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All Journal International Journal of Medicine and Health Nursing Applied Journal Medical Laboratory Journal The Journal General Health and Pharmaceutical Sciences Research Jurnal Keperawatan Garuda Pelamonia Jurnal Penelitian Kesehatan Pelamonia Indonesia
Anik Sri Purwanti
Institut Teknologi, Sains, dan Kesehatan RS dr. Soepraoen Kesdam V Brawijaya Malang
Health Professions Nursing Public Health Other

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The Effect of Health Education on Anemia Prevention (HB Levels) in Pregnant Women in the Third Trimester Sri Hariati; Anik Sri Purwanti
The Journal General Health and Pharmaceutical Sciences Research Vol. 3 No. 3 (2025): September :The Journal General Health and Pharmaceutical Sciences Research
Publisher : LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57213/tjghpsr.v3i3.995

Abstract

Anemia among pregnant women remains a significant public health concern in Indonesia, contributing to adverse maternal and fetal outcomes such as preterm birth, low birth weight, and impaired fetal development. The third trimester represents a critical stage, as iron requirements increase substantially due to rapid fetal growth and expanded maternal blood volume. Insufficient hemoglobin (HB) levels during this period are closely linked to negative health outcomes, highlighting the need for effective prevention strategies. Health education has been widely recognized as an important intervention to enhance knowledge, attitudes, and practices related to nutrition, iron supplementation, and anemia prevention. This study aimed to examine the effect of health education on anemia prevention by assessing hemoglobin levels in third-trimester pregnant women. A quantitative pre-experimental design with a one-group pretest-posttest approach was applied to 30 participants selected through purposive sampling. Hemoglobin levels were measured before and after structured health education sessions covering anemia prevention, iron tablet adherence, dietary improvement, and healthy lifestyle practices. Data were analyzed using the Wilcoxon signed-rank test with a significance level of p < 0.05. The findings showed a significant increase in hemoglobin levels after the intervention (p = 0.000). These results indicate that structured health education effectively improves hemoglobin levels and supports anemia prevention in pregnant women.
The Effectiveness of Lavender Aromatherapy on Anxiety Levels in Pregnant Women Facing Childbirth Sri Rahayu; Anik Sri Purwanti
The Journal General Health and Pharmaceutical Sciences Research Vol. 3 No. 4 (2025): December :The Journal General Health and Pharmaceutical Sciences Research
Publisher : LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57213/tjghpsr.v3i4.999

Abstract

Anxiety during pregnancy, particularly near the time of delivery, is a common issue that may adversely affect both maternal and fetal health. Elevated anxiety levels are associated with increased pain perception, prolonged labor, and a higher likelihood of complications. Non-pharmacological approaches, such as aromatherapy, are increasingly utilized due to their safety, simplicity, and effectiveness. Lavender aromatherapy is especially recognized for its calming effects and its ability to enhance emotional well-being. Previous research has indicated that lavender scent exposure can reduce both physiological and psychological indicators of anxiety, including among pregnant women. However, evidence from Indonesian primary healthcare settings remains limited. This study aimed to evaluate the effectiveness of lavender aromatherapy in reducing anxiety levels among pregnant women approaching childbirth. An analytical observational design with a pretest-posttest approach was applied to 30 participants selected through purposive sampling. Anxiety levels were assessed using a validated questionnaire before and after inhalation of lavender aromatherapy administered under standardized conditions. Data were analyzed using the Wilcoxon signed-rank test.The findings revealed a significant reduction in anxiety levels after the intervention (p < 0.05), with all participants experiencing improvement and no adverse effects reported. In conclusion, lavender aromatherapy is an effective complementary intervention to reduce anxiety and support maternal readiness for labor.
The Relationship Between Stress Levels of Pregnant Women and the Incidence of Premature Birth in the Work Area of ​​Dr. Hi Zainal Umar Sidiki Regional Hospital, North Gorontalo Regency Sriyolanda Giasi; Anik Sri Purwanti
NAJ Nursing Applied Journal Vol. 3 No. 4 (2025): October : Nursing Applied Journal
Publisher : LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57213/naj.v3i4.1000

Abstract

Premature birth remains a major public health concern due to its strong association with increased neonatal morbidity and mortality. One of the contributing factors identified is maternal stress during pregnancy, which can negatively affect fetal development and potentially trigger early labor. Previous studies have shown that high stress levels in pregnant women may lead to hormonal imbalances, increased uterine activity, and other physiological changes that elevate the risk of preterm birth. Therefore, understanding the relationship between maternal stress and premature birth is essential for developing effective preventive strategies and improving maternal and neonatal outcomes. This study aimed to examine the relationship between stress levels in pregnant women and the incidence of premature birth in the working area of Dr. Hi Zainal Umar Sidiki Regional Hospital, North Gorontalo Regency. The research used an analytical observational design with a cross-sectional approach. A total of 30 pregnant women were selected using purposive sampling techniques. Maternal stress levels were measured using a validated questionnaire, while premature birth incidence was determined based on gestational age at delivery. Data were analyzed using the Wilcoxon signed-rank test with a significance level of p < 0.05. The results showed a significant relationship between maternal stress and premature birth (p = 0.000), indicating that higher stress levels increase the risk of preterm delivery. These findings highlight the importance of stress management, counseling, and comprehensive antenatal care.
The Effect of Intensive Lactation Counseling on Exclusive Breastfeeding (ASI) for Up to 3 Months at the Paguat Community Health Center (UPTD) Sukmawati Sukmawati; Anik Sri Purwanti
NAJ Nursing Applied Journal Vol. 3 No. 3 (2025): July : Nursing Applied Journal
Publisher : LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57213/naj.v3i3.1001

Abstract

Exclusive breastfeeding during the first six months of life is a key strategy for improving infant health and reducing morbidity and mortality. However, the coverage of exclusive breastfeeding remains suboptimal in many areas, often due to limited maternal knowledge, inadequate support, and insufficient lactation counseling. Intensive lactation counseling is expected to enhance mothers’ understanding, confidence, and commitment to exclusive breastfeeding. This study aimed to analyze the effect of intensive lactation counseling on exclusive breastfeeding practices up to three months postpartum at the Paguat Community Health Center (UPTD). This study employed a pre-experimental design with a one-group pretest–posttest approach. A total of 30 breastfeeding mothers were selected as participants using purposive sampling techniques. Data on exclusive breastfeeding practices were collected before and after the implementation of intensive lactation counseling using structured questionnaires and observation sheets. The counseling intervention was conducted intensively through individualized sessions focusing on breastfeeding techniques, benefits of exclusive breastfeeding, and problem-solving strategies. Data were analyzed using the Wilcoxon signed-rank test with a significance level set at p < 0.05. The results showed a significant effect of intensive lactation counseling on exclusive breastfeeding practices up to three months postpartum. The Wilcoxon signed-rank test yielded a p-value of 0.000, indicating a statistically significant improvement in exclusive breastfeeding behavior after the intervention. In conclusion, intensive lactation counseling has a significant positive effect on exclusive breastfeeding up to three months. Strengthening lactation counseling services at community health centers recommended to improve exclusive breastfeeding coverage and support maternal and infant health outcomes.
The Relationship between the Implementation of Pregnancy Exercises and Leg Oedema in Pregnant Women in the Third Trimester at the Margasari Community Health Center Siti Aisyah; Anik Sri Purwanti
Calory Journal Medical Laboratory Journal Vol. 3 No. 1 (2025): March : Medical Laboratory Journal
Publisher : LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57213/caloryjournal.v3i1.990

Abstract

Background: Leg oedema is a common condition experienced by pregnant women, particularly during the third trimester, due to physiological changes such as increased blood volume and pressure on the lower extremities. This condition can cause discomfort, reduce mobility, and affect the quality of life of pregnant women. Pregnancy exercises are recommended as a non-pharmacological intervention to improve circulation, reduce fluid accumulation in the legs, and prevent or minimize oedema. Despite these recommendations, many pregnant women do not perform exercises regularly, and limited evidence is available regarding the effectiveness of structured pregnancy exercise programs in reducing leg oedema. Objective: This study aims to examine the relationship between the implementation of pregnancy exercises and the reduction of leg oedema in pregnant women in the third trimester at the Margasari Community Health Center. Methods: A quantitative pre-experimental study with a one-group pretest-posttest design was conducted. The sample consisted of 30 pregnant women in their third trimester experiencing leg oedema, selected using purposive sampling. The participants were guided to perform structured pregnancy exercises over a designated period, and the degree of leg oedema was assessed before and after the intervention. Data were analyzed using the Wilcoxon signed-rank test to determine the effect of pregnancy exercises on leg oedema. Results: The Wilcoxon test indicated a statistically significant reduction in leg oedema following the implementation of pregnancy exercises, with a p-value of 0.000 (p < 0.05). This demonstrates that the intervention was effective in reducing fluid accumulation in the legs of pregnant women. Conclusion: Pregnancy exercises are effective in reducing leg oedema in women during the third trimester. Regular implementation of these exercises can improve maternal comfort, mobility, and overall quality of life
The Relationship Between Early Breastfeeding Initiation (IMD) and the Incidence of Uterine Involution in the Benao Community Health Center Work Area Siti Morliana; Anik Sri Purwanti
Calory Journal Medical Laboratory Journal Vol. 3 No. 4 (2025): December: Medical Laboratory Journal
Publisher : LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57213/caloryjournal.v3i4.991

Abstract

Background: Early Breastfeeding Initiation (IMD) is the practice of allowing newborns to breastfeed within the first hour after birth. This practice is not only beneficial for establishing mother-infant bonding but also plays a crucial role in stimulating uterine contractions through the release of oxytocin, which can accelerate uterine involution in postpartum mothers. Uterine involution is an important physiological process that prevents postpartum hemorrhage and supports maternal recovery. Despite the known benefits, not all mothers practice IMD immediately after delivery, which may affect the process of uterine involution. Objective: This study aimed to analyze the relationship between Early Breastfeeding Initiation (IMD) and the incidence of uterine involution in postpartum mothers at the Benao Community Health Center Work Area. Methods: A quantitative, observational study with a cross-sectional design was conducted involving 30 postpartum mothers selected through purposive sampling. Data were collected on IMD practices and uterine involution assessments. The Wilcoxon signed-rank test was used to analyze the relationship between IMD and uterine involution. Results: The study found a significant relationship between IMD and uterine involution (p = 0.000). Mothers who practiced IMD within the first hour postpartum showed a faster and more effective uterine involution process compared to those who did not. Conclusion: Early Breastfeeding Initiation (IMD) is significantly associated with the incidence and speed of uterine involution in postpartum mothers. Promoting IMD immediately after birth is essential for supporting maternal recovery and preventing postpartum complications
THE EFFECTIVENESS OF REPRODUCTIVE HEALTH EDUCATION WITH LEAFLETS ON ADOLESCENT KNOWLEDGE ABOUT EARLY MARRIAGE AT THE YOUTH POSYANDU Siti Marhamah; Anik Sri Purwanti
Jurnal Penelitian Kesehatan Pelamonia Indonesia Vol. 8 No. 2 (2026): Jurnal Penelitian Kesehatan Pelamonia Indonesia
Publisher : Institut Kesehatan Pelamonia

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Abstract

Background: Early marriage is a major public health concern that affects adolescents’ physical, psychological, and social well-being. Limited knowledge about reproductive health often leads to early marriage, unwanted pregnancies, and related complications. Providing accurate and accessible information through educational interventions is crucial to empower adolescents to make informed decisions and delay marriage. Leaflets are a practical and cost-effective medium to deliver reproductive health education, especially in community-based settings such as Youth Posyandu. Objective: This study aimed to determine the effectiveness of reproductive health education delivered through leaflets in improving adolescents’ knowledge about early marriage at the Youth Posyandu. Methods: This research employed a quantitative analytical design with a pretest-posttest approach using a cross-sectional design. The sample consisted of 30 adolescents selected using a total sampling technique. Data were collected using structured questionnaires measuring knowledge about reproductive health and early marriage before and after the leaflet-based education. The Wilcoxon signed-rank test was used to analyze the effectiveness of the intervention. Results: The results indicated that all 30 adolescents demonstrated improved knowledge after receiving reproductive health education through leaflets. The Wilcoxon signed-rank test showed a p-value of 0.000, indicating a statistically significant increase in knowledge regarding early marriage among the participants. Conclusion: Reproductive health education using leaflets is effective in improving adolescents’ knowledge about early marriage. This intervention can be recommended as an accessible and practical strategy to prevent early marriage in adolescent populations through Youth Posyandu programs.
THE RELATIONSHIP BETWEEN THE DURATION OF 3 MONTHS OF KB CONTRACEPTIVE USE AND BLOOD PRESSURE IN LONG-TERM ACCEPTORS IN THE TAMIANG LAYANG COMMUNITY HEALTH CENTER UPTD AREA Soni Ariani Candra; Anik Sri Purwanti
Jurnal Penelitian Kesehatan Pelamonia Indonesia Vol. 9 No. 1 (2026): Jurnal Penelitian Kesehatan Pelamonia Indonesia
Publisher : Institut Kesehatan Pelamonia

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Abstract

This study explores the relationship between the duration of 3-month contraceptive use (KB) and blood pressure in long-term users at the Tamiang Layang Community Health Center UPTD. Contraceptive use, especially hormonal methods like the 3-month injectable, is crucial for family planning but may impact health parameters such as blood pressure. Long-term use of such contraceptives can lead to hypertension if not properly monitored, posing health risks. Previous studies have highlighted variations in blood pressure responses among users, suggesting that factors like maternal age, lifestyle, and pre-existing conditions may influence these outcomes. This research used a cross-sectional observational design with 30 long-term KB acceptors. Data on contraceptive use duration and blood pressure were collected through interviews and clinical assessments. The study found that while most participants had normal blood pressure, a smaller proportion showed elevated levels. The Wilcoxon signed-rank test yielded a significant p-value of 0.000, indicating a meaningful relationship between contraceptive use duration and blood pressure. The study concludes that health workers should monitor blood pressure regularly in long-term contraceptive users and provide counseling to mitigate potential risks. Regular check-ups and lifestyle guidance are essential for maintaining cardiovascular health among users.
Factors Influencing The Incident of Stunting at The Sagerat Public Health Center, Bitung City Anik Sri Purwanti; Firda Firliana Karim
International Journal of Medicine and Health Vol. 4 No. 4 (2025): Desember : International Journal of Medicine and Health
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/ijmh.v4i4.6104

Abstract

Background: Stunting remains a major public health concern in Indonesia, affecting children’s growth, development, and long-term health outcomes (Sari, 2020). Early childhood stunting can lead to cognitive delays, poor school performance, reduced productivity in adulthood, and increased risk of chronic diseases (Hapsari & Wulandari, 2019). Understanding the interaction of demographic, socioeconomic, and health-related factors is essential to reduce stunting prevalence and improve child health outcomes (Yuliani, 2019). Objective: This study aimed to analyze the factors influencing the incidence of stunting among children attending the Sagerat Public Health Center in Bitung City. Methods: A quantitative, observational study with a cross-sectional design was conducted. Thirty children were selected using purposive sampling based on inclusion criteria such as age under five years and available anthropometric data. The Wilcoxon signed-rank test was applied to examine the relationship between these factors and stunting incidence, with a significance level set at p < 0.05. Results: The analysis showed that 30 children (100%) in the study were at risk of stunting based on height-for-age measurements, with 20 children (90%) confirmed as stunted and 10 children (10%) having normal height. These results suggest that maternal education, socioeconomic status, nutrition, and access to healthcare are strongly associated with stunting in this population. Conclusion: Factors such as maternal education, socioeconomic status, dietary intake, and access to healthcare significantly influence the incidence of stunting among children at the Sagerat Public Health Center. Comprehensive community-based programs are recommended to reduce stunting prevalence and improve long-term health outcomes for children.
The Effect of Hypnobreasfleeding on Breast Milk Production at Gunung Maria Hospital Pingkan Gloria Banibi; Anik Sri Purwanti
Garuda Pelamonia Jurnal Keperawatan Vol. 8 No. 1 (2026): Februari: Garuda Pelamonia Jurnal Keperawatan
Publisher : Institut Kesehatan Pelamonia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.4425/garuda.v8i1.794

Abstract

Background: Adequate breast milk production is essential to support optimal infant growth and development. However, many postpartum mothers experience insufficient milk production due to psychological stress, anxiety, and lack of confidence during the breastfeeding process. Hypnobreastfeeding is a relaxation-based technique that combines hypnosis and positive affirmations to improve maternal comfort, reduce stress, and stimulate the hormones involved in breast milk production. Objective: This study aimed to determine the effect of hypnobreastfeeding on breast milk production among postpartum mothers at Gunung Maria Hospital. Methods: This study employed a pre-experimental design with a one-group pretest–posttest approach. The sample consisted of 30 postpartum mothers who met the inclusion criteria and were selected using total sampling. Hypnobreastfeeding was provided according to a standardized procedure. Breast milk production was measured before and after the intervention. Data analysis was conducted using the Wilcoxon signed-rank test. Results: The results showed a significant increase in breast milk production after the implementation of hypnobreastfeeding. Statistical analysis using the Wilcoxon test revealed a p-value of 0.000 (p < 0.05), indicating a significant effect of hypnobreastfeeding on breast milk production. Conclusion: Hypnobreastfeeding has a significant effect on increasing breast milk production among postpartum mothers at Gunung Maria Hospital. This intervention can be recommended as a complementary and non-pharmacological approach to support breastfeeding success.
Co-Authors Firda Firliana Karim Pingkan Gloria Banibi Siti Aisyah Siti Marhamah Siti Morliana Siti Yuniawati Soni Ariani Candra Sri Hariati Sri Rahayu Sriyolanda Giasi Sukmawati Sukmawati