Jurnal Kesehatan Ibu dan Anak
Jurnal Kesehatan Ibu dan Anak particularly focuses on the main problems in the development of the sciences of midwifery areas. It covers the Antenatal Care, Intranatal and Newborn Baby Care, Postnatal and Breastfeeding Care, Reproductive Health, Family Planning, Maternal and Neonatal Emergency Care, Community Midwifery Care, Maternal and Child Health Promotion, Appropriate Technology in Midwifery.
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<![CDATA[Breastfeeding and complementary feeding with stunting among children aged 25-36 months ]]>
<![CDATA[Markukuh Sri Handayani]]>;
<![CDATA[Nanik Setiyawati]]>;
<![CDATA[Yuliantisari Retnaningsih]]>
<![CDATA[ Jurnal Kesehatan Ibu dan Anak Vol. 14 No. 2 (2020): November ]]>
Publisher : <![CDATA[Poltekkes Kemenkes Yogyakarta ]]>
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DOI: 10.29238/kia.v14i2.620
<![CDATA[Stunting is a condition of malnutrition that occurs at first 1000 days of birth, so the child looks shorter than his age. Stunting has long-term effects on individuals and societies; including diminished cognitive and physical development reduced productive capacity and poor health. Stunting becomes a big problem for Banyuasin Public Health Center (PHC) because of its high prevalence of 20.3%in 2018. But the achievement of exclusive breastfeeding is low at 66.6%. This study aimed to identify the relationship breastfeeding and complementary feeding with stunting among children aged 25-36 months in Loano Distrik Purworejo Regency, Central Java. This was an analytic observational study with a case-control design. The subjects were mothers and children aged 25-36 months. The sample size used was 88 respondents with 44 as the stunting group and 44 as the control group. Sampling technique with Probability Proportional to Size (PPS). Bivariate analysis using Chi-Square and multivariate using logistic regression. Exclusive breastfeeding (p = 0.000), first complementary feeding time (p = 0.002), age of mother (p = 0.043), and mother's education (p = 0.042) were related with stunting. Whereas mother’s MUAC, mother’s height, and duration of breastfeeding were not related to stunting. The factor that most influences the incidence of stunting is exclusive breastfeeding (OR = 5,36, CI = 2,10-13.67). Exclusive breastfeeding, first complementary feeding time, age of mother, and mother's education are related to stunting. While the variable that most influences the incidence of stunting is exclusive breastfeeding. For this reason, exclusive breastfeeding for infants aged 0-6 months is recommended.]]>
<![CDATA[The Breastfeeding assistance improving the skill to breastfeed properly for postpartum primipara mothers ]]>
<![CDATA[Faiqo Diyana]]>;
<![CDATA[Tarsikah Tarsikah]]>;
<![CDATA[Desy Dwi Cahyani]]>
<![CDATA[ Jurnal Kesehatan Ibu dan Anak Vol. 14 No. 2 (2020): November ]]>
Publisher : <![CDATA[Poltekkes Kemenkes Yogyakarta ]]>
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DOI: 10.29238/kia.v14i2.621
<![CDATA[Breastfeeding is a natural process carried out by a mother to give nutrition for her baby directly from the breast. Some problems often occur during the process of breastfeeding, such as blisters on the nipples to mastitis. These problems cause the scope of exclusive breastfeeding not in accordance with the target set (90%). The success of breastfeeding highly depends on correct breastfeeding skills. This research aimed to determine the effect of breastfeeding assistanceon correct breastfeeding skills in primiparous postpartum mothers. This study was pre-experimental with a one-group pretest-posttest design, with a population of 30 primiparous postpartum respondents who met the inclusion criteria, using total sampling technique. The research instrument was a checklist for correct breastfeeding, the data were analyzed using the Wilcoxon Signed-Rank (a=0.05). The result of the research showed breastfeeding skill properly before assistance was unskilled (93.3%) with an average pretest value of 48.42 and after mentoring, the mothers were skilled (96.7%) with an average post-test of 82.25 with p-value 0.000. It means there is an effect of breastfeeding assistance to correct breastfeeding skills in primiparous postpartum mother. These results, it is expected that breastfeeding assistance can be used as a solution of successful program in giving breastfeeding.]]>
<![CDATA[Breathing techniques belly and ujjay on declining levels of anxiety in the third trimester of pregnant women ]]>
<![CDATA[Ratih Kumorojati]]>;
<![CDATA[Dian Puspitasari]]>;
<![CDATA[Corry Ocvita Sari]]>
<![CDATA[ Jurnal Kesehatan Ibu dan Anak Vol. 14 No. 2 (2020): November ]]>
Publisher : <![CDATA[Poltekkes Kemenkes Yogyakarta ]]>
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DOI: 10.29238/kia.v14i2.901
<![CDATA[Pregnancy and childbirth in a woman is a normal and natural cycle, but the cycle remains a burden for a woman. Mothers who are experiencing pregnancy and want to give birth normally, are required not only to be physically ready, but also to be mentally ready. This study aims to obtain information about the effectiveness of belly and ujjay breathing techniques to reduce anxiety levels in third trimester pregnant women at Klinik Pratama Asih Waluyo Jati, Bantul. This study was a quasi-experimental with two groups of pre-test and post-test with control with a cohort time study approach. The population was third trimester pregnant women in Klinik Pratama Asih Waluyo Jati. The sample was 16 third trimester pregnant women with a sample selection using consecutive sampling techniques. This study uses the Zung Self-Rating Anxiety Scale (ZSAS) anxiety questionnaire, a readiness questionnaire in the face of labor, a checklist of belly breathing techniques and ujjay breathing. Analysis univariate using distribution frequency and bivariate using paired T-test because the data was normally distributed. The univariable analysis was displayed that most respondent was in 20-35 years old (100%), in intermediate education (62.5%) and not working mother (56.2%). The bivariate analyzed results showed in the relaxation group obtained pretest mean 30.06; post test mean 25.94; mean difference 4.12; p-value 0.004 which means there was relaxation of breath in an effective way to reduce anxiety in third trimester pregnant women.]]>
<![CDATA[Empowerment efforts to Moria in cervical cancer’s prevention ]]>
<![CDATA[Elisabeth Surbakti]]>;
<![CDATA[Julietta Hutabarat]]>;
<![CDATA[Hanna Sriyanti Saragih]]>
<![CDATA[ Jurnal Kesehatan Ibu dan Anak Vol. 14 No. 2 (2020): November ]]>
Publisher : <![CDATA[Poltekkes Kemenkes Yogyakarta ]]>
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DOI: 10.29238/kia.v14i2.902
<![CDATA[Empowerment of fertile age women who are married and become members of Batak Karo Protestant Church or it’s called Moria, with a participatory approach as an effort to build, explore and develop existing potentials by motivating and raising awareness of their potential so that a process of independence in cervical cancer prevention occurs. This study aims to empower Moria in the prevention of cervical cancer. The mixed research method. The qualitative was for empowerment efforts, while the quantitative method was for assessing the success of empowerment using a quasi-experimental design (pre-test-post-test group design without control). The qualitative analysis method uses interactive model analysis (data reduction, data presentation, and conclusion drawing/verification). The quantitative data were processed using univariate, bivariate analysis. The research was conducted in the working area of Padang Bulan Public health center in Medan Indonesia started from November 2016 to August 2017. The qualitative result was showed that there was still many Moria who did not know about cervical cancer prevention because they are ashamed, do not dare to come to health care, worried if the results are positive which can interfere with the next life process. Need the empowerment effort again to provide counseling on cervical cancer prevention. The quantitative result showed that there was an effect of Moria empowerment to knowledge (p-value=0.001) and attitude (p-value=0.001), and there was the effect of Moria empowerment on the action in cervical cancer prevention (p-value=0.001). The empowerment of Moria in cervical cancer prevention was very effective in increasing awareness, knowledge, attitudes, and actions of Moria in cervical cancer prevention.]]>
<![CDATA[The role of husbands’ social support and women’s knowledge on the selection of long-term contraceptive methods ]]>
<![CDATA[Venny Vidayanti]]>;
<![CDATA[Listyana Natalia Retnaningsih]]>
<![CDATA[ Jurnal Kesehatan Ibu dan Anak Vol. 14 No. 2 (2020): November ]]>
Publisher : <![CDATA[Poltekkes Kemenkes Yogyakarta ]]>
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DOI: 10.29238/kia.v14i2.905
<![CDATA[The low level of women’s knowledge regarding the benefits and side effects of LTCM as well as the growing negative myths around the application of LTCM will cause a low intention in using LTCM. The husband support in using LTCM holds a crucial role for wives in taking their decision to use LTCM. This study aimed to discover the correlation between husbands’ social support and women’s knowledge on the selection of LTCM in rural areas of Yogyakarta. This study used a cross-sectional design that involved 60 active acceptors of reproductive age women in Karangsari Village, Ngemplak, Sleman. The sampling technique was simple random sampling and bivariate analysis in this study used Chi-Square test. The findings of the study showed 53,3% women decided to choose LTCM and 46,7% women used non LTCM method. The results of chi-square test were 0.466 of p-value between knowledge variable and LTCM selection, and 0.028 of p-value with 3.21 of odds ratio score (95%CI=1.09-9.44) between husband’s social support variable and LTCM selection. This study concluded that the husband’s social support affects wives in choosing the long-term contraceptive methods while the mother’s knowledge is not related to LTCM selection. Mothers who receive positive support from their husbands will have 3.21 times the chance of using LTCM methods.]]>
<![CDATA[Family planning counselling on third postpartum visit and the stability as acceptors of postpartum family planning ]]>
<![CDATA[Hasri Yulianti]]>;
<![CDATA[Ignasensia Dua Mirong]]>
<![CDATA[ Jurnal Kesehatan Ibu dan Anak Vol. 14 No. 2 (2020): November ]]>
Publisher : <![CDATA[Poltekkes Kemenkes Yogyakarta ]]>
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DOI: 10.29238/kia.v14i2.908
<![CDATA[Family planning services was an effort to reduce the Maternal Mortality Rate factors that is too young give birth under 21 years old, too old give birth over 35 years, too close birth spacing less than 2 years, and having too many children more than 2. A promotion and counseling about postpartum family planning are necessary to be carried out for mothers and their children, especially couples who are in a childbearing age to increase the achievement of postpartum family planning. The objective was to determine the effect of family planning counseling during the third postpartum visit toward the stability as acceptors of postpartum family planning. The type of study was analytic survey research with a cross sectional approach that was conducted at Sikumana Health Center in 2018. The numbers of samples were 54 people. The data were analyzed using chi-square with the Fisher Exact test. Result: The univariate result shown that most of respondent was 20-35 years old (88.9%), have been received family planning counselling (88.9%) but have not yet been family planning acceptors (34.6%). The result of Fishers exact correlation test p=0.047, OR= 1.714 it shows that there was a significant influence between family planning counseling on the 3rd visit during the postpartum period on the stability of being a family planning acceptor after childbirth delivery. There is an effect of family planning counseling on the stabilization of postpartum family planning acceptors.]]>
<![CDATA[Social demography and eating patterns to the risk of stunting ]]>
<![CDATA[Heni Puji Wahyuningsih]]>;
<![CDATA[Yuni Kusmiyati]]>
<![CDATA[ Jurnal Kesehatan Ibu dan Anak Vol. 14 No. 2 (2020): November ]]>
Publisher : <![CDATA[Poltekkes Kemenkes Yogyakarta ]]>
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DOI: 10.29238/kia.v14i2.909
<![CDATA[Stunting is a long-term manifestation of low-quality diet consumption factors, recurrent infectious diseases, and the environment. Stunting in infants needs special attention because it can hamper physical growth, mental development and health status in children. This study aims to determine the social demographic effects and feeding patterns on the risk of stunting. This research is a quantitative study with a retrospective cohort test design and using concetutive sampling. The total sample in this study were 177 case groups and 177 control groups. The instrument used in this study was a questionnaire that caused stunting. Analysis of the data used in processing the questionnaire is chi square analysis and logistic regression analysis with an accuracy rate of 95%. As for testing the influence of factors using path analysis. Based on the results of the path analysis test it is known that the pattern of feeding (b = 0.213; SE = 0.034; p <0.001), gender (b = 0.095; SE = 0.50; p <0.001), number of working family members (b = 0.103; SE: 0.046, p <0.005), number family members (b = 0.028; SE = 0.023; p <0.001) and mother's work (b = 0.018; SE = 0.029; p <0.000) have a direct effect on stunting risk. which means that every increase in one unit of working mothers will affect the reduction in stunting. Meanwhile, mother's education has an indirect effect on stunting, but mother's education has a direct effect on feeding patterns (0.041; SE = 0.067; p <0.001). This study shows that the variables of gender, number of families, work of mothers, number of working families, and quality of life of children have a direct and significant effect on stunting risk, while mother's education has an indirect influence over dietary factors.]]>
<![CDATA[Early complementary feeding and the incidence of stunting in toddlers ]]>
<![CDATA[Ahdatul Islamiah]]>;
<![CDATA[Nurun N. Aini Tallo]]>
<![CDATA[ Jurnal Kesehatan Ibu dan Anak Vol. 14 No. 2 (2020): November ]]>
Publisher : <![CDATA[Poltekkes Kemenkes Yogyakarta ]]>
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DOI: 10.29238/kia.v14i2.912
<![CDATA[Data from the WHO in 2018 showed that babies received early complementary feeding as much as 69.8%. Most toddlers who received early complementary feeding had a 2.8 times risk of becoming stunted (Z score <-2). The purpose of this study was to identify the factors that influence the provision of early complementary foods with the incidence of stunting in toddlers. This research was quantitative research using Interential Statistics method through a Cross Sectional approach. The population was stunting toddlers who were given early complementary food in Lelamase Village, Bima City in 2020 as many as 35 toddlers, sampling using the Total Sampling technique. Analysis using Chi Square test for Bivariate Analysis and Logistic Regression analysis for Multivariate Analysis. The results show that the variables that influence early complementary feeding with stunting was maternal knowledge with p-value = 0.000, maternal health condition with p-value = 0.024, local culture with p-value = 0.025, complementary food advertising and promotion of formula milk with p- value = 0.037, support for health workers p-value = 0.025. While the factors that did not affect the provision of early complementary food with stunting were the mother's work factor, p-value = 0.068 and maternal age, p-value = 0.043. The dominant factor that influences the provision of early complementary feeding with the incidence of stunting is the mother's knowledge of 110 times for toddlers who have mothers with less knowledge than toddlers who have good mothers. The provision of early complementary food to stunted toddlers was influenced by lack of maternal knowledge, poor maternal health conditions, local culture, complementary food advertising and promotion of formula milk and lack of support from health workers and the most dominant factors was mother's knowledge.]]>
<![CDATA[Health workers and family support with the adequacy of breast milk in perinatal room ]]>
<![CDATA[Munica Rita Hernayanti]]>;
<![CDATA[Yuliasti Eka Purnamaningrum]]>;
<![CDATA[Maranata Maratana]]>
<![CDATA[ Jurnal Kesehatan Ibu dan Anak Vol. 14 No. 2 (2020): November ]]>
Publisher : <![CDATA[Poltekkes Kemenkes Yogyakarta ]]>
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DOI: 10.29238/kia.v14i2.915
<![CDATA[LWB is the most common cause of infant infant death. Breastfeeding is one treatments for LBW. This study aims to determine the support of health workers and families to the adequacy of breastfeeding in mothers who have LBW. This study was a quantitative analytic study with a cross-sectional design. The sampling technique used is an accidental sampling with total 97 subjects. Results of this study stated significant relationship between the support of health workers and the adequacy of breast milk (x2=4.581; p= 0.032; OR= 2.874) and significant relationship between the support of family and the adequacy of breast milk ASI (x2=4.619; p= 0.042; OR= 2.810). Based on the results can be used to formulated SOP for mentoring health workers and families for mothers who have LBW in the perinatal room of the DIY regional hospital and can also formulate leaflets as guidance mentoring to mothers.]]>
<![CDATA[Role benefits of the private practice midwife participation in national health insurance program ]]>
<![CDATA[Ria Chitra Dewi]]>;
<![CDATA[Ali Ghufron Mukti]]>;
<![CDATA[Abdul Wahab]]>
<![CDATA[ Jurnal Kesehatan Ibu dan Anak Vol. 14 No. 2 (2020): November ]]>
Publisher : <![CDATA[Poltekkes Kemenkes Yogyakarta ]]>
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DOI: 10.29238/kia.v14i2.917
<![CDATA[Since 2014, Indonesia has launched the National Health Insurance program (JKN) through the Social Security Agency (BPJS) to improve public health, including reducing the Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR). It is expected all private health services including the private midwives are encouraged to participate in the JKN system. This study aims to determine the association between wage system with the participation of private midwives in JKN program. Case-control design was performed in this study. The subjects were private midwives in the Pekanbaru municipality, Indonesia. Private midwives who participated in JKN were determined as cases (45) while those who didn’t participate were identified as controls (45). Interview using structured questionnaire was conducted to collect quantitative data, while qualitative data was collected using indepth interviews. Chi-square and Odds Ratio with 95% Confident Interval were analysed to determine the association between midwives’ participation and benefits perception. The results showed that 85.6% of respondents indicated government reward incentives were lacking. The results of the analysis of statistical test Chi-Square obtained p-value of 0.001 with OR 16.0 (95% CI 1.98 to 129.27), which means midwives who participated in the program JKN were likely to have a sufficient reward perception 16 times greater than those who did not participate in the JKN.There is a relationship between private midwives’ participation in the JKN program with benefit system granted by the government.]]>
