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Factors Affecting the Frequency of K1 Visits for Pregnant Women in Maternal Health Programs Mukti Rahajeng; Tut Rayani Aksohini Wijayanti; Sulistiyah Sulistiyah
Proceeding International Conference Of Innovation Science, Technology, Education, Children And Health Vol. 5 No. 1 (2025): Proceeding of The International Conference of Inovation, Science, Technology, E
Publisher : Program Studi DIII Rekam Medis dan Informasi Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/icistech.v5i1.264

Abstract

This study aims to identify the factors that influence the first antenatal visit (K1) among pregnant women. The study employed a descriptive design with a cross-sectional approach, utilizing a total sampling technique. A total of 49 respondents, all of whom made the K1 visit, were included in the study. The variables examined in this research included maternal age, parity, and gestational age at the time of the K1 visit. Secondary data obtained from medical records were used for analysis. The results revealed that the majority of pregnant women who made the K1 visit were in the non-risk age group (20–35 years), accounting for 84% of the respondents. Regarding parity, most participants were multiparous, making up 53% of the total sample. In terms of gestational age, 43% of respondents made their K1 visit during the first trimester of pregnancy (0–12 weeks). The study found that the first antenatal visit was predominantly conducted by pregnant women in the non-risk age group (20–35 years) and the multiparous group. Additionally, the K1 visits were most frequently made when the gestational age was in the first trimester, reflecting early engagement with antenatal care. These findings highlight the importance of maternal age, parity, and gestational age in influencing the timing of the first antenatal visit, which plays a critical role in ensuring early and adequate prenatal care for pregnant women. These insights can be used to improve strategies for encouraging timely K1 visits, particularly for pregnant women who may be at risk of delayed prenatal care.
An Experimental Analysis of Kenikir for Optimal Lactation : The Effectiveness of Cosmos Caudatus Extract on Postpartum Maternal Prolactin Hormone Levels Sulistiyah Sulistiyah; Retno Dewi Prisusanti
Proceeding International Conference Of Innovation Science, Technology, Education, Children And Health Vol. 5 No. 1 (2025): Proceeding of The International Conference of Inovation, Science, Technology, E
Publisher : Program Studi DIII Rekam Medis dan Informasi Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/icistech.v5i1.267

Abstract

Insufficient milk supply is one of the primary reasons for the discontinuation of exclusive breastfeeding, which poses a significant challenge to maternal and infant health. While kenikir (Cosmos caudatus) has long been used as a traditional remedy believed to help increase breast milk production, its direct effect on lactation has not been thoroughly studied. This research aimed to evaluate the impact of kenikir extract on prolactin hormone levels in postpartum mothers, which plays a key role in milk production. This was a true experimental study utilizing a pretest-posttest control group design. Kenikir extract served as the independent variable, and prolactin hormone levels were the dependent variable. A total of 40 postpartum mothers were included in the study, randomly divided into two groups: an intervention group that received 300 mg of kenikir extract daily for 14 days, and a control group with no treatment. The study analyzed within-group changes using the Paired T-Test and Wilcoxon test, and between-group differences were compared using the Mann-Whitney test. The results indicated that the intervention group experienced a significant increase in prolactin hormone levels, with an average of 44.70 ng/ml and a p-value of 0.0001. This shows that kenikir extract significantly enhances prolactin hormone secretion in postpartum mothers. These findings suggest that kenikir extract could be a promising natural remedy for increasing milk supply, offering an alternative or complementary approach to supporting lactating mothers. Further studies should be conducted to explore the long-term effects of kenikir extract on breastfeeding success and its potential role in promoting maternal and infant health.
Determinant Analysis Related to Basic BCG Immunization Status in Infants Sulistiyah, Sulistiyah; Prisusanti, Retno Dewi
Indonesian Journal of Global Health Research Vol 6 No 6 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6i6.5980

Abstract

Immunization is an effort to actively create/increase a person's immunity to a certain disease. BCG immunization is given immediately after the baby is born or before the age of 1 month. BCG immunization can reduce the risk of severe tuberculosis. TB is an infectious disease caused by infection with Mycobacteriun Tuberculosis bacteria, which can spread through the droplets of people who have been infected with TB bacilli. This study aims to determine the factors associated with the status of basic BCG immunization in infants. This study is a quantitative study using a cross-sectional design.. The population in this study consists of all infants aged 2-12 months in the working area of the Kalumpang Community Health Center in Ternate City, totaling 167 infants, with a sample size of 118 respondents. The sampling technique used is simple random sampling. We collected the data using questionnaire. The statistical test used is the chi-square test, and the analysis performed includes univariate and bivariate analysis. Based on the results obtained as many as 52 (44.1%) respondents were not given BCG immunization, as many as 40 (33.9%) respondents had poor knowledge, as many as 53 (44.9%) respondents with negative attitudes as many as 76 (64.4%) respondents with working status and as many as 45 (38.1%) respondents stated that the family did not support. The results of bivariate analysis showed that there was a relationship between knowledge with a p value of 0.000, attitude with a p value of 0.000, work with a p value of 0.000 and family support with a p value of 0.001. The conclusion is that there is a relationship between factors associated with basic BCG immunization status.
Exploring the Connection Between Breastfeeding Practices and Milk Production Levels in New Mothers Dhea Nazlyta Rusman; Tut Rayani Aksohini Wijayanti; Sulistiyah Sulistiyah
Proceeding International Conference Of Innovation Science, Technology, Education, Children And Health Vol. 5 No. 1 (2025): Proceeding of The International Conference of Inovation, Science, Technology, E
Publisher : Program Studi DIII Rekam Medis dan Informasi Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/icistech.v5i1.244

Abstract

The World Health Organization (WHO), UNICEF, and the Ministry of Health strongly advocate for the initiation of breastfeeding within the first hour after birth, exclusive breastfeeding for the first six months, and continued breastfeeding up to two years alongside safe and nutritious complementary feeding. Despite these recommendations, one of the main barriers to achieving exclusive breastfeeding is insufficient breast milk production. This study aimed to investigate the relationship between breastfeeding frequency and milk production adequacy among postpartum mothers. To achieve this, an analytical study with a cross-sectional design was conducted, involving 38 participants. Data was collected through questionnaires that assessed breastfeeding patterns, milk production, and other related factors. The data were analyzed using the Chi-square test to determine any significant associations. The univariate analysis revealed that the majority of postpartum mothers (60.5%) reported irregular breastfeeding patterns, and more than half (55.3%) of the participants stated that they experienced inadequate milk production. Further analysis through bivariate tests showed a significant association between the frequency of breastfeeding and the adequacy of milk production, with a p-value of 0.003. This suggests that mothers who breastfeed more regularly may experience better milk production, which can contribute to healthier infant nutrition. These findings highlight the importance of encouraging regular breastfeeding practices in the early postpartum period to enhance milk supply. Improving awareness and providing support for mothers in establishing a consistent breastfeeding routine could play a crucial role in overcoming challenges related to inadequate milk production and achieving the recommended exclusive breastfeeding practices. Further research may be needed to explore other factors that contribute to successful breastfeeding and milk production.
Relationship Between Pregnant Mothers' Nutritional Status and the Event of Malnutrition in Babys Indriani Hippy; Tut Rayani Aksohini Wijayanti; Sulistiyah Sulistiyah
Proceeding International Conference Of Innovation Science, Technology, Education, Children And Health Vol. 5 No. 1 (2025): Proceeding of The International Conference of Inovation, Science, Technology, E
Publisher : Program Studi DIII Rekam Medis dan Informasi Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/icistech.v5i1.246

Abstract

The nutritional status of pregnant women, assessed using the Upper Arm Circumference (LILA), plays a crucial role in fetal growth and birth outcomes. Inadequate maternal nutrition can lead to low birth weight, which increases the risk of stunting a condition characterized by a height-for-age (TB/U) less than -2 SD. Stunting is associated with a fourfold increase in child mortality under five years old, highlighting its significant impact on public health. This quantitative case-control study aimed to examine the relationship between maternal nutritional status during pregnancy and the incidence of stunting in toddlers. The study was conducted from August 25, 2024, to January 24, 2025, at Gogagoman Health Center in Kotamobagu City. A total of 60 toddlers participated, with 30 stunted toddlers (case group) and 30 non-stunted toddlers (control group). Data were collected through self-administered questionnaires, medical records, and microtoise measurements. The study employed univariate and bivariate data analysis, using a chi-square test to explore the association between maternal nutritional status and stunting incidence. The results indicated that the majority of respondents had adequate (non-KEK) maternal nutritional status. Specifically, 40% of mothers in the stunted group were classified as non-KEK, while 83.3% of mothers in the non-stunted group were in the same category. A statistically significant association was found between maternal nutritional status and the incidence of stunting, with a p-value of 0.010. These findings underscore the importance of improving maternal nutrition to prevent stunting and its associated risks. The study recommends collaborative efforts between health centers and local governments to provide targeted nutrition education and support for pregnant women and women of reproductive age, aiming to reduce stunting incidence and improve child health outcomes.
Factors Influencing the Incidence of Stunting in Children at Tilamuta Community Health Center Ayu Rahayu; Sulistiyah Sulistiyah; Tut Rayani Aksohini
Proceeding International Conference Of Innovation Science, Technology, Education, Children And Health Vol. 5 No. 1 (2025): Proceeding of The International Conference of Inovation, Science, Technology, E
Publisher : Program Studi DIII Rekam Medis dan Informasi Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/icistech.v5i1.248

Abstract

Stunting is a major health concern in many developing countries, including Indonesia, with profound long-term effects on children’s physical, cognitive, and emotional development. This condition is primarily influenced by factors such as malnutrition, infections, and inadequate care during the first few years of life. The objective of this study was to analyze the factors associated with stunting in children under five years old within the working area of Puskesmas Tilamuta. An analytical survey design was employed, using a cross-sectional approach to examine 54 children, who were selected using accidental sampling. Data collection involved assessing factors such as exclusive breastfeeding, complementary feeding practices (MP-ASI), and low birth weight (BBLR). Statistical analysis was conducted using the Chi-Square test with Fisher's exact test to determine the association between these factors and stunting. The results revealed that exclusive breastfeeding had a significant impact on the occurrence of stunting, with a p-value of 0.002, suggesting that children who were exclusively breastfed were less likely to experience stunting. Similarly, the provision of complementary feeding (MP-ASI) was significantly associated with stunting (p = 0.043), highlighting the importance of timely and adequate complementary feeding to prevent stunting. However, the factor of low birth weight (BBLR) was found to have no significant effect on stunting (p = 0.202), indicating that other factors, such as nutrition and feeding practices, may have a more direct influence on stunting in the studied population. This study underscores the critical role of exclusive breastfeeding and proper complementary feeding practices in preventing stunting. It also suggests that addressing these factors, along with other local health interventions, may help reduce the incidence of stunting in children under five years old in the area.
Relationship Between Pregnant Women’s Knowledge of Iron Tablets and Adherence to Iron Tablet Consumption at Saritani Health Center Deisylia Karim; Sulistiyah Sulistiyah; Reny Retnaningsih
Proceeding International Conference Of Innovation Science, Technology, Education, Children And Health Vol. 5 No. 1 (2025): Proceeding of The International Conference of Inovation, Science, Technology, E
Publisher : Program Studi DIII Rekam Medis dan Informasi Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/icistech.v5i1.249

Abstract

Anemia is a common condition among pregnant women, often caused by insufficient iron intake or poor absorption due to digestive issues. This condition can have serious implications for both maternal and fetal health. The primary objective of this study was to explore the relationship between pregnant women’s knowledge about iron tablets and their adherence to the prescribed regimen at Saritani Health Center. This study utilized a quantitative approach with a cross-sectional design. The population for this study consisted of all pregnant women visiting Saritani Health Center, with a sample size of 78 women selected through purposive sampling, based on predetermined inclusion criteria. The study’s findings indicated that the majority of respondents had a sufficient level of knowledge regarding the importance of iron tablets. A statistical analysis using the Spearman Rank test revealed a very strong correlation between the level of knowledge about iron tablets and adherence to their consumption, with a correlation coefficient of rs = 0.812 and a p-value of 0.000 (p < 0.05). This suggests that the higher the level of knowledge about iron tablets among pregnant women, the greater their compliance with taking these supplements. The study also found that while most respondents had sufficient knowledge about iron tablets, their compliance was moderate, which highlights the importance of ongoing education and support. The results of this study emphasize the critical role that knowledge plays in improving compliance with iron supplementation among pregnant women. Health education initiatives targeting pregnant women should focus on increasing awareness and understanding of the benefits of iron supplementation to prevent anemia and its associated risks. This study calls for enhanced counseling and educational efforts at the community health level to ensure better maternal health outcomes.
Relationship Between Pregnant Women's Knowledge of Danger Signs and Compliance with Antenatal Care at Ternate City Health Center Djalinalbun Kalunalr; Sulistiyah Sulistiyah; Tut Rayani Aksohini
Proceeding International Conference Of Innovation Science, Technology, Education, Children And Health Vol. 5 No. 1 (2025): Proceeding of The International Conference of Inovation, Science, Technology, E
Publisher : Program Studi DIII Rekam Medis dan Informasi Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/icistech.v5i1.250

Abstract

Pregnancy is a critical period that begins with conception and lasts until the birth of the fetus, typically lasting about 280 days. Adequate antenatal care (ANC) is essential to ensure the healthy development of the fetus and to identify potential complications early. One of the most important factors contributing to maternal and fetal health is the level of knowledge pregnant women have regarding pregnancy-related danger signs. This study aims to analyze the relationship between pregnant women’s knowledge of pregnancy danger signs and their compliance with attending ANC visits at the Ternate City Health Center. This research employed a qualitative design with a cross-sectional approach to examine the knowledge and compliance of pregnant women within the area. A total sampling technique was used, where the sample size was equivalent to the population size. Data were analyzed using the Chi-square test to determine any significant relationships between the variables. The results of the analysis showed a significant relationship between the pregnant women’s knowledge of pregnancy danger signs and their adherence to ANC visits. The statistical analysis indicated a p-value of 0.003 (p < 0.05), demonstrating a strong correlation between the two factors. This finding highlights the importance of educating pregnant women about the danger signs of pregnancy, as better awareness may lead to higher rates of ANC attendance. Furthermore, the study emphasizes the role of healthcare providers in disseminating critical information to expectant mothers, ensuring they recognize the importance of timely ANC visits. In conclusion, increasing knowledge about pregnancy-related danger signs among pregnant women is crucial for improving maternal health outcomes and promoting better compliance with ANC visits, ultimately leading to healthier pregnancies.
Pregnant Women's Knowledge and Attitudes Towards Antenatal Care (ANC) Services at Siko Public Health Center Eka Lestari Duwila; Sulistiyah Sulistiyah; Reny Retnaningsih
Proceeding International Conference Of Innovation Science, Technology, Education, Children And Health Vol. 5 No. 1 (2025): Proceeding of The International Conference of Inovation, Science, Technology, E
Publisher : Program Studi DIII Rekam Medis dan Informasi Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/icistech.v5i1.251

Abstract

Antenatal care (ANC) is critical for ensuring the health and well-being of pregnant women and their fetuses, particularly in reducing maternal mortality rates, which remain high in Indonesia. One of the contributing factors to this issue is a lack of knowledge and non-compliance with ANC visits. The goal of this study is to examine the knowledge and attitudes of pregnant women towards ANC services at Puskesmas Siko, a health center located in Indonesia. The study used a descriptive quantitative approach with a cross-sectional design. A sample of 34 pregnant women was selected using purposive sampling. A structured questionnaire was administered to assess their knowledge and attitudes regarding ANC services. Data analysis was conducted using the Chi-Square test. The results indicated a significant relationship between pregnant women’s knowledge and their adherence to ANC visits, with a p-value of 0.001 (p < 0.05). Similarly, the study found a significant relationship between the attitudes of pregnant women and their participation in ANC visits, with a p-value of 0.004 (p < 0.05). These findings suggest that pregnant women who possess more knowledge and have a positive attitude toward ANC are more likely to utilize these services. The study highlights the critical role that improving knowledge and attitudes plays in increasing ANC utilization, which is essential for preventing pregnancy-related complications and improving overall maternal health outcomes. Given the significant impact of ANC on reducing maternal and fetal health risks, it is crucial to implement targeted health education programs that aim to enhance pregnant women’s understanding of ANC’s importance and encourage positive attitudes towards attending these visits. The findings from this study call for greater emphasis on health education interventions that can improve the knowledge and attitudes of pregnant women, thereby contributing to a reduction in maternal mortality and improved pregnancy outcomes in the region.
Factors Associated with Giving Formula Milk to Babies Aged Between 0-6 Months Fanimah Hi Yusup; Sulistiyah Sulistiyah; Tut Rayani Aksohini Wijayanti
Proceeding International Conference Of Innovation Science, Technology, Education, Children And Health Vol. 5 No. 1 (2025): Proceeding of The International Conference of Inovation, Science, Technology, E
Publisher : Program Studi DIII Rekam Medis dan Informasi Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/icistech.v5i1.254

Abstract

Low exclusive breastfeeding rates are often linked to the widespread use of formula milk in infants. Formula feeding cannot replace colostrum, the first milk produced after birth, which is crucial for providing infants with essential nutrients and immunity. Without colostrum, infants are at increased risk of developing diarrhea, septicemia, meningitis, and other serious health complications. Additionally, formula milk may lead to protein intolerance, which often results in allergies among infants. This study aims to identify the factors associated with formula feeding in infants aged 0-6 months. The study employed an analytic observational approach with a cross-sectional design, involving 55 mothers with infants aged 0-6 months. Participants were selected using accidental sampling. Data were analyzed using the Chi-square statistical test. The univariate analysis revealed that the majority of respondents (56.4%) had good knowledge of infant feeding practices, while 30.9% had a junior high school education. Most respondents (76.4%) were not employed, and 56.4% of mothers reported giving formula milk to their infants. The bivariate analysis showed a significant relationship between maternal knowledge and formula feeding practices, but no significant relationship was found between the mother's education level or employment status and the use of formula milk. Based on these findings, it is recommended that healthcare workers play a more active role in providing education, information, and motivation to mothers, helping them understand the benefits and advantages of exclusive breastfeeding. By increasing maternal knowledge and addressing misconceptions, healthcare workers can contribute to improving exclusive breastfeeding rates and reducing the unnecessary use of formula feeding.