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INDONESIA
JURNAL KEBIDANAN KESTRA (JKK)
Published by Institut Kesehatan Medistra Lubuk Pakam
ISSN : -     EISSN : 26550822     DOI : -
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Jurnal Kebidanan Kestra (JKK) terbit dua kali setahun, yakni periode Mei-Oktober, dan November- April tiap tahunnya. Jurnal ini memberikan ruang bagi akademisi, peneliti dan pengguna hasil penelitian dan pengabdian untuk mendiseminasikan, menginformasikan, mendiskusikan dan menggunakan hasil penelitian dan pengabdian sebagai upaya meningkatkan kualitas kebijakan di bidang kebidanan yang berbasis ilmiah dan dapat dipertanggung jawabkan. Jurnal ini menyajikan hasil penelitian, pengabdian masyarakat serta artikel ilmiah di bidang kebidanan.
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Articles 231 Documents
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The Effect of Acupressure at Meridian Points BL67 (Zhiyin) and LI4 (Hegu) on Labor Progress in Primigravida Mothers During the Active Phase of the First Stage of Labor Haryono, Nathasia Elga; Via Wiyana; Martine Agustina Meha; Resha Astari
JURNAL KEBIDANAN KESTRA (JKK) Vol. 7 No. 2 (2025): Jurnal Kebidanan Kestra (JKK)
Publisher : Fakultas Kebidanan Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkk.v7i2.2734

Abstract

According to the World Health Organization (WHO), approximately 75% of all maternal deaths are caused by various types of complications, one of which is prolonged labor. One non-pharmacological approach that can be used to address this issue is acupressure therapy at the BL67 and LI4 meridian points. The aim of this study was to evaluate the progress of labor in primigravida mothers by comparing the effectiveness of acupressure at the BL67 and LI4 points.This research employed a quasi-experimental method with a post-test only design. A total of 40 primigravida mothers in the active phase of the first stage of labor were evenly divided into two groups: 20 participants received acupressure at the BL67 point and the other 20 at the LI4 point. Data analysis was conducted using an independent sample t-test.The results showed that the significance value for the duration of labor progress in the active phase of the first stage was 0.199, which is greater than the significance threshold of 0.05. Therefore, the null hypothesis (H?) was accepted, indicating that there was no statistically significant difference in the average duration of labor between the group receiving acupressure at BL67 and the group receiving it at LI4.In conclusion, acupressure at both the BL67 and LI4 points can be considered an effective non-pharmacological method to support labor progress.
Influence of Health Promotion on Infant and Young Child Feeding (IYCF) Behavior by Mothers of Toddlers Sitorus, Rotua Sumihar
JURNAL KEBIDANAN KESTRA (JKK) Vol. 7 No. 2 (2025): Jurnal Kebidanan Kestra (JKK)
Publisher : Fakultas Kebidanan Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/ta46w316

Abstract

Background: Malnutrition in infants and young children, especially stunting, remains a major public health challenge in Indonesia. Health promotion is believed to improve appropriate Infant and Young Child Feeding (IYCF) practices. Objective: To analyze the influence of health promotion on IYCF behavior among mothers of toddlers in the working area of Lubuk Pakam Health Center. Research Methods: This was a quantitative analytic study with a cross-sectional design. A total of 120 mothers with children aged 6–24 months were selected using purposive sampling. Data were collected through structured questionnaires and analyzed using Chi-square tests. Results: About 70% of respondents had received health promotion, mainly through Posyandu (60.7%). Most mothers (62.5%) demonstrated good IYCF practices. A significant relationship was found between health promotion and IYCF behavior (p=0.0001). Conclusion: Health promotion significantly influences improved IYCF practices. Strengthening community-based health promotion, improving maternal nutrition literacy, and optimizing primary health care services are crucial for enhancing IYCF practices and reducing stunting rates.
The Impact of the Implementation of the Posbindu PTM Program on the Coverage of Early Detection of Non-Communicable Diseases Sirait, Reni Aprinawaty
JURNAL KEBIDANAN KESTRA (JKK) Vol. 7 No. 2 (2025): Jurnal Kebidanan Kestra (JKK)
Publisher : Fakultas Kebidanan Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/0xmtm732

Abstract

Background: Non-Communicable Diseases (NCDs) are the leading cause of death globally, including in Indonesia, which is experiencing an increasing prevalence of hypertension and diabetes. To address this challenge, the Indonesian government developed the Posbindu PTM program as an early detection effort for NCD risk factors at the community level. However, the effectiveness of the program implementation still faces various challenges in the field. Objective: This study aims to analyze the impact of the Posbindu PTM program implementation on the coverage of early detection of Non-Communicable Diseases in the working area of Merek Health Center, Karo District. Methods: This research employed a quantitative approach with a cross-sectional analytic design. Data were collected from 422 respondents who were active participants of Posbindu PTM using structured questionnaires, observations, and document reviews. Data were analyzed through univariate, bivariate (using Chi-Square tests), and multivariate analysis (using logistic regression). Results: The majority of respondents were female (60.2%) and aged 45–59 years (35.1%). The Posbindu activities were conducted ?3 times per year (68.2%), facilities and infrastructure were adequate (71.3%), cadres' competence was good (64.9%), and health workers’ involvement was high (59.5%). Coverage of blood pressure checks reached 74.4%, Body Mass Index (BMI) measurement 68.0%, random blood sugar checks 62.8%, and education on NCD risk factors 71.1%. A significant relationship was found between the program implementation and early detection coverage. Conclusion: The implementation of the Posbindu PTM program at Merek Health Center was fairly optimal and positively influenced the improvement of early NCD detection coverage. This program plays an important role in empowering communities to prevent and control NCDs through regular screening and health education.
The Relationship Between Cross-Program and Cross-Sectoral Support and the Achievement of Nutrition Programs in Stunting Reduction Rambey, Harris
JURNAL KEBIDANAN KESTRA (JKK) Vol. 7 No. 2 (2025): Jurnal Kebidanan Kestra (JKK)
Publisher : Fakultas Kebidanan Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/4bmb9t26

Abstract

Background: Stunting remains a major public health challenge in Indonesia. One of the factors influencing the success of nutrition programs for stunting prevention is cross-program and cross-sectoral support, which significantly affects intervention effectiveness at the primary healthcare level. Objective: This study aimed to analyze the relationship between cross-program and cross-sectoral support and the achievement of nutrition programs for stunting prevention at Batang Kuis Health Center, Deli Serdang Regency. Research Methods: A quantitative approach with a descriptive analytic design was employed. A total of 50 respondents, including health workers, health cadres, and representatives from education and social sectors, were selected through purposive sampling. Data were collected using questionnaires and in-depth interviews and analyzed with Pearson correlation and chi-square tests. Results: The study revealed a significant relationship between cross-program and cross-sectoral support and nutrition program achievements (p=0.003; r=0.65). Sector coordination, budget allocation, and monitoring were found to be suboptimal, contributing to an increase in stunting prevalence from 12.5% to 14.3% in 2022. Conclusion: Cross-sectoral and cross-program support plays a crucial role in the success of nutrition programs to combat stunting. Strengthening sectoral coordination, increasing nutrition program budgets, and empowering communities are recommended to accelerate stunting reduction efforts.
Effectiveness Of Lime Juice Administration (Citrus Aurantifolia) On Nausea Vomiting In Pregnant Women At Matahari Primary Clinic Tj. Morawa Ginting, Desideria Yosepha; Cyntia Deana
JURNAL KEBIDANAN KESTRA (JKK) Vol. 8 No. 1 (2025): Jurnal Kebidanan Kestra (JKK)
Publisher : Fakultas Kebidanan Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/enca1d55

Abstract

Background: Experiencing nausea or sickness while pregnant is common, especially in the first trimester, and it can have serious consequences for the mother's and foetus' health. Hormonal changes, gastrointestinal sensitivities, and psychological issues are usually associated with these symptoms, which about 70-80% of pregnant women experience. A natural cure that may alleviate nausea is lime, which is abundant in antioxidants and vitamin C. Lime has antiemetic qualities thought to be possessed by ingredients including citric acid and essential oils. When it comes to nausea and vomiting during pregnancy, using lime juice as a supplementary treatment is thought to provide a safer and more instinctual alternative. Objectives: This research is conducted to see if lime juice (Citrus aurantifolia) will help pregnant women who are experiencing nausea and vomiting during the first trimester who visit the Matahari Tj. Morawa Health Clinic. Research Method: This statistical study uses the non-parametric Wilcoxon test with a one-group pretest-posttest design. All moms at the Matahari Tj. Morawa Wellness Clinic who were in their first trimester were part of the research population. The intensity of vomiting was assessed using the PUQE-24, and a collection size of 14 participant was established using Slovin's algorithm. Research Results: At the Matahari Tj. Morawa Health Clinic, pregnant women in their first trimester reported less nausea and vomiting after drinking lime juice (p 0.001). Conclusion: Researchers at the Matahari Tj. Morawa Health Clinic found that pregnant women experiencing nausea and vomiting during the first trimester of their pregnancies found relief by drinking lime juice. The clinic should inform expectant moms about the benefits of lime juice for reducing morning sickness and vomiting, particularly in the first trimester.
Optimization of Congenital Hypothyroidism Screening (SHK) Actions in Newborns in the Perinatology Room Marliana, Lili; Felix Kasim; Okto Hebron Purba
JURNAL KEBIDANAN KESTRA (JKK) Vol. 8 No. 1 (2025): Jurnal Kebidanan Kestra (JKK)
Publisher : Fakultas Kebidanan Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/287f4g04

Abstract

Background: Congenital Hypothyroidism (CH) is a thyroid dysfunction disorder present at birth. Congenital Hypothyroidism Screening (CHS) is performed a few days after birth to detect CH early and prevent negative impacts on the child's growth and development. However, the implementation of CHS in healthcare facilities often faces challenges.Objective: This study aims to describe and analyze the efforts to optimize the implementation of CHS for newborns in the perinatology room of RSUD dr. H. Kumpulan Pane, Tebing Tinggi City. Research Method: This descriptive qualitative study used snowball sampling technique to select informants. Data was collected through interviews and observations, with five main informants and fifteen additional informants. The research was conducted from January to March 2024. Results: The implementation of CHS at RSUD dr. H. Kumpulan Pane still faces several challenges, such as limited knowledge and skills of the staff, only one trained staff member, and ineffective communication. Additionally, the procurement of disposable medical supplies (BMHP) from the Tebing Tinggi City Health Office for 2024 is still unclear. Conclusion: The implementation of CHS at RSUD dr. H. Kumpulan Pane needs improvement, particularly in staff training, internal communication, and BMHP procurement. The Health Office is advised to enhance training, ensure BMHP procurement, and strengthen monitoring and cooperation with the hospital to make CHS more effective.
An Overview of Knowledge and Attitude About Premenstrual Syndrome on 9th Grade Students at Junior High School Number 1 West Selemadeg Della amelia putri; Nurul Azmi Aprianti
JURNAL KEBIDANAN KESTRA (JKK) Vol. 8 No. 1 (2025): Jurnal Kebidanan Kestra (JKK)
Publisher : Fakultas Kebidanan Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/drebmp30

Abstract

Background: Culture plays a significant role in shaping the habits, beliefs, and health decisions during pregnancy. Cultural practices can support maternal and fetal health, but they can also potentially pose risks, such as unhealthy diets or excessive physical activity. Studies in Ethiopia and Tanzania have shown that cultural habits can hinder access to modern healthcare services. Therefore, a deep understanding of the local culture is crucial for designing culturally sensitive health interventions. Objective: To enhance understanding and awareness of pregnancy, especially high-risk pregnancies, by considering the cultural influences on habits, beliefs, and health decisions made by mothers to support the optimal well-being of mothers and babies. Methods: This study utilized a scoping review design based on PRISMA guidelines. A total of 27.454 articles were identified and screened based on inclusion criteria, which included publications from 2020 to 2024 and available in full-text format. Results: The analysis revealed that culture plays a crucial role in influencing the health and behavior of pregnant women. Various cultural practices can promote health but may also pose risks. From the 15 articles analyzed, patterns emerged showing how traditions, norms, and beliefs influence health decisions, dietary patterns, and access to healthcare services. Conclusion: Understanding the cultural influences in the context of pregnancy is critical. Culturally-based and collaborative health interventions can help address the challenges faced by pregnant women, especially those at high risk. By considering cultural values and traditional practices, healthcare services can become more effective and relevant, supporting the health of mothers and the optimal development of the fetus.
The Relationship Between Knowledge of Personal Hygiene and Cases of Vaginal Discharge Among Adolescent Girls at SMK Negeri Pinolosian Timur, Bolaang Mongondow Selatan Regency Widyani, Ni Made; Ilmiah, Widia Shofa
JURNAL KEBIDANAN KESTRA (JKK) Vol. 8 No. 1 (2025): Jurnal Kebidanan Kestra (JKK)
Publisher : Fakultas Kebidanan Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/10z8y997

Abstract

Kesehatan reproduksi remaja putri sangat rentan mengalami gangguan seperti keputihan patologis, yang dapat menurunkan kualitas hidup mereka. Penelitian ini bertujuan untuk menganalisis hubungan antara tingkat pengetahuan personal hygiene dengan kejadian keputihan patologis pada remaja putri di SMK Negeri Pinolosian Timur Kabupaten Bolaang Mongondow Selatan. Penelitian menggunakan metode cross-sectional dengan total sampling sebanyak 45 responden. Pengukuran dilakukan menggunakan kuesioner terstruktur dan observasi langsung, kemudian data dianalisis menggunakan uji korelasi Kendall’s Tau-b. Hasil menunjukkan mayoritas responden memiliki tingkat pengetahuan personal hygiene kategori cukup (51,1%), baik (33,3%), dan kurang (15,6%). Keputihan patologis ditemukan pada 15,6% responden, sedangkan sisanya mengalami keputihan fisiologis. Terdapat korelasi positif kuat antara tingkat pengetahuan personal hygiene dan kejadian keputihan patologis (?=0,660; p=0,000). Remaja dengan tingkat pengetahuan personal hygiene yang rendah lebih rentan mengalami keputihan patologis. Hasil penelitian ini menggarisbawahi pentingnya edukasi kesehatan reproduksi berbasis sekolah untuk meningkatkan pemahaman remaja tentang personal hygiene. Peningkatan pengetahuan tersebut diharapkan mampu mencegah kejadian keputihan patologis serta dampak negatifnya secara klinis maupun psikososial, sehingga dapat meningkatkan kualitas kesehatan reproduksi remaja putri secara optimal.
The Relationship Between The Level Of Knowledge And The Implementation Of Early Mobilization On Wound Healing In Post-Caesarean Section Mothers At The Kotamobagu City Hospital. Dinalisnawaty Akri Daeng Maeta; Ilmiah, Widia Shofa
JURNAL KEBIDANAN KESTRA (JKK) Vol. 8 No. 1 (2025): Jurnal Kebidanan Kestra (JKK)
Publisher : Fakultas Kebidanan Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/4660hm04

Abstract

The healing process of incisional wounds after cesarean section (SC) surgery is a multifactorial outcome influenced by both cognitive and behavioral aspects, particularly the mother's level of knowledge and the implementation of early mobilization. Early mobilization is proven to accelerate tissue repair by enhancing physiological recovery mechanisms, yet its effectiveness highly depends on the mother’s understanding and willingness to initiate movement postoperatively. This study aims to examine the relationship between knowledge level and early mobilization practices on wound healing outcomes among post-SC mothers at the Regional Public Hospital (RSUD) of Kota Kotamobagu. A quantitative analytic study was conducted using a cross-sectional design, involving 40 respondents selected through total sampling. Data were collected via structured questionnaires and clinical observation of wound healing on the third postoperative day. Statistical analyses included Chi-Square tests and multivariate logistic regression. The results showed that all mothers with low knowledge or poor mobilization practices experienced delayed wound healing, whereas those with moderate to high knowledge and proper mobilization demonstrated optimal recovery. A p-value of 0.000 was obtained for both variables, indicating a highly significant relationship. Early mobilization was the strongest predictor of wound healing success (OR = 25.98), followed by good knowledge levels (OR = 8.52). The study concludes that both knowledge and early mobilization behavior significantly contribute to postoperative recovery in SC patients. Educational reinforcement and psychosocial support during hospitalization are essential to promote early mobilization practices and empower mothers in participating actively in their healing process.
The Effect Of Common cold Massage To Reduce Cough Symptoms In Toddlers At Ramdani Husada Clinic Rosanti, Febri; Alfitri, Rosyidah
JURNAL KEBIDANAN KESTRA (JKK) Vol. 8 No. 1 (2025): Jurnal Kebidanan Kestra (JKK)
Publisher : Fakultas Kebidanan Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/31xbcc52

Abstract

Common cold is an upper respiratory tract disorder that often occurs in infants and toddlers. This condition is caused by a viral infection, with rhinovirusas the most dominan etiologic agent. Treatment for common cold can be done through two main approaches, namely pharmacological and non-pharmacological. Pharmacological therapy involves of antipyretics such as paracetamol, and expectorans such as glyceryl guaicolate. On the other hand, non-pharmacological approache is a form of complementary therapy. One method used is common cold massage, which is claimed to provides a relaxing effect and help relieve respiratory symptoms through simulation at certain points. This study aims to determine the effect of common coldand cold symptoms in toddlers. This study uses a quantitative design with a quasi experimental. The sampling technique was carried out by purposive sampling. The sampling by purposive sampling, with a total of 22 toddlers as respondents. Data analysis was performed univarieately dan bivariately, using the Wilcoxon test to test the difference in symptom scores before and after the intervention. Pre-test data showed that 50%of respondents were in the sever cough and common cold category. After the intervention, the post-test results showed that 68,2% of toddlers decrease in to the mild category. The Wilcoxon test results showed a significance value of p = 0,000 (p = <0,005), which indicated thet there was a significant effect between common cold massage therapy and a decrease in cough and cold symptoms.

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