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All Journal Journal of Midwifery and Nursing Jurnal Ners Jurnal Aisyah : Jurnal Ilmu Kesehatan Science Midwifery Jurnal Pengabdian kepada Masyarakat Nusantara International Journal of Midwifery Research Excellent Midwifery Journal Dinamika Kesehatan: Jurnal Kebidanan dan Keperawatan Indonesian Health Issue Jurnal Sains dan Kesehatan Journal of Maternal and Child Health Science Jurnal Pengabdian Bidan Nasuha Nursing Applied Journal Health Dynamics Keyboard Jurnal Siti Rufaidah KREATIF: Jurnal Pengabdian Masyarakat Nusantara PM360 Derajat
Ingka Kristina Pangaribuan
Prodi Kebidanan Program Sarjana, STIKes Mitra Husada Medan, Medan, Indonesia
Humanities Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Computer Science & IT Decision Sciences, Operations Research & Management Dentistry Economics, Econometrics & Finance Education Engineering Health Professions Immunology & microbiology Industrial & Manufacturing Engineering Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary Other

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Analisis Faktor Risiko Kejadian Persalinan Prematur di RSUP H. Adam Malik Medan Tahun 2025 Sarah Sausan; Ingka Kristina Pangaribuan; Febriana Sari; Friza Novita Situmorang; Ribur Sinaga
Journal of Maternal and Child Health Sciences (JMCHS) Vol 6 No 1 (2026): Journal Of Maternal And Child Health Sciences
Publisher : Poltekkes Kemenkes Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36086/maternalandchild.v6i1.3892

Abstract

Preterm birth is a significant global health issue that severely impacts infant morbidity and mortality. Premature infants face high risks of complications such as respiratory distress syndrome (RDS), sepsis, and neurodevelopmental disorders. Globally, approximately 15 million infants are born preterm annually, with Indonesia ranking fifth in the world at a rate of 15.5%. At RSUP H. Adam Malik, a rising trend was observed from 22.5% in 2021 to 29.15% in 2023. This study aims to analyze maternal factors—specifically maternal age, parity, hemoglobin levels, and blood pressure—influencing the frequency of preterm births at RSUP H. Adam Malik in 2025. This quantitative research utilized a descriptive-analytical approach with a cross-sectional design. The study involved 40 participants selected via purposive sampling from the delivery ward at RSUP H. Adam Malik. Data were collected from primary medical records and analyzed using univariate and bivariate analysis (Chi-Square test). Bivariate analysis revealed that maternal age had a significant influence on preterm birth incidence (p = 0.007 < 0.05). Parity also showed a significant effect (p = 0.018 < 0.05). However, other factors such as maternal education (p = 0.306), occupation (p = 0.264), anemia/hemoglobin levels (p = 0.171), preeclampsia (p = 0.204), and history of abortion (p = 0.258) did not show statistically significant correlations in this study. Maternal age and parity are the primary risk factors for preterm birth at RSUP H. Adam Malik in 2025. These findings emphasize the need for early intervention, improved antenatal monitoring for high-risk ages, and better health education to reduce neonatal mortality rates.
Pemanfaatan Media Digital Oleh Keluarga Dalam Pencegahan Hipertensi Ibu Hamil Neysa Rhatdamy Saragih; Ingka Kristina Pangaribuan; Raina Fadhilah; Syaripah Mutia; Magdalena Barus5
Jurnal Ners Vol. 10 No. 4 (2026)
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i4.61920

Abstract

Latar Belakang: Hipertensi dalam kehamilan dan preeklampsia merupakan penyebab utama kematian maternal yang membutuhkan inovasi edukasi guna mengatasi kelemahan metode konvensional serta meningkatkan keterlibatan keluarga. Penelitian ini bertujuan mengevaluasi dan mensintesis efektivitas pemanfaatan media kesehatan digital oleh keluarga dalam pencegahan dan deteksi dini hipertensi ibu hamil. Metode yang digunakan adalah narrative review terhadap lima jurnal ilmiah (2021–2026) terindeks Sinta hingga Scopus. Hasil sintesis data menunjukkan bahwa edukasi berbasis media digital, seperti aplikasi m-Health (BreatheMama) dan WhatsApp Group (WAG), terbukti signifikan meningkatkan pengetahuan sasaran (p = 0,007) secara lebih masif dibandingkan media leaflet (12,50%). Lebih lanjut, integrasi edukasi digital dengan intervensi non-farmakologis box breathing secara klinis nyata menurunkan rata-rata tekanan darah sistolik sebesar 21 mmHg dan diastolik 9 mmHg, serta berhasil mentransformasi perilaku hidup sehat CERDIK penderita (p = 0,001). Kesimpulan penelitian ini menegaskan bahwa pemanfaatan platform kesehatan digital oleh keluarga sangat efektif sebagai instrumen preventif-promotif mandiri (self-care) dalam menekan risiko komplikasi fatal pada ibu hamil
Continuity of midwifery care for a pregnant woman with moderate hyperemesis gravidarum: A case study Sindi Cantika Sianturi; Nur Azizah; Ingka Kristina Pangaribuan; Eva Ratna Dewi; Elvi Diana
Journal of Midwifery and Nursing Vol. 8 No. 3 (2026): September: Health Science
Publisher : Institute Of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/jmn.v8i3.7388

Abstract

Background: Hyperemesis gravidarum (HG) can cause persistent nausea and vomiting, dehydration, reduced nutritional intake, and impaired maternal well-being. Although continuity of midwifery care is increasingly recommended for comprehensive maternal care, published case reports describing its implementation for moderate HG in Indonesian primary healthcare settings, particularly from pregnancy through childbirth, postpartum, neonatal, and family planning care, remain limited. Objective: This study aimed to describe the implementation and clinical outcomes of continuity of midwifery care for a pregnant woman with moderate hyperemesis gravidarum from pregnancy through family planning services. Methods: A descriptive case study was conducted at Elvi Diana Primary Clinic, Medan, Indonesia, involving a 19-year-old primigravida diagnosed with moderate hyperemesis gravidarum. Midwifery care was provided continuously using Helen Varney’s Seven-Step Midwifery Management Model and documented using the Subjective, Objective, Assessment, and Plan (SOAP) format. The intervention included 10T antenatal care, nutritional counseling, hydration management, dietary modification, iron supplementation, psychological support, ginger-therapy education, intrapartum monitoring, postpartum and neonatal care, breastfeeding support, and postpartum family planning counseling. Clinical outcomes were assessed through interviews, observation, physical examinations, supporting examinations, and documentation review. Results: At the initial antenatal assessment, the client experienced nausea and vomiting 6–8 times/day, decreased appetite, dry lips, coated tongue, and generalized weakness. During follow-up, nausea and vomiting decreased to mild and occasional, appetite and general condition improved, hydration status became adequate, and fetal growth remained appropriate for gestational age. Pregnancy progressed without maternal or fetal complications, followed by spontaneous vaginal birth at term. The newborn had an Apgar score of 10, birth weight of 2,800 g, length of 49 cm, temperature of 36.6°C, heart rate of 92 beats/minute, and respiratory rate of 30 breaths/minute. Postpartum recovery was physiological without signs of infection or abnormal bleeding, and exclusive breastfeeding was established. The mother subsequently initiated a three-month injectable contraceptive method. Conclusion: Continuity of midwifery care, including nutritional, hydration, psychological, antenatal, intrapartum, postpartum, neonatal, and family planning interventions, was associated with progressive improvement in HG symptoms and favorable maternal and neonatal clinical outcomes. This case highlights the potential value of continuous, comprehensive midwifery care for women with moderate hyperemesis gravidarum in primary healthcare settings.
Co-Authors Ade Rachmat Ade Rachmat Ade Rachmat Yudianto Ade rachmat yuliyanto Adi Raja Brando Lubis Amelia Erawaty Siregar Aritonang, Ribur Artika Dinda Sari Asnita Asnita Astaria Br Ginting Damayanty S Debby Mayang Sari Deby Cyntia Yun Deni Roslina Desyandri Desyandri Dewi Maya Sari Dewi Sartika Hutabarat Diana Sandra Dewi Dina Afriani Eka Falentina Tarigan Eka Purnama Sari Elfrida Br Sidauruk Elvi Diana Erin Padilla Siregar Eva Ratna Dewi Faridah Mohd Said Fatimah Nasution Febriana Sari Feny Febrianti Friza Novita Situmorang Friza Novita Situmorang Herna Rinayanti Manurung Hertanta Hertanta Hotna Rohdearni Saragih Ika Damayanti Sipayung Ingati Nduru Jamiah Mutmainah Kiki Miftasari Kismiasih Adethia Lidya Natalia Br Sinuhaji Lisa Erawati Sibarani Lisa Erawati Sibarani Lisa Putri Damanik Lisa Sibarani Magdalena Barus5 Maidah Maidah Markus Doddy Simanjuntak Marlina Lamawati Simbolon Martha Armita Silaban Mesrida Simarmata Nadia Siahaan Neysa Rhatdamy Saragih Ninsah M Putri Sembiring Nova Marianti Purba Nur Azizah Nur Azizah Lubis Ovel Rini Parningotan Simanjuntak Raina Fadhilah Reni Sandriani Retno Wahyuni Riska Susanti Pasaribu Sarah Sausan Sari Nduma Selfi Indah Saputri SINAGA, ROSMANI Sindi Cantika Sianturi Siska Suci Triana Ginting Siti Nurmawan Sinaga Sitti Nurasiyah Sulina Syaripah Mutia Wika Rofianti Wita Nancy Sinaga Yesica Geovany Sianipar