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All Journal Saintika Medika: Jurnal Ilmu Kesehatan dan Kedokteran Keluarga. Jurnal Kesehatan Hesti Wira Sakti Jurnal Kesehatan Vokasional Journal of Islamic Medicine Jurnal Penelitian dan Pengembangan Pelayanan Kesehatan Jurnal Keperawatan Muhammadiyah Amerta Nutrition Manuju : Malahayati Nursing Journal Care : Jurnal Ilmiah Ilmu Kesehatan Journal of Health Sciences 2-TRIK: TUNAS-TUNAS RISET KESEHATAN Jurnal Ilmu Kesehatan Bhakti Husada: Health Sciences Journal Jurnal Ilmiah PANNMED (Pharmacist, Analyst, Nurse, Nutrition, Midwivery, Environment, Dentist) Health Information : Jurnal Penelitian JURNAL ILMIAH OBSGIN : Jurnal Ilmiah Ilmu Kebidanan & Kandungan NURSING UPDATE JURNAL ILMIAH ILMU KEPERAWATAN Jurnal MID-Z (Midwivery Zigot) Jurnal Ilmiah Kebidanan Nutrix Journal Jurnal Kesehatan Tambusai MAHESA : Malahayati Health Student Journal Journal of Public Health Innovation (JPHI) Journal of Nursing Practice and Education Indonesian Journal of Health Community Hospital Majapahit : Jurnal Ilmiah Kesehatan Politeknik Kesehatan Mojokerto Jurnal Ilmu Kebidanan dan Kesehatan Healthy Tadulako Journal (Jurnal Kesehatan Tadulako) Jurnal Fisioterapi dan Ilmu Kesehatan Sisthana (JUFDIKES) Jurnal Locus Penelitian dan Pengabdian Hang Tuah Medical Journal Maternity and Neonatal : Jurnal Kebidanan Jurnal Sehat Indonesia (JUSINDO) SENTRI: Jurnal Riset Ilmiah Jurnal Pengabdian Masyarakat Medika Journal of Artificial Intelligence and Digital Business Jurnal Asuhan Ibu dan Anak Jurnal Multidisiplin West Science Health and Technology Journal (HTECHJ) Jurnal Ilmu Kesehatan dan Gizi Vitamedica: Jurnal Rumpun Kesehatan Umum Journal of Innovative and Creativity Journal Research Midwifery Politeknik Tegal Health Dynamics EDUCATIONE: Journal of Education Research and Review Seroja Husada: Jurnal Kesehatan Masyarakat Jurnal Ners dan Kebidanan (Journal of Ners and Midwifery) Jurnal Siti Rufaidah Jurnal Bioteknologi & Biosains Indonesia (JBBI) Proceeding International Conference Of Innovation Science, Technology, Education, Children And Health Proceeding International Conference Of Innovation Science, Technology, Education, Children And Health Jurnal Bioteknologi & Biosains Indonesia Borneo Nursing Journal
Maulina, Rifzul
Institut Teknologi Sains Dan Kesehatan RS Dr. Soepraoen Kesdam V/ Brawijaya
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The Effect of Endorphin Massage on Reducing Anxiety Levels During the First Stage of Labor Didin Prasetya Cahyaningsih; Rifzul Maulina
Health and Technology Journal (HTechJ) Vol. 4 No. 1 (2026): February 2026
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v4i1.571

Abstract

Anxiety in mothers entering the latent phase of the first stage of labor can arise due to various factors, including psychological conditions, lack of family support, fear of the birthing process, limited information, and physical complaints experienced during labor. One non-pharmacological approach that has the potential to help reduce anxiety is endorphin massage, a massage technique believed to stimulate the release of endorphins, which are natural stress reducers. This study aims to assess the effectiveness of endorphin massage in reducing anxiety levels in pregnant women. The research design used a quantitative descriptive method with a one-group pretest–posttest approach. A total of 25 mothers in the first stage of labor at TPMB Diah Ulul in Probolinggo City were included in the sample. Anxiety levels were measured using the Hamilton Anxiety Rating Scale (HARS) before and after the intervention. Univariate analysis was used to describe the distribution of results, while differences in anxiety scores were tested using the t-test. The results showed a statistically significant decrease in anxiety after endorphin massage (t = 19.5; p < 0.001), with the average HARS score decreasing from 29.9 to 13.9. These findings indicate that endorphin massage is an effective non-pharmacological intervention and can be recommended as a supportive measure to help reduce anxiety in laboring mothers, thereby potentially improving comfort and the quality of the birthing experience.
Pengaruh Woolwich Massage Terhadap Pengeluaran ASI Pada Ibu Post Partum Qomariah Khusnul Khotimah; Rifzul Maulina
Journal of Innovative and Creativity Vol. 5 No. 2 (2025)
Publisher : Fakultas Ilmu Pendidikan Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/joecy.v5i2.1378

Abstract

Postpartum mothers often face challenges in producing sufficient breast milk for their infants, with factors such as stress, muscle tension, and lack of breast care affecting lactation. Woolwich Massage, a technique involving gentle massage around the breast area, is believed to stimulate blood circulation, improve circulation, and provide relaxation, thereby enhancing milk production. This study aims to examine the effect of Woolwich Massage on breast milk production in postpartum mothers. The research utilized an experimental pre-test and post-test design with two groups: an intervention group that received regular Woolwich Massage and a control group that did not receive the intervention. The results showed that the intervention group had a significant increase in breast milk production, with an average increase of 40 ml per session over two weeks, compared to the control group, which showed a smaller increase of 10 ml per session. Statistical analysis using the Wilcoxon Signed Ranks Test revealed significant differences in both groups (p < 0.05). These findings indicate that Woolwich Massage is effective in stimulating blood circulation around the breast and helps increase milk production. Additionally, the relaxation effects of the massage aid in reducing stress, which further supports milk production. This study suggests that Woolwich Massage can be considered an effective non-pharmacological therapy for enhancing breast milk production in postpartum mothers.
Analisa Faktor-Faktor Yang Berkontribusi Terhadap Kenaikan Berat Badan Pada Akseptor KB Suntik 3 Bulan Di Desa Kesilir, Kecamatan Wuluhan Jember Evi Nurhidayah; Rifzul Maulina
Journal of Innovative and Creativity Vol. 5 No. 2 (2025)
Publisher : Fakultas Ilmu Pendidikan Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/joecy.v5i2.1516

Abstract

Introduction: The family planning program can reduce maternal mortality for mothers. The side effects of using 3-month injectable contraceptives are changes in the hormone progesterone or weight gain. The factors that influence weight gain for acceptors who use 3-month injectable birth control are length of use, parity, and physical activity. The purpose of this study is to determine the relationship of factors that contribute to weight gain. Methods: This study used a cross sectional research design. Data collection was carried out using the observation method with a total sample of 20 respondents. Data analysis technique using Chi Square test with p value <0.05. Results: The results of the study using the chi square test showed that the p value of parity was 0.04, the p value of length of use of birth control was 0.4, and the p value of physical activity was 0.01. Conclusion: Parity and physical activity have a significant relationship with the increase in body weight of acceptors who use 3-month injectable family
Hubungan Keikutsertaan Kelas Ibu Hamil Dengan Tingkat Kecemasan Menghadapi Persalinan Pada Ibu Hamil TM 3 Di Wilayah Kerja Puskesmas Sabrang Ika Sari Widayanti; Rifzul Maulina
Journal of Innovative and Creativity Vol. 5 No. 2 (2025)
Publisher : Fakultas Ilmu Pendidikan Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/joecy.v5i2.1728

Abstract

Introduction: Anxiety during pregnancy poses a significant risk to both maternal and infant health. To address this, pregnant women's classes offer a group learning platform focused on various aspects of health during this period, including childbirth, postpartum care, and newborn care. These classes incorporate practical sessions utilizing the KIA Book. This study specifically aimed to determine the relationship between attending these classes and the anxiety levels of pregnant women in their third trimester as they approach labor. Research Methods: This study employed a quantitative analytic survey with a cross-sectional design. Data was collected from 30 respondents using the HARS questionnaire. For analysis, we used SPSS and performed a Chi-Square test, with a p-value of less than 0.05 indicating statistical significance. Research Results: Our research, conducted on the 30 respondents, yielded a p-value of 0.036 from the Chi-Square test, which is less than 0.05. Conclusion: Based on these findings, we conclude that there is a significant relationship between participation in pregnant women's classes and the level of anxiety experienced by third-trimester pregnant women facing labor at the Sabrang Health Center.
Hubungan Pemberian Asi Eksklusif Dengan Status Gizi Bayi Usia 6 Bulan Di Wilayah Kerja Puskesmas Sabrang Wenny Diah Kurniasari; Rifzul Maulina
Journal of Innovative and Creativity Vol. 5 No. 2 (2025)
Publisher : Fakultas Ilmu Pendidikan Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/joecy.v5i2.1784

Abstract

Introduction: Lack of nutrition at an early age can lead to impaired child growth and development. Efforts have been made to overcome nutritional problems, one of which is through exclusive breastfeeding. The study aims to determine the relationship between breastfeeding and the nutritional status of infants aged 6 months in the Sabrang Health Center Working Area. Research Methods: This study used a cross sectional research design, with a sample of 30 babies. Sample. Data research was test used was the chi-square test aimed at finding the correlation of two variables. Research Results: After conducting research conducted on 30 infants, statistical tests using the Chi Square test showed a p value of 0.031 <0.05. Conclusion: So that there is a significant relationship with exclusive breastfeeding with the nutritional status of infants aged 6 months in the Sabrang Health Center Working Area.
PENGARUH SENAM HAMIL TERHADAP NYERI PUNGGUNG PADA IBU HAMIL TRIMESTER III DI RS PERKEBUNAN JEMBER KLINIK SAFITRI, WINDI; Rifzul Maulina
Jurnal Ilmu Kebidanan dan Kesehatan (Journal of Midwifery Science and Health) Vol. 17 No. 01 (2026): Jurnal Ilmu Kebidanan dan Kesehatan (Journal of Midwifery Science and Health)
Publisher : Sekolah Tinggi Ilmu Kesehatan Bakti Utama Pati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52299/jks.v17i01.539

Abstract

Nyeri punggung pada ibu hamil dapat berdampak pada kualitas hidup, aktivitas sehari-hari, hingga kondisi psikologis. Oleh karena itu, diperlukan upaya penanganan non-farmakologis yang aman dan efektif untuk mengurangi keluhan tersebut. Salah satu intervensi yang terbukti bermanfaat adalah senam hamil. Salah satu intervensi yang terbukti bermanfaat meringankan nyeri punggung bawah yaitu senam hamil, karena dalam gerakan senam hamil terdapat gerakan yang memperkuat otot abdomen, sehingga mencegah tegangan yang berlebihan pada ligamen pelvis, yang dapat mengurangi intensitas nyeri pungung bawah. Penelitian ini menggunakan desain pre-eksperimental dengan tipe one group pretest-posttest design. Populasi dalam penelitian ini terdiri dari 35 responden ibu hamil di RS Perkebunan Jember Klinik. Alat ukur yang digunakan penelitian ini adalah Faces Pain Scale. Analisis data yang digunakan adalah Uji Spearman Rank. Berdasarkan hasil penelitian, dapat disimpulkan bahwa adanya pengaruh senam hamil pada nyeri punggung pada ibu hamil trimester III.
Symptoms of Shortness Breath With Cough and The Incidence of Tuberculosis in Indonesia: Analysis of The 2023 Indonesian Health Survey Priasmoro, Dian Pitaloka; Asri, Yuni; Jamil, Mokhtar; Maulina, Rifzul
Jurnal Keperawatan Muhammadiyah Vol 11 No 1 (2026): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jkm.v11i1.28392

Abstract

Background: Tuberculosis (TB) remains a major public health problem, particularly in high-burden countries, where delayed diagnosis contributes to continued transmission. Cough and respiratory symptoms are often the earliest clinical indicators, making them essential for screening and case detection. Objective: This study aimed to analyze the association between cough with shortness of breath and TB diagnosis in Indonesia. Methods: A cross-sectional analysis was conducted using data from 2,435 male and female respondents in the 2023 Indonesia Health Survey. The dependent variable was self-reported TB diagnosis within the past year. Independent variables included age, sex, and occupation. Linear regression was applied with 95% confidence intervals (CI). Results: Of respondents, 41.15% reported TB diagnosis within six months, while 58.85% were diagnosed earlier. Males (60.04%) were more affected. Regression analysis showed a significant association between cough with shortness of breath and TB (Coef. = 0.16; p < 0.001; 95% CI: 0.111–0.208). Conclusion: Cough and respiratory symptoms remain strong predictors of TB, highlighting their importance in early screening and treatment monitoring.
Pengaruh Teknik Abdominal Lifting Terhadap Lama Kala I Fase Aktif Inpartu Primigravida di PMB Yulia Tri Jayanti Turen Malang Hanifatul Hidayah; Raden Maria Veronika Widiatrilupi; Rifzul Maulina
Malahayati Nursing Journal Vol 7, No 7 (2025): Volume 7 Nomor 7 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v7i7.20725

Abstract

ABSTRACT Discomfort due to pain makes mothers feel anxious, which can affect the duration of labor. Many mothers experience significant pain when uterine contractions begin to increase when entering active phase I. One non-pharmacological approach used to overcome this is the abdominal lifting technique. This technique is a method that provides opposing touch to the upper abdomen without applying pressure to the lower back, aims to reduce pressure on the lower back of the mother in labor, and is applied from the beginning of labor to the next phase by utilizing gravity. This study aims to evaluate the impact of the abdominal lifting technique on the duration of active phase I in primigravida inpartu mothers at PMB Yulia Tri Jayanti Turen Malang. The method used in this study was pre-experimental with a static group comparison design. The population in this study was 50 respondents, and the samples that were successfully taken were 44 respondents, who were divided into a treatment group with 22 respondents and a control group also consisting of 22 respondents. The implementation of the abdominal lifting technique was carried out every time contractions occurred for 15 minutes, with the patient lying on their back and their head slightly raised. This study was conducted at PMB Yulia Tri Jayanti - Turen between January and March 2025. The instrument used was a partograph, which was measured starting from opening 4. For data analysis in evaluating differences between groups, the P-value obtained from the Mann-Whitney test showed the results of the study after the application of the abdominal lift technique was 0.001 (p 0.05). The conclusion of this study is that the abdominal lift technique can accelerate labor in active phase I. Keywords: Abdominal Lifting, Labor Pain, Pain  ABSTRAK Ketidaknyamanan akibat rasa sakit membuat ibu merasa cemas, yang dapat memengaruhi durasi persalinan. Banyak ibu mengalami rasa sakit yang signifikan ketika kontraksi rahim mulai meningkat saat memasuki fase I aktif. Salah satu pendekatan non-farmakologis yang digunakan untuk mengatasi hal ini adalah teknik abdominal lifting. Teknik ini merupakan metode yang memberikan sentuhan berlawanan ke arah bagian atas perut tanpa memberikan tekanan ke arah bawah punggung, bertujuan untuk mengurangi tekanan pada punggung bawah ibu yang sedang bersalin, dan diterapkan sejak awal persalinan hingga fase selanjutnya dengan memanfaatkan gaya gravitasi. Penelitian ini bertujuan untuk mengevaluasi dampak teknik abdominal lifting terhadap durasi fase I aktif pada ibu inpartu primigravida di PMB Yulia Tri Jayanti Turen Malang. Metode yang digunakan dalam studi ini adalah pra-eksperimental dengan desain perbandingan kelompok statis. Jumlah populasi dalam studi ini adalah 50 responden, dan sampel yang berhasil diambil sebanyak 44 responden, yang dibagi menjadi kelompok perlakuan dengan 22 responden dan kelompok kontrol juga terdiri dari 22 responden. Pelaksanaan teknik pengangkatan perut dilakukan setiap kali kontraksi terjadi selama 15 menit, dengan pasien berbaring telentang dan kepala sedikit terangkat. Penelitian ini dilakukan di PMB Yulia Tri Jayanti - Turen antara bulan Januari hingga Maret 2025. Instrumen yang digunakan adalah partograf, yang diukur mulai dari pembukaan 4. Untuk analisis data dalam mengevaluasi perbedaan antara kelompok, nilai-P yang diperoleh dari uji Mann-Whitney menunjukkan hasil penelitian setelah penerapan teknik pengangkatan perut adalah 0,001 (p0,05). Kesimpulan dari penelitian ini adalah bahwa teknik pengangkatan perut dapat mempercepat persalinan pada fase I aktif. Kata Kunci: Abdominal Lifting, Persalinan, Kala I Lama
The Effect of Information, Education, and Communication on Compliance with Multiple Micronutrient Supplements Consumption in Pregnant Women Nurul Wahidatil Yusro Islami; Rifzul Maulina
Health and Technology Journal (HTechJ) Vol. 4 No. 2 (2026): April 2026
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v4i2.590

Abstract

Multiple micronutrient supplements (MMS) are widely recommended during pregnancy to prevent anemia and improve maternal nutritional status. Despite their proven benefits, adherence to MMS intake among pregnant women remains suboptimal, contributing to the persistently high prevalence of maternal anemia in many low- and middle-income countries. Effective Information, Education, and Communication (IEC) delivered by health workers may play a crucial role in improving maternal knowledge and adherence to supplementation. This study aimed to examine the association between the quality of IEC provided by health workers and compliance with MMS consumption among pregnant women. A cross-sectional study was conducted involving 30 pregnant women selected through a total sampling method. Data were collected using validated and reliable questionnaires measuring the quality of IEC and adherence to MMS intake. Descriptive statistics were used to summarize participant characteristics, and the association between IEC quality and MMS compliance was analyzed using the Chi-square test. Odds ratios (OR) were calculated to estimate the strength of the relationship. The majority of respondents received high-quality IEC (63.3%), and 66.7% of pregnant women reported compliance with MMS consumption. Statistical analysis revealed a significant association between IEC quality and MMS compliance (p = 0.012). Pregnant women who received high-quality IEC were 10.5 times more likely to adhere to MMS intake compared with those who received poor-quality IEC (OR = 10.5). The quality of Information, Education, and Communication (IEC) significantly influences pregnant women’s compliance with MMS consumption. Strengthening structured, interactive, and continuous IEC during antenatal care is recommended to improve adherence to supplementation and ultimately enhance maternal nutritional outcomes.
The Effect of Lactation Massage on Breast Milk Production in Postpartum Mothers Viky Aulia Restyo; Rifzul Maulina
Health and Technology Journal (HTechJ) Vol. 4 No. 2 (2026): April 2026
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v4i2.591

Abstract

Inadequate breast milk production remains a common challenge among postpartum mothers, often associated with hormonal imbalance, maternal fatigue, and insufficient breast stimulation, which can hinder the achievement of exclusive breastfeeding targets. Despite global recommendations, exclusive breastfeeding rates remain suboptimal, highlighting the need for effective, non-pharmacological interventions. Lactation massage has been proposed as a technique to stimulate oxytocin release and improve the milk ejection reflex. This study aimed to evaluate the effect of lactation massage on breast milk production among postpartum mothers. A quasi-experimental study with a pretest–posttest control group design was conducted involving 20 postpartum mothers selected through purposive sampling. Participants were equally assigned to intervention and control groups. The intervention group received lactation massage for three consecutive days, while the control group received standard postpartum care. Breast milk production was measured by expressed milk volume using a breast pump for 10–15 minutes at 08:00 a.m. daily. Data were analyzed using appropriate statistical tests with a significance level set at p < 0.05. The intervention group demonstrated a significant increase in mean breast milk production, from 45.2 mL at baseline to 77.6 mL post-intervention, with a mean difference of 32.4 mL (p < 0.001). In contrast, the control group showed no statistically significant change (p = 0.214). Between-group analysis revealed a significant difference in posttest milk production (p < 0.001). Lactation massage significantly enhances breast milk production in postpartum mothers. This simple, non-invasive intervention may be integrated into routine postpartum care to support optimal breastfeeding outcomes.
Co-Authors ., Sulistiyah Ainiyah, Anisatul Amalia, Waifti Ambar Wati, Sri Mahmut Anggelina Fernandes Anggie Nur'aini Ramadhani Anik Purwati Anik Sri Purwanti Anik Sri Purwanti Anitawati, Yuyun Asriani M. Djauhar Aura, Annastasya Cece Indrawati Chrisye Rani Kuheba Citra Dondo Clairine Limpad Rosa Siwi Damaiyanti, Putri Dewinta Ristawati Dian Pitaloka Priasmoro, Dian Pitaloka Dian Setyorini Diana Puji Lestari, Diana Puji Didin Prasetya Cahyaningsih Eka Putri, Lita Immanda Etni Yeyem Sumaila Evi Nurhidayah Fadya, Bianca Adinda Mustika FAHMI ALFIANI Firda Ponelo Fitrianti Mohune Halwani, Horidatul Hanifatul Hidayah Hasanah, Siti Imatul Hasriah Hasriah Hatim, Nelma Bin HELEN MARSHANDA Hetty Johana Sulung Ika Sari Widayanti Imatul Hasanah, Siti Indriati, Ina Intan Ramadani D.P Jeinni G Rotikan Karisma, Riski Candra Karlina Miringit, Alfiani Kartika, Mahastra Aulya Kartikasari, Tititan Nur Ari Dwi Kaumpungan, Kristesa Lista Keswara, Nila Keswara, Nila Widya Kurnia, Erisa Vatiatul Kurniawan, Ardhiles Wahyu Lailatul Badriyah Lilik Handayani Listiawati, Anni Marwah Marwah Mega Sanjaya Meilanny G.H Warouw Mira Diadhita Prameswari Mochammad Bagus Qomaruddin Mokhtar Jamil Nabilla, Anggita Cantika Nariswari, Nuzul Dian Na’ifah, Sinta Lailatul Nurul Wahidatil Yusro Islami Ofa, Susanti F. Pinatis, Mersi Anneke Pingkan JB Walean Pondaag, Olfi Puji Lestari, Diana Putri Amarela Wardana Qatrunada, Quds Alifah Qomariah Khusnul Khotimah Raden Maria Veronika Widiatrilupi Rani Safitri Rayani, Tut Reny Retnaningsih Retno Dewi Prisusanti Rianti Rianti Rosidah, Yessa Saffrilia, Rieza Junava Safitri, Windi Sakti, Pika Oktavinny Aulia Samitrawati, Kurnia Sanjang, Meilany Leidy Setiya, Rani Sinta Lailatul Na’ifah Sisca Indah Maharani Siwi, Clairine Limpad Rosa Sofyani, Ajeng Ani Soleha, Lailatul Badriatus Solly Aryza Sri Yolanda Daud Sulistiyah Susanti Bioto Susilowati Susilowati Sutrini Rone Syafiatul Maghfiroh tompoliu, Destie N Tut Rayani Aksohini Wijayanti Tut Rayani Aksohini Wijayanti Ursalina, Ajeng Via Viky Aulia Restyo Wenny Diah Kurniasari Widia Shofa Ilmiah Widia Shofa Ilmiah Wulan Rindiani Husain Wulandari, Eka Yusnia Yena Novia Puspita Herawati Yuni Asri Zaenal Alim Zangga, Mardiana Ina