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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.
Arjuna Subject : -
Articles 475 Documents
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Determinants of antenatal care visits among adolescent pregnancy Hernayanti, Munica Rita; Arum, Dyah Noviawati Setya; Maranata, Maranata; Laksmita, Okki Dhona
Jurnal Kesehatan Ibu dan Anak Vol. 17 No. 2
Publisher : Poltekkes Kemenkes Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29238/kia.v17i2.2052

Abstract

Adolescent pregnancy is a serious problem. Adolescent pregnancy can lead to reduced antenatal care (ANC) visits and result in significant consequences in the form of untreated pregnancy complications that will result in increased Maternal Mortality Rate (MMR). The primary objective of this study was to ascertain and scrutinize the factors influencing antenatal care (ANC) visitation patterns among adolescent pregnant women within Bantul Regency. This study is an observational analytic study with a cross-sectional design. The outcomes of the chi-square test for the facilitating factor yielded results about the level of education (p= 0.041), marriage status (p= 0.006), and pregnancy status (p= 0.000) while on the reinforcing factor of family support (p= 0.027). The results of this study's logistic regression test stated that health worker support (p= 0.020) and pregnancy status (p= 0.001). The conclusion of this research suggests that the pivotal determinants significantly influencing ANC utilization among adolescent pregnant women in Bantul Regency are the presence of health worker support and the particular status of pregnancy.
The influence of history of anemia in pregnant women on the incident of stunting newborn Wahyuningsih, Heni Puji; Abdul-Mukmin, Khadizah H.; Putri, Diani Fadmi
Jurnal Kesehatan Ibu dan Anak Vol. 17 No. 2
Publisher : Poltekkes Kemenkes Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29238/kia.v17i2.2067

Abstract

Maternal and Child Health Problems (MCH) are still a health problem in Indonesia. Many factors affect the stunting condition, one of which is the history of anemia in pregnant women. The study aimed to know the effect of a history of anemia in pregnant women on stunting in newborns. The research design used case control. The population was all newborns of ??the Ponjong II Public Health Center (PHC) Gunungkidul working area in 2020-2022, with as many as 315 babies. The election of case and control groups used inclusion and exclusion criteria, which were selected from 62 samples. The research instrument used a table of data collection. Data analysis used univariate and odds ratio analysis, and Mantel Haenszel. The results of the study show that anemia in pregnancy influences stunting conditions in newborns. Mothers who have a history of anemic conditions during pregnancy and stunting conditions are 28,125 times more likely than mothers who have no history of anemia. There is an influence of anemia history in pregnant women that affects the stunting condition. A history of anemia increases the risk of newborn babies having stunts.
The history of diarrhea and stunting in children aged 24-59 months: a relationship study Rahma Hilmawati, Zaida; Sujiyatini, Sujiyatini; Retnaningsih, Yuliantisari; Maretalinia, Maretalinia
Jurnal Kesehatan Ibu dan Anak Vol. 17 No. 2
Publisher : Poltekkes Kemenkes Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29238/kia.v17i2.2068

Abstract

The prevalence of stunting in Indonesia remains relatively high. Various consequences can arise due to stunting, including impaired cognitive development in children, suboptimal school performance, and potential long-term impacts on women during adulthood. Diarrhea is identified as one of the triggers for stunting, often caused by insufficient parental supervision and inadequate Exclusive Breastfeeding (EBF) and Complementary Feeding (CF) practices. The study aimed to investigate the relationship between diarrhea occurrence and stunting among toddlers aged 24-59 months. The research employed an observational analysis design using a case-control approach. Sample selection was done through purposive Sampling, involving criteria for inclusion and exclusion. The total sample size was 130 individuals, comprising 65 case samples and 65 control samples. The study was conducted at Dlingo II, Pajangan, and Imogiri II Public Health Centers in Bantul Regency in 2021. Secondary data from registers and medical records were utilized. Data analysis involved the use of the chi-square test and odds ratio (OR). The majority of stunted toddlers were male, had low birth weight, a history of exclusive breastfeeding, and a history of complementary feeding for less than six months. There was a significant relationship between diarrhea and stunting incidence (p=0.023) with an OR value of 3.335 (1.625-6.844). This implies that toddlers with a history of recurrent diarrhea are three times more likely to experience stunting. There is a significant association between diarrhea occurrence and stunting among toddlers aged 24-59 months in the working area of Bantul Regency.
Infused water (strawberry and honey) to mothers with emesis gravidarum Raihanah Fathindya Pratiwi; Suparmi, Suparmi; Widiastuti, Dhias
Jurnal Kesehatan Ibu dan Anak Vol. 17 No. 2
Publisher : Poltekkes Kemenkes Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29238/kia.v17i2.2077

Abstract

Emesis gravidarum, a common complication during early pregnancy, often leads to discomfort and nutritional deficiencies. Pharmacological treatments are available but may carry side effects and high costs. Therefore, non-pharmacological interventions utilizing natural ingredients such as fruits and honey are gaining interest due to their nutritional benefits and safety profile. This study aimed to examine the effect of infused water containing strawberry and honey on the severity of emesis gravidarum in first-trimester pregnant women. A pre-experimental one-group pretest-posttest design was conducted involving 32 pregnant women in their first trimester at the Toroh 1 Public Health Center, Grobogan, Indonesia. Participants consumed strawberry and honey-infused water daily for four consecutive days. The severity of emesis gravidarum was measured using a visual analog scale (VAS). Data were analyzed using the Wilcoxon signed-rank test, following a normality check with the Shapiro–Wilk test. The average emesis score significantly decreased from 4.81 (SD = 0.738) before the intervention to 2.78 (SD = 0.706) after the intervention. The Wilcoxon signed-rank test revealed a statistically significant difference (Z = -4.930; p < 0.001), indicating that the infused water intervention effectively reduced the severity of emesis gravidarum. Strawberry and honey-infused water significantly reduced symptoms of emesis gravidarum among first-trimester pregnant women. The intervention offers a safe, natural, and cost-effective alternative to pharmacological therapy. These findings support the integration of natural dietary interventions into antenatal care programs as a complementary strategy for managing early pregnancy discomfort.
Providing breastfeeding techniques counseling towards improvement knowledge and practices for postpartum mother Lathifah, May; Suparmi, Suparmi; Widiastuti, Dhias
Jurnal Kesehatan Ibu dan Anak Vol. 17 No. 2
Publisher : Poltekkes Kemenkes Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29238/kia.v17i2.2080

Abstract

Incorrect breastfeeding techniques can lead to ineffective milk transfer and maternal nipple trauma, hindering successful breastfeeding. Proper positioning and attachment are essential components of effective breastfeeding. However, many new mothers, particularly primiparous women, often lack adequate knowledge and skills in these techniques. This study aimed to examine whether structured breastfeeding technique counseling could significantly improve the knowledge and breastfeeding practices among early postpartum primiparous mothers. A quasi-experimental study with a nonequivalent control group design was conducted involving 90 primiparous postpartum mothers (within 6 hours to 2 days postpartum). Participants were selected using convenience sampling and assigned to an intervention group (n = 45) and a control group (n = 45). The intervention group received structured breastfeeding technique counseling. Knowledge and practice levels were measured using validated questionnaires. Due to non-normal data distribution, the Mann–Whitney U test was used for statistical analysis. The mean knowledge score in the intervention group was significantly higher than in the control group (43.8 vs. lower value not reported; p < 0.001). Similarly, the mean practice score in the intervention group was significantly higher (45.0 vs. lower value not reported; p < 0.001), indicating a statistically significant improvement in both outcomes following the counseling intervention. counseling on correct breastfeeding techniques significantly enhances both the knowledge and practices of primiparous postpartum mothers. These findings underline the importance of integrating structured educational programs into postpartum care to support new mothers effectively.
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.
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.
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.

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