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Pengaruh Kecemasan Dan Conscientiousness Terhadap Keputusan Penggunaan Kontrasepsi Pada Wanita Usia Subur Rochmawati; Hera Lestari Mikarsa; Ira Puspitawati
IDEA: Jurnal Psikologi Vol. 9 No. 1 (2025): IDEA: Jurnal Psikologi
Publisher : Universitas Darul Ulum

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32492/idea.v9i1.9110

Abstract

Decision making in contraceptive use is influenced by various psychological factors, including anxiety about the negative effects of contraception and individual personality characteristics. This study aims to analyze the effect of anxiety about the negative effects of contraception and the personality dimension of conscientiousness on decision making in contraceptive use in women of childbearing age. The method used in this study is multiple linear regression involving 120 respondents of childbearing age women. Variable measurements were carried out using the Decision Conflict Scale, Generalized Anxiety Disorder-7 (GAD-7), and the conscientiousness dimension of the Big Five Inventory (BFI). The results of the analysis showed that anxiety about the negative effects of contraception had a negative and significant effect on decision making (β = -0.520, p <0.001), while conscientiousness had a positive and significant effect on decision making (β = 0.763, p <0.001). The regression model has an Adjusted R² value of 0.378, which indicates that 37.8% of the variability in contraceptive use decisions can be explained by these two variables. These findings emphasize the importance of managing anxiety and increasing individual awareness in decision-making regarding contraception in order to improve reproductive well-being.
MOTIVASI IBU HAMIL DALAM MELAKUKAN PEMERIKSAAN RUTIN ANTENATAL CARE (ANC) MENGGUNAKAN MOTIVATION FOR HEALTH BEHAVIOR SCALE (MHBS) Rochmawati, Rochmawati; Damayanti, Rini
JKM-Bid: JURNAL KESEHATAN MASYARAKAT KEBIDANAN (The Journal of Public Health Midwifery) Vol. 11 No. 02 (2025): Juni 2025
Publisher : Akademi Kebidanan Harapan Bunda Bima

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71369/wjpb0318

Abstract

Efforts to reduce maternal death rates rely on regular Antenatal Care (ANC) checks, but coverage is still not ideal, especially in places with restricted access. We want to learn more about pregnant women's motivations for getting annual cervical screenings (ANC) and how those motivations relate to sociodemographic variables and compliance rates in this research. The study used a cross-sectional design and a selective sample strategy to choose 128 pregnant women from Bogor Regency. The Motivation for Health Behavior Scale (MHBS), a reliable and effective tool for measuring motivation, was used to assess the following: autonomous motivation, regulated motivation, and amotivation. In terms of autonomous motivation, 54.7% of respondents were very motivated and 68.0% were very unmotivated, according to the results. A substantial association between education level and autonomous motivation was found by correlational analysis (r=0.624, p<0.01), and a high correlation between family support and autonomous motivation was also found (r=0.712, p<0.001). With 82.9% of respondents in this group achieving the suggested visit requirements, there was a significant association between high autonomous motivation and ANC compliance (χ²=18.762, p<0.001). Personalized intervention approaches based on sociodemographic characteristics and dominant motivation dimensions should ideally be the focus of strategies to improve ANC compliance. It is important to consider the involvement of family support systems as catalysts for preventive health behavior change.
SYSTEMATIC LITERATURE REVIEW : RIWAYAT PENYAKIT INFEKSI DAN STUNTING PADA BALITA Rochmawati
Jurnal Ilmu Kebidanan Vol 14 No 1 (2025): Al-Insyirah Midwifery: Jurnal Ilmu Kebidanan (Journal of Midwifery Sciences)
Publisher : Institut Kesehatan dan Teknologi Al Insyirah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35328/kebidanan.v14i1.2861

Abstract

Systematic literature review to analyze the relationship BETWEEN history of infectious diseases AND stunting in toddlers based on the latest scientific evidence. The research methodology used the PRISMA 2020 approach with a systematic search of electronic databases including PubMed/MEDLINE, Scopus, Web of Science, CINAHL, and Google Scholar for the period 2020-2024. Of the 309 articles identified, 15 articles met the inclusion criteria for the final analysis. The synthesis results showed that children with a history of recurrent infections were at 2.8-3.2 times higher risk of stunting than children without a history of infection. The most influential infections include diarrhea and acute respiratory infections (ARI). The underlying biological mechanisms involve malabsorption of nutrients, increased metabolic needs, and decreased food intake. Comprehensive infection prevention and control programs have been shown to reduce the prevalence of stunting by up to 15% within two years. Factors that influence this relationship include socioeconomic status, access to health services, and nutritional status. This review underlines the importance of integrating infection control programs into stunting prevention strategies.
Midwives Readiness Factors in Maintaining Patient Confidentiality in the Digital Medical Record Era Rahayu, Ayu Hendrati; Marlina, Lusi; Rochmawati, Rochmawati
Jurnal Kesehatan Vokasional Vol 10, No 3 (2025): August (In Process)
Publisher : Sekolah Vokasi Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkesvo.108116

Abstract

Background: The digitalization of medical records in healthcare systems created new challenges in maintaining patient information confidentiality, particularly in midwifery practice. The transition from manual to electronic systems required midwives' readiness to understand and implement confidentiality ethics in accordance with digital technology developments.Objective: This research aimed to analyze the factors that influence midwives' readiness in upholding patient confidentiality ethics in the era of medical record digitalization.Methods: The research employed a cross-sectional design with a sample of 150 midwives. Data collection was conducted through structured questionnaires measuring variables of data protection regulation knowledge, digital competence, confidentiality ethics knowledge, and attitudes toward digitalization. Data were analyzed using multiple regression.Results: Regression analysis showed the research model explained 52.9% of variation in midwives' readiness to uphold confidentiality ethics. Three variables had significant influence: knowledge of data protection regulations (coefficient=0.316; p=0.001), digital competence (coefficient=0.131; p=0.001), and knowledge of confidentiality ethics (coefficient=0.084; p=0.027). Attitude toward digitalization did not have a significant effect.Conclusion: Midwives' readiness in upholding patient confidentiality ethics in the digital era was influenced by mastery of data protection regulations, digital competence, and understanding of confidentiality ethics. This research was beneficial for developing strategies to enhance midwives' competencies in facing healthcare system digitalization.
Pengaruh Pendidikan Kesehatan Tentang Pencegahan Preeklamsia Terhadap Self-Awareness Pada Ibu Hamil Alindawati, Rifka; Yuliana Sari, Nina; Rochmawati, Rochmawati
JIDAN: Jurnal Ilmiah Kebidanan Vol. 5 No. 2 (2025): Edisi Juli 2025
Publisher : UNIVERSITAS HAJI SUMATERA UTARA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51771/jidan.v5i2.1482

Abstract

Preeklamsia merupakan komplikasi kehamilan yang berkontribusi signifikan terhadap morbiditas dan mortalitas maternal-perinatal di Indonesia. Penelitian ini bertujuan menganalisis pengaruh pendidikan kesehatan tentang pencegahan preeklamsia terhadap self-awareness pada ibu hamil. Metode yang digunakan adalah kuasi-eksperimental dengan pendekatan pre-test dan post-test pada kelompok intervensi dan kontrol. Sampel penelitian berjumlah 93 ibu hamil trimester kedua dan ketiga yang dipilih melalui purposive sampling. Instrumen penelitian menggunakan Health Self-awareness Questionnaire (HSAQ) yang mengukur empat aspek: pemahaman kondisi kesehatan kehamilan, kesadaran faktor risiko, persepsi tanda dan gejala, serta kesadaran tindakan pencegahan preeklamsia. Intervensi dilaksanakan dalam dua sesi dengan durasi 60 menit per sesi dalam rentang waktu dua minggu. Hasil penelitian menunjukkan peningkatan signifikan skor self-awareness pada kelompok eksperimen (dari 48,54 menjadi 67,09) dan kelompok kontrol (dari 45,32 menjadi 57,74), dengan perbedaan signifikan antara kedua kelompok (p=0,001). Pendidikan kesehatan dengan pendekatan multimodal yang mencakup ceramah, diskusi, dan media visual terbukti efektif meningkatkan self-awareness ibu hamil terhadap preeklamsia, berimplikasi pada peningkatan kemampuan deteksi dini dan pencegahan komplikasi kehamilan.
The Effectiveness of Exclusive Breastfeeding on the Nutritional Status of Infants in Efforts to Prevent Stunting in PMB Bogor Regency Rochmawati, Rochmawati; Kusmintarti, Arini
Poltekita : Jurnal Ilmu Kesehatan Vol. 17 No. 4 (2024): February
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jik.v17i4.2192

Abstract

Breast milk contains all the nutrients needed by the body, evidenced by the results of scientific evidence about the benefits of breast milk for the baby's immune system, growth and development, babies who are not exclusively breastfed have a higher risk of disease. The purpose of the researcher is to discuss further about the effect of exclusive breastfeeding on the nutritional status of infants aged 6 months at PMB Dian Dwi Anggraini, Bogor Regency 2022. The observational research design is analytical, cross-sectional with purposive sample sampling, data analysis comparison of independent variables with dependent variables, with independent T-Test statistical tests. Based on the results of independent T-test analysis in the study, the average body weight of exclusively breastfed infants (6.03 kg) and non-exclusive breastfeeding (5.57 kg) was obtained, while the average body length was obtained from exclusively breastfed infants (59.0 cm) and in non-exclusively breastfed infants (57.92 cm), for nutritional status in exclusively breastfed infants obtained 0.14 (Z score) and Non-exclusive breastfeeding 0.97 (Z score). This shows that exclusive breastfeeding affects the nutritional status of infants who are exclusively breastfed and those who are not exclusively breastfed very significantly with a p-value of > 0.01.
Pengaruh Pijat Oksitosin terhadap Kuantitas ASI pada Ibu Pasca Melahirkan di Rumah Sakit X Hanny Desmiati; Boy S Sabarguna; Nuntarsih Nuntarsih; Mardi Yana; Restu Octasila; Siti Dariyani; Dorsinta Siallagan; Reni Nofita; Widya Tri Hastuti; Rochmawati Rochmawati
JURNAL RISET RUMPUN ILMU KESEHATAN Vol. 4 No. 2 (2025): Agustus : Jurnal Riset Rumpun Ilmu Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jurrikes.v4i2.5497

Abstract

Inadequate breast milk production remains a significant challenge in achieving exclusive breastfeeding success during the postpartum period. This study aimed to analyze the effectiveness of oxytocin massage intervention on breast milk quantity among postpartum mothers at Hospital X. A quasi-experimental design with one-group pretest-posttest approach was employed, involving 17 postpartum mothers who met the inclusion criteria. Data collection utilized demographic questionnaires and measuring instruments to assess milk volume before and after the intervention. Oxytocin massage was performed using back massage technique for 30-60 minutes duration. Statistical analysis employed Wilcoxon signed-rank test due to non-normal data distribution. Results demonstrated significant improvement in milk volume from mean 12.95 ml (pretest) to 50.59 ml (posttest) with p-value 0.000 (p<0.05), indicating statistical significance. The intervention showed substantial effectiveness with approximately 291% increase from baseline condition. These findings suggest that oxytocin massage represents an effective non-pharmacological modality for optimizing lactogenesis through neurohormonal stimulation mechanisms, supporting milk ejection reflex enhancement in postpartum mothers.
Determinan Kehamilan Remaja: Analisis Pengetahuan, Peran Orang Tua, dan Pengaruh Teman Sebaya di Puskesmas Ciseeng Rochmawati Rochmawati; Winnie Tunggal Mutika; Sri Hayuningsih; Ina Sugiharti
Corona: Jurnal Ilmu Kesehatan Umum, Psikolog, Keperawatan dan Kebidanan Vol. 3 No. 4 (2025): Desember : Corona: Jurnal Ilmu Kesehatan Umum, Psikolog, Keperawatan dan Kebida
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/corona.v3i4.1917

Abstract

Indonesia's adolescent pregnancy prevalence necessitates comprehensive determinant identification for evidence-based preventive strategy formulation. This research analyzes correlations between reproductive health knowledge, parental role functioning, and peer influence on teenage pregnancy among female adolescents in Ciseeng Health Center, Bogor Regency, West Java Province. Cross-sectional design employed among 65 adolescents aged 15-19 years during October 2024-January 2025 using stratified random sampling. Data collection utilized validated questionnaires based on WHO Adolescent Sexual and Reproductive Health Indicators, Parental Monitoring and Support Scale, and Peer Pressure Inventory with Cronbach Alpha (α=0.84; 0.81; 0.79). Demographic characteristics showed 60% aged 17-19 years, 40% aged 15-16 years, with 55.4% experienced pregnancy validated through medical records. Univariate analysis identified knowledge deficiency (64.6%), parental dysfunction (63.1%), and high peer influence (66.2%). Chi-Square analysis confirmed associations of low knowledge (p=0.001; OR=3.5; 95% CI=1.8-6.7), inadequate parental roles (p=0.002; OR=3.2; 95% CI=1.6-6.1), and dominant peer influence (p=0.001; OR=3.8; 95% CI=1.9-7.2) with adolescent pregnancy. Multivariate logistic regression identified peer influence as strongest predictor (AOR=3.80; 95% CI=1.67-8.65).
Peningkatan Kesadaran Ibu Hamil untuk Mencegah Kejadian Preeklamsia di Posyandu Dahlia XI Wilayah Kerja Puskesmas Tanjungpura Kabupaten Karawang Rifka Alindawati; Siti Sopiatun; Sri Maryati; Rochmawati Rochmawati
JURNAL PENGABDIAN MASYARAKAT INDONESIA Vol. 4 No. 2 (2025): Juni : Jurnal Pengabdian Masyarakat Indonesia (JPMI)
Publisher : Politeknik Pratama Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jpmi.v4i2.5425

Abstract

Preeclampsia constitutes an obstetric complication with 5.3% prevalence in Indonesia, significantly contributing to maternal mortality rates. Cognitive deficiency among pregnant women regarding preeclampsia risk factors represents a fundamental determinant in primary preventive strategies. This research aimed to optimize awareness and comprehensive knowledge of gravidas concerning preeclampsia through implementation of structured health education programs. Research methodology employed participatory action research involving 13 gravida respondents at Posyandu Dahlia XI, Karawang Regency. Comprehensive educational interventions encompassed interactive counseling, applicative demonstrations, and educational media development. Pre-post test evaluation demonstrated significant escalation of optimal knowledge categories from 38.46% to 84.61% of respondents post-intervention. The program successfully generated behavioral transformation, establishment of sustainable peer support mechanisms, and formation of collective community awareness. Implementation of participatory health education proved effective in cognitive enhancement and gravida awareness toward preeclampsia preventive strategies, resulting in sustainable behavioral modification within maternal communities. This intervention model demonstrates significant potential for replication in similar healthcare settings
The Mediating Role of Midwifery Support in the Association Between Tokophobia and Elective Caesarean Requests Among Primigravida: A Cross-Sectional Study Neneng Siti Lathifah; Nurliyani Nurliyani; Fijri Rachmawati; Rochmawati Rochmawati
Ahmar Metastasis Health Journal Vol. 5 No. 4 (2026): Ahmar Metastasis Health Journal
Publisher : Yayasan Ahmad Mansyur Nasirah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/amhj.v5i4.845

Abstract

Fear of childbirth remains a significant psychological factor influencing delivery mode preferences among first-time pregnant women. This study aimed to examine the direct effect of tokophobia on non-medically indicated caesarean section (CS) requests among primigravidae and to assess the mediating role of midwifery support in this relationship. A cross-sectional design was employed involving 150 third-trimester primigravid women in Bandar Lampung City, selected through multi-stage cluster sampling across eight sub-districts. Tokophobia was measured using a culturally adapted version of the Wijma Delivery Expectancy Questionnaire Version A, while midwifery support was assessed using a researcher-developed instrument. Preferences for CS were collected through a nominal questionnaire. Data were analyzed using structural equation modeling with bootstrapping. The results showed that tokophobia significantly predicted both CS requests and the level of midwifery support. Furthermore, midwifery support significantly mediated the relationship between tokophobia and CS requests. Interestingly, the mediating effect was positive, indicating that supportive approaches lacking structured cognitive components may unintentionally reinforce CS preference among women experiencing fear of childbirth. These findings highlight tokophobia as a key psychological determinant of non-medically indicated CS demand in urban settings. In practice, integrating structured psychoeducational counseling and cognitive reframing techniques into routine antenatal care is crucial. Additionally, midwifery training programs should be strengthened to include evidence-based psychological intervention skills. Early screening for tokophobia, starting from the first trimester, is strongly recommended to help reduce unnecessary caesarean sections and improve maternal health outcomes.
Co-Authors A.Fatimah Jamir Alfida Faqih Alindawati, Rifka Amabel Kyla Charity Ambar Subekti Andi Misna Anggraini Anggraini Anissa Ermasari Anita Deborah Anwar Ari Kurniasih Arini Kusmintarti Arini Kusmintarti Arini Kusmintarti Aulia Wulandari Ayu Hendrati Rahayu Boy S Sabarguna Buka, Sisilia Prima Y. Damai Yanti Daniel Happy Putra Dhea Firanti Adjie Dhea Firanti Adjie Dian Fitri Dinda Pramestya Utami Dwi Puji Astiti Echa Putri Amelia Ekawaty, Retno Ekowati, Erik Elfaristo, Liana Erni Rihyanti Estu Lovita Pembayun Estu Lovita Pembayun Estu Lovita Pembayun Estu Lovita Pembayun Evi Rahayu Fairy Prudencia Fary, Veronica Fijri Rachmawati Gracea Petricka Gracea Petricka Hana Afififah Putri Hanny Desmiati Hanny Yuli Andini Hayuningsih, Sri Hellena Yollanita Hera Lestari Mikarsa Herman Susanto Heti Mulyati Heti Mulyati Ina Sugiharti Ira Puspitawati Johan Harlan Jusuf S. Effendi Karwati Kasyafia Jayanti Kasyafiya Jayanti Kasyafiya Jayanti Kusmintarti, Arini Lara Santi Liana Elfaristo Liana Elfaristo Liana Elfaristo Liana Elfaristo Lina Fitriani Lusi Marlina Lusi Triwahyuni Lutfi Adisti Mardi Yana Marlina, Lusi Mira Fony Juliyanti Neneng Siti Lathifah Nina Herlina Ningsih, Sri Rahayu Nuntarsih Nuntarsih Nur Putri Erdianti Nurliyani Nurliyani Octasila, Restu Olya Lutviati Pembayun, Estu Lovita Petricka, Gracea Prima, Sisilia Pujiati Pujiati Qorry Wahyuni Septica Reni Nofita Retno Ekawaty Rifka Alindawati Rini Damayanti Rini Damayanti Risa Yunani Riza Fachmawati Rona Riasma Oktobriariani Rosdiana Rosdiana Setyawati, Dyah Mieta Siallagan, Dorsinta Sisilia Prima Sisilia Prima Sisilia Prima Y Siti Dariyani Siti Sopiatun Sri Hayungingsih Sri Hayuningsih Sri Hayuningsih Sri Hayuningsih Sri Hayuningsih Sri Hayuningsih Sri Maryati Sri Maryati Sri Mukti Suhartini Sri Nawangsari Sunarsih Sunarsih Supriadi Supriadi Supriadi Supriadi Susiarno, Hadi Veronica Fary Veronica Fary Veronica Fary Veronica Fary Veronika Fary Vita Pratiwi Widjadjakusumah, Tony Widya Tri Hastuti Wina Chairunnisa Winnie Tunggal Mustikha Winnie Tunggal Mutika Yuliana Sari, Nina Zulyani, Febriyanti