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Orchestrating the Six Pillars of Healthcare Transformation to Combat Catastrophic Diseases Suryaningsih Suryaningsih; Astin Nur Hanifah
Health Dynamics Vol 2, No 2s (2025): February 2025 (Special Issue)
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd202s01

Abstract

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Family Empowerment Model Based on Madurese Social and Cultural Structures to Prevent Stunting Suryaningsih Suryaningsih; Fitriah Fitriah; Rodiyatun Rodiyatun; Feftin Hendriyani; Mustofa Haris
Health Dynamics Vol 2, No 2s (2025): February 2025 (Special Issue)
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd202s10

Abstract

Background: Bangkalan district has the highest incidence of stunting in East Java. Various efforts have been made to accelerate the reduction of stunting, but maximum results have not been achieved. This study aimed to determine the impact of family empowerment based on Madura sociocultural structures on the ability to prevent stunting. Methods: This study used a cross-sectional design with a population of families with school-aged children in PAUD, Regency area of Bangkalan, with a sample of 280 individuals drawn by stratified random sampling. Data analysis was performed using SEM. Results: The results showed that the Madurese family culture and social structure were built on religious, kinship, and economic interest indicators. Family empowerment, with aspects of family structural strength, family functioning, and family values, influences the family's ability to prevent growth retardation. Family empowerment in stunting prevention is strongly influenced by the culture and social structure of the Madura family. Indicators of stunting prevention skills include the ability to meet family nutrition, fertility management, growth and development monitoring, personal and environmental hygiene patterns, and family capacity to modify the environment. The more power a family has, the more impact it has on their ability to prevent stunting. Conclusion: Stunting based on Madhura culture can be achieved through the integrative implementation of stunting. Local government organizations involve informal community figures
Case Report pada Primigravida Trimester Iii dengan Kurang Energi Kronik di PMB "S" Klampis Kabupten Bangkalan Anisa' Husnia Rahmawati; Sri Wayanti; Suryaningsih Suryaningsih; Anis Nur Laili
Detector: Jurnal Inovasi Riset Ilmu Kesehatan Vol. 4 No. 3 (2026): Jurnal Inovasi Riset Ilmu Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/detector.v4i3.6733

Abstract

Chronic Energy Deficiency (CED) during pregnancy is a prolonged state of energy and protein insufficiency that increases health risks for both mother and fetus. Monitoring nutritional status alongside continuous antenatal care is essential for comprehensive maternal assessment. This case report aims to describe the assessment, analysis, management, and clinical progress of a third-trimester primigravida with CED using the SOAP approach. The subject was Mrs. L, a 28-year-old G1P0A0 woman at 26–29 weeks of gestation with an initial Mid-Upper Arm Circumference (MUAC) of 21.5 cm, treated at Independent Midwifery Practice (PMB) "S" in Klampis. Data were collected through anamnesis, physical and obstetric examinations, laboratory tests, documentation review, and literature study. Care was provided over three visits on June 25, June 30, and July 3, 2026. Interventions included education on CED and balanced nutrition, supplementary feeding, UHT milk, Fe, Multiple Micronutrient Supplements (MMS), calcium, psychological support, nutritional monitoring, and non-pharmacological management of tingling. Body weight increased from 42 kg to 45.5 kg, while MUAC increased to 22 cm. By the third visit, tingling had subsided, Hb was 11.4 g/dL, urine albumin was negative, and maternal-fetal conditions remained stable. However, as MUAC remained below 23.5 cm, CED was not yet resolved. Continued nutritional monitoring, supplementation, fetal growth assessment, and ANC are recommended until delivery.
Case Report pada Primigravida Trimester III dengan Preeklamsia di PMB “I” Klampis Kabupaten Bangkalan Hendrina Prasistya Maharani; Suryaningsih Suryaningsih; Siti Anisak; Anis Nur Laili
Detector: Jurnal Inovasi Riset Ilmu Kesehatan Vol. 4 No. 3 (2026): Jurnal Inovasi Riset Ilmu Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/detector.v4i3.6735

Abstract

Preeclampsia is a hypertensive disorder of pregnancy that requires continuous maternal and fetal surveillance. In a third-trimester primigravida, the clinical condition may coexist with anxiety related to childbirth, requiring midwifery care that addresses both clinical and psychological needs. This case report aimed to describe SOAP-based midwifery care for a third-trimester primigravida with preeclampsia at PMB “I”, Klampis, Bangkalan Regency. A descriptive single case report was conducted involving Mrs. S, 21 years old, G1P0A0. The initial assessment at 34-35 weeks of gestation showed blood pressure of 140/90 mmHg and a history of urine protein +3. Data were obtained through history taking, vital-sign and obstetric examinations, Mean Arterial Pressure (MAP) and Roll Over Test (ROT), urine protein examination, ultrasonography results, and care documentation. Follow-up was conducted during four visits on June 22, June 30, July 4, and July 6, 2026. Care included education regarding warning signs, rest and nutrition, psychological support, adherence to obstetric review and prescribed therapy, and prenatal yoga and self-hypnosis as complementary interventions. During follow-up, blood pressure ranged from 130-140/90 mmHg, MAP from 103-106 mmHg, and ROT remained 15 mmHg. Urine protein, previously +3, was recorded as negative on July 4 and July 6, 2026. Fetal heart rate remained 135-145 beats/minute with cephalic presentation, while maternal anxiety gradually decreased. SOAP-based care supported systematic longitudinal monitoring, but the observed changes cannot be attributed solely to the complementary interventions because medical follow-up, prescribed treatment, health education, and family support continued throughout the case.
Case Report of a Third-Trimester Primigravida Aged ≤16 Years at PMB “U” Kamal, Bangkalan Regency Cinta Anugerah Ilahi; Suryaningsih Suryaningsih; Sri Wayanti; Rodiyatun Rodiyatun
Jurnal Kesehatan Mitra Sekawan Vol. 3 No. 1 (2026): September
Publisher : Utami Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70963/jkmp.v3i1.906

Abstract

before biological, psychological, and social maturity is fully established. In a third-trimester primigravida, this condition may be accompanied by physical discomfort, anemia, and childbirth-related anxiety, requiring care that extends beyond obstetric surveillance. This case report aimed to describe comprehensive biopsychosocial midwifery care for a 16-year-old third-trimester primigravida at Independent Midwifery Practice “U” in Kamal, Bangkalan Regency. A single-case design with four visits was implemented from March to June 2026. Assessment included history taking, physical and obstetric examinations, hemoglobin measurement, Poedji Rochjati risk scoring, and psychological screening using the Hamilton Anxiety Rating Scale and the Edinburgh Postnatal Depression Scale. At the initial visit, the pregnancy was classified as high risk with a KSPR score of 10, hemoglobin of 10.8 g/dL, moderate anxiety with a HARS score of 21, and a low risk of depression with an EPDS score of 5. Interventions comprised education on pregnancy changes and birth preparedness, iron supplementation and nutritional counseling, deep-breathing relaxation, hypnotherapy with lavender aromatherapy, prenatal yoga, and husband involvement. Throughout follow-up, maternal and fetal conditions remained stable; hemoglobin increased to 13.0 g/dL and anxiety gradually decreased until no anxiety was documented at the final visit, while EPDS remained in the low-risk category. In this case, comprehensive care was accompanied by improved physical and psychological readiness for childbirth.