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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 482 Documents
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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.
Sudoku-based health improves Gen Z’s knowledge and attitudes toward adolescent pregnancy risks Intan Nugraheni Hasanah; Sri Setiasih; Triana Sri Hardjanti; Cinta Kasih Salsabilla
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.v19i1.2903

Abstract

Adolescent pregnancy remains a public health concern in many countries, including Indonesia, as it increases the risk of maternal and infant mortality. Limited knowledge and inappropriate attitudes are contributing factors. This study explores the use of Sudoku games as an innovative medium for health education, aimed at enhancing student engagement and promoting interactive learning. The objective is to assess the effect of health education through Sudoku games on the knowledge and attitudes of Generation Z regarding adolescent pregnancy. This study employed a quantitative method with a pre-experimental design, utilizing a one-group pretest–posttest approach. The population consisted of 160 students, with a sample of 60 eleventh-grade students from Pembangunan Nasional Vocational School, Purwodadi. Samples were selected using purposive sampling, and the sample size was determined using the Slovin formula with a 5% margin of error. The intervention was conducted over one day, and data were analyzed using the Wilcoxon test. The results of this study indicate a significant effect. The proportion of students categorized as having good knowledge increased from 1.7% to 100%, representing a 98.3 percentage-point increase, with a significant effect (Z = -6.743, p < 0.001, r = -0.87). Attitude scores also improved from 33.3% to 88.3%, reflecting a 55 percentage-point improvement, indicating a shift toward more positive attitudes about the risks ofadolescent pregnancy (Z = -6.548, p < 0.001, r = -6.548). Both outcomes demonstrated medium-to-large effect sizes, confirming the educational relevance of the intervention. The provision of health education through Sudoku as an instructional medium demonstrated a significant influence on the knowledge and attitudes of Generation Z (Gen Z) concerning the risks ofadolescent pregnancy. These findings indicate that the Sudoku game can be utilized as an effective and practical tool for adolescent reproductive health education and holds potential as a reference for future scholarly investigations.
Maternal Nutritional Adequacy and Breast Milk Production Among Lactating Mothers in a Rural Primary Health Care Setting in Indonesia Aguslina Aguslina; Cut Yuniwati; Hendrika Wijaya Kartika Putri
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.v19i1.2923

Abstract

Adequate maternal nutrition during lactation is essential for maintaining maternal health and supporting optimal breast milk production. However, evidence regarding the relationship between maternal nutritional adequacy and breast milk production in primary health care settings remains limited, particularly in rural areas of Indonesia. This study aimed to examine the association between maternal nutritional adequacy and breast milk production among lactating mothers in a primary health care setting in North Aceh, Indonesia. A descriptive analytic study with a cross-sectional design was conducted from June to August 2024 among lactating mothers in the catchment area of the Nisam Primary Health Center, North Aceh, Indonesia. Total sampling was employed, and all eligible lactating mothers were included, resulting in a final sample of 41 participants. Maternal nutritional adequacy was assessed as a composite variable encompassing dietary intake, meal patterns, nutritional knowledge, and socioeconomic conditions. Breast milk production was evaluated using validated maternal-report indicators and categorized as adequate or inadequate. Data were analyzed using descriptive statistics and the Chi-square test, with statistical significance set at p < 0.05. Complete data were obtained from all 41 participants. Lactating mothers with adequate maternal nutritional status were more likely to report adequate breast milk production than those with inadequate nutritional status. The Chi-square analysis demonstrated a statistically significant association between maternal nutritional adequacy and breast milk production (p < 0.05). Maternal nutritional adequacy was significantly associated with adequate breast milk production among lactating mothers in a rural primary health care setting in North Aceh. These findings suggest that integrating routine nutritional assessment and nutrition-focused counseling into maternal and child health services may support favorable breastfeeding outcomes. Further longitudinal studies using objective measures of breast milk production are warranted to clarify the temporal relationship between maternal nutritional adequacy and breastfeeding outcomes.
Midwives' perceptions of patient safety and their impact on patient outcomes: systematic review Fajar Rubianti; Budi Aji; Joko Mulyanto
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.v19i1.2964

Abstract

Patient safety is a global health priority, particularly in maternity care, where midwives are central to ensuring safe maternal and neonatal outcomes. Yet, their own perceptions of safety remain underexplored. This systematic literature review aimed to synthesise evidence on midwives’ perceptions of patient safety and examine how these perceptions influence maternal and neonatal outcomes. The review followed PRISMA 2020 guidelines and used the JBI Critical Appraisal Checklist for quality assessment. Literature searches were conducted in PubMed, Scopus, ScienceDirect, and Google Scholar for studies published between 2020 and 2025. Eligible studies included quantitative research exploring midwives’ safety perceptions and related outcomes. From 250 identified records, four studies met the inclusion criteria.. Findings revealed that midwives’ perceptions of safety were shaped by staffing adequacy, work environment, managerial support, and communication systems. Understaffing of registered midwives was associated with an 11% increase in harmful incidents, and high patient turnover with a 19% increase in adverse events. Structured feedback and leadership-driven action planning improved teamwork climate and job satisfaction. Positive work environments correlated with stronger safety culture and intent to remain in the profession. Additionally, communication tools supporting woman-centred care enhanced shared decision-making and improved labour experiences. Midwives’ perceptions of safety reflect real systemic risks and can serve as early indicators of maternal care quality. Strengthening staffing levels, fostering supportive organisational cultures, and promoting woman-centred practices are critical to enhance both patient outcomes and workforce stability.
Association Between Maternal Knowledge of Developmental Stimulation and Toddler developmental status Among Toddlers Aged 12–36 Months Fitri Handayani; Juliastuti Juliastuti; Hafsah Hafsah
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.v19i1.2967

Abstract

Toddlerhood (12–36 months) is a critical period of rapid physical, cognitive, language, and socio-emotional development. Maternal knowledge of developmental stimulation is an important factor associated with children's toddler developmental status, yet evidence from community-based settings in Indonesia remains limited. This study aimed to examine the association between maternal knowledge of developmental stimulation and toddler developmental status among toddlers aged 12–36 months attending the Kasih Ibu Integrated Health Post (Posyandu) in Nisam District, North Aceh. A quantitative analytic study with a cross-sectional design was conducted between December 2024 and June 2025. The study involved 36 mothers with toddlers aged 12–36 months who were recruited using a total sampling approach. Maternal knowledge was measured using a 20-item questionnaire (Cronbach's α = 0.82), and toddler development was assessed using the Developmental Pre-Screening Questionnaire (Kuesioner Pra Skrining Perkembangan [KPSP]). Developmental status was categorized as normal or suspected developmental delay (doubtful and delayed). Data were analyzed using the Fisher–Freeman–Halton Exact Test. Most mothers demonstrated good knowledge of developmental stimulation (69.4%), while 16.7% and 13.9% had fair and poor knowledge, respectively. Overall, 69.4% of toddlers had normal developmental status and 30.6% were classified as having suspected developmental delay. The proportion of toddlers with normal developmental status declined from 84.0% among mothers with good knowledge to 50.0% and 20.0% among those with fair and poor knowledge, respectively. A statistically significant association was identified between maternal knowledge and toddler developmental status (exact p = 0.007), with a moderate association strength (C = 0.464). Maternal knowledge of developmental stimulation was significantly associated with toddler developmental status. Enhancing maternal education through Posyandu-based counseling and routine developmental monitoring may support optimal early childhood development.
Effectiveness of a 4% Emprit Ginger Gel in Reducing Pain Intensity and Salivary Cortisol Levels Among Adolescents with Primary Dysmenorrhea: A Randomized Controlled Trial on Topical Therapy for Primary Dysmenorrhea Windi Mei Safitri; Suharyo Hadisaputro; Sri Sumarni
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.v19i1.3041

Abstract

Dysmenorrhea is highly prevalent among Indonesian adolescents in Indonesia and adversely affects pain perception, concentration, daily functioning, and quality of life. This study aimed to develop a stable and standardized 4% emprit ginger gel, a topical formulation designed to enhance penetration and ease of use, and to evaluate its effectiveness in reducing pain intensity and modifying salivary cortisol levels in adolescents with primary dysmenorrhea. This study employed a randomized controlled true experimental design was conducted at a senior high school in Surakarta, Indonesia, between June and July 2025. Inclusion criteria included female students experiencing primary dysmenorrhea for the previous three menstrual cycles, who had never married or given birth, not using other complementary therapies, and willing to participate. Thirty-six eligible adolescents were randomly assigned to the intervention group (4% ginger gel, 2 grams) or the control group (cajeput oil, 2 ml) using a lottery system. Both interventions were applied twice daily for three consecutive days during menstruation. Pain intensity was measured using Numeric Rating Scale (NRS), and salivary cortisol levels was measured using enzyme-linked immunosorbent assay (ELISA) on the first and third days. Compared with cajeput oil, the 4% emprit ginger gel produced significantly greater reduction in pain intensity. Meanpain reduction was greater in the intervention group (3.67±0.97, p=0.017). Mean cortisol reduction also was greater in the intervention group 4.972±6.65, p=0.043). The findings support the use of 4% emprit ginger gel safe and effective complementary therapy adolescents with primary dysmenorrhea

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