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All Journal Jurnal Kebidanan Majalah Obstetri dan Ginekologi ARTERI : Jurnal Ilmu Kesehatan Jurnal Kependidikan: Jurnal Hasil Penelitian dan Kajian Kepustakaan di Bidang Pendidikan, Pengajaran dan Pembelajaran Journal of Applied Nursing and Health
Fernandez, Veronica
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Biochemistry, Genetics & Molecular Biology Chemistry Dentistry Education Electrical & Electronics Engineering Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Mathematics Medicine & Pharmacology Neuroscience Nursing Public Health Veterinary Other

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Determinants of interprofessional collaboration in implementing Basic Emergency Obstetric and Neonatal Care (BEmONC) services Ersianti, Yuninda Loviana; Fernandez, Veronica; Aulia, Rizka; Ladjar, Yohana Filiberta Lumu; Adnani, Qorinah Estiningtyas Sakilah
Majalah Obstetri & Ginekologi Vol. 33 No. 1 (2025): April
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mog.V33I12025.53-64

Abstract

HIGHLIGHTS BEmONC has been proven to diminish both newborn and mother death rates and morbidity. The study identified three main areas for improving and assessing the determinants of interprofessional collaboration (IPC) in the implementation of BEmONC services: team performance, management, and BEmONC evaluation.   ABSTRACT Objective: Maternal and infant mortality is a global challenge due to limited healthcare access. The WHO’s BEmONC program in Indonesia aims to reduce MMR and IMR, but its effectiveness is suboptimal due to service-related issues. This study identified factors affecting essential obstetric and neonatal service implementation in primary healthcare facilities. Materials and Methods: A literature review was conducted using a descriptive analysis approach, supported by Mendeley and Biblioshiny in R-Studio. Sixteen peer-reviewed articles were selected from four online databases, based on predefined inclusion criteria. Results: The study identified three critical domains for improving and evaluating the performance of BEmONC teams. These domains include optimizing team efficacy through factors such as healthcare personnel, infrastructure, collaboration, and targeted training. Furthermore, effective BEmONC management is essential, encompassing policy formulation, communication strategies, operational improvements, and robust leadership. Lastly, evaluating the implementation of BEmONC requires consideration of factors such as self-efficacy, healthcare workforce capacity, and societal trust, confidence, and recognition. Key contributors to the success of BEmONC include efficient collaboration, streamlined administration, and focused evaluation. Enhancing maternal and newborn health service delivery can be achieved by addressing infrastructure deficiencies, improving healthcare worker performance, and fostering community trust. Conclusion: Effective teamwork, robust management, and community confidence are pivotal in improving maternal and newborn health outcomes within BEmONC services.
Hatha Yoga vs Prenatal gymnastic: The Perfect Choice to Reduce Stress and Improve Health for Primigravid Fernandez, Veronica; Lesmana, Ronny; Krisnadi, Sofie Riyani; Susiarno, Hadi; Tarawan, Vita Murniati; Iskandar, Shelly
JURNAL KEBIDANAN Vol 15, No 1 (2025): April 2025
Publisher : Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jkb.v15i1.12677

Abstract

Abstract: Pregnancy is a critical period involving significant physiological and psychological changes, particularly in primigravida women who are more susceptible to anxiety and stress. Elevated stress levels during pregnancy may increase the risk of complications like high blood pressure, preeclampsia, and premature delivery. Non-pharmacological interventions like Hatha Yoga and gymnastic prenatalhave been widely recommended to improve maternal well-being. The purpose of this research was to evaluate and compare the impacts of two different interventions on maternal psychological and physiological health through a Systematic Literature Review (SLR) conducted in accordance with PRISMA guidelines. Relevant literature was retrieved from databases including Pubmed, Scopus, ScinceDirect, Google Scholar, focusing on research published between 2014 and 2024. The findings indicate that Hatha Yoga is more effective in reducing anxiety, cortisol levels, and systolic blood pressure, while prenatal gymnastic better supported diastolic blood pressure regulation and physical endurance for labor. Both interventions contribute to better cardiovascular function, increased oxygen saturation, and a smoother labor process. Additionally, yoga is associated with improved neonatal outcomes, while studies on prenatal exercise’s effects on newborn health remain limited. Future research should explore the long-term effects and key differences between these interventions to determine the most effective approach for maternal and neonatal health. These findings support integrating yoga and gymnastic prenatalinto antenatal care programs to enhance pregnancy outcomes.
Dampak Edukasi Menyusui dalam Meningkatkan Efikasi Diri dan Keberhasilan Menyusui: Scoping Review Aulia, Rizka; Ladjar , Yohana Filiberta Lumu; Ersianti, Yuninda Loviana; Fernandez, Veronica; Adnani, Qorinah Estiningtyas Sakilah
ARTERI : Jurnal Ilmu Kesehatan Vol 6 No 2 (2025): Februari
Publisher : Puslitbang Sinergis Asa Professional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37148/arteri.v6i2.579

Abstract

One of the key factors influencing infant health is successful breastfeeding. A mother's perception of self-efficacy plays a crucial role in breastfeeding success, highlighting the need for appropriate breastfeeding education. The limited number of studies that comprehensively evaluate the impact of breastfeeding education on maternal self-efficacy and breastfeeding success prompted this study. This research aims to assess the effectiveness of breastfeeding education in improving both aspects. A scoping review design was employed, using a descriptive analytical approach. Articles utilized were randomized controlled trials (RCTs). Relevant articles were searched using keywords in 4 online databases with inclusion criteria, resulting in 15 articles as the reference sources for this study. Overall, 15 articles stated that breastfeeding education can have positive impacts on both mothers and infants. Three themes were identified regarding the effectiveness of breastfeeding education: sources of breastfeeding education and support (researchers, midwives/healthcare providers, community), educational media (technology, booklets, peer groups), and the impacts of breastfeeding education (self-efficacy, frequency of breastfeeding problems, breastfeeding success). Education is not only provided offline but can also be delivered online by leveraging technological advancements. The effectiveness of breastfeeding education is not only determined by the content delivered but also by the sources of education and the use of educational media, thus potentially leading to increased maternal self-efficacy and breastfeeding success.
Hatha Yoga vs Prenatal gymnastic: The Perfect Choice to Reduce Stress and Improve Health for Primigravid Fernandez, Veronica; Lesmana, Ronny; Krisnadi, Sofie Riyani; Susiarno, Hadi; Tarawan, Vita Murniati; Iskandar, Shelly
JURNAL KEBIDANAN Vol. 15 No. 1 (2025): April 2025
Publisher : Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jkb.v15i1.12677

Abstract

Abstract: Pregnancy is a critical period involving significant physiological and psychological changes, particularly in primigravida women who are more susceptible to anxiety and stress. Elevated stress levels during pregnancy may increase the risk of complications like high blood pressure, preeclampsia, and premature delivery. Non-pharmacological interventions like Hatha Yoga and gymnastic prenatalhave been widely recommended to improve maternal well-being. The purpose of this research was to evaluate and compare the impacts of two different interventions on maternal psychological and physiological health through a Systematic Literature Review (SLR) conducted in accordance with PRISMA guidelines. Relevant literature was retrieved from databases including Pubmed, Scopus, ScinceDirect, Google Scholar, focusing on research published between 2014 and 2024. The findings indicate that Hatha Yoga is more effective in reducing anxiety, cortisol levels, and systolic blood pressure, while prenatal gymnastic better supported diastolic blood pressure regulation and physical endurance for labor. Both interventions contribute to better cardiovascular function, increased oxygen saturation, and a smoother labor process. Additionally, yoga is associated with improved neonatal outcomes, while studies on prenatal exercise’s effects on newborn health remain limited. Future research should explore the long-term effects and key differences between these interventions to determine the most effective approach for maternal and neonatal health. These findings support integrating yoga and gymnastic prenatalinto antenatal care programs to enhance pregnancy outcomes.
Effectiveness of Interdisciplinary Approach in Midwifery Higher Education Curriculum : Scoping Review Fernandez, Veronica; Susanti, Ari Indra
Jurnal Kependidikan : Jurnal Hasil Penelitian dan Kajian Kepustakaan di Bidang Pendidikan, Pengajaran, dan Pembelajaran Vol. 10 No. 3 (2024): September
Publisher : LPPM Universitas Pendidikan Mandalika

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33394/jk.v10i3.12606

Abstract

This study aims to analyze the effectiveness of the interdisciplinary approach in midwifery higher education curricula. The research method utilized a scoping review of the Scopus, PubMed, and ScienceDirect databases. This method included the identification of research questions, searching for appropriate literature, selecting relevant studies, and mapping and analyzing data to identify knowledge gaps. The data analysis technique employed was thematic analysis. The results identified ten key articles that highlighted several key themes: midwifery education and training models, implementation of global standards, innovation in learning, and interprofessional collaboration. Findings showed that the Continuity of Midwifery (CoM) approach and mentor training positively impacted students' learning experiences, but clinical evaluation and supporting facilities still require significant improvement. The CoM education model underscored students' preferences for autonomous and collaborative practice. Enhancements to clinical evaluation and support facilities were recognized as important steps to improve the quality of education. Additionally, the implementation of global standards and innovation in interprofessional education is crucial for improving interprofessional collaboration and care outcomes. It is recommended to strengthen interprofessional approaches and community learning, as well as to engage students as researchers, to prepare them for the complex challenges in midwifery practice. These steps are expected to enhance the competency of midwifery graduates globally.
The Comparative Effects of Hatha Yoga and Prenatal Exercise on Physiological and Psychological Outcomes in Primigravid Women: A Randomized Controlled Trial Fernandez, Veronica; Lesmana, Ronny; Krisnadi, Sofie R.; Susiarno, Hadi; Iskandar, Shelly; Tarawan, Vita Muniarti
Journal of Applied Nursing and Health Vol. 7 No. 3 (2025): Journal of Applied Nursing and Health
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/janh.v7i3.445

Abstract

Background: Primigravid women are prone to stress due to physical and psychological changes during pregnancy, which can lead to hypertension, preeclampsia, preterm birth, fetal growth restriction, and postpartum depression. While non-pharmacological interventions like hatha yoga and prenatal exercise are used to reduce stress, comparative evidence—especially on oxygen saturation (SpO₂)—is limited. This study analyzes the effects of hatha yoga and prenatal exercise on stress, blood pressure, and SpO₂ among primigravid women, and compares both interventions across these outcomes. Methods: This randomized controlled trial (RCT) followed the CONSORT 2010 guidelines. Forty-eight eligible primigravid women were selected using a probability sampling technique, specifically the simple random sampling method. Random numbers were generated using Microsoft Excel to determine participant selection from the maternal cohort register. Inclusion criteria were a normal singleton pregnancy at 24–28 weeks of gestation, maternal age 20–35 years, and normal Body Mass Index (BMI) (18.5–24.9 kg/m²). Exclusion criteria included regular exercise more than twice a week, abnormal fetal heart rate, and scheduled elective cesarean delivery. Participants were randomly assigned to either a hatha yoga group or a prenatal exercise group (24 each). Both interventions were conducted twice weekly for four weeks. Data were analyzed using the Wilcoxon and Mann–Whitney tests. Results: Data were analyzed using the Wilcoxon and Mann-Whitney tests. Median stress scores decreased from 22 to 12 in the hatha yoga group and from 22 to 17 in the prenatal exercise group (p < 0.001). Median SpO₂ increased from 96.88% to 98.38% and from 96.81% to 97.00%, respectively (p = 0.002). Median systolic pressure changed from 120.06 to 121.31 mmHg and 118.75 to 117.44 mmHg (p = 0.009), while diastolic pressure showed no significant difference (p = 0.076). Overall, hatha yoga showed greater improvements in stress, SpO₂, and blood pressure stability than prenatal exercise. Conclusion: Hatha yoga proved more effective than prenatal exercise in reducing stress, increasing SpO2, and stabilizing systolic blood pressure among primigravid women, although no significant difference was found in diastolic pressure. These findings strengthen the evidence supporting yoga as a safe, non-pharmacological approach to enhance maternal physiological and psychological well-being during pregnancy.
Co-Authors Ari indra Susanti AULIA, RIZKA Ersianti, Yuninda Loviana Krisnadi, Sofie Riyani Ladjar , Yohana Filiberta Lumu Ladjar, Yohana Filiberta Lumu Qorinah Estiningtyas Sakilah Adnani Ronny Lesmana Shelly Iskandar Sofie R. Krisnadi Susiarno, Hadi Vita Muniarti Tarawan Vita Murniati Tarawan