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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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Faktor-Faktor yang Mempengaruhi Kejadian Stunting di Desa Sukowiryo Wilayah Kerja Puskesmas Jelbuk Kabupaten Jember Puspita, Meila Putri; Keswara, Nila Widya
Jurnal Ilmiah Manusia Dan Kesehatan Vol. 9 No. 1 (2026): Jurnal Ilmiah MANUSIA DAN KESEHATAN
Publisher : FAKULTAS ILMU KESEHATAN UNIVERSITAS MUHAMMADIYAH PAREPARE

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31850/makes.v9i1.4207

Abstract

Stunting is a chronic nutritional problem that has a long-term impact on children's growth and development, and is a priority for health programmes in Indonesia. Sukowiryo Village, which is part of the Jelbuk Community Health Centre's working area in Jember Regency, still has cases of stunting among toddlers, which are thought to be influenced by multidimensional factors such as maternal education, family income, exclusive breastfeeding, the quality of complementary foods, history of infection, and environmental sanitation conditions. This study aims to identify the factors that influence the incidence of stunting and determine the dominant factors in Sukowiryo Village. The study uses an observational analytical design with a cross-sectional approach. The study population consists of all toddlers aged 24–59 months residing in the village, and the sample was determined through total sampling of 30 toddlers. The dependent variable was the incidence of stunting. The independent variables included maternal education, family income, exclusive breastfeeding, quality of complementary foods, history of infection, and environmental sanitation. Data were collected through questionnaires, anthropometric measurements, and verification of maternal and child health (MCH) cards. Analysis was performed using the Chi-Square test for bivariate relationships and logistic regression for multivariate analysis. The results of the study indicate that maternal education, family income, exclusive breastfeeding, quality of complementary feeding, history of infection, and environmental sanitation are significantly associated with stunting (p
Pengaruh Senam Hamil Yoga Butterfly terhadap Intensitas Nyeri Punggung pada Ibu Hamil Trimester Tiga Umamah Aisyah; Nila Widya Keswara
JURNAL RISET RUMPUN ILMU KESEHATAN Vol. 5 No. 1 (2026): April: Jurnal Riset Rumpun Ilmu Kesehatan
Publisher : Pusat riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jurrikes.v5i1.7615

Abstract

During gravidity, back pain is a significant issue, especially due to changes in posture along with increasing physical load in the third trimester. Muscle relaxation and stretching exercises for pregnant women can help reduce back pain, one of which is the butterfly exercise. That study aims until determine the impact to the butterfly activity on gravidity in their third trimester at TPMB Amilia Intarti Klampisrejo, Pasuruan Regency. A quantitative method was used with a quasi-experimental approach employing a one-group pre-test also post-test design. The study involved 32 third-trimester gravidity as respondents. Data were collected using purposive sampling, before-and-after measurements, and assessed with the Numeric Rating Scale (NRS). The intervention be carried out over a period of four weeks. The findings show that the butterfly pregnancy exercise effectively reduces back pain in third-trimester gravid. Therefore, the butterfly exercise can serve as an alternative method to help alleviate back pain and enhance comfort during pregnancy.
The Impact of Parity on Pariental Rupture Incidence Among Delivering Mothers at Clinic Alya Medica Maulidianingtiyas, Maulidianingtiyas; Keswara, Nila Widya
Jurnal Indonesia Sosial Sains Vol. 7 No. 1 (2026): Jurnal Indonesia Sosial Sains
Publisher : CV. Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59141/jiss.v7i1.2221

Abstract

Childbirth is the process of expelling the products of conception through the birth canal or with medical assistance. Vaginal delivery may result in perineal rupture due to tearing of the birth canal tissues, which can contribute to maternal morbidity and increase the risk of maternal mortality. Several factors are associated with the occurrence of perineal rupture, including neonatal birth weight, maternal age, and parity. This study aimed to determine the relationship between parity and the incidence of perineal rupture. This study employed a quantitative approach with a correlational research design. The results showed that there was no significant relationship between parity and the incidence of perineal rupture. These findings indicate that parity alone may not be a determining factor in the occurrence of perineal rupture during vaginal delivery, and that other factors may play a more important role.
Faktor-faktor yang Mempengaruhi kepatuhan ibu dalam Memberikan Imunisasi Dasar Lengkap di TPMB Tutik Wahyuningsih Amd. Keb Firdauziah, Nicky Aurelia; Keswara, Nila Widya
Jurnal Pendidikan Tambusai Vol. 10 No. 1 (2026)
Publisher : LPPM Universitas Pahlawan Tuanku Tambusai, Riau, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jptam.v10i1.36405

Abstract

Imunisasi dasar lengkap merupakan upaya penting dalam mencegah penyakit menular pada bayi. Namun, pada cakupan1imunisasi di beberapa wilayah, termasuk Kecamatan Kaliwates, Jember, masih belum mencapai target yang direkomendasikan. Rendahnya kepatuhan ibu dalam membawa anaknya untuk imunisasi1dipengaruhi1oleh berbagai faktor, seperti pendidikan, pengetahuan, dukungan1keluarga, akses layanan kesehatan, serta peran tenaga kesehatan. Kondisi ini juga terlihat di TPMB Tutik Wahyuningsih Amd.Keb, sehingga diperlukan kajian lebih mendalam terkait faktor-faktor1yang1memengaruhi kepatuhan ibu. Penelitian ini bertujuan untuk menganalisis faktor-faktor yang memengaruhi kepatuhan1ibu dalam memberikan imunisasi dasar lengkap di TPMB Tutik Wahyuningsih Amd.Keb, Kaliwates, Jember. Penelitian ini menerapkan rancangan deskriptif analitik dengan metode potong lintang. Sebanyak 30 ibu yang memiliki bayi usia 0–12 bulan dijadikan responden melalui teknik purposive sampling. Pengumpulan data dilakukan memakai kuesioner terstruktur yang mencakup variabel pengetahuan, tingkat pendidikan, status pekerjaan, akses terhadap layanan kesehatan, dukungan keluarga, serta peran tenaga kesehatan. Analisis data dilakukan secara univariat dan bivariat menggunakan uji chi-square. Temuan penelitian mengungkapkan bahwa pengetahuan ibu (p1<10,05), pendidikan (p1<10,05), dukungan keluarga (p1<10,05), dan peran tenaga kesehatan (p1<10,05) berhubungan secara signifikan dengan kepatuhan dalam pemberian imunisasi dasar lengkap. Sementara itu, pekerjaan ibu dan akses ke fasilitas pelayanan kesehatan menunjukkan hubungan yang tidak signifikan. Berdasarkan penelitian ini disimpulkan bahwa kepatuhan ibu dalam memberikan imunisasi dasar lengkap dipengaruhi1oleh1faktor internal dan eksternal, terutama pengetahuan, pendidikan, dukungan1keluarga, dan peran1tenaga1kesehatan. Upaya peningkatan cakupan imunisasi perlu difokuskan pada edukasi ibu, penguatan dukungan keluarga, serta optimalisasi konseling dan komunikasi tenaga kesehatan.  
HUBUNGAN LAMA PENGGUNAAN ALAT KONTRASEPSI SUNTIK 3 BULAN DMPA (DEPO MEDROXYPROGESTERONE ACETATE) DENGAN PENURUNAN LIBIDO PADA AKSEPTOR KB DI PMB HANIFATUZZAQIYA SENDURO LUMAJANG Cicik Widayanti; Nila widya Keswara; Anik Sri Purwanti
Health and Technology Journal (HTechJ) Vol. 2 No. 4 (2024): August 2024
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v2i4.207

Abstract

DMPA is a hormonal contraceptive method that is often used because of its high effectiveness. However, some users report side effects in the form of decreased libido. This study used a cross-sectional design involving 150 DMPA injectable contraceptive acceptors at several health centers in City Y. This study aims to determine the relationship between the duration of use of the 3-month DMPA (Depo Medroxy Progesterone Acetate) injectable contraceptive device and the decrease in libido in birth control acceptors in PMB Hanifatuzzaqiya Senduro Lumajang. In this research, the research design used is a quantitative research design with a cross-sectional approach, namely a type of research that emphasizes measuring or observing independent and dependent variable data only once at a time. The sampling method uses a purposive sampling method, namely samples taken according to certain characteristics of 75 respondents. The data analysis technique used is data quality testing which consists of validity and reliability tests. The results of this study indicate that there is a relationship between the duration of DMPA injection contraceptive use for 3 months and a decrease in libido in contraceptive acceptors with p-value = 0.007.
The Effect of Pregnancy Exercises on Sleep Quality among Pregnant Women Sri Wahyuni; Nila Widya Keswara
Health and Technology Journal (HTechJ) Vol. 4 No. 1 (2026): February 2026
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v4i1.577

Abstract

Pregnant women commonly experience sleep disturbances, which may affect maternal well-being. Prenatal exercise is a non-pharmacological intervention that can improve sleep quality by promoting relaxation and reducing physical discomfort. This study aimed to examine the effect of prenatal exercise on sleep quality among pregnant women. A quasi-experimental study with a one-group pre-test and post-test design was conducted from May to August 2024. A total of 33 pregnant women were selected using purposive sampling. Sleep quality was measured using the Pittsburgh Sleep Quality Index (PSQI) before and after participation in a structured prenatal exercise program conducted regularly. Data were analyzed using a paired sample t-test. The mean PSQI score decreased significantly from 12.39 before the intervention to 5.44 after the intervention, with a p-value of 0.000, indicating a substantial improvement in sleep quality. Prenatal exercise has a significant positive effect on sleep quality in pregnant women. It can be recommended as a safe and effective intervention to be integrated into routine antenatal care services.
The Effectiveness of Pregnancy Exercises on Back Pain among Third Trimester Pregnant Women Novi Andani; Nila Widya Keswara
Health and Technology Journal (HTechJ) Vol. 4 No. 1 (2026): February 2026
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v4i1.613

Abstract

Back pain is one of the most common discomforts experienced by pregnant women in the third trimester. Back pain can occur due to pressure on the back muscles or shifting of the spine, which puts pressure on joints. Back pain in pregnant women often arises from pressure on the back muscles or spinal shifts, leading to joint compression. This study aimed to evaluate the effectiveness of prenatal exercise in alleviating back pain among third-trimester pregnant women. A quantitative approach with a pre-experimental design, specifically a one-group pretest-posttest, was employed. The population included all third-trimester pregnant women visiting PMB Safara Kedawung Kulon, totaling 35 individuals, who were sampled using a total sampling technique. Pain assessment was conducted using the standardized Face Pain Scale-Revised questionnaire, which did not require additional validity testing. Data were analyzed univariately through frequency percentages and bivariately using the Wilcoxon Signed Ranks Test. The results indicated that all respondents experienced back pain. During the pretest, the highest level of reported pain was more severe, experienced by 13 respondents (37.1%). Following the prenatal exercise intervention, the posttest showed that 18 respondents (51.4%) reported mild pain. Wilcoxon statistical testing yielded an Asymp. Sig. 0.001, demonstrating a significant difference between pretest and posttest results. Consequently, it was concluded that prenatal exercise has a significant effect on back pain in pregnant women in the third trimester. These findings advocate for the systematic integration of evidence-based exercise protocols into standard maternal healthcare practices, empowering midwives to offer safe, cost-effective pain management strategies that enhance maternal comfort and well-being during late pregnancy.
Efektifitas Komsumsi Ikan Kembung Terhadap Perubahan Kadar Hemoglobin Pada Ibu Hamil Dengan Anemia Ulfa Sa’idah; Nila Widya Keswara
Journal of Innovative and Creativity Vol. 5 No. 2 (2025)
Publisher : Fakultas Ilmu Pendidikan Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/joecy.v5i2.1407

Abstract

Anemia during pregnancy is considered a national concern as it mirrors the social and economic well-being of the population and significantly impacts the quality of human capital. It is often referred to as a “potential risk to both mother and child.” This study employed a qualitative approach with a Quasi-Experimental design, specifically utilizing a one-group pretest-posttest format. An initial assessment (pretest) was conducted prior to the intervention, followed by a post-intervention assessment (posttest) to evaluate any changes resulting from the treatment. The sampling method for this research used a non- probability sampling method with total sampling. To determine the sample in this research, the Slovin formula was used. The results of hypothesis testing using the paired t test obtained p(sig.) 0.000 <0.05, then H1 was accepted and H0 was rejected, meaning there was a significant difference in the mean value of the pretest score (Hb level before being given mackerel) and posttest results (Hb levels after being given mackerel), so it can be concluded that there is an influence of consumption of mackerel on change in hemoglobin level in pregnant women with anemia. The findings of the study indicate that anemia in pregnant women is caused by multiple factors, with one key contributor being inadequate iron levels in the body, along with a reduction in red blood cell count or a lowered hemoglobin concentration in the bloodstream. During pregnancy, anemia occurs because pregnant women experience hemodilution (dilution).
Efektivitas Aroma Terapi Lavender Dalam Mengurangi Mual Dan Muntah Pada Ibu Hamil Trimester 1 Diajeng Retno Noviyati; Nila Widya Keswara
Journal of Innovative and Creativity Vol. 5 No. 2 (2025)
Publisher : Fakultas Ilmu Pendidikan Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/joecy.v5i2.1436

Abstract

Introduction: Pregnancy marks the onset of a biological process that starts with the release of an egg, followed by its fertilization, implantation in the uterus, and continues with the growth and development of the fetus until birth. Every phase of pregnancy presents a critical period that demands both mental and physical adaptation due to hormonal changes and the bodily strain from the expanding uterus and surrounding tissues. Among the earliest signs experienced are nausea and vomiting, which may stem from either psychological stress or physiological shifts. The purpose of this research is to examine how lavender aromatherapy influences nausea and vomiting among women in their first trimester of pregnancy. Method: This research employed a pre-experimental design using a one-group pre-test post-test approach without a control group. The study involved comparing the participants' scores before and after the intervention. A total of 24 first-trimester pregnant women were selected as participants using purposive sampling, with data collected through questionnaire forms. This indicates that there was a measurable difference between the pre-test and post-test outcomes. Therefore, it can be concluded that lavender aromatherapy had a beneficial impact in alleviating nausea and vomiting among first-trimester pregnant women in Lebakharjo Village, Ampelgading in 2025. Conclusion: Lavender aromatherapy may serve as an alternative non-pharmacological approach to help relieve nausea and vomiting in women during the first trimester of pregnancy.
PENGARUH PIJAT TUINA TERHADAP NAFSU MAKAN ANAK USIA 3-5 TAHUN DI WILAYAH KERJA POLINDES TASIKMADU Kartikasari, Ayudina; Keswara, Nila Widya
Jurnal Kesehatan Tambusai Vol. 7 No. 1 (2026): MARET 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jkt.v7i1.53299

Abstract

Nutrisi yang memadai sangat krusial bagi pertumbuhan dan perkembangan anak, namun penurunan nafsu makan pada usia 3-5 tahun seringkali mengancam status gizi dan imunitas. Penelitian ini bertujuan untuk menganalisis pengaruh pijat Tuina, sebuah terapi non-farmakologis, terhadap peningkatan nafsu makan anak usia 3-5 tahun di wilayah kerja Polindes Tasikmadu.Penelitian pra-eksperimental ini dilaksanakan pada November 2025 menggunakan desain One Group Pretest-Posttest. Sampel terdiri dari 30 balita yang dipilih melalui teknik Total Sampling. Karena data tidak terdistribusi normal, analisis dilakukan menggunakan Uji Wilcoxon. Hasil penelitian menunjukkan adanya peningkatan nafsu makan yang signifikan setelah intervensi pijat Tuina. Nilai rata-rata nafsu makan meningkat drastis dari 4,50 pada pretest menjadi 9,20 pada posttest dengan nilai signifikansi p < 0,001. Secara fisiologis, pijat Tuina bekerja dengan menstimulasi titik meridian yang berhubungan dengan sistem pencernaan dan limpa, sehingga meningkatkan gerakan peristaltik usus serta mempercepat proses pengosongan lambung. Stimulasi ini tidak hanya meningkatkan rasa lapar dan nafsu makan secara alami, tetapi juga mengoptimalkan sirkulasi darah dan fungsi organ pencernaan untuk penyerapan nutrisi yang lebih baik. Pijat Tuina juga diketahui memberikan efek relaksasi pada saraf dan mempererat ikatan antara orang tua dan anak. Kesimpulannya, pemberian pijat Tuina secara rutin terbukti efektif secara signifikan dalam mengatasi masalah kesulitan makan pada anak usia 3-5 tahun, sehingga dapat menjadi metode alternatif yang aman untuk mencegah masalah gizi buruk dan mendukung pencapaian status gizi yang sehat.
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