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Midwives' Experiences in Caring for Post-Part Mothers with HIV/AIDS Hasnia Hasnia; Yustika Rahmawati Pratami; Wiwit Vitania; Nasrianti Nasrianti; Fathia Fakhri Inayati Said; Fenska Narly Makualaina
Indonesian Journal of Global Health Research Vol. 8 No. 1 (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.v8i1.697

Abstract

Pregnancy and the postpartum period are periods with a continuous and ongoing risk of HIV/AIDS infection, which are the targets of mother-to-child HIV prevention. Postpartum mothers with HIV positive require special care from health workers, especially midwives who are not only skilled in the technical aspects of patient care, but more than that must have empathy and be skilled in therapeutic communication. The high risk of HIV/AIDS transmission in midwives causes feelings of anxiety and reluctance to provide care to patients. Many health workers experience stress due to work, feelings of anxiety about contracting the disease, feelings of inability to meet job demands or what is expected from the job, which impacts the mental and physical health of midwives, which ultimately impacts the services provided. Objective: To explore the experiences of midwives in caring for postpartum mothers with HIV/AIDS. This type of research is qualitative with an exploratory phenomenological approach. Participants in this study were two midwives who had provided assistance to postpartum mothers with HIV/AIDS. Data collection techniques were observation, interviews, documentation, and triangulation. Data processing was carried out using the Colaizzi approach. The importance of midwives' experience in caring for postpartum mothers with HIV/AIDS will improve the midwives' ability to provide care to postpartum mothers with HIV. The midwives' ability to care for postpartum mothers with HIV/AIDS is also influenced by the midwives' experience in caring for postpartum mothers with HIV/AIDS. Some of the obstacles encountered by midwives in providing care are feelings of anxiety and shame in postpartum mothers that make sufferers disappear and refuse to undergo ANC examinations and refuse treatment. Midwives' hopes in caring for postpartum mothers with HIV/AIDS, postpartum mothers must remain enthusiastic and continue treatment to prolong life and prevent transmission to children, extra support is needed for the mother's psychology, emotional support from health workers and the patient's family. Motivation and deeper support are needed for postpartum mothers with HIV/AIDS in midwife care so that care can be carried out properly without any obstacles.
The role of Midwives in Managing Pregnant Women’s Anxiety Levels during HIV Testing: A Phenomenological Study Hasnia Hasnia; Yustika Rahmawati Pratami; Wiwit Vitania; Tiyan Febriyani Lestari; Nasrianti Nasrianti; Fenska Narly Makualaina
Indonesian Journal of Global Health Research Vol. 8 No. 1 (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.v8i1.698

Abstract

Pregnant women can be at risk of contracting HIV/AIDS because based on age range, the highest number of HIV/AIDS cases are at the age of 25-49 years, and if based on employment status, the second highest number is housewives because... they have had sexual intercourse before, so the risk of infection is high. This study aims to to explore in depth the role of midwives in managing the anxiety levels of pregnant women undergoing HIV tests. The method in this study is a qualitative research type with an exploratory phenomenology approach. Participants in this study were midwives who provided HIV examination services to pregnant women as many as 2 people with the Colaizzi approach. The results found that midwives have an important role in providing services to manage the anxiety levels of pregnant women undergoing HIV tests. Public trust tends to be more towards midwives who have worked for a long time, because they assume that midwives who have worked for a long time have experience, but there are still some mothers who refuse and become Inhibitors then the approach to provide psychological support that can reduce anxiety, shame and fear by providing motivation , deeper support especially family such as husband and parents, so that pregnant women are willing to take an HIV test . It is concluded that there is a relationship between family support and behavior in taking an HIV/AIDS test, because in facing health problems, each individual needs family and motivation from within themselves.
The Effect of Early Breastfeeding Initiation (IMD) on Changes in Blood Pressure of Mothers in Hypertension Eftyaningrum Dwi Wahyu Astutik; Endah Purwanti Handayani; Yustika Rahmawati Pratami; Wiwit Vitania; Arum Surya Utami
Indonesian Journal of Global Health Research Vol. 8 No. 1 (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.v8i1.913

Abstract

Hypertension in pregnancy is one of the reason main maternal morbidity and mortality. Suboptimal treatment can increase risk postpartum complications. Initiation Early Breastfeeding (IMD) is suspected own effect physiological in lower pressure blood through release oxytocin triggers relaxation and vasodilation. However, evidence empirical about the influence of IMD on change pressure blood in the mother giving birth with hypertension Still limited. Analyze influence action Initiation Early Breastfeeding (IMD) against change pressure blood in the mother giving birth with hypertension. Study quasi-experiment with design pretest–posttest control group design conducted on 60 mothers giving birth with hypertension, consisting of from the right IMD group time (n=30) and slow IMD (n=30). The sampling technique used was purposive sampling. Pressure blood systole and diastole are measured before and after IMD action. Normality test use Kolmogorov–Smirnov, and the differences before after analyzed use paired t-test. The right IMD group time show decline significant pressure blood systolic (mean 2.5 mmHg; p=0.000) and diastolic (mean 2.63 mmHg; p=0.001). In the slow IMD group, the decrease pressure blood systolic (0.3 mmHg; p=0.510) and diastolic (1.1 mmHg; p=0.068) were not significant. Correlation test obtained p=0.000 both at pressure blood systole and pressure diastolic blood pressure in the IMD group was correct time. IMD is right time effective lower pressure blood systole and diastole significant in mothers giving birth with hypertension compared to slow IMD. IMD has the potential become safe and beneficial non - pharmacological interventions for stabilization postpartum hemodynamics.
The Effect of Pregnancy Dance on Maternal Mental Health from Pregnancy to the Postpartum Period Wiwit Vitania; Yustika Rahmawati Pratami; Hasnia Hasnia; Bq Safinatunnaja; Nurul Hidayati; Fenska Narly Makualaina
Indonesian Journal of Global Health Research Vol. 8 No. 2 (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.v8i2.1374

Abstract

Maternal mental health from pregnancy to the postpartum period represents a major public health concern with substantial implications for maternal well-being and early child development. Physiological and psychological changes during pregnancy increase vulnerability to anxiety, stress, and depression, particularly in settings with limited access to mental health services. Pregnancy dance has emerged as a non-pharmacological, mind–body intervention that may support maternal psychological well-being. Objective to examine the effect of pregnancy dance on maternal mental health from pregnancy through the postpartum period. A quasi-experimental pretest–posttest design was applied. The study involved 32 pregnant women in the second and third trimesters who participated in a structured pregnancy dance programme conducted 2–3 times per week during pregnancy. The sampling technique used was purposive sampling. Mental health outcomes were assessed using the Edinburgh Postnatal Depression Scale and the Depression Anxiety Stress Scale (DASS-21) at three time points: before the intervention, after the antenatal intervention, and during the postpartum period. Statistical analyses were performed according to data distribution, with a significance level of α = 0.05. Significant reductions in depression, anxiety, and stress scores were observed following the pregnancy dance intervention (p < 0.001). Improvements in mental health were sustained into the postpartum period, with most participants classified as having a low risk of mental health disorders. The greatest reduction was observed in stress scores, followed by anxiety and depression. Pregnancy dance is an effective intervention for improving maternal mental health from pregnancy to the postpartum period. This approach offers a safe, low-cost, and feasible promotive and preventive strategy for integration into comprehensive antenatal care, particularly in areas with limited access to mental health services.
Lived Experiences of Postpartum Mothers after Mastitis Surgery in Breastfeeding and Infant Care: A Qualitative Study Yustika Rahmawati Pratami; Wiwit Vitania; Hasnia Hasnia; Eftyaningrum Dwi Wagyu Astutik; Fenska Narly Makualaina
Indonesian Journal of Global Health Research Vol. 8 No. 2 (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.v8i2.1670

Abstract

The postpartum period after mastitis surgery is a challenging time for mothers, especially in continuing breastfeeding. Understanding mothers' experiences during this phase is crucial for improving the quality of healthcare and support for breastfeeding mothers. Objective to explore in depth the experiences of postpartum mothers after mastitis surgery when caring for their babies. This study employed a qualitative design with a phenomenological approach. Data were collected through in-depth interviews with postpartum mothers who had undergone mastitis surgery. The total number of research participants was two. The data were analyzed using thematic analysis techniques to identify emerging patterns of experience. Researchers found seven main themes that describe the experiences of post-operative post-mastitis mothers in the breastfeeding process. The experiences of postpartum mothers with mastitis after surgery demonstrate complex challenges, but also demonstrate resilience and strong motivation to continue breastfeeding.
Histopathological Test of Placental Tissue to Measure the Effectiveness of Mahkota Dewa Fruit (Phaleria Macrocarpa) in Overcoming Placental Inflammation in Case of Preeclampsia Eftyaningrum Dwi Wahyu Astutik; Wiwit Vitania; Yustika Rahmawati Pratami; Hasnia Hasnia; Lilian Stevanie Verlina Bakarbessy
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.v8i3.1844

Abstract

Preeclampsia is disturbance pregnancy - related hypertension​ close with inflammation placenta, stress oxidative, and damage structure network placenta that has an impact bad to health mother and fetus. Available therapies​ moment This Still focus on control symptoms and not yet in a way specific target mechanism base in the form of inflammation placenta. Fruit The Crown of God (Phaleria macrocarpa) is plant drug original Indonesian containing compound bioactive potential anti-inflammatory, but proof scientific about its effectiveness to inflammation placenta in preeclampsia Still limited. Research objectives This For test effectiveness extract fruit Crown of the Gods in lower inflammation placenta based on description histopathology network placenta in preeclampsia model. Research methods This use design true experimental post-test only control group in mice white female induced pregnancy (Rattus norvegicus) preeclampsia using monosodium glutamate. Subject study shared become six group, namely normal control, control preeclampsia, control nifedipine comparator, as well as three group treatment extract ethanol fruit Crown of the Gods with doses of 180, 360, and 720 mg/ kgBW. Tissue placenta taken after delivery and examination in a way histopathology use coloring hematoxylin -eosin with infiltration parameters cell inflammation, edema, necrosis, degeneration trophoblast, and cell structure. Data were analyzed using one ANOVA test direction and Tukey's further test. The results of the study show that induction preeclampsia cause improvement inflammation real placenta, whereas​ giving extract fruit Crown of the Gods in a way significant lower degrees inflammation placenta. Dose 360 mg/ kgBW show effectiveness best with description histopathology that approaches normal conditions. It was concluded that fruit The Crown of God is proven effective lower degrees damage histopathological placenta in a way significant in the preeclampsia model.
Co-Authors abdullah, vera iriani Adhar Arifuddin Alesya Vebriani Ancelince Agapa Ancelince Agapa Anice Mallo Anice Mallo aprilia daundi Arieska, Risa Ariyanto D Saputra Arum Surya Utami Arvia Arvia Astutik, Eftya Ningrum Dwi Wahyu Astutuik, Eftyaningrum Dwi Wahyu Bq Safinatunnaja Demetaouw, Novalin Dewi Simanjuntak Dinge, Fenny Dionesia Pri Utami Dolvy, Dolly Eftyaningrum Dwi Astutik Eftyaningrum Dwi Astutik Eftyaningrum Dwi Wagyu Astutik Eftyaningrum Dwi Wahyu Astutik Eftyaningrum Dwi Wahyu Astutik Emeliana Amyol Emeliana Amyol emira telenggen Endah P. Handayani endah purwanit handayani Endah Purwanti Endah Purwanti Handayani Endah Purwanti Handayani Fakhri Inayati Said, Fathia Fathia Fakhri Inayati Said febriani gea Fenny Dinge Fenska Narly Makualaina Fetty Satu Ryan Utami Harlinda W. Putri Harlinda Widia Putri Harlinda Widia Putri Hasnia hasnia Hasnia Hasnia Hasnia Hasnia hasnia, Hasnia Hidayanti Arifuddin Inggrid Priskilia Itlay, Ona Jenny F Wally Jenny F. Wally Keryn Amanda Palino Keryn Amanda Palino lili jenni suebu Lilian Stevanie Verlina Bakarbessy Makualaina, Fenska Narly mansawan, frida Nadia Dude Nadia Dude nasrianti Nasrianti Nasrianti Nasrianti, Nasrianti Nopeliana, Nopeliana Nosti Wetapo Nosti Wetapo Nurhidayah Amir Nurhijrahen, Pranita Kartika Candra Nurhilmi, Nurhilmi Nurul Hidayati Paisal, Fitrah Ivana Palino, Keryn Amanda Pranita Kartika Candra Nurhijrahaeni Pranita Kartika Candra Nurhijraheni Putri, Herlinda W. Rahmawati, Yustika Rasumawati, Rasumawati Senita Karoba Senita Karoba Silpa Daap Silpa Daap Siti Saldianti Siti Saldianti Sobolim, Heni SUSI LESTARI Susi Lestari Susi Lestari Tiyan F. Lestari Tiyan Febriyani Lestari Tiyan Febriyani Lestari Utami, Arum Vika Anggraeni Wahyuni, Ike Sri Wandik, Temide Welmince Kwano Welmince Kwano Yuliana Antoneta Apaseray Yuliana Antoneta Apaseray Yuliana Yuliana Yuliandary Yunus yuliani, vini Yurida Awairaro Yurida Awairaro Yustika R. Pratami Yustika Rahmawati Pratami Yustika Rahmawti Pratami