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All Journal Miracle Get Journal Bulletin of Inspiring Developments and Achievements in Midwifery
Zaida Mauludiyah
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Health Professions Public Health

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The Role of Midwives in Reducing Maternal Mortality Through Community-Based Health Programs Mika Sugarni; Raudhatul Munawarah; Zaida Mauludiyah; Ketut Espana Giri; Hadija
Miracle Journal Get Press Vol 2 No 2 (2025): May, 2025
Publisher : CV. Get Press Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69855/mgj.v2i2.119

Abstract

Maternal mortality rate (MMR) is an important indicator in assessing the effectiveness of a country's health system. Despite various efforts, the MMR in Indonesia is still high compared to other countries in Southeast Asia. This study aims to analyze the role of midwives in reducing MMR through community-based health programs. The research method used was a quantitative approach with a pretest-posttest design without a control group. The study sample consisted of 50 pregnant women who were selected by purposive sampling in study area X. The intervention program included maternal health education and counseling by midwives. The results showed a significant increase in pregnant women's understanding of pregnancy health, with an average pretest score of 60.04 and increased to 85.6 at posttest (p (00.00) < 0.05). The educational efforts led by midwives have demonstrated effectiveness in enhancing pregnant women's awareness of danger signs during pregnancy, improving nutritional practices, and promoting preparedness for safe childbirth. These outcomes highlight the educational role of midwives as a crucial factor in maternal health interventions, contributing significantly to the reduction of maternal mortality rates (MMR). Strengthening midwives’ capacity and ensuring supportive health policies are essential steps toward optimizing their role in education and achieving the Sustainable Development Goals (SDGs) related to maternal health.
Excessive Weight Gain During Pregnancy: Association with the Risk of Preeclampsia and Gestational Diabetes Melitus Visti Delvina; Hasnia; Zaida Mauludiyah; Suriyati; Ni Nyoman Murti
Bulletin of Inspiring Developments and Achievements in Midwifery Vol. 2 No. 2 (2025): December, 2025
Publisher : CV. Get Press Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69855/bidan.v2i2.404

Abstract

Weight gain during pregnancy is an important indicator that influences maternal and fetal health. Excessive gestational weight gain (EGWG) has been associated with an increased risk of obstetric complications, including preeclampsia and gestational diabetes. This study aims to analyze the relationship between excessive weight gain during pregnancy and the incidence of preeclampsia and gestational diabetes mellitus (GDM) in pregnant women in the third trimester at Dr. H. Koesnadi Bondowoso General Hospital. This study used an observational analytical design with a cross-sectional approach and involved 140 pregnant women selected through a purposive sampling technique. Data were obtained through structured interviews, anthropometric measurements, and medical records, then analyzed using the Chi-square test. The results showed a significant association between excessive weight gain and the incidence of preeclampsia (p = 0.012) and gestational diabetes (p = 0.004). Women who exceeded the recommended weight gain limits were at a higher risk of developing these complications compared to those with normal weight gain. These findings emphasize the importance of controlling weight gain through routine monitoring and nutritional education during pregnancy. In conclusion, excessive weight gain is an important risk factor that needs attention in antenatal care services to prevent serious complications in pregnant women.
Co-Authors Hadija hasnia Ketut Espana Giri Mika Sugarni Ni Nyoman Murti Raudhatul Munawarah Suriyati Suriyati Visti Delvina