Articles
<![CDATA[Effect of Moxibustion Therapy at SP6 (Sanyinjiao) Acupressure Point on Labor Pain Intensity During First Stage Active Phase ]]>
<![CDATA[Andita Rania Salsabila]]>;
<![CDATA[Anik Purwati]]>;
<![CDATA[Reny Retnaningsih]]>
<![CDATA[ Jurnal Ilmiah Kebidanan (The Journal Of Midwifery) Vol. 14 No. 1 (2026): Jurnal Ilmiah Kebidanan (The Journal of Midwifery) ]]>
Publisher : <![CDATA[Midwifery Department, Poltekkes Kemenkes Denpasar, Indonesia ]]>
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DOI: 10.33992/jik.v14i1.5068
<![CDATA[The active phase of the initial stage of labor is characterized by escalating pain intensity due to uterine contractions and cervical dilation. Inadequate pain management can lead to significant discomfort and stress for laboring women. Preliminary observations at independent midwifery practices Yulis Indriana indicated that most mothers experienced moderate to severe pain during this phase. Nonpharmacological interventions, such as moxibustion therapy at the SP6 (sanyinjiao) acupressure point, may reduce pain. This study aimed to analyze differences in labor pain intensity before and after moxibustion therapy during the active phase. A quasi-experimental study with a non-equivalent control group design was conducted, involving 32 respondents selected through accidental sampling, with 16 in the intervention group and 16 in the control group. Pain intensity was measured using the Numeric Rating Scale (0-10). Data were analyzed using univariate and bivariate methods with a significance level of p < 0.05. The intervention group exhibited a significant reduction in pain intensity from 7.88 ± 0.719 to 5.13 ± 0.957 (p < 0.001), whereas the control group showed no significant change, from 7.69 ± 0.873 to 7.75 ± 0.775 (p = 0.317). A significant difference between groups was also identified (p < 0.001). Moxibustion therapy at SP6 may reduce labor pain intensity and can be considered a complementary intervention in midwifery practice.]]>
<![CDATA[The Role of Midwives in Reproductive Health Education as an Effort to Delay Early Marriage Among Adolescents at the Dambalo Community Health Center ]]>
<![CDATA[Fitriana Sain]]>;
<![CDATA[Reny Retnaningsih]]>
<![CDATA[ Jurnal Siti Rufaidah Vol. 3 No. 2 (2025): Jurnal Siti Rufaidah ]]>
Publisher : <![CDATA[PPNI UNIMMAN ]]>
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DOI: 10.57214/jasira.v3i2.324
<![CDATA[Early marriage is a reproductive health issue that remains a challenge in various regions of Indonesia, requiring effective educational interventions for adolescents. This study aims to analyze the role of midwives in reproductive health education as an effort to delay early marriage among adolescents at the Dambalo Community Health Center (UPTD Puskesmas Dambalo). The study used an analytical observational design with a cross-sectional approach and involved 30 adolescents selected through total sampling. The variables examined included the role of midwives, knowledge, attitudes, and intentions to delay marriage. Data were collected through a standardized questionnaire and analyzed using Spearman's and Chi-square tests. The results showed that the role of midwives was significantly associated with an increase in adolescents' knowledge (r = 0.579; p = 0.0008). However, no relationship was found between the role of midwives and adolescent attitudes (r = 0.264; p = 0.158). Regarding the variable of intention, all respondents (100%) expressed a desire to delay marriage until the age of ≥ 20 years, so statistical analysis could not be performed. These findings confirm that midwife education is effective in increasing adolescent knowledge, but changes in attitudes and intentions are influenced by other social factors that have been established previously. A collaborative approach between midwives, families, and schools is needed to strengthen comprehensive prevention of early marriage.]]>
<![CDATA[The Effect of Oxytocin Massage on Breast Milk Production in Breastfeeding Mothers at the Galala Inpatient Health Center ]]>
<![CDATA[Fitriyati Syahbudin]]>;
<![CDATA[Reny Retnaningsih]]>
<![CDATA[ Jurnal Siti Rufaidah Vol. 3 No. 1 (2025): Jurnal Siti Rufaidah ]]>
Publisher : <![CDATA[PPNI UNIMMAN ]]>
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DOI: 10.57214/jasira.v3i1.325
<![CDATA[Breast milk production in the early postpartum period often experiences obstacles due to physiological and psychological factors, which can affect the success of exclusive breastfeeding. Non-pharmacological interventions such as oxytocin massage are known to help stimulate the milk ejection reflex, but their application in primary health facilities is still limited. This study aims to determine the effect of oxytocin massage on breast milk production in breastfeeding mothers. The study design used a quasi-experimental approach with a one-group pretest–posttest design. The study sample consisted of 30 breastfeeding mothers who met the criteria and were selected using total sampling technique at the Galala Inpatient Health Center. Breast milk production was measured based on volume and clinical signs of breast milk production before and after the oxytocin massage intervention. Data analysis used the Wilcoxon Signed Rank Test. The results showed a significant increase in breast milk volume and signs of production after the intervention with a p-value < 0.001. This indicates that oxytocin massage is effective in increasing breast milk production through a neurohormonal stimulation mechanism that enhances the let-down reflex. In conclusion, oxytocin massage can be recommended as a lactation support intervention in primary care facilities to support successful exclusive breastfeeding.]]>
<![CDATA[The Influence of Health Education on Interest in Cervical Cancer Screening in Women of Reproductive Age at the Daruba Community Health Center, Morotai Islands Regency ]]>
<![CDATA[Nurima Dano Mas'ud]]>;
<![CDATA[Reny Retnaningsih]]>
<![CDATA[ VitaMedica : Jurnal Rumpun Kesehatan Umum Vol. 3 No. 4 (2025): Oktober : VitaMedica : Jurnal Rumpun Kesehatan Umum ]]>
Publisher : <![CDATA[STIKES Columbia Asia Medan ]]>
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DOI: 10.62027/vitamedica.v3i4.677
<![CDATA[Cervical cancer remains a major public health problem among women, particularly in developing countries such as Indonesia, where morbidity and mortality rates are still high. Although effective screening methods are available, participation among women of reproductive age remains low due to limited awareness, knowledge, and interest in early detection. Health education is considered a key strategy to improve women’s understanding and encourage preventive behavior. This study aims to analyze the effect of health education on women’s interest in cervical cancer screening at the Daruba Community Health Center, Morotai Islands Regency. The research employed a quasi-experimental design with a one-group pretest–posttest approach. The population consisted of reproductive-age women visiting the health center, with a total sample of 40 respondents selected using total sampling techniques. The intervention involved structured health education sessions covering cervical cancer risks, prevention, and screening procedures. Data on screening interest were collected before and after the intervention using validated and reliable questionnaires. Data analysis was conducted descriptively and inferentially using the Wilcoxon Signed Rank Test with a significance level of 0.05. The results showed a significant increase in women’s interest in cervical cancer screening after the intervention (p < 0.05). These findings indicate that health education effectively improves awareness and motivation. Integrating routine education into primary health services is recommended to enhance early detection coverage and support cervical cancer prevention programs, especially in island regions.]]>
<![CDATA[Factors Influencing the Incidence of Preeclampsia at Tiley Health Center ]]>
<![CDATA[Praise Astuti Mahmud]]>;
<![CDATA[Reny Retnaningsih]]>
<![CDATA[ Jurnal Ilmu Kesehatan dan Gizi Vol. 3 No. 4 (2025): Oktober: Jurnal Ilmu Kesehatan dan Gizi ]]>
Publisher : <![CDATA[Lembaga Pengembangan Kinerja Dosen ]]>
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DOI: 10.55606/jig.v3i4.8752
<![CDATA[Preeclampsia is a pregnancy complication that contributes significantly to maternal and perinatal morbidity and mortality, especially in developing countries. Despite various preventive measures, preeclampsia is still frequently found at the primary health care level. This study aims to analyze the factors influencing the incidence of preeclampsia in pregnant women at the Tiley Care Community Health Center. This study used an observational analytical design with a cross-sectional approach. The study population was all pregnant women who visited antenatal care at the Tiley Care Community Health Center, with a sample of 60 respondents selected using a total sampling technique. Data were collected through a review of medical records and KIA books, then analyzed univariately and bivariately using the Chi-Square test with a significance level of α = 0.05. The results showed that maternal age, history of hypertension, nutritional status based on body mass index, and adherence to antenatal care visits had a statistically significant relationship with the incidence of preeclampsia. Meanwhile, parity did not show a significant relationship with the incidence of preeclampsia. This study concluded that the incidence of preeclampsia is influenced by various maternal factors and maternal health behaviors during pregnancy. These findings underscore the importance of implementing risk-based antenatal care through early screening, ongoing monitoring, and increased adherence to antenatal care visits as a preventative measure for preeclampsia at the primary healthcare level.]]>
<![CDATA[The Effect Of Giant Snakes And Ladders Game On Changes In The Development Of Cognitive Abilities Of Children Aged 5-6 Years At Cut Nyak Dhien Kindergarten In Malang City. ]]>
<![CDATA[Mira Diadhita Prameswari]]>;
<![CDATA[Rifzul Maulina]]>;
<![CDATA[Reny Retnaningsih]]>
<![CDATA[ Saintika Medika : Jurnal Ilmu Kesehatan dan Kedokteran Keluarga Vol. 21 No. 1 (2025): June 2025 ]]>
Publisher : <![CDATA[Universitas Muhammadiyah Malang ]]>
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DOI: 10.22219/sm.Vol21.SMUMM1.40789
<![CDATA[Background : Cognitive abilities represent a fundamental component of mental functions, encompassing processes such as perception, thinking, memory, and information processing. These cognitive functions are essential in facilitating individuals to acquire knowledge, address challenges, and formulate future plans. Data from UNICEF (2022) reveals that children aged 36–59 months across the globe continue to face challenges in their cognitive development. In Indonesia, about 7.51% of children under the age of five exhibit signs of developmental delays. Additionally, the Central Statistics Agency (BPS) reported in 2020 that approximately 60% of preschool-aged children in the country experience issues related to cognitive development. One effective and enjoyable approach to stimulate cognitive growth in early childhood is through the use of educational games. Among these, the giant snakes and ladders game has been recognized for its potential to enhance cognitive functioning in young children. Research Methods : This research utilized a pre-experimental method with a one-group pretest-posttest design. Participants were selected through purposive sampling based on predetermined criteria. Data collection was carried out using structured observation sheets, and the results were analyzed through a paired sample t-test. The findings revealed a 2-tailed significance value of 0.000, which is below the threshold of 0.05. This indicates a statistically significant impact of the giant snakes and ladders game on the cognitive development of children aged 5 to 6 years at Cut Nyak Dhien Kindergarten in Malang City. Conclusion : Hence, the giant snakes and ladders educational game has been shown to be an effective pedagogical medium for promoting and enhancing cognitive development among early childhood learners.]]>
<![CDATA[Analysis of Nutritional Intake and Economic Status as Risk Factors for Chronic Energy Deficiency (CED) in Pregnant Women at Patilanggio Community Health Center ]]>
<![CDATA[Silvoni Saleh]]>;
<![CDATA[Reny Retnaningsih]]>
<![CDATA[ NAJ Nursing Applied Journal Vol. 3 No. 3 (2025): July : Nursing Applied Journal ]]>
Publisher : <![CDATA[LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA ]]>
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DOI: 10.57213/naj.v3i3.1019
<![CDATA[Chronic Energy Deficiency (CED) in pregnant women remains a major nutritional problem in Indonesia and contributes to various maternal and neonatal complications. CED reflects a long-term energy and macronutrient deficit, often influenced by inadequate nutritional intake and socioeconomic limitations. This study aims to analyze nutritional intake and economic status as risk factors for Chronic Energy Deficiency (CED) in pregnant women in the Patilanggio Community Health Center (Puskesmas) working area. This study used a quantitative observational design with a cross-sectional approach. The study sample consisted of 30 pregnant women selected using a total sampling technique. Data were collected through interviews using a respondent characteristics questionnaire and food recall to assess energy and protein intake, as well as Mid-Upper Arm Circumference (MUAC) measurements to determine CED status. Data analysis was conducted descriptively and cross-descriptively. The results showed that all respondents had energy and protein intakes below 90% of the Recommended Dietary Allowance (RDA) and all were categorized as CED based on the MUAC measurement. All respondents were also categorized as low economic status, reflecting a homogeneous socioeconomic condition. These findings indicate that CED in pregnant women at the study site is associated with inadequate nutritional intake and limited economic status. In conclusion, CED in pregnant women is a chronic nutritional problem influenced by nutritional and socioeconomic factors, necessitating comprehensive prevention and treatment efforts based on primary health care services.]]>
<![CDATA[The Influence of Nutrition Education on the Knowledge and Attitudes of Adolescent Girls about the Importance of Consuming Iron Tablets at the Daruba Community Health Center, Morotai Islands ]]>
<![CDATA[Sindy Umasangadji]]>;
<![CDATA[Reny Retnaningsih]]>
<![CDATA[ NAJ Nursing Applied Journal Vol. 3 No. 1 (2025): January : Nursing Applied Journal ]]>
Publisher : <![CDATA[LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA ]]>
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DOI: 10.57213/naj.v3i1.1020
<![CDATA[Anemia in adolescent girls remains a significant public health problem in Indonesia, particularly in island regions with limited access to health information and services. One of the main factors contributing to the high incidence of anemia is the low level of knowledge and attitudes among adolescent girls regarding the importance of consuming iron (Fe) tablets. Nutrition education is seen as a promotive-preventive strategy that has the potential to improve the determinants of anemia prevention behavior. This study aims to analyze the effect of nutrition education on the knowledge and attitudes of adolescent girls regarding the importance of consuming iron tablets in community health centers in the Morotai Islands. This study used a quasi-experimental design with a one-group pretest-posttest approach. The study sample consisted of 30 adolescent girls selected using a total sampling technique. Data were collected using a structured questionnaire to measure knowledge and attitudes before and after the nutrition education intervention. Data analysis was conducted descriptively and inferentially using paired statistical tests appropriate to the data distribution. The results showed an increase in the level of knowledge and attitudes of adolescent girls towards consuming iron tablets after being provided with nutrition education. Statistical tests showed a statistically significant difference between the conditions before and after the intervention in both knowledge and attitude variables. In conclusion, nutrition education significantly impacts adolescent girls' knowledge and positive attitudes toward iron tablet consumption. Structured and sustainable integration of nutrition education into primary healthcare services, particularly in island regions, is crucial to support anemia prevention efforts from adolescence onward.]]>
<![CDATA[The Relationship between Family Roles and the Success of the Breastfeeding Process at the Neneng Village Health Center in Banjarmasin ]]>
<![CDATA[Rusmiati Agustina]]>;
<![CDATA[Reny Retnaningsih]]>
<![CDATA[ International Journal of Medicine and Health Vol. 4 No. 4 (2025): Desember : International Journal of Medicine and Health ]]>
Publisher : <![CDATA[Lembaga Pengembangan Kinerja Dosen ]]>
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DOI: 10.55606/ijmh.v4i4.6110
<![CDATA[Successful breastfeeding is a crucial factor in ensuring maternal and infant health, yet many postpartum mothers experience obstacles in optimally breastfeeding. One factor that plays a significant role in successful breastfeeding is family support and involvement. Families, particularly husbands and immediate family members, play a strategic role in providing the emotional, informational, and instrumental support mothers need during the postpartum period. This study aims to analyze the relationship between family roles and successful breastfeeding in postpartum mothers at TPMB Bdn. Neneng Banjarmasin. This study employed an observational analytical design with a cross-sectional approach. The sample consisted of 35 postpartum mothers with infants aged 0–6 months selected using purposive sampling. Data were collected using a structured questionnaire to measure family roles and successful breastfeeding, including aspects of early breastfeeding initiation, breastfeeding frequency, maternal comfort, and sustainability of breastfeeding practices. Data were analyzed univariately and bivariately using the Chi-square test with a significance level of p < 0.05. The results showed that most respondents received good family support and that the majority of postpartum mothers experienced successful breastfeeding. Bivariate analysis showed a significant relationship between family roles and breastfeeding success. In conclusion, family roles are significantly associated with breastfeeding success in postpartum mothers. This finding underscores the importance of a family-centered midwifery care approach in supporting breastfeeding success in community midwifery practice.]]>
<![CDATA[The Effectiveness of Toddler Classes in Improving the Nutritional Quality of Infants Receiving MP-ASI at the Popayato Timur Community Health Center ]]>
<![CDATA[Silfia Nahdyatus Shoima]]>;
<![CDATA[Reny Retnaningsih]]>
<![CDATA[ International Journal of Medicine and Health Vol. 4 No. 4 (2025): Desember : International Journal of Medicine and Health ]]>
Publisher : <![CDATA[Lembaga Pengembangan Kinerja Dosen ]]>
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DOI: 10.55606/ijmh.v4i4.6111
<![CDATA[The quality of complementary feeding (MP-ASI) for infants aged 6–23 months is a key factor in supporting growth and preventing early nutritional problems. However, MP-ASI practices that do not comply with recommendations are still common, especially in areas with limited access to nutrition information and education. One of the promotive-preventive efforts developed in primary health care is the implementation of toddler classes. This study aims to analyze the effectiveness of toddler classes in improving the nutritional quality of infants receiving MP-ASI in the working area of the Popayato Timur Community Health Center. This study used a quasi-experimental design with a one-group pretest–posttest approach. The study sample consisted of 33 infants aged 6–23 months selected using a total sampling technique. Data were collected through infant anthropometric measurements to assess nutritional status based on indicators of weight for age (BW/A) and weight for length/height (BW/H), as well as assessing the quality of MP-ASI using quality scores before and after the intervention. Data analysis was carried out descriptively and inferentially using paired statistical tests. The results showed an increase in the quality of complementary feeding (MP-ASI) after the implementation of toddler classes, accompanied by improvements in infant nutritional status based on indicators of weight for age and weight for height, with a statistically significant difference between conditions before and after the intervention. In conclusion, toddler classes are effective in improving the quality of complementary feeding and infant nutritional status, thus potentially being an applicable educational strategy in efforts to improve infant nutrition in primary health care.]]>
