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Quality Analysis of Congenital Hypothyroidism Screening (CHS) Implementation in Newborns by Independent Midwives: A Review of Sample Collection Time, Specimen Quality, and Speed of Follow-up Results Ummah, Kholifatul; Imeldawati, Rakhmalia; Kustini, Kustini; Susila, Ida
EMBRIO: Jurnal Kebidanan Vol 17 No 2 (2025): EMBRIO: Jurnal Kebidanan
Publisher : Program Studi S1 Kebidanan - Fakultas Ilmu Kesehatan Universitas PGRI Adi Buana Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36456/embrio.v17i2.10837

Abstract

This descriptive analytical cross-sectional study assessed the quality of Congenital Hypothyroidism Screening (CHS) implementation by Independent Midwives, a vital program for preventing intellectual developmental delay caused by congenital hypothyroidism (CH). The study involved 60 newborns at BPM Kustini, Lamongan (January-June 2025). Quality was evaluated across three critical points: timeliness of sample collection, quality of Dried Blood Spot (DBS) specimens, and speed of follow-up on results. The findings indicated that 66.67percent of samples were collected on time (48-72 hours), 75percent of DBS specimens were of good quality, and 83.33percent of follow-up results were conducted quickly (less than equals 10 days). Bivariate analysis using the Chi-Square test revealed significant correlations between the timeliness of sampling and the quality of DBS specimens (p equal 0.002) and between specimen quality and the speed of follow-up results (p equal 0.003). Overall, the quality of CHS in independent midwifery practices was promising. Timeliness of sample collection was found to be key to producing high-quality DBS specimens, which, in turn, affected the speed of result follow-up. The study recommends improving midwives' technical competence and family education, and strengthening the referral system to reinforce CHS's success in community services.
Dampak Riwayat Kebidanan dan Interval Kehamilan pada Anemia Pascapersalinan dan Proses Menyusui: Analisis Cross-sectional Ummah, Kholifatul; Badrus, Arkha Rosyaria; Kwarta, Cityta Putri; Imeldawati, Rakhmalia
JURNAL RISET KESEHATAN POLTEKKES DEPKES BANDUNG, Online ISSN 2579-8103 Vol 18 No 1 (2026): Jurnal Riset Kesehatan Poltekkes Depkes Bandung
Publisher : Poltekkes Kemenkes Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34011/juriskesbdg.v18i1.3192

Abstract

Latar belakang: Tingginya angka kematian ibu di Indonesia berkaitan dengan anemia postpartum. Penelitian ini berfokus pada tingginya prevalensi anemia postpartum (.35%) di Puskesmas Kerek, Tuban. Tujuan: Penelitian ini bertujuan untuk menganalisis pengaruh faktor prediktor (riwayat Perdarahan Pascapersalinan/PPH dan interval kehamilan/PI) terhadap kejadian anemia, serta pengaruh praktik laktasi (Early Initiation of Breastfeeding/EIBF and history of lactation onset) terhadap proses laktasi. Metode: Penelitian ini menggunakan pendekatan cross sectional pad September-Desember 2025. Analisis data dilakukan dengan JASP (0.18). Populasi penelitian adalah seluruh ibu nifas di wilayah kerja puskesmas, dnegan sampel 200 responden menggunakan Teknik total sampling. Variable independent meliputi Riwayat PPH, PI, Riwayat IMD, dan keterlambatan onset laktasi. Variable dependen adalah kejadian anemia dan produksi ASI. Hasil: Terdapat hubungan signifikan antara Riwayat PPH dan kejadian anemia (p-0,001), dengan risiko anemia meningkat 5,006 kali (OR=5,006). Jarak kehamilan ideal (≥2 tahun) menjadi faktor protektif dominan terhadap anemia (OR=0,297; p=0,001). Pada aspek laktasi, riwayat IMD berhubungan signifikan (OR=5,631; p=0,001). Sebaliknya, riwayat keterlambatan onset laktasi juga berhubungan signifikan dengan kegagalan laktasi (OR=0,165; p=0,001). Kesimpulan: Riwayat persalinan berpengaruh signifikan terhadap kejadian anemia dan keberhasilan laktasi. Secara praktis, tenaga kesehatan perlu memprioritaskan skrining dini ibu berisiko tinggi selama antenatal care serta memperkuat program dukungan laktasi.