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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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Pengaruh Kualitas Tidur Pada Ibu Hamil Dengan Kejadian Preeklamsia Lusiana Elsinta Bustami; Ayu Nurdiyan; yulizawati yulizawati yulizawati; Detty Iryani; fitrayeni fitrayeni; Aldina Ayunda Insani
Journal of Midwifery Vol 1, No 1 (2016): Published on June 2016
Publisher : Universitas Andalas

INFORMASI ARTIKEL: Riwayat Artikel:Tanggal diterima Tanggal direvisiTanggal dipublikasi a B S T R A k Kehamilan merupakan periode krisis dalam proses kehidupan seorang perempuan. Keadaan ini akan menimbulkan terjadinya perubahan di seluruh sistem tubuh. Ketika hamil akan terjadi perubahan fisik pada wanita seperti rasa mual dan muntah di pagi hari, meningkatnya frekuensi buang air kecil, pembesaran uterus, nyeri punggung dan pergerakan janin. Sedangkan perubahan emosi yang terjadi selama kehamilan meliputi kecemasan, rasa takut dan depresi. Kondisi tersebut menyebabkan gangguan tidur pada ibu hamil. Kualitas tidur ibu hamil memiliki efek terhadap kondisi ibu selama kehamilan. Kualitas tidur pada ibu hamil akan berpengaruh pada peningkatan tekanan darah sehingga dapat berpotensi terjadinya preeklamsia. AKI Provinsi Sumatera Barat pada tahun 2008 adalah sebesar 212/100.000 kelahiran hidup. Jika dilihat perkembangannya angka ini sudah mengalami penurunan, namun angka tersebut masih jauh di bawah target Millenium Development Goals (MDGs) yang harus dicapai pada tahun 2015 yaitu menjadi 102/100.000 Kelahiran Hidup. Kabupaten Agam merupakan salah satu wilayah yang mempunyai masalah dengan AKI dimana pada tahun 2014 menempati urutan ke 2 setelah Kota Padang. Jenis penelitian ini adalah penelitian kuantitatif dengan menggunakan rancangan crosssectional study .Tempat penelitian ini adalah Wilayah Kabupaten Agam yang dilaksanakan pada tahun 2016. Subjek dalam penelitian ini adalah ibu hamil dengan usia kehamilan lebih dari 36 minggu. Teknik pengambilan sampel menggunakan teknik consecutive sampling. Instrumen yang digunakan adalah kuesioner. Analisis yang digunakan adalah analisis univariat dan bivariat. Uji statistik yang digunakan dalam penelitian ini adalah uji Chi Square.Dari hasil penelitian, terdapat hubungan antara kualitas tidur dengan preeklamsia dimana uji analisis Chi-Square didapatkan nilai p sebesar 0,001 sehingga Ha diterima (p < 0,05). Karena kualitas tidur berpengaruh pada kejadian preeklamsia, maka pada saat kehamilan, seorang ibu diharapkan memiliki kualitas tidur yang baik. Untuk mendapatkan kualitas tidur yang baik, maka perlunya adanya dukungan dari lingkungan sekitar ibu hamil seperti keluarga dan tenaga kesehatan Kata kunci:Kualitas tidur, kehamilan, preeklamsia

FACTORS RELATED WITH THE COMPLIANCE OF FILLING THE MOTHER AND CHILD HEALTH (MCH) HANDBOOK IN POSTPARTUM CARE OF PRIVATELY PRACTICING MIDWIFE (PPM) Tengku Dewi Agustina; Rully Rully
Journal of Midwifery Vol 3, No 1 (2018): Published on June 2018
Publisher : Universitas Andalas

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

Relationship Of Mother Factors With Low Birth Weight (LBW) Infants Which Are Treated In DR.M. Djamil Central Public Hospital Padang Novela Delfita; Desmiwarti Desmiwarti; Meilinda Agus
Journal of Midwifery Vol 2, No 2 (2017): Published on December 2017
Publisher : Universitas Andalas

Low Birth Weight (LBW) is an infant born with a weight less than 2500 grams. LBW is one of the causes of the high rate of morbidity and infant mortality, and the low quality of human resources. The occurrence of LBW is related to the condition of the mother during pregnancy. This study was aimed to determine the factors associated with the occurrence of LBW.This was a qualitative study with case control study design. The subject of the study was the mother of the LBW infant being treated at Dr. M. DjamilCentral Public Hospital Padang as many as 36 respondents (cases), and mothers of infants who were treated with other diseases as much as 36 respondents (control) from July to mid September 2017 taken by Consecutive Sampling. Data collection was done by filling out questionnaires, observation of medical record data, and measurement of upper arm circumference. Data were analyzed univariate by using frequency distribution and bivariate using chi square test with the degree of meaning 5% (p-value=<0,05).The result of the analysis showed that there was a correlation between maternal age at risk with LBW infants, there was a relationship of poor mother's nutritional status with LBW infants, there was a parity relationship of primiparous mother with LBW infant, there was a relationship of mother who suffered one or more medical illness with LBW infant, there was no relationship of gestational distance to LBW infants, and there was a tendency for the relationship between gemelli gestation and LBW infants.Maternal age, maternal nutritional status, parity, and maternal medical illness are associated with LBW infants treated in Dr. M. Djamil Padang. Regular and periodic monitoring and examination of pregnancy is important to prevent the baby from being born with LBW.

Relationship of Ferritin Levels of Pregnant Women Who Had Fe Deficiency Anemia with Ferritin Levels and APGAR of the Neonates Zuliyana Zuliyana; Yanwirasti Yanwirasti; Roza Sri Yanti
Journal of Midwifery Vol 3, No 2 (2018): Published on December 2018
Publisher : Universitas Andalas

Iron deficiency anemia in pregnant women can have a negative impact on the baby, such as placental development, low birth weight, prematurity, baby health, hypoxia, decreased immune status, possibility of having physiological disorders and infant growth. The aim of this study was to determine the relationship of ferritin levels of pregnant women who had Fe deficiency anemia with ferritin levels and Apgarof the neonates.This was a cross sectional study in the population of pregnant women who had Fe deficiency anemia and neonates who met the inclusion criteria taken by consecutive sampling technique in the working area of Lubuk Buaya Health Center, Ambacang Health Center and Ikur Koto Health Center. Examination of ferritin levels was carried out in the Biomedical Laboratory of Faculty of Medicine, Andalas University using ELISA method. Data were analyzed by Pearson Test and Mann-Whitney Test. The results of this study showed there was no significant relationship between maternal ferritin levels on neonatal ferritin r = 0.248, p = 0.204. It also showed that there was no relationship between maternal ferritin levels on APGAR p value = 0.199 and there was a significant relationship between neonatal ferritin levels on APGAR p value = 0.002. The conclusion of this study is that there was a positive relationship between maternal ferritin levels with neonatal ferritin levels, there was no significant relationship between maternal ferritin levels and APGAR score, there is a significant relationship betweenneonatal ferritin levels with APGAR score. By improving nutrition, socioeconomic, qualitative antenatal care, early referral of risky cases and iron supplementation can reduce the incidence of anemia.

The Difference Of Pain Labour Level With Counter Pressure And Abdominal Lifting On Primigravida In Active Phase of First Stage Labor Tuti Oktriani; Ermawati Ermawati; Hafni Bachtiar
Journal of Midwifery Vol 3, No 2 (2018): Published on December 2018
Publisher : Universitas Andalas

Nowadays many methods are offered to reduce pain in labor, both pharmacological (using drugs) and non pharmacological methods. If possible the choice of non-pharmacologic therapy for the management of pain in pregnancy and labor should be considered before using analgesic drugs. One of an effective non-pharmacological method to reduce pain is with massage. The basis of this theory is the gate control theory proposed by Melzak and Wall (Lliadou, 2009).This study aimed to analyze diference of pain relief on active phase of labour with Counter Pressure and abdominal Lifting. This was an experimental with pre test and post test design. The samples were 42 women on their active phase of labor, 21 women for counter Pressure technic and 21 women for Abdominal Lifting technic. Counter Pressure technic decreased pain of labor with a P-value 0.015 (p<0.05) and abdominal lifting technic significantly decreased pain of labour with a P-value 0.001. Abdominal lifting technic (P 0,001) more effective than counter pressure technic (P 0,015) for pain relief in active phase of labour.

Implementation Of Cambridge Worry Scale As A Psychological Assesment In Antenatal Care Routine Ayu Nurdiyan; Yulizawati Yulizawati; Lusiana Elsinta Bustami; Detty Iryani; Aldina Ayunda Insani; fitrayeni fitrayeni
Journal of Midwifery Vol 1, No 2 (2016): Published on December 2016
Publisher : Universitas Andalas

Pregnancy is a transition period in women’s life. In pregnancy, there are physiologic and psychological changes. Enhanced levels of anxiety during pregnancy may affect maternal blood flow and contribute to adverse obstetric, fetal and neonatal outcomes. There are many different reasons why women fell anxious and worry about their pregnancy. However, worries related to the pregnancy can contribute to high levels of pregnancy anxiety that has emerged as one of the most potent psychological predictors of adverse birth outcomes and is also implicated in poorer child and infant development.Pregnancy is a period in a woman’s life filled with pleasant anticipation of a baby, which may be influenced by several psychological stressors. Research on the psychological state in pregnancy indicates that each trimester of pregnancy includes possible stressors that may provoke several worries for pregnant women. Some studies found heightened levels of worries in the first and third trimester of pregnancy whereas others showed that each facet of a pregnant woman’s worries may fluctuate across the course of pregnancy. Several studies indicated that worries about the possibility of losing the baby, baby’s health, and childbirth are common causes of concerns among pregnant women. In addition to this kind of worries, there are other sources of worries in women daily life (e.g., worry about money, job, housing, their health, and marital relationships). Most women experience some mild worries during pregnancy; however, some women may experience pathological worries, defined as uncontrollable negative thoughts and excessive concern about future events in pregnancy which can produce anxiety.

Differences Ratio Level Soluble FMS-Like Tyrosine Kinase-1 and Placental Growth Factor Early And Late Onset on Preeclampsia and Normal Pregnancy Ria Andina; Yanwirasti Yanwirasti; Defrin Defrin
Journal of Midwifery Vol 3, No 1 (2018): Published on June 2018
Publisher : Universitas Andalas

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.

RELATIONSHIP OF PREGNANT WOMEN CLASSROOM WITH LEVEL OF ANXIETY WITH LABOR TO PREGNANT WOMAN TRIMESTER III IN JOGONALAN II PUBLIC HEALTH CENTER AREA Murwati Murwati; Emy Suryani; Intan Kurniawati
Journal of Midwifery Vol 3, No 1 (2018): Published on June 2018
Publisher : Universitas Andalas

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

Factors Associated with Antenatal Care Visits at District Of Sungayang Health Center, Tanah Datar Regency In 2017 Elsa Gebri Utami; Abdiana Abdiana; Ayu Nurdiyan
Journal of Midwifery Vol 2, No 1 (2017): Published on June 2017
Publisher : Universitas Andalas

Antenatal care visits is a behavioral form in the utilization of health services to monitor pregnancy in purpose of improving maternal and fetal health. At public health center of Sungayang, the visit for K1 and K4 did not reach the target for the past three years. In 2016 the coverage for K1 was 70,6% dan K4 47,8% meanwhile the public health center target coverage for K1 is 97% and K4 95%. This demonstrate the lack of expectant mothers who make antenatal care visits in accordance with the standardsThis study was a quantitative study with cross sectional design conducted at district of Sungayang health center from November 2016 – September 2017. Population and sample of this research is all of the third trimester pregnant women which amounted to 41 women. Data collected by observation and questionnaire. Data analysis was performed using univariate and bivariate. The results showed 68.3% of pregnant women do antenatal care visits according to the standard. The result of bivariate analysis shows that there is no correlation between age (p = 1,000) and job (p = 0,077), there is correlation between education (p = 0,017), attitude (p = 0,014), and support of husband (p = 0,034) with antenatal care visits at district of Sungayang health center in 2017.There is an association between education, attitude, and support of the husband with antenatal care visits and there is a tendency correlation between knowledge with antenatal care visits.

Relationship of Ferritin Levels and Vitamin B12 Levels Pregnant Women Anemia on Baby Birth Weight Citra Dewi Anitasari; Arni Amir; Defrin Defrin
Journal of Midwifery Vol 3, No 2 (2018): Published on December 2018
Publisher : Universitas Andalas

Anemia in pregnancy is a health problem that usually occurs throughout the world. In developing countries, anemia during pregnancy is due to micronutrient deficiencies such as iron, vitamin B12 and folic acid. This was cross sectional study. The population of this study were all anemic pregnant women who came to Lubuk Buaya Health Center. The sample in this study based on inclusion criteria totalling 40 respondents taken by consecutive sampling technique. Examination of ferritin and vitamin B12 levels was carried out at the Andalas University Biomedical Laboratory using the ELISA method. Statistical test was performed using SPSS, normality test with Shapiro Wilk andSpearman test to see the relationship between ferritin and vitamin B12 levels to the baby's birth weight.The results of this study showed that the mean ferritin level of anemia pregnant woman with baby birth weight was 11.13 ± 6.37 with a value of p> 0.05, r = 0.280 and the mean vitamin B12 levels of anemic pregnant women with birth weight were 299, 53 ± 98.46 with a value of p> 0.05, r = 0.161.The conclusion of this study was that there is a non significant positive relationship between ferritin and vitamin B12 levels on the birth weight of the baby. It is recommended that pregnant women keep on consuming Fe tablets during pregnancy and further study is necessary to see pregnant woman adherence in consuming Fe tablets.

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