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Respectful Maternity Care (RMC) from Perspectives of Pregnant Women and Midwives in Independent Midwifery Practices (IMPs) Rika Agustina; Komalasari Komalasari; Yunita Rahma; Juntika Nurikhsan
Indonesian Journal of Global Health Research Vol. 8 No. 3 (2026): 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.v8i3.712

Abstract

RMC and abuse in the delivery room are associated with negative experiences in childbirth and a poor maternal care quality index. Despite many advances in maternal and child health, there are still maternal and infant mortality rates worldwide. SDGs aim to reduce MMR to less than 70 per 100,000 live births by 2030. In Indonesia, the MMR data per 100,000 live births in January 2023 were around 305. This figure ranks Indonesia second in terms of the highest MMR cases in ASEAN. Objective: To explore childbirth readiness in third-trimester pregnant women and to explore the RMC provided by health workers during services. Method: This research design employs a qualitative approach, with 20 pregnant women participating in the focus group discussion (FGD) method and 6 midwives participating in in-depth interviews. The sampling technique is stratified random sampling of 6 midwife areas representing the Pringsewu area. Results: 10 themes and 35 sub-themes were obtained from the midwife's perspective, and 8 themes and 24 sub-themes from the pregnant woman's perspective. Data obtained from quantitative data with questionnaires and qualitative with interviews, indepth interview. RMC from the midwife's perspective are the midwife's authority, documentation, informed consent, referral, midwife's competence, service quality, midwife's experience, care needs, and midwife's responsibility. RMC from the pregnant woman's perspectives includes care according to needs, fairness and no discrimination, the right to information, confidentiality and privacy, protection from physical injury, dignity and respect, not being neglected.
Demonstrasi Pembuatan Pujasera (Puding Jagung Sehat Gembira) sebagai Upaya Perbaikan Gizi Balita Underweight di Wilayah Kerja Puskesmas Ambarawa Komalasari Komalasari; Farenza Mutiara Putri; Shakira Listi Putri Dewani; Neni Listiasari; Apriliana Riwanti Putri
Jurnal Pengabdian Kesehatan Vol 9, No 1 (2026): Jurnal Pengabdian Kesehatan
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat (LPPM) STIKES Cendekia Utama Kudus

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31596/jpk.v9i1.541

Abstract

Permasalahan gizi pada balita, khususnya kasus underweight (berat badan kurang), masih menjadi isu kesehatan masyarakat di berbagai daerah. Untuk mengatasi hal ini, tim pengabdian masyarakat melaksanakan intervensi strategis berupa Program Makanan Tambahan (PMT) berbasis pangan lokal bergizi tinggi. Tujuan kegiatan ini adalah memberikan edukasi gizi serta pembagian PMT guna meningkatkan status gizi balita. Kegiatan dilaksanakan secara partisipatif bersama ibu balita, kader posyandu, dan tokoh masyarakat pada tanggal 3 Juli 2025 di Kecamatan Ambarawa, Pringsewu. Sasaran kegiatan ini adalah seluruh ibu balita dan kader posyandu di wilayah tersebut. Analisis data dilakukan secara deskriptif. Hasil kegiatan menunjukkan adanya peningkatan berat badan pada balita serta peningkatan pemahaman orang tua mengenai pentingnya asupan gizi seimbang. Pengabdian ini tidak hanya berfokus pada aspek medis dan teknis, tetapi juga mengintegrasikan nilai-nilai akhlakul karimah seperti kasih sayang, tanggung jawab sosial, keikhlasan, dan amanah dalam melayani masyarakat. 
Association between preoperative anxiety and postoperative pain intensity among women undergoing cesarean section Komalasari Komalasari; Umi Latifa; Elsy Juni Andri Kariny; Riona Sanjaya
THE JOURNAL OF Mother and Child Health  Concerns Vol. 5 No. 4 (2026): July Edition 2026
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/mchc.v5i4.3698

Abstract

Background: Preoperative anxiety is a common psychological response among women undergoing cesarean section and may increase postoperative pain perception through physiological and psychological stress responses. Identifying the relationship between anxiety and pain is essential for improving perioperative maternal care. Purpose: To determine the relationship between preoperative anxiety levels and postoperative pain intensity among women undergoing cesarean section at RSIA Mutiara Hati. Methods: This quantitative study employed an analytical cross-sectional design. A total of 74 post-cesarean section patients were recruited using purposive sampling. Preoperative anxiety was assessed using the Hamilton Anxiety Rating Scale (HARS), while postoperative pain intensity was measured using the Numeric Rating Scale (NRS). Data were analyzed using descriptive statistics and the Gamma correlation test with a significance level of p < 0.05. Results: Most respondents experienced severe preoperative anxiety (54.1%) and severe postoperative pain (51.4%). Statistical analysis demonstrated a significant relationship between preoperative anxiety and postoperative pain intensity (p = 0.015). Women with higher preoperative anxiety were 4.09 times more likely to experience greater postoperative pain intensity (OR = 4.091; 95% CI = 1.315–12.728). Conclusion: Preoperative anxiety was significantly associated with postoperative pain intensity among women undergoing cesarean section. Early identification and management of anxiety through preoperative education, therapeutic communication, and psychological support may help reduce postoperative pain and improve maternal recovery.