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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 475 Documents
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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.
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.
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.
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.
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.
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.

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