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All Journal Journal of Maternal and Child Health INDONESIAN MIDWIFERY HEALTH AND SCIENCES JOURNAL The Avicenna Medical Journal Lontara Journal Of Health Science And Technology
Nisa, Shofia Maharani Khoirun
Institut Teknologi Dan Kesehatan Malang Widya Cipta Husada, Malang
Biochemistry, Genetics & Molecular Biology Chemistry Education Engineering Environmental Science Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health

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Psychosocial Factors Associated with Anxiety and Delivery Pain Nisa, Shofia Maharani Khoirun; Qadrijati, Isna; Murti, Bhisma
Journal of Maternal and Child Health Vol 3, No 1 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (500.809 KB)

Abstract

Background: Anxiety and pain are physiologic symptoms experienced by mothers during birth delivery. However, if these symptoms are not well-managed they can cause low birth weight, prematurity, prolonged labor, and postpartum depression. This study aimed to analyze the psychosocial factors associated with anxiety and delivery pain.Subjects and Method: This was an analytical observational study with cross sectional design. The study was conducted at Gajahan community health center, Surakarta Hospital, and Muhammadiyah Hospital, Delanggu, Central Java, from December 2017 to January 2018. A total sample of 166 delivery mothers were selected for this study by purposive sampling. The dependent variables were anxiety and delivery pain. The independent variables were parity, psychological stress, coping mechanism, family income, and family support. The data were collected by questionnaire. Anxiety was measured by modified Preg­nancy Related Anxiety Questionaire (PRAQ_R). The data were analyzed by path analysis.Results: Delivery pain increased with higher anxiety (b= 0.30, SE= 0.02, p<0.001). Anxiety decreased with higher delivery pain (b = -1.19, SE= 0.02, p<0.001) and increased with higher stress (b = 0.92, SE= 0.09, p<0.001). Anxiety decreased with coping mechanism (b = -0.31, SE = 0.08, p<0.001) and parity (b= -0.86, SE= 0.37, p<0.001). Stress decreased with better coping mechanism (b= -0.48, SE= 0.08, p<0.001), higher family income (b = -0.16, SE = 0.04, p<0.001), parity (b= -2.13, SE= 0.36, p<0.001), and stronger family support (b = -0.22, SE = 0.06, p=0.007). Coping mechanism increased with parity (b = 1.39, SE = 0.33, p<0.001) and strong family support (b= 0.46, SE= 0.06, p<0.001).Conclusion: Delivery pain increases with higher anxiety. Anxiety associated with delivery pain, stress, and coping mechanism.Keywords: delivery pain, anxiety, psychosocial, family income, parity, coping mechanism, stressCorrespondence: Shofia Maharani Khoirun Nisa. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: shofiamkn@gmail.com. Mobile: +6285736382926Journal of Maternal and Child Health (2018), 3(1): 44-58https://doi.org/10.26911/thejmch.2018.03.01.05
DESCRIPTION OF THE LEVEL OF ANXIETY IN POST PARTUM Alfya Lailatul Istiqomah; Nurya Viandika; Shofia Maharani Khoirun Nisa
Indonesian Midwifery and Health Sciences Journal Vol. 5 No. 4 (2021): Indonesian Midwifery and Health Sciences Journal, October 2021
Publisher : UNIVERSITAS AIRLANGGA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/imhsj.v5i4.2021.333-339

Abstract

Background: The puerperium begins when the baby and placenta are born until the uterus returns to its pre-pregnancy state, and generally lasts for 6 weeks. There are several adaptations that must be passed by postpartum  period including physiological, psychological and social. Anxiety is part of the psychological disorders of postpartum mothers, if anxiety is not handled it can cause postpartum blues and its impact causes a decrease in children's cognitive abilities compared to their peers. The purpose of this study was to describe the level of anxiety in post partum mothers at HJ Faridatul Ampera S.Tr. Keb Independece Midwifery Practice Malang Regency. Methods: The method used in this research is descriptive quantitative with a sample of 38 postpartum mothers with purposive sampling method. The instrument used was a questionnaire, with postpartum mother's anxiety variable. Results: All post partum  (100%) experienced anxiety with a mild level of anxiety of 50.00%, experiencing moderate anxiety of 36.84% and experiencing severe anxiety of 13.16%. Conclusion: Post partum maternal anxiety can occur due to various factors, therefore comprehensive support and care are needed in dealing with the post partum mother adaptation period.
The Differences of Adaptive and Maladaptive Coping Mechanisms on the Intensity of Maternal Pain in the First Stage of Labor Khoirun Nisa, Shofia Maharani; Agustina, Wiwik
The Avicenna Medical Journal Vol 5, No 2 (2024): The Avicenna Medical Journal
Publisher : Faculty of Medicine, UIN Syarif Hidayatullah Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15408/avicenna.v5i2.42603

Abstract

Coping mechanisms are strategies that a person uses when facing feelings that make him uncomfortable, such as stress and anxiety. One of the impacts of stress and anxiety can be increased labor pain. The level of coping mechanisms is thought to describe maternal stress and anxiety so that it can be used as a predictor of labor pain. The aim of this study was to determine the differences in the level of coping mechanisms and the intensity of pain in mothers during the first stage of labor. This study used an analytical observational method with a cross-sectional design. Sampling was carried out using purposive sampling. A total of 66 mothers giving birth at PKU Muhammadiyah Delanggu Hospital were included in this research. The results of the Wilcoxon test show that there are differences in adaptive and maladaptive coping mechanisms for first stage labor pain with a p value <0.005 (CI = 95%). The conclusion of this research is that there are differences between adaptive and maladaptive coping mechanisms for first stage labor pain at PKU Muhammadiyah Delanggu Hospital in the period 15 November 2017 to 23 January 2018.
Diabetic Foot Exercises Can Reduce Neuropathy Degree in Type II Diabetes Mellitus (DM) Patients Agustina, Wiwik; Khoirun Nisa, Shofia Maharani; Chasanah, Faidatul
Lontara Journal of Health Science and Technology Vol. 6 No. 2 (2025): Juli-Desember 2025
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat Politeknik Muhammadiyah Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53861/lontarariset.v6i2.589

Abstract

Neuropathy is nerve damage that occurs mainly in the feet and hands on diabetes mellitus (DM) patients. High blood sugar degree over a long period of time will cause complications, one of which is damage to small blood vessels (microvasculature) such as diabetic neuropathy with an incidence of 45.6%. Diabetic foot exercise (DFE) is a non-pharmacological therapy to overcome this. This study aims to determine the difference in the degree of neuropathy in type II DM patients between before and after receiving DFE therapy. The inquire about plan utilized a Pre-Experiment Group Pretest-Posttest Plan with a population of 105 individuals and a sample of 26 individuals decided through Quota Sampling. The investigate instrument utilizing the Neuropathy System Score (NSS) questionnaire. Information were analyzed utilizing the Wilcoxon Sign Rank Test. The results of this reserach stated that the average degree of neuropathy for the group before DFE therapy = 6.5000 (moderate) and after = 4.4615 (mild). DFE therapy had a significant effect on reducing the degree of neuropathy in respondents (P-value = 0.000). Thus, DFE therapy can be recommended to be applied to type II DM patients as a complementary therapy that can help reduce the degree of neuropathy.
The Differences of Adaptive and Maladaptive Coping Mechanisms on the Intensity of Maternal Pain in the First Stage of Labor Khoirun Nisa, Shofia Maharani; Agustina, Wiwik
The Avicenna Medical Journal Vol. 5 No. 2 (2024): The Avicenna Medical Journal
Publisher : Faculty of Medicine, UIN Syarif Hidayatullah Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15408/m2sbmb28

Abstract

Background: Coping mechanisms play a crucial role in managing maternal pain during labor. Understanding the differences between adaptive and maladaptive coping strategies can help improve maternal care and pain management. The aim of this study was to determine the differences in the level of coping mechanisms and the intensity of pain in mothers during the first stage of labor. Methods: A cross-sectional study was conducted on 66 laboring mothers at PKU Muhammadiyah Delanggu Hospital. The intensity of pain was measured using the Visual Analog Scale (VAS), while coping mechanisms were assessed using the Brief COPE Questionnaire. Data analysis was performed using the Wilcoxon test with a significance level of p < 0.005. The results of the Wilcoxon test indicate a significant difference between adaptive and maladaptive coping mechanisms in relation to labor pain intensity (p < 0.005) (CI=95%). Among mothers with mild pain, 76.2% used adaptive coping mechanisms, whereas only 23.8% relied on maladaptive strategies. Similarly, in the moderate pain group, 78.8% used adaptive coping, while 21.2% used maladaptive coping. However, in the severe pain category, the majority (66.7%) used maladaptive coping mechanisms, whereas only 33.3% applied adaptive coping strategies. Results: The study confirms that adaptive coping mechanisms are associated with lower pain intensity during labor, while maladaptive strategies correlate with higher pain levels. Conclusion: These findings highlight the need for healthcare providers to educate and encourage expectant mothers to adopt effective coping strategies to improve maternal comfort and childbirth outcomes. Future research should explore interventions that enhance adaptive coping mechanisms in labor management.
Co-Authors Alfya Lailatul Istiqomah Bhisma Murti Chasanah, Faidatul Nurya Viandika Qadrijati, Isna Wiwik Agustina, Wiwik