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All Journal Indonesian Journal for Health Sciences (IJHS) Health Sciences Journal HEALTHY: Jurnal Inovasi Riset Ilmu Kesehatan SENTRI: Jurnal Riset Ilmiah JUKEJ: Jurnal Kesehatan Jompa
Nur Hidayati
Universitas Muhammadiyah Ponorogo
Aerospace Engineering Humanities Computer Science & IT Economics, Econometrics & Finance Health Professions Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Nursing Public Health Veterinary

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Studi Kasus Faktor Risiko Ketuban Pecah Dini pada Multigravida Aterm di Kabupaten Ponorogo Putri Ardita Sari; Nur Hidayati; Hayun Manudyaning Susilo
SENTRI: Jurnal Riset Ilmiah Vol. 5 No. 8 (2026): SENTRI : Jurnal Riset Ilmiah, Agustus 2026
Publisher : LPPM Institut Pendidikan Nusantara Global

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55681/sentri.v5i8.7025

Abstract

Prelabor rupture of membranes (PROM) remains an obstetric complication that may increase the risk of maternal infection, failed labor progression, operative delivery, and neonatal morbidity. This case study aimed to identify plausible risk factors, describe the clinical pathway, and evaluate referral continuity in a term multigravida in Ponorogo Regency. A descriptive case-study design was applied to a 31-year-old woman, G2P10001, at 39 weeks and 4 days of gestation who received care at an independent midwifery practice in January 2026. Data were obtained from interviews, serial physical examinations, the maternal and child health handbook, antenatal records, a Poedji Rochjati risk score card, an intrapartum observation sheet, and hospital information reported by the patient. The mother completed nine antenatal visits, had a hemoglobin level of 12.9 g/dL and a risk score of 2, and had no history of anemia, reproductive-tract infection, chronic disease, heavy physical activity, or previous PROM. Multigravidity and a seven-year interpregnancy interval were identified as plausible contextual factors, although causality cannot be inferred from a single case. Membrane rupture began before effective labor; the cervix remained at 1 cm with 25% effacement and no adequate progress. The mother was referred, underwent induction, and subsequently delivered by cesarean section. The male newborn cried immediately and had no reported abnormality. Structured screening, prompt recognition of absent labor progress, and timely interfacility referral supported a favorable maternal and neonatal outcome.
Peran Bidan dalam Pendampingan Laktasi pada Ibu Post Partum: Studi Kasus Ny H P1 A1 Menggunakan Pendekatan Manajemen Kebidanan Varney Ririn Ratnasari; Fetty Rosyadi Wachdin; Hayun Manudyaning Susilo; Nur Hidayati
JUKEJ : Jurnal Kesehatan Jompa Vol 5 No 3 (2026): JUKEJ: Jurnal Kesehatan Jompa
Publisher : Yayasan Jompa Research and Development

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57218/jkj.Vol5.Iss3.2769

Abstract

Pendampingan laktasi merupakan salah satu bentuk intervensi kebidanan yang berperan penting dalam meningkatkan keberhasilan pemberian ASI eksklusif pada masa postpartum. Organisasi Kesehatan Dunia merekomendasikan pemberian ASI eksklusif selama enam bulan pertama kehidupan karena terbukti memberikan perlindungan terhadap berbagai penyakit infeksi serta mendukung tumbuh kembang bayi secara optimal (WHO, 2023; Victora et al., 2021). Namun, praktik pemberian ASI eksklusif masih menghadapi berbagai kendala, terutama rendahnya pemahaman ibu mengenai teknik menyusui yang tepat (Odom et al., 2021; Meedya et al., 2020). Penelitian ini bertujuan untuk mengkaji peran bidan dalam memberikan pendampingan laktasi pada ibu postpartum Ny. H P1A1. Penelitian menggunakan pendekatan studi kasus dengan penerapan manajemen kebidanan Varney serta penilaian kemampuan menyusui melalui metode LATCH score dari 5  meningkat menjadi 9 Hasil penelitian menunjukkan adanya peningkatan kemampuan menyusui yang ditandai dengan perbaikan skor LATCH, peningkatan produksi ASI, serta perbaikan kondisi psikologis ibu. Pendampingan yang dilakukan secara berkesinambungan terbukti meningkatkan pemahaman ibu mengenai pemberian ASI.
PENGARUH POLA MAKAN TERHADAP KENAIKAN BERAT BADAN BERLEBIH PADA IBU HAMIL TRIMESTER 3 Ardina Awalun Nikma; Hayun Manudyaning; Nur Hidayati
HEALTHY : Jurnal Inovasi Riset Ilmu Kesehatan Vol. 5 No. 4 (2026)
Publisher : Pusat Pengembangan Pendidikan dan Penelitian Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51878/healthy.v5i4.14741

Abstract

Gestational weight gain exceeding recommended clinical ranges can occur in pregnant women with normal prepregnancy body mass index. This descriptive case report evaluates dietary patterns, excessive gestational weight gain, comprehensive midwifery care, and perinatal outcomes in a term pregnancy in Ponorogo. Clinical data were collected from a 29-year-old multigravida receiving Continuity of Care services at Berkah Prima Medika Clinic. Maternal meal frequency increased from three to five times daily accompanied by routine milk consumption, while portion sizes and energy intake were not measured. Total weight increased from 50 kg to 72 kg at 39 weeks of gestation, showing a 22 kg gain that exceeded the 11.5–16 kg guideline. Midwifery interventions focused on balanced nutritional education, portion regulation, restriction of energy-dense foods, and monitored light physical activity. Spontaneous term delivery occurred at 40 weeks, resulting in a male infant weighing 3,900 g with Apgar scores of 9/10. Early nutritional assessment and serial maternal weight tracking are critical, although direct causality cannot be confirmed from a single clinical report. ABSTRAK Pertambahan berat badan gestasional (gestational weight gain) yang melebihi rentang klinis yang direkomendasikan dapat terjadi pada wanita hamil dengan indeks massa tubuh pranikah/prakehamilan (prepregnancy body mass index) normal. Laporan kasus deskriptif (descriptive case report) ini mengevaluasi pola makan, pertambahan berat badan gestasional berlebih, asuhan kebidanan komprehensif, dan luaran perinatal (perinatal outcomes) pada kehamilan aterm di Ponorogo. Data klinis dikumpulkan dari seorang multigravida berusia 29 tahun yang menerima layanan Continuity of Care di Klinik Berkah Prima Medika. Frekuensi makan ibu meningkat dari tiga menjadi lima kali sehari disertai konsumsi susu secara rutin, sementara ukuran porsi dan asupan energi tidak diukur. Berat badan total meningkat dari 50 kg menjadi 72 kg pada usia kehamilan 39 minggu, menunjukkan kenaikan sebesar 22 kg yang melebihi pedoman 11,5–16 kg. Intervensi kebidanan berfokus pada edukasi nutrisi seimbang, pengaturan porsi, pembatasan makanan padat energi (energy-dense foods), dan pemantauan aktivitas fisik ringan. Persalinan aterm spontan terjadi pada usia 40 minggu, melahirkan bayi laki-laki dengan berat 3.900 g dan skor Apgar (Apgar scores) 9/10. Penilaian nutrisi dini dan pelacakan berat badan ibu secara serial sangat penting dilakukan, meskipun kausalitas langsung tidak dapat dikonfirmasi dari laporan klinis tunggal.  
Co-Authors Andriana Irawati Ardina Awalun Nikma Desi Lestari Eko Galoh Ayuwandari Fetty Rosyadi Wachdin Fetty Rosyadia Wachdin Hayun Manudyaning Hayun Manudyaning Susilo INNA SHOLICHA FITRIANI Lia Windi Inara Mila Sari Agustina Novita Dwi Lestari Putri Ardita Sari Rani Diah Ningsih Ririn Ratnasari Siti Rofina Hamzani