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All Journal Jurnal Ilmiah Kebidanan Health Sciences Journal Jurnal Kesehatan JURNAL ILMIAH OBSGIN : Jurnal Ilmiah Ilmu Kebidanan & Kandungan NURSING UPDATE JURNAL ILMIAH ILMU KEPERAWATAN Jurnal Pengabdian Masyarakat dalam Kesehatan Jurnal EduHealth Jurnal Locus Penelitian dan Pengabdian Maternity and Neonatal : Jurnal Kebidanan Jurnal Sehat Indonesia (JUSINDO) International Journal of Medicine and Health Prosiding Seminar Informasi Kesehatan Nasional Journal of Educational Innovation and Public Health Nursing Applied Journal Vitalitas Medis : Jurnal Kesehatan Dan Kedokteran Proceeding International Conference Of Innovation Science, Technology, Education, Children And Health Proceeding International Conference Of Innovation Science, Technology, Education, Children And Health
Anik Sri Purwanti
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Aerospace Engineering Humanities Automotive Engineering Biochemistry, Genetics & Molecular Biology Chemistry Computer Science & IT Decision Sciences, Operations Research & Management Dentistry Education Electrical & Electronics Engineering Engineering Environmental Science Health Professions Immunology & microbiology Mathematics Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary Other

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Journal : Nursing Applied Journal

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The Relationship Between Stress Levels of Pregnant Women and the Incidence of Premature Birth in the Work Area of ​​Dr. Hi Zainal Umar Sidiki Regional Hospital, North Gorontalo Regency Sriyolanda Giasi; Anik Sri Purwanti
NAJ Nursing Applied Journal Vol. 3 No. 4 (2025): October : Nursing Applied Journal
Publisher : LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57213/naj.v3i4.1000

Abstract

Premature birth remains a major public health concern due to its strong association with increased neonatal morbidity and mortality. One of the contributing factors identified is maternal stress during pregnancy, which can negatively affect fetal development and potentially trigger early labor. Previous studies have shown that high stress levels in pregnant women may lead to hormonal imbalances, increased uterine activity, and other physiological changes that elevate the risk of preterm birth. Therefore, understanding the relationship between maternal stress and premature birth is essential for developing effective preventive strategies and improving maternal and neonatal outcomes. This study aimed to examine the relationship between stress levels in pregnant women and the incidence of premature birth in the working area of Dr. Hi Zainal Umar Sidiki Regional Hospital, North Gorontalo Regency. The research used an analytical observational design with a cross-sectional approach. A total of 30 pregnant women were selected using purposive sampling techniques. Maternal stress levels were measured using a validated questionnaire, while premature birth incidence was determined based on gestational age at delivery. Data were analyzed using the Wilcoxon signed-rank test with a significance level of p < 0.05. The results showed a significant relationship between maternal stress and premature birth (p = 0.000), indicating that higher stress levels increase the risk of preterm delivery. These findings highlight the importance of stress management, counseling, and comprehensive antenatal care.
The Effect of Intensive Lactation Counseling on Exclusive Breastfeeding (ASI) for Up to 3 Months at the Paguat Community Health Center (UPTD) Sukmawati Sukmawati; Anik Sri Purwanti
NAJ Nursing Applied Journal Vol. 3 No. 3 (2025): July : Nursing Applied Journal
Publisher : LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57213/naj.v3i3.1001

Abstract

Exclusive breastfeeding during the first six months of life is a key strategy for improving infant health and reducing morbidity and mortality. However, the coverage of exclusive breastfeeding remains suboptimal in many areas, often due to limited maternal knowledge, inadequate support, and insufficient lactation counseling. Intensive lactation counseling is expected to enhance mothers’ understanding, confidence, and commitment to exclusive breastfeeding. This study aimed to analyze the effect of intensive lactation counseling on exclusive breastfeeding practices up to three months postpartum at the Paguat Community Health Center (UPTD). This study employed a pre-experimental design with a one-group pretest–posttest approach. A total of 30 breastfeeding mothers were selected as participants using purposive sampling techniques. Data on exclusive breastfeeding practices were collected before and after the implementation of intensive lactation counseling using structured questionnaires and observation sheets. The counseling intervention was conducted intensively through individualized sessions focusing on breastfeeding techniques, benefits of exclusive breastfeeding, and problem-solving strategies. Data were analyzed using the Wilcoxon signed-rank test with a significance level set at p < 0.05. The results showed a significant effect of intensive lactation counseling on exclusive breastfeeding practices up to three months postpartum. The Wilcoxon signed-rank test yielded a p-value of 0.000, indicating a statistically significant improvement in exclusive breastfeeding behavior after the intervention. In conclusion, intensive lactation counseling has a significant positive effect on exclusive breastfeeding up to three months. Strengthening lactation counseling services at community health centers recommended to improve exclusive breastfeeding coverage and support maternal and infant health outcomes.
Co-Authors Anik Purwati Asriani M. Djauhar br Ginting, Berlianta Cece Indrawati Chrisye Rani Kuheba Delista Wodjur, Efan Desriyanti Nusi Dian Pitaloka Priasmoro, Dian Pitaloka Dyah Lestari, Aisyah efraini, emil Etni Yeyem Sumaila Firda Firliana Karim Fitri Priyanti Fitriyanti Madina Fure, Elsianty Hetty Johana Sulung Iif Wahyu Kusumawati In Novalita Intan Wulandary Karmila Daud Karmila Djihu Karni Simbolon, Ceti Khoirurnisa, Addina Lalogiroth, Fineke Luthfi Mutiara Fitri Mudhofir Mahmud, Ekawati Maulina, Rifzul Mega Nanda Dahlan, Putri Meliyanti Esa Millennia Mokoginta Ningsi Baizurah Nirwati Nirwati Pingkan JB Walean Qurothul Raden Maria Veronika Widiatrilupi Reny Retnaningsih Rombon, Savsenko Sriyolanda Giasi Sukmawati Sukmawati Sulistiyah Sulistiyah Sulistiyah Susanti Bioto Tut Rayani Aksohini Wijayanti Tut Rayani Aw Yulia Tri Jayantj, Yulia Yunita Waney, Jein Zainal Alim