Journal of Midwifery
The Journal of Midwifery (JoM) is a scientific periodical/journal maintained by Undergraduate Program of Midwifery, Faculty of Medicine, Universitas Andalas, Padang, Indonesia. This journal provides a venue for the publication of research relevant to midwives, midwifery practice and education. It publishes quantitative and qualitative original research articles, review articles, short communications, and case reports in a broad range of clinical and education including sexual and reproductive health, full spectrum of midwifery from antenatal and intrapartum care, to the postpartum period, including issues of neonatal care, family planning, menopause, women’s empowerment and reproductive rights.
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<![CDATA[Analysis of Factors Related to Midwife's Performance in Filling the "Poedji Rohyati" Score in Early Detection of High Risk Pregnancy atPublic Health Center of Lima Puluh Kota District ]]>
<![CDATA[Liza Andriani]]>;
<![CDATA[Yuniar Lestari]]>;
<![CDATA[Erwani Erwani]]>
<![CDATA[ Journal of Midwifery Vol 3, No 1 (2018): Published on June 2018 ]]>
Publisher : <![CDATA[Universitas Andalas ]]>
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DOI: 10.25077/jom.3.1.62-72.2018
<![CDATA[One indicator that determines community health status is mortality. Midwives as the spearhead of antenatal care must be able to prevent maternal mortality rates (AKI) by increasing their performance in providing antenatal services in accordance with standards. One attempt to prevent AKI is by early detection of high-risk pregnancy using the PoedjiRohyati score card (KSPR). Midwife's performance is influenced by several factors, namely individual, organizational and psychological factors. This study aims to analyze the factors related to the performance of midwives in filling the PoedjiRohyati score card on early detection of high-risk pregnancies in the Lima Puluh Kota District Health Center. This study uses a combination of quantitative and qualitative methods. Quantitative research samples were 74 respondents, data collection was carried out from January to February 2018 with interview techniques using questionnaires and observation sheets. While the qualitative research informants were the Head of Community Health and Nutrition, the head of the puskesmas and the midwife coordinator of the Piladang, Taram, Koto BaruSimalanggang and TanjungPati health centers. The results of the study prove that the factors associated with the performance of midwives in filling in the KSPR include the level of knowledge (p = 0.031), attitude (p = 0.004), motivation (p = 0.020) and supervision (p = 0.025). The factors that are most related to the performance of midwives in filling in KSPR are attitudes (p = 0.006). Based on the research, it can be concluded that the midwife will have a good performance in filling in the KSPR if it is based on a high level of knowledge, a positive attitude, high motivation, periodic supervision and supported by complete facilities.]]>
<![CDATA[Effect of Stimulation to Grow Baby in Bukittinggi City in 2018 ]]>
<![CDATA[Wiwit Fetrisia]]>;
<![CDATA[Aisyah Elyanti]]>;
<![CDATA[Yantri Maputra]]>
<![CDATA[ Journal of Midwifery Vol 3, No 1 (2018): Published on June 2018 ]]>
Publisher : <![CDATA[Universitas Andalas ]]>
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DOI: 10.25077/jom.3.1.115-124.2018
<![CDATA[The initial stage of a human's life in infancy is considered important because at this time the foundations of personality are laid down which will give color when they grow up. The role of parents is very necessary in providing early stimulation. Stimulation is stimulation that comes from the baby's outer environment. The baby health service coverage in 2014 in Bukittinggi was 88.4%, lower than Padang city as much as 90.6%. It is known that the number of infants aged 0-1 years in Padang city amounted to 3,498 people, while in Bukittinggi city only 629 people. Supposedly with a small number of infants achieving early detection of infant growth and development is better than the number of babies in a larger city. The design of this study was a quasi-experimental design with two group pretest-posttest with the control group to identify the effect of stimulation on infant growth and development before and after the intervention, which was carried out from November 2017 - August 2018, in the environmental health center of Bukittinggi City Health Office. The population is infants with ages 0 - 6 months, and the number of samples taken is 46 people. The results of the study carried out with the Wolcoxon test, obtained there were differences in development before and after the intervention was given to the intervention group p = 0,000, there was a development difference in the control group p = 0.014, there were differences in growth before and after the intervention p = 0.000, there was no difference growth in the control group p = 0.083. It can be concluded that stimulation plays a role in preventing delays in growth and development in infants 0-6 months. From this study health workers can socialize about how to stimulate babies to mothers for early prevention of growth and development disorders in infants.]]>
<![CDATA[BONE DENSITY OF THE LUMBAR SPINE L1-L4 AND FEMUR NECK ON CHILDBEARING AGE WOMAN WHO ARE IMPLANT AND NON HORMONAL CONTRACEPTIVES ACCEPTORS. ]]>
<![CDATA[Kuswati Kuswati]]>;
<![CDATA[Rohmi Handayani]]>
<![CDATA[ Journal of Midwifery Vol 3, No 1 (2018): Published on June 2018 ]]>
Publisher : <![CDATA[Universitas Andalas ]]>
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DOI: 10.25077/jom.3.1.25-32.2018
<![CDATA[mplant contraception is one type of contraceptive in the form of an implant made of silastik rubber containing the progestin hormone (levonogestrel) attached to the upper arm. This contraceptives are effective enough to prevent pregnancy in long-term with a lifetime of 3 years for 2 sticks and 1 stick implant. The main principle of levonorgestrel implants was to inhibite the ovulation resulting suppression of estrogen production. Estrogen is one of the important factors in bone remodeling. This becomes our concerns about the effect of implant use on the bone health status of the acceptors. The objective of this study is to determine mean difference of bone mineral density of the Lumbar Spine L1-L4 and Femur Neck on childbearing age woman who are implant acceptors and non hormonal family planning acceptors.This study was analytic survey with cross sectional design. The population in this study were all childbearing age woman in the work area of South Klaten Public Health Center. The sample were 30 people using purposive sampling. Data analysis was performed using Unpaired T-test with p ≤ 0,05. The result of examination on implant acceptor group totaling 15 people shown that the average of T-Score Lumbar Spine L1-L4 bone density was 0,51 and T-score of Femur neck bone was 0,1. While the results of bone density examination in the group of acceptor non hormonal totaling 15 people shown that the average value of T-score Lumbar Spine L1-L4 was 0.72, whereas the mean value of T-score of femur neck bone was 0.06. Unpaired T-Test statistic test for difference of bumble density of Lumbar Spine L1-L4 and Femur Neck between the two groups obtained P value 0.611 and 0.889 (P> 0,05). So there is no statistically significant difference between Lumbar spine L1-L4 and Femur neck bone density on childbearing age woman who are non-hormonal and implant acceptors. Keyword: Bone density, Lumbar Spine L1-L4, Femur neck, Implant, non hormonal Contraceptive ]]>
<![CDATA[Effect of Duration and Temperatur Breastmilk Storage and The way of Diluting Breastmilk on Protein and Fat Levels in Breastmilk ]]>
<![CDATA[Mandria Yundelfa]]>;
<![CDATA[Mayetti Mayetti]]>;
<![CDATA[Nur Indrawaty Lipoeto]]>
<![CDATA[ Journal of Midwifery Vol 3, No 1 (2018): Published on June 2018 ]]>
Publisher : <![CDATA[Universitas Andalas ]]>
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DOI: 10.25077/jom.3.1.72-83.2018
<![CDATA[Exclusive breastfeeding is the best method of nutrition for infant to grow and develop. Changes in social often make women become to work increased from 50.77% (2016) to 50.89% (2017), so they think there is no time to give exclusive breastfeeding to her baby. But with the storage of breast milk, the baby will still get breast milk when the mother is at work. This study aims to determine the effect of duration and temperature of breastmilk as well as how to dilute frozen milk to protein and fat levels. The design of this study was one group pretest-posttest design with the pre experimental study. The data were analyzed by using T-dependent test. The sample of this study is breast milk obtained from 5 breastfeeding mothers in the work area of LubukBuaya Public Health and Laboratory Animal Biotechnology of Andalas University in July in 2017 to May in 2018.There was significant decrease mean of protein and fat content in breastmilk during 5 days storage at refrigerator that mean of protein content 0,50±0,44 g/dL and fat content 2,57±0,45 g/dL statistically (p<0,05). There was no significant decrease in the mean of protein and fat content in breast milk, which was dissolved in refrigerator and warm water is average protein content 0.89±0.46 g/dL and mean fat content 3.21±0.19 g/dL, direct melted breastmilk with mean of protein content is 0.91±0.52 g/dL and mean of fat content is 3.05±0.25 g/ dL statistically (p>0.05). The conclusion, there is no effect of protein and fat content in breast milk storaged for 4 hours in the room temperature, 14 days in freezer (-15 C), 28 days in freezer (-18 C) and how to dilute frozen milk. But there is adecrease on the levels of protein and fat in breast milk in 5-day storage in the refrigerator.]]>
<![CDATA[FACTORS RELATED WITH THE COMPLIANCE OF FILLING THE MOTHER AND CHILD HEALTH (MCH) HANDBOOK IN POSTPARTUM CARE OF PRIVATELY PRACTICING MIDWIFE (PPM) ]]>
<![CDATA[Tengku Dewi Agustina]]>;
<![CDATA[Rully Rully]]>
<![CDATA[ Journal of Midwifery Vol 3, No 1 (2018): Published on June 2018 ]]>
Publisher : <![CDATA[Universitas Andalas ]]>
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DOI: 10.25077/jom.3.1.33-40.2018
<![CDATA[In midwifery care standard, midwives should carry out complete, accurate, brief and clear midwifery recording of the findings in providing midwifery care. Based on preliminary survey conducted on 5 PPM , it was found that 100% midwives did not fill the MCH handbook of postpartum care. This study aims to determine the factors related to compliance of MCH handbook by midwives in post partum care in PPM. This was descriptive analytic study with cross sectional design. . This study was conducted in September 2016 - July 2017.The population in this study is all PPM in Pekanbaru totalling 59 samples using purposive sampling. Data analysis was performed using Chi Square. The results showed that most midwives did not fill out the MCH handbook 81.4% .There was a significant relation between knowledge (p-value = 0,002) and motivation (p-value = 0,001) with compliance of MCH handbook by midwivese in postpartum care, there was no significant relation between duration of work (p-value = 0,468) in compliance of filling out MCH handbook. It is recommended for association of midwives to be more active in evaluation and monitoring through giving reward / punishment about filling out the MCH handbook]]>
<![CDATA[Differences Ratio Level Soluble FMS-Like Tyrosine Kinase-1 and Placental Growth Factor Early And Late Onset on Preeclampsia and Normal Pregnancy ]]>
<![CDATA[Ria Andina]]>;
<![CDATA[Yanwirasti Yanwirasti]]>;
<![CDATA[Defrin Defrin]]>
<![CDATA[ Journal of Midwifery Vol 3, No 1 (2018): Published on June 2018 ]]>
Publisher : <![CDATA[Universitas Andalas ]]>
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DOI: 10.25077/jom.3.1.83-92.2018
<![CDATA[Preeclampsia is a major maternal morbidity and mortality worldwide including in Indonesia. PIGF concentrations were found to be lower and sFlt-1 to be higher in patients with preeclampsia than normal pregnancy. Futher, this factor has been proposed as a parameter that can help identify women with potentially preeclampsia.This study aims todeterminethe differences ratio level soluble rate fms-like tyrosine kinase-1 and placental growth factor early and late onset on preeclampsia and normal pregnancy. The cross sectional study design was conducted in RSUP M.Djamil, Rasidin Hospital, Reksodiwiryo Hospital and Biomedical Laboratory of Andalas University from July 2017 until January 2018. The sample of this study was pregnant women>20-42 weeks pregnancy totalling 80 people by consecutive sampling.Sample was divided into 3 groups. SFlt-1 and PlGF levels tested using ELISA test. Test the normality of data by Kolmogrov-Smirnov test by using unpaired T test.The results showed median sFLT-1 levels in the early onset group with normal pregnancy with p= 0,88, median sFLT-1 levels in the late onset group with normal pregnancy with p= 0,01 and median levels of sFLT-1 in the early onset group with late onset with p= 0.34. Mean of PlGF in the early onset group with normal pregnancy with p=0,30, mean of PlGF in the late onset group with normal pregnancy with p= 0.63, and mean of PlGF in the early onset group with late onset with p = 0.27. The conclusion of this study was that there was a difference ratio level Soluble Fms-Like Tyrosine Kinase-1 late onset in preeclampsia and normal pregnancy.]]>
<![CDATA[RELATIONSHIP OF PREGNANT WOMEN CLASSROOM WITH LEVEL OF ANXIETY WITH LABOR TO PREGNANT WOMAN TRIMESTER III IN JOGONALAN II PUBLIC HEALTH CENTER AREA ]]>
<![CDATA[Murwati Murwati]]>;
<![CDATA[Emy Suryani]]>;
<![CDATA[Intan Kurniawati]]>
<![CDATA[ Journal of Midwifery Vol 3, No 1 (2018): Published on June 2018 ]]>
Publisher : <![CDATA[Universitas Andalas ]]>
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DOI: 10.25077/jom.3.1.1-5.2018
<![CDATA[Anxiety is an unclear worried and widespread related to uncertain and helpless feelings. Anxiety before birth was questioning and wondering whether she could giving birth normally, how to push, whether something could happen during childbirth, and pain during labor. Anxiety in the third trimester of pregnant women can have an impact inhibiting the labor. Antenatal class is one form of counseling as an effort to overcome anxiety to face labour for third trimester pregnant mother. The aims of this study is to determine the relation of class participation of pregnant mother with the anxiety to face labour among third trimester pregnant woman. This was an observational analytic study with cross sectional design. The sample were the third trimester pregnant woman in Jogonalan II Klaten public health center area totalling 36 people using purposive sampling. The study instrument used was questionnaire of pregnant women's class participation and an anxiety rating scale (HARS) of the Hamilton Anxiety Rating Scale. Data analysis was performed using Spearman test. The results of this study shown that most of respondent age was 20-35 years which is 91.7%, high school education accounted for 52.8%, unemployed accounted for 69.4% and multigravida accounted for 63.9%. Antenatal class participation rate was 52.8% and mother who did not experience anxiety accouted for 63,9%. The result of statistical test obtained ρ = 0,001. There was an association between antenatal class participation with anxiety level in facing childbirth in third trimester pregnant women. Keywords: Antenatal class participation, anxiety of third trimester pregnant mother in facing childbirth ]]>
<![CDATA[Analysis of implementation maternal care program in independent midwife clinic in Padang ]]>
<![CDATA[Miranie Safaringga]]>;
<![CDATA[Hardisman Hardisman]]>;
<![CDATA[Yulizawati Yulizawati]]>
<![CDATA[ Journal of Midwifery Vol 3, No 1 (2018): Published on June 2018 ]]>
Publisher : <![CDATA[Universitas Andalas ]]>
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DOI: 10.25077/jom.3.1.41-51.2018
<![CDATA[Factors that cause maternal mortality mostly focused on the physical factors like post partum bleeding, eclamsia, sepsys, and abortion complication. However, non physical factor like psychological and emotional factor rarely discussed. In fact, such factor also has important role in determine maternal mortality by causing several complication. The government has created several movement to overcome maternal mortality that caused by psycholgical and emotional factor. The movement are known as “Gerakan Asuhan Sayang Ibu”. The movement has 18 requirement to fulfill in order to prevent maternal mortality. This study aims to analyze the implementation of “Gerakan Asuhan Sayang Ibu” by Independent Midwife Clinic (BPM – Bidan Praktek Mandiri) in Padang municipality. This study uses qualitative design. Data were collected by deep interview. The study are is conducted in several BPM in Padang Region on december 2017 until february 2018. There are 3 midwives, 3 patients, and 3 family member of patient were particiapate as informant. The data analysis was performed using Triangulation method. The study shown that more than half midwife do the “Asuhan Sayang Ibu” well. The item that related to physical needs are fulfilled by mostly midwife. But the item that related to communication and emotional needs only fulfilled by several midwife. The deep exploration about management of “Asuhan Sayang Ibu” found the planning, implementation and evaluating phase did not run well properly.]]>
<![CDATA[The Correlation of Retinol Level with Hemoglobin Level in Third Trimester of Pregnancy Woman ]]>
<![CDATA[Febry Mutiariami Dahlan]]>;
<![CDATA[Eryati Darwin]]>;
<![CDATA[Hirowati Ali]]>
<![CDATA[ Journal of Midwifery Vol 3, No 1 (2018): Published on June 2018 ]]>
Publisher : <![CDATA[Universitas Andalas ]]>
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DOI: 10.25077/jom.3.1.92-102.2018
<![CDATA[Bleeding is one of the highest causes of maternal death. Anemia is a major cause of bleeding. Anemia in pregnant women is caused by iron deficiency, meanwhile the achievement of giving Fe tablets is quite high. Factors for anemia due to lack of intake of vitamins A, C, B12 and folate.This study aims to determine the Correlation Retinol Level with Hemoglobin Level and Ferritin Level in Pregnant Women Thiird trimester. This study was conducted using cross sectional approach, from Juli 2017 – February 2018 at Lubuk Buaya Health Center, Andalas Health Center and UNAND Biomedical Laboratory using pregnant women in third trimesteras sample with consecutive sampling technique totalling 44 people. Independent variable is retinol level and dependent variable are hemoglobin and ferritin level. Examination using Hematology Analyzer for hemoglobin and ELISA reader for examination of retinol level and ferritin level. Data was performed using a computer program to analyze nprmally distributed data using pearson test and spearman test that are abnormally distributed. Mean of retinol level of respondent was 137,612±21,717 ng/ml, hemoglobin 10,916±0,880 gr/dl and ferritin level 26,681±30,829 ng/ml. From result of analysis pearson test showed that there was a significant correlation between retinol level and hemoglobin level in pregnant women with p=0,001 (p<0,05) dan r=0,473 and there was no significant correlation between retinol level and ferritin level in pregnant women p=0,158 (p>0,05) (r=0,216). The conclusion of this study is that there is a correlation of retinol level with hemoglobin level and no correlation of retinol with ferritin level. ]]>
<![CDATA[DIFFERENCES OF PREMENSTRUAL SYNDROME PREVENTIONS BEFORE AND AFTER THE FOOD CONSUMPTION WHICH CONTAINS ISOFLAVON IN ADOLESCENT ]]>
<![CDATA[Ni Wayan Putri Utami]]>;
<![CDATA[Ida Sofiyanti]]>;
<![CDATA[Galeh Septiar Pontang]]>
<![CDATA[ Journal of Midwifery Vol 3, No 1 (2018): Published on June 2018 ]]>
Publisher : <![CDATA[Universitas Andalas ]]>
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DOI: 10.25077/jom.3.1.6-12.2018
<![CDATA[In adolescence, there will be some complaints, such as complaint of premenstrual syndrome (PMS). It defined as a physical, psychological or emotional symptom that appeared 7-10 days before menstruation. One of the treatments to reduce premenstrual syndrome is to eat food that contains isoflavones (68mg / day) because it has anti-estrogenic effect which is able to balance progesterone and etherogen hormones, which can decrease the complaints of premenstrual syndrome. This study aimed to determine the premenstrual syndrome complaints before and after the consumption of isoflavone food in tenth grade adolescents in Senior High School 2 Ungaran. This study was using pre-experimental design with one group pretest-posttest study design using simple random sampling totaling 16 respondents. Measurement of complaint of premenstrual syndrome used Premenstrual Shorted Assassement Form 1-6. Data analysis was performed using bivariate analysis using Paired-T test. Results of this study shown that 16 respondents who had complaints of premenstrual syndrome before the consumption of isoflavones food that contained isoflavones 14 respondents had moderate complaints and 2 respondents had light complaints. After the consumption of isoflavone food it showed that 9 respondents had moderate complaint and 7 respondents had light complaint. Based on statistical test, it was found that the mean value decreased from 26.18 to 21.12, the median from 15.00 to 21.50, SD ± 5.706 to ± 3.51 with p value of 0.011, which means p value <0.05. Conclusion of this study that there are differences in the complaint of premenstrual syndrome before and after the consumption of isoflavone food in tenth grade adolescents in Senior High School 2 Ungaran. Keywords: Isoflavone, premenstrual syndrome ]]>
