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Maulina, Rifzul
Institut Teknologi Sains Dan Kesehatan RS Dr. Soepraoen Kesdam V/ Brawijaya
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HUBUNGAN KEPATUHAN KONSUMSI TABLET FE DENGAN KEJADIAN ANEMIA PADA IBU HAMIL DI DESA PAGELARAN MALANG Anitawati, Yuyun; Maulina, Rifzul
2-TRIK: TUNAS-TUNAS RISET KESEHATAN Vol 15, No 3 (2025): Juli-September 2025
Publisher : FORUM ILMIAH KESEHATAN

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/2trik15301

Abstract

Iron deficiency anemia in pregnant women remains a global health challenge, with suboptimal supplementation compliance. The aim of this study was to analyze the correlation between pregnant women's adherence to iron tablet consumption and the incidence of anemia in Pagelaran Village, Malang. This study used a cross-sectional design. Thirty-one pregnant women were selected using a purposive sampling technique. Compliance with iron tablet consumption was measured using a Guttman scale questionnaire, while the incidence of anemia was measured using a direct hemoglobin test. A Spearman rank correlation test was then performed. The analysis showed that 54.8% of pregnant women were non-compliant with iron tablet consumption, and 51.6% were anemic. The p-value for the hypothesis test was 0.001, thus interpreting a correlation between adherence to iron tablet consumption and the incidence of anemia in pregnant women. The study concluded that adherence to iron tablet consumption is a determinant of anemia in pregnant women.Keywords: pregnant women; anemia; iron tablet consumption ABSTRAK Anemia defisiensi besi pada ibu hamil tetap menjadi tantangan kesehatan global dengan tingkat kepatuhan suplementasi yang suboptimal. Tujuan penelitian ini adalah menganaisis korelasi antara kepatuhan ibu hamil dalam mengonsumsi tablet besi dengan kejadian anemia di Desa Pagelaran, Malang. Penelitian ini menggunakan rancangan cross-sectional. Subyek penelitian adalah 31 ibu hamil yang dipilih menggunakan teknik purposive sampling. Kepatuhan mengonsumsi tablet besi diukur dengan kuesioner berskala Guttman; sedangkan kejadian anemia diukur dengan pemeriksaan hemoglobin secara langsung. Selanjutnya dilakukan uji korelasi Spearman rank. Hasil analisis menunjukkan bahwa 54,8% ibu hamil tidak patuh memakai tablet besi dan 51,6% ibu hamil mengalami anemia. Nilai p dari uji hipotesis adalah 0,001 sehingga diinterpetasikan bahwa ada korelasi antara kepatuhan mengonsumsi tablet besi dengan kejadian anemia pada ibu hamil. Kesimpulan penelitian menunjukkan bahwa kepatuhan konsumsi tablet besi merupakan penentu kejadian anemia pada ibu hamil.Kata kunci: ibu hamil; anemia; konsumsi tablet besi
Pengaruh Pemberian Daun Kelor Pada Ibu Hamil Terhadap Peningkatan Kadar Hb di UPTD Puskesmas Fiditan Kabupaten Maluku Tenggara Tahun 2025 Hatim, Nelma Bin; Maulina, Rifzul
RIGGS: Journal of Artificial Intelligence and Digital Business Vol. 4 No. 2 (2025): Mei - Juli
Publisher : Prodi Bisnis Digital Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/riggs.v4i2.1576

Abstract

Kehamilan adalah proses alami. Seorang wanita dapat lebih mudah hamil jika organ reproduksinya sehat, telah menstruasi, dan telah berhubungan seks dengan pria yang sehat. Kehamilan umumnya berlangsung selama 280 hari, atau sekitar 40 minggu, yaitu sekitar 9 bulan dan 7 hari (Astuti & Ertina, 2018). Masa kehamilan dibagi menjadi tiga tahap (trimester). Trimester pertama berlangsung sejak sel telur dibuahi hingga usia kehamilan tiga bulan. Trimester kedua dimulai dari bulan keempat hingga bulan keenam, dan trimester ketiga berlangsung dari bulan ketujuh hingga bulan kesembilan (Suherni & Widyaastuti, 2015). Anemia adalah suatu kondisi ketika kadar hemoglobin, nilai hematokrit, dan jumlah sel darah merah lebih rendah dari normal, atau terjadi penurunan signifikan pada jumlah sel darah merah. Tanaman moringa oleifera, yang dikenal sebagai "Pohon Ajaib" kaya akan nutrisi seperti mineral, antioksidan, dan asam lemak serta asam amino yang penting bagi tubuh. Daun kelor dikenal sebagai sumber zat besi yang baik, karena mengandung sekitar 31% kebutuhan zat besi harian dalam setiap 100 gram. Penelitian menunjukkan bahwa pemberian daun kelor kepada ibu hamil dapat membantu meningkatkan kadar hemoglobin mereka. Di UPTD Puskesmas Fiditan, rata-rata kadar hemoglobin sebelum mengonsumsi daun kelor adalah 9,845 g/dL setelah mengonsumsinya.
PENGARUH KOMPRES BAWANG MERAH TERHADAP PERUBAHAN SUHU TUBUH BALITA DI KLASTER 2 PUSKESMAS KETAWANG handayani, lilik; Maulina, Rifzul
Jurnal Kesehatan Tambusai Vol. 6 No. 3 (2025): SEPTEMBER 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jkt.v6i3.47941

Abstract

Bawang merah merupakan salah satu dari banyaknya tanaman keluarga yang memiliki banyak manfaat dimana dalam bawang merah terdapat juga senyawa propil disulfide dan propil metal disulfide yang mudah menguap. Jika digunakan sesuai dosis yang tepat, maka bawang merah mampu sebagai penurun suhu tubuh khususnya pada anak usia 1-5 tahun. Penelitian ini bertujuan untuk mengetahui apakah ada Pengaruh Kompres Bawang Merah Terhadap Perubahan Suhu Tubuh Balita Di Klaster 2 Puskesmas Ketawang. Desain penelitian yang digunakan yaitu Quasi eksperimental (the one group pretest-posttest desaign). Jumlah sampel dalam penelitian ini 15 balita yang mengalami demam sesuai dengan kriteria Inklusi menggunakan purposive sampling. Dari hasil pengolahan data primer dengan menggunakan program software IBM SPSS 24.0 uji statistik Mann Whitney dengan derajat kemaknaan p ≤ 0,05. Didapatkan p value 0,000 yang berarti Ho ditolak dan H1 diterima maka,berarti ada Pengaruh Kompres Bawang Merah Terhadap Perubahan Suhu Tubuh Balita Di Klaster 2 Puskesmas Ketawang. Sehingga terapi bawang merah dapat menjadi sumber alternative non farmakologi yang dapat membantu menurunkan suhu tubuh balita di tempat pelayanan primer.
THE EFFECTIVENESS OF THE ENDORPHIN, OXYTOCIN, AND SUGGESTIVE MASSAGE STIMULATION METHOD ON BREAST MILK PRODUCTION IN POSTPARTUM MOTHERS: IMPLICATIONS FOR MIDWIFERY EDUCATION Kartika, Mahastra Aulya; Maulina, Rifzul; Keswara, Nila Widya
EDUCATIONE Volume 3, Issue 2, July 2025
Publisher : CV. TOTUS TUUS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59397/edu.v3i2.76

Abstract

Breast milk is the optimal source of nutrition for infants, but exclusive breastfeeding rates in Indonesia and globally remain below target, largely due to maternal anxiety, insufficient milk production, and inadequate support systems. Innovative, integrative interventions that address both physiological and psychological barriers are urgently needed to support successful lactation outcomes. This study aimed to evaluate the effectiveness of the Stimulasi Pijat Endorphin, Oksitosin, dan Sugestif (SPEOS) method—an integrative technique combining oxytocin massage, endorphin massage, and positive suggestion—in increasing breast milk production among postpartum mothers at PMB Fatimah Bandungrejosari, Malang. A quasi-experimental posttest-only control group design was implemented, involving 36 postpartum mothers (days 1–40) who were divided equally into intervention and control groups. The intervention group received the SPEOS method (20-minute sessions for nine consecutive days), while the control group received only standard informational leaflets. Data on breast milk production were collected using validated observation sheets and baby scales, and analyzed using univariate and bivariate methods, including the Mann-Whitney test. The findings revealed that 66.7% of mothers in the SPEOS group achieved high breast milk production, compared to just 16.7% in the control group. Statistical analysis confirmed a significant difference between groups (p = 0.002). The SPEOS intervention demonstrated not only physiological benefits, through hormonal stimulation, but also psychological benefits, by improving maternal confidence and emotional well-being. The SPEOS method is an effective, holistic, and easily adopted intervention for enhancing breast milk production in postpartum mothers. Its integrative approach, targeting both hormonal and psychological pathways, makes it suitable for inclusion in maternal health education and practice. This research supports the integration of the SPEOS method into midwifery education and practice as a low-cost, evidence-based strategy to promote exclusive breastfeeding, maternal empowerment, and optimal infant health. The study provides a foundation for further research and broader implementation in diverse healthcare settings. Larger-scale and longer-term studies are recommended to confirm these findings, explore additional maternal and infant health outcomes, and refine SPEOS implementation protocols for various populations.
INTEGRATING DIETARY EDUCATION: STARFRUIT JUICE ON BLOOD PRESSURE IN WOMEN USING INJECTABLE CONTRACEPTIVES Qatrunada, Quds Alifah; Rayani, Tut; Maulina, Rifzul
EDUCATIONE Volume 3, Issue 2, July 2025
Publisher : CV. TOTUS TUUS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59397/edu.v3i2.81

Abstract

The rising prevalence of hypertension among women using three-month injectable contraceptives highlights a fundamental need for safe, effective, and accessible blood pressure management strategies in reproductive health care. This study aimed to evaluate the antihypertensive effect of starfruit (Averrhoa carambola L.) juice among women receiving injectable contraception at PMB Siti Fatimah, Bandungrejosari, Malang. Utilizing a quasi-experimental one-group pretest-posttest design, twenty eligible participants consumed 100 ml of starfruit juice daily for seven days. Blood pressure was measured before and after the intervention using standardized instruments. Results showed a significant reduction in both systolic and diastolic blood pressure in the intervention group (mean reduction: 10/11.11 mmHg), with 77.8% of participants experiencing notable decreases (Wilcoxon p < 0.05), compared to only modest changes in the control group. These findings suggest that regular starfruit juice intake is an effective, natural, non-pharmacological option for managing hypertension, particularly among women at higher risk due to contraceptive use. This research contributes new evidence supporting the integration of dietary and complementary therapies into midwifery education and practice. The results advocate for nutrition counseling as part of family planning services, emphasizing holistic and preventive care. For future research, studies with larger, more diverse samples and longer follow-up periods are recommended to confirm and generalize these findings.
The Effect of Nipple Stimulation on The Duration of The Second Stage of Labor at The Motolohu Health Center UPTD, Pohuwato Regency Pingkan JB Walean; Anik Sri Purwanti; Rifzul Maulina
Proceeding International Conference Of Innovation Science, Technology, Education, Children And Health Vol. 5 No. 1 (2025): Proceeding of The International Conference of Inovation, Science, Technology, E
Publisher : Program Studi DIII Rekam Medis dan Informasi Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/icistech.v5i1.177

Abstract

The labor process in pregnant women can take place with varying times, and several factors can affect the duration of labor, one of which is nipple stimulation. Nipple stimulation is known to stimulate the production of oxytocin which helps accelerate uterine contractions and shorten the duration of labor, especially in the second stage. Therefore, this study aims to determine the effect of nipple stimulation on the duration of second stage labor in women giving birth at the Motolohu Health Center UPTD, Pohuwato Regency. This study aims to determine whether nipple stimulation can affect the duration of second stage labor in women giving birth at the Motolohu Health Center UPTD, Pohuwato Regency. This type of research is quantitative research with an experimental design using a pre-test and post-test approach. The study was conducted on 16 respondents who met the inclusion and exclusion criteria. Nipple stimulation was carried out during the active phase of labor to monitor changes in the duration of second stage labor. Data were analyzed using the Wilcoxon test with a significance level of 0.05. The results showed that after nipple stimulation, there was a significant change in the duration of the second stage of labor in mothers in labor. The p value obtained from the Wilcoxon test was 0.000, which indicated that nipple stimulation had a significant effect on reducing the duration of the second stage of labor. Nipple stimulation can shorten the duration of the second stage of labor in mothers in labor at the Motolohu Health Center UPTD, Pohuwato Regency. This shows that nipple stimulation can be used as an alternative to accelerate the labor process safely and effectively. It is hoped that nipple stimulation can be used as one of the non-pharmacological interventions that are routinely carried out in health facilities as an effort to accelerate the labor process. Further research with larger samples and long-term research is also needed to confirm these results
The Relationship Between Lower Back Pain and Functional Activity in Pregnant Women in The 3rd Trimester at The Paguyaman Community Health Center, Gorontalo Regency Susanti Bioto; Anik Sri Purwanti; Rifzul Maulina
Proceeding International Conference Of Innovation Science, Technology, Education, Children And Health Vol. 5 No. 1 (2025): Proceeding of The International Conference of Inovation, Science, Technology, E
Publisher : Program Studi DIII Rekam Medis dan Informasi Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/icistech.v5i1.178

Abstract

Lower back pain is a common complaint often experienced by pregnant women, especially in the third trimester (TM 3). This condition can affect the functional activities of pregnant women, such as the ability to walk, stand, and perform daily activities. This study aims to determine the relationship between lower back pain and its effect on functional activities in TM 3 pregnant women at the Paguyaman Health Center, Gorontalo Regency. This study aims to identify a significant relationship between the level of lower back pain and disorders in the functional activities of TM 3 pregnant women at the Paguyaman Health Center. This study used an analytical design with a cross-sectional approach. The sample used was 30 pregnant women in the third trimester who experienced lower back pain. Data were collected through a questionnaire to measure the level of lower back pain and its effect on functional activities. Data analysis was carried out using the chi-square test, and the p-value obtained was 0.000. The results of the study showed that there was a very significant relationship between lower back pain and functional activity disorders in pregnant women in the 3rd trimester, with a p-value = 0.000 (<0.05), indicating a strong influence between the two. Lower back pain in pregnant women in the 3rd trimester has a significant effect on functional activity disorders in mothers. This indicates the need for more attention to the treatment of lower back pain to improve the quality of life and mobility of pregnant women. It is recommended for medical personnel to provide education on how to manage lower back pain and techniques that can help pregnant women reduce pain and improve the quality of their functional activities. In addition, pregnant women should be given information about safe physical exercise to help reduce pain and improve mobility.
Exploring 4-7-8 Breathing for Stress Relief and Improved Quality of Life in Chronic and Degenerative Diseases: A Scoping Review Dian Pitaloka Priasmoro; Yuni Asri; Rifzul Maulina
Proceeding International Conference Of Innovation Science, Technology, Education, Children And Health Vol. 5 No. 1 (2025): Proceeding of The International Conference of Inovation, Science, Technology, E
Publisher : Program Studi DIII Rekam Medis dan Informasi Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/icistech.v5i1.190

Abstract

Chronic and degenerative diseases have a profound effect on patients' overall well-being, often accompanied by psychological distress such as anxiety and chronic stress. While pharmacological treatments are commonly used, they may have limitations, including accessibility issues and side effects, which have prompted interest in non-pharmacological interventions. This scoping review aims to systematically map and synthesize the empirical evidence on the physiological and psychological effects of the 4-7-8 breathing technique, a structured slow-breathing method that involves inhaling for 4 seconds, holding the breath for 7 seconds, and exhaling for 8 seconds. The review adhered to PRISMA-ScR guidelines and included 15 studies published between 2013 and 2024. These studies examined diverse populations and employed various methodological approaches. The findings were categorized into five major themes: (1) the 4-7-8 technique's effectiveness in reducing stress and anxiety, (2) improvements in cardiovascular markers such as heart rate variability and blood pressure, (3) its adaptability in both clinical and community-based multimodal interventions, (4) its preventive benefits for healthy individuals, and (5) its impact on parasympathetic activity via vagal pathways, enhancing autonomic regulation and emotional stability. The technique is supported by both theoretical and empirical evidence, positioning it as an accessible, low-cost psychoregulatory intervention. The results suggest that the 4-7-8 breathing technique could play a key role in holistic nursing care, health education, and public health promotion strategies, offering a simple yet effective approach to managing stress, improving mental health, and enhancing cardiovascular health. Future studies could explore long-term benefits and its integration into more diverse health interventions.
The Impact of Maternal Age on the Incidence of Low Birth Weight in Newborns Chrisye Rani Kuheba; Rifzul Maulina; Anik Sri Purwanti
Proceeding International Conference Of Innovation Science, Technology, Education, Children And Health Vol. 5 No. 1 (2025): Proceeding of The International Conference of Inovation, Science, Technology, E
Publisher : Program Studi DIII Rekam Medis dan Informasi Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/icistech.v5i1.216

Abstract

Low birth weight (LBW) is a significant public health problem, with varying prevalence across countries. According to data from the World Health Organization (WHO), approximately 15% of all births worldwide are LBW babies. LBW can be caused by various factors, including maternal health conditions, nutritional status, and environmental factors. One factor that is often overlooked is maternal age during pregnancy. This study aims to explore the relationship between maternal age and the incidence of LBW. Research This study used an observational design with a cross-sectional approach. The sample consisted of 200 pregnant women who gave birth at the Hospital in 2024. Data were collected through medical record data tracing, which included maternal age, infant birth weight, and other risk factors. Statistical analysis was performed using the chi-square test to determine the relationship between maternal age variables and LBW. Results: The results of the analysis showed that 32% of the total babies born had LBW. From the age group under 20 years, the prevalence of LBW reached 15%, while in the age group over 35 years it reached 9%. After conducting the Spearman test in the Halsil test, the significant relationship between maternal age and the incidence of LBW was p (Sig) 0.02 (<0.05). Public health programs should focus more on education and intervention for pregnant women, especially those in their teens and the elderly. This is important to reduce the number of LBW and improve maternal and infant health. In the future, further research is needed to explore other factors that may affect LBW.
The Effect of Bladder Point 23 Acupressure Therapy on Back Pain Intensity in Pregnant Women in the Thirty Trimester Citra Dondo; Rifzul Maulina
Proceeding International Conference Of Innovation Science, Technology, Education, Children And Health Vol. 5 No. 1 (2025): Proceeding of The International Conference of Inovation, Science, Technology, E
Publisher : Program Studi DIII Rekam Medis dan Informasi Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/icistech.v5i1.217

Abstract

Back pain is one of the common complaints experienced by pregnant women, especially in the third trimester. According to data from the World Health Organization (WHO), around 50-70% of pregnant women experience back pain which can affect their quality of life (WHO, 2021). Acupressure therapy, especially at the Blader 23 point, has been known as a non-pharmacological method that can reduce pain. This study aims to analyze the effect of acupressure therapy at the Blader 23 point on the intensity of back pain in pregnant women in the third trimester. Research Methods: The research method used in this study was a pre-experiment with a pre-post group test. The study sample consisted of 20 primigravida pregnant women. Pain intensity was measured using a numeric scale (NRS) before and after the intervention. The data obtained were analyzed using a paired t-test. There was a significant difference in the level of pain in pregnant women in the third trimester between before and after being given acupressure at the Blader 23 point, this was evidenced by the mean value of the pre-test results of 25.5 but the mean value of the post-test results was 23.2. This is reinforced by the results of the t-test obtained t count 7.254. Furthermore, based on the results of the calculation of the level of significance, it shows that the value of
Co-Authors Amalia, Waifti Ambar Wati, Sri Mahmut Anggelina Fernandes 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 Diana Puji Lestari, Diana Puji Eka Putri, Lita Immanda Etni Yeyem Sumaila Evi Nurhidayah Fadya, Bianca Adinda Mustika FAHMI ALFIANI Firda Ponelo Fitrianti Mohune Halwani, Horidatul Hasanah, Siti Imatul Hasriah Hasriah Hatim, Nelma Bin Hetty Johana Sulung Ika Sari Widayanti Imatul Hasanah, Siti Indriati, Ina Intan Ramadani D.P Jeinni G Rotikan 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 Mega Sanjaya Mochammad Bagus Qomaruddin Mokhtar Jamil Nabilla, Anggita Cantika Nariswari, Nuzul Dian Na’ifah, Sinta Lailatul Nila Widya Keswara Ofa, Susanti F. Pinatis, Mersi Anneke Pingkan JB Walean Pondaag, Olfi Puji Lestari, Diana Qatrunada, Quds Alifah Qomariah Khusnul Khotimah Rani Safitri Rayani, Tut Reny Retnaningsih Riski Candra Karisma Saffrilia, Rieza Junava Safitri, Rani Safitri, Windi Sakti, Pika Oktavinny Aulia Samitrawati, Kurnia Sanjang, Meilany Leidy Setiya, Rani Sholihah, Nurul Annisa'un Sinta Lailatul Na’ifah Siwi, Clairine Limpad Rosa Sofyani, Ajeng Ani Soleha, Lailatul Badriatus Solly Aryza Sri Yolanda Daud Sulistiyah sulistiyah Sulistiyah Sulistiyah Susanti Bioto Susilowati Susilowati Syafiatul Maghfiroh tompoliu, Destie N Tut Rayani Aksohini Wijayanti Tut Rayani Aksohini Wijayanti Ursalina, Ajeng Via Veronika, Raden Maria Wenny Diah Kurniasari Widia Shofa Ilmiah Wulandari, Eka Yusnia Yena Novia Puspita Herawati YUNI ASRI YUNI ASRI, YUNI Zaenal Alim Zangga, Mardiana Ina