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Irawati Indrianingrum
Universitas Muhammadiyah Kudus
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Effectiveness of optimising fetal positioning and birthing ball on the incidence of perineal tears in labouring mothers Diana Khoirunniza; Nor Asiyah; Irawati Indrianingrum
THE JOURNAL OF Mother and Child Health  Concerns Vol. 4 No. 12 (2026): March Edition
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/mchc.v4i12.2659

Abstract

Background: Perineal tears are one of the complications that often occur in normal childbirth and can cause pain, bleeding, and impaired recovery of postpartum women. Factors that influence the incidence of perineal tears include fetal position, elasticity of perineal tissue, and technique of delivery. Optimising Fetal Positioning (OFP) and the use of Birthing Ball are non-pharmacological interventions that aim to help optimal fetal positioning and improve pelvic mobility during labour. Purpose: This study aims to determine the effectiveness of Optimizing Fetal Positioning and Birthing Ball on the incidence of perineal tears in labouring women. Method: The study used a quasi-experimental design with a relational empirical approach. The study sample was 40 normal labouring women who were divided into two groups, 20 intervention group respondents and 20 control group respondents. Data were collected through observation of intervention implementation and examination of perineal conditions after delivery. Data analysis used the Chi-Square test. Results: The proportion of perineal tears in the intervention group was lower than the control group, but the statistical test results showed no statistically significant relationship (p-value > 0.05). Nevertheless, there was a tendency to decrease the incidence of perineal tears in mothers who received OFP and Birthing Ball interventions. Conclusion: The combination of Optimising Fetal Positioning and Birthing Ball is not statistically effective in reducing the incidence of perineal tears, but has the potential to provide clinical benefits. Suggestion: Future research is recommended to use a larger sample size and control for other confounding factors.
The effectiveness of aloe vera compresses in preventing breast swelling and pain in post-partum Getih Rahmawati; Irawati Indrianingrum; Ummi Kulsum
THE JOURNAL OF Mother and Child Health  Concerns Vol. 4 No. 11 (2026): February Edition
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/mchc.v4i11.2632

Abstract

Background: Breast engorgement occurs due to increased milk production combined with irregular breastfeeding. This can be treated pharmacologically and non-pharmacologically by applying aloe vera compresses. Purpose: To analyse the effectiveness of aloe vera compresses on breast swelling and pain in postpartum mothers. Method: This study uses a quasi-experimental design, specifically a one-group pretest-posttest design. This study involved all patients in Desember 2025 was 104 mothers. The sample size was calculated using the finite population correction formula, resulting in a sample of 50 mothers. The instruments used to obtain research data were the Wong Baker Pain Rating Scale, Six Point Engorgement Scale (SPES), and aloe vera compress SOP. The data were analysed using the Wilcoxon test. Results: The results of the study explained that before the intervention, 32 (64%) respondents showed moderate breast engorgement and 33 (66%) respondents showed mild breast engorgement. Before the intervention, 38 (76%) respondents experienced moderate pain. After receiving the intervention, 37 (74%) respondents experienced mild pain. Conclusion: The results of the study indicate that aloe vera compresses are effective in reducing swelling (p=0.000) and breast pain (p=0.000) in postpartum mothers at Kartini General Hospital in Jepara. Suggestion: Future researchers are also advised to conduct studies by including a control group as a comparison group so that the differences between groups can be clearly distinguished.
Empon Empon Herbal Intake and Increased Breast Milk Production: Konsumsi Jamu Empon-Empon dan Peningkatan Produksi ASI Postpartum Sari, Pramudya Novita; Astuti, Dwi; Indrianingrum, Irawati
Academia Open Vol. 11 No. 1 (2026): June
Publisher : Universitas Muhammadiyah Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21070/acopen.11.2026.13598

Abstract

General Background: Breast milk production during the postpartum period is a critical factor in successful breastfeeding, yet many mothers experience challenges in achieving adequate lactation. Specific Background: Traditional herbal practices such as empon-empon consumption are widely used in Indonesian communities as part of postpartum care, believed to support lactation through bioactive compounds. Knowledge Gap: Previous studies have primarily examined general herbal benefits, with limited contextual evidence on the relationship between empon-empon consumption and breast milk production within independent midwifery practices. Aims: This study aims to analyze changes in breast milk production before and after consuming empon-empon herbal drink among postpartum mothers at PMB Dwi Ningrum, Demak. Results: Using a quasi-experimental one-group pretest–posttest design involving 79 respondents, findings showed an increase in the proportion of mothers with smooth breast milk production from 24.1% before intervention to 60.8% after consumption, with statistically significant differences based on the Wilcoxon test. Novelty: This study provides empirical, context-specific evidence integrating local cultural practices and lactation outcomes within community-based midwifery services. Implications: The findings suggest that empon-empon herbal consumption can be considered as a complementary approach to support lactation, while emphasizing the importance of comprehensive breastfeeding management, including maternal nutrition, psychological condition, and family support. Highlights • Breast milk flow increased substantially after herbal consumption period• Significant statistical difference observed between pretest and posttest conditions• Community-based traditional practices documented within midwifery service context Keywords Postpartum Period; Empon-Empon Herbal Drink; Breast Milk Production; Postpartum Mothers; Pretest Posttest Design
EFEKTIVITAS TERAPI MINDFULNESS DALAM MENINGKATKAN KUALITAS TIDUR IBU NIFAS DI KLINIK SRIKANDI HUSADA Rada Elya Arsya; Dwi Astuti; Irawati Indrianingrum
Nusantara Hasana Journal Vol. 5 No. 12 (2026): Nusantara Hasana Journal, May 2026
Publisher : Yayasan Nusantara Hasana Berdikari

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59003/nhj.v5i12.2083

Abstract

Sleep quality is one of the common problems experienced by postpartum mothers due to physical, hormonal, and psychological changes, as well as adaptation to the new role as a mother. Sleep disturbances during the postpartum period can affect maternal health and the quality of infant care. One of the non-pharmacological interventions that can be used to improve sleep quality is mindfulness therapy. This study aimed to determine the effect of mindfulness therapy on the sleep quality of postpartum mothers. The study used a pre-experimental design with a one-group pretest–posttest approach. The research subjects were postpartum mothers who met the inclusion criteria. The intervention in the form of mindfulness therapy was administered in three sessions over one week according to standard operating procedures. Sleep quality was measured using the pittsburgh sleep quality index (psqi) questionnaire. The pre-test measurement was conducted before the mindfulness intervention, while the post-test measurement was carried out after all intervention sessions had been completed. The results showed that the average psqi score before the intervention was 12.3, indicating poor sleep quality among postpartum mothers. After mindfulness therapy was administered, the average psqi score decreased to 6.4, indicating an improvement in the respondents’ sleep quality. Statistical analysis was conducted to compare psqi scores before and after the intervention. The wilcoxon test results showed a significant difference between pre-test and post-test psqi scores with a p-value < 0.05, indicating that mindfulness therapy had a significant effect on improving postpartum mothers’ sleep quality. Based on these findings, it can be concluded that mindfulness therapy is effective as a non-pharmacological intervention in improving the sleep quality of postpartum mothers and may be considered for implementation in postpartum maternal healthcare services.
Analisis Tingkat Kelelahan Postpartum terhadap Motivasi Pemberian ASI: Analysis of Postpartum Fatigue Levels on Breastfeeding Motivation Hapsari, Elvina Amelia; Indrianingrum, Irawati; Azizah, Noor
Jurnal Abdi Keperawatan dan Kedokteran Vol 5 No 2 (2026): Jurnal Abdi Kesehatan dan Kedokteran
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/jakk.v5i2.191

Abstract

Exclusive breastfeeding is an essential intervention to improve infant health, yet its achievement in many regions remains below established targets. Postpartum mothers frequently experience fatigue resulting from physiological and psychological changes, insufficient rest, and the demands of adapting to a new maternal role, which may affect their motivation to breastfeed. The purpose of this study was to analyze the relationship between postpartum fatigue and breastfeeding motivation among postpartum mothers who attended Srikandi Husada Kudus Clinic. This study employed a cross-sectional design with a quantitative, observational-analytic approach. The sample consisted of postpartum mothers on days 3 to 7 after childbirth, selected purposively based on predetermined inclusion and exclusion criteria. Sample characteristics included age, education level, employment status, type of delivery, parity, and breastfeeding method. The variables analyzed were postpartum fatigue (independent) and breastfeeding motivation (dependent). Data were collected using standardized questionnaires and analyzed using univariate and bivariate methods, including the Spearman Rho test. The findings showed that most postpartum mothers on days 3 to 7 experienced severe postpartum fatigue with relatively low breastfeeding motivation. The results also indicated a tendency that the higher the fatigue experienced by mothers, the lower their motivation to breastfeed, particularly during the early postpartum phase. This study indicates that postpartum fatigue in the early puerperium is closely associated with low maternal motivation to breastfeed. Therefore, early identification of fatigue and optimization of breastfeeding support from the beginning of the postpartum period are necessary to improve breastfeeding success.
RIWAYAT STATUS GIZI IBU HAMIL DENGAN KEJADIAN STUNTING Dwi Astuti; Atun Wigati; Ana Zumratun Nisak; Noor Azizah; Irawati Indrianingrum
Jurnal Ilmu Keperawatan dan Kebidanan Vol 15, No 2 (2024): JURNAL ILMU KEPERAWATAN DAN KEBIDANAN
Publisher : Universitas Muhammadiyah Kudus

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26751/jikk.v15i2.2435

Abstract

Background: The incidence of stunting in infants is currently quite high, the World Health Organization (WHO) estimates the prevalence of stunting worldwide at 22 percent or as many as 149.2 million in 2020. The prevalence of stunting in Indonesia is currently still at 24.4 percent or 5.33 million children under five. Objective: Analyze the relationship between maternal nutritional status during pregnancy to the incidence of stunting at the Pecangaan Health Center, Methods: correlation research with retrospective approach. Purposive sampling technique with 33 stunted mothers and toddlers 2-5 years old at the Pecangaan Health Center. Primary data collection was carried out by measuring the BB and TB of toddlers when checking with a checklist. Results: The incidence of stunting in toddlers is mostly short toddler conditions as much as 22 (66.7%). The nutritional status of mothers during pregnancy is mostly mild emaciation conditions as much as 18 (54.5%). The results of bivariate analysis of maternal nutritional status during pregnancy and the incidence of stunting in toddlers at the Pecangaan Health Center were obtained p (0.001). Conclusion: There is a relationship between the nutritional status of mothers during pregnancy and the incidence of stunting in toddlers at the Pecangaan Jepara. Pregnant women pay more attention to their pregnancy with good nutritional intake and routine pregnancy control
Efektivitas Pemeberian Sari Kacang Hijau Terhadap Peningkatan Kadar Hemoglobin Pada Ibu Hamil Iseh Widyawati; Irawati Indrianingrum; Indah Puspitasari
Cerdika: Jurnal Ilmiah Indonesia Vol. 5 No. 3 (2025): Cerdika: Jurnal Ilmiah Indonesia
Publisher : Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59141/cerdika.v5i3.2573

Abstract

Anemia dapat menyebabkan kekurangan oksigen yang diperlukan untuk fungsi optimal sel dan organ. Gejala anemia antara lain kelelahan, pusing, sesak napas, dan kulit pucat. Pada ibu hamil, anemia berisiko menyebabkan komplikasi serius bagi ibu dan janin, sehingga pemeriksaan dan penanganan yang tepat sangat diperlukan. Pengobatan anemia dapat dilakukan dengan mengonsumsi tablet zat besi atau meningkatkan asupan protein, salah satunya melalui sari kacang hijau. Riset ini bertujuan untuk mengevaluasi efektivitas sari kacang hijau dalam meningkatkan kadar hemoglobin pada ibu hamil. Metode yang digunakan adalah quasi eksperimen dengan desain one group pre-test post-test, melibatkan 30 responden. Analisis dilakukan untuk mengamati perubahan kadar hemoglobin sebelum dan sesudah konsumsi sari kacang hijau serta menilai manfaatnya bagi kesehatan ibu hamil. Sampel yang diikutsertakan diambil melalui teknik purposive sampling. Temuan menunjukkan bahwa sebelum intervensi, 93,3% responden mengalami anemia ringan, sementara 6,7% memiliki kadar hemoglobin normal. Setelah perlakuan, 76,7% responden mencapai kadar hemoglobin normal, sedangkan 23,3% masih mengalami anemia ringan. Hasil uji statistik (p = 0,000) mengonfirmasi perbedaan signifikan sebelum dan setelah perlakuan, sehingga sari kacang hijau terbukti efektif dalam meningkatkan kadar hemoglobin pada ibu hamil dan direkomendasikan sebagai intervensi alami.
EFEKTIFITAS UPRIGHT POSITION DAN SIM POSITION TERHADAP LAMANYA PERSALINAN KALA I FASE AKTIF PADA PRIMIGRAVIDA DI RUMAH SAKIT ISLAM SULTAN HADLIRIN JEPARA Elly Puspaningrum; Nor Asiyah; Irawati Indrianingrum
Jurnal Ilmu Kebidanan dan Kesehatan (Journal of Midwifery Science and Health) Vol. 17 No. 02 (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.v17i02.632

Abstract

Lamanya proses persalinan, khususnya kala I fase aktif, merupakan indikator penting kemajuan persalinan. Fase ini ditandai dengan pembukaan serviks yang cepat, kontraksi uterus kuat dan teratur, serta peningkatan nyeri. Persalinan kala I fase aktif yang berlangsung melebihi batas normal dapat meningkatkan risiko komplikasi bagi ibu dan janin, seperti kelelahan, dehidrasi, infeksi, dan distres janin akibat penurunan aliran darah uteroplasenta.Tujuan penelitian ini bertujuan untuk mengetahui efektivitas upright position dan Sim’s position terhadap lamanya persalinan kala I fase aktif pada ibu primigravida di RSI Sultan Hadlirin Jepara.Metode penelitian menggunakan rancangan quasi eksperimen dengan desain post-test only with control group design. Subjek penelitian dibagi menjadi dua kelompok, yaitu ibu bersalin primigravida yang diberikan upright position dan ibu bersalin primigravida yang diberikan Sim’s position selama kala I fase aktif. Lama persalinan diamati setelah pemberian perlakuan. Pendekatan penelitian menggunakan cross sectional, dengan pengukuran variabel dilakukan satu kali. Analisis bivariat menggunakan uji Mann–Whitney. Hasil uji Mann–Whitney menunjukkan nilai p = 0,000 (<0,05). Kesimpulan Posisi upright dan Sim’s sama-sama efektif dalam membantu memperpendek lama persalinan kala I fase aktif pada ibu primigravida.  
Co-Authors Ana Zumratun Nisak Anis Solikhah Ari Simbara Dhanty Ayunita Mahadhany Diana Khoirunniza Dwi Astuti Dwi Astuti Elly Puspaningrum Fania Nurul Khoirunnisa Fauziyah, Nailatul Getih Rahmawati Hapsari, Elvina Amelia ika tristanti Indah Puspitasari indah puspitasari Indah Puspitasari INDAH PUSPITASARI Iseh Widyawati Islami Islami Julia Winda Sari Kestiowati, Lia Lailatul Farikah Lailatul Farikhah Lailatul Farikhah Muhammad Abdul Rozaq Muhammad Nurul Fadel Noor Azizah Noor Azizah Nor Asiyah Nurul Sa’diyah Rada Elya Arsya Risa Risdiana Rosyida Khusna Sari, Pramudya Novita Tristanti, Ika Ummi Kulsum Ummi Kulsum Wigati, Atun Woro Kasmini Handayani, Oktio Zaenal Fanani