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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 248 Documents

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Differences in levelFms-Like Tyrosine Kinase-1 (sFlt-1), soluble Endoglin (s-Eng), and Placental Growth Factor (PIGF) between Early Onset Preeclampsia and Late Onset Preeclampsia Lita Nafratilova; Yusrawati Yusrawati; Irza Wahi
Journal of Midwifery Vol 3, No 2 (2018): Published on December 2018
Publisher : Universitas Andalas

Early Onset Preeclampsia (EO-PE) is preeclampsia that develops before 34 weeks 'gestation, caused by intrinsic factors, while Late Onset Preeclampsia (LO-PE) is preeclampsia that develops after 34 weeks' gestation due to extrinsic and maternal factors. There is an increased production of antiangiogenic factors (sFlt-1, s-Eng and PIGF) contribute to pathophysiology of preeclampsia.This study aims to measure the difference of sFlt-1, sEng, PIGF levels between EO-PE and LO-PE. This was an observational study with cross sectional design conducted at Dr. M. Djamil, TK Hospital. III dr. Reksodiwiryo and Biomedical Laboratory FK Unand Padang from August 2017 to August 2018. The sample of this study were 26 severe preeclampsia women : 13 (EO-PE) and 13 (LO-PE), selected using consecutive sampling. Levels of sFlt-1, sEng, PIGF were examined using the enzyme-linked immunosorbent assay (ELISA) method. Statistical analysis was performed using unpaired t test and Mann-Whitney Test. Results shown that serum levels of sFlt-1 and sEng in (EO-PE) were 9.51 ± 0.71 ng / L, 1.44 ± 0.06 ng / mL, 5.79 ± 0.42 ng / mL while in PEAL it was 8, 89 ± 0.78 ng / mL, 1.35 ± 0.14 ng / mL, 6.72 ± 0.76. There were a significant difference with a value of p <0.05. The conclusion of this study is that the levels of sFlt-1 and sEng are higher in (EO-PE) than(LO-PE)and PIGF levels was lower in (EO-PE) compared to (LO-PE)

Analisis Sistem Pelaksanaan Kelas Ibu Hamil di Puskesmas Malalak dan Biaro Kabupaten Agam Ayu Nurdiyan; Yulizawati Yulizawati Yulizawati; Lusiana Elsinta Bustami; Detty Iryani; fitrayeni fitrayeni
Journal of Midwifery Vol 1, No 1 (2016): Published on June 2016
Publisher : Universitas Andalas

Kelas ibu hamil merupakan sarana belajar bersama ibu hamil agar memperoleh pengetahuan yang cukup untuk mencegah komplikasi, meningkatkan cakupan kunjungan ibu hamil, dan melakukan persalinan pada tenaga kesehatan. Penelitian ini bertujuan menganalisis sistem pelaksanaan kelas ibu hamil di Puskesmas Malalak dan Biaro Kabupaten Agam. Penelitian ini menggunakan metode penelitian deskriptif kualitatif. Informan penelitian ini terdiri dari kepala dan kasie. KIA (Kesehatan ibu dan Anak) dinas kesehatan kabupaten, kepala, fasilitator, dan kader puskesmas, serta ibu hamil peserta kelas ibu hamil. Analisis input pelaksanaan kelas ibu hamil yaitu masih kurangnya pemahaman dari kebijakan yang sudah ada, tenaga yang belum cukup dan belum dilatih, sarana dan prasarana yang belum memadai. Analisis proses menunjukkan belum ada sosialisasi dengan stakeholder terkait, tahapan persiapan yang kurang matang karena kurangnya pertimbangan latar belakang budaya di Malalak, sehingga ditemukan berbagai kendala dalam hal pelaksanaan. Analisis output yaitu belum ada monitoring dan evaluasi khusus yang dilakukan oleh dinas kesehatan Kabupaten Agam dan kepala puskesmas Malalak. Dan secara keseluruhan kurangnya peran bidan dalam menjalankan tugas dan fungsinya sebagai pelaksana pelayanan kebidanan di komunitas dan belum adanya kolaborasi antar profesi dalam menjalankan program KIH. Sistem pelaksanaan kelas ibu hamil belum sesuai dengan pedoman pelaksanaan kelas ibu hamil. Perlu berbagai upaya yang dilakukan untuk mengoptimalkan dan mengembangkan pelaksanaan kelas ibu hamil.Kata kunci: Puskesmas, Analisis Sistem, Kelas Ibu Hamil

Analysis of implementation maternal care program in independent midwife clinic in Padang Miranie Safaringga; Hardisman Hardisman; Yulizawati Yulizawati
Journal of Midwifery Vol 3, No 1 (2018): Published on June 2018
Publisher : Universitas Andalas

Factors that cause maternal mortality mostly focused on the physical factors like post partum bleeding, eclamsia, sepsys, and abortion complication. However, non physical factor like psychological and emotional factor rarely discussed. In fact, such factor also has important role in determine maternal mortality by causing several complication. The government has created several movement to overcome maternal mortality that caused by psycholgical and emotional factor. The movement are known as “Gerakan Asuhan Sayang Ibu”. The movement has 18 requirement to fulfill in order to prevent maternal mortality. This study aims to analyze the implementation of “Gerakan Asuhan Sayang Ibu” by Independent Midwife Clinic (BPM – Bidan Praktek Mandiri) in Padang municipality. This study uses qualitative design. Data were collected by deep interview. The study are is conducted in several BPM in Padang Region on december 2017 until february 2018. There are 3 midwives, 3 patients, and 3 family member of patient were particiapate as informant. The data analysis was performed using Triangulation method. The study shown that more than half midwife do the “Asuhan Sayang Ibu” well. The item that related to physical needs are fulfilled by mostly midwife. But the item that related to communication and emotional needs only fulfilled by several midwife. The deep exploration about management of “Asuhan Sayang Ibu” found the planning, implementation and evaluating phase did not run well properly.

The Relation Between Husband Support with Exclusive Breastfeeding in Baby Age 6-12 Months in Air Dingin Health Center Nurul Fitri; Yuniar Lestari; Lisma Evareny
Journal of Midwifery Vol 2, No 2 (2017): Published on December 2017
Publisher : Universitas Andalas

Exclusive breastfeeding is one of ways to maintain a good growth and development for the baby. Exclusive breastfeeding in Indonesia is the right for every baby which is regulated in government regulations, but the coverage of exclusive breastfeeding is still low in some areas. The lowest exclusive breastfeeding coverage in Padang is in the working area of Air Dingin health center. The aims of this study is to determine the relationship between husbands support with exclusive breastfeeding in Air Dingin public health center.This study was a quantitative study with cross sectional design conducted at Air Dingin health centerfrom Marchto December 2017. Subject of this studywere mothers who had 6-12 month babies whichwere106 people. Data was collected by using questionnaires and guided interviews. Data analysis was performed using univariate and bivariate using chi square test with p-value ≤ 0,05.The results showed 76,4% of mothers did not provide exclusive breastfeeding for their babies and 59,4% of mothers did not get support from their husbands.Bivariate analysis showed that there was a relationship between husband support with exclusive breastfeeding with p-value=0.000.There was a relationship between husband support with providing exclusive breastfeeding for the babies. Because of the importance of husbands role, husbands must be the target for exclusive breastfeeding counseling.Therefore, husbands can also be active to find the information and participate in the success of exclusive breastfeeding for the babies.

Characteristics Of Stunting Children With Background History Of Family Demography And Maternal Reproductive In Pasaman And Pasaman Barat District, West Sumatera Masrul Masrul
Journal of Midwifery Vol 3, No 2 (2018): Published on December 2018
Publisher : Universitas Andalas

About a quarter of children under five years old worldwide are affected by stunting. There are 7.6 million (37%) Indonesian children suffering from stunting and the rate of stunting in West Sumatra is above the national rate which is 46.1%. That number shows that many of children need more attention, because they don't grow well. The purpose of this study was to determine thecharacteristics of stunting children based on the background history of family demographic and maternal reproductive. Data was obtained by interviewing respondents and data were analyzed using statistical tests. Respondents consisted of stunting children and normal children in Pasaman District and West Pasaman District. It is known that the incidence of stunting associated with respondent demographics and history of birth which is the length of born infant, education of head of the family, form of the core family, social and economic.

Peran bidan dalam upaya peningkatan penggunaan jamkesmas oleh masyarakat. Yulizawati Yulizawati; Detty Iryani; fitrayeni fitrayeni; lusiana Elsinta Bustami; Aldina Ayunda Insani; Ayu Nurdiyan
Journal of Midwifery Vol 1, No 2 (2016): Published on December 2016
Publisher : Universitas Andalas

Bidan merupakan salah satu tenaga kesehatan yang perannya sangat strategis karena melaksanakan pelayanan kepada setiap wanita dalam setiap tahapan kehidupannya serta penerapan konsep normal sehingga banyak program yang dapat dilaksanakan.Indonesia merupakan negara dengan jumlah penduduk yang besar. Berdasarkan hasil sensus tahun 2010 menunjukkan hasil 238,5 juta jiwa. Jumlah penduduk Indonesia pada tahun 2035 diproyeksikan menjadi 305,6 juta jiwa sedangkan Umur harapan hidup menjadi 72,2 pada tahun 2030.Kepesertaan penduduk Indonesia yang memiliki jaminan kesehatan adalah 131 juta jiwa pada tahun 2015 berarti sekitar 55 % dari total masyarakat Indonesia sementara dalam undang-undang republik indonesia nomor 40 tahun 2004 Tentang sistem jaminan sosial nasional dinyatakan bahwa setiap orang berhak atas jaminan sosial untuk dapat memenuhi kebutuhan dasar hidup yang layak dan meningkatkan martabatnya menuju terwujudnya masyarakat Indonesia yang sejahtera, adil dan makmur. Dengan demikian perlu langkah strategis dalam upaya meningkatkan kepesertaan masyarakat karena dengan jumlah penduduk yang besar serta umur harapan hidup yang meningkat jika tidak diimbangi dengan kesiapan dalam menghadapi berbagai permasalahan pada masa lansia termasuk penyakit degeneratif akan menambah beban bagi negara serta bagi keluarganya jika mereka tidak produktif.

Correlation Ofmaternal Serum Ferritin With Cord Blood Dopamine Concentration Wulan Dewi Rizky; Vaulinne Basyir; Rima Semiarty
Journal of Midwifery Vol 3, No 2 (2018): Published on December 2018
Publisher : Universitas Andalas

Anemia in pregnancy is a common health problems today, where iron deficiency is the main cause. Iron deficiency will affect the various organs and metabolic pathways, especially the central dopamine pathway. Dopamine is a neurotransmitter that is found in brain and affects human interpersonal actions and correlations. The purpose of this study was to determine the correlation of maternal serum feritin with cord blood dopamine concentration. The design of this study was cross sectional, observe 30 pregnant women with their babies born in Rika Hardi, SSiTmaternity clinic. Samples were selected by consecutive sampling. Ferritin and dopamine concentration was checked at BalaiLaboratoriumKesehatan West Sumatera, where ferritin concentration by ECLIA and dopamine concentration by ELISA. Data were analyzed with Spearman correlation test to find the correlation of maternal serum feritin with cord blood dopamine concentration. The study results obtained, mean concentration of maternal serum ferritin 33,21±26,08 ng/mL and cord blood dopamine concentration 172,27±27,21 ng/L. Correlation test of maternal serum feritin with cord blood dopamine concentration had p value = 0,301 (p>0,05). In this study, we can conclude that there is no correlation between maternal serum feritin with cord blood dopamine concentration.Further research is needed by considering various factors that affect maternal ferritin concentration such as food intake and iron supplementation, and which affect dopamine concentration, such as stress and adequate sleep.

The Correlation of Retinol Level with Hemoglobin Level in Third Trimester of Pregnancy Woman Febry Mutiariami Dahlan; Eryati Darwin; Hirowati Ali
Journal of Midwifery Vol 3, No 1 (2018): Published on June 2018
Publisher : Universitas Andalas

Bleeding is one of the highest causes of maternal death. Anemia is a major cause of bleeding. Anemia in pregnant women is caused by iron deficiency, meanwhile the achievement of giving Fe tablets is quite high. Factors for anemia due to lack of intake of vitamins A, C, B12 and folate.This study aims to determine the Correlation Retinol Level with Hemoglobin Level and Ferritin Level in Pregnant Women Thiird trimester. This study was conducted using cross sectional approach, from Juli 2017 – February 2018 at Lubuk Buaya Health Center, Andalas Health Center and UNAND Biomedical Laboratory using pregnant women in third trimesteras sample with consecutive sampling technique totalling 44 people. Independent variable is retinol level and dependent variable are hemoglobin and ferritin level. Examination using Hematology Analyzer for hemoglobin and ELISA reader for examination of retinol level and ferritin level. Data was performed using a computer program to analyze nprmally distributed data using pearson test and spearman test that are abnormally distributed. Mean of retinol level of respondent was 137,612±21,717 ng/ml, hemoglobin 10,916±0,880 gr/dl and ferritin level 26,681±30,829 ng/ml. From result of analysis pearson test showed that there was a significant correlation between retinol level and hemoglobin level in pregnant women with p=0,001 (p<0,05) dan r=0,473 and there was no significant correlation between retinol level and ferritin level in pregnant women p=0,158 (p>0,05) (r=0,216). The conclusion of this study is that there is a correlation of retinol level with hemoglobin level and no correlation of retinol with ferritin level.

Implementation of Menstrual Cycle Counselling in Premarital Screening Yulizawati Yulizawati Yulizawati; Ayu Nurdiyan; fitrayeni fitrayeni; Detty Iryani; Lusiana Elsinta Bustami; Aldina Ayunda Insani
Journal of Midwifery Vol 1, No 1 (2016): Published on June 2016
Publisher : Universitas Andalas

Angka Kematian Ibu (AKI ) di Indonesia merupakan yang tertinggi di ASEAN yaitu 359 per100.000 kelahiran hidup dan Angka Kematian Bayi (AKB) 35 per 1000 kelahiran hidup.(SDKI,2012). AKI dan AKB merupakan indikator utama derajat kesehatan masyarakat. Data AKI dan AKB jika dibandingkan dengan tahun-tahun sebelumnya memang telah mulai menurun, Masa remaja adalah masa dimana terjadi proses ke arah kematangan, baik kematangan fisik, sosial atau psikologisnya. Setelah berakhirnya masa remaja, seorang undividu akan memasuki masa dewasa awal. Dewasa awal merupakan periode antara remaja akhir dan dewasa pertengahan yaitu pada rentang usia 20-40 tahun. Masa dewasa awal merupakan masa reproduksi. Pada masa dewasa awal merupakan masa permulaan dimana seseorang mulai menjalin hubungan secara intim dengan lawan jenisnya.. Masa dewasa awal akan membentuk individu dalam membangun karier dan memutuskan apakah akan menikah atau tidak.

DIFFERENCES OF PREMENSTRUAL SYNDROME PREVENTIONS BEFORE AND AFTER THE FOOD CONSUMPTION WHICH CONTAINS ISOFLAVON IN ADOLESCENT Ni Wayan Putri Utami; Ida Sofiyanti; Galeh Septiar Pontang
Journal of Midwifery Vol 3, No 1 (2018): Published on June 2018
Publisher : Universitas Andalas

In adolescence, there will be some complaints, such as complaint of premenstrual syndrome (PMS). It defined as a physical, psychological or emotional symptom that appeared 7-10 days before menstruation. One of the treatments to reduce premenstrual syndrome is to eat food that contains isoflavones (68mg / day) because it has anti-estrogenic effect which is able to balance progesterone and etherogen hormones, which can decrease the complaints of premenstrual syndrome. This study aimed to determine the premenstrual syndrome complaints before and after the consumption of isoflavone food in tenth grade adolescents in Senior High School 2 Ungaran. This study was using pre-experimental design with one group pretest-posttest study design using simple random sampling totaling 16 respondents. Measurement of complaint of premenstrual syndrome used Premenstrual Shorted Assassement Form 1-6. Data analysis was performed using bivariate analysis using Paired-T test. Results of this study shown that 16 respondents who had complaints of premenstrual syndrome before the consumption of isoflavones food that contained isoflavones 14 respondents had moderate complaints and 2 respondents had light complaints. After the consumption of isoflavone food it showed that 9 respondents had moderate complaint and 7 respondents had light complaint. Based on statistical test, it was found that the mean value decreased from 26.18 to 21.12, the median from 15.00 to 21.50, SD ± 5.706 to ± 3.51 with p value of 0.011, which means p value <0.05. Conclusion of this study that there are differences in the complaint of premenstrual syndrome before and after the consumption of isoflavone food in tenth grade adolescents in Senior High School 2 Ungaran. Keywords: Isoflavone, premenstrual syndrome

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