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The Relationship Between Distance To Health Facilities And Regularity Of Pregnancy Check-Ups (Anc) In Remote Areas Hasrianti, Hasrianti; Rasdiana, Rasdiana; R, Cakrawati
International Journal of Health Sciences Vol. 3 No. 4 (2025): IJHS : International Journal of Health Sciences
Publisher : Asosiasi Guru dan Dosen Seluruh Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59585/ijhs.v3i4.894

Access to maternal health services is a determining factor in the success of maternal and child health programs. One important indicator is the regularity of antenatal care ( ANC ) visits, which is significantly influenced by geographic conditions, including distance to health facilities. This study aims to analyze the relationship between distance to health facilities and the regularity of antenatal care visits among pregnant women in remote areas. The study used an observational analytical design with a cross-sectional approach. Sectional. The research population was all pregnant women in the working area of Health Center X, totaling 120 people, and the sample consisted of 80 respondents taken proportionally. Random sampling. Primary data were collected through interviews using a structured questionnaire, while secondary data were obtained from the KIA book and community health center reports. Data analysis was performed univariately and bivariately using the Chi- Square (χ²) test with a 95% confidence level. The results showed that 62.5% of respondents traveled >5 km to a health facility, and 58.7% did not undergo regular ANC check-ups. Statistical tests showed a p-value of 0.002 (<0.05), indicating a significant relationship between distance traveled and the regularity of prenatal check-ups. The longer the distance traveled, the lower the frequency of ANC visits. In conclusion, difficult geographic access is a significant determinant of irregular antenatal care in remote areas. It is recommended that the government and health facilities expand the reach of maternal services through mobile services, the role of village midwives, and integrated integrated health posts (Posyandu) to improve the accessibility and regularity of ANC.

Hubungan Pengetahuan Ibu Hamil tentang Tanda Bahaya Kehamilan dengan Kepatuhan Melakukan Antenatal Care (ANC) Fitri, Lidia; Rohmi, Rohmi; R, Cakrawati
Barongko: Jurnal Ilmu Kesehatan Vol. 4 No. 1 (2025): Barongko : Jurnal Ilmu Kesehatan (November)
Publisher : Asosiasi Guru dan Dosen Seluruh Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59585/bajik.v4i1.902

Pregnancy compliance with antenatal care (ANC) is crucial for preventing pregnancy complications and ensuring the health of both mother and fetus. Knowledge of pregnancy danger signs is a key factor influencing ANC compliance. This study aims to determine the relationship between knowledge of pregnancy danger signs and ANC compliance. The study used a cross-sectional study design, with a sample of 100 pregnant women visiting the Integrated Health Post (Posyandu) and Community Health Center (Puskesmas) in District X, selected using purposive sampling. Data were collected through a structured questionnaire regarding knowledge of pregnancy danger signs and ANC visit records. Data analysis was performed using the Chi-square test to determine the relationship between variables. The results showed that pregnant women with good knowledge had higher ANC compliance than those with poor knowledge (p = 0.001; OR = 3.5). Conclusion: There is a significant relationship between knowledge of pregnancy danger signs and ANC compliance. Antenatal education and counseling efforts are essential to improve maternal compliance.

The Effect of Traditional Herbal Medicine Consumption on Liver Function in Pregnant Women in Rural Areas Kasmara, Dwi Pratiwi; Rainuny, Yance Ronard; R, Cakrawati; Harfika, Meiana
International Journal of Health Sciences Vol. 3 No. 4 (2025): IJHS : International Journal of Health Sciences
Publisher : Asosiasi Guru dan Dosen Seluruh Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59585/ijhs.v3i4.909

The use of traditional herbal medicine remains common practice in various rural areas of Indonesia, including among pregnant women. Jamu is considered an easily accessible, culturally based alternative healthcare treatment and is believed to provide benefits such as increasing stamina, reducing nausea, and alleviating pregnancy symptoms. However, some active herbal ingredients are known to be metabolized in the liver and have the potential to increase hepatocellular function, especially in specific physiological conditions such as pregnancy. This study aims to analyze the effect of traditional herbal medicine consumption on liver function in pregnant women in rural areas The study used a cross-sectional design with a sample of 60 pregnant women in their second and third trimesters selected through a purposive sampling technique. Data were collected using a structured questionnaire regarding herbal medicine consumption patterns (type of herbal medicine, frequency, duration of consumption), then laboratory tests were conducted on liver enzyme levels SGOT and SGPT as indicators of hepatic function. As many as 40% of respondents were recorded as consuming herbal medicine regularly (≥3 times per week), with the most common types of herbal medicine being turmeric and tamarind, beras kencur, and temulawak. On average, respondents had had a habit of consuming herbal medicine long before pregnancy. Analysis using the Mann -Whitney test showed a significant difference in SGOT (p = 0.031) and SGPT (p = 0.038) levels between pregnant women who regularly consumed herbal medicine and those who did not. However, the median SGOT and SGPT values in the herbal medicine group were still within normal limits, thus not indicating clinical liver damage. However, this statistically significant increase indicates an additional metabolic burden on the liver due to exposure to the active ingredients of the herbal plant. This study concludes that consumption of traditional herbal medicine has the potential to affect liver function in pregnant women, although the effects have not yet reached pathological levels. Therefore, herbal medicine use during pregnancy should be done wisely, in a controlled manner, and in consultation with a healthcare professional. Further research with a longitudinal design, larger sample sizes, and laboratory analysis of herbal medicine ingredients is recommended to obtain a more comprehensive picture.

The Relationship Between Husband's Support And The Success Of Normal Delivery In Primigravid Mothers R, Cakrawati; Rahmat, Rezqiqah Aulia; Azizah, Fara Khanza
International Journal of Health Sciences Vol. 3 No. 4 (2025): IJHS : International Journal of Health Sciences
Publisher : Asosiasi Guru dan Dosen Seluruh Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59585/ijhs.v3i4.943

Husband's support is a crucial factor influencing a mother's psychological well-being during pregnancy and childbirth. In primigravida mothers, husband's support has been shown to increase self-confidence, reduce anxiety, and contribute to a successful vaginal delivery. This study aimed to analyze the relationship between husband's support and the success of vaginal deliveries in primigravida mothers at Community Health Center X. The study used a cross-sectional design, involving 82 primigravida mothers who gave birth in the last six months. Data were collected using a husband support questionnaire and medical records of the delivery process. Analysis used the Chi- Square test. The study results showed that primigravida mothers who received high levels of husband support were more likely to experience normal delivery than those with low levels of support (p=0.001). Husband support plays a role in reducing anxiety, increasing mental readiness, and strengthening the mother's adaptation to the labor process.

Program Edukasi Asuhan Kebidanan Untuk Mencegah Komplikasi Kehamilan Pada Ibu Dengan Pernikahan Dini Ula, Zumrotul; Azizah, Fara Khansa; Hartati, Andi; R, Cakrawati
Sahabat Sosial: Jurnal Pengabdian Masyarakat Vol. 4 No. 1 (2025): Sahabat Sosial: Jurnal Pengabdian Masyarakat (Desember)
Publisher : Asosiasi Guru dan Dosen Seluruh Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59585/sosisabdimas.v4i1.930

Early marriage remains a significant public health problem in Indonesia, particularly in rural areas. Pregnancy at a young age increases the risk of complications such as anemia, preeclampsia, premature birth, low birth weight (LBW), and even maternal and infant mortality. Lack of knowledge about midwifery care and reproductive health is a major factor in the high risk of these complications. This community service program aims to increase mothers' knowledge and awareness of early marriage through integrated midwifery care education. The program was conducted with 40 pregnant women aged 15–20 years in the target area. Methods used included direct counseling, prenatal care demonstrations, simple antenatal check-ups, educational materials, and evaluation through pre- and post-tests. Results showed a significant increase in mothers' knowledge regarding pregnancy danger signs, nutrition, prenatal care, and the importance of regular check-ups. The average knowledge score increased from 54.2 to 88.5. Eighty-five percent of participants reported behavioral changes in ANC visits and iron tablet consumption. This program has proven effective in increasing the capacity of young mothers to prevent pregnancy complications. Sustainable interventions are essential to minimize the long-term impact of early marriage on maternal and child health.

Penyuluhan Tanda Bahaya Kehamilan Untuk Meningkatkan Kewaspadaan Dan Keselamatan Ibu Hamil Asikin, Siti Badria; Tarnoto, Tenny; Subani, Natalia Debi; Nurhayati, Nurhayati; Rahmat, Rezqiqah Aulia; R, Cakrawati
Sahabat Sosial: Jurnal Pengabdian Masyarakat Vol. 4 No. 1 (2025): Sahabat Sosial: Jurnal Pengabdian Masyarakat (Desember)
Publisher : Asosiasi Guru dan Dosen Seluruh Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59585/sosisabdimas.v4i1.932

The maternal mortality rate (MMR) remains a health indicator that requires significant attention, especially in areas with limited health facilities. One contributing factor to the high MMR is pregnant women's limited knowledge of pregnancy danger signs, often leading to delays in seeking medical help. This community service activity aims to improve pregnant women's knowledge of pregnancy danger signs through integrated counseling and education. The activity was conducted in Village X and involved 45 pregnant women. The methods used included classroom counseling, interactive discussions, demonstrations of danger signs, distribution of leaflets, and knowledge evaluation using pre- and post-tests. The results showed a significant increase in knowledge, with an average pre-test score of 56.2 increasing to 86.7 in the post-test. Ninety-one percent of participants stated that this activity was very beneficial and increased their awareness of pregnancy risks. In conclusion, counseling on pregnancy danger signs is effective in increasing the knowledge and awareness of pregnant women. This activity is recommended for routine implementation by health workers as an effort to prevent complications early and improve maternal safety.

Pelatihan Senam Ibu Hamil Sebagai Upaya Meningkatkan Kesehatan Ibu Dan Janin Treasa, Adisty Dwi; R, Cakrawati; Hilmiah, Hilmiah; Susanti, Susanti; Insani, Uswatun
Sahabat Sosial: Jurnal Pengabdian Masyarakat Vol. 4 No. 1 (2025): Sahabat Sosial: Jurnal Pengabdian Masyarakat (Desember)
Publisher : Asosiasi Guru dan Dosen Seluruh Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59585/sosisabdimas.v4i1.962

Pregnancy is a physiological process that requires the mother's physical and psychological readiness. Lack of physical activity during pregnancy can increase the risk of pregnancy-related complaints, labor complications, and maternal and fetal health problems. Prenatal exercise is a safe and beneficial form of physical activity that improves maternal fitness and supports fetal growth and development. This Community Service activity aims to increase the knowledge and skills of pregnant women regarding prenatal exercise as an effort to maintain maternal and fetal health. Implementation methods include counseling, demonstrations, practical training in prenatal exercise, and activity evaluation. The results of the activity indicate an increase in pregnant women's knowledge about the benefits of prenatal exercise, improved skills in performing correct exercise movements, and a decrease in physical complaints during pregnancy. This activity is expected to serve as a promotive and preventive effort to improve maternal and fetal health.

Hubungan Kompetensi Bidan dalam Continuity of Care dengan Tingkat Keberhasilan Persalinan Fisiologis Safitri, Norma; M, Warda; Baru, Nell Mana; R, Cakrawati; Rahmat, Rezqiqah Aulia
Barongko: Jurnal Ilmu Kesehatan Vol. 4 No. 2 (2026): Barongko : Jurnal Ilmu Kesehatan (Maret)
Publisher : Asosiasi Guru dan Dosen Seluruh Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59585/bajik.v4i2.998

Background: Physiological labor is an ideal, normal delivery process without complications. However, its success is greatly influenced by the quality of midwifery care. The concept of Continuity of Care (CoC) emphasizes the provision of continuous care from pregnancy, labor, and postpartum. Midwive’s competence in implementing CoC is believed to influence the success of physiological labor. Objective: This study aims to analyze the relationship between midwives' competence in Continuity of Care and the success rate of physiological labor. Methods: This study used an observational analytical design with a cross-sectional approach. The sample consisted of 100 pregnant women assisted by midwives at primary health facilities in District X, selected using purposive sampling. Midwives' competence was measured using a valid and standardized questionnaire, while the success of physiological labor was recorded based on medical records. Data were analyzed using the Chi-Square test and logistic regression. Results: The results showed a significant relationship between midwives' competence in Continuity of Care and the success of physiological labor (p < 0.01). Pregnant women cared for by midwives with high competence were 3.2 times more likely to experience a physiological birth than those cared for by midwives with low competence (OR = 3.2; 95% CI = 1.6–6.4). Conclusion: Midwive’s competence in implementing Continuity of Care positively influences the success of a physiological birth. Improving midwives' competence through training and coaching is an important strategy to support safe and physiological births.

Pengaruh Aromaterapi Digital Diffuser terhadap Tingkat Kecemasan Ibu Bersalin Kala I Yunitasari, Veronika; Rahmawati, Agustini Liviana Dwi; Mahendika, Devin; R, Cakrawati; Rahmat, Rezqiqah Aulia
Barongko: Jurnal Ilmu Kesehatan Vol. 4 No. 2 (2026): Barongko : Jurnal Ilmu Kesehatan (Maret)
Publisher : Asosiasi Guru dan Dosen Seluruh Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59585/bajik.v4i2.1001

Background: Maternal anxiety during the first stage of labor can affect the course of labor, the duration of contractions, and fetal well-being. Non-pharmacological interventions such as aromatherapy are an option to reduce anxiety. The use of a digital diffuser as a medium for aromatherapy distribution provides a more even and consistent distribution of aroma. Objective: To determine the effect of digital diffuser aromatherapy on maternal anxiety levels during the first stage of labor. Methods: This was a quasi-experimental study with a pretest-posttest design with a control group. Forty mothers in the first stage of labor were divided into an intervention group (n=20) and a control group (n=20). The intervention group was given lavender aromatherapy via a digital diffuser for 15 minutes, while the control group received standard care. Anxiety levels were measured using the Hamilton Anxiety Rating Scale (HARS). Data were analyzed using the Wilcoxon and Mann-Whitney tests. Results: The average anxiety score before the intervention in the intervention group was 25.4 (moderate category) and decreased to 14.2 (mild category) after the intervention (p < 0.05). The control group did not experience a significant decrease (from 24.8 to 23.9). The Mann-Whitney test showed a significant difference between the two groups (p < 0.05). Conclusion: Digital diffuser aromatherapy effectively reduces maternal anxiety levels during the first stage of labor. Healthcare providers are advised to use this method as a non-pharmacological complementary therapy in managing labor anxiety.

Perawatan Kehamilan Yang Sehat: Tips Untuk Ibu Hamil Susanti, Susanti; Marpaung, Sastrika Handayani; R, Cakrawati; Rahmat, Rezqiqah Aulia
Barongko: Jurnal Ilmu Kesehatan Vol. 4 No. 2 (2026): Barongko : Jurnal Ilmu Kesehatan (Maret)
Publisher : Asosiasi Guru dan Dosen Seluruh Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59585/bajik.v4i2.1006

Background: Pregnancy is a crucial period in a woman's life that requires special attention to maintain the health of both mother and fetus. Lack of knowledge and awareness regarding healthy prenatal care can increase the risk of complications, including anemia, hypertension, and premature birth. Objective: This study aims to identify healthy prenatal care practices, factors influencing maternal health, and develop evidence-based recommendations for pregnant women in Indonesia. Methods: This study used a descriptive qualitative approach, collecting data through in-depth interviews with 20 pregnant women and five health workers in Sleman Regency, as well as literature review from national and international journals. Data were analyzed thematically to identify patterns of care and determinants of maternal health. Results: The study identified five main aspects of healthy prenatal care: (1) implementing a balanced, nutritious diet, (2) routine prenatal checkups at least six times during pregnancy, (3) light physical activity and adequate rest, (4) social and emotional support from the family, and (5) increasing health education through medical personnel and digital media. These five aspects contribute significantly to reducing the risk of pregnancy complications. Conclusion: Healthy pregnancy care requires a synergy between medical knowledge, social support, and a healthy lifestyle. Collaboration between health professionals, families, and the government is needed to strengthen the community-level education system for pregnant women.

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