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Jurnal Kesehatan Ibu dan Anak
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jurnalkiajogja@gmail.com
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INDONESIA
Jurnal Kesehatan Ibu dan Anak
ISSN : 23026014     EISSN : 25993224     DOI : -
Core Subject : 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
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.
Preventing Stunting from the Source: A Study of Premarital Couples on Participation in Preconception Care Nuriana Kartika Sari; Ismiyati, Atik; Hernayanti, Munica Rita; Sumarah, Sumarah; Siscadarsih, Indraswari
Jurnal Kesehatan Ibu dan Anak Vol. 19 No. 1
Publisher : Poltekkes Kemenkes Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29238/kia.v19i1.2907

Abstract

Indonesia ranks among the highest globally for childhood stunting, largely due to chronic nutritional deficiencies beginning during the first 8000 days of life—starting even before conception. Poor health and nutritional status among women of reproductive age prior to marriage significantly increase the risk of adverse pregnancy outcomes and childhood stunting. This study aimed to identify the determinants of premarital couples’ participation in preconception care as a strategy to reduce stunting. This cross-sectional analytical study involved 61 premarital couples recruited through total sampling at the Office of Religious Affairs (KUA) in Kapanewon Sewon, Bantul Regency, Yogyakarta, Indonesia. Inclusion criteria included couples aged 20–35 years who met the study requirements. Data were analyzed using univariate, bivariate (Chi-square), and multivariate logistic regression tests. Knowledge (p = 0.001), attitude (p = 0.007), and social support (p = 0.015) were significantly associated with participation in preconception care. Multivariate analysis showed that couples with good knowledge were 4.3 times more likely (AOR = 4.30; 95% CI: 1.65–11.22) to participate in preconception care. Improved knowledge, positive attitudes, and strong social support significantly increase premarital couples’ participation in preconception care. Strengthening early health promotion and community-based interventions is essential to optimize reproductive health preparation and prevent stunting from its earliest source.
Work related to reproductive health risk analysis for female healthcare workers Herawati, Dian; Rahmawati, Shofiyah Arviana
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.v17i2.2026

Abstract

Female workers have a risk of being exposed to various hazards in the work environment which can cause health problems including of reproductive health. However, evidence linking workplace hazards—such as job type, work shift, and exposure to chemical, biological, or physical agents—with menstrual and pregnancy disorders remains limited.  This study aims to analyze work related to reproductive health risk of female healthcare workers at the hospital. A cross-sectional quantitative study using path analysis was conducted at Gadjah Mada University Academic Hospital, Indonesia, from April to November 2022. A total of 71 female healthcare workers (doctors, nurses, midwives, pharmacists, radiologists, and allied professionals) were recruited using stratified random sampling. Data were collected through structured questionnaires, interviews, and field observations, covering sociodemographic characteristics, work-related exposures, menstrual disorders, and pregnancy outcomes. Path analysis with regression modeling was performed to assess direct and indirect effects, and model fit was evaluated using standard indices. The majority of respondents were aged 20–35 years (72%), nulliparous (61%), and non-nurse medical staff (56%). Menstrual disorders were reported by 46% of participants, while 39% experienced pregnancy-related complications (e.g., abortion, preeclampsia, preterm birth). Exposure to chemical hazards was reported by 65%, biological hazards by 68%, and radiation by 38%. Path analysis showed that agent exposure (direct effect = 0.392, p<0.05) and work shift (direct effect = 0.223, p<0.05) significantly increased the risk of pregnancy disorders, while type of job influenced outcomes only indirectly (direct effect = 0.105; indirect effect = 0.210). The model explained 71.9% of the variance in pregnancy disorders (R² = 0.719).Occupational hazards, particularly agent exposure and shift work, are significant predictors of reproductive health problems among female healthcare workers. These findings highlight the need for institutional policies on safer shift scheduling, exposure monitoring, and reproductive health protection in hospital settings. Strengthening occupational health regulations is essential to safeguard maternal and fetal outcomes in the healthcare workforce.
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.