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Care management for sick toddlers through integrated management of childhood illness approach Hendayani, Siti Nur Endah; Nurhayati, Fitri
Science Midwifery Vol 12 No 3 (2024): August: 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.v12i3.1639

Abstract

Efforts to promote child health aim to reduce the mortality rate of newborns, infants, and toddlers. One way to decrease the mortality rate among children under five is by enhancing the skills of healthcare workers in providing care through the Integrated Management of Childhood Illness approach. Implementing this approach effectively and on a wider scale can be cost-effective and significantly contribute to reducing the death rate among neonates, infants, and children under five. The aim of this study is to provide care management for sick toddlers through integrated management of childhood illness approach. This study is a case study that employs a descriptive observational method to examine the application of the Integrated Management of Childhood Illness approach. The subject of the case study is a 4-year 8-month old toddler. The study took place at PMB Siti Nuraeni in September 2023. Data was collected directly (primary data) using the Varney management approach and documented using the SOAP format (subjective data assessment, objective data assessment, data analysis, and case management). The collected data was then analyzed using descriptive analysis. The study concludes that data analysis is conducted by assessing subjective and objective data of a 4-year-8-month-old toddler, who has a cough but no pneumonia. The care for subject, is provided in line with the Integrated Management of Childhood Illness approach. The study recommends that midwives should be able to observe and detect early signs of danger that may occur during the growth and development of toddlers.
Effectiveness of Birth Planning in Preventing Postpartum Depression: Evidence from Independent Midwifery Practices in West Java Indonesia Trisiani, Desi; Rizwanda, Armiyanti Ahmad; Septriliyana, Noucie; Hendayani, Siti Nur Endah; Nurmiaty, Nurmiaty
Poltekita: Jurnal Ilmu Kesehatan Vol. 19 No. 3 (2025)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jik.v19i3.4210

Abstract

Background: Postpartum depression is a common mental health disorder among women after childbirth, with high prevalence in developing countries, including Indonesia. Inadequate birth preparation may increase maternal stress and emotional disturbances during the postpartum period. This study aimed to examine the effect of a birth plan on the prevention of postpartum depression in independent midwifery practices in the Derwati Health Center area, Bandung City. Methods: A quasi-experimental study with a post-test only control group design was conducted on 30 third-trimester pregnant women, divided into an experimental group (with a birth plan) and a control group (without a birth plan). Postpartum depression was measured using the Edinburgh Postnatal Depression Scale (EPDS). Data were analyzed using the Mann– Whitney test. Results: In the experimental group, 1 respondent (6.7%) experienced postpartum depression, compared with 2 respondents (13.3%) in the control group. The Mann–Whitney test indicated a statistically significant difference between groups (p = 0.019). However, the small sample size limits the generalizability of these findings. Conclusion: Birth planning may contribute to reducing the risk of postpartum depression; however, larger and more rigorous studies are required to confirm this finding.