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<![CDATA[Optimalisasi Kelancaran Asi Melalui Kombinasi Ekstrak Daun Katuk Dan Fenugreek Pada Ibu Menyusui Di TPMB Sudarmi S.ST Di Tajinan ]]>
<![CDATA[Windha Rahma Anggita]]>;
<![CDATA[Reny Retnaningsih]]>
<![CDATA[ Journal of Innovative and Creativity Vol. 5 No. 2 (2025) ]]>
Publisher : <![CDATA[Fakultas Ilmu Pendidikan Universitas Pahlawan Tuanku Tambusai ]]>
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DOI: 10.31004/joecy.v5i2.1479
<![CDATA[For infants under six months of age, breast milk is the finest nourishment. Exclusive breastfeeding is the practice of giving infants only breast milk during the first six months of their life. The prevalence of exclusive breastfeeding varies between 30 and 50 percent worldwide. In 2020, 66.1% of Indonesians were exclusively breastfeeding. The national goal of 80% has not yet been met, however this number has surpassed the 2020 strategic plan objective of 40%. In 2023, Ridha Setiadewi performed a research in Riau and found that one of the primary reasons moms discontinued nursing their newborns and did not offer exclusive breastfeeding was breastfeeding problems. This research is to ascertain how fenugreek and katuk leaf extract might maximize breastfeeding effectiveness in nursing moms at TPMB Sudarmi S.ST in Tajinan. Thirty participants were split into two groups for the study, which used a non-equivalent control group design and a quantitative, quasi-experimental design. One group received a combination of fenugreek and katuk leaf extract, while the other group received no intervention. Data measurement will be carried out with a posttest questionnaire that will be given to all respondents. The research data will be analyzed using bivarat analysis and paired sample t-test statistical test will be used with the significance level set at α = 0.05. The results of the research data analysis showed a probability value of 0.004 < α = 0.05, so H0 was rejected and Ha was accepted. In conclusion, the combination of Sauropus androgynus leaf extract and fenugreek can help optimize the fluency of breast milk in breastfeeding mothers at TPMB Sudarmi, S.ST in Tajinan. It is recommended that health education about the benefits of herbal plants around us be improved. By increasing knowledge of herbal medicine, optimization of breast milk fluency can be improved to increase the rate of exclusive breastfeeding in infants.]]>
<![CDATA[Pengaruh Pijat Oksitoksi Terhadap Kelancaran Asi Di Klinik Rawat Inap Sahabat Sehat Wajak, Malang ]]>
<![CDATA[Shinta Pitaloka]]>;
<![CDATA[Reny Retnaningsih]]>
<![CDATA[ Journal of Innovative and Creativity Vol. 5 No. 2 (2025) ]]>
Publisher : <![CDATA[Fakultas Ilmu Pendidikan Universitas Pahlawan Tuanku Tambusai ]]>
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DOI: 10.31004/joecy.v5i2.1795
<![CDATA[Air susu ibu (ASI) merupakan sumber nutrisi utama yang paling sesuai untuk bayi selama enam bulan pertama karena mengandung zat gizi lengkap yang mendukung pertumbuhan dan meningkatkan daya tahan tubuh bayi. Meskipun pemberian ASI ekslusif di Indonesia sudah meningkat, capaian tersebut belum sepenuhnya memenuhi target global. Salah satu metode yang efektif untuk membantu memperlancar pengeluaran ASI adalah pijat ksitoksin, yatu Teknik pemijatan pada area punggung yang bertujun merangsang hormon oksitoksin agar proses keluarnya ASI berjalan lancar. Penelitian ini menggunakan desain pre-eksperimental dengan metode one-group pretest-posttest yang dilakukan pada 15 bu postpartum di Klinik Rawat Inap Sahabat Sehat Wajak, Malang. Intrtvensi pijat oksitoksin dilakukanselama dua hari berturut-turut dengan durasi 15-20 menit per sesi. Hasil penelitian menunjukkan peningkatan signifikan pada kelancaran ASI setelah pijat oksitoksin, dengan sebagian besar responden mengalami perbaikan dari kondisi kurang lancar menjadi lancar, dibuktikan melalui uji statistic Wilcoxon Signed-Rank (p = 0,001). Selain memberikan efek fisiologis, pijat oksitoksin juga membantu menurunka tingkat stress dan meningkatkan kepercayaan diri ibu dalam menyusui. Faktor pendukung seperti usia produjtif, Pendidikan,pola makan, istirahat,dan dukungan kluarga turut berkontribusi pda keberhasilan intervensi. Oleh karena itu, pijat oksitoksin disarankan untuk diintegrasikan dalam pelayanan pasca persalinan guna meningkatkan kelancaran ASI dan mendukung pemberian ASI ekslusif demi pertumbuhan dan perkembangan bayi yang optimal.]]>
<![CDATA[Pengaruh Pemberian Green Gram Terhadap Peningkatan Kadar Hemoglobin Pada Ibu Hamil Trimester 2 Dengan Anemia Di Kinik Rawat Inap Sahabat Sehat Wajak ]]>
<![CDATA[Putri Febiana Rikianti]]>;
<![CDATA[Reny Retnaningsih]]>
<![CDATA[ Journal of Innovative and Creativity Vol. 5 No. 2 (2025) ]]>
Publisher : <![CDATA[Fakultas Ilmu Pendidikan Universitas Pahlawan Tuanku Tambusai ]]>
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DOI: 10.31004/joecy.v5i2.1846
<![CDATA[Anemia pada ibu hamil berdampak serius terhadap kesehatan ibu dan janin, serta berkontribusi pada tingginya angka kematian ibu (AKI) dan bayi (AKB). Penelitian ini bertujuan untuk menganalisis pengaruh pemberian green gram (kacang hijau) terhadap peningkatan kadar hemoglobin pada ibu hamil trimester kedua dengan anemia. Menggunakan desain quasi eksperimen pretest-posttest control group, sebanyak 40 responden dibagi menjadi kelompok perlakuan (green gram + TTD) dan kontrol (TTD saja), dengan intervensi selama 4 minggu. Hasil uji Mann-Whitney menunjukkan peningkatan kadar hemoglobin yang signifikan pada kelompok perlakuan dibandingkan kontrol (p < 0,001), dengan rata-rata peningkatan masing-masing 2,2 g/dL dan 0,8 g/dL. Kesimpulannya, pemberian green gram efektif meningkatkan kadar hemoglobin dan berpotensi menjadi intervensi gizi lokal untuk menurunkan risiko komplikasi kehamilan, AKI, dan AKB.]]>
<![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 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.]]>
<![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[Pusat Riset dan Inovasi Nasional ]]>
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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.]]>
