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The Effectiveness of Neroli Aromatherapy in Reducing Labor Pain Intensity During the Active Phase Among Mothers at RSUD Dr. Sayidiman Magetan Rizki Tweniari; Tutiek Herlina; Nana Usnawati; Rahayu Sumaningsih
International Journal of Advanced Health Science and Technology Vol. 6 No. 1 (2026): February
Publisher : Forum Ilmiah Teknologi dan Ilmu Kesehatan (FORITIKES)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/ijahst.v6i1.504

Abstract

Labor pain during the active phase of childbirth remains a significant clinical and psychological challenge for mothers and is often associated with increased anxiety, prolonged labor, and negative birth experiences. In many maternity settings, pain management is still limited to basic relaxation techniques, while evidence-based non-pharmacological alternatives such as aromatherapy are not routinely implemented. This study aimed to examine the effectiveness of neroli (Citrus aurantium) aromatherapy in reducing labor pain intensity during the active phase of the first stage of labor. A quasiexperimental study with a pretest–posttest control group design was conducted at RSUD dr. Sayidiman Magetan. A total of 60 laboring mothers in the active phase (cervical dilatation 4–6 cm) were recruited using consecutive sampling and equally allocated into an intervention group (neroli aromatherapy) and a control group (breathing relaxation). The intervention consisted of inhalation of neroli essential oil via an ultrasonic diffuser for 45 minutes under standardized environmental conditions. Labor pain intensity was measured before and after the intervention using the Visual Analog Scale (VAS). Data were analyzed using the Wilcoxon Signed-Rank test and the Mann–Whitney U test. The results demonstrated a significant reduction in pain intensity in the intervention group, with a mean VAS score decreasing from 6.77 to 5.43 (mean difference = 1.33; p < 0.001). In contrast, the control group experienced a slight increase in pain intensity, with mean scores rising from 6.57 to 6.97 (mean difference = +0.40; p = 0.005). Post-intervention comparisons between groups showed a statistically significant difference (p < 0.001), indicating superior pain reduction in the aromatherapy group. In conclusion, neroli aromatherapy is an effective, safe, and non-pharmacological intervention for reducing labor pain during the active phase of childbirth. Its integration into routine midwifery care may enhance maternal comfort and support a more positive labor experience.
PEMBENTUKAN KELOMPOK PENDUKUNG AIR SUSU IBU (KP-ASI)  DI DESA SUMBERDODOL KECAMATAN PANEKAN KABUPATEN MAGETAN Astin Nur Hanifah; Agung Suharto; Heru SWN; Teta Puji Rahayu; Sunarto Sunarto; Sulikah Sulikah; Nurweningtyas Nurweningtyas; Tinuk Esti Handayani; Tutiek Herlina; Nurlailis Saadah; Budi Joko Santosa; Nana Usnawati; Suparji Suparji; Rahayu Sumaningsih; Nuryani Nuryani; Triana Septianti; Astuti Setiyani
MAJU : Indonesian Journal of Community Empowerment Vol. 3 No. 1 (2026): MAJU : Indonesian Journal of Community Empowerment, January 2026
Publisher : Lembaga Pendidikan dan Penelitian Manggala Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62335/maju.v3i1.2050

Abstract

The development of the health sector, as part of national development, is directed toward improving the quality of human resources. One of the indicators of successful health development is the reduction of infant mortality rates and the improvement of community nutritional status. Optimal nutritional status can only be achieved when good nutritional practices are implemented at every stage of life, including during infancy . Failures in breastfeeding often stem from a lack of information. The study by Ambarwati, Setiyani, and Usnawati (2017) indicates that breastfeeding discussion classes can improve breastfeeding practices among breastfeeding mothers (Ambarwati, Setiyani, and Usnawati, 2017). Parents’ Education has also been shown to be effective in improving the knowledge and attitudes of primigravida couples regarding exclusive breastfeeding. Efforts to enhance knowledge and attitudes toward exclusive breastfeeding must be continuously strengthened and followed by an evaluation of exclusive breastfeeding practices (Usnawati, 2017). Based on these findings, it is necessary to establish a Breastfeeding Support Group (KP-ASI) and implement breastfeeding assistance programs. The establishment of KP-ASI and the breastfeeding assistance program will be carried out through the following strategies: Phase 1: Issuance of an official request letter from Sumberdodol Village for the formation of a breastfeeding support group. Educational materials will be provided to third-trimester pregnant women and breastfeeding mothers. Phase 2: Delivery of educational materials to Posyandu cadres, third-trimester pregnant women, and breastfeeding mothers. The training session will be conducted once. The education session in the village is scheduled for Tuesday, September 9, 2025. Phase 3: Developing a meeting plan and activity schedule for the members and committee of the Breastfeeding Support Group (KP-ASI) for the following month.  
REFRESING KADER POSYANDU TENTANG PENCEGAHAN DAN DETEKSI STUNTING DI DESA TAPAK KECAMATAN PANEKAN KABUPATEN MAGETAN Agung Suharto; Astin Nur Hanifah; Heru SWN; Teta Puji Rahayu; Sunarto Sunarto; Sulikah Sulikah; Nurweningtyas Nurweningtyas; Tinuk Esti Handayani; Tutiek Herlina; Nurlailis Saadah; Budi Joko Santosa; Nana Usnawati; Suparji Suparji; Rahayu Sumaningsih; Nuryani Nuryani; Triana Septianti; Astuti Setiyani
MAJU : Indonesian Journal of Community Empowerment Vol. 3 No. 1 (2026): MAJU : Indonesian Journal of Community Empowerment, January 2026
Publisher : Lembaga Pendidikan dan Penelitian Manggala Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62335/maju.v3i1.2227

Abstract

Introduction: Posyandu cadres are community members who are involved in the community health center to manage the posyandu voluntarily. They are the main pillar and the front line of defense in improving the health status of the community because they are the ones who best understand the characteristics of the community in their area. Cadres also remind the community about the posyandu schedule, encourage pregnant women and parents of toddlers to come to the posyandu to monitor nutritional status and health. Objective: To determine the increase in knowledge of posyandu cadres in preventing stunting. Method: Conducting refresher posyandu cadres about prevention and detection of stunting in Tapak Village, the working area of ​​the Panekan Community Health Center, Magetan Regency, including providing health information to cadres so that it can be passed on to the community. Training on measuring and determining nutritional status aims to enable cadres to determine the nutritional status of toddlers accurately and provide actual and accurate reports to the community health center. Results: Of the 18 Posyandu cadre participants who attended the Posyandu refreshing activity held on September 9, 2025 with material on stunting prevention and toddler growth detection at the Tapak Village Hall, Panekan District, Pre-test scores were obtained, a small portion received a score of 8, namely 11% and most received a score of 10, namely 44%. While the post-test results obtained a small portion received a score of 9, namely 28% and most received a score of 10, namely 72%. Conclusion: There was an increase from the pre-test results to the post-test of knowledge and skills about stunting prevention in Posyandu cadres.
STIMULASI DETEKSI INTERVENSI DINI TUMBUH KEMBANG ANAK BAGI GURU PAUD/RA KABUPATEN MAGETAN Tinuk Esti Handyani; Agung Suharto; Tutiek Herlina; Nana Usnawati; Nuryani Nuryani; Astuti Setiyani; Sulikah Sulikah; Astin Nur Hanifah; Nurlailis Sa’adah; Rahayu Sumaningsih; Nurweningtyas Wisnu; Triana Septianti Purwanto; Teta Puji Rahayu
MAJU : Indonesian Journal of Community Empowerment Vol. 3 No. 4 (2026): MAJU : Indonesian Journal of Community Empowerment, Juli 2026
Publisher : Lembaga Pendidikan dan Penelitian Manggala Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62335/maju.v3i4.2842

Abstract

Background: Stimulation, Early Detection, and Early Intervention for Child Growth and Development (SDIDTK) is an essential strategy for identifying developmental deviations at an early stage, enabling timely intervention. Early childhood teachers play a strategic role in implementing SDIDTK but require adequate competency through technical training. Objective: To analyze the effectiveness of SDIDTK Technical Guidance (Bimbingan Teknis/Bimtek) in improving the knowledge of PAUD/RA teachers in Magetan Regency. Methods: A one-group pretest–posttest design was conducted involving 71 PAUD/RA teachers participating in a two-day technical training. Data were analyzed descriptively and using the Wilcoxon Signed Rank Test. Results: The proportion of participants with good knowledge increased from 5.64% to 63.38%, while poor knowledge decreased from 74.64% to 0%. Overall, 92.96% of participants demonstrated improved scores, with a statistically significant difference (p < 0.001). Conclusion: SDIDTK technical training effectively improved teachers' knowledge and has the potential to strengthen SDIDTK implementation and early identification of child growth and developmental disorders.
Effectiveness of the Problem-Based Learning (PBL) Method to Increase Students' Knowledge and Attitudes About Early Marriage Sri Ayomi; Ayesha Hendriana Ngestiningrum; Tutiek Herlina
Health Dynamics Vol 1, No 1 (2024): January 2024
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd10103

Abstract

Background: High number of teenage marriages is a very worrying phenomenon because it causes various negative impacts on both reproductive health and social life. Indonesia is ranked second in ASEAN and eighth in the world for cases of early marriage. In the Mlarak sub-district, Ponorogo Regency, 8% of marriages were under 19 years of age. The purpose of the study was to determine the effectiveness of the Problem Based Learning (PBL) method to increased students' knowledge and attitudes about early marriage. Method: Research design was pre- experimental with a pretest - post test one group design. The sample was class VIII SMP Negeri 1 Mlarak, Ponorogo Regency, taken by proportional random sampling technique followed by Simple Random Sampling as many as 60 students. Collecting data using a questionnaire instrument. The independent variable is the PBL method while the dependent variable is knowledge and attitudes about early marriage. Data analysis used Paired Sample T Test with 0.05. Results: The results showed there is increase in the average knowledge of student by 14.08 and student attitudes by 12.2 after using the Problem Based Learning method. The results of the Paired Sample T Test 0.000 for the knowledge variable and 0.000 for the attitude variable, which means Ho is rejected and Ha is accepted. Conclusion: PBL method is effective in increasing knowledge about early marriage. The PBL method is effective in increasing attitudes about early marriage. Suggestions for teenagers to increase their knowledge about early marriage so that students' attitudes about early marriage can increase.
Relationship Between Diet Patterns and Anemia in Female Adolescents Setya Widhawati; Suparji Suparji; Tinuk Esti Handayani; Tutiek Herlina
Health Dynamics Vol 1, No 8 (2024): August 2024
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd10805

Abstract

Background: In the process of becoming a mother, a young woman must prepare herself, especially in meeting nutritional needs to prevent anemia, in order to ensure a quality next generation of the nation. Anemia can cause fatigue, decreased productivity, and disorders in cognitive and motor development in children. This study aims to determine the relationship between diet and the incidence of anemia in young women. Methods: The research design used was cross-sectional to examine the relationship between diet and anemia status. The population in this study were 127 students of grade VII of SMP Negeri 5 Ponorogo, with samples taken using a total sampling of 127 students. The independent variable in this study was diet, while the dependent variable was anemia. The instruments used included questionnaires and hemoglobin (Hb) level examination tools. Data collection was carried out through Hb level screening and filling out questionnaires distributed via Google Form. Data analysis used cross-tabulation and Chi-square test. Results: The results showed that 75.59% of adolescents had good diets, while 24.41% had poor diets. Anemia status showed that 79.53% did not have anemia and 20.47% had anemia. The Chi-square test showed the analysis result p = 0.017, which indicated a significant relationship between diet and the incidence of anemia in adolescent girls. Conclusion: This study shows a significant relationship between diet and the incidence of anemia in adolescent girls. Adolescents with good diets tend to have a lower risk of anemia. It is recommended that adolescent girls continue to maintain a good diet to prevent anemia, which can affect their overall health, including productivity and cognitive development.
Effectiveness of the NETES (Niat Engsun Tuntas cEgah Stunting/My Intention to Prevent Stunting Completely) Program to Prevent Stunting Tutiek Herlina; Nurweningtyas Wisnu; Dian Maheru Robbi; Yuanita Sinar Yuliati; Rahma Anindita
Health Dynamics Vol 1, No 12 (2024): December 2024
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd11202

Abstract

Background: Stunting was described as a toddler whose height was lower than the standard height for children of the same age, which was a characteristic that indicates repeated and long-term nutritional problems. The negative impact in the long term was decreased cognitive ability and learning achievement, body immunity, and a high risk of diabetes, obesity, heart and blood vessel disease, cancer, stroke, and disability in old age. The prevalence of stunting in Plaosan Subdistrict increased from 2021 by 7.54%, in 2022 by 7.91% and in 2023 by 8.52%. The "NETES" (Niat Engsun Tuntas cEgah Stunting/My Intention to Prevent Stunting Completely) program was one of the stunting management programs in Plaosan Subdistrict, implemented by giving one egg every day for 90 days to children under five at risk of stunting. This research aims to determine effectiveness of the NETES program to prevent stunting. Methods: Research design was ex post facto. The population were all children under five years old who were at risk of stunting, sample size 90 taken by total population. The independent variable was the NETES program and the dependent variable was stunting. The instruments used Endo brand stadiometer and Endo brand infantometer, observation sheets for egg feeding and body height. Analysis by the Wilcoxon Signed Rank test. Results: The results showed median HAZ value before the NETES program was –2.3 and after the NETES program was -1.8.  Z value = 3.8541 and p value = 0.0001162 so it can be concluded that there is a difference HAZ value between before and after the implementation of the NETES program. Conclusions: Giving one egg a day for 90 days is effective to prevent stunting. It is recommended that the implementation of the NETES program can be continued and be applied in other areas.
Kehamilan Resiko Tinggi pada Ibu Primitua Sekunder Usia 38 Tahun: A Case Report Dhita Amalya Reivanda; Nuryani Nuryani; Tutiek Herlina; Teta Puji Rahayu
Jurnal Ilmu Psikologi dan Kesehatan | E-ISSN : 3063-1467 Vol. 3 No. 2 (2026): Juli - September
Publisher : CV. ITTC INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62379/jipk.v3i2.2320

Abstract

High-risk pregnancy is a pregnancy with one or more risk factors that may increase maternal and fetal complications. One of the major risk factors is maternal age ≥35 years with a pregnancy interval of more than 10 years (secondary primiparity). This case report aimed to describe comprehensive midwifery care for Mrs. W, a 38-year-old G3P2A0 woman with a high-risk pregnancy at PMB Bidan "J", Lembeyan, Magetan. This study employed a case report approach using midwifery management with SOAP documentation. The Poedji Rochjati Score Card (KSPR) assessment showed a score of 10, indicating a high-risk pregnancy. Midwifery care included regular antenatal monitoring, education on pregnancy danger signs, implementation of the Birth Planning and Complication Prevention Program (P4K), and postpartum family planning counseling. Throughout the period of care, both maternal and fetal conditions remained stable without complications. Comprehensive midwifery care accompanied by early risk detection using the KSPR contributed to maintaining favorable maternal and fetal outcomes in this high-risk pregnancy.
Case Report pada Ibu Nifas dengan Mastitis Ringan 20 Hari Pasca Salin yang Aktif Menyusui Icha Amelia Kusuma Wardani; Sulikah .; Agung Suharto; Tutiek Herlina
Jurnal Ilmu Psikologi dan Kesehatan | E-ISSN : 3063-1467 Vol. 3 No. 2 (2026): Juli - September
Publisher : CV. ITTC INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62379/jipk.v3i2.2324

Abstract

Mastitis is an inflammation of the breast tissue commonly occurring during the postpartum period. This case report aimed to describe midwifery care for a mother 20 days postpartum with mild mastitis who continued breastfeeding. A case report approach with SOAP documentation was used. The patient experienced breast pain and swelling due to milk stasis and improper latch. Midwifery care included breastfeeding education, breast care, and warm and cold compresses, resulting in reduced symptoms while maintaining successful lactation. Appropriate midwifery care can effectively manage mild mastitis and support successful breastfeeding.
Hubungan Usia dan Paritas Ibu dengan Kejadian Postpartum Blues di PMB “W” Magetan: The Relationship between Age and Maternal Parity with the Incidence of Postpartum Blues in PMB "W" Magetan Oktavia Puspita Sari; Agung Suharto; Tutiek Herlina
Gema Bidan Indonesia Vol. 11 No. 1 (2022): Maret
Publisher : Jurusan Kebidanan Politeknik Kesehatan Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/gebindo.v10i2.3

Abstract

Indonesia's postpartum blues incidence is 50-70% of postpartum women, postpartum blues occur in postpartum women caused by several factors such as childbirth experience, increased hormones, infant behavior, maternal age, and parity. The aim of the study was to determine the relationship of age and parity with the incidence of postpartum blues in PMB "W" Magetan. Type of analytic research, cross-sectional study design, the postpartum maternal population in Magetan PMB "W" 24 respondents, 23 respondents were taken by accidental techniques, free age, and parity variables while dependent variable postpartum blues. Data collection with EPDS questionnaire, data analysis using chi-square test. The results of the study obtained mothers with primipara 83%, and in multiparas 17%, mothers aged <20 years 44%, at the age of 20-35 years 26% and age> 35 years 30%. The results of statistical tests on age variables with the incidence of postpartum blues obtained p= 0.031 (0.05) so it was concluded that there was a relationship between age and postpartum blues events, the results of statistical tests on variable parity with postpartum blues events obtained p = 0.040 (0.05) so it can be concluded that there is a relationship between parity postpartum blues. The conclusion of the study is that there is a relationship between parity and age with postpartum blues events, it is suggested that prospective mothers can prepare the pregnancy properly so that it will minimize the incidence of postpartum blue, and midwives can detect symptoms of postpartum blues so that they can prevent postpartum blues.