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The Relationship Between Early Initiation of Breastfeeding (EIBF) and Uterine Involution in Postpartum Mothers at PMB Irma Ahmad, Indrajaya District Zaitun Zaitun; Salamah Salamah
International Conference on Education, Science, Technology and Health (ICONESTH) 2024: The 2nd ICONESTH
Publisher : International Conference on Education, Science, Technology and Health (ICONESTH)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46244/iconesth.vi.414

Background The recovery process during the postpartum period is an important aspect for mothers after giving birth, considering the significant physiological and psychological changes. Physiological changes during the postpartum period include changes in the uterus, cervix, vulva and vagina, perineum, as well as the digestive system, urinary system, musculoskeletal system, endocrine system, vital signs, and hematological system. Changes in the uterus during the postpartum period, known as uterine involution, involve the process of returning the uterus to its pre-pregnancy size and shape. Uterine contractions are a crucial element in the uterine involution process; failure of contractions can result in uterine subinvolution or a slowing of the descent of the uterine fundus height (FHH). If subinvolution is not handled properly, this can cause ongoing bleeding to death (Harianto et al., 2018). The main cause of maternal death in Indonesia is bleeding, which reaches 30.3%. The normal uterine involution process can reduce the risk of bleeding, especially postpartum hemorrhage which is one of the direct causes of maternal death. Several factors that influence uterine involution include early maternal mobilization after delivery, breastfeeding, nutritional status, age, parity, postpartum exercise, psychological conditions, and early initiation of breastfeeding. (Maryunani, 2017). This study aims to determine the Relationship between Early Initiation of Breastfeeding (IMD) and Uterine Involution in Postpartum Mothers at PMB Irma Ahmad Indrajaya in 2024. This study is analytical with a Cross-sectional approach. The population in this study were all Postpartum Mothers at PMB Irma Ahmad, the study was conducted from November. Relationship between Early Initiation of Breastfeeding (IMD) and Uterine Involution in Postpartum Mothers at Irma Ahmad Midwifery Practice Indrajaya in 2024 with a ρ value of 0.003. It is hoped that midwives can provide IEC during pregnancy to postpartum and guidance to mothers in labor to increase knowledge about early initiation of breastfeeding because knowledge of early initiation of breastfeeding will increase the implementation of IMD practices Keywords: Early initiation of breastfeeding, Uterine involution

The Effect of Semi-Sitting Position on the Progress of Second Stage Labor at Jamaliah Midwifery Clinic, Pidie Regency in 2024 Salamah Salamah; Zaitun Zaitun
International Conference on Education, Science, Technology and Health (ICONESTH) 2024: The 2nd ICONESTH
Publisher : International Conference on Education, Science, Technology and Health (ICONESTH)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46244/iconesth.vi.415

Background: The leading causes of maternal and infant mortality are complications during childbirth, such as hemorrhage and prolonged labor. The WHO recorded 69,000 cases of prolonged labor worldwide in 2020, contributing to 2.8% of maternal deaths globally and becoming a major cause of childbirth complications. The position during pushing is one of the determining factors for the success of labor. The semi-sitting position can provide comfort to the mother by helping her rest between contractions, shortening the birth canal, ensuring optimal oxygen supply from the mother to the baby, and utilizing gravity to assist in the baby's delivery process. Research Objective: To determine the effect of the semi-sitting position on the progress of second-stage labor in mothers delivering at Jamaliah Midwifery Clinic, Pidie Regency. Research Method: This research is an analytic survey with a cross-sectional approach. The population in this study consisted of all mothers delivering at Jamaliah Midwifery Clinic in November 2024, totaling 33 individuals. The research was in November 2024. Research Results: The results indicated a significant effect of the semi-sitting position on the progress of labor at Jamaliah Midwifery Clinic, Pidie Regency, in 2024, with a ρ-value of 0.009. Suggestions: Health institutions and healthcare workers, particularly midwives, are encouraged to optimize maternal care during childbirth by facilitating mothers in choosing an effective labor position to ensure a safe and comfortable delivery process. Keywords: Semi-Sitting Position, Labor Progress

Pengaruh Aktivitas Fisik dan Perilaku Vulva Hygiene terhadap Keputihan pada Remaja Putri di Desa Gue Gajah Kabupaten Aceh Besar Zaitun Zaitun; Risna Fazlaini; Salamah Salamah; Ummu Aiman
Public Health Journal Vol. 3 No. 2 (2026): April–June, Digital Health and Health Innovation
Publisher : Teewan Journal Solutions

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62710/3def8447

Background: Adolescence is a transitional stage from childhood to adulthood characterized by significant physical, psychological, and social changes. These changes require special attention to prevent potential health problems, particularly those related to reproductive health. One of the most common reproductive health issues experienced by adolescent girls is vaginal discharge (leucorrhoea). This study aimed to examine the relationship between physical activity and personal hygiene with the incidence of vaginal discharge among adolescent girls in Gue Gajah Village, Aceh Besar Regency, in 2026. Methods: This study employed a descriptive-analytic research design with a cross-sectional approach involving 59 respondents. Data were analyzed to determine the association between physical activity, personal hygiene, and the incidence of vaginal discharge. Results: The findings revealed a statistically significant relationship between physical activity and the incidence of vaginal discharge (p = 0.028). Adolescent girls with high levels of physical activity were more likely to experience abnormal vaginal discharge (60.7%), whereas those with lower levels of physical activity predominantly experienced normal vaginal discharge (66.7%). Furthermore, a significant association was found between personal hygiene and the incidence of vaginal discharge (p = 0.003). Participants who maintained good personal hygiene were more likely to experience normal vaginal discharge (71.9%), while those with poor personal hygiene were more likely to experience abnormal vaginal discharge (66.7%). Conclusion: The results indicate that both physical activity and personal hygiene are significantly associated with the incidence of vaginal discharge among adolescent girls. Therefore, efforts should be made to enhance adolescents' awareness of maintaining proper personal hygiene and managing physical activity appropriately. In addition, educational institutions and healthcare professionals should collaborate to provide continuous reproductive health education in order to promote healthy behaviors among adolescents.

Efektivitas Edukasi Berbasis Leaflet dalam Meningkatkan Pengetahuan tentang Pemeriksaan Payudara Sendiri (Sadari) pada di SMA Negeri 1 Baitussalam Salamah Salamah; Ummu Aiman; Risna Fazlaini; Zaitun Zaitun; Apriany Ramadhan Batubara
Public Health Journal Vol. 3 No. 2 (2026): April–June, Digital Health and Health Innovation
Publisher : Teewan Journal Solutions

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62710/e4s8p477

Breast cancer is one of the major health problems affecting women, including adolescents. Early detection can be performed through Breast Self-Examination (BSE); however, the level of knowledge regarding BSE among adolescent girls remains relatively low. This study aimed to determine the effect of leaflet-based educational media on improving students' knowledge of BSE at SMA Negeri 1 Baitussalam, Aceh Besar. This study employed a quasi-experimental design using a one-group pre-test and post-test approach. The population consisted of all female students at SMA Negeri 1 Baitussalam, with a sample of 61 participants selected through purposive sampling. Data were collected using a structured questionnaire and analyzed using the Wilcoxon Signed Ranks Test. The results showed that prior to the educational intervention, 37 respondents (60.7%) had a moderate level of knowledge, 15 respondents (24.6%) had good knowledge, and 9 respondents (14.7%) had poor knowledge regarding BSE. Following the leaflet-based educational intervention, respondents' knowledge increased significantly, with 57 respondents (93.4%) demonstrating good knowledge and 4 respondents (6.6%) demonstrating moderate knowledge. No respondents remained in the poor knowledge category. The Wilcoxon Signed Ranks Test indicated a statistically significant difference between pre-test and post-test scores (p-value = 0.000). These findings demonstrate that leaflet-based educational media is effective in improving female students' knowledge of BSE. In conclusion, leaflets can serve as an accessible, cost-effective, and practical health education tool to enhance awareness of early breast cancer detection. It is recommended that healthcare professionals and schools utilize leaflets more frequently in adolescent health education programs and provide continuous guidance to encourage adolescents to perform BSE regularly

Determinan Pemilihan Alat Kontrasepsi Intrauterin pada Wanita Usia Subur di Puskesmas Kuta Baro Kabupaten Aceh Besar Ummu Aiman; Salamah Salamah; Risna Fazlaini; Zaitun Zaitun; Muliana Muliana
Public Health Journal Vol. 3 No. 2 (2026): April–June, Digital Health and Health Innovation
Publisher : Teewan Journal Solutions

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62710/ggbwyw81

The National Family Planning (FP) program aims to improve the quality of human resources through the use of contraceptive methods. The Intrauterine Device (IUD) is a long-term contraceptive method that is safe and highly effective compared to other methods. This study aimed to identify factors associated with the selection of IUD contraceptives among women of reproductive age. This research employed a descriptive analytic design with a cross-sectional approach. The independent variables included education level, knowledge, socio-cultural factors, and attitude, while the dependent variable was the use of IUD. The study was conducted at the Kuta Baro Public Health, from April 13 to April, 2026, with a sample of 86 respondents selected using purposive sampling. The results showed a significant relationship between education level (p=0.024), knowledge (p=0.034), and attitude (p=0.008) with the selection of IUD. Meanwhile, socio-cultural factors were not significantly associated (p=0.233). In conclusion, education level, knowledge, and attitude play important roles in the selection of IUD contraceptives, while socio-cultural factors do not show a significant relationship. It is recommended that healthcare providers enhance education and counseling regarding IUD to improve knowledge and positive attitudes among women of reproductive age, and that the community actively seek accurate information about contraceptive methods

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