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Journal of Midwifery

jom
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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 238 Documents

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Factors Related with the Incidence of Severe Preeclampsia at the Hospital Dr M Djamil Padang Nissa Prima Sari; Bobby Indra Utama; Meilinda Agus
Journal of Midwifery Vol 2, No 2 (2017): Published on December 2017
Publisher : Universitas Andalas

Preeclampsia is a condition characterized by an increase in maternal blood pressure of at least 140/90 mmHg accompanied by proteinuria and other symptoms that occur after 28 weeks gestation. The incidence of preeclampsia in hospital DR M Djamil Padang reached 33%. The exact cause of preeclampsia remains unknown, but extreme maternal age, nulliparity, history of hypertension are suspected to be the risk factors for this. This study aims to determine the factors related with the incidence of severe preeclampsia in the hospital DR M. Djamil Padang.This was observational analytic study with case control study design. The population is divided into two, the case population (all mothers with severe preeclampsia) and the control population (all mothers with no severe preeclampsia). The sample was 85 people taken by simple random sampling with the comparison between case : control (1:1). Data were taken from the patient's medical records. Data analysis was performed using univariate and bivariate using Chi square test with p value < 0,05.The results of this study showed there was a relationship between age (p = 0,001), parity (p = 0,020) and history of hypertension (p = 0,003) with the incidence of severe preeclampsia in the hospital DR M Djamil Padang. While the factor that has no significant relation is multiple pregnancy.Mothers with age <20 years old or ≥35 years old, nulliparity, and having a history of hypertension are more at risk for severe preeclampsia. Therefore it is expected for health workers especially midwives to increase awareness to patients especially for those who at risk of preeclampsia.

The Correlation Level Of Thyroid Stimulating Hormone Andthyroxinewith Spontaneus Abortion Yellyta Ulsafitri; Rahmatina Rahmatina
Journal of Midwifery Vol 3, No 2 (2018): Published on December 2018
Publisher : Universitas Andalas

Abortion is one of the causes of maternal death. The World Health Organization (WHO) estimates that 15-20% of maternal deaths are caused by abortion. Abnormal level of TSH and T4 during pregnancy will be at risk of abortion because the T4 hormone acts to regulate the body's metabolic processes. The purpose of this study to determine the relationship of TSH and T4 levels in the incidence of abortion. The research design is observational with cross sectional approach which is implemented in regency general hospital of Dr. Rasidin, hospital of Dr. Reksodiwiryo,Bhayangkara hospital, Islam hospital of IbnuSina Padang, and Biomedical Laboratory Faculty of Medicine Andalas University in Padang from September to November 2017. The study population is all pregnant women with gestational age ≤ 20 weeks with diagnosis of abortion. The sample of research 58 respondents by using consecutive sampling technique Examination of TSH and T4 using ELISA method. Test the normality of data by Kolmogorov Smirnov test. Analysis of comparative data by using Pearson correlation test. The conclusion of this study are the mean serum TSH level is 2.39 ± 1.59 mIU / I and the mean serum T4 level was 8.02 ± 1.43 μg / dl. There is no statistically significant relationship between TSH and T4 levels in aborted event, with p = 0.07 (p> 0,05), with r = -0,23, the relation test is weak, the direction was negative which means more high levels of TSH, the smaller T4 levels in mother abortion The conclusion, the study proves that, there is no significant correlation between TSH and T4 levels in the incidence of abortion.

Correlation of Knowledge With The Attitude of Head Family About Clean And Healthy Behaviour (Phbs) In Cilembang Cihideung Tasikmalaya Erinda Nur Pratiwi; Iis Sopiah Suryani; Lina Marlina; Risma Fitria
Journal of Midwifery Vol 3, No 2 (2018): Published on December 2018
Publisher : Universitas Andalas

Families can implement healthy ways of life by maintaining, and improving their health by providing learning experiences, opening communication, providing information and education so that Clean and Healthy behaviour (PHBS) can be achieved. This study aims to determine the relationship of knowledge with the attitude of the head of the family about Clean and Healthy Life Behavior in Cilembang, Cihideung District, Tasikmalaya City. The method used in this study is an analytical survey using a cross sectional approach. The population in this study were all family heads totaling 232 families. The sampling technique in this study uses cluster random sampling technique, which is as many as 70 family heads. The type of data used in this study is primary data. The instrument used was a questionnaire which was made by the author and tested for validity and reliability. Data analysis techniques using univariate (Frequency Distribution) and bivariate (chi-square) techniques. From the results of the study that most respondents have a good level of knowledge about Clean and Healthy Life Behavior, which is 69 people (98.6%). And the attitude of respondents towards Clean and Healthy Life Behaviors mostly have good attitude, that is 69 people (98.6%), with the results of x2 shows Pvalue = 0.903> 0.05. The conclusion of this study is that there is no significant relationship between knowledge with the attitude of the head of the family about Clean and Healthy Life Behavior. The results of this study are expected to improve the knowledge and attitudes of family heads regarding Clean and Healthy Life Behavior.

“Berpikir Kritis” Dasar Bidan Dalam Manajemen Asuhan Kebidanan Aldina Ayunda Insani; Ayu Nurdiyan; yulizawati yulizawati; lusiana Elsinta Bustami; Detty Iryani; fitrayeni fitrayeni
Journal of Midwifery Vol 1, No 2 (2016): Published on December 2016
Publisher : Universitas Andalas

Manajemen asuhan kebidanan merupakan suatu proses pemecahan masalah dalam kasus kebidanan yang dilakukan secara sistematis. Sebagai seorang profesi bidan harus memanfaatkan kompetensinya, sumber daya pikirnya untuk berpikir kritis agar menegakkan suatu diagnosa kebidanan yang tepat sehingga tercapai pengambilan keputusan dan menghasilkan asuhan yang bermutu. Kajian ini bertujuan untuk menganalisis salah satu kemampuan yang harus dimiliki seorang profesi bidan yaitu berpikir kritis. Metode yang digunakan dalam kajian ini adalah dengan melakukan analisis dan kajian pustaka terhadap beberapa referensi yang mendukung. Beberapa referensi dikutip dan dikaji kemudian dibuat analisisnya terkait dengan topic kajian ini. Berpikir kritis merupakan seni, gambaran sikap sebagai bidan dalam menganalisis, mengevaluasi sesuatu yang ia lihat, mengklarifikasi yang di dengar, metode pengetahuan untuk berfikir logis dan berargumen serta aplikasi dari ilmu yang dipahami untuk membuat suatu keputusan dan memutuskan sesuatu setelah hal tersebut ia yakini. Setelah keputusan terbentuk maka bidan dapat bejalan ketahap tindakan dalam manajemen asuhan kebidanan. Setiap melakukan tindakan manajemen asuhan kebidanan, seorang profesi bidan selalu berpikir kritis dan menjelaskan tujuan dari setiap tindakan tersebut.Kata kunci: Berpikir Kritis, Bidan, Manajemen Asuhan Kebidanan

Effect of Duration and Temperatur Breastmilk Storage and The way of Diluting Breastmilk on Protein and Fat Levels in Breastmilk Mandria Yundelfa; Mayetti Mayetti; Nur Indrawaty Lipoeto
Journal of Midwifery Vol 3, No 1 (2018): Published on June 2018
Publisher : Universitas Andalas

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.

Factors Associated to Choice of Birth Attendance in Work Area Of Silago Health Center, Dharmasraya Regency In 2017 Lailathul Husna; Abdiana Abdiana; Sunesni Sunesni
Journal of Midwifery Vol 2, No 2 (2017): Published on December 2017
Publisher : Universitas Andalas

Maternal mortality in Indonesia can occur during pregnancy, labor and delivery. The biggest cause is bleeding. Bleeding can occur during labor or postpartum. Birth attendant can be an indirect determinant of the incidence in postpartum hemorrhage. The aim of this study is to determine factors associated to choice of birth attendance.An analitycal research based cross sectional study was conducted from November 2016-November 2017. The study included 66 subjects who gave birth in 2016 were selected by purposive sampling technique. Data were collected by questionnaire. The collected data were analyze with chi square test using p value <0,05The result of statistic test showed that there was a significant correlation between knowledge (p = 0,000) and attitude (p=001) with the choice of birth attendant. There was no significant correlation between age (p = 0,253), education (p=0,071), employment (p=0,227) and accesibility (p=p=1,000) with the choice of birth attendant. Meanwhile, for support of the husband level chi square test was not performed.From the results of the study it can be concluded that knowledge and attitude were factors related to choice of birth attendance. Meanwhile, age, education, employment and accesibility were not factors associated to choice of birth attendance in work area of Silago Health Center.

The Association Between Mother’s Care Practices With Stunting Incident In Children Age 12-35 Months In Air Dingin Primary Health Center Padang 2018 Wahyu Zikria; Masrul Masrul; Lusiana El Sinta Bustami
Journal of Midwifery Vol 3, No 2 (2018): Published on December 2018
Publisher : Universitas Andalas

Stunting is the long-term outcome of nutritionaldeficiency with height by age less than -2SD below themedian length who affects to decreased cognitive andphysical abilities in children. The aims of this study is todetermine the association between mother’s care practiceswith stunting incidennt in the children age 12-35 months inAir Dingin Primary Health Center Padang 2018. This study was a quantitative study with crosssectional design conducted at Air Dingin health center fromApril 2018 to May 2018. There were 77 mothers with 12-35month childrens became sample of this study. The motheras the respondent was interviewed directly with aquestionnaire. While the stunting incident was measured bybody height/age and interpreted by WHO-antro software.Data will analyzed in univariate and bivariate by using chisquareanalysis(p<0,05).The result of the study showed that 46,8% childrenssuffered stunting. The result of chi-square analysis revealedp-value between care practice for feeding (p=0,000), carepractice for hygiene (p=0,000), care practice for health(p=0,000) and care practice for psychosocial stimulation(p=0,000). There is an association between care practice forfeeding, care practice for hygiene, care practice for healthand care practice for psychosocial stimulation with stuntingincident. It is expected that mothers to pay more attention tocare practices provided to children so as to prevent theoccurrence of stunting in children.

Factors Associated With The Assessment Of Maternal Participant Satisfaction Of BPJS Health In The Working Area Of Public Health Center Lubuk Buaya Padang City 2017 Rahmayani Afrah; Defrin Defrin; Ayu Nurdiyan
Journal of Midwifery Vol 2, No 1 (2017): Published on June 2017
Publisher : Universitas Andalas

Satisfaction is someone’s level of approval when comparing perceived performance or result with his or her expectation. Satisfaction assessment aims to determine the quality of a service. Based on the preliminary survey, Lubuk Buaya Public Health Center has the largest number of BPJS Health participants in Padang, but the scope of maternity gets decreased. This study seeks to investigate the relevant factors that influence the satisfaction assessment of BPJS Health participants with maternity services in the working area of Lubuk Buaya Public Health Center in Padang in 2017.This study was quantitative research with cross sectional design and was conducted in the working area of Lubuk Buaya Public Health Center from May to July 2017. Sample of this research were 75 puerperal mothers. Data were collected by using questionnaire. Data analysis was performed by using univariate and bivariate.The results showed that there are 26 dissatisfied respondents (34.7%) and 49 satisfied respondents (65.3%). Based on the analysis of maternal satisfaction level, the satisfaction of BPJS Health participants in the working area of Lubuk Buaya Public Health Center was 76.13%. The result of bivariate analysis showed that there was no correlation between participants’ age (p=0,198), membership of BPJS Health (p=0,961), and previous service (p = 0,673), but there was a correlation between education (p=0,001), employment (p=0,001) and parity (p=0,035) with assessment of BPJS Health participants in working area of Lubuk Buaya Public Health Center in Padang in 2017.There was a correlation between education, employment, and parity with the assessment of BPJS Health participants who got maternity services. Therefore, health workers have to do evaluation about the maternity services in order to improve maternity satisfaction of BPJS Health participants.

Relationship Between Maternal And Fetal Resistin Levels in Obesity nnd Normal to Anthropometry Newborn Babies Siska Anggraini; Yusrawati Yusrawati; Mayetti Mayetti
Journal of Midwifery Vol 3, No 2 (2018): Published on December 2018
Publisher : Universitas Andalas

Status of excess nutrition (obesity) and less influence on fetal growth. Obesity has increased fat, which increases some adipokines, one of which is resistant. Resistin plays a role in maintaining glucose homeostasis by inducing insulin resistance, antiadipogensis and inflammation. Resistin is found in the baby's umbilical cord so that resistin can play a role in fetal growth. The purpose of this study was to evaluate differences in maternal resistin levels between obese and normal weight mothers and their relationship to anthropometry of newborns. Material and Matode: This research is an observational analytic study with cross-sectional design. Subjects consisted of 20 obese mothers and 20 normal weight people. Sampling was done by consecutive sampling at Dr. M. Djamil Padang, dr. Rasidin Padang and TK III Reksodiwiryo Padang Hospital, Indonesia. Blood samples were measured by spectrophotometry. Statistics were analyzed by Mann Whitney U-Test and Spearman Test. Results: Median maternal resistin in obese subjects and normal weight was 1406 (1024.31-1947.78) ng / L and 1308.46 (740.16-1521.56) ng / L (p <0.05). Median fetal resistin in obese subjects and normal weight was 1086.47 (820.09-2205.29) ng / L and 1077.59 (704.65-1654.76) ng / L (p> 0.05). Conclusion: There was a relationship between maternal resistin and newborn body weight with r = -0.412 (p <0.05). There was a correlation between fetal resistin levels with the weight of newborns and infant body length (r = -0.694, and r = -0.455) (p <0.05). Resistin levels affect fetal weight gain in the obese and normal weight.

Association Between Psychological Profile And Academic Achievement of Midwifery Students Rahmatul Ulya; Arni Amir; Yaslinda Yaunin
Journal of Midwifery Vol 3, No 2 (2018): Published on December 2018
Publisher : Universitas Andalas

One way to reduce MMR and IMR is to improve the quality of graduates of midwifery education. The development of students' abilities can be evaluated by seeing the results or learning achievements. Psychological tests will help midwifery education institutions to find out the background, motivation and other environments related to students. This research is a quantitative research design with a cross sectional design to determine the association between psychological profiles with the academic achievement of midwifery students. The study was conducted in November - December 2017 at the West Sumatra Midwifery Academy. The population in this study were all 2nd grade students totaling 40 people. Statistical analysis was conducted using chi square analysis. The results of this study were: 70.0% of the subjects structure of intelligence were in the sufficient category, 62.5% of the subjects work behavior were in the sufficient category, 72.5% of the subjects sociability were in the sufficient category, 50.0% of subjects leadership were in the less category, 47, 5% of the subjects temprament and emotion were in the sufficient category, 60.0% of the subjects grade point average (GPA) is sufficient. There was a significant relationship between the structure of intelligence, work behavior, type of personality, sociability, leadership, temperament and emotions with the academic achievement of midwifery students.

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