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INDONESIA
Jurnal Kesehatan Ibu dan Anak
Published by Poltekkes Kemenkes Yogyakarta
ISSN : 23026014     EISSN : 25993224     DOI : -
Core Subject : Health,
Health Professions Medicine & Pharmacology Nursing Public Health
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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Articles 9 Documents
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Search results for , issue "Vol. 18 No. 1" : 9 Documents clear
Anemia prevention attitudes and behaviour as determinants of anemia status in deaf adolescent girls Zannah, Aflah Raudhotul; Heru Subaris Kasjono; Kurniati, Ana; Sujiyatini, Sujiyatini
Jurnal Kesehatan Ibu dan Anak Vol. 18 No. 1
Publisher : Poltekkes Kemenkes Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29238/kia.v18i1.2102

Abstract

Anemia remains a major nutritional problem among adolescents, especially girls, due to physiological changes and inadequate dietary intake. Deaf adolescents are particularly vulnerable due to limited access to health information, yet few studies have examined the role of attitude and behavior in this population.This study was to determine the relationship between attitudes and behaviors toward anemia prevention and anemia status among deaf adolescent girls. A cross-sectional analytical study was conducted at Public Special Needs School 1 Bantul, Yogyakarta, Indonesia involving 28 deaf adolescent girls aged 10–19 years using total sampling. Data were collected through validated questionnaires assessing attitudes and behaviors toward anemia (Cronbach’s Alpha: 0.746 and 0.827, respectively). Hemoglobin levels were measured using the EasyTouch GCHb device. Data were analyzed using Spearman Rho correlation with a significance level of p < 0.05. A strong positive correlation was found between attitudes and anemia status (r = 0.681, p = 0.000) and between behavior and anemia status (r = 0.708, p = 0.000). Most anemic participants had poor behavioral scores and came from low-income families. Additionally, all anemic participants had begun menstruating, suggesting physiological and socioeconomic risk factors. Attitudes and behaviors are significantly associated with anemia status among deaf adolescent girls. Despite having positive attitudes, environmental and socioeconomic barriers may hinder healthy behavior implementation. Tailored and accessible health education, alongside cross-sectoral interventions, is needed to reduce anemia prevalence in adolescents with disabilities.
Ethnomedical use of Dodonaea viscosa for postpartum perineal wound care among Dani tribe women in Puncak Jaya, Indonesia Kurniyasi, Kurniyasi; Makaba, Sarce; Hasmi, Hasmi; Ruru, Yacob; Flassy, Marlina; Irab, Semuel Piter
Jurnal Kesehatan Ibu dan Anak Vol. 18 No. 1
Publisher : Poltekkes Kemenkes Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29238/kia.v18i1.2112

Abstract

Maternal mortality remains a pressing issue in many developing countries, with postpartum infections being one of the leading causes. In remote regions of Indonesia, such as the highlands of Papua, traditional healing practices are still widely adopted due to limited access to formal health services. Among the Dani tribe in Puncak Jaya District, the use of Dolli or Dolingga (Dodonaea viscosa) leaves for perineal wound care after childbirth is a longstanding cultural tradition. This study aimed to explore the ethnomedical practices, preparation methods, and perceived therapeutic effects of Dolli leaves in managing postpartum perineal wounds among women in the Dani tribe. A qualitative exploratory design was employed. Data were collected through in-depth interviews with 10 postpartum mothers and 2 key informants, including a health official from the Puncak Jaya District Health Office. Thematic content analysis was applied to identify key patterns and cultural meanings associated with the use of Dolli leaves. The use of Dolli leaves is a generational practice, valued for its accessibility and safety. Leaves are wilted over fire to release their oils, then layered (approximately 3 cm thick), and applied externally by having the mother sit or lie on them. Most participants reported improved perineal wound conditions within 1–4 days, characterized by dryness, lack of odor, and absence of infection. Mild abdominal discomfort was noted by some, though no adverse effects were reported. Cultural taboos such as not stepping on the leaves were observed during use. The leaves were also applied for neonatal umbilical cord care. The ethnomedical use of Dolli leaves for postpartum perineal wound healing reflects culturally embedded knowledge with perceived therapeutic benefits. These findings suggest potential for integrating local ethnomedicine into maternal care in resource-limited settings, pending further clinical and pharmacological validation.
Modelling external pelvic dimensions as a screening tool for cephalopelvic disproportion Iswara, Denny; Kusmiyati, Yuni; Apay, Serap Ejder
Jurnal Kesehatan Ibu dan Anak Vol. 18 No. 1
Publisher : Poltekkes Kemenkes Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29238/kia.v18i1.2198

Abstract

Cephalopelvic disproportion (CPD) remains one of the leading causes of labor complications and cesarean deliveries, particularly in low-resource settings where pelvimetric assessment is limited. The absence of a simple, accurate, and non-invasive screening tool in primary healthcare complicates early detection and management. This study aimed to design and evaluate an external pelvic measurement tool to identify women at risk for CPD. This was a quantitative case-control study involving 60 postpartum women at Dr. Sardjito Hospital, Yogyakarta, Indonesia, between 2018 and 2023. The case group included 30 women diagnosed with CPD, while the control group comprised 30 women with spontaneous vaginal deliveries. External pelvic measurements were conducted at the Michaelis rhomboid and other anatomical landmarks (AB, AD, CB, CD, BD, AC) using standardized procedures. Sociodemographic variables were controlled through matching by age, parity, and gestational age. Significant differences were observed in external pelvic dimensions between the case and control groups. The average AB, AD, CB, and CD distances were consistently shorter in the CPD group (mean ~5.7–5.8 cm) compared to the control group (mean ~6.8 cm). Pelvic circumference and distances such as distansia cristarum and Boudeloque diameter were also smaller in CPD cases. These findings suggest that women with smaller external pelvic dimensions are at higher risk for CPD. The study highlights that specific external pelvic measurements, particularly within the Michaelis rhomboid area, have potential as practical indicators for early CPD detection. Implementing this tool in antenatal care, especially in primary healthcare settings, may improve screening, guide referral decisions, and reduce the risk of obstructed labor.
Rose aromatherapy as a complementary approach to reduce labor pain in the first stage of active labor: Nuari, Jen Astika; Hidayanti, Desi; Sariaty, Saur
Jurnal Kesehatan Ibu dan Anak Vol. 18 No. 1
Publisher : Poltekkes Kemenkes Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29238/kia.v18i1.2200

Abstract

Labor pain is a significant physiological and psychological stressor for women in childbirth. If unmanaged, it may lead to adverse maternal and fetal outcomes. Non-pharmacological methods such as aromatherapy offer a low-risk alternative for pain management. Rose aromatherapy, with its known relaxing and antispasmodic properties, has been proposed to reduce labor pain through inhalation. This study aimed to examine the effect of rose aromatherapy on labor pain during the first stage of active labor. This pre-experimental study used a one-group pretest-posttest design involving 36 laboring mothers in the active phase I at Garuda Public Health Center, Bandung, Indonesia. Participants received rose aromatherapy via inhalation for 10 minutes. Labor pain was measured before and after the intervention using the Numeric Rating Scale (NRS). Data were analyzed using the Wilcoxon signed-rank test. The mean labor pain score decreased from 8.58 (SD = 0.94) before the intervention to 7.25 (SD = 1.38) after, with a statistically significant difference (Z = -5.15, p < 0.001). Rose aromatherapy significantly reduces labor pain during the first active phase of labor. These findings support its use as a complementary intervention in midwifery care to enhance maternal comfort during childbirth.
Impact of maternal nutritional status on anemia in the third trimester of pregnancy Febiana, Clarita Emilia; Siregar, Nursyahid; Astuti, Dewi Rinda; Jasmawati, Jasmawati
Jurnal Kesehatan Ibu dan Anak Vol. 18 No. 1
Publisher : Poltekkes Kemenkes Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29238/kia.v18i1.2217

Abstract

Anemia during pregnancy remains a prevalent public health concern, particularly in low- and middle-income countries. Nutritional status, including body mass index (BMI), mid-upper arm circumference (MUAC), and gestational weight gain (GWG), is believed to play a crucial role in the development of anemia, especially during the third trimester when physiological hemodilution peak. This cross-sectional study was conducted among 53 pregnant women in their third trimester at the Bengkuring Samarinda Public Health Centre, Indonesia in 2023. Data were collected using structured questionnaires and clinical assessments. Nutritional status was assessed via BMI, MUAC, and GWG, while anemia was determined using hemoglobin levels. Statistical analysis included chi-square tests and Spearman correlation to determine the association between nutritional indicators and anemia incidence. A significant relationship was found between nutritional status and anemia. Underweight and overweight BMI were both associated with increased anemia prevalence (p < 0.05), indicating that extreme BMI values pose a risk. Women with low MUAC (indicative of chronic energy deficiency) showed a higher proportion of anemia (p = 0.046; r = –0.275). Inadequate GWG was also significantly related to anemia (p = 0.011; r = –0.345). Most anemic cases were classified as mild, with overweight and undernourished women exhibiting higher susceptibility due to impaired iron metabolism and suboptimal nutrient reserves. The findings support the hypothesis that maternal nutritional status significantly influences anemia in late pregnancy. The results emphasize the need for early identification of at-risk women based on BMI, MUAC, and GWG. These parameters can serve as simple, cost-effective screening tools in antenatal care settings to prevent adverse maternal and fetal outcomes. This study concludes that both undernutrition and overnutrition are significantly associated with anemia during late pregnancy. Monitoring maternal nutritional indicators such as BMI, MUAC, and GWG is essential in antenatal practice to reduce anemia-related complications.
Inhaled lavender aromatherapy as an effective non-pharmalogical intervention for pain relief in the active phase of labour Manurung, Monica; Siregar, Nursyahid; Astuti, Dewi Rinda; Jasmawati, Jasmawati
Jurnal Kesehatan Ibu dan Anak Vol. 18 No. 1
Publisher : Poltekkes Kemenkes Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29238/kia.v18i1.2222

Abstract

Labour pain is a physiological process that can cause significant anxiety, tension, and fatigue. Non-pharmacological interventions such as aromatherapy are increasingly considered to manage labour pain with minimal side effects. Lavender essential oil, known for its sedative and anxiolytic properties, has shown promise in reducing pain perception during childbirth. This study aimed to examine the effect of lavender aromatherapy on the level of labour pain among women in the active phase of the first stage of labour. A quasi-experimental study with a pretest-posttest control group design was conducted at Dirgahayu Hospital, Samarinda, Indonesia. A total of 36 women in the active phase of labour were recruited using purposive sampling and assigned to intervention (n = 18) and control (n = 18) groups. The intervention group received lavender aromatherapy via inhalation using a diffuser (4–5 drops of lavender oil in 20 ml of water) for 1 hour, while the control group was instructed in deep breathing relaxation techniques. Labour pain was assessed before and after the intervention using the Numeric Rating Scale (NRS). The intervention group showed a significant reduction in pain scores, from a mean of 6.33 to 5.56 (Mean different = –0.77), while the control group showed a minimal increase from 6.06 to 6.11 (Mean different = +0.05). Statistical analysis using a paired t-test revealed a significant difference in the intervention group (p = 0.001), indicating the effectiveness of lavender aromatherapy in reducing labour pain. Lavender aromatherapy significantly reduced the intensity of labour pain during the active phase of the first stage of labour. This non-invasive and cost-effective intervention can be considered as a complementary method in intrapartum care to enhance maternal comfort and support physiological childbirth.
Effect of cadre-based empowerment on antenatal care knowledge, attitudes, and antenatal care visit among pregnant women Yuniarti, Yuniarti; Yorita, Epti; Widiyanti, Desi; Destariyani, Elvi
Jurnal Kesehatan Ibu dan Anak Vol. 18 No. 1
Publisher : Poltekkes Kemenkes Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29238/kia.v18i1.2245

Abstract

Despite ongoing efforts to reduce maternal mortality in Indonesia, antenatal care (ANC) coverage—particularly completion of ?4 visits (K4)—remains suboptimal in regions such as Bengkulu City. The involvement of community health cadres is recognized as a key strategy to improve maternal health outcomes; however, limited research has directly examined the effect of structured cadre-based empowerment on ANC knowledge, attitudes, and service utilization. This study aimed to examine the effect of ANC cadre empowerment on ANC knowledge, attitudes, and the frequency of ANC visits among pregnant women in Bengkulu City, Indonesia.This quasi-experimental study employed a pre-test and post-test control group design involving 40 pregnant women in Bengkulu City, Indonesia divided equally into intervention and control groups. The intervention group received structured cadre-based empowerment involving trained health cadres, while the control group received standard counseling. Data were analyzed using Wilcoxon and Mann-Whitney tests to assess differences in knowledge, attitudes, and ANC visit frequency. After the intervention, the knowledge scores in the intervention group significantly increased from 53.80 to 73.90 (p=0.020), while the control group showed no significant change. Attitude scores in the intervention group also increased significantly from 35.35 to 38.25 (p=0.014), unlike the control group (p=0.320). Regarding ANC visits, the intervention group had a higher mean number of visits (mean=4) compared to the control group (mean=3), with a statistically significant difference (p=0.001). Cadre-based empowerment through structured training significantly improved pregnant women’s knowledge, attitudes, and ANC service utilization. This suggests the importance of integrating cadre empowerment models into routine maternal health programs to support improved ANC compliance.
Improving maternal hemoglobin: comparing the effectiveness of dates and mung bean cookies in anemia pregnant women Yunia, Dela; Purnamasari, Wiwin Mintarsih; Diana, Helmi
Jurnal Kesehatan Ibu dan Anak Vol. 18 No. 1
Publisher : Poltekkes Kemenkes Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29238/kia.v18i1.2728

Abstract

Anemia remains a significant health issue among pregnant women in Indonesia, with prevalence rates reaching 50–63%. In addition to iron supplementation, food-based micronutrient interventions such as date fruit and mung bean cookies may help improve hemoglobin levels. However, limited studies have compared the effectiveness of these two food sources. This study aimed to compare the effects of date fruit and mung bean cookies on hemoglobin levels in pregnant women with anemia. A quasi-experimental study with a two-group pre-test-post-test design was conducted at Bojongasih Public Health Center, Tasikmalaya, Indonesia in 2024. A total of 34 pregnant women with anemia were recruited using total sampling and divided into two groups: date fruit (n = 17) and mung bean cookies (n = 17). Hemoglobin levels were measured before and after 14 days of intervention. Paired t-tests were used for statistical analysis. The date group showed a greater mean increase in hemoglobin levels (from 9.906 to 10.871 g/dL; increase of 0.965) compared to the mung bean cookie group (from 9.888 to 10.476 g/dL; increase of 0.588). The difference was statistically significant (p = 0.001). Date fruit was more effective than mung bean cookies in increasing hemoglobin levels among pregnant women with anemia. These findings suggest that date fruit can be considered as a complementary nutritional strategy to support iron supplementation during pregnancy.
Knowing the signs, changing the outcome: educational impact of the mother and child health handbook on high-risk mothers Angela, Nabila Fitria; Purnamasari, Wiwin Mintarsih; Suptiani, Laila Putri
Jurnal Kesehatan Ibu dan Anak Vol. 18 No. 1
Publisher : Poltekkes Kemenkes Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29238/kia.v18i1.2733

Abstract

particularly in low- and middle-income countries. One contributing factor is the lack of maternal awareness regarding pregnancy danger signs. Although the Mother and Child Health (MCH) handbook has been widely distributed in Indonesia to support maternal education, its utilization remains suboptimal. This study aims to assess the effectiveness of a structured educational intervention using the MCH handbook on improving the knowledge of high-risk pregnant women regarding pregnancy danger signs. This pre-experimental study employed a one-group pretest-posttest design involving 58 high-risk pregnant women at Cibeureum Public Health Center, Tasikmalaya, Indonesia. Participants' knowledge was measured before and after an educational intervention using the MCH handbook. A paired t-test was conducted to analyze the statistical significance of changes in knowledge scores. The normality of the data was confirmed using the Shapiro-Wilk test. The mean knowledge score significantly increased from 19.00 (SD = 3.10) before the intervention to 24.91 (SD = 0.28) after the intervention (mean difference = 5.91, p < 0.001). Prior to the intervention, 74.14% of participants had high knowledge, 17.24% moderate, and 8.62% low. After the intervention, 100% of participants attained high knowledge levels. The findings suggest that structured health education using the MCH handbook is highly effective in enhancing maternal knowledge, especially among high-risk pregnant women. This reinforces the importance of integrating systematic MCH handbook-based education into routine antenatal care. Utilizing the MCH handbook as a structured educational tool significantly improves maternal awareness of pregnancy danger signs. Strengthening health worker capacity to deliver MCH handbook-based education and promoting its use during ANC visits may contribute to earlier risk detection and reduction of maternal mortality.

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