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[Academic Health System in West Java in Strengthening Primary Health Care ]]>
<![CDATA[Yoni Fuadah Syukriani]]>
<![CDATA[ Journal of Midwifery Vol 5, No 1 (2020): Published on June 2020 ]]>
Publisher : <![CDATA[Universitas Andalas ]]>
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DOI: 10.25077/jom.5.1.71-80.2020
<![CDATA[Academic Health System (AHS) has been developed in many countries to strengthen the relationship between medical education and health professions with the health care system, which is essential to improve health outcome. Indonesia has chosen to establish AHS in several provinces, each with the autonomy to develop the system in accord with regional needs. Health cluster faculties in Universitas Padjadjaran, with its two main teaching hospitals, the West Java provincial government strived to develop AHS to overcome health services problem and medical education in the province that has enormous geographical and demographic challenges. The strategy used focuses on two things: distributed medical education (DME) and the development of a more effective referral system. The goals are dividing the province into seven regionals, upscaling one local hospital in each to become a regional referral hospital, expanding learning opportunities for medical students, and endorsing research to strengthen the primary healthcare services. Activities were carried out through the distribution of medical students and residents to local hospitals and primary healthcare facilities along with the education of local medical professionals as supervisors. Grants were provided for research that focus on quality primary healthcare, construction of data portal for patient management referral systems, telemedicine, and tele-education. The challenges faced are mainly related to the different mindset between institutions that have different work cultures and the wide variance of situations between regions. It is therefore recommended to build a more straightforward AHS system with addition of sub-networks, besides continue to maintain close communication and policy development.]]>
<![CDATA[Pelvic Tilt Exercise Against Lower Back Pain For Third Trimester Pregnant Women In Rejang Lebong Regency ]]>
<![CDATA[Kurniyati Kurniyati]]>;
<![CDATA[Derison Marsinova Bakara]]>
<![CDATA[ Journal of Midwifery Vol 5, No 1 (2020): Published on June 2020 ]]>
Publisher : <![CDATA[Universitas Andalas ]]>
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DOI: 10.25077/jom.5.1.1-7.2020
<![CDATA[Changes that occur during pregnancy may be difficult during pregnancy and during childbirth. Complications during pregnancy include back pain, low back pain, pelvic pain, and shortness of breath. One of the most common discomforts is back pain. Back pain is the most common musculoskeletal problem in pregnant women. It is estimated that 50% to 70% of pregnant women suffer from this problem. The purpose of this study was to determine the effect of pelvic tilt training on the reduction of back pain in third-trimester pregnant women in the Rejang Lebong Regency. The research variable was back pain in third-trimester pregnant women measured before and after pelvic tilt exercises. The research was conducted in May-July 2020. This type of research is Quasi-Experimental, the results of the sample calculation obtained a sample of 32 people. The statistical test used to see the reduction in back pain before and after Pelvic tilt exercise is non-parametric Wilcoxon. Results of back pain in the third trimester of pregnant women after being given pelvic tilt exercise with p <0.005. There is a difference in back pain in the third trimester of pregnant women after pelvic tilt exercises.]]>
<![CDATA[Effectiveness Of Dismenorhoe Senam In Reducing Dismenorhoe Events In Students In Midwife Study Program In Ubudiyah University Of Indonesia Banda Aceh ]]>
<![CDATA[Raudhatun Nuzul ZA]]>;
<![CDATA[Rizky Swastika Renjani]]>
<![CDATA[ Journal of Midwifery Vol 5, No 1 (2020): Published on June 2020 ]]>
Publisher : <![CDATA[Universitas Andalas ]]>
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DOI: 10.25077/jom.5.1.36-41.2020
<![CDATA[Background: Dysmenorrhea is a physical disorder in women who experience menstrual disorders/stomach cramps. Exercise can increase endorphin production (can increase the body's natural pain), can increase serotonin levels. Gymnastics is one of the relaxation techniques that can be used to reduce pain. In Research Purpose Introduced to Identify Problems of the Dismenorhoe Program in Reducing Dismenorhoe in the Study Program at the Midwifery University, Yogyakarta University, Indonesia. This type of research is a quasi-experimental design with one group pretest-posttest design. The sampling technique is probability sampling, with a sample of 20 respondents, a data collection tool using a Lismore gymnastic observation sheet and a healing scale sheet. Statistical analysis was performed with a Test (T) test. Research results obtained from the analysis of sig. (2-tailed) obtained 0,000 which is significantly very significant or very positive which is higher than α = 0.05. If it is acceptable, it must be accepted, done before and after dysmenorrhoea exercises. It was concluded as the effectiveness of gymnastic dysmenorrhea on the reduction of menstrual pain in a female midwifery study program at the Ubudiyah University of Indonesia. Freed so that the help of gymnastic therapy is used as an alternative intervention to reduce menstrual pain.]]>
<![CDATA[Factor of Anxiety Level Primiparous Women ]]>
<![CDATA[Fauziah Iinda Gurnita]]>;
<![CDATA[Ari Suwondo]]>;
<![CDATA[Rara Sri Endang PujiAstuti]]>
<![CDATA[ Journal of Midwifery Vol 5, No 1 (2020): Published on June 2020 ]]>
Publisher : <![CDATA[Universitas Andalas ]]>
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DOI: 10.25077/jom.5.1.8-12.2020
<![CDATA[The majority of primiparous woman signs of anxiety are often overlooked due to a lack of awareness of the impact of later life on the child's mother, husband or other family relationships which will be a psychological burden for primiparaous. Factors studied were age, education, job, economic status is not affected to anxiety level primiparous woman. Ethnic group influences anxiety level because it shapes the environment and effective perceptions for primiparous mothers and families. Because ethnic group make environmental entity shapes how the mother's psychological state runs during the postpartum process.]]>
<![CDATA[COMBINATION OF PRENATAL GENTLE YOGA EXERCISES AND LAVENDER AROMATERAPY INHALATION TO IMPROVING SLEEP QUALITY IN TRIMESTER III PREGNANT WOMEN ]]>
<![CDATA[Shinta Wurdiana Rhomadona]]>;
<![CDATA[Dianita Primihastuti]]>
<![CDATA[ Journal of Midwifery Vol 5, No 1 (2020): Published on June 2020 ]]>
Publisher : <![CDATA[Universitas Andalas ]]>
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DOI: 10.25077/jom.5.1.42-49.2020
<![CDATA[As gestational age increases, the quality of sleep can decrease. It was reported that about 60% of late trimester pregnant women experience fatigue and> 75% experience sleep disturbances. However, these complaints are often ignored, even though it can lead to an increased risk of gestational hypertension, diabetes, prematurity, and postpartum depression. Sleep disturbances can also cause depression and stress that affects the fetus. Mild stress causes an increase in fetal heart rate which, if left untreated, will make the baby hyperactive. Meanwhile, the consequences are depression and babies who are born have less time to sleep deeply. Efforts to overcome this sleep disorder are yoga and lavender aromatherapy inhalation. Purpose: Therefore, the researchers estimated that the application of a combination of prenatal gentle yoga and lavender aromatherapy would be more effective in affecting the quality of sleep in pregnant women, so it is hoped that it can reduce sleep disturbances in third trimester pregnant women. Results: There is a significant effect of the combination of prenatal gentle yoga and inhalation of lavender aromatherapy in improving sleep quality in the treatment group with a value of α = 0.011 or α <0.05. There was a significant difference in the quality of sleep in the group compared to the control group with a value of α = 0.004 or α <0.05. Conclusion: By practicing prenatal gentle yoga and regular inhalation of lavender aromatherapy, it will be able to improve sleep patterns without using sleeping pills which wil]]>
<![CDATA[The Importance of Dietary Fiber on Stress Hormone in Pregnancy: A Literature Review ]]>
<![CDATA[Helena Fabiani]]>;
<![CDATA[Henny Tannady Tan]]>
<![CDATA[ Journal of Midwifery Vol 5, No 1 (2020): Published on June 2020 ]]>
Publisher : <![CDATA[Universitas Andalas ]]>
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DOI: 10.25077/jom.5.1.13-19.2020
<![CDATA[Antepartum depression is a mental health issue that is frequently ignored and often leads to suicidal behaviours. The harmful effects of antepartum depression are not only experienced by mothers, but also by children in the future. Depression due to pregnancy is usually attributed to several causes, including the biological component. Biological shifts that arise during gestation interrupt the maternal stress protection mechanism, one of which is the dysregulation of the hypothalamus-pituitary-adrenal axis (HPA-axis) resulting in hypersecretion of cortisol. Excessive release of cortisol as a stress hormone has been correlated with depressive symptoms, particularly throughout pregnancy. Recently, dietary factors, in particular dietary fiber, have become of concern as component that is recognized to attenuate stress hormones. The dietary fiber that is ingested will be digested by intestinal bacteria and will produce short-chain fatty acids as the essential metabolites. These metabolites are known to play a role in various brain functions, including HPA-axis through various means. The objective of this research is aimed at determining the function of dietary fiber within cortisol as a biomarker of the central stress response system, particularly throughout pregnancy.]]>
<![CDATA[RELATIONSHIP OF ADDITIONAL NUTRITIONAL CONSUMPTION OF GREEN BEANS (VIGNA RADIATA) WITH BREAST MILK PRODUCTION. ]]>
<![CDATA[Rohmi Handayani]]>;
<![CDATA[Siti Yulaikah]]>
<![CDATA[ Journal of Midwifery Vol 5, No 1 (2020): Published on June 2020 ]]>
Publisher : <![CDATA[Universitas Andalas ]]>
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DOI: 10.25077/jom.5.1.50-59.2020
<![CDATA[Background: The protein needed by breastfeeding mothers can be supplied from nuts, including green beans. Green beans contain active compounds, namely polyphenols and flavonoids which function to increase the hormone prolactin. When the prolactin hormone increases, milk secretion will be maximized so that the quantity of breast milk will increase and the nutritional content contained in green beans will increase the nutritional content in breast milk (Suskesty, 2017)Purpose of the study: to determine the relationship between the frequency of breastfeeding and the provision of additional nutritional consumption of vigna radiate with milk production in post-partum mothers on the 15th day in Klaten district.Methods: This type of research is pre-experimental design with post test only design with control group design. The population in this study were all mothers who had babies aged 1-3 months and resided in the working area of Puskesmas Klaten from January to September 2020. This study is a mother who has a baby aged 1 - 3 months and breastfeeding exclusively in the working area of Puskesmas Klaten with a sample size of 40 respondents consisting of 20 respondents in the treatment group (consumption of green beans) and 20 respondents in the control group (not consuming green beans). . The data analysis technique is the Spearman Correlation and Independent T-Test.Results: There was a correlation between the frequency of breastfeeding and milk production on the 15th day of postpartum mothers with a P value: .000. There is a difference in the average milk production in the 15th day postpartum mothers who are given additional Vigna Radiata (green beans) food and not given Vigna Radiata with P value: .000Conclusion: The frequency and consumption of additional Vigna radiata (green beans) nutrition can increase breast milk production]]>
<![CDATA[FACTORS AFFECTING THE VISUAL INSPECTION OF ACETIC ACID EXAMINATION (IVA) IN PADANG CITY 2019 ]]>
<![CDATA[Lusiana El Sinta B]]>;
<![CDATA[Laila Rahmi]]>;
<![CDATA[Uliy Iffah]]>
<![CDATA[ Journal of Midwifery Vol 5, No 1 (2020): Published on June 2020 ]]>
Publisher : <![CDATA[Universitas Andalas ]]>
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DOI: 10.25077/jom.5.1.20-30.2020
<![CDATA[Cervical cancer is the fourth most common cancer in women with a mortality rate of 6.8% (WHO, 2015; Globocan, 2012). The incidence of cervical cancer ranks second after breast cancer in Southeast Asia and Indonesia. Based on data from the Republic of Indonesia Ministry of Health 2015, cervical cancer is the cancer with the highest prevalence of 0.8 per 1000 population (Ministry of Health Republic of Indonesia, 2015). The high prevalence of cancer in Indonesia requires prevention and early detection by health service providers. The purpose of this study was to determine the factors that influence the inspection of Acetic Acid Visual Inspection (IVA) in Padang City.This type of research is quantitative with cross sectional design. The study was conducted at the Padang City Health Center in April-November 2019. The population was all women aged 30-50 years who were at the Padang City Health Center, amounting to 10,670 people, with a sample of 73 people taken by consecutive sampling technique. Data were collected by questionnaire and analyzed by univariate and bivariate analysis.More than half (64.4%) of women of childbearing age (WUS) have never had an IVA examination, more than half (58.9%) of women have a risk age, less than half (39.7%) women have low levels of education , more than half (60.3%) WUS with working status, there was no relationship between the age of WUS with IVA examination (p value = 0.182), there was a relationship between WUS education level and IVA examination (p value = 0.031), there was no relationship between the status of WUS work and IVA examination (p value = 0.404). It is expected that officials and leaders of puskesmas will develop more attractive ways to be able to convince and increase awareness and concern of the WUS themselves in conducting IVA examinations.]]>
<![CDATA[THE FACTORS AFFECTING ANXIETY LEVEL OF MOTHER IN LABOR STAGE I AT EKA STIWAHYUNI KLINIC MEDAN DANAI 2019 ]]>
<![CDATA[Aprilita Lita Sitepu]]>;
<![CDATA[Anita Veronika]]>;
<![CDATA[Ermawaty Arisandi Siallagan]]>
<![CDATA[ Journal of Midwifery Vol 5, No 1 (2020): Published on June 2020 ]]>
Publisher : <![CDATA[Universitas Andalas ]]>
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DOI: 10.25077/jom.5.1.60-70.2020
<![CDATA[The psychological problem felt by the mother during labor is anxiety. Anxiety is a feeling disorder characterized by feelings of fear and deep concern. Pregnant women who experience labor anxiety have a high risk of labor complications, namely preeclampsia and prolonged labor. This study aims to determine the factors influencing the anxiety level of 1st time maternity at Eka Sriwahyuni Clinic Medan Denai 2019. This study is a descriptive correlation study with a cross sectional approach. The populations are all 1st time maternity mothers who come to Eka Sriwahyuni Clinic in March-May 2019. The sample size is 21 respondents who are determined using the accidental sampling method. This study uses primary data and then processed with IBM SPSS Statistics 20 for Windows computer programs and presented in the form of an open table. Of the 21 respondents, the majority of respondents have moderate anxiety levels. Based on the results of the study, it is found that out of the 4 variables studied, only the knowledge variable could prove a significant relationship with the level of anxiety of the first childbearing mother labor.]]>
<![CDATA[Relationship between Toddler Nutrition Status and Development of Toddler age 12-36 months ]]>
<![CDATA[Mei Lia nindya zulis Windyarti]]>;
<![CDATA[Poppy Fransisca Amelia]]>;
<![CDATA[EsyaIriandica Al Ashfiha]]>
<![CDATA[ Journal of Midwifery Vol 5, No 1 (2020): Published on June 2020 ]]>
Publisher : <![CDATA[Universitas Andalas ]]>
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DOI: 10.25077/jom.5.1.31-35.2020
<![CDATA[National development is essentially human development as a whole which must start as early as possible, namely from the womb and during infancy. The growth and development of infants and toddlers take place through certain patterns. The first three years from birth are a period in which billions of Glial cells continue to grow to fertilize neurons. Little one's head, but for the fact that the first three years of little one's development are golden periods in the formation of his smart brain. Because the brain grows very rapidly and will reach 70-80% in the first 3 years of your child's life. Based on the nutritional status of children under five (weight/age) in Sragen regency in 2011 there were 84.03% normal nutrition, 1.89% undernutrition, and 0.01% poor nutrition Preliminary study conducted in Nglangak Kwangen village, Gemolong Sragen, namely there are 55 toddlers, there are 4 toddlers who experience developmental disorders. Speech and language disorders of 2 toddlers and 1 toddler with gross motor impairment are toddlers aged 12 months who cannot sit alone without assistance.]]>
