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All Journal Jurnal Penelitian Kesehatan Suara Forikes Health Notions 2-TRIK: TUNAS-TUNAS RISET KESEHATAN Jurnal Ilmiah Kebidanan (The Journal Of Midwifery) AloHA International Journal of Health Advancement (AIJHA) Journal Midwifery Jurusan Kebidanan Politeknik Kesehatan Gorontalo Midwifery Care Journal Gema Bidan Indonesia (e- Journal). Frontiers in Community Service and Empowerment Health Dynamics Indonesian Journal of Community Empowerment Gema Bidan Indonesia (e-Journal) Journal of Research in Midwifery and Healthcare
Purwanto, Triana Septianti
Poltekkes Kemenkes Surabaya
Agriculture, Biological Sciences & Forestry Humanities Biochemistry, Genetics & Molecular Biology Dentistry Education Electrical & Electronics Engineering Engineering Environmental Science Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health Other

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Effectiveness of Take and Give Method on Knowledge, Attitude, Adherence Iron Tablets in Pregnant Women Milkah Ummi Nur Fadlilah; Triana Septianti Purwanto; Kharisma Kusumaningtyas; Uswatun Khasanah
Journal of Research in Midwifery and Healthcare Vol 1 No 2 (2025): Journal of Research in Midwifery and Healthcare, December 2025
Publisher : Faculty of Medicine, Universitas Negeri Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26740/jrmh.v1i2.43499

Abstract

Anemia in pregnancy remains a significant concern due to its potential adverse effects on both mother and fetus. This study aimed to assess the effectiveness of the Take and Give method in improving pregnant women's knowledge, attitude, and adherence to iron tablet consumption. A quasi-experimental design with a pre-test–post-test control group was employed, involving 60 pregnant women divided into intervention and control groups. The intervention group received education using the Take and Give method, while the control group used standard KIA books. Data were analyzed using the Wilcoxon and Mann-Whitney U tests. Data analysis results indicated that the 'Take and Give' method significantly influenced the increase in knowledge (p-value 0.000 < 0.05), attitude (p-value 0.000 < 0.05), and adherence (p-value 0.000 < 0.05). Furthermore, the 'Take and Give' method was more effective in improving pregnant women's knowledge, attitude, and adherence to iron tablet consumption compared to using KIA book media (knowledge p-value 0.003 < 0.05, attitude p-value 0.001 < 0.05, adherence p-value 0.049 < 0.05). The Take and Give method not only conveys information but also effectively shapes understanding and emotional responses affectively and evaluatively. This study recommends it as an innovative strategy to enhance understanding and positive behavioral changes in iron tablet consumption among pregnant women. The Take and Give method proved more effective than conventional methods in enhancing health behavior regarding iron supplementation in pregnancy.
Case Report: High-Risk Factors in an Elderly Primigravida with Dwarfism and Chronic Energy Deficiency at Ngariboyo Community Health Center Fauzia Prima Hadianita; Rahayu Sumaningsih; Triana Septianti Purwanto
Aloha International Journal of Health Advancement (AIJHA) Vol 7, No 9 (2026): September 2026
Publisher : Alliance oh Health Activists (AloHA)

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

Abstract

High-risk pregnancy in elderly primigravida with dwarfism and Chronic Energy Deficiency (CED) presents complex challenges due to anatomical constraints and nutritional insufficiency. This case report describes the midwifery care provided to a 36-year-old primigravida with dwarfism (height 136 cm) and CED at Ngariboyo Community Health Center, Magetan Regency. This study aims to comprehensively describe the clinical condition and midwifery management of a high-risk pregnancy involving advanced maternal age, dwarfism, and CED through the Continuity of Care approach. Mrs. K, a 36-year-old primigravida at 22 weeks gestation with G1P00000, presented with dwarfism (height 136 cm), pre-pregnancy BMI of 17.60 kg/m², and MUAC of 20 cm indicating CED. The KSPR score of 10 classified her as high-risk. Comprehensive antenatal care was delivered through five home visits from January to April 2026. Interventions: Midwifery management included nutritional education emphasizing high-calorie and high-protein foods, complementary therapies (lime water, acupressure, relaxation techniques, aromatherapy), family-centered care with husband involvement, interprofessional collaboration, and delivery planning through the P4K program. Over the monitoring period, the patient showed significant improvement evidenced by weight gain from 33.95 kg to 39 kg (total gain 6.5 kg), MUAC increase from 20 cm to 22 cm, resolution of dizziness, fatigue, and constipation complaints, improved appetite and dietary patterns, and stable maternal and fetal conditions. Fetal growth progressed with estimated fetal weight increasing from 465 grams to 2,323 grams. The Continuity of Care approach incorporating nutritional interventions, family support, complementary therapies, and comprehensive monitoring proved effective in improving maternal nutritional status and maintaining maternal-fetal well-being throughout pregnancy in this complex high-risk case.
Case Report: Comprehensive Midwifery Care in Very High-Risk Pregnancy with Hyperemesis Gravidarum Febriarti Putri Primanti Cahyaningtyas; Triana Septianti Purwanto; Sunarto Sunarto
Aloha International Journal of Health Advancement (AIJHA) Vol 7, No 9 (2026): September 2026
Publisher : Alliance oh Health Activists (AloHA)

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

Abstract

Hyperemesis gravidarum (HG) is a multifactorial condition that may be complicated by high-risk pregnancy characteristics. This descriptive case report was conducted from January 27 to February 9, 2026, at Puskesmas P, Parang District, Magetan Regency, Indonesia, involving a 37-year-old grandemultigravida (G5P4A0H3) with a KSPR score of 22. Data were collected using the SOAP approach, direct observation, serial PUQE assessment, weight monitoring, and blood pressure measurement. The patient presented with recurrent nausea and vomiting, reduced oral intake, 7.14% weight loss, dehydration, and a moderate initial PUQE score of 12. Management included intravenous rehydration, antiemetic therapy, nutritional counseling, supportive counseling, and serial monitoring. PUQE scores decreased to 11 on January 29, 6 on February 3, and 3 on February 9, with cessation of vomiting, improved oral intake, and weight recovery to 53 kg. Discussion: The case demonstrates the need for a dynamic management strategy that progresses from acute stabilization of dehydration and nutritional compromise to continued surveillance of the underlying very high-risk pregnancy. Comprehensive midwifery care integrating medical collaboration, nutritional and supportive interventions, serial symptom assessment, and antenatal surveillance was associated with clinical resolution of HG and recovery of maternal intake and weight.
IMPROVING ANTIHYPERTENSIVE THERAPY ADHERENCE IN OBSESE HYPERTENSIVE PREGNANCY CHYNDIKA ARTAMEVIA; Triana Septianti Purwanto; Sunarto Sunarto
Aloha International Journal of Health Advancement (AIJHA) Vol 7, No 11 (2026): November 2026 (Upcoming)
Publisher : Alliance oh Health Activists (AloHA)

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

Abstract

Hypertension during pregnancy remains a major contributor to maternal and perinatal morbidity, particularly among women with obesity. Low adherence to antihypertensive therapy may worsen blood pressure control and increase the risk of complications such as preeclampsia, fetal growth restriction, and preterm birth. This study aimed to describe the implementation of comprehensive midwifery care to improve adherence to antihypertensive therapy in a pregnant woman with obesity and hypertension. A case report design was used involving a 26-year-old primigravida at 31–32 weeks of gestation with obesity (BMI 35.38 kg/m²), hypertension (blood pressure 150/80 mmHg), low knowledge regarding hypertension (HK-LS score 54.54%), and low medication adherence (MMAS-8 score 2.5). Data were collected through interviews, physical examinations, observation, medical record reviews, and continuous monitoring during antenatal visits at Puskesmas Plaosan, Magetan. Midwifery interventions included health education regarding hypertension in pregnancy, counseling on the importance of antihypertensive therapy, medication reminder strategies using observation sheets and alarms, family involvement, dietary counseling, physical activity recommendations, and regular blood pressure monitoring. Following the intervention, the client demonstrated improved adherence to therapy, increased understanding of hypertension management, and more consistent medication use. Blood pressure gradually decreased from 150/80 mmHg to 120/80 mmHg, and no signs of severe maternal or fetal complications were identified during the observation period. Comprehensive midwifery care contributed to improved adherence to antihypertensive therapy and supported better maternal health outcomes in an obese pregnant woman with hypertension.
Application of Comprehensive Midwifery Care to Enhance Postpartum Contraceptive Acceptance among Pregnant Women with Very High Risk Pregnancy Bintang Putri Shafarelda; Triana Septianti Purwanto; Sunarto Sunarto; Nurlailis Saadah
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: very high risk pregnancies remain a significant maternal health issue, contributing to an increased likelihood of complications during pregnancy and childbirth. One major contributing factor is the refusal to use contraception, which is strongly influenced by social circumstances, particularly among mothers with very high parity. Method: this report adopts a case study approach within the framework of comprehensive midwifery care. The subject is Mrs. “H,” a 33 year old woman, G10P70027, at 32 weeks of gestation. Data collection was conducted through subjective and objective assessments, physical and supporting examinations, and risk evaluation using the Poedji Rochjati Score Card (KSPR). Results: the assessment indicated that the mother was categorized as having a very high risk pregnancy, with a KSPR score of 14. The elevated risk was attributed to high parity, short interpregnancy intervals, and a history of abortion. Contraceptive refusal was influenced by prior experiences of side effects and negative perceptions within the social environment. Following continuous education and contraceptive counseling involving her husband, the mother demonstrated improved understanding of the risks associated with repeated pregnancies and the benefits of postpartum contraception. Conclusion: very high risk pregnancies among mothers with high parity are closely associated with contraceptive refusal shaped by social factors. Comprehensive and continuous midwifery care that actively involves family members has proven effective in enhancing maternal understanding and readiness for postpartum contraceptive planning. Keywords: Very High Risk, Contraceptive Refusal, Contraception
Case Report: Post-Cesarean Section Wound Dehiscence in a Postpartum Woman with Obesity Rheinanda Inez Syagita Cinantya; Triana Septianti Purwanto; Sulikah Sulikah; Astin Nur Hanifah
Aloha International Journal of Health Advancement (AIJHA) Vol 7, No 9 (2026): September 2026
Publisher : Alliance oh Health Activists (AloHA)

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

Abstract

Wound dehiscence is a complication of cesarean section that can delay wound healing and increase the risk of infection. Obesity is an important risk factor because impaired tissue perfusion may slow the healing process. This case report aimed to describe the provision of comprehensive midwifery care for a postpartum woman with obesity who experienced wound dehiscence following cesarean section. A descriptive case report design was used involving a 41-year-old postpartum woman, P20002, with grade II obesity and cesarean wound dehiscence on postpartum day 20. Care was provided at Taji Public Health Center, Magetan Regency, from January 31 to February 9, 2026, consisting of an initial assessment and three home visits. Midwifery care was provided using the Varney management approach and documented in the SOAP format. Interventions included aseptic wound care, education on self-care, adequate high-protein nutrition, gradual mobilization, proper body mechanics, non-pharmacological pain management, breastfeeding-position education, and regular wound monitoring using the REEDA scale and Numeric Rating Scale (NRS). The wound condition gradually improved, with the REEDA score decreasing from 4 to 0 and pain intensity decreasing from NRS 4 to 0. The wound healed completely without signs of infection, accompanied by improved adherence to wound care, nutritional recommendations, and other advised measures. Comprehensive midwifery care supported wound healing through appropriate wound management, continuous education, nutritional support, gradual mobilization, and regular monitoring.
Case Report: Type I Obesity Associated with Three-Month Injectable Contraceptive Use at Mrs. “P” Independent Midwifery Practice Refiola Priska Talia; Triana Septianti Purwanto; Agung Suharto; Astuti Setiyani
Aloha International Journal of Health Advancement (AIJHA) Vol 7, No 9 (2026): September 2026
Publisher : Alliance oh Health Activists (AloHA)

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

Abstract

Type I obesity is a condition of weight gain observed in a user of the 3-month injectable contraceptive, characterized by a Body Mass Index (BMI) of 25–29.9 kg/m². Long-term use (over 10 years) of this contraceptive was associated with a weight gain of 17 kg. This is attributed to the progesterone hormone in DMPA, which increases appetite and affects fat metabolism, thereby contributing to weight gain. The objective was to describe the implementation of midwifery care for a 3-month injectable contraceptive user with Type I obesity. This report employs a case study method focusing on Mrs. E, a user of the 3-month injectable contraceptive with Type I obesity, at the Independent Midwifery Practice (TPMB) of Mrs. "P" in Magetan Regency. Midwifery care was provided over four weeks, involving three nutritional guidance visits facilitated by a midwife; the process included comprehensive assessment, monitoring of weight and BMI, a low-calorie diet, increased physical activity, and counseling regarding hormonal contraceptive use. The comprehensive and continuous midwifery care provided proved successful, resulting in a weight loss of 3 kg. The client's weight gradually decreased from 67 kg to 64 kg over the one-month care period (comprising three sessions), accompanied by reductions in waist circumference and BMI. Periodic monitoring helped control weight gain and prevent obesity-related complications.Through a balanced, low-calorie diet, the client was able to maintain a healthy lifestyle by adhering to balanced nutrition, engaging in regular physical activity, and monitoring weight periodically; these measures prevent the worsening of obesity and the onset of complications.
Non-Pharmacological Midwifery Care Improves Maternal Comfort Post Sectio Casearea Mariskha Aurelia Putri; Astin Nur Hanifah; Triana Septianti Purwanto; Sulikah Sulikah
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: Postpartum women frequently experience musculoskeletal discomfort, particularly back pain, which may interfere with maternal comfort, mobility, rest, and infant care. Effective management strategies are essential to support recovery and improve quality of life. Objective: This case report aims to describe the midwifery care provided to a postpartum mother experiencing moderate back pain following cesarean section, and to evaluate the effectiveness of non-pharmacological interventions. Methods: A 43-year-old woman, P10001, on the 30th day of the postpartum period after cesarean section, presented with moderate back pain (NRS, VAS, VRS, CPS, Wong Baker = 6). Comprehensive midwifery care was delivered over four sessions, including back pain education, instruction on proper body mechanics, warm compresses, balanced nutrition, psychological support, and effleurage back massage as the primary non-pharmacological intervention. Results: Following the interventions, pain intensity decreased from NRS 6 to 3. Improvements were observed in lumbar muscle relaxation, posture, mobility, sleep quality, and maternal ability to perform daily activities, breastfeeding, and infant care with greater comfort. Conclusion: Comprehensive midwifery care, particularly the application of effleurage back massage combined with education and supportive measures, proved effective in reducing postpartum back pain and enhancing maternal well-being. Non-pharmacological interventions represent a valuable strategy to improve quality of life during the postpartum period. Keywords: Post Sectio Caesarea, back pain, effleurage massage.
Comprehensive Midwifery Care Improves Clinical and Nutritional Outcomes in a Primigravida Woman with Chronic Energy Deficiency Complicated by Hyperemesis Gravidarum Septi Mustika Ningrum; Triana Septianti Purwanto; Sunarto Sunarto; Astin Nur Hanifah
Aloha International Journal of Health Advancement (AIJHA) Vol 7, No 11 (2026): November 2026 (Upcoming)
Publisher : Alliance oh Health Activists (AloHA)

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

Abstract

Chronic Energy Deficiency (CED) and Hyperemesis Gravidarum (HG) are common conditions that may coexist during pregnancy and increase the risk of adverse maternal and fetal outcomes, particularly among primigravida women. Persistent nausea and vomiting may worsen pre-existing nutritional deficiencies, making comprehensive midwifery care essential. This case report aimed to describe the implementation of comprehensive midwifery care for a primigravida woman with CED complicated by HG. A case report design was conducted on a 24-year-old primigravida at 20 weeks and 2 days of gestation with concurrent CED and HG. Midwifery care was provided at Taji Community Health Center, Magetan Regency, Indonesia, from March 30 to April 13, 2026, through one initial assessment and two home visits. Care was implemented using the Varney Midwifery Management Approach and documented using the SOAP format. Interventions included pharmacological antiemetic therapy, dietary and fluid counseling, Multiple Micronutrient Supplement (MMS) supplementation, health education, and continuous monitoring using the Pregnancy-Unique Quantification of Emesis and Nausea (PUQE) score. Progressive clinical improvement was observed throughout the follow-up period. The PUQE score decreased from 13 (severe) at baseline to 10 at the first follow-up and 4 at the final visit. Maternal body weight increased from 48.0 kg to 48.4 kg and subsequently to 49.1 kg. The patient experienced complete resolution of nausea and vomiting, improved oral intake, resumed normal daily activities, and demonstrated good adherence to both pharmacological and non-pharmacological interventions. However, CED had not been completely resolved by the end of follow-up. Comprehensive midwifery care combining pharmacological treatment, nutritional counseling, MMS supplementation, health education, and continuous monitoring effectively improved clinical symptoms and maternal nutritional status in a primigravida woman with CED complicated by HG. Ongoing antenatal monitoring remains necessary until delivery to achieve optimal maternal nutritional recovery and prevent maternal and perinatal complications. Keywords: Chronic Energy Deficiency, Hyperemesis Gravidarum, Comprehensive Midwifery Care.
Application of Dedi Nataniel Application in Early Detection of Childhood Intellectual Disability and Delay to Increase Public Health Resilience Through an Interprofessional Approach to Education Nurwening Tyas Wisnu; Hery Sumasto; Triana Septianti Purwanto; Feby Angzila Fadmayanti
Frontiers in Community Service and Empowerment Vol. 5 No. 3 (2026): September
Publisher : Forum Ilmiah Teknologi dan Ilmu Kesehatan (FORITIKES)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/ficse.v5i3.157

Abstract

Dedi Nataniel is a pioneer of early detection of disability and inetletual delays. Intellectual disability and delay in children are often not identified early on due to limited public knowledge and the non-optimal use of digital technology in screening activities. This condition can hinder the provision of timely intervention and have an impact on the quality of children's growth and development. This community service activity aims to increase the capacity of health workers, Posyandu cadres, playgroup development cadres, pregnant women, and mothers under five through training on the Application of Early Detection of Blindness and Intellectual Retardation of Children to Increase Public Health Resilience through an Interprofessional Approach to Education. The methods used included counseling, demonstration of application use, hands-on practice, and post-training evaluation using questionnaires of 60 participants. The evaluation covers six aspects, namely system quality, ease of use, application benefits, user satisfaction, interpersonal support, and intent to use. The results showed that the majority of participants gave a very good assessment of all aspects evaluated. The application is considered to have an attractive appearance, easy to learn and operate, able to increase the effectiveness of early detection, support follow-up decision-making, strengthen communication and collaboration between professions, and obtain a high level of satisfaction and intention to use. Most of the participants also expressed a willingness to continue using and recommending the app to other users. These findings show that Dedinataniel is a digital innovation that is feasible to be applied in community-based health services to support early detection of childhood blindness and intellectual retardation. Wider implementation accompanied by ongoing training has the potential to increase screening coverage, accelerate interventions, and improve the quality of children's health services.
Co-Authors Adianti Handajani Aldri Frinaldi Astin Nur Hanifah Astuti Setiyani, Astuti Bintang Putri Shafarelda CHYNDIKA ARTAMEVIA Esyuananik Fauzia Prima Hadianita Febriarti Putri Primanti Cahyaningtyas Feby Angzila Fadmayanti Feby Angzila Fatmayati Feby Angzila Fatmayati Frida Hendrarinata Handayani, Tinuk Esti Hery Koesmantoro iik bekti budyawati Jayanti, Yuni Dwi Kasiati, Klanting Maliki, Sitti Nurain Vidyanti Mariskha Aurelia Putri Milkah Ummi Nur Fadlilah Nana Usnawati Ngestiningrum, Ayesha Hendriana Nisrina, Salsabilla nurlailis saadah Nurlailis Sa’adah Nurwening Tyas Wisnu Nuryani, Nuryani Rahayu Sumaningsih Rahayu, Teta Puji Rahayu, Yunita Diah Refiola Priska Talia Rheinanda Inez Syagita Cinantya sausan hanifah Septi Mustika Ningrum Shela Putri Shinta Fina Setiyani Subagyo, Subagyo Suharto, Agung Sulikah Sulikah Sulikah, Sulikah Sumasto, Hery Sunarto Sunarto Sunarto Sunarto Surtinah, Nani Tatarini Ika Pipitcahyani Tinuk Esti Handyani Titi Maharrani Tri Kurnia Rahayu Tutiek Herlina Verlingga Diah Oktiasa Putri Wisnu Nurwening Tyas Wisnu, Nurwening Tyas Wisnu, Nurwening Tyas