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All Journal Saintika Medika: Jurnal Ilmu Kesehatan dan Kedokteran Keluarga. Jurnal Kesehatan Hesti Wira Sakti Journal of Islamic Medicine Jurnal Ilmu Kesehatan Journal of Health Promotion and Behavior JURNAL PENDIDIKAN TAMBUSAI Manuju : Malahayati Nursing Journal INTERNATIONAL JOURNAL OF NURSING AND MIDWIFERY SCIENCE (IJNMS) Journal of Issues in Midwifery JURNAL ILMIAH OBSGIN : Jurnal Ilmiah Ilmu Kebidanan & Kandungan Jurnal Ilmiah Manusia dan Kesehatan Jurnal Kebidanan Harapan Ibu Pekalongan Placentum: Jurnal Ilmiah Kesehatan dan Aplikasinya Nutrix Journal Babali Nursing Research Jurnal Kesehatan Tambusai Jurnal Midwifery Jurnal Kesehatan Saintika Meditory Jurnal EduHealth Binawan Student Journal Jurnal Locus Penelitian dan Pengabdian Maternity and Neonatal : Jurnal Kebidanan Jurnal Ilmu Multidisplin International Journal of Medicine and Health Jurnal Riset Rumpun Ilmu Kesehatan (JURRIKES) Jurnal Indonesia Sosial Sains Jurnal Asuhan Ibu dan Anak Jurnal Multidisiplin West Science Health and Technology Journal (HTECHJ) Jurnal Ilmu Kesehatan dan Gizi Jurnal Pengabdian Masyarakat dan Riset Pendidikan Journal of Innovative and Creativity Jurnal Kesehatan Health Dynamics EDUCATIONE: Journal of Education Research and Review International Journal Of Public Health Jurnal Siti Rufaidah Proceeding International Conference Of Innovation Science, Technology, Education, Children And Health Proceeding International Conference Of Innovation Science, Technology, Education, Children And Health
Keswara, Nila Widya
Institut Teknologi Sains Dan Kesehatan RS Dr Soepraoen, Malang, Indonesia
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The Relationship between Age and Knowledge of Breast Care during Pregnancy at PMB Luluk Ester Tiyas, Ani Widianing; Keswara, Nila Widya
Jurnal Midwifery Vol 7 No 2 (2025): AUGUST
Publisher : Prodi Kebidanan Universitas Islam Negeri Alauddin Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24252/jmw.v7i2.58693

Abstract

Breast care during pregnancy is highly recommended. There are many benefits for both pregnant women and their babies. Breast care during pregnancy (trimester 3) increases the production of breast milk needed by newborns. Adequate breast milk maximizes the growth and development of babies and minimizes the occurrence of nutritional deficiencies in children. Because breast milk is the main source needed by babies until the first 6 months of birth. Breast care during pregnancy also minimizes breast swelling due to the presence of breast milk dams in the breasts, this occurs because of blockages in the nipples that are not cleaned and cause mastitis. In this study, a survey was conducted on patients at PMB Luluk Ester. In this study, socialization was also carried out on the importance of breast care during pregnancy. It is hoped that all ages of pregnant mothers can know about how to care for their breasts. From the results of the questionnaire, the p value was obtained as much as 0.000 (p> 0.05). So it can be concluded that there is a relationship between age and knowledge of breast care during pregnancy.
Hubungan Tingkat Pengetahuan Ibu Post Partum Usia Muda dengan Perawatan Luka Perineum di Desa Lembengan – Jember Nisak, Qorina Izzaty Khoirun; Nila Widya Keswara
Jurnal Kebidanan Harapan Ibu Pekalongan Vol. 12 No. 2 (2025): Jurnal Kebidanan Harapan Ibu Pekalongan
Publisher : LPPM Akademi Kebidanan Harapan Ibu Pekalongan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37402/jurbidhip.vol12.iss2.459

Abstract

Because it is prone to a number of issues, including postpartum infection, the postpartum period is an important time. Wounds in the birth canal, which provide the perfect environment for bacteria to flourish, may be the source of this infection. Further difficulties could arise if an infection in the perineal area spreads to the birth canal or urinary system. Perineal wound treatment is therefore crucial. Maternal health may suffer as a result of cultural customs that are inadequate for caring for the perineum and a lack of knowledge about moms throughout the postpartum phase. This study's objective is to determine the degree of perineal wound care knowledge among postpartum women who had a normal delivery. Descriptive study using the successive sampling technique is the methodology employed. Fourteen postpartum moms with a maximum of second-degree perineal lesions made up the sample. According to the findings, four respondents knew enough about perineal wound care, whereas ten respondents knew very little. Therefore, to enhance maternal health following childbirth and lower the risk of infection during the postpartum period, midwives must effectively educate women on how to care for their perineal wounds.
Synbiotic Characteristics of Soy Milk Curd for the Prevention of Pathological Fluor Albus in Female Adolescents Safitri, Rani; Alfitri, Rosyidah; Keswara, Nila Widya
Health Dynamics Vol 2, No 8 (2025): August 2025
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd20802

Abstract

Introduction: Fluor albus is one of the problems that has long been a problem for women. Leucorrhea or Flour Albus is a symptom that most women very often experience. This disorder is the second most common problem after menstrual disorders. Fermentation of milk into milk curd is carried out with the help of lactic acid bacteria, namely Lactobacillus bulgaricus and Streptococcus thermophilus, causing microflora in the intestine. Objective: To identify the relationship between consumption of soy milk containing synbiotics and a decrease in the incidence of pathological fluor albus in adolescent girls. Materials and Methods: The population in this study was all female adolescent  with fluor albus, totaling 218 students. Inclusion Criteria: female Adolescent  aged 14-18 years. The sampling technique in this study was purposive sampling. Results: The results of the analysis showed that there were significant changes in the characteristics of fluor albus in the control group and the intervention group (p = 0.000 <0.05). The mean value ± standard deviation of hemoglobin in the control group (9.86 ± 1.09) and the intervention group (10.80 ± 1.47) also showed a significant difference (p = 0.000 <0.05). The average characteristics of fluor albus in the intervention group were greater than the average characteristics of fluor albus in the control group. This means that the provision of milk curd in the intervention group was able to reduce pathological fluor albus. So, the provision of milk curd has been proven to have an effect on the characteristics of the respondents' fluor albus. Conclusion: This study shows that in the pure population there is a significant difference in the practice of preventing pathological fluor albus in women in the intervention group and the control group after the implementation of the provision of milk curd.
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.
The Relationship Between the Length of Use of Implantable Contraceptives with Changes in Acceptor Weight Dewi Lestari Sayem; Rani Safitri; Nila Widya Keswara
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.v5i1.194

Abstract

Weight gain in contraceptive implant acceptors can have various negative health impacts, including degenerative diseases such as heart disease, hypertension, and a reduced ability to carry out daily activities. This study aimed to examine the relationship between the duration of contraceptive implant use and weight gain among women of reproductive age. A quantitative design with a cross-sectional approach was applied. The study population consisted of all contraceptive implant acceptors registered at the health facility, totaling 74 respondents. The sampling technique used was random sampling to ensure representativeness. The independent variable in this research was the duration of contraceptive implant use, while the dependent variable was weight change. Data were collected using a structured questionnaire, and statistical analysis was performed using the chi-square test. The results revealed a statistically significant relationship between the duration of contraceptive implant use and weight gain among respondents. Specifically, the longer the duration of implant use, the higher the likelihood of experiencing weight gain. This finding supports existing evidence that hormonal contraceptive implants may cause side effects, including increased body weight. If not properly managed, such weight gain can lead to overweight or obesity, conditions that substantially raise the risk of developing metabolic disorders such as diabetes mellitus, as well as cardiovascular diseases including hypertension and coronary heart disease. Based on these results, it is recommended that contraceptive implant users undergo regular weight monitoring to identify changes early. Additionally, health education programs emphasizing balanced nutrition and adequate physical activity should be implemented for women using hormonal contraceptives. Health care providers are encouraged to deliver comprehensive counseling prior to implant insertion, ensuring that potential side effects and preventive measures are clearly explained. Such proactive steps will help women make informed decisions and maintain optimal health while using contraceptive implants.
The Effect of Pineapple Juice (Ananas Comosus) on Dysmenorrhea Pain Siti Maimuna Bin Gani; Rani Safitri; Nila Widya Keswara
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.v5i1.196

Abstract

Menstrual pain, also known as dysmenorrhea, is one of the most common reproductive health problems experienced by adolescent girls. This condition often recurs every month and can interfere with school attendance, concentration, and participation in daily activities. Many individuals choose pharmacological treatments such as analgesics to relieve symptoms. However, excessive use of pain relievers can lead to side effects, prompting interest in non-pharmacological approaches. One such approach is the consumption of pineapple juice, which contains beneficial compounds such as pectin, vitamin C, and the enzyme bromelain. Bromelain has anti-inflammatory properties, aids in muscle relaxation, and improves blood circulation, potentially reducing uterine muscle contractions that cause pain. This study aimed to determine the effect of pineapple juice consumption on reducing menstrual pain among adolescent girls. The research design used was pre-experimental with a pretest–posttest approach. The population included 121 adolescent girls who experienced menstrual pain, and the sample was obtained through accidental sampling. Pain quality was evaluated using observation sheets, while pain intensity was measured with the Numeric Rating Scale (NRS), which has a validity coefficient of r = 0.90 and reliability above 0.95. Before the intervention, the majority of respondents reported a pain intensity score of 6 (46.7%), with a mean score of 5.86. Following the administration of pineapple juice, pain intensity predominantly decreased to a score of 4 (86.6%), with a mean score of 3.06. The Wilcoxon test produced a p-value of 0.000 (<0.05), indicating a statistically significant difference between pre- and post-intervention pain levels. In conclusion, pineapple juice is effective in significantly reducing menstrual pain in adolescent girls. This finding supports its potential as a simple, affordable, and natural alternative to pharmacological treatments. Further research with a control group and larger sample size is recommended to strengthen the evidence.
The Relationship Between Early Marriage and The Incidence of Retained Placenta Rani Safitri; Sulastri Sulastri; Nila Widya Keswara
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.v5i1.200

Abstract

According to the World Health Organization (WHO), in 2015 the global maternal mortality rate (MMR) reached 303,000 deaths. In Indonesia, the MMR for the same year was 305 maternal deaths per 100,000 live births, significantly higher than the national target of 75 per 100,000 live births. The top five causes of maternal death in Indonesia include hemorrhage (30.3%), hypertension in pregnancy (27.1%), infection (7.3%), prolonged labor (1.8%), and abortion (1.6%). One complication that can contribute to maternal morbidity and mortality is placental retention, a condition in which the placenta fails to be delivered within 30 minutes after childbirth. In 2016, 51 cases of placental retention were reported in the study area, raising concerns about its prevalence and contributing factors. This study aimed to determine the relationship between maternal age and the incidence of placental retention. An analytic survey method was applied using secondary data, with a total population of 398 mothers and a sample of 80 respondents selected through purposive sampling. Data analysis employed chi-square testing. The findings revealed that the majority of respondents were not in the at-risk age group (61 respondents or 76.2%), and most did not experience placental retention (64 respondents or 80%). However, statistical analysis demonstrated a significant relationship between maternal age and placental retention, with a p-value of 0.001, indicating that age is a contributing factor. In conclusion, maternal age plays a significant role in the occurrence of placental retention, emphasizing the importance of adequate maternal health education, early antenatal care, and close monitoring during delivery, especially for those in high-risk age categories. Targeted interventions to address age-related risks may help reduce maternal complications and contribute to lowering the maternal mortality rate.
Age Vs Awarness : A Cross-Sectional Insight Into Emesis Gravidarum Among Early Pregnancy Diti Arianti; Nila Widya Keswara; Rosyidah Alfitri
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.v5i1.210

Abstract

Emesis gravidarum (EG) is a common condition experienced by pregnant women, characterized by nausea and vomiting that can negatively impact the health of both the mother and the fetus. Although often considered a normal part of pregnancy, EG can significantly impact a mother's quality of life. Age factors are thought to have an effect on the level of maternal knowledge about this condition, with older mothers tending to have a better understanding than younger mothers. This study used a quantitative design with a cross-sectional approach. A sample of 30 pregnant women in the first trimester was taken using the purposive sampling technique. Data were collected using questionnaires and analyzed using Pearson correlation tests. 60% of respondents were multigravida, and 40% of respondents (100%) were between the ages of 20 and 35. Seventy percent of people throw up more than three times a day. With an average score of 73.40 (on a scale of 50 to 90), Mother's level of knowledge showed variances in comprehension. The normality test revealed that the knowledge and age data were normally distributed. Since there was no discernible association between the mother's age and her degree of knowledge (r = 0.139, p = 0.465) according to the Pearson correlation test, other variables like education and information availability might be more important factors influencing knowledge. The age of the first-trimester pregnant women and their level of EG knowledge did not significantly correlate. Consequently, comprehensive health education is essential to enhance pregnant women's comprehension of EG, irrespective of age considerations.
Papaya Consumption and its Effect on Breast Milk Production in Post Partum Women : Study at Mabu’un Health Centre Rina Lasmilawati; Nila Widya Keswara; Rani Safitri
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.v5i1.211

Abstract

Adequate breast milk production is crucial for the health and development of newborns, yet many postpartum mothers face challenges in breastfeeding. Various factors, such as diet, nutritional status, and stress, can significantly influence milk production. Young papaya is known to contain lactagogum, which can stimulate the hormones prolactin and oxytocin, both of which play a vital role in enhancing breast milk production. This study aimed to examine the effect of young papaya consumption on breast milk production among postpartum women. A quantitative design with a quasi-experimental approach, specifically a post-test control-only group design, was used for this study. The sample consisted of 20 postpartum women, who were divided into two groups: the treatment group (consuming young papaya) and the control group. Data were collected through a questionnaire, and the analysis was conducted using Fisher's exact test with SPSS software. The results revealed that 70% of the mothers experienced smooth breast milk production, with the treatment group (those who consumed young papaya) reporting significantly higher levels of smooth milk production compared to the control group. Fisher's exact test showed a statistically significant association between the consumption of young papaya and the smoothness of breast milk production (p=0.005). In conclusion, the consumption of young papaya has a positive effect on increasing breast milk production in postpartum women. The papain enzyme present in young papaya appears to stimulate the hormones essential for milk production. Therefore, increasing awareness and education about the benefits of young papaya consumption as a lactagogue can play a significant role in supporting successful breastfeeding. Further studies with larger sample sizes are recommended to validate these findings and explore the long-term effects of young papaya consumption on lactation.
Association between Maternal Age and Awarnes of Pregnancy Danger Sign among Pregnant Women : (At the Tapa Health Center, Bone Bolango Regency) Jumratul Aini; Nila Widya Keswara; Rosyidah Alfitri
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.v5i1.212

Abstract

Various factors influence pregnant women's knowledge of pregnancy danger signs, including age, education level, occupation, previous pregnancy experience, socioeconomic status, and access to health information. Insufficient knowledge of these signs, often due to limited access to health services and information, increases the risk of delays in managing pregnancy complications, which can negatively impact both maternal and fetal health. The purpose of this study was to explore the relationship between maternal characteristics, specifically age, and awareness of pregnancy danger signs. This quantitative study employed a correlational approach, using a questionnaire as the data collection tool. The study was conducted at the Tapa Health Center in Bone Bolango Regency, from April to August 2024, with 40 participants included. The Spearman statistical test was used to assess the relationship between maternal characteristics based on age and the knowledge of pregnancy danger signs before and after an intervention. The results showed a significant change in the knowledge levels of pregnant women, with the p-value of 0.852 indicating no direct relationship between maternal age and awareness of pregnancy danger signs. Although a positive change was observed in the knowledge levels after the intervention, the study concluded that there was no significant relationship between maternal age and knowledge of pregnancy danger signs. The findings suggest that while interventions can improve awareness, age alone does not appear to be a significant factor influencing knowledge levels. This highlights the importance of focusing on other factors such as education, health access, and targeted health interventions to enhance maternal awareness of pregnancy risks. Further studies with larger sample sizes and additional variables are recommended to provide a more comprehensive understanding of the factors that influence pregnancy-related knowledge.
Co-Authors ., Sulistiyah Agustin, Selly aksohini, tut rayani Alim, Zainul Ambar Wati, Sri Mahmut Andrio, Prawasti Rahayuningtyas Anik Purwati Anik Sri Purwanti Argyo Demartoto, Argyo Ayunda Aprilia Bayu Budi Laksono Bhisma Murti Cahyaningtyas, Beta Permata Cicik Widayanti Daeri Daeri Damaiyanti, Putri Dewi Lestari Sayem Diajeng Retno Noviyati Dian Rahmatiya Adi Mula Diti Arianti Diyah Amelia Ayu K.D Eka Putri, Lita Immanda Fatmawati, Yuris Firdauziah, Nicky Aurelia Indah Rahmawati Indriarti, Ina Ine Febrianti Suswardani Jannahuthor, Sayyidaty Lailatul Jumratul Aini Kartika, Mahastra Aulya Kartikasari, Ayudina Kartikasari, Tititan Nur Ari Dwi Kerangan, Silvana Maulidianingtiyas, Maulidianingtiyas Maulina, Rifzul Mega Sanjaya Monica Marcelina Kindangen Nicke Arresta Nisak, Qorina Izzaty Khoirun Novi Andani Novi Yuliastuti, Novi Nur Azizah, Karlina Zhelda Nuraini, Ayu Eka Nurjanah Abubakar Nurkhasanah, Riya Ayomi Nurmahidayati, Intan Pitaloka, Riris Dea Pondaag, Olfi Pratiwi Rintang Puspita, Meila Putri Putri Amarela Wardana Putri, Diana Maulidia Anastasya Putri, Vina Della Septiana Agustini Raden Maria Veronika Widiatrilupi Rahmawati, Emilia Rani Safitri Reny Retnaningsih Reny Rosalina, Reny Rina Lasmilawati Rohi, Shelindian Lanesta Roslina Roslina Rosyidah Alfitri Rutiana Rutiana Saha, Regina sanif, dharmawati Sayyidaty Lailatul Jannahuthor Siska Sandra Masulili Siti Maimuna Bin Gani Sri Marliani Dondo Sri Sudharmi Sri Wahyuni Sulastri Sulastri Sulistiyah Sulistyah Sulistyah suoth, yanti maslin Syarifah, Lailatus Tiyas, Ani Widianing Tut Rayani Aksohini Wijayanti Ulfa Sa’idah Umamah Aisyah Umyana . Widia Shofa Ilmiah Winanda, Shanty Windanoraya, Rhisa Windy Indrawaty Pusung Zhafirah, Muti’ah Jihan