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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 JURNAL PENDIDIKAN TAMBUSAI Manuju : Malahayati Nursing Journal Journal of Issues in Midwifery JURNAL ILMIAH OBSGIN : Jurnal Ilmiah Ilmu Kebidanan & Kandungan Jurnal Ilmiah Manusia dan Kesehatan 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 Jurnal Riset Rumpun Ilmu Kesehatan (JURRIKES) Jurnal Ilmu Kesehatan MAKIA Jurnal Asuhan Ibu dan Anak Jurnal Multidisiplin West Science Health and Technology Journal (HTECHJ) International Journal of Health, Engineering and Technology Jurnal Ilmu Kesehatan dan Gizi Journal of Educational Innovation and Public Health Jurnal Pengabdian Masyarakat dan Riset Pendidikan Journal of Innovative and Creativity Jurnal Kesehatan International Journal Of Public Health Jurnal Siti Rufaidah Jurnal Praba: Jurnal Rumpun Kesehatan Umum 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 Anxiety Levels and the Occurrence of Hyperemesis Gravidarum Monica Marcelina Kindangen; Nila Widya Keswara
Jurnal Ilmu Kesehatan dan Gizi Vol. 3 No. 4 (2025): Oktober: Jurnal Ilmu Kesehatan dan Gizi
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jig.v3i4.8755

Abstract

Hyperemesis gravidarum is a condition of severe nausea and vomiting during pregnancy that can cause serious physical and psychological effects on pregnant women. In addition to biological and hormonal factors, psychological aspects such as anxiety are thought to play an important role in the occurrence of hyperemesis gravidarum. This study aims to analyze the relationship between the level of anxiety in pregnant women and the occurrence of hyperemesis gravidarum. The study uses a quantitative approach with an analytical observational design through a cross-sectional method. The study sample consisted of 30 pregnant women in their first trimester who were selected using purposive sampling. Anxiety levels were measured using a standardized anxiety questionnaire and categorized as moderate and severe anxiety, while the incidence of hyperemesis gravidarum was determined based on complaints of excessive nausea and vomiting and clinical data. Data analysis was performed univariately and bivariately using the Goodman–Kruskal tau test with a significance level of 0.05. The results showed that most respondents experienced moderate to severe anxiety, and some respondents experienced hyperemesis gravidarum. Bivariate analysis showed a significant and very strong relationship between anxiety levels and the incidence of hyperemesis gravidarum. These findings indicate that the higher the anxiety level of pregnant women, the greater the likelihood of hyperemesis gravidarum. The conclusion of this study confirms that anxiety is an important psychological factor associated with the occurrence of hyperemesis gravidarum. Therefore, the integration of anxiety screening and management into antenatal care is essential as part of a comprehensive, mother-centered approach to pregnancy care
The Effectiveness Of Soy Milk In Reducing Premenstrual Syndrome Symptoms In Adolescent Girls Putri Amarela Wardana; Rifzul Maulina; Nila Widya Keswara
Saintika Medika : Jurnal Ilmu Kesehatan dan Kedokteran Keluarga Vol. 21 No. 1 (2025): June 2025
Publisher : Universitas Muhammadiyah Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22219/sm.Vol21.SMUMM1.40739

Abstract

Background : Premenstrual Syndrome (PMS) is a common condition affecting women of reproductive age, marked by a variety of physical, emotional, and behavioral symptoms that typically arise a few days before menstruation and diminish afterward. While the exact cause remains uncertain, hormonal fluctuations throughout the menstrual cycle are believed to be a key factor. Management strategies for PMS include both pharmacological and non-pharmacological approaches, one of which is soy milk consumption. Soy milk contains isoflavones, naturally occurring plant compounds that mimic estrogen activity and may help ease PMS symptoms. This study seeks to examine the impact of soy milk consumption on alleviating PMS symptoms in adolescent girls.. Methods : The research employed a pre-experimental method with a one-group pretest-posttest design, conducted from March 3 to 17, 2025. A total of 18 participants were selected using purposive sampling, and the sample size was determined using the Federer formula. Data were analyzed using a paired t-test with SPSS version 16.0. Results of the Paired T-test showed that the p-value ≤ α (0.05), namely 0.001 < 0.05, indicating that H1 is accepted and H0 is rejected. Conclusion : The data indicates that the administration of soy milk has an effect in reducing premenstrual syndrome symptoms in adolescent girls.
Relationship of Adolescent Reproductive Health Knowledge With Self Adjustments In Puberty Among Boys Nila Widya Keswara; Sulistyah Sulistyah
Placentum: Jurnal Ilmiah Kesehatan dan Aplikasinya Vol 9, No 3 (2021): Special Issue
Publisher : Program Studi Kebidanan Fakultas Kedokteran Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20961/placentum.v9i3.54674

Abstract

Puberty is a process of biological changes that include morphology and physiology that occur very rapidly from childhood to adulthood. The purpose of this study was to determine the relationship between adolescent reproductive health knowledge and self-adjustment in puberty among boys at the Marsudisiwi SDK, Malang. An analytical research method was conduct in this research, with a cross sectional approach. Total Sampling technique was use to get 70 samples. Questionnaire instrument with an ordinal scale was used as instrument to drawn data from respondent. Spearman Rank correlation test show  p-value value is 0.236. Because the value is 0.236 &gt; 0.05, it can be concluded that H1 is rejected. There is no relationship between knowledge about adolescent reproductive health and adjustment to puberty. The results of this study can be used as a reference for researching with the same variable targeting respondents at a more mature age level (adolescents) related to reproductive health and puberty in boys.
The Relationship Between Maternal Education Level and Infant Nutritional Status Srikandi Potabuga; Nila Widya Keswara
Journal of Educational Innovation and Public Health Vol. 4 No. 1 (2026): Januari: Journal of Educational Innovation and Public Health
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/innovation.v4i1.8738

Abstract

Infant nutritional status is an important indicator of child health that is influenced by various factors, including maternal characteristics. Maternal education is often considered to play a role in determining infant care and feeding practices. This study aims to analyze the relationship between the mother's education level and infant nutritional status. The study uses a quantitative approach with a cross-sectional analytical observational design. The study sample consisted of 30 mothers and infants aged 0–12 months selected using purposive sampling. Maternal education level was categorized as elementary, secondary, and higher education, while infant nutritional status was determined based on anthropometric indicators according to WHO standards and the position of the Health Card (KMS). Data analysis was performed bivariately using Spearman's rho correlation test with a significance level of p < 0.05. The results of the study indicate that there is no significant relationship between the mother's level of education and the nutritional status of the infant (p = 0.575; r = −0.098). The correlation coefficient value indicates a very weak and statistically insignificant relationship. The conclusion of this study indicates that the mother's education level is not a factor directly related to the nutritional status of infants. The nutritional status of infants is likely to be more influenced by other more proximal factors, such as feeding practices, the quality and quantity of food intake, the child's health condition, and the family's environmental and socioeconomic factors.
The Effect of Exclusive Breastfeeding on Infant Growth Eni Adeko; Nila Widya Keswara
Journal of Educational Innovation and Public Health Vol. 3 No. 4 (2025): Oktober: Journal of Educational Innovation and Public Health
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/innovation.v3i4.8739

Abstract

Exclusive breastfeeding for the first six months of life is an important nutritional intervention that plays a role in supporting infant growth and preventing growth disorders. Although the coverage of exclusive breastfeeding in Indonesia has increased, differences in infant growth outcomes based on nutritional sources remain an issue that needs to be examined contextually. This study aims to analyze the effect of exclusive breastfeeding on infant growth at the Labuha Community Health Center, South Halmahera Regency. The study uses a quantitative approach with an observational analytical design and a comparative cross-sectional design. The study sample consisted of 30 infants aged 3–9 months selected using total sampling technique. The independent variable was the infant's nutritional source (exclusive breastfeeding and breastfeeding supplemented with formula milk), while the dependent variables included weight gain and length gain. The data were analyzed univariately and bivariately. The normality test was performed using the Shapiro–Wilk test, and the difference analysis was performed using the independent t-test. The results showed that there was no significant difference in infant weight gain based on nutritional source (p = 0.334). However, there was a significant difference in infant length gain, with infants who were exclusively breastfed showing better linear growth than infants who received a combination of breast milk and formula (p = 0.006). The conclusion of this study shows that exclusive breastfeeding has a significant effect on infant length growth, but not on weight gain. These findings emphasize the importance of exclusive breastfeeding in supporting linear growth as a key indicator of healthy infant growth.
The Effect of Oxytocin Massage on Breast Milk Production in Postnatal Mothers Nurhusna H. Umar; Nila Widya Keswara
Jurnal Praba : Jurnal Rumpun Kesehatan Umum Vol. 3 No. 4 (2025): Desember : Jurnal Praba : Jurnal Rumpun Kesehatan Umum
Publisher : STIKES Columbia Asia Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62027/praba.v3i4.681

Abstract

Breast milk production during the postpartum period is a crucial factor in successful breastfeeding and achieving exclusive breastfeeding. However, during the early postpartum period, many postpartum mothers experience difficulties in breast milk production, influenced by physical and psychological conditions. One non-pharmacological intervention that can be used to help facilitate breast milk production is oxytocin massage, which aims to stimulate the release of the hormone oxytocin and increase the let-down reflex. This study aims to analyze the effect of oxytocin massage on breast milk production in postpartum mothers at the Marisa Community Health Center. This study used a quantitative pre-experimental design with a one-group pretest–posttest approach. The study sample consisted of 30 postpartum mothers selected using purposive sampling according to the inclusion criteria. Breast milk production was measured before and after the oxytocin massage intervention using a structured observation sheet with units of milliliters (ml). Data analysis was performed using univariate and bivariate methods. Normality was tested using the Shapiro–Wilk test, while differences were tested using the Wilcoxon signed-rank test. The results showed that the average milk output before oxytocin massage was 18.00 ± 5.95 ml, and increased to 51.83 ± 10.94 ml after the intervention. The Wilcoxon test showed a p-value of 0.000 (p < 0.05), indicating a significant effect of oxytocin massage on increasing breast milk output. It was concluded that oxytocin massage is effective as a non-pharmacological intervention to increase breast milk production in postpartum mothers and can be integrated into postpartum care in primary health care services.
The Effectiveness Of Oxytocin Massage On Breast Milk Letdown In Postpartum Mothers In The Delivery Room Of Ampelgading Community Health Center Qurota Akyuni; Nila Widya Keswara
International Journal of Health Engineering and Technology Vol. 5 No. 2 (2026): Vol 5. No. 2 JULY 2026
Publisher : CV. AFDIFAL MAJU BERKAH

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55227/ijhet.v5i2.998

Abstract

Babies get all the nutrients they need to grow and develop optimally from breast milk, making it the ideal food source. Breast milk secretion issues are frequent among new moms, especially in the first few days after giving birth. One non-pharmacological approach to increasing milk production and secretion is oxytocin massage, which works by stimulating the release of the hormone oxytocin. In 2025, the goal of 80% was not met at Ampelgading Public Health Center, Ampelgading District, where the coverage of exclusive breastfeeding remained at 72%. The purpose of this research was to find out whether postpartum women could increase their milk production by massaging their breasts with oxytocin. The researchers in this study used a one-group pretest-posttest design based on previous research. Thirty pregnant women who had just given birth were randomly selected using the complete sampling technique. For three days, we monitored the secretion of breast milk both before and after performing an oxytocin massage. The Wilcoxon-marked assessment test was used to evaluate the data, with a significance level of α = 0.05 being used. According to the data, the majority of participants were between 26 and 30 years old, had experienced a termination of employment, had a minimum of Junior High School Education, were unemployed, and were among the youngest participants (10 respondents; 33.3%). After receiving oxytocin massage, the average amount of breast milk released increased from 6.93 cc to 24.83 cc. Statistically significant changes in breast milk secretion were seen before and after oxytocin massage administration, as indicated by a p value of 0.000 (p < 0.05) on the Wilcoxon Signed Rank test. Postpartum women who get an oxytocin massage report an increase in their milk production. Midwives may advise oxytocin massage as a postpartum intervention to help the mother secrete more breast milk.
The Effectiveness of Warm Hydrotherapy and Counter Pressure Massage on the Reduction of Back Pain Intensity in Third-Trimester Pregnant Women Qoridatul Mu&#039;awiyah; Nila Widya Keswara
Jurnal Ilmu Kesehatan MAKIA Vol 16 No 2 (2026): Jurnal Ilmu Kesehatan MAKIA
Publisher : LPPM ISTeK ICsada Bojonegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37413/r7zbta04

Abstract

Back pain is a common complaint among pregnant women in their third trimester due to physiological changes and postural shifts during pregnancy. Nonpharmacological treatments such as warm hydrotherapy and counter-pressure massage can be used to help reduce the intensity of back pain in pregnant women. This study aims to determine the effectiveness of warm hydrotherapy and a combination of warm hydrotherapy with counter-pressure massage in reducing the intensity of back pain in third-trimester pregnant women at the Bedadung Health Center in Pakusari District, Jember Regency. This study employed a quasi-experimental design using a two-group pretest-posttest approach. The study sample consisted of 30 participants divided into two groups: 15 participants received warm hydrotherapy, and 15 participants received a combination of warm hydrotherapy and counter-pressure massage. Sampling was conducted using purposive sampling. Pain intensity was measured using the Numeric Rating Scale (NRS). Data analysis employed the Wilcoxon Signed-Rank Test and the Mann-Whitney U Test with a significance level of ? = 0.05. The results indicated that in the warm hydrotherapy group, the majority of participants experienced a reduction in pain from moderate to mild, with a p-value of 0.001 (<0.05). In the group receiving a combination of warm hydrotherapy and counter-pressure massage, the majority of respondents experienced a reduction in pain to mild or even no pain, with a p-value of 0.000 (<0.05). The results of the Mann-Whitney test showed a p-value of 0.032 (<0.05), indicating that the combination of warm hydrotherapy and counter-pressure massage was more effective than warm hydrotherapy alone. Both warm hydrotherapy and the combination of warm hydrotherapy and counter-pressure massage were effective in reducing the intensity of back pain in third-trimester pregnant women; however, the combination of the two interventions was more effective than warm hydrotherapy alone.
FAKTOR FAKTOR YANG MEMPENGARUHI KEJADIAN PRE-EKLAMSI Ramdani Dian Kartika; Nila Widya Keswara
Jurnal Ilmu Kesehatan MAKIA Vol 16 No 2 (2026): Jurnal Ilmu Kesehatan MAKIA
Publisher : LPPM ISTeK ICsada Bojonegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37413/5x79zg61

Abstract

Pre-eklampsia merupakan komplikasi kehamilan yang menjadi penyebab utama morbiditas dan mortalitas ibu serta janin. Kondisi ini dipengaruhi oleh berbagai faktor biologis dan pelayanan kesehatan yang perlu diidentifikasi sejak dini. Tujuan dari penelitian ini untuk mengetahui faktor-faktor yang mempengaruhi kejadian pre-eklampsia pada ibu hamil di Puskesmas Umbulsari. Metode Penelitian ini menggunakan desain analitik observasional dengan pendekatan cross sectional. Sampel berjumlah 30 responden yang diambil dengan teknik accidental sampling. Data yang dikumpulkan melalui kuesioner dan rekam medis, kemudian dianalisis menggunakan uji Chi-Square. Hasil dari penelitian ini sebanyak 33,3% responden mengalami pre-eklampsia. Hasil analisis menunjukkan adanya hubungan antara usia ibu (p=0,03), paritas (p=0,04), riwayat hipertensi (p=0,01), dan kunjungan ANC (p=0,02) dengan kejadian pre-eklampsia. Kesimpulan yang dapat diambil terdapat hubungan signifikan antara usia, paritas, riwayat hipertensi, dan kunjungan ANC dengan kejadian pre-eklampsia. Riwayat hipertensi merupakan faktor yang paling dominan.
Co-Authors ., Sulistiyah Agustin, Selly aksohini, tut rayani Alim, Zainul Andrio, Prawasti Rahayuningtyas Anik Purwati Anik Sri Purwanti Bayu Budi Laksono Cahyaningtyas, Beta Permata Cicik Widayanti Daeri Daeri Damaiyanti, Putri Dewi Lestari Sayem Diajeng Retno Noviyati Diti Arianti Diyah Amelia Ayu K.D Eka Putri, Lita Immanda Eni Adeko Fatmawati, Yuris Firdauziah, Nicky Aurelia Indah Rahmawati Indriarti, Ina Ine Febrianti Suswardani Jannahuthor, Sayyidaty Lailatul Jumratul Aini Kartikasari, Ayudina Kartikasari, Tititan Nur Ari Dwi Kerangan, Silvana Maulina, Rifzul Mega Sanjaya Monica Marcelina Kindangen Nicke Arresta Novi Andani Novi Yuliastuti, Novi Nur Azizah, Karlina Zhelda Nuraini, Ayu Eka Nurhusna H. Umar 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 Qoridatul Mu&#039;awiyah Qurota Akyuni Raden Maria Veronika Widiatrilupi Rahmawati, Emilia Ramdani Dian Kartika 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 Wahyuni Srikandi Potabuga 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