawarman Aditiawarman, Aditiawarman Aflina, Sayyidati Tazkiya Ahmad Suryawan Al Farizi, Sofia Aldika Akbar, Muhammad Ilham Amalia, Rize Budi Andriyanti Andriyanti Andriyanti, Andriyanti Anisah Sri Utami ARI DEWANTI, ARI DEWANTI Ashon Sa'adi atika Atika Atika Atika Atika Aulia Rahma Oktaviya Avina Oktaviani Algifnita Avina Oktaviani Algifnita Bakhtiar, Arief Budi Prasetyo Budi Prasetyo Budi Prasetyo Budi Utomo Budi Utomo Cempaka Yudithia Junandar Cerellia, Eka Deby Artika P Devika Aulia Dewi Setyowati Dhiya Ulhaq, Ghina Dian Lestari Hidayah Diana Khoirul Khafidloh Dwi Budi Santoso Dwi Rahayu Candra Pertiwi Eighty Mardiyan K, Eighty Elisa Danik Kurniawati Endyka EF Endyka Erye Frety Ernawati Ernawati Ernawati Fadayeen Khoirun Nisa Fardana, Nur Ainy Fatin Nazurah Izzati Binti Hamdani Febronia Martina Dua Lehang Ferdinandus, Euvanggelia Dwilda Fitri Erna Erfiany Fitriana, Farida Gamelly, Kania Putri Gatut Hardianto, Gatut Gitta Arinda Faustina Iflah Aninda Irwanto, Irwanto Jayanti , Ratna Dwi Jayanti, Ratna Dwi Kartika, Dian Shalma Laksana, Muhammad Ardian Cahya Lia Octaviana Lilik Djuari Linda Dewanti Melynda Trilamsari Putri Mita Kusumawardani Mohamed Alif Haikal Bin Mohamed Iskandar Monika Mongang Manuk Muhammad Aldika Akbar Munawaroh, Aida Ayu Habibatul Nenccy Mirasari Ngatwati Ningrum, Astika Gita Noor Syafaatin Udhma Nurhayati Fitria Amin Nurul Azizah Nuswantoro, Djohar Prihazty, Anggi Wilis Pudji Lestari Pupus Ultraluana Purwandono, Azham Rahmadhanti, Galuh Destika Ramlah, Besse Rania, Najwa Miftah Riri Aprianti Riris Putricia Vedo Refa S Rize Budi Amalia Rize Budi Amalia Salsabila, Wanda Azaria Samsriyaningsih Handayani Sari, Gadis Meinar Sa’adi, Ashon Sefri Anggraeni Siti Norhikmah Binti Abd. Razak Siti Nurul Komariah Sri Utami Sukmawardani, Putri Utami Sumbawati, Mulia Dian Susanto, Lunardhi Sutatik, Yuning T.Bupu, Maria Camelia Tahu, Hesty katarina Tri Ayu Kharisma Wahyul Anis Wahyunnisa Indrarosiana Wardhana, Manggala Pasca Widati Fatmaningrum Widya Retno Woro Setia Ningtyas Yublina Rambu Mbali Idi Yuli Triyani Yusniar Rahajeng, Agtus Zahra Lutfiah Safitri Zukhrufatin Zukhrufatin ‘Izza, Najwa Imamatul