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All Journal Jurnal Kesehatan
Marlina Marlina
Midwifery Department, Poltekkes Kemenkes Tanjung Karang, Bandar Lampung, Indonesia
Health Professions Public Health

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Unexpected Risk Factors of Premature Rupture of Membranes in Independent Midwife Practice: A Contradiction to Existing Theory Marlina Marlina; Nora Isa Trinovadela; Indah Trianingsih; Yeyen Putriana
Jurnal Kesehatan Vol 16 No 1 (2025): Jurnal Kesehatan
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v16i1.4753

Abstract

The incidence of premature rupture of membranes (PROM) is still one of the critical problems in obstetrics that increases maternal and neonatal morbidity and mortality. This study aims to investigate the relationship between anemia, parity, and chronic energy deficiency (CED) and the incidence of premature rupture of membranes (PROM) in the Independent Midwife Practice (PMB) setting at the Sukarame Health Center area, Bandar Lampung City. The study design used was cross-sectional. The subjects were 137 mothers giving birth in the PMB area of Sukarame Health Center, Bandar Lampung City in 2024. Data collection was carried out using primary data from interviews with mothers giving birth in PMB in the Sukarame Health Center area, Bandar Lampung City. Data analysis used univariate and bivariate data analysis with the Chi-Square test. The results showed that there was no significant relationship between parity and premature rupture of membranes (p-value: 0.637). However, there were significant relationships between anemia (p-value: 0.017) and CED (p-value: 0.029) and PROM in PMB. Interestingly, the results showed that PROM was more common in mothers without anemia and without CED. Although anemia and CED are conventionally considered risk factors for PROM, this study found a higher incidence of PROM among mothers without anemia and without CED. Therefore, antenatal care should not only focus on preventing anemia and CED but also on identifying other hidden risk factors such as infections, stress, and physical strain, even in seemingly healthy pregnancies.
Exploration of Contextual Factors Affecting the Effectiveness of E-Kescatin Application Utilization: A Qualitative Study in Pringsewu Regency Nelly Indrasari; Risneni Risneni; Warjidin Aliyanto; Nurlaila Nurlaila; Eva Berliana; Marlina Marlina
Jurnal Kesehatan Vol 16 No 2 (2025): Jurnal Kesehatan
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v16i2.5108

Abstract

The E-Kescatin application was developed as an innovation in premarital health services to support stunting prevention efforts through a digital approach. However, the effectiveness of utilization of this application still shows variations between regions and is not optimal at the implementation level. This study aims to explore the contextual factors that influence the effectiveness of the E-Kescatin application utilization in Pringsewu District, Lampung Province. The research used a qualitative approach with an exploratory study design. Informants were selected purposively, consisting of midwives, brides-to-be, Health Office officers, and MCH program managers. Data collection was conducted through in-depth interviews and focus group discussions. Data analysis was done thematically with an interpretative approach. The results identified five main themes that influence the effectiveness of app utilization, namely: (1) accessibility of technology and digital infrastructure; (2) digital competence of health workers; (3) perceived benefits from the user side; (4) policy and regulatory support at the local level; and (5) cross-sector integration in the implementation of premarital services. It is concluded that the effectiveness of E-Kescatin application utilization is influenced by contextual factors that include technical, social, and institutional aspects. Therefore, improving the success of application implementation requires a collaborative and adaptive approach to local conditions. The findings of this study provide a significant contribution to strengthening digital transformation policies in the field of reproductive health.
Co-Authors Eva Berliana Indah Trianingsih Nelly Indrasari Nora Isa Trinovadela Nurlaila Nurlaila Risneni Risneni Warjidin Aliyanto Yeyen Putriana