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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
 1 
Search results for , issue "Vol. 18 No. 2" : 9 Documents clear
Sempoating media enhances adolescent knowledge and engagement in stunting prevention Wardani, Novita Ika; Murti Ani
Jurnal Kesehatan Ibu dan Anak Vol. 18 No. 2
Publisher : Poltekkes Kemenkes Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29238/kia.v18i2.2163

Abstract

Stunting remains a major public health concern in Indonesia, with the government targeting a reduction to 14% by 2024. In Blora Regency, the prevalence reached 21.5%, ranking 12th in Central Java. Adolescents, as future parents, play a critical role in the intergenerational transmission of nutritional knowledge. Sempoating media as an educational tool designed to simulate early stunting detection and prevention in toddlers aged 12–24 months was developed to enhance adolescents' knowledge and engagement in stunting prevention. This study aims to analyze the effect of Sempoating media on adolescents' knowledge and active participation in stunting prevention efforts. This quasi-experimental study used a pretest-posttest control group design conducted between June and August 2023 in Purworejo and Tutup Villages, Blora Regency, Indonesia. Sixty adolescents were recruited using total sampling and assigned to either a treatment group (received Sempoating media and module) or a control group (received only a module). Knowledge and activity scores were measured using a validated questionnaire (Cronbach’s alpha = 0.86) before and after a 3-month intervention. Data were analyzed using paired t-test and Mann–Whitney U test with SPSS version 25. There was a significant increase in knowledge and stunting prevention activities in both groups (p < 0.05). However, the treatment group showed significantly higher improvements compared to the control group, with post-intervention differences in knowledge (p = 0.026) and activities (p = 0.000). Sempoating media significantly improved adolescents' knowledge and engagement in stunting prevention. This interactive educational tool shows promise for integration into school-based and community adolescent health programs. The findings support the use of gamified media such as Sempoating as an effective strategy to empower adolescents as agents of change in reducing stunting prevalence in their communities.
Improved hemoglobin levels with combined Fe tablets and red guava juice in anemic pregnancy Teti Nurhayati; Lestari, Meti Widiya; Astiriyani, Endang
Jurnal Kesehatan Ibu dan Anak Vol. 18 No. 2
Publisher : Poltekkes Kemenkes Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29238/kia.v18i2.2230

Abstract

Iron deficiency anemia remains a prevalent nutritional issue among pregnant women in Indonesia. Although iron (Fe) supplementation is recommended during pregnancy, its absorption can be limited. Vitamin C, known to enhance non-heme iron absorption, is abundant in red guava juice. This study aimed to assess the effect of combining Fe tablets with red guava juice on hemoglobin (Hb) levels in pregnant women with anemia. A quasi-experimental study with a pretest-posttest control group design was conducted among 32 anemic pregnant women selected through total sampling at the Cineam Health Center, Tasikmalaya Regency. Participants were divided into an experimental group (Fe tablets + red guava juice) and a control group (Fe tablets only). The intervention was administered daily for 14 days. Hemoglobin levels were measured before and after the intervention. Data were analyzed using an independent t-test. There was a significant increase in Hb levels in the experimental group compared to the control group. The mean Hb increase in the experimental group was 0.738 g/dL (p = 0.001), indicating that the addition of red guava juice significantly enhanced the efficacy of Fe supplementation. Combining Fe tablets with red guava juice effectively improves hemoglobin levels in pregnant women with anemia. This simple and affordable dietary intervention has the potential to support maternal anemia management programs in low-resource settings.
Bambi activity tools more effective than brick blocks in early childhood development: a comparative study Asy-syifa Maulida Putri; Hernayanti, Munica Rita; Margono, Margono
Jurnal Kesehatan Ibu dan Anak Vol. 18 No. 2
Publisher : Poltekkes Kemenkes Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29238/kia.v18i2.2677

Abstract

Early childhood is a critical period for cognitive, motor, and social development. While various play-based tools are used to stimulate child development, there is limited evidence comparing the effectiveness of different tools. This study aimed to compare the effectiveness of Bambi Activity Tools and Brick Blocks in enhancing early childhood development, particularly in fine motor, gross motor, language, and social skills. This quasi-experimental study employed a pretest-posttest control group design. A total of 42 children aged 5–6 years were purposively selected from two kindergartens in Sleman Regency, Indonesia. The intervention was conducted over 4 weeks, with sessions held three times per week for 30–45 minutes. Children in the intervention group used Bambi Activity Tools guided by trained teachers, while the control group used Brick Blocks under similar conditions. Developmental progress was measured using the standardized Kuesioner Pra Skrining Perkembangan (KPSP), a validated and reliable instrument assessing four domains of development. Nutritional status was screened based on BMI-for-age, and baseline demographic comparability between groups was assessed. Both groups showed significant improvement in developmental scores after the intervention; however, the mean increase was significantly greater in the Bambi Activity Tools group (mean difference = 0.95; p < 0.001, Wilcoxon test). Post-intervention comparison between groups using the Mann–Whitney U test also revealed a significant difference favoring the Bambi group (p < 0.001). The findings align with prior studies emphasizing the importance of structured, guided play in promoting developmental milestones. The greater effectiveness of Bambi Activity Tools may be attributed to their multimodal design and targeted stimulation. Maternal education, occupation, and child gender were identified as contextual factors that may influence outcomes, although no significant baseline differences were found between groups. Bambi Activity Tools are more effective than Brick Blocks in enhancing early childhood development. These findings support their integration into early childhood education settings. Future research should explore long-term developmental outcomes and scalability in diverse populations.
Exploring maternal parenting practices and their role in toddler stunting: a case study in North Jakarta Nabila Akmal, Zahra; Anggraini, Suci; Feriningsih, Wida; Rahayu, Sri
Jurnal Kesehatan Ibu dan Anak Vol. 18 No. 2
Publisher : Poltekkes Kemenkes Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29238/kia.v18i2.2741

Abstract

Stunting remains a significant public health issue in Indonesia, particularly in urban areas such as North Jakarta. Maternal parenting practices encompassing feeding, hygiene, and healthcare behaviors are recognized as key contributors to child nutritional outcomes. However, in specific communities like Posyandu RW 010, where five stunted toddlers have been identified, the underlying parenting dynamics remain poorly understood.  This study aims to explore maternal parenting practices including feeding, hygiene, and healthcare utilization among mothers of stunted toddlers in RW 010 Posyandu, North Jakarta, to identify underlying contributing factors to persistent stunting cases. This qualitative study employed a case study approach to explore maternal parenting practices among mothers of stunted toddlers in RW 010, Tugu Utara Village, North Jakarta, Indonesia. Data were collected in December 2024 through in-depth interviews, non-participant observations, and document reviews. Participants included three mothers of stunted children, one Posyandu cadre, and one local community leader, selected through purposive sampling based on inclusion criteria such as low education level, stunted child status, and willingness to participate. Data were analyzed thematically using data reduction, display, and conclusion drawing. Triangulation was applied across data sources, collection techniques, and informants to enhance credibility. The findings revealed suboptimal parenting practices, including incomplete exclusive breastfeeding, unbalanced and monotonous complementary feeding, poor hygiene behaviors (e.g., handwashing without soap), and inconsistent utilization of health services, with some children missing immunizations. Despite the involvement of health services and the support of husbands, limited assistance from extended family and gaps in maternal knowledge were noted. Socioeconomic constraints and cultural beliefs also influenced caregiving practices. This study underscores the complex interplay of maternal behavior, household environment, and social support in the persistence of stunting. The qualitative approach enabled an in-depth understanding of local parenting dynamics that may not be captured through quantitative surveys. Strengthening health education, particularly tailored to local contexts, and expanding family and community engagement are critical to improving stunting prevention efforts.
Improving adolescent knowledge on early marriage through school-based education Agustin, Dian Triana; Hidayat, Unang Arifin; Suptiani, Laila Putri
Jurnal Kesehatan Ibu dan Anak Vol. 18 No. 2
Publisher : Poltekkes Kemenkes Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29238/kia.v18i2.2747

Abstract

Early marriage remains a prevalent issue in Indonesia, particularly in rural areas such as Cibalong District, Tasikmalaya. Despite national efforts, the lack of structured, school-based reproductive health education contributes to persistent high rates of underage marriage. This study aims to evaluate the effectiveness of educational intervention on adolescents’ knowledge regarding early marriage. A pre-experimental study using a one-group pretest-posttest design was conducted from October to November 2024 at SMPN 1 Cibalong, Tasikmalaya, Indonesia. A total of 132 Grade IX students were selected using purposive sampling. The intervention consisted of a 60-minute school-based educational session focusing on the definition, causes, risks, impacts, and prevention of early marriage, delivered through multimedia presentations and group discussion. Knowledge was assessed using a validated 20-item questionnaire before and one week after the intervention. Data were analyzed using Wilcoxon signed-rank test with a significance level of p < 0.05. Prior to the intervention, 38.64% of students had low knowledge levels, 29.55% moderate, and 31.82% high. Post-intervention, 87.12% had high knowledge, 12.88% moderate, and none remained in the low category. Statistically significant improvements were observed across all six indicators of early marriage knowledge, including understanding, causes, risk, prevention, impact, and contributing factors (p = 0.000). The findings confirm that targeted, school-based reproductive health education effectively improves adolescents’ knowledge and awareness about early marriage. This low-cost, scalable approach can be integrated into school curricula and may serve as a preventive strategy against early marriage in high-risk areas.
The risk and obstetric outcomes of preeclampsia in pregnancies with non-ideal maternal age: a systematic review Azizah; Wijayanti , Siwi Pramatama Mars; Rejeki, Dwi Sarwani Sri
Jurnal Kesehatan Ibu dan Anak Vol. 18 No. 2
Publisher : Poltekkes Kemenkes Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29238/kia.v18i2.2805

Abstract

Preeclampsia remains a leading cause of maternal and neonatal morbidity, with increased risk observed at both extremes of maternal age adolescents (<20 years) and women of advanced maternal age (>35 years). However, the comparative obstetric impacts of preeclampsia across these age groups remain underexplored in a structured synthesis. This study aims to provide an up-to-date, evidence-based understanding to support maternal health policy planning, clinical obstetrics, and reproductive education tailored to high-risk populations. This systematic review was conducted following PRISMA guidelines. Electronic databases including PubMed, Scopus, and Google Scholar were searched for peer-reviewed studies published between 2015 and 2025. Studies were eligible if they reported preeclampsia prevalence and obstetric outcomes among pregnant individuals aged <20 or >35 years. Seven observational and cohort studies met the inclusion criteria. Adolescent pregnancies complicated by preeclampsia showed high cesarean section rates (82.9% in those aged ?16 and 89.3% in ages 17–19), and increased risk of anemia and pregnancy complications despite comparable neonatal outcomes across age subgroups. In contrast, advanced maternal age was associated with a higher prevalence of severe preeclampsia (68.9%), eclampsia (12.3%), HELLP syndrome (8.7%), and emergency cesarean delivery (71.3%). Neonatal complications included low birth weight (34.4%) and lower five-minute Apgar scores. Use of assisted reproductive technologies in women ?40 further amplified the risk of early-onset preeclampsia and prematurity. Pregnancies at non-ideal maternal ages carry distinct pathophysiological risks and result in increased obstetric complexity and need for medical intervention. Age-specific clinical approaches such as early screening, targeted antenatal education, and enhanced maternal-fetal surveillance are essential. These findings support maternal health policies that incorporate maternal age as a key determinant for individualized risk assessment and care planning.
Flute instrumental music relaxation effectively reduces anxiety in premenopausal women Nuraeni, Witri; Mulyani, Nunung; Suptiani, Laila Putri
Jurnal Kesehatan Ibu dan Anak Vol. 18 No. 2
Publisher : Poltekkes Kemenkes Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29238/kia.v18i2.2879

Abstract

Premenopausal women often experience heightened anxiety due to hormonal fluctuations and psychosocial stressors related to the menopausal transition. Non-pharmacological interventions, particularly music therapy, have been recognized as an effective complementary approach to promote emotional well-being. However, limited empirical evidence exists on the specific effect of flute instrumental music relaxation among premenopausal women in community health settings. This study aimed to determine the effectiveness of flute instrumental music relaxation therapy in reducing anxiety levels among premenopausal women. A quasi-experimental pretest–posttest design was applied involving 51 premenopausal participants selected through purposive sampling in the Mangkubumi Public Health Center service area, Tasikmalaya City, Indonesia in 2025. Anxiety levels were measured using the Hamilton Anxiety Rating Scale (HARS) before and after seven consecutive days of flute instrumental music relaxation therapy. Data were analyzed using the Wilcoxon signed-rank test after confirming non-normal distribution via the Kolmogorov–Smirnov test. Respondents were predominantly aged 40–45 years (54.9%). The mean anxiety score before the intervention was 16.25 (SD = 2.30), categorized as mild anxiety, and decreased to 12.43 (SD = 1.62) post-intervention, indicating no anxiety. The Wilcoxon test revealed a statistically significant reduction in anxiety levels (Z = –3.82, p < 0.001). The mean reduction of 3.82 points demonstrates a meaningful therapeutic effect of the flute music intervention. These findings align with prior studies reporting music’s role in regulating stress responses, modulating neuroendocrine pathways, and improving emotional stability among menopausal and perimenopausal women. The result emphasizes the cultural appropriateness and accessibility of flute music as a relaxation medium within Indonesia’s maternal and reproductive health services. Flute instrumental music relaxation effectively reduces anxiety among premenopausal women and represents a feasible, low-cost intervention for community-based midwifery and women’s health programs. Future research should utilize randomized controlled designs, explore long-term outcomes, and compare different musical modalities to enhance evidence-based integration into reproductive health care.
Enhancing labor outcomes through non-pharmacologic interventions: a study on birthing ball and deep breathing relaxation in Indonesia Fitriana, Fitriana
Jurnal Kesehatan Ibu dan Anak Vol. 18 No. 2
Publisher : Poltekkes Kemenkes Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29238/kia.v18i2.2880

Abstract

Labor during the active phase of the first stage is often associated with significant pain and anxiety, which can prolong labor and negatively impact outcomes. Non-pharmacologic interventions such as birthing ball (BB) and deep breathing relaxation (DBR) have been introduced to address these challenges. However, comparative studies evaluating their effectiveness are limited. This study compares the effects of DBR and BB exercise on mothers' anxiety, pain threshold, and progress during the active phase of labor. This quasi-experimental study comprised 46 participants who were consecutive sampling to one of two groups using sequential sampling: DBR (n = 23) or BB (n = 23). The study had a pretest-posttest two-group comparison design.  Interventions were carried out by midwifery led care in Pringsewu, Indonesia, from November 2024 to April 2025, during the active phase of labor.  Data were collected using the State-Trait Anxiety Inventory (S-TAI) scale, partograph, Visual Analog Scale (VAS), and Labor and Delivery Satisfaction Questionnaire (LDSQ) mother satisfaction survey.  The statistical analysis employed paired t-tests and Mann Whitney. Labor pain was considerably decreased by both therapies (DBR: mean reduction from 4.3 to 3.6; BB: mean reduction 4.5 to 3.8; p < 0.01).  Following the therapies, anxiety levels also dropped, though not statistically significantly in DBR group 52.2 to 49.4; p < 0.05 and BB group 50.4 to 48.3; p< 0.00.  In comparison to the DBR group (mean = 274.3 ± 29.3 minutes; p = 0.003), the BB group's active phase duration was significantly shorter (mean = 243.5 ± 31.1 minutes).  In comparison to the DBR group (mean = 31.3 ± 3.1; p < 0.001), maternal satisfaction was significantly higher in the BB group (mean = 34.2 ± 3.7). Both DBR techniques and BB activities can help reduce pain and accelerate the labor process.  However, BB exercises were more effective in shortening the duration of labor and increasing mother satisfaction.  These findings support the use of non-pharmacological treatments in routine intrapartum care, especially in under resourced areas. These findings suggest that midwives and healthcare providers should consider incorporating BB exercises into standard intrapartum care protocols, especially in resource-limited settings.
Exploring the therapeutic effect of Calmcube play on emotional well-being in hospitalized preschool-aged children Rahayu, Devia Sri; Mariani, Dini; Rosuliana, Novi Enis; Herliana, Lia
Jurnal Kesehatan Ibu dan Anak Vol. 18 No. 2
Publisher : Poltekkes Kemenkes Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29238/kia.v18i2.2869

Abstract

Hospitalization can trigger significant anxiety in preschool children (ages 3–6) due to separation from familiar environments, invasive medical procedures, and limited emotional coping strategies. Excessive anxiety during hospitalization may hinder recovery and negatively affect emotional development. Play therapy is a widely recommended non-pharmacological approach to reduce pediatric anxiety. CalmCube is an innovative play therapy tool designed to engage children's cognitive and emotional responses through interactive, age-appropriate activities. This study aimed to evaluate the effectiveness of CalmCube play therapy in reducing anxiety among hospitalized preschool children. A quasi-experimental study using a pretest-posttest control group design was conducted at Dr. Soekardjo Hospital from October to December 2024. A total of 38 preschool-aged children (3–6 years) were selected through purposive sampling and assigned to intervention (n = 19) and control (n = 19) groups. Anxiety levels were measured using the Preschool Anxiety Scale (PAS) before and after the intervention. Data were analyzed using paired and independent sample t-tests. In the intervention group, the mean anxiety score decreased significantly from 37.10 (SD = 19.83) to 29.21 (SD = 17.57) after CalmCube therapy (p = 0.000). In contrast, the control group showed a negligible reduction from 44.78 to 43.94 (p = 0.076). Between-group analysis also revealed a statistically significant difference in post-intervention anxiety levels (p = 0.016), confirming the effectiveness of CalmCube therapy. CalmCube play therapy significantly reduced anxiety in hospitalized preschool children and can be implemented as a non-pharmacological nursing intervention to improve children's psychological well-being during hospitalization. Integrating structured play therapy into pediatric care protocols may enhance emotional resilience and recovery outcomes in young patients.

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