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All Journal Jurnal Penelitian Kesehatan Suara Forikes Health Notions JURNAL PENELITIAN KESEHATAN 2-TRIK: TUNAS-TUNAS RISET KESEHATAN AloHA International Journal of Health Advancement (AIJHA) Global Health Science (GHS) International Journal of Advanced Health Science and Technology Journal of Global Pharma Technology Health Community Engagement Frontiers in Community Service and Empowerment Health Dynamics Indonesian Journal of Community Empowerment Jurnal Ilmu Psikologi dan Kesehatan Gema Bidan Indonesia (e-Journal) Borneo Nursing Journal
Tutiek Herlina
Poltekkes Kemenkes Surabaya
Agriculture, Biological Sciences & Forestry Humanities Biochemistry, Genetics & Molecular Biology Dentistry Education Electrical & Electronics Engineering Engineering Environmental Science Health Professions Immunology & microbiology Library & Information Science Medicine & Pharmacology Neuroscience Nursing Public Health Other

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The Influence of TikTok Audiovisual on Caregivers' Knowledge of Picky Eaters in Toddlers in the Work Area of the Parang Health Center Galuh Nirmala; Tutiek Herlina; Nuryani Nuryani; Sunarto Sunarto
International Journal of Advanced Health Science and Technology Vol. 6 No. 4 (2026): August
Publisher : Forum Ilmiah Teknologi dan Ilmu Kesehatan (FORITIKES)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/ijahst.v6i4.638

Abstract

 Picky Eater in toddlers is characterized by behaviors such as choosing certain foods, limiting food variations, and refusingto try new foods, which can affect nutritional status. Limited caregiver knowledge can exacerbate this condition. Health education deliveredthrough the audiovisual platform TikTok represents an innovative and accessible approach. Methods: This study used a pre-experimentaldesign with a One-Group Pretest-Posttest approach, which was conducted in the working area of the Parang Health Center, Magetan Regencybetween March and May 2026. A total of 43 caregivers of toddlers aged 1-5 years with malnutrition were selected using simple randomsampling. Knowledge of picky eating was assessed using a 20-item questionnaire before and after TikTok's audiovisual educationintervention, which was administered twice a day for three consecutive days. Data were analyzed using the Wilcoxon Signed-Rank Test.Results: Before the intervention, 69.8% of caregivers had good knowledge, while 30.2% had reasonable knowledge. After the intervention,all caregivers (100%) showed good knowledge. The Wilcoxon Signed-Rank test yielded a p value of <0.001 (Z = -3.606), indicating asignificant effect of TikTok's audiovisual education on caregiver knowledge. Conclusion: TikTok audiovisual education is effective inincreasing caregivers' knowledge about picky eating in toddlers. This medium serves as an engaging, interactive, and accessible alternativeto health promotion, helping to improve caregivers' understanding of healthy eating habits for young children
Case Report: Midwifery Care for Second-Trimester Emesis Gravidarum with Evening-Predominant Symptoms Friska Diah Puspitasari; Sulikah Sulikah; Agung Suharto; Tutiek Herlina
Aloha International Journal of Health Advancement (AIJHA) Vol 7, No 8 (2026): August 2026
Publisher : Alliance oh Health Activists (AloHA)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/aijha70807

Abstract

Emesis gravidarum is common in early pregnancy, typically manifesting as morning sickness and subsiding by 12–16 weeks of gestation. However, persistent symptoms, particularly with evening predominance, may present clinical challenges. This case describes an atypical presentation of emesis gravidarum in the second trimester. This descriptive case report was conducted from January 29 to March 8, 2026, at the Independent Midwife Practice of Mrs. E, Bendo District, Magetan Regency, Indonesia. The subject was a second-trimester pregnant woman experiencing evening-predominant emesis gravidarum. Assessment and documentation used the SOAP approach, supported by structured assessment formats. Informed consent was obtained from the participant. At 20 weeks of gestation, the patient experienced nausea and vomiting 4–5 times daily, accompanied by reduced appetite and mild dehydration. Following four midwifery care visits, nausea decreased and occurred occasionally when exposed to strong odors, while vomiting ceased. Appetite was restored, maternal weight increased, vital signs remained stable, no signs of dehydration were observed, and fetal condition remained within normal limits. The case demonstrates an atypical evening-predominant pattern of emesis gravidarum in the second trimester. Hormonal changes, environmental triggers, and maternal fatigue may contribute to symptom patterns. Combined pharmacological and non-pharmacological interventions supported symptom improvement. Individualized and holistic midwifery care with continuous monitoring and tailored interventions can support maternal and fetal well-being in atypical emesis gravidarum.
Case Report: Parental Refusal of Immunization in a 12-Month-Old Infant as a Midwifery Case Report on Knowledge Factors Heny Trisetyowati; Sulikah Sulikah; Agung Suharto; Tutiek Herlina
Aloha International Journal of Health Advancement (AIJHA) Vol 7, No 8 (2026): August 2026
Publisher : Alliance oh Health Activists (AloHA)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/aijha70806

Abstract

Introduction: Routine childhood immunization is an essential public-health intervention for preventing vaccine-preventable diseases. Despite high reported immunization coverage in Magetan Regency in 2025, delayed or incomplete vaccination can still occur when parents have limited knowledge, safety concerns, or conflicting family information. Objective: To describe midwifery care for a 12-month-old infant whose routine immunization was incomplete because of parental knowledge-related hesitancy. Methods: A descriptive case report was conducted at a private midwifery practice in Magetan, East Java, from 2 to 21 February 2026. The case was managed using the SOAP framework. Data were collected through maternal interviews, review of the child’s immunization record, physical examination, growth and developmental assessment, observation of parental responses, and four follow-up visits. Counseling used therapeutic communication and a leaflet covering immunization benefits, vaccine-preventable diseases, routine schedules, and common adverse events following immunization (AEFI). Results: The 12-month-old male infant had received only a birth dose of hepatitis B vaccine, with no subsequent routine immunizations documented. At the first visit, the mother reported limited knowledge and fear of adverse effects and was influenced by information from neighbors and social media. The infant had mild cough and coryza but was otherwise clinically well, with normal growth and development. Across four visits, maternal understanding improved after structured counseling and leaflet-based education. By the final visit, the mother could explain the benefits of immunization and expressed willingness to vaccinate her child, but implementation had not yet occurred because the decision still required discussion with her husband. Conclusion: Individualized counseling, empathetic communication, and accessible written information improved maternal knowledge and vaccine acceptance in this case. Family involvement and continued follow-up are important when parental decision-making is shared.
Asuhan Kebidanan Pada Ibu Nifas Multipara Post Sectio Caesarea Dengan Postpartum Blues Gelintina Kurniawati; Sulikah; Agung Suharto; Tutiek Herlina
Borneo Nursing Journal (BNJ) Vol. 8 No. 2b (2026)
Publisher : Akademi Keperawatan Yarsi Samarinda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61878/bnj.v8i2b.1275

Abstract

Postpartum blues merupakan gangguan psikologis ringan yang sering terjadi pada masa nifas dan ditandai dengan perubahan suasana hati, mudah menangis, cemas, serta kesulitan beradaptasi dengan peran sebagai ibu. Meskipun lebih sering terjadi pada ibu primipara, kondisi ini juga dapat dialami oleh ibu multipara sehingga memerlukan deteksi dini dan penatalaksanaan yang tepat. Penelitia ini bertujuan mendeskripsikan penerapan asuhan kebidanan pada ibu nifas multipara post sectio caesarea yang mengalami postpartum blues. Penelitian menggunakan desain laporan kasus (case report) dengan pendekatan manajemen asuhan kebidanan menggunakan metode SOAP. Subjek penelitian adalah seorang ibu nifas multipara post sectio caesarea yang mengalami postpartum blues. Pengumpulan data dilakukan melalui anamnesis, observasi, pemeriksaan fisik, dokumentasi, serta skrining menggunakan Edinburgh Postnatal Depression Scale (EPDS). Asuhan kebidanan meliputi edukasi mengenai postpartum blues, dukungan psikologis, konseling, peningkatan dukungan keluarga, pemenuhan kebutuhan istirahat dan nutrisi, serta pemantauan kondisi ibu secara berkala. Hasil asuhan menunjukkan adanya perbaikan kondisi emosional ibu yang ditandai dengan berkurangnya keluhan sedih, cemas, dan mudah menangis, meningkatnya kemampuan ibu dalam beradaptasi dengan peran barunya, serta penurunan skor EPDS dari 10 pada kunjungan kedua menjadi 9 pada kunjungan ketiga. Penerapan asuhan kebidanan secara komprehensif disertai dukungan keluarga dan skrining menggunakan EPDS berperan dalam membantu pemulihan kondisi psikologis ibu nifas yang mengalami postpartum blues. Skrining kesehatan mental pada masa nifas perlu dilakukan secara rutin sebagai upaya deteksi dini dan pencegahan berkembangnya gangguan psikologis yang lebih berat. Kata kunci: postpartum blues; nifas; sectio caesarea
Comprehensive Midwifery Care for a Pregnant Woman with Obesity Yosynta Purin Ayunda; Tinuk Esti Handayani; Tutiek Herlina
Aloha International Journal of Health Advancement (AIJHA) Vol 7, No 10 (2026): October 2026 (In Production)
Publisher : Alliance oh Health Activists (AloHA)

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

Abstract

Introduction: Obesity during pregnancy is an increasingly common health problem and can increase the risk of various complications for both the mother and fetus. This condition is associated with a higher risk of gestational hypertension, preeclampsia, gestational diabetes mellitus, operative delivery, and fetal growth disorders. Therefore, comprehensive midwifery care is needed to monitor maternal health conditions and prevent complications during pregnancy. Objective: To describe the implementation of midwifery care for a pregnant woman with obesity at TPMB Mrs. “G”, Plaosan, Magetan. Methods: This report used a descriptive study with a case report design through the SOAP (Subjective, Objective, Assessment, Planning) approach in midwifery care management. Data were collected using primary and secondary data sources. Primary data were obtained through interviews, observations, and physical examinations, while secondary data were obtained from documentation such as the Maternal and Child Health (MCH) handbook and medical records. Data analysis was conducted descriptively based on subjective and objective findings, problem identification, care planning, implementation of interventions, and evaluation of care. Results and Discussion: The assessment of Mrs. W, a 31-year-old primigravida (G1P0A0) at 23 weeks of gestation, showed a Body Mass Index (BMI) of 31.64 kg/m², which was classified as obesity. The patient reported fatigue, back pain, and numbness in her hands. The care provided included education on balanced nutrition, recommendations for safe physical activity, monitoring of weight gain, and regular antenatal care examinations. After three months of follow-up care, the patient's condition improved as indicated by reduced physical complaints and weight gain within the recommended range. Conclusion: Comprehensive SOAP-based midwifery care can assist in monitoring maternal health, reducing the risk of pregnancy complications, and supporting the health of both mother and fetus. Keywords: Obesity During Pregnancy, Pregnancy
Shared Kangaroo Mother Care for Twin Preterm Neonates: A Midwifery Management Case Report Wafa Nazla Camila; Teta Puji Rahayu; Tutiek Herlina
Aloha International Journal of Health Advancement (AIJHA) Vol 7, No 10 (2026): October 2026 (In Production)
Publisher : Alliance oh Health Activists (AloHA)

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

Abstract

Introduction: Twin preterm neonates are infants delivered from a twin pregnancy prior to the completion of 37 weeks of gestation. Kangaroo Mother Care (KMC) is a recommended intervention for maintaining neonatal physiological stability through sustained skin-to-skin contact between the infant and the mother or another family member. Objective: This case report aims to describe the implementation of Kangaroo Mother Care in twin preterm neonates through a midwifery management approach. Methods: This report used a descriptive, single-case design applying midwifery management to Baby of Mrs. “Y,” twin preterm neonates residing in Kinandang Village, Bendo District, Magetan Regency. Data were obtained through interviews, observation, physical examination, and documentation review, and were processed following the stages of midwifery care: assessment, analysis, planning, implementation, and evaluation. Results and Discussion: Assessment findings indicated that both neonates required close monitoring of body temperature, respiratory pattern, feeding capacity, and general condition. Care activities comprised Shared Kangaroo Mother Care, monitoring of vital signs and growth parameters, infection-prevention measures, and family education on home-based care of preterm neonates. Over the course of observation, both infants maintained stable body temperature, showed progressive improvement in feeding ability, remained in good general condition, and the mother and family became able to perform KMC independently. Conclusion and Suggestion: Implementation of Kangaroo Mother Care through a midwifery management approach supported the physiological adaptation of twin preterm neonates, improved their feeding capacity, and strengthened family participation in ongoing neonatal care. Sustained KMC practice, regular follow-up, and continued family support are recommended to promote optimal growth and development of preterm infants. Keywords: Kangaroo Mother Care; infant; twins; preterm; case report
TREN PERTUMBUHAN BERAT BADAN KURANG PADA ANAK USIA 0–2 TAHUN DI PUSKESMAS PLAOSAN, MAGETAN, TAHUN 2023–2025 Firul Dwi Cahyani; Astin Nur Hanifah; Nurwening Tyas Wisnu; Tutiek Herlina; Yuanita Sinar Yulianti
MAJU : Indonesian Journal of Community Empowerment Vol. 3 No. 5 (2026): MAJU : Indonesian Journal of Community Empowerment, September 2026
Publisher : Lembaga Pendidikan dan Penelitian Manggala Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62335/maju.v3i5.3014

Abstract

Pregnancy is a highly anticipated stage in a woman’s life, yet it is also a period associated with various health risks. Pregnancy complications and warning signs may go unrecognized, including nutritional problems that can adversely affect maternal and fetal health. Several maternal and pregnancy-related nutritional issues remain prevalent, such as chronic energy deficiency (CED), low birth weight (LBW), and anemia. This study aimed to determine the effectiveness of a nutrition education intervention using the Nutrition Snakes and Ladders game in improving pregnant women’s knowledge and attitudes toward nutrition during pregnancy. A quantitative quasi-experimental study was conducted using a non-equivalent pretest–posttest control group design at Banjarejo Community Health Center. A total of 40 pregnant women were recruited through cluster random sampling and allocated into an intervention group receiving the Nutrition Snakes and Ladders* educational game (n = 20) and a control group receiving conventional education through the Maternal and Child Health (MCH) Handbook (n = 20). Data were collected using a validated and reliable questionnaire and analyzed using the Wilcoxon Signed-Rank test and Mann–Whitney U test, with a significance level of 0.05. Following the intervention, the proportion of pregnant women with good nutritional knowledge in the intervention group increased to 95.0%, while those demonstrating positive attitudes reached 100.0%. The Wilcoxon test revealed a statistically significant difference in knowledge and attitudes before and after the intervention (p = 0.000). Furthermore, the Mann–Whitney U test demonstrated significant differences in knowledge and attitudes between the intervention and control groups (p = 0.001). The Nutrition Snakes and Ladders game was shown to be an effective educational medium for improving pregnant women’s nutritional knowledge and attitudes. As an interactive and easy-to-understand approach, this game may serve as an alternative health education strategy to support improved maternal and fetal health during pregnancy.
A Significant Association Between Nutritional Status and Hypertension Among Adolescents Iena Shopieana Putri Al Azhari; Nuryani Nuryani; Tutiek Herlina; Astuti Setiyani
Health Notions Vol 10, No 4 (2026): October-December
Publisher : Humanistic Network for Science and Technology (HNST)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hn10403

Abstract

Hypertension in adolescents is an increasingly significant public health issue. Data from the 2025 Free Health Check-Up (FHC) Program in Magetan Regency reported that 13.4% of senior high school students were pre-hypertensive, 7.0% had Stage 1 hypertension, and 1.6% had Stage 2 hypertension; at SMAN 2 Magetan, the prevalence was even higher at 28.7%, 13.1%, and 2.2%, respectively. Nutritional problems were also prominent, with 29.3% of students undernourished, 8.9% overweight, and 3.5% obese. This study aimed to examine the association between nutritional status and hypertension incidence among Grade X students at SMAN 2 Magetan in 2025. An observational analytic study with a cross-sectional design was conducted. Of 313 Grade X students, 176 were selected through simple random sampling. Nutritional status (BMI, WHO 2007 criteria) was assessed as the independent variable, while hypertension incidence (AAP 2017 criteria) served as the dependent variable. Secondary data from the 2025 FHC Program were analyzed using the Spearman Rank Correlation test (α = 0.05). Most students had normal nutritional status (54.55%) and normal blood pressure (43.75%). The Spearman test showed r = 0.158 and p = 0.037 (p < 0.05), indicating a statistically significant but very weak positive correlation between nutritional status and hypertension incidence. As a cross-sectional study relying on single-point blood pressure measurement, causal interpretation and identification of white-coat effects were limited. In conclusion, nutritional status is significantly associated with hypertension incidence among adolescents, although the correlation is very weak. These findings highlight the need for strengthened school-based health promotion to prevent early-onset hypertension and its long-term consequences.Keywords: nutritional status; hypertension; adolescents
Co-Authors Alvyana Indrajitha Astin Nur Hanifah Astuti Setiyani Astuti Setiyani, Astuti Ayesha Ngestiningrum Christine Inventor Reyes Dhita Amalya Reivanda Dian Maheru Robbi Firul Dwi Cahyani Friska Diah Puspitasari Galuh Nirmala Gelintina Kurniawati Handayani, Tinuk Esti Heny Trisetyowati Heru Santoso Wahito Nugroho Icha Amelia Kusuma Wardani Iena Shopieana Putri Al Azhari Maria Retno Ambarwati Nana Usnawati Nani Surtinah Ngestiningrum, Ayesha Hendriana Nisrina, Salsabilla nurlailis saadah Nurlailis Sa’adah Nurweningtyas Nurweningtyas Nuryani, Nuryani Oktavia Puspita Sari Purwanto, Triana Septianti Rahayu Sumaningsih Rahayu, Teta Puji Rahma Anindita Rizki Tweniari Santosa, Budi Joko Setya Widhawati Siti Yulaidah Sri Ayomi Suharto, Agung Sulikah, Sulikah Sumasto, Hery Sunarto Sunarto Suparji Suparji Suparji Suparji Surtinah, N Tinuk Esti Handyani Triana Septianti Wafa Nazla Camila Wahyu Fitri Yuliasih Wisnu, Nurwening Tyas Wisnu, Nurwening Tyas Yannavita Hadi Suwignyo Yeni Bekti Megananda Yosynta Purin Ayunda Yuanita Sinar Yulianti Yuanita Sinar Yuliati