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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 6 Documents
 1 
Search results for , issue "vol. 19 no. 2" : 6 Documents clear
Difference in Pregnancy Related Stress Levels Between Primigravida and Multigravida Women Novi Maulidiyah; Dyah Widodo; Heny Astutik; Ika Yudianti
Jurnal Kesehatan Ibu dan Anak Vol. 19 No. 2
Publisher : Poltekkes Kemenkes Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29238/kia.v19i2.2951

Abstract

Pregnancy is a physiological process accompanied by physical, hormonal, and psychological changes that may trigger pregnancy-related stress. Maternal stress during pregnancy can disrupt hormonal balance, reduce immune function, adversely affect fetal development, and increase the risk of pregnancy complications. This study aimed to pregnancy-related stress level between primigravida and multigravida women attending a primary healthcare center in Malang City, Indonesia. This quantitative study employed a comparative cross-sectional design. The study was conducted at Janti Public Health Center, Sukun District, Malang City, from May–June 2025 among 64 pregnant women, comprising 32 primigravidas and 32 multigravidas, selected using purposive sampling. The inclusion criteria were primigravida and multigravida pregnant women with low-risk pregnancies who could operate mobile phones, while the exclusion criteria were pregnant women who received psychological therapy. Pregnancy-related stress were measured using the Pregnancy Stress Rating Scale (PSRS-36) and analyzed using the Mann-Whitney test (α = 0.05). The results showed that most primigravida experienced moderate (37.5%) and high (31.2%) levels of pregnancy-related stress, while multigravida were predominantly moderate (62.5%). There was a significant difference between the two groups (p = 0.046) with an average level of pregnancy-related stress in primigravida of 36.80 higher than in multigravida of 28.20. This study shows levels of pregnancy-related stress in primigravida mothers are higher than those in multigravida mothers, confirming that previous pregnancy experiences play a role in maternal psychological adaptation. These findings contribute to the understanding of pregnancy-related stress in the context of primary healthcare in Indonesia. Therefore, integrating pregnancy-related stress screening into routine antenatal care, as well as providing education and family support for first-time pregnant women, should be considered as strategies for early detection and management of pregnancy-related stress during pregnancy.
Comparative Effectiveness of Green Betel Leaf (Piper betle L.) Spray Gel and Conventional Gel on Perineal Wound Healing in Mice (Mus musculus) Monika Herti Kurniasari; Arwani Arwani; Irmawati Irmawati
Jurnal Kesehatan Ibu dan Anak Vol. 19 No. 2
Publisher : Poltekkes Kemenkes Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29238/kia.v19i2.3044

Abstract

Perineal wounds following vaginal delivery are common and may lead to pain, infection, and delayed healing, reduced maternal quality of life. Green betel leaves (Piper betle L.) possess antibacterial, anti-inflammatory, and antioxidant that may promote wound healing, while spray gel formulations offer hygienic application and improved drug distribution. This study compared the effectiveness of green betel leaf spray gel and conventional gel in promoting perineal wound healing. A true experimental pretest-posttest study was conducted using 36 female Mus musculus with induced perineal wounds randomly allocated to spray or conventional gel groups (n =18 each). Perineal wound healing was assessed using REEDA scores on days 1, 3, 5, and 7. Data were analyzed using Friedman and Mann–Whitney U tests. Both formulations significantly improved wound healing over time. However, the spray gel demonstrated significantly greater improvement than the conventional gel, with a higher mean ∆REEDA score (5.28 ± 0.575 vs 4.67 ± 0.840, p = 0.020), indicating greater reductions in wound severity.  Green betel leaf spray gel was more effective than conventional gel in promoting perineal wound healing in mice. Its hygienic, non-contact application and superior healing performance support its potential as a topical intervention for postpartum perineal care, warranting further clinical evaluation.
Effectiveness of Red Onion (Allium cepa L.) Ointment in Reducing Pain Intensity and Salivary Cortisol Levels Among Adolescent With Primary Dysmenorrhea Clara Tika Pangesti; Sri Sumarni; Marsum Marsum
Jurnal Kesehatan Ibu dan Anak Vol. 19 No. 2
Publisher : Poltekkes Kemenkes Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29238/kia.v19i2.3045

Abstract

Primary dysmenorrhea is a common condition among adolescent girls that substantially impairs daily functioning and quality of life, with prevalence reaching 87.8% in Semarang. This study aimed to evaluate the effectiveness of red onion ointment in reducing pain intensity and salivary cortisol levels among adolescents with primary dysmenorrhea. A randomized pretest–posttest-controlled trial group design was conducted involving 36 participants, who were randomly allocated using computer-generated simple randomization into an intervention group (n=18) and a control group (n=18). The intervention group received 2 grams of red onion ointment twice daily during the first three days of menstruation, while the control group received heat cream. Pain intensity was assessed using the Numeric Rating Scale, and salivary cortisol concentration was analyzed in the laboratory. Baseline pain intensity was comparable between groups, whereas baseline salivary cortisol concentration differed significantly. After the intervention, the red onion ointment group showed significantly greater reductions in Δ pain score (3.33±0.49 vs. 0.50±0.51) and cortisol (3.61±2.19 vs. 0.43 ± 3.78) compared with control (p<0.001). Effect sizes were very large for pain (d=5.67) and large for cortisol (d=1.03). These findings demonstrate that red onion ointment effectively reduces primary dysmenorrhea pain and physiological stress. It may serve as a promising complementary therapy although further studies are needed to evaluate long-term safety and broader applicability.
Effectiveness of a Genital Hygiene E-Guide in Improving Knowledge, Attitudes, and Practices Related to Urinary Tract Infection Prevention Among Adolescent Girls Bekti Putri Harwijayanti; Aulia Farmayanti; Epi Saptaningrum; Ristiana Ristiana
Jurnal Kesehatan Ibu dan Anak Vol. 19 No. 2
Publisher : Poltekkes Kemenkes Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29238/kia.v19i2.3056

Abstract

Urinary tract infections (UTIs) are common among adolescent girls and are strongly associated with anatomical characteristics and inadequate genital hygiene practices. Digital educational interventions may improve preventive health behaviors by enhancing knowledge, attitudes, and hygiene practices. This study aimed to evaluate the effectiveness of a genital hygiene e-guide on knowledge, attitudes, and practices related to urinary tract infection prevention among adolescent girls. A quasi-experimental one-group pretest-posttest study was conducted among 32 female students in a senior high school selected through purposive sampling in Blora Regency, Indonesia. Participant received a web-based genital hygiene e-guide, and knowledge, attitudes, and practices were assessed using a structured questionnaire before and after the intervention. Paired t-tests were performed with a significance level of p<0.05, 95% confidence interval, and effect sizes were calculated using Cohen's d. Following the intervention, significant improvements were observed in knowledge (47.19±8.13 vs. 94.38±6.19), attitude (51.75±7.39 vs. 91.16±3.09), and practice (49.38±6.19 vs. 91.72±2.79) (all (p<0.001). Very large effect sizes were observed for knowledge (d=6.53), attitudes (d=6.96), and practices (d=7.98). In conclusion, the genital hygiene e-guide is highly effective in improving knowledge, attitudes, and practices among adolescent girls. This digital-based intervention has strong potential as a promotive and preventive strategy to reduce the risk of UTIs and can be utilized as an accessible health education tool in school settings. Further controlled studies with larger populations are warranted to confirm these findings.
Effect of Centella asiatica Nanoparticles as an Adjunct to Iron Supplementation on Hemoglobin Levels among Anemic Adolescent Girls Jihadiatul Qorimah; Runjati Runjati; Marsum Marsum
Jurnal Kesehatan Ibu dan Anak Vol. 19 No. 2
Publisher : Poltekkes Kemenkes Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29238/kia.v19i2.3097

Abstract

Anemia among adolescent girls remains a major public health problem in Indonesia despite nationwide iron supplementation programs. Poor adherence to iron tablets and limited iron bioavailability reduces treatment effectiveness. Centella asiatica nanoparticles may enhance iron absorption and erythropoiesis by improving the bioavailability of bioactive compounds. This study aimed to evaluate whether nanoparticle-based Centella asiatica enhances the hematologic response to iron supplementation. A randomized pretest–posttest control group study was conducted from October to November 2025 at the Department of Midwifery, Poltekkes Kemenkes Semarang, Central Java, Indonesia. Forty anemic adolescent girls aged 16–19 years were recruited using purposive sampling and randomly assigned to intervention or control groups. The intervention group received oral Centella asiatica nanoparticles (500mg/day; particle size<200 nm) together with iron tablets (60mg/day), while the control group received iron alone for 14 days. Hemoglobin levels were measured before and after the intervention. Statistical analyses included paired and independent t-tests, and effect size was calculated using Cohen's d. Ethical approval was obtained from the institutional ethics committee. Hemoglobin levels increased significantly in both groups after the intervention (both p<0.001). The intervention group demonstrated a greater increase in hemoglobin concentration (11.19 ± 0.29 to 13.25 ± 0.52 g/dL) than the control group (11.39 ± 0.32 to 13.04 ± 0.46 g/dL), with a large effect size (Cohen's d=1.53). Between-group analysis indicated that the combined intervention produced significantly greater hemoglobin improvement than iron supplementation alone (p<0.05). Centella asiatica nanoparticles may serve as a promising adjunct to iron supplementation for improving hemoglobin levels in anemic adolescent girls. Larger and longer-term studies are needed to confirm their effectiveness and support integration into adolescent anemia prevention programs.
Comparative Effects of Aerobic and Core Strengthening Exercises on Primary Dysmenorrhea among Adolescents Girls Nabila Madina; Siti Khotimah; Moh Imron
Jurnal Kesehatan Ibu dan Anak Vol. 19 No. 2
Publisher : Poltekkes Kemenkes Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29238/kia.v19i2.3178

Abstract

Primary dysmenorrhea is one of the most common gynecological complaints among adolescent girls and may interfere with daily and school activities. Exercise-based intervention, including aerobic exercise and core strengthening exercise, can reduce menstrual pain as non-pharmacological management. This study aimed to compare the effects of aerobic exercise and core strengthening exercise on primary dysmenorrhea among adolescent girls. A randomized pre-test and post-test-controlled trial was used. The research was conducted at SMP Muhammadiyah 2 Gamping, Sleman, Indonesia involving 34 adolescent girls aged 10-17 years with primary dysmenorrhea. Participants were randomly assigned using simple randomization into an aerobic exercise group (n=17) and a core strengthening exercise group (n=17). Pain intensity was measured using the Visual Analog Scale (VAS) before and after a three-week intervention performed three times weekly, with 30-minute sessions. The mean VAS score in the aerobic exercise group decreased from 6.00 ± 2.09 to 3.00 ± 1.86, while the core strengthening group decreased from 7.18 ± 1.94 to 4.53 ± 1.84. The reduction in pain intensity was greater in the aerobic group (3.00 points) than in the core strengthening group (3.00 points vs. 2.65 points; Mean difference −1.53; 95% CI −2.75 to −0.31; p=0.020). Both interventions significantly reduced primary dysmenorrhea pain intensity (p<0.001) with a significant difference between groups p=0.020. Aerobic exercise may provide greater benefits in school-based menstrual health programs for adolescent’s girls.

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