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Rifzul Maulina
Undergraduate Midwifery Study Program, Faculty of Health Sciences, Institute of Technology, Science and Health, Dr. Soepraoen Hospital, Malang, Indonesia
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health

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Factors Influencing the High Acceptance of Injectable Contraceptives Rifzul Maulina; Dian Setyorini
Health and Technology Journal (HTechJ) Vol. 4 No. 1 (2026): February 2026
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v4i1.560

Abstract

The use of injectable contraceptives remains the leading choice among women of reproductive age (WRA) in various regions in Indonesia. The number of injectable family planning (FP) acceptors has increased significantly compared to other contraceptive methods. This study aims to describe and analyze the factors influencing the high number of injectable contraceptive acceptors. This research employed a descriptive, cross-sectional design. The study population consisted of all active injectable contraceptive acceptors (35 respondents), selected using a total sampling technique. Data were analyzed descriptively using frequency and percentage distribution. The results showed that most respondents had good knowledge about injectable contraceptives (60.0%), a positive attitude toward their use (68.6%), received spousal support (74.3%), perceived the role of health workers as good (80.0%), and stated that access to services was easily reachable (82.9%). These factors collectively contributed to the high interest and continued use of injectable contraceptives in the study area. These findings underscore the importance of involving husbands and ensuring that midwifery services are supportive and accessible to sustain family planning programs in rural settings.
The Effect of Endorphin Massage on Reducing Anxiety Levels During the First Stage of Labor Didin Prasetya Cahyaningsih; Rifzul Maulina
Health and Technology Journal (HTechJ) Vol. 4 No. 1 (2026): February 2026
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v4i1.571

Abstract

Anxiety in mothers entering the latent phase of the first stage of labor can arise due to various factors, including psychological conditions, lack of family support, fear of the birthing process, limited information, and physical complaints experienced during labor. One non-pharmacological approach that has the potential to help reduce anxiety is endorphin massage, a massage technique believed to stimulate the release of endorphins, which are natural stress reducers. This study aims to assess the effectiveness of endorphin massage in reducing anxiety levels in pregnant women. The research design used a quantitative descriptive method with a one-group pretest–posttest approach. A total of 25 mothers in the first stage of labor at TPMB Diah Ulul in Probolinggo City were included in the sample. Anxiety levels were measured using the Hamilton Anxiety Rating Scale (HARS) before and after the intervention. Univariate analysis was used to describe the distribution of results, while differences in anxiety scores were tested using the t-test. The results showed a statistically significant decrease in anxiety after endorphin massage (t = 19.5; p < 0.001), with the average HARS score decreasing from 29.9 to 13.9. These findings indicate that endorphin massage is an effective non-pharmacological intervention and can be recommended as a supportive measure to help reduce anxiety in laboring mothers, thereby potentially improving comfort and the quality of the birthing experience.
The Effect of Information, Education, and Communication on Compliance with Multiple Micronutrient Supplements Consumption in Pregnant Women Nurul Wahidatil Yusro Islami; Rifzul Maulina
Health and Technology Journal (HTechJ) Vol. 4 No. 2 (2026): April 2026
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v4i2.590

Abstract

Multiple micronutrient supplements (MMS) are widely recommended during pregnancy to prevent anemia and improve maternal nutritional status. Despite their proven benefits, adherence to MMS intake among pregnant women remains suboptimal, contributing to the persistently high prevalence of maternal anemia in many low- and middle-income countries. Effective Information, Education, and Communication (IEC) delivered by health workers may play a crucial role in improving maternal knowledge and adherence to supplementation. This study aimed to examine the association between the quality of IEC provided by health workers and compliance with MMS consumption among pregnant women. A cross-sectional study was conducted involving 30 pregnant women selected through a total sampling method. Data were collected using validated and reliable questionnaires measuring the quality of IEC and adherence to MMS intake. Descriptive statistics were used to summarize participant characteristics, and the association between IEC quality and MMS compliance was analyzed using the Chi-square test. Odds ratios (OR) were calculated to estimate the strength of the relationship. The majority of respondents received high-quality IEC (63.3%), and 66.7% of pregnant women reported compliance with MMS consumption. Statistical analysis revealed a significant association between IEC quality and MMS compliance (p = 0.012). Pregnant women who received high-quality IEC were 10.5 times more likely to adhere to MMS intake compared with those who received poor-quality IEC (OR = 10.5). The quality of Information, Education, and Communication (IEC) significantly influences pregnant women’s compliance with MMS consumption. Strengthening structured, interactive, and continuous IEC during antenatal care is recommended to improve adherence to supplementation and ultimately enhance maternal nutritional outcomes.
The Effect of Lactation Massage on Breast Milk Production in Postpartum Mothers Viky Aulia Restyo; Rifzul Maulina
Health and Technology Journal (HTechJ) Vol. 4 No. 2 (2026): April 2026
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v4i2.591

Abstract

Inadequate breast milk production remains a common challenge among postpartum mothers, often associated with hormonal imbalance, maternal fatigue, and insufficient breast stimulation, which can hinder the achievement of exclusive breastfeeding targets. Despite global recommendations, exclusive breastfeeding rates remain suboptimal, highlighting the need for effective, non-pharmacological interventions. Lactation massage has been proposed as a technique to stimulate oxytocin release and improve the milk ejection reflex. This study aimed to evaluate the effect of lactation massage on breast milk production among postpartum mothers. A quasi-experimental study with a pretest–posttest control group design was conducted involving 20 postpartum mothers selected through purposive sampling. Participants were equally assigned to intervention and control groups. The intervention group received lactation massage for three consecutive days, while the control group received standard postpartum care. Breast milk production was measured by expressed milk volume using a breast pump for 10–15 minutes at 08:00 a.m. daily. Data were analyzed using appropriate statistical tests with a significance level set at p < 0.05. The intervention group demonstrated a significant increase in mean breast milk production, from 45.2 mL at baseline to 77.6 mL post-intervention, with a mean difference of 32.4 mL (p < 0.001). In contrast, the control group showed no statistically significant change (p = 0.214). Between-group analysis revealed a significant difference in posttest milk production (p < 0.001). Lactation massage significantly enhances breast milk production in postpartum mothers. This simple, non-invasive intervention may be integrated into routine postpartum care to support optimal breastfeeding outcomes.
Co-Authors Dian Setyorini Didin Prasetya Cahyaningsih Nurul Wahidatil Yusro Islami Viky Aulia Restyo