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Journal of Midwifery
Published by Universitas Andalas
ISSN : -     EISSN : 25983180     DOI : -
Core Subject : Health, Social,
Medicine & Pharmacology Social Sciences
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.
Arjuna Subject : -
Articles 10 Documents
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Search results for , issue "Vol. 10 No. 2 (2025): Published on Desember 2025" : 10 Documents clear
Familial Factors Associated with Age at Menarche: Evidence from Mothers, Sisters, and Female Students in Elementary School in Surabaya Putri, Ananda Wilda Sofiana Permata; Amalia, Rize Budi; Dwiningsih, Sri Ratna
Journal of Midwifery Vol. 10 No. 2 (2025): Published on Desember 2025
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jom.10.2.1-9.2025

Abstract

Age at menarche is an important marker of reproductive health and varies widely among individuals. Familial factors, especially maternal and sibling age at menarche, have been identified as strong predictors that influence the onset of puberty in girls. This study aimed to analyze the association between familial factors and the age at menarche among students, their mothers, and older sisters. A cross-sectional study was conducted on 52 female students from an elementary school in Surabaya who had already experienced menarche. Data were collected using structured questionnaires and analyzed using the Chi-square test. The results showed a significant association between the students’ age at menarche and the age at menarche of their mothers and/or older sisters (p = 0.008). Students whose mothers and/or older sisters experienced menarche at an earlier age tended to reach menarche earlier as well. This pattern suggests a hereditary influence within families, indicating that maternal and sibling menarcheal history contributes substantially to determining menarcheal timing among female elementary students. These findings reinforce the role of familial factors in the biological regulation of pubertal onset.
The  Effect of Labor Position during Second Stage of Labor on Mode of Delivery in Low Risk Women Arikatla, Sai Aiswarya; Dabral, Anjali; Bharti, Rekha; Kumari, Suman; Sarin, Madhavi; Goyari, Poojapreeti
Journal of Midwifery Vol. 10 No. 2 (2025): Published on Desember 2025
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jom.10.2.31-39.2025

Abstract

Background: Delivery in an upright position aligns the uterine forces with the pelvic cavity and decreases the duration of the second stage of labor. The upright position is also reported to reduce the risk of cesarean deliveries. The present study was planned to compare the mode of delivery in women delivering in supine versus upright (squatting and kneeling) positions. Material and Methods: This prospective observational study was conducted in a tertiary care center's Obstetrics and Gynecology department. Women in early stage of labor were counseled about various labor positions. Women who adopted supine, kneeling, and squatting positions in second stage of labor were divided into three groups according to their choice. The women were followed for effect of position in second labor stage on delivery mode. Results: A total of 210 women were enrolled in the study. The three groups were comparable in terms of demographic parameters, except that women in the supine group were younger than women assuming upright positions in the second stage of labor. The rate of cesarean section and moderate/severe PPH was increased in women assuming the supine position in the second stage of labor. However, the difference was not statistically significant, p=0.209 and 0.223, respectively. The mean duration of the second stage of labor was significantly increased in women delivering in the supine position, p=0.001. Conclusion: Upright (kneeling and squatting) position significantly decreases duration of second stage of labor but is not associated with a difference in cesarean delivery rate compared to women in the supine group.
Evaluating Drug Safety in Pregnancy: A Hospital-Based Study on TGA Classification and Prescription Practices in Indonesia Sastranegara, Hawariyyun; Sutrisna, Eman; Nafisah, Nafisah; Priyanto , Edy; Purnawan, Iwan; Ariesto, Mohammad Rizky; Sulistyo, Hidayat
Journal of Midwifery Vol. 10 No. 2 (2025): Published on Desember 2025
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jom.10.2.48-56.2025

Abstract

Pregnant women are frequently prescribed medications, yet limited data exist on the safety profiles of these drugs in low-resource settings. The Therapeutic Goods Administration (TGA) classification system is a critical tool to evaluate fetal risks, but its application in Indonesian clinical practice remains understudied. This study aimed to analyze prescription patterns and TGA safety categories of drugs prescribed to pregnant women at a tertiary hospital in Indonesia. A cross-sectional study was conducted using medical records of 374 pregnant women at Bunda Arif Hospital (2021-2022). Drugs were classified according to TGA categories (A, B1, B2, B3, C, D, X). Data were analyzed descriptively (frequencies, percentages) and compared across trimesters. Most patients (63%) received one drug, primarily electrolytes/minerals/vitamins (67%). Based on TGA classification, 33% of drugs were Category A (safe), while 27% were Category D (e.g., high-dose Vitamin A). Notably, Category D drugs were increasingly prescribed across trimesters (12% in 1st trimester to 46% in 3rd trimester). No Category X drugs were identified. Conclusion: Despite overall adherence to safe prescribing (Category A), the high prevalence of Category D drugs, particularly Vitamin A, highlights a critical gap in perinatal pharmacovigilance. Clinicians should prioritize evidence-based guidelines to mitigate potential teratogenic risks in pregnancy.
A Synthesis of mixed evidences regarding role of Birth companionship on Labor Progression and maternal health: A Narrative review Pushpa, Pushpa; Kumari, Kiran; Jangid, Jyoti; Anushiya, Anushiya
Journal of Midwifery Vol. 10 No. 2 (2025): Published on Desember 2025
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jom.10.2.10-15.2025

Abstract

Childbirth can be a challenging experience, especially for first-time mothers. There are several methods are available to enhance the maternal and neonatal outcome. Continuous support from a chosen companion during labor significantly improves both maternal and neonatal outcomes. The literature search used PubMed, CINAHL, Ovid Medline and Scopus. Determination of keyword- which is based on PICOT framework, as follows P: Pregnant women, I: birth companionship, C: any comparison, O: Maternal & fetal outcomes, T: any time. The Article published in English, full text available article and published article were criteria for inclusion in this study. We reviewed eight papers of continuous support from a chosen companion during labor significantly improves both maternal and neonatal outcomes. This support includes emotional reassurance, pain management, physical comfort, and newborn care assistance. Studies indicate that such support also positively impacts postpartum mental health. The World Health Organization (WHO) and the Government of India recommend to have a birth companion for all women in labor. While there is still a gap in understanding how this support affects overall satisfaction studies show that non-medical support, such as from doulas, leads to better outcomes, including higher rates of vaginal births, reduced need for pain relief, and improved breastfeeding initiation. Despite challenges in implementation, continuous support is key to improving maternal and child health globally
Relaxation Techniques for Advancing Women-Centered Childbirth Care Yulizawati, Yulizawati; Chairani, Yunita; Intasir, M. Pemberdi; Pramawahyudi, Pramawahyudi; Sari, Maharani Permata; Qalbi, Tajri Syayidil
Journal of Midwifery Vol. 10 No. 2 (2025): Published on Desember 2025
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jom.10.2.57-64.2025

Abstract

- Background: Contemporary maternity care emphasizes not only maternal and neonatal safety but also the quality of women’s childbirth experiences. However, increasing medicalization of labor has been associated with diminished maternal autonomy, heightened anxiety, and negative birth experiences. Women-Centered Care (WCC) offers a midwifery-led approach that prioritizes respect, empowerment, partnership, and individualized care. Within this framework, relaxation techniques serve as non-pharmacological strategies to support physiological labor and enhance maternal wellbeing. Objective: This narrative review aims to examine current evidence on relaxation techniques used during labor and their role in reducing pain and anxiety while promoting positive childbirth experiences in alignment with women-centered care principles. Methods: A narrative review of recent literature was conducted using PubMed, Wiley, Cochrane Library, and Google Scholar. Studies published within the last five years were included without restrictions on study design, focusing on relaxation techniques applied during intrapartum care. Results: The findings indicate that various relaxation techniques—including breathing exercises, manual techniques, music therapy, aromatherapy, and hydrotherapy—are effective in alleviating labor pain and anxiety. These interventions support neuroendocrine processes essential for physiological labor, enhance women’s sense of control, and improve overall childbirth satisfaction. Relaxation techniques also reinforce key components of WCC by fostering autonomy, comfort, and active participation in the birthing process. Conclusion: Relaxation techniques are effective, safe, and feasible interventions that support the implementation of women-centered childbirth care. Their integration into intrapartum midwifery practice can enhance maternal wellbeing, promote positive birth experiences, and strengthen respectful and holistic maternity care.
Literature Review: The Effect of Progressive Muscle Relaxation Technique on Dysmenorrhea In Adolescent Girls Viani, Zalestya; Yulizawati, Yulizawati; Hardisman, Hardisman; Halida, Erda Mutiara; Fitria, Henni
Journal of Midwifery Vol. 10 No. 2 (2025): Published on Desember 2025
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jom.10.2.23-30.2025

Abstract

Dysmenorrhea is menstrual pain that can interfere with activities. Primary dysmenorrhea is a condition that occurs due to changes in prostaglandin hormone levels. In Indonesia, the prevalence of primary dysmenorrhea in 2019 was 54.89%. Dysmenorrhea can be alleviated through non-pharmacological methods, one of which is the progressive muscle relaxation technique, which has no side effects. This study aim to examine the effect of progressive muscle relaxation techniques in reducing primary dysmenorrhea. This study was a literature review using the scoping review method, conducted from April 2024 to February 2025. Data was collected from databases (PubMed, ScienceDirect, Google Scholar, and GARUDA) with publications from 2019 to 2024. The data analysis was carried out using thematic analysis. The selected articles were organized into a PRISMA-ScR (Preferred Reporting Items for Systematic Review and Meta-Analyses extension for Scoping reviews) flow diagram, resulting in 15 analyzed articles. The research results indicate that progressive muscle relaxation techniques have an effect on reducing primary dysmenorrhea. However, factors such as stress experienced by women during relaxation exercises and an unconducive environment may affect the success of the technique
Literature Review: The Relationship Between Tea Dringking Habits and The Incident of Anemia in Pregnant Women Mulya, Ketrin Permata; Hardisman, Hardisman; Yulizawati, Yulizawati
Journal of Midwifery Vol. 10 No. 2 (2025): Published on Desember 2025
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jom.10.2.40-47.2025

Abstract

Background: Pregnancy anemia is condition when the hemoglobin (Hb) less than 11 g/dL. Based on the Indonesian Healthy Survey in 2023, the prevalance of pregnancy anemia was 27,7%. One of the risk factors was excessive consumption of tea, because it contained tannins that inhibited iron absorption.Purpose: The purpose of this study was to determine the relationship between tea drinking habits and the incidence of anemia in pregnant woman.Methods: This type of research was a literature review with a scoping review method, conducted from March 2024 to March 2025. Data were collected through digital database sources, namely: Pubmed Central, Sciencedirect, Google Scholar, DOAJ, and Garuda, published from 2019-2024. Data were analyzed using thematic analysis.Results: Relevant articles was selected based on inclusion and exclusion criteria, and processed usinh the PRISMA-ScR flow diagram. 21 articles were identified for analysis. 21 articles were analizied by thematic analysis.Conclusion: The study show, that the habit of drinking tea is associated with the incidence of anemia during pregnancy. The frequency of daily tea consumption with an amount of 1, 2, or 3 cups causes anemia and the timing of tea consumption before, after or with meals within a time span of up to 1 or 2 hours is also associated with pregnancy anemia
The Relationship Between Macronutrient Intake And Menarche Age in Adolescent Girls At Junior High School 13 Padang Sabrina, A`thifa; Hardisman, Hardisman; Yulizawati, Yulizawati; Rita, Rauza Sukma; Iffah, Ully; Fitria, henni
Journal of Midwifery Vol. 10 No. 2 (2025): Published on Desember 2025
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jom.10.2.16-22.2025

Abstract

Menarche is the first menstrual period that indicates that a woman has reached biological maturity. The age  of menarche continues to decline over time and is influenced by various factors such as nutrition, genetics, and socioeconomics. The intake of macronutrients such as carbohydrates, proteins, and fats plays a role in the maturation process of reproductive and hormonal organs that affect the age of menarche. Changes in nutrient consumption patterns among adolescents today can have an impact on  the earlier or delayed age shift of menarche which can be a sign of developmental or hormonal problems. This study used an associative analytical design with a cross sectional approach and purposive sampling techniques for 55 respondents. The instrument used was the SQ-FFQ questionnaire to measure macronutrient intake with the results of measuring total energy and menarche  age data obtained through interviews. The results of the study showed that 67.3% of respondents had no more energy intake, 32.7% had more energy intake, and  85.5% had normal menarche age, 14.5% abnormalized menarche age. The results of the analysis of Macronutrient energy intake with menarche age  with the Yates Correction or Continuity Correction test were obtained p = 0.125. These results show that there is no relationship between macronutrient energy intake and menarche age  in adolescent girls at SMPN 13 Padang.Based on the results of the study, it can be concluded that there is no statistically significant relationship between macronutrient energy intake and menarche age. It is hoped that the age  of menarche is influenced by many factors apart from macronutrient intake, namely nutritional quality, hormones, and socio-economic factors.
Prenatal Diagnosis of Omphalocele and Soft Markers of Chromosomal Abnormalities In The First Trimester Gustuti, Rina
Journal of Midwifery Vol. 10 No. 2 (2025): Published on Desember 2025
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jom.10.2.66-71.2025

Abstract

Physiological herniation of the fetal midgut into the umbilical cord occurs during early embryonic development as a result of limited intra-abdominal space and is considered a normal finding until approximately 10-11 weeks of gestation. Persistence of midgut herniation beyond 12 weeks of gestation, or the presence of a herniated mass with a diameter exceeding 7 mm, is regarded as pathological and consistent with a diagnosis of omphalocele. Early identification during the first trimester is of substantial clinical importance, as omphalocele is frequently associated with chromosomal abnormalities, particularly trisomy 18, trisomy 13, and trisomy 21. In this setting, healthcare providers especially midwives working in close collaboration with fetomaternal specialists play a pivotal role in early screening, timely referral, and provision of psychosocial support. We report the case of a 22-year-old woman, gravida 2 para 1 abortus 0 living 1 (G2P1A0H1), at 11 weeks of gestation, who presented with hyperemesis gravidarum complicated by mild to moderate dehydration and reduced oral intake. Fetomaternal ultrasonography demonstrated a single live intrauterine fetus consistent with gestational age, with a crown– rump length of 39.4 mm (15.3rd percentile) and a regular fetal heart rate of 164 beats per minute. Notable findings included a markedly increased nuchal translucency of 6.8 mm, visualization of the nasal bone, normal ductus venosus Doppler flow, and a 9-mm membranous herniation at the umbilical cord insertion, consistent with omphalocele. In conclusion, first-trimester ultrasonography enabled early prenatal diagnosis of omphalocele accompanied by chromosomal soft markers. Further management includes cytogenetic analysis and a detailed second- trimester anatomical assessment, supported by comprehensive counseling to facilitate informed clinical decision-making.
Prenatal Diagnosis and Perinatal Management of Gastroschisis: A Case Report Gustuti, Rina; Mutiara, Farah; Yusrawati
Journal of Midwifery Vol. 10 No. 2 (2025): Published on Desember 2025
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jom.10.2.72-77.2025

Abstract

Background: Gastroschisis is a congenital abdominal wall defect characterized by herniation of abdominal organs through a paraumbilical defect without a protective membrane. Prenatal detection plays a crucial role in planning delivery and optimizing neonatal management. Case Presentation: We report a case of a 39-year-old pregnant woman, G4P2A1L2, who presented at 36–37 weeks of gestation with latent phase of labor and a history of two previous cesarean sections. Antenatal ultrasonography revealed a singleton live intrauterine fetus with suspected gastroschisis, demonstrated by herniation of fetal bowel outside the abdominal cavity without a covering membrane. Fetal well-being assessment using cardiotocography showed a category I tracing. Delivery was performed by cesarean section due to maternal obstetric indications. A male neonate was delivered with a birth weight of 2415 grams, and postnatal Ballard scoring indicated a gestational age of approximately 36 weeks. The neonate was planned for further management according to clinical condition. Conclusion: Prenatal diagnosis of gastroschisis allows for appropriate delivery planning and early neonatal management. A multidisciplinary approach involving obstetricians, neonatologists, and pediatric surgeons is essential to improve outcomes in neonates with congenital  abdominal wall defects.

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