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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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Belief Model (Hbm) of Via on Childbearing Women in Lubuk Buaya Primary Health Centre in 2017 Harridhil Silmi; Andi Friadi; Lisma Evareny
Journal of Midwifery Vol 2, No 1 (2017): Published on June 2017
Publisher : Universitas Andalas

Cervical Cancer is the cancer with the second highest rate in Indonesian women and Awareness of childbearing women to Visual Inspection with Acetic Acid (VIA) is still low so often cause death in women. This study aims to determine the Health Beliefs Model (HBM) of VIA on childbearing women in Lubuk Buaya primary health centre 2017.This study was an analytic observational study with cross sectional design, conducted from August - Sept 2017 took 98 respondents as the sample. Data were collected by using questionnaire. Data analysis was performed by using univariate and bivariate.The results showed that there was a significant relationship between education (p=0,001), perceived susceptibility (p=0,000), perceived seriousness (p=0,000), health motivation (p=0,000), perceived benefits (p=0,000), and perceived barriers (p=0,000), with action cervical cancer early detection with VIA methods. There is a relationship between education, perceived susceptibility, perceived seriousness, health motivation perceived benefits, and perceived barriers to early detection of cervical cancer action with VIA methods on childbearing women in Padang Pasir primary health centre 2017. Suggested to Lubuk Buaya primary health centre to increase further dissemination and health promotion of cervical cancer early detection with VIA method through counseling about the importance of early detection with VIA method.

Differences of the Insulin and Brain Derived Neurotrophic Factor Between Normal Born Weight Baby and Baby With Intrauterine Growth Restriction Tiyan febriyani lestari; Yusrawati Yusrawati; Arni Amir
Journal of Midwifery Vol 3, No 2 (2018): Published on December 2018
Publisher : Universitas Andalas

Background: Intrauterine Growth Restriction (IUGR), is a condition in which the fetal growth rate is less than 10 percentiles. Fetal growth is affected by maternal health and nutrition, the hormone insulin and placenta. Placental development is influenced by the Brain Derived Neurotropic Factor (BDNF). Insulin deficiency and BDNF can interfere with fetal development.Method: This study used an observational research method, with a comparative cross sectional design. The place of research was conducted at Bayangkara Hospital, Dr. Rasidin, TK.III Reksodiwiryo Hospital, and Biomedical Laboratory, Faculty of Medicine, Andalas University. Research time starts from October 2017 to January 2018. The sample of this study was 25 normal babies and 25 babies with IUGR. Insulin levels and BDNF were examined by enzyme-linked immunosorbent assay (ELISA). Test the normality of the data using the Kolmogorov-Smirnov test. Statistical analysis using independent t test.Results: Insulin levels of 13.2 ± 1.7 mIU / L in infants with normal birth weight and 8.5 ± 1.7 mIU / L in infants born with IUGR (p = 0.000) and BDNF levels 1.5 ± 0.2 ng / ml for infants with normal birth weight and 1.4 ± 0.3 ng / ml in infants born with IUGR (p = 0.008).Conclusion Insulin levels and BDNF levels of normal birth weight babies are higher than babies born with IUGR.

Differences of Zinc and Copper Levels In Placenta Blood Normal Neonates and Intrauterine Growth Restriction Melda Amalia; Yusrawati Yusrawati; Rauza Sukma
Journal of Midwifery Vol 3, No 2 (2018): Published on December 2018
Publisher : Universitas Andalas

Zink and copper are the micronutrients which play a role in the growth and development of fetal and infant. Its deficiency in pregnant women shall give a birth the restriction fetal growth 16,11. This research is proposed to distinguish zinc and copper levels in normal neonates and those restriction fetal growth.The research was conducted with a comparative cross sectional analysis, experienced by three hospitals those are TK III Reksodiwirjo Hospital, Dr. Rasidin Hospital, and Bayangkara Hospital in the city of Padang. It also conducted in the SMAK Padang Chemistry Laboratory in November 2016 - January 2018. The research sample was taken from newborn blood centers for 60 respondents by consecutive sampling. Zinc and copper levels were examined by Atomic Absorption Spectrophotometry (AAS). Hypothesis testing was done by unpaired t testing.The results showed the average zinc level in restriction fetal growth group was 89.34 ± 31.53 µg / dL and normal neonates were 122.703 ± 39.3 µg / dL with p = 0.01. The mean copper content in the restriction fetal growth group was 0.5142 ± 0.15 µg / dL and the normal neonate was 0.6892 ± 0.17 µg / dL with p <0.01The conclusion of this research is zinc and copper levels in normal neonates were significantly higher than neonatal zinc and copper levels restriction fetal growth.

Analisis Penggunaan OSCE Sebagai Metode Penilaian Kompetensi Klinis Mahasiswa Bidan Ayu Nurdiyan; Yulizawati Yulizawati; Lusiana Elsinta Bustami; Detty Iryani; fitrayeni fitrayeni; Aldina Ayunda Insani
Journal of Midwifery Vol 1, No 2 (2016): Published on December 2016
Publisher : Universitas Andalas

Problem based learning sudah diimplementasikan di Program Studi S1 Kebidanan Fakultas Kebidanan Universitas Andalas sejak program ini berdiri. Evaluasi sumatif yang digunakan untuk menilai kompetensi klinis mahasiswa adalah dengan menggunakan metode OSCE. Penelitian ini bertujuan untuk menganalisis penggunaan OSCE sebagai metode penilaian kompetensi klinis mahasiswa.Proses implementasi terdiri dari pendekatan dengan 12 tahapan. Pelajaran utama termasuk kebutuhan untuk persiapan yang cukup dari dosen dan mahasiswa, yang merupakan bahan dasar untuk menjamin reliabilitas dari OSCE, dan dalam meminimalkan stres dan kecemasan mahasiswa. Sebagai langkah terakhir, evaluasi dan analisis yang digunakan untuk nilaiOSCE sebagai output dari penelitian ini adalah analisis diagram pencar. Ada beberapa komponen pada rubrik penilaian yang diamati pada setiap station, seperti pengkajian data subjektif dan obyektif, interpretasi data, keterampilan prosedur klinis, perilaku profesional, dan pendidikan kesehatan, selain itu jugai ditambahkan satu komponen dalam pengamatan assesor yaitu global rating.Apa yang kami temukan melalui pengalaman kami adalah bahwa strategi menggunakan metode OSCE sebagai strategi evaluasi kompetensi klinis mahasiswa dapat mengembangkan keterampilan klinis dan pengalaman keterampilan yang lebih nyata. Di sisi lain, ada kesulitan besar dalam pendekatan pengembangan fakultas berbasis tempat kerja, yaitu "waktu". Selain itu, program studi S1 kebidanan FK-Unand baru didirikan pada tahun 2013, dan masih kekurangan personil di laboratorium, kami mendapatkan bantuan dari program studi pendidikan kedokteran dari Fakultas Kedokteran. Tapi, hal ini juga masih menjadi hambatan karena tetap kurangnya laboran dan penguji dari fakultas. Dengan telah diimplementasikannya OSCE kami mengakui bahwa OSCE cocok untuk menguji keterampilan klinis, teknis dan praktis yang tidak dapat dinilai cukup melalui metode penilaian tradisional karena OSCE memiliki kemampuan untuk meningkatkan validitas dan reliabilitas penilaian. Namun demikian, penggunaan OSCE sebagai satu-satunya metode penilaian kompetensi klinis mahasiswa harus dipertimbangkan kembali mengingat masih adanya beberapa hambatan dalam proses pelaksanaan dan kurangnya kompetensi mahasiswa, walaupun hal ini dapat diatasi dengan perencanaan yang baik baik dari sisi prodi sebagai pelaksana OSCE maupun mahasiswa sebagai peserta OSCE.Kata Kunci: Implementasi, OSCE, kompetensi klini

Analysis Factors Related to Implementation of Complete Basic Immunization in Work Area of Pengambiran Public Health Center in Padang 2017 Ade Nurhasanah Amir; Eryati Darwin; Yuniar Lestari
Journal of Midwifery Vol 3, No 1 (2018): Published on June 2018
Publisher : Universitas Andalas

The role of a mother in the immunization program is very important, so their understanding of immunization is necessary, the behavior of a person or society about health is determined by knowledge, attitude, belief, tradition, work etc. from the person or society concerned. In addition, the availability of health care facilities, attitudes, behavior of health workers on the provision of health information will also support and strengthen the formation of health behaviors, This study aims to determine the factors that affect the provision of complete basic immunization, This study uses a combined research method between quantitative and qualitative.Sample for this study is 107 mother mother, while informant for qualitative study is Head of PuskesmasPengambiran Padang City, Responsible, Immunization Officer of Puskesmas and Kader which is in Working Area of PengambiranPublic Health in Padang City, The result of this study shown that family support is the most important factors in the implementation Complete basic immunization (p = 0.001). The results of the analysis revealed that the coverage of the implementation of complete basic immunization has not been successful because the lack of active role of cadres and health officers in community in informing immunization in depth. so that there is still a lack of understanding from mothers and families which has no family support in the implementation of complete basic immunization, it has not reached 95% target because the system implementation of complete basic immunization services that have not been optimal. It needs various efforts to improve the achievement of complete basic immunization coverage especially through optimizing the role and function of health and cadre officers and optimizing partnerships with various parties.

Faktor-Faktor yang Berhubungan dengan Perilaku Pemberian Asi Eksklusif Pada Ibu yang Memiliki Bayi Usia 6-12 Bulan di Wilayah Kerja Puskesmas Andalas Yollanda Vonitania; Fitrisia Amelin; Yulizawati Yulizawati
Journal of Midwifery Vol 2, No 2 (2017): Published on December 2017
Publisher : Universitas Andalas

Di Indonesia target cakupan ASI eksklusif sebesar 80% dan target ini masih sulit dicapai. Cakupan ASI eksklusif di Sumatera Barat (75%), di kota Padang (70,7%) dan di puskesmas Andalas (55,17%). Tujuan penelitian ini adalah untuk mengetahui faktor faktor yang berhubungan dengan perilaku pemberian ASI Eksklusif pada ibu yang memiliki bayi usia 6-12 bulan di wilayah kerja Puskesmas Andalas.Jenis penelitian ini adalah analitik dengan desain cross sectional. Penelitian dilakukan di wilayah kerja puskesmas Andalas pada ibu yang memiliki bayi usia 6-12 bulan yang berjumlah 90 orang. Teknik pengambilan sampel yang digunakan adalah proportional random sampling. Pengumpulan data menggunakan kuesioner. Analisis data menggunakan analisis univariat dan bivariat dengan uji chi square, dianggap signifikan jika p<0,05.Hasil penelitian menunjukkan pemberian ASI eksklusif (21,1%), ibu berpengetahuan baik (48,9%), pendidikan menengah (51,1%), tidak bekerja (65,6%), tidak mengalami masalah pada payudara (51,1%), dan tertarik pada promosi susu formula (57,8%). Hasil analisis bivariat menunjukkan adanya hubungan antara pendidikan (p=0,048) dan masalah pada payudara (p=0,000) dan tidak adanya hubungan antara pekerjaan (p=0,98) dengan pemberian ASI eksklusif. Terdapat kecenderungan semua ibu berpengetahuan rendah dan tertarik promosi susu formula tidak memberikan ASI eksklusifDari hasil penelitian dapat disimpulkan terdapat hubungan antara pendidikan dan masalah pada payudara dengan pemberian ASI eksklusif, tidak terdapat hubungan antara pekerjaan dengan pemberian ASI eksklusif, terdapat kecenderungan semua ibu berpengetahuan rendah dan tertarik promosi susu formula tidak memberikan ASI eksklusif. Untuk peneliti selanjutnya bisa menambahkan variabel lain, untuk tenaga kesehatan agar lebih giat melakukan penyuluhan dan kepada masyarakat agar lebih banyak mengikuti penyuluhan.

Description of Parenting Patterns on Stunting and Normal Children in the Specific Area Stunting of Pasaman and West Pasaman District, West Sumatra Masrul Masrul
Journal of Midwifery Vol 3, No 2 (2018): Published on December 2018
Publisher : Universitas Andalas

Stunting is the effect of a systemic condition of chronic malnutrition which affects about a quarter of children under five years of age worldwide. There are 7.6 million (37%) Indonesian children suffering from stunting and the rate of stunting in West Sumatra is above the national figure of 46.1%. That number shows that many children need more attention, because they don't grow well. The nutrition intervention program that has been running so far has not been able to optimally improve the condition of stunting children. The purpose of this study was to determine the profile of parenting stunting and the difference with normal children in the specific area of stunting Pasaman and Pasaman Barat District. This study was conducted through several stages, which is data collection using a questionnaire. From this study shown that breastfeeding and complementary feeding are almost no different from groups stunting with normal children; good parenting, health and psychosocial stimulation are still lacking; the socioeconomic level of stunting children is lower than normal children. It is hoped that in the future prevention of intrautrin can be carried out by maintaining quality intake and health status; keep the intake in a balanced nutritional status, especially aspects of animal protein; and maintaining environmental sanitation and optimal parenting from the family.

Correlation Between Midwife Knowledge And Attitude, And District Health Service’s Support In The Administration Of Vitamin A Supplementation For Postpartum Women In Working Area Of Puskesmas Seberang Padang And Puskesmas Pemancungan Kota Padang Dyah Amalia Nauli; Ermawati Ermawati; Yulizawati Yulizawati
Journal of Midwifery Vol 2, No 1 (2017): Published on June 2017
Publisher : Universitas Andalas

Current National Guidelines recommends that 100% of postpartum women receive 2 high doses of vitamin A capsules (200.000 IU) within 30 days after giving birth, so the mother can transfer vitamin A to baby through breast milk. Midwife as health worker have big role to achieve this program. This study was aimed to determine correlation of midwife’s knowledge and attitude, and District Health Service’s support in the administration of vitamin A supplementation for postpartum women. This was a qualitative study with cross sectional study design among 32 midwives in working area of Puskesmas Seberang Padang and Puskesmas Pemancungan Kota Padang. The data was obtained using a structured questionnaire. Data were analyzed univariate by using frequency distribution and bivariate using chi square test.Majority of midwife (81,3%) gave vitamin A supplementation to postpartum women, there was a correlation between midwife knowledge with vitamin A administration in postpartum women (p=0,030), there was no correlation between midwife attitude and vitamin A administration in postpartum women (p= 0,063, OR= 7,667, 95% CI= 1,035-56,770) and there was no correlation between district health service’s support with vitamin A administration in the postpartum women (p = 0,029, OR= 11,250, 95% CI= 1,125-112,535).There is a tendency correlation between midwife’s knowledge with vitamin A supplementation to postpartum women, no correlation between midwife’s attitude with vitamin A supplementation to postpartum women and there is a correlation between district health service’s support vitamin A supplementation to postpartum women . The health service is expected to improve the function of supervision and evaluation of midwife's performance

Relationship of Mother Characteristics, Support Support and The Role of The Bidan With Mother's Participation Following The Pregnant Woman Class Media Fitri; Joserizal Serudji; Husna Yetti
Journal of Midwifery Vol 3, No 2 (2018): Published on December 2018
Publisher : Universitas Andalas

Pregnant women classes are a group of co-learning that aims to increase maternal knowledge and skills about pregnancy, pregnancy care, childbirth, postnatal care, newborn care, myths and infectious diseases and birth certificates. The implementation of the pregnant mother class program has been going on for a long time but the results of preliminary studies conducted at the Guguak Puskesmas Panjang are only a few who attend classes for pregnant women.This study aims to determine whether there was a relationship between maternal characteristics, husband support and the role of midwives with the participation of mothers following the class of pregnant women. The location of the research was conducted at Puskesmas Guguak Panjang with 74 samples. Data analysis included univariate, bivariate and multivariate analysis.The results of the bivariate analysis showed that there was no correlation between maternal characteristics with maternal participation in maternal class while emotional support, instrumental support, information support and assessment support (p = 0.0001) had a relationship with maternal participation in the class of pregnant women. The role of external midwives (p = 0.002), the role of internal midwives (p = 0.001) related to maternal participation in the mother's class. Multivariate results show the role of internal midwives that greatly influences the participation of mothers who attend classes for pregnant women (p = 0.001).The role of midwives and husband support greatly affects the participation of mothers following the class of pregnant women.Pregnant women classes are a group of co-learning that aims to increase maternal knowledge and skills about pregnancy, pregnancy care, childbirth, postnatal care, newborn care, myths and infectious diseases and birth certificates. The implementation of the pregnant mother class program has been going on for a long time but the results of preliminary studies conducted at the Guguak Puskesmas Panjang are only a few who attend classes for pregnant women.This study aims to determine whether there was a relationship between maternal characteristics, husband support and the role of midwives with the participation of mothers following the class of pregnant women. The location of the research was conducted at Puskesmas Guguak Panjang with 74 samples. Data analysis included univariate, bivariate and multivariate analysis.The results of the bivariate analysis showed that there was no correlation between maternal characteristics with maternal participation in maternal class while emotional support, instrumental support, information support and assessment support (p = 0.0001) had a relationship with maternal participation in the class of pregnant women. The role of external midwives (p = 0.002), the role of internal midwives (p = 0.001) related to maternal participation in the mother's class. Multivariate results show the role of internal midwives that greatly influences the participation of mothers who attend classes for pregnant women (p = 0.001).The role of midwives and husband support greatly affects the participation of mothers following the class of pregnant women.

The Correlation of Maternal Factors and The Quality of Antenatal Care Services With Low Birth Weight Babies In Health Facilities Level I Wira Meiriza; Aladin Aladin; Edison Edison
Journal of Midwifery Vol 3, No 1 (2018): Published on June 2018
Publisher : Universitas Andalas

Infant Mortality Rate in West Sumatra still increased from 96 cases in 2015 becomes 111 cases in 2016. One of the contributors to this was the case of Low Birth Weight Babies (LBWB), wich is birth weight < 2500 grams. Causative factors of LBWB are derived from maternal factors because it is related to fetal growth, starting from the moment of conception until the baby is born. Maternal health is very influential towards the growth and development of the fetus. In addition, Antenatal Care is also require to monitor maternal health. Antenatal service care quality can detect the occurrence of risk in pregnancy. This study aims to determine the relationship of maternal factors based on maternal age, parity, distance of pregnancy, complications of pregnancy, economic status, nutritional status, anemia status, antenatal care implementation and the quality of antenatal care services with LBWB incidence on health facilities level 1 in Padang City.This study used a comparative cross-sectional design totalling 72 respondents consisting of a group of mothers who gave birth to babies with birth weight < 2500 grams and ≥ 2500 grams using consecutive sampling technique. Then conducted interviews and observations by using questionnaires as well as data processing were carried out using SPSS. The results showed there was a correlation between pregnancy complications (p = 0.033), anemia status (p = 0.016) and the implementation of antenatal care (p = 0.000) with the incidence of LBWB, while the unrelated were maternal age (p = 0.405), parity (p = 1,000), pregnancy distance (p = 1,000), economic status (p = 0.637), nutritional status (p = 0.326), and quality of antenatal care services (p = 0.812).The conclusion of this study is that there is no correlation between the quality of antenatal care services and the incidence of LBWB, and the implementation of antenatal care is the dominant factor related with the incidence of LBWB in Padang City.

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