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Sustainable Midwifery Care (Continuity Of Care) In The Preconception Period in The Working Area Of The Pagambiran Health Center Padang City Yulizawati, Yulizawati; Aprila, Prety Zinta; Intasir, M. Pemberdi
Journal of Midwifery Vol. 9 No. 1 (2024): Published on June 2024
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jom.9.1.52-58.2024

Abstract

Background: Based on World Health Organization (WHO) data in 2021 that Maternal Mortality Rate (MMR) in the world caused by complications pregnancy and childbirth reached 295,000 (810 per day) people. Meanwhile, The maternal mortality rate in Indonesia recorded in the Indonesian health profile in 2021 is 7,389 mothers in West Sumatra Province. The maternal mortality rate also increased from 125 people in 2020 to 193 people in 2021. This phenomenon is not in accordance with Indonesia's Sustainable Development Goals (SDGs), which states that the maternal mortality rate target is a maximum of 70 deaths per 100,000 live births by 2030. So, the implementation of midwifery Continuity of Care (CoC) is very important as promotional and preventive step to prevent mother complication during pregnancy. Purpose: Providing CoC midwifery care to women during the preconception period. Methods: Implementation of midwifery care in a continuity of care manner with assessment according to midwifery science aims to help women solve the problems they face, with various steps consisting of basic data assessment, data interpretation, potential diagnosis, immediate action, drawing up a comprehensive care plan, implementation, and evaluation, as well as recording through SOAP documentation. S (Subjective) O (Objective) A (Assessment) P(Planning). Results: The condition of the 4 clients was obtained with 2 clients, namely Mrs.V 29 years old with a history of 1 eracs and 1 abortion and Mrs. child and wants to get it back. Apart from that, 2 other clients, namely Mrs.C, 28 years old and Mrs.A, 29 years old, have not been successful in getting pregnant till date. Increasing client knowledge in the form of material discussed with interactive discussions using posters, leaflets and educational videos. Conclusion: Regulation of Health Ministry of Indonesia (PMK 21 of 2021) has regulated the implementation of CoC which aims to reduce morbidity and mortality rates for mothers and newborns. Keywords: midwifery, continuity of care, maternal mortality rate.
The Impact of Ice Massage at SP6 and LI4 Point on Labor Pain and Anxiety : a literature review Yulizawati, Yulizawati; Intasir, M. pemberdi
Journal of Midwifery Vol. 9 No. 1 (2024): Published on June 2024
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jom.9.1.121-129.2024

Abstract

Background: A midwife's fundamental care includes lowering anxiety, improving comfort, and managing labor pain. The health of the mother and fetus is adversely affected by some pharmacologic techniques for reducing labor pain. Applying ice massage to acupressure points can have a variety of benefits, including promoting energy flow there and reducing stress and discomfort by activating peripheral nerve receptors. Activating the spleen (SP6) and large intestine (L14) points reduces labor pain and alleviate anxiety. Purpose: The aim of this paper is to review the literature to identify the effect of ice massage on labor pain and anxiety at SP6 and LI4 point. Methods : A narrative review of journal articles was conducted. Databases searched were PubMed and Google Scholar. Search terms used were “ice massage”, “labor pain”, and “anxiety”. Limitations included ‘English language’and ‘published between 2000–2024. Results : Reviewed for this paper were 10 studies that met the inclusion criteria. Results were categorised using thematic analysis. Themes that emerged were labor pain and anxiety and will be explored under these themes. Conclusions : The impact of ice massage on labor discomfort and anxiety has been covered in this review of the research. Most of the research articles that were used to source this review were conducted at SP6 and LI4 stages and published in clinical trials. The results of the study showed that applying ice massage to the LI4 and SP6 sites reduced labor discomfort. A midwife may think about using ice massage as a technique to lessen anxiety. Midwives can utilize the results of this study to manage labor discomfort.
Relaxation Techniques for Advancing Women-Centered Childbirth Care Yulizawati, Yulizawati; Chairani, Yunita; Intasir, M. Pemberdi; Pramawahyudi, Pramawahyudi; Sari, Maharani Permata; Qalbi, Tajri Syayidil
Journal of Midwifery Vol. 10 No. 2 (2025): Published on Desember 2025
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jom.10.2.57-64.2025

Abstract

- Background: Contemporary maternity care emphasizes not only maternal and neonatal safety but also the quality of women’s childbirth experiences. However, increasing medicalization of labor has been associated with diminished maternal autonomy, heightened anxiety, and negative birth experiences. Women-Centered Care (WCC) offers a midwifery-led approach that prioritizes respect, empowerment, partnership, and individualized care. Within this framework, relaxation techniques serve as non-pharmacological strategies to support physiological labor and enhance maternal wellbeing. Objective: This narrative review aims to examine current evidence on relaxation techniques used during labor and their role in reducing pain and anxiety while promoting positive childbirth experiences in alignment with women-centered care principles. Methods: A narrative review of recent literature was conducted using PubMed, Wiley, Cochrane Library, and Google Scholar. Studies published within the last five years were included without restrictions on study design, focusing on relaxation techniques applied during intrapartum care. Results: The findings indicate that various relaxation techniques—including breathing exercises, manual techniques, music therapy, aromatherapy, and hydrotherapy—are effective in alleviating labor pain and anxiety. These interventions support neuroendocrine processes essential for physiological labor, enhance women’s sense of control, and improve overall childbirth satisfaction. Relaxation techniques also reinforce key components of WCC by fostering autonomy, comfort, and active participation in the birthing process. Conclusion: Relaxation techniques are effective, safe, and feasible interventions that support the implementation of women-centered childbirth care. Their integration into intrapartum midwifery practice can enhance maternal wellbeing, promote positive birth experiences, and strengthen respectful and holistic maternity care.
Quality and Women-Centered Care in Comprehensive Abortion Care (CAC) WHO 2024: Literature Review Yulizawati, Yulizawati; Mayasari, Shinta; Yulika, Marzatia; Pramawahyudi, Pramawahyudi; Qalbi, Tajri Syayidil; Intasir, M. Pemberdi
Journal of Midwifery Vol. 10 No. 1 (2025): Published on June 2025
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jom.10.1.71-79.2025

Abstract

Abortion care is an integral component of women's reproductive health services. Comprehensive Abortion Care (CAC), as outlined by the WHO, emphasizes not only clinical safety but also women-centered care that respects women's rights, experiences, and autonomy. This literature review aims to synthesize current evidence on the quality of care and the implementation of women-centered care within CAC services. A literature review was conducted using PubMed and Semantic Scholar, focusing articles published between 2020 and 2025. Fourteen studies meeting the inclusion criteria were analyzed through thematic synthesis. The findings indicate that women's satisfaction with abortion and post-abortion services is strongly influenced by interpersonal aspects of care, including respectful communication, empathy, emotional support, and involvement in decision-making. While many health facilities demonstrate adequate technical quality, gaps persist in the consistent delivery of women-centered care due to system readiness, stigma, legal constraints, and variability in provider attitudes. Evidence from interventional studies suggests that structured person-centered care models can significantly improve women's care experiences. This review highlights that high-quality CAC extends beyond clinical outcomes and requires deliberate integration of women-centered principles into routine practice. Strengthening provider competencies and health system support is essential to ensure equitable, respectful, and meaningful abortion care.
Optimizing Teachers’ HOTS Assessment Competence in Maritime-Based Schools Through Structured Training Intervention Sarkity, Dios; Fernando, Adam; Pratama, Yudi; Intasir, M. Pemberdi; Yunus, Muhammad
Bubungan Tinggi: Jurnal Pengabdian Masyarakat Vol 8, No 1 (2026): FEBRUARY 2026
Publisher : Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/btjpm.v8i1.17409

Abstract

This community service program aimed to improve teachers’ competence in developing Higher Order Thinking Skills (HOTS)-based assessment items integrated with maritime contexts at SMPN 11 Tanjungpinang. The program employed a Participatory Action Research (PAR) approach, emphasizing collaborative problem identification, action, and reflection to ensure alignment with teachers’ real instructional needs. The participants consisted of 24 teachers from various subject areas at a maritime-based junior high school in the Riau Islands. The program was implemented through three structured stages: (1) a needs analysis conducted through interviews and focused group discussions to identify challenges in HOTS-based assessment, (2) a training phase involving conceptual reinforcement of HOTS and 21st-century skills, guided practice in constructing C4–C6 assessment items using maritime-based stimuli, and collaborative review, and (3) a post-implementation stage focusing on evaluation and reflection. Program outcomes were evaluated using pre- and post-tests, a rubric-based HOTS item development task, and a participant satisfaction questionnaire. The results indicated a significant improvement in teachers’ conceptual understanding, with a high N-Gain score (0.76) in the introductory module and moderate gains in subsequent technical modules. Teachers successfully produced high-quality HOTS assessment items that demonstrated strong alignment between learning objectives, cognitive levels, and maritime contextual relevance. Participant responses showed very high satisfaction (93.24%), indicating that the program was relevant, practical, and beneficial for professional development. In conclusion, the PAR-based structured training had a positive impact on strengthening teachers’ HOTS assessment competence in a maritime-based school context. The program also contributed to increased readiness for sustainable implementation of contextualized HOTS-oriented assessment practices, highlighting the importance of continued mentoring and follow-up support.