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All Journal Science Midwifery KESANS : International Journal of Health and Science
Khomsiah, Nurul Fitri
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Chemistry Dentistry Health Professions Medicine & Pharmacology Nursing Physics Public Health Veterinary

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Social support and elementary school girls' readiness in facing menarche in the digital era Khomsiah, Nurul Fitri; Amalia, Rize Budi; Utomo, Budi
Science Midwifery Vol 13 No 2 (2025): June: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v13i2.1971

Abstract

Adolescent girls have wide access to menarche-related information in the digital era; however, the validity of the information they receive may vary and lead to unpreparedness in facing these changes. In this context, social support from parents, peers, and the surrounding environment becomes an important aspect in shaping adolescents' readiness to face menarche. This study aimed to determine the relationship between social support and adolescents’ readiness to face menarche in the digital era. This research used an observational analytic design with a cross-sectional approach. The study involved 102 female students from grades IV to VI at an elementary school in Surabaya, selected through a proportional random sampling. Data were collected using a questionnaire and analyzed using the chi-square test. The results showed that the majority of respondents (70.6%) received social support, especially informational support (78.4%), with mothers being the primary source of support (65 respondents), and TikTok as the most popular digital platform (39 respondents). Most respondents (79.4%) were categorized as ready to face menarche, with the readiness of pre-menarche students (83.1%) being higher than those who had already menstruated (73.0%). The chi-square test showed a significant relationship between social support and adolescents’ readiness to face menarche, with a p-value of 0.005 (p < 0.05). Social support plays an important role in increasing adolescents’ readiness to face menarche in the digital era. Therefore, the role of families, schools, and the social environment in providing education and emotional support is essential to help adolescents face menarche with greater confidence.
Comprehensive Midwifery Care for a Postpartum Mother with Postpartum Hemorrhage (PPH) due to Retained Placenta: A Case Report Khomsiah, Nurul Fitri; Setyowati, Dewi; Andriyanti, Andriyanti
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 7 (2026): KESANS: International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v5i7.611

Abstract

Introduction: Postpartum hemorrhage (PPH) remains the leading cause of maternal mortality. In Indonesia, the maternal mortality rate in 2023 was 189 per 100,000 live births, with hemorrhage as the dominant cause. Retained placenta is an important factor because it inhibits uterine contractions, especially in mothers aged ≥35 years, multiparous, anemic, and with chronic energy deficiency (CED). Case description: A 36-year-old multiparous woman (G4P3A0) with CED and mild anemia developed PPH after failure of placental delivery despite active management of the third stage. Estimated blood loss was ~1200 mL. Manual placental exploration, uterotonics, and fluid resuscitation were provided, followed by hospital referral. Ultrasound confirmed retained placental tissue, and curettage was performed. The patient stabilized after comprehensive treatment Discussion: Older maternal age, multiparity, chronic energy deficiency (CED), and anemia contribute to impaired myometrial contractility and failure of placental separation. Chronic energy deficiency (CED) and anemia reduce energy reserves and the oxygen-carrying capacity of uterine tissues, thereby increasing the risk of retained placenta and Postpartum hemorrhage (PPH). Conclusion: Retained placenta and Postpartum hemorrhage (PPH) are closely associated with maternal risk factors, including age ≥35 years, multiparity, anemia, and chronic energy deficiency (CED). Early detection of risk factors during antenatal care, as well as immediate and coordinated management in the third stage of labor, are very important to reduce maternal morbidity and mortality
Co-Authors Amalia, Rize Budi Andriyanti, Andriyanti Budi Utomo Dewi Setyowati