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Journal of Midwifery and Nursing
Published by Institute of Computer Science
ISSN : 26560739     EISSN : 26560739     DOI : -
Core Subject : Health,
Health Professions
Journal of Midwifery and Nursing Published by iocscience.org. iocscience is an Institute of computer Science Research institute engaged in public research in the fields of health, politics, social, economics, law and technology.
Arjuna Subject : -
Articles 340 Documents
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The effect of positive self talk on decreasing levels of body dissatisfaction in adolescent women at Sekolah Tinggi Ilmu Kesehatan Gunung Maria Tomohon Brigita M. Karouw; Vione D.O Sumakul; Priscila E. Asa; Eireine M. Pandoh
Journal of Midwifery and Nursing Vol. 8 No. 2 (2026): May: Health Science
Publisher : Institute Of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/jmn.v8i2.7131

Abstract

Young women can experience body dissatisfaction due to high environmental beauty standards. Individuals should have a positive perception of everything in their lives, including their body shape. Analyzing the effect of positive self-talk on decreasing the level of body dissatisfaction in young women. The research design was a quasi experiment using a nonrandomized control group pre-post test design approach. Sampling used a non-probability sampling technique with a purposive sampling approach. The number of samples is 60 respondents which are divided into treatment and control groups. The instrument used was a body dissatisfaction questionnaire. Analysis using the Wilcoxon Test and Mann Whitney Test. The results of this study showed a significant difference between the treatment groups before and after the intervention. Positive self talk will stimulate the work of the ventromedial prefrontal ventricular cortex area, positive messages received will increase the nerve response in the VMPFC which can lead to cognitive changes and positive behavior. There is a positive effect of self-talk on decreasing the level of body-body reduction in young women.
Utilization of bidara arab leaf extract (Ziziphus mauritiana Lam.) as an antibacterial agent and Its application in herbal liquid soap formulation Yola Desnera Putri; Septiya Hasanah; Sohadi Warya; Adit Andriyannto
Journal of Midwifery and Nursing Vol. 8 No. 2 (2026): May: Health Science
Publisher : Institute Of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/jmn.v8i2.7141

Abstract

Bidara arab leaves (Ziziphus mauritiana Lam.) are known to contain bioactive compounds such as flavonoids, tannins, and alkaloids, which contribute to their antibacterial activity. These secondary metabolites make bidara arab leaves a promising natural source for antibacterial agents. In this study, the ethanol extract of bidara arab leaves was utilized and applied in the formulation of herbal liquid soap. The extraction process was carried out using the maceration method with 70% ethanol as the solvent. The extract was then evaluated for its Minimum Inhibitory Concentration (MIC) using the agar diffusion method against Staphylococcus aureus and Escherichia coli. Furthermore, the extract was incorporated into a liquid soap formulation prepared using the hot process method. The evaluation of the formulation included organoleptic properties, pH, specific gravity, free alkali, total fatty acid, microbial contamination, viscosity, and foam stability according to SNI 06-4085-1996.The results showed that the extract yield was 12.59% with an MIC value of 5.5%, which inhibited the growth of Staphylococcus aureus but not Escherichia coli. The formulated liquid soap met most quality parameters, except for pH and free alkali. Additionally, antibacterial testing showed an inhibition zone of 10.59 mm, indicating that the formulation exhibited effective antibacterial activity.
Association Between Compliance with SBAR Communication During Handover and Patient Safety at Anugerah Regional General Hospital Tomohon, Indonesia Christiane Prisilia Sarayar; Ever Mario Lontaan; Finni Fitria Tumiwa; Meilita Enggune; Maryati Agustina Tatangindatu
Journal of Midwifery and Nursing Vol. 8 No. 3 (2026): September: Health Science
Publisher : Institute Of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/jmn.v8i3.7254

Abstract

Communication failures during handovers contribute to more than 60% of adverse events in hospitals. The implementation of SBAR (Situation, Background, Assessment, Recommendation) communication is a key strategy for improving patient safety. This study aimed to analyze the relationship between compliance with SBAR communication during handovers and patient safety among nurses at Anugerah Regional General Hospital. A quantitative cross-sectional analytical design was employed. Total sampling was used to recruit 53 nurses from four inpatient wards (Anyelir, Upper Aster, Lower Aster, and Alamanda). Data were collected using the Ministry of Health SBAR Observation Checklist (2022) and the Hospital Survey on Patient Safety Culture (HSOPSC) 2.0. Data were analyzed using the Chi-Square test and Spearman correlation. The results showed that most nurses demonstrated good compliance with SBAR communication (58.5%), experienced a heavy workload (49.1%), and reported a moderate level of patient safety (41.5%). A significant relationship was found between SBAR communication compliance and patient safety (?² = 21.202; p = 0.0003; Cramér’s V = 0.447). Nurses who complied with SBAR communication demonstrated a good patient safety level of 38.7%, compared to 0% among those who were non-compliant. Compliance with SBAR communication during handovers was significantly associated with patient safety. Continuous supervision and regular SBAR training are recommended to improve compliance and enhance patient safety.
The impact of menstrual education through “rapor kesehatanku” on awareness and preparedness for menarche Eka Kusumawati; Dede Gantini; Sariestya Rismawati
Journal of Midwifery and Nursing Vol. 8 No. 3 (2026): September: Health Science
Publisher : Institute Of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/jmn.v8i3.7265

Abstract

Menarche is a significant milestone in the maturation of adolescent girls and requires adequate physical and psychological preparedness. However, many eleentary school girls experience menarche without sufficient knowledge and readiness. The Health Report Card, known as Rapor Kesehatanku, is an educational medium developed by the Indonesian Ministry of Health as a reference for adolescent health, including menstrual health information. This study aimed to evaluate the effect of menstruation education using Rapor Kesehatanku on knowledge and preparedness for menarche among 4th, 5th, and 6th-grade elementary school girls in Giriwangi Village, Gunungtanjung District, Tasikmalaya Regency. This study employed a pre-experimental design with a one-group pretest-posttest approach. The sample size was determined using total sampling because the accessible population was relatively small; therefore, all 42 eligible female students from SDN Poponcol and SDN Cikembang were included. The research instruments consisted of a 27-item menstruation knowledge questionnaire and a 22-item menarche preparedness questionnaire. The knowledge questionnaire had been tested for validity, with r-count greater than r-table (0.361), and demonstrated good reliability with a Cronbach’s alpha of 0.854. The preparedness questionnaire had also been tested for validity, with r-count greater than r-table (0.396), and showed excellent reliability with a Cronbach’s alpha of 0.936. The intervention consisted of menstruation education using Rapor Kesehatanku, followed by a post-test seven days after the intervention. Data were analysed using the Wilcoxon Signed Rank Test, and effect sizes were calculated using the formula r = Z/?N. The results showed a significant increase in students’ knowledge of menstruation after the intervention, with p < 0.001 and a large effect size (r = 0.69). The proportion of students with good knowledge increased from 14.3% before the intervention to 40.5% after the intervention. Preparedness for menarche also increased significantly, with p = 0.030 and a moderate effect size (r = 0.34). The proportion of students who were ready to face menarche increased from 81.0% to 95.2%. The use of Rapor Kesehatanku significantly improved knowledge and preparedness for menarche among elementary school girls. These findings indicate that Rapor Kesehatanku can be used as an effective promotive and preventive educational medium to support menstrual health education among adolescent girls.
The culture of betel nut chewing and its relationship to chronic energy deficiency (CED) in pregnant women at the Karang Indah Community Health Center Erma Retnaningtyas; Mifta Huljanna; Hanriska Awidiya Putri; Erni Agit Ekawati
Journal of Midwifery and Nursing Vol. 8 No. 3 (2026): September: Health Science
Publisher : Institute Of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/jmn.v8i3.7288

Abstract

Betel nut consumption is closely linked to an increased risk of Chronic Energy Deficiency (CED). The active ingredients in it inhibit the absorption of essential nutrients and can reduce appetite, resulting in inadequate macro and micronutrient intake for mothers. This study aims to determine the relationship between the betel nut culture and the incidence of CED in pregnant women at the Karang Indah Community Health Center. The study design was quantitative and analytical with a cross-sectional approach. A purposive sampling technique was used to select 40 pregnant women from Papua who consume betel nut. Data were collected through a questionnaire to determine the consumption behavior of betel nut and pita lila (lila) to determine whether pregnant women had CED and a lila (lila) <23.5 cm. Data were analyzed using univariate and bivariate methods using the Chi-Square test with an ? value of 0.05. The results showed that the majority of respondents had a habit of consuming betel nut (52.5%), those with CED (45.0%), and those without CED (7.5%). Bivariate analysis showed a significant association between the betel nut culture and the incidence of CED in pregnant women (p = 0.010) with strong relationships. These results indicate that CED is more common in pregnant women who consume betel nut compared to those who do not. Therefore, health education for pregnant women is needed to reduce betel nut consumption.
Red ginger – date beverage improves labor progress in primigravidas Yulia Fatma Nasution; Leza Fidyah Restiana; Astari Seto; Dwi Gustin Franciska; Dessy Elvira
Journal of Midwifery and Nursing Vol. 8 No. 3 (2026): September: Health Science
Publisher : Institute Of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/jmn.v8i3.7353

Abstract

Background: Maternal fatigue during active labor is associated with ineffective uterine contractions, prolonged labor, and increased obstetric interventions. Although date fruit and red ginger have each demonstrated potential benefits for maternal endurance and labor outcomes, no previous clinical study has evaluated their standardized combination as a functional nutritional beverage during active labor. This evidence gap limits the development of affordable complementary nutritional strategies for intrapartum care. Objective: To evaluate the effectiveness of JAKUMA, a standardized beverage containing red ginger (Zingiber officinale var. rubrum) and dates (Phoenix dactylifera L.), in reducing maternal fatigue and improving first-stage labor progress among primigravida women. Methods: A quasi-experimental, non-randomized, posttest-only control group study was conducted among 60 primigravida women during active labor. Thirty participants received JAKUMA (3 g standardized red ginger powder, 50 g seedless dates, and 250 mL warm water) in addition to standard intrapartum care, while 30 received standard care alone. Maternal fatigue was assessed using the Numerical Fatigue Scale, whereas labor progress was evaluated by active labor duration and cervical dilatation rate. Results: Compared with standard care, JAKUMA significantly reduced maternal fatigue (4.42 ± 1.47 vs. 5.58 ± 1.61; Cohen's d = 0.75; p = 0.005), shortened active labor duration (258.4 ± 41.7 vs. 289.3 ± 46.1 minutes; Cohen's d = 0.70; p = 0.008), and increased cervical dilatation rate (1.42 ± 0.23 vs. 1.25 ± 0.29 cm/hour; Cohen's d = 0.65; p = 0.013), indicating moderate clinically meaningful effects. Conclusion: This study is the first to demonstrate the effectiveness of a standardized red ginger–date beverage administered during active labor. The findings provide preliminary evidence supporting JAKUMA as an affordable, culturally acceptable complementary nutritional intervention to improve maternal endurance and physiological labor progression, while contributing to the evidence base for complementary intrapartum care and informing future clinical research.
Continuity of midwifery care for a pregnant woman with chronic energy deficiency: A case study Melisda Nainggolan; Rumondang Sitorus; Ribur Sinaga; Lisa Putri Damanik; Juniarsih Juniarsih
Journal of Midwifery and Nursing Vol. 8 No. 3 (2026): September: Health Science
Publisher : Institute Of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/jmn.v8i3.7386

Abstract

Background: Chronic Energy Deficiency (CED) remains an important nutritional problem among pregnant women and is associated with adverse maternal and neonatal outcomes. However, limited case-based evidence has described the implementation of continuity of midwifery care specifically for pregnant women with CED across the maternal and neonatal continuum. Objective: To implement continuity of midwifery care for a pregnant woman with CED from pregnancy through childbirth, postpartum, neonatal, and family planning care. Methods: A descriptive case study was conducted at an independent midwifery practice in Medan, Indonesia. The participant was a 22-year-old primigravida with a Mid-Upper Arm Circumference (MUAC) of 22 cm, indicating CED. Care was provided using Varney’s Midwifery Management Model and documented using the Subjective, Objective, Assessment, and Plan (SOAP) format. Data were collected through interviews, physical and obstetric examinations, supporting examinations, and documentation review. Results: Continuity of care included nutritional counseling, MUAC monitoring, iron supplementation, antenatal monitoring, intrapartum care, postpartum follow-up, neonatal care, and family planning services. Pregnancy progressed to 38 weeks and 2 days and ended in spontaneous vaginal delivery. At admission, cervical dilatation was 7 cm and fetal heart rate was 140 beats/minute. The first stage of labor lasted approximately 14 hours without complications. Four postpartum follow-up visits showed normal maternal recovery and successful exclusive breastfeeding. The newborn demonstrated normal adaptation without identified complications. Conclusion: Continuity of midwifery care facilitated early identification and management of CED and supported favorable maternal and neonatal outcomes in this case. Practically, integrating nutritional screening, individualized counseling, and continuous maternal-neonatal monitoring may strengthen care for pregnant women with CED in primary midwifery settings.
Continuity of midwifery care for a pregnant woman with moderate hyperemesis gravidarum: A case study Sindi Cantika Sianturi; Nur Azizah; Ingka Kristina Pangaribuan; Eva Ratna Dewi; Elvi Diana
Journal of Midwifery and Nursing Vol. 8 No. 3 (2026): September: Health Science
Publisher : Institute Of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/jmn.v8i3.7388

Abstract

Background: Hyperemesis gravidarum (HG) can cause persistent nausea and vomiting, dehydration, reduced nutritional intake, and impaired maternal well-being. Although continuity of midwifery care is increasingly recommended for comprehensive maternal care, published case reports describing its implementation for moderate HG in Indonesian primary healthcare settings, particularly from pregnancy through childbirth, postpartum, neonatal, and family planning care, remain limited. Objective: This study aimed to describe the implementation and clinical outcomes of continuity of midwifery care for a pregnant woman with moderate hyperemesis gravidarum from pregnancy through family planning services. Methods: A descriptive case study was conducted at Elvi Diana Primary Clinic, Medan, Indonesia, involving a 19-year-old primigravida diagnosed with moderate hyperemesis gravidarum. Midwifery care was provided continuously using Helen Varney’s Seven-Step Midwifery Management Model and documented using the Subjective, Objective, Assessment, and Plan (SOAP) format. The intervention included 10T antenatal care, nutritional counseling, hydration management, dietary modification, iron supplementation, psychological support, ginger-therapy education, intrapartum monitoring, postpartum and neonatal care, breastfeeding support, and postpartum family planning counseling. Clinical outcomes were assessed through interviews, observation, physical examinations, supporting examinations, and documentation review. Results: At the initial antenatal assessment, the client experienced nausea and vomiting 6–8 times/day, decreased appetite, dry lips, coated tongue, and generalized weakness. During follow-up, nausea and vomiting decreased to mild and occasional, appetite and general condition improved, hydration status became adequate, and fetal growth remained appropriate for gestational age. Pregnancy progressed without maternal or fetal complications, followed by spontaneous vaginal birth at term. The newborn had an Apgar score of 10, birth weight of 2,800 g, length of 49 cm, temperature of 36.6°C, heart rate of 92 beats/minute, and respiratory rate of 30 breaths/minute. Postpartum recovery was physiological without signs of infection or abnormal bleeding, and exclusive breastfeeding was established. The mother subsequently initiated a three-month injectable contraceptive method. Conclusion: Continuity of midwifery care, including nutritional, hydration, psychological, antenatal, intrapartum, postpartum, neonatal, and family planning interventions, was associated with progressive improvement in HG symptoms and favorable maternal and neonatal clinical outcomes. This case highlights the potential value of continuous, comprehensive midwifery care for women with moderate hyperemesis gravidarum in primary healthcare settings.
Utilization of cluster 3 primary care integration services among the elderly Nunung Mahayatun; Dedy Purwito
Journal of Midwifery and Nursing Vol. 8 No. 3 (2026): September: Health Science
Publisher : Institute Of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/jmn.v8i3.7391

Abstract

The growing elderly population demands comprehensive and responsive primary healthcare. In Indonesia, the Cluster 3 Primary Care Integration (ILP) Program was developed to address older adults' health needs; however, prior research mostly used quantitative methods focused on accessibility, leaving older adults’ subjective experiences unexplored. This study fills that gap by qualitatively examining their utilization experiences—including perceptions, benefits, family support, and barriers—offering a multi-stakeholder perspective combining voices of older adults, families, health workers, PPKBD personnel, and staff. A qualitative phenomenological design was employed, collecting data via interviews, FGDs, observations, and documentation from 30 purposively selected participants, analyzed thematically. Five main themes emerged: utilization experiences, perceived quality, family support, multi-level barriers, and improvement expectations. Findings indicate positive experiences were primarily driven by active family and health worker engagement, whereas physical constraints, lack of caregivers, and limited diagnostic facilities were key barriers. Strong support offset individual barriers, but system limitations constrained potential benefits. The study concludes that Cluster 3 ILP utilization is shaped by interacting individual, family, and system factors, implying the need to strengthen elderly education, caregiver support, diagnostic supplies, and formal integration of community roles into primary care policy.
Scrolling for safety: Digital health literacy and pregnancy danger sign recognition in primary care Nadila Nefi Nur Alifah; Dedy Purwito
Journal of Midwifery and Nursing Vol. 8 No. 3 (2026): September: Health Science
Publisher : Institute Of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/jmn.v8i3.7392

Abstract

Pregnancy carries the risk of complications such as hemorrhage, hypertension, and infection, key causes of maternal death, making early detection of danger signs essential. Digital media are increasingly used for health information, yet prior research remains largely quantitative and rarely triangulates pregnant women, husbands, and midwives within a single primary care setting, a gap this study addresses. Using a descriptive phenomenological design, in-depth interviews and focus group discussion were conducted wth 27 participants (16 key informants, 5 FGD participants, 2 husbands, 4 midwives) at Community Health Center Sokaraja 1, analyzed using Colaizzi’s method. Four themes emerged: (1) passive, alogirthm-driven access to short-form videos, especially TikTok; (2) a conflict-triggered verification pattern, where online information was cross-checked with midwives mainly when it conflicted with prior belief; (3) adequate danger-sign knowledge anchored in the Maternal and Child Health Handbook and face-to-face education rather than digital media; and (4) formal education constrained by scheduling, quota, and referral barriers, pushing women toward informal digital sources. These findings offer novel, multi-informant qualitative evidence that digital health literacy functions as an adaptive complement to formal education, supporting social media-based education strategies and stronger digital integration in primary care services.

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