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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.
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Articles 15 Documents
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Search results for , issue "Vol. 8 No. 2 (2023): Published on Desember 2023" : 15 Documents clear
Risk Assessment among Pregnant Women in Nigeria: Requisite Step towards Reduced Maternal Morbidity and Mortality Afolabi, Adebukunola Olajumoke; ESIENUMOH, Ekpoanwan; Afolabi, Kolade Afolayan; Omishakin, Monisola Yetunde J.; Ayamolowo, Love B.
Journal of Midwifery Vol. 8 No. 2 (2023): Published on Desember 2023
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jom.8.2.94-112.2023

Abstract

Existing risk assessment tools in pregnancy are limited in their predictive capabilities, whereas effective risk assessment should incorporate non-medical variables such as cultural and religious contexts of women, typical of African settings. This sstudy explored perception about risk in pregnancy, assessed knowledge about risk in pregnancy, examined risk status and related factors among pregnant women in Ile-Ife, southwest Nigeria. Study employed sequential explanatory mixed method design. Quantitative datac was collected using modified Dutta & Das Prenatal Scoring System from 239 pregnant women selected through a two-stage sampling technique. Regression analysis examined relationship between dependent and independent variables. Level of significance was p<0.05. Focus Group Discussion explored participants’ perception about risk in pregnancy. Qualitative responses were analyzed thematically. Findings showed that 80.5% had positive perception about risk in pregnancy, 19.5% had negative perception, 29.0% had good knowledge about risk in pregnancy, 17.3% of the pregnant women had poor knowledge while 53.7% had fair knowledge. Study observed significant relationship between high risk in pregnancy and age group 15-24 years (p=0.01, RRR= 0.67, CI= 0.12-3.63), ethnicity (p=0.02, RRR=12.93, CI=1.42-117.76), poor knowledge about risk in pregnancy (p=0.03, RRR=4.08, CI=1.19-13.98), primigravidity (p=0.001, RRR=0.01, CI=0.002-0.08), multigravidity (p=0.001, RRR=0.04, CI=0.02-0.29) and vaginal birth (p=0.001, RRR=0.21, CI= 0.08-0.54). Qualitative findings resulted in three themes namely; women’s perception about risk in pregnancy, perceived causes of risk in pregnancy, perceived risk preventive measures in pregnancy. Study concluded that women’s age, ethnicity, knowledge about risk in pregnancy, gravidity and mode of birth were main predictors of risk in pregnancy. Intervention programs should take cognizance of these variables especially cultural contexts of women.
Birth Preparedness and Obstetric Danger Signs: Perception and Predictors among Expectant Mothers in Southwest Nigeria Afolabi, Adebukunola Olajumoke; ALADEGBAMI, Oluwadamilola; DOSUNMU, Taiwo; Afolabi, Kolade Afolayan; Olaogun, Adenike A A.
Journal of Midwifery Vol. 8 No. 2 (2023): Published on Desember 2023
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jom.8.2.121-134.2023

Abstract

Planning for safe delivery and anticipating actions needed during obstetric emergencies are vital strategies towards reduction in maternal mortality and morbidity. Study explored perception about danger signs of pregnancy among expectant mothers, assessed level of knowledge about danger signs of pregnancy, examined birth preparedness and related factors among expectant mothers in Ogbomosho, southwest Nigeria. Study employed sequential explanatory mixed method design. Quantitative data was collected using questionnaire adapted from John Hopkins Program for International Education in Gynaecology and Obstetrics, JHPIEGO (2004) from 483 expectant mothers, selected through multistage sampling technique. Binary logistic regression examined relationship between dependent and independent variables, p < 0.05 was significant. Focus Group discussion was conducted among 32 participants selected purposively, qualitative responses were analyzed thematically. Quantitative findings revealed that 34.8% of the mothers had good knowledge about danger signs of pregnancy, 65.2% had poor knowledge,36.9% had adequate preparation towards childbirth while 63.1% had inadequate preparations. Binary logistic regression analysis shows that good knowledge about danger signs of pregnancy (p=0.03, OR=0.54. CI=0.31-0.94) was the main predictor of birth preparedness among expectant mothers. Main themes from qualitative responses include knowledge about obstetric danger signs; recognition of obstetric danger signs; perceived severity of obstetric danger signs and perceived susceptibility to obstetric danger signs. Good knowledge about obstetric danger signs was the main predictor of birth preparedness; effective maternal health services aiming at favourable pregnancy outcomes should focus on educating women on early identification of obstetric danger signs and prompt decision making capabilities.
Screening accuracy of PAP and VIA in terms of Colposcopy guided cervical biopsy: A comparative study Mitra, Partha Sarathi; Na, Abhoy Chand; Barman, Medhatithi; Roy, Debobroto; Shankar, Tara; Naskar, Tapan Kumar
Journal of Midwifery Vol. 8 No. 2 (2023): Published on Desember 2023
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jom.8.2.81-93.2023

Abstract

Introduction: Approximately 80% of cervical cancer occurs in developing countries of which India contributes about 20-30% of the global burden. WHO considers cervical cancer as a preventable disease because it can be diagnosed in its precancerous phase. Cytology and VIA for screening and colposcopy for directed biopsy jointly may achieve accuracy of approximately 90% to 99%.Methods: An observational cross sectional comparative study was performed to find accuracy of screening protocols of exfoliative cervical cell cytology and visual inspection under acetic acid in terms of the diagnostic test of Colposcopy guided biopsy on 300 symptomatic women of age 18-60 years over the period of one year.Result: Both PAP and VIA positivity increased with age, increasing parity, gynaecological symptoms. PAP and VIA positive results co related with Colposcopy directed biopsy histopatholgy reports in a statistically significant proportion.Discussion: VIA can screen out a large number of women suspected to have cervical cancer in an easy method done in OPD in naked eye and does not require any meticulous microscopic examination with a high degree of sensitivity and high false positivity but on the other hand PAP was less sensitive but more specific test when both combined with Colposcopy guided biopsy.Conclusion: The associations between distribution of women who were Pap +ve and histology +ve as well as VIA and histo +ve were statistically significant.
Surgical Wound Infection in Tinea Cruris Atfi, Ismi Mulya
Journal of Midwifery Vol. 8 No. 2 (2023): Published on Desember 2023
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jom.8.2.32-35.2023

Abstract

Changes in the immune response during pregnancy until postpartum cause an increased risk of infection during pregnancy, including skin infections. Tinea cruris is a dermatophyte infection of the inguinal folds, inner thighs, perineum and buttocks. One of the risk factors for tinea cruris is obesity. Obesity aggravates the condition, causing skin changes and conditions (inflammatory and hypertrophic-based) that are often associated with excessive fungal or bacterial growth. Obesity is a risk factor for infection in Caesarean wounds. This case study will describe a patient who experienced an infected Caesarean wound with tinea cruris
Habitual Abortion in Hansen’s Morbus Atfi, Ismi Mulya
Journal of Midwifery Vol. 8 No. 2 (2023): Published on Desember 2023
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jom.8.2.42-45.2023

Abstract

Based on WHO data, Indonesia is one of the countries contributing around 10,000 cases of Hansen’s morbus  2019. Hansen's morbus, or leprosy, is a chronic bacterial infection (Mycobacterium leprae) that attacks skin tissue, peripheral nerves, and the respiratory tract. Hansen's disease can occur during pregnancy and worsen during pregnancy. Pregnancy causes a relative decrease in cellular immunity. This can be explained because immunosuppression occurs during pregnancy. Pregnancy is dangerous for women with Hansen’s morbus . This case study describes a case of habitual abortion with Hansen’s morbus . The patient had a history of Hansen's morbus and had discontinued the medication. During pregnancy, the patient never underwent examination and treatment for Hansen's morbus. So, the patient experiences the habit of abortion. For this reason, it is necessary to carry out good treatment for pregnant women with Hansen's disease so that the mother and fetus receive appropriate treatment.
Antimicrobial resistance patterns of urinary tract infection organisms isolated from pregnant women’s urinary samples at lancet clinical laboratories in Zimbabwe, 2021 Mahamane Salissou, Maibouge Tanko
Journal of Midwifery Vol. 8 No. 2 (2023): Published on Desember 2023
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jom.8.2.113-120.2023

Abstract

Worldwide, bacterial infections are a main cause of morbidity and mortality, mainly in low-income countries. The world emergence of antimicrobial resistance negatively impact the management of infectious diseases. Nationwide, there is an increasing concern over antimicrobial resistance (AMR) recently evaluated to contribute for more than 700,000 deaths per year across the globe. The key objective of this present study is to characterise the antimicrobial resistance patterns of urinary tract organisms isolated from pregnant women’s urinary samples analysed at Lancet Clinical Laboratories in Zimbabwe from January to December 2021. This was a laboratory based, cross sectional study conducted among pregnant women’s samples analysed at the laboratory. Microbiology results logbook and patients’ clinical data were used to evaluate basic descriptive statistics (proportions and mean) of participants engaged in this study. We describe the characteristics of variables of respondents where categorical variables were portrayed in the form of numbers and percentages in table, figures format. The prevalence of UTI was 60% with the main isolated bacteria being Escherichia coli (28.10%), Staphylococcus aureus (9.18%) and Kleibseilla pneumoniae (10.27%). There was association between gestational ages with UTI. The prevalence of AMR was 54%. The highest resistant drugs being Ampicillin (60%), Vancomycin (45%) and Penicillin (40%), the least resistant were chloramphenicol (15%), ciprofloxacin (23%) and nitrofurantoin (25%). The prevalence of AMR was high with regards   to AMR prevalence rates in a study conducted in Zimbabwe Bulawayo. This is mainly due to the misuse of drugs therefore re-enforcement of prescription-only policies is crucial.
Efficacy and safety of Maternal voice for Preterm Neonatal Pain: a Systematic Literature Review Mastuti, Ni Luh Putu Herli
Journal of Midwifery Vol. 8 No. 2 (2023): Published on Desember 2023
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jom.8.2.1-14.2023

Abstract

Purpose: Pain in neonates, especially in preterm neonates has short effects and long effects. A mother’s voice can stabilize the physiological state, support feeding, reduce pain, and promote growth and development. aimed to analyze the effect and safety of maternal voice for preterm neonatal pain, to provide scientific evidence.Design : The research design used in this study is the systematic literature review. The identification of the study uses a PRISMA flow diagram, and quality assessment uses critical appraisal tools from the Centre for Evidence-Based Medicine. The analyzed data related to the population, intervention, and outcomes (PIO components).Findings: Ten studies were included in this study, ranging from 2018 to 2023. Seven studies showed the significant efficacy of maternal voice in reducing preterm neonatal pain, and three studies no significance. Five studies show maternal voice can reduce pain significantly more than routine care, and two studies use a combination of maternal voice and other non-pharmacological management, including breast milk, taste, Non-nutritive sucking, heartbeat sounds mother voice, and mother touch therapy. Pain parameters use the Pain Scale and serum and salivary cortisol level.Implications: Maternal voice; both live or recorded, voice or heartbeat, was effective and safe in reducing pain sensation in preterm neonates. 
Parental Support is Associated with An Adolescent Girl’s Readiness to Facing Menarche Oktavia, Tesya; Lestari, Muji; Sari, Gita Nirmala
Journal of Midwifery Vol. 8 No. 2 (2023): Published on Desember 2023
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jom.8.2.36-41.2023

Abstract

Adolescent girls need information about the menstrual process and health during menstruation. Young women will experience difficulties in facing their first menstruation if they have never previously known or discussed it with their peers or parents. This research aimed to determine the association between parental support and the readiness of adolescent girls to face menarche. This is a cross-sectional study with a sample of 105 adolescent girls and parents who were determined using a simple random sampling technique using a questionnaire on parental support and readiness to face menarche via Google Form. Based on the Chi-Square test, there is a significant association between parental support and the readiness of young women to face menarche (p-value = 0.002). Adolescent girls with good family support are three times more prepared to face menarche than those who do not have good family support, with an OR (95% CI) = 2.981 (1.263–7.037).
Audio Visual Media about The Importance of Vulva Hygiene Increases The Knowledge of Pregnant Women Andriansyah, Andriansyah; Refi, Weni Guslia; Herlina, Nina
Journal of Midwifery Vol. 8 No. 2 (2023): Published on Desember 2023
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jom.8.2.46-53.2023

Abstract

Pregnant women tend to experience vaginal discharge more often than when they are not pregnant. This disorder is caused by poor hygiene of the genital organs. Knowledge is an important component in shaping a person's behavior. This research aims to determine the effectiveness of audio-visual media in increasing pregnant women's knowledge about vulva hygiene. This research uses a quantitative method, pre-experiment, one group pre-posttest. The sample used was 36 respondents using an accidental sampling technique. Bivariate analysis used the Wilcoxon test. There was an increase in the average knowledge score of pregnant women after being given audio-visual media about vulva hygiene with a p value <0.001. This educational media can be used by health facilities to provide education to pregnant women. Suggestions from researchers for research sites can utilize audio-visual media during health education, especially to pregnant women regarding vulva hygiene.
E-Booklet media can increase teenagers' knowledge about breast self-examination Dahliana, Maya Dika; Agustina, Indah Fitri
Journal of Midwifery Vol. 8 No. 2 (2023): Published on Desember 2023
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jom.8.2.54-61.2023

Abstract

Breast cancer in women is the highest number of cancer cases in the world. Adolescents aged 10-21 years with breast cancer are often found at an advanced stage. This incident was caused by the low knowledge of teenagers about early detection of breast cancer with BSE. This research aims to determine the effectiveness of e-booklet media in increasing young women's knowledge regarding breast self-examination (BSE). This research is quantitative with a pre-experiment research design with a pre-test and post-test design without a control group design. The sampling technique in this research uses a probability sampling technique with a Simple Random Sampling approach. The sample consisted of 81 respondents who were high school students in DKI Jakarta. The research results showed an increase in the average knowledge score of young women after being given the E-Booklet media about BSE with a p-value < 0.001. Health service institutions and schools can utilize E-Booklet media during health education, especially for young women regarding BSE.

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