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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 Relationship Between the History of Providing Complementary Foods Under 6 Months and the Incidence of Stunting in Toddlers Yulianti; Fatimah, Deviani
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/xkh2p546

Abstract

The health and well-being of infants throughout their lives are significantly influenced by adequate nutrition. Nutritional deficiencies, often associated with stunting, can negatively impact a child's physical growth, motor development, and cognitive abilities. Infants who receive complementary foods (MPASI) before 6 months of age are at higher risk of experiencing essential nutrient deficiencies. This study aims to determine the relationship between the history of MPASI provision under 6 months of age and the incidence of stunting in toddlers in the Lumpue Community Health Center (Puskesmas) work area. The method used was a quantitative study with a cross-sectional design. The study population included all toddlers registered at the Lumpue Community Health Center in May 2025, totaling 97 children, with a sample size of 78 toddlers. The research instrument was a questionnaire, while data analysis used the chi-square test. The analysis results showed a p-value of 0.000, so the alternative hypothesis (Ha) was accepted and the null hypothesis (H0) was rejected. Thus, there is a significant relationship between the provision of MPASI before 6 months of age and the incidence of stunting in toddlers. It is hoped that further research will be able to examine in more depth other factors such as the quality of complementary feeding, parenting patterns, and the role of health education in shaping the behavior of providing complementary feeding.
The Role of Leaflets as a Means of Reproductive Health Education for Adolescents at Trisakti Private Middle School, Lubuk Pakam Octavariny, Raisha; Sri Melda Br Bangun; Wilda Wahyuni Siregar; Helni W.L Simarmata
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: 10.35451/7av5yf11

Abstract

Adolescents are in a critical stage of growth and development, making reproductive health education essential. This study aimed to analyze the role of leaflet media as an educational tool in improving adolescents' knowledge about reproductive health at SMP Swasta Trisakti Lubuk Pakam. The research used a quantitative design with a pre-test and post-test approach involving 41 respondents selected purposively. Data were collected using questionnaires before and after the health promotion intervention. Analysis was conducted with paired sample t-test. The results show a significant increase in knowledge after leaflet distribution, with respondents in the good knowledge category increasing from 56.1% to 78.0%. The statistical test yielded a p-value = 0.001 (p < 0.05), indicating a significant effect. It can be concluded that leaflet media is effective as an educational tool to increase adolescent reproductive health knowledge, and it can be recommended as a school-based health promotion strategy.
The Effect Of Education On Correct Breastfeeding Techniques Using Breast Model On Breastfeeding Behavior In Postpartum Mothers Turnip, Meria; Nikmah Jaliliah Ritonga; Elvi Era Liesmayani; Ulfah Khomaina Aulia
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/ys4hgj65

Abstract

The postpartum period is a crucial period for the success of exclusive breastfeeding. A mother's understanding of proper breastfeeding techniques is one of the factors influencing breastfeeding success. Education using demonstration media such as breast models can improve mothers' understanding and skills in breastfeeding. This study aims to determine the effect of education on proper breastfeeding techniques using breast models on breastfeeding behavior in postpartum mothers at the Nining Pelawati Midwife Clinic in Lubuk Pakam. This study used a pre-experimental design with a one-group pretest-posttest approach. The sample in the study was 18 respondents selected using a purposive sampling technique. Data were collected through a breastfeeding behavior questionnaire before and after education. The results of the analysis showed a significant increase in breastfeeding behavior after education was provided, with a p-value of 0.015 (p <0.05). Therefore, it can be concluded that education on proper breastfeeding techniques using breast models is effective in improving breastfeeding behavior in postpartum mothers. Therefore, the use of demonstration media in breastfeeding education is highly recommended in health care facilities. in health care facilities.
The Effect Of Soaking Feet In Warm Water On Edema Of Pregnant Women's Feet In The Trimester III At ThemidwifeSiswani Lubuk Pakam Clinic In 2025 Saragih, Astri Ulina; Risky Yulanda; Santa Natalia; Sri Andini Herawati
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/thd5sn93

Abstract

Edema is a common complaint experienced by pregnant women, especially in the third trimester, due to physiological changes during pregnancy such as increased blood volume and uterine pressure on the veins. Untreated edema can cause discomfort and health risks. One non-pharmacological method that is believed to be effective in reducing edema is soaking feet in warm water. Objective: This study aims to determine the effect of soaking feet in warm water on the degree of foot edema in pregnant women in the third trimester. MethodThis study used a pre-experimental design with a one group pretest-posttest approach. A sample of 11 pregnant women in the third trimester was selected using purposive sampling. Foot edema data were measured before and after the foot soaking intervention in warm water for several sessions. Data analysis used a Paired Sample t-test to determine the difference in the degree of edema before and after the intervention Result The results showed that the average foot edema score before the intervention was 2.55 with a standard deviation of 0.522, while after the intervention it decreased to 1.73 with a standard deviation of 0.786. Statistical test shows a p-value of 0.000 (p < 0.05), which means there is a significant difference between the edema condition before and after soaking feet in warm water. Conclusion: Soaking feet in warm water has a significant effect on reducing the degree of edema in pregnant women in the third trimester..  
The Level of Student Knowledge about Reproductive Health at the Faculty of Midwifery, Medistra Lubuk Pakam Ladyvia, Fiyola; Haryono, Natasha Elga; Khaerunisa, Ismah
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: 10.35451/0vgsm035

Abstract

Reproductive health is a fundamental competency that must be mastered by midwifery students because it is closely related to professional practice in maternal and child health services. This study aims to analyze determine the level of knowledge of students of the Faculty of Midwifery at the Medistra Health Institute, Lubuk Pakam, regarding reproductive health. The study design used a quantitative descriptive approach with a cross-sectional method. The study sample consisted of 100 students selected using a purposive sampling technique. Data were collected using a structured questionnaire and analyzed using SPSS software with descriptive statistical tests and Pearson correlation. The results showed that 72% of students had a good level of knowledge, 20% had a sufficient level of knowledge, and 8% had a poor level of knowledge. The correlation analysis showed a positive relationship between knowledge level and semester (r = 0.416; p < 0.05), meaning that the higher the semester, the better the level of knowledge. The conclusion of this study indicates that the level of student knowledge about reproductive health is quite good, but it is necessary to improve continuous education through contextual learning and field-based training.
The Effect of Giving Soy Milk (Glycine Max) on Breast Milk Production in Breastfeeding Mothers at the Nurtiana Midwife Clinic Sinaga, Sri Putri; Dinar Manalu; Sunengsih; Lely Masnita; SJ, Nova
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: 10.35451/6rnd8n33

Abstract

Suboptimall brealst milk production remalins al problem for some brealstfeeding mothers, primalrily due to inaldequalte intalke of nutrients thalt support lalctaltion, such als plalnt protein, fluids, alnd phytoestrogens. Soy milk (Glycine malx) is known to contalin isoflalvones alnd proteins thalt stimulalte the hormones prolalctin alnd oxytocin, thereby helping to increalse brealst milk production. This study alimed to determine the effect of soy milk on brealst milk production in brealstfeeding mothers alt the Nurtialnal Midwife Clinic. This study used al qualsi-experimentall design with al one-group pretest–posttest design. The study populaltion consisted of 10 brealstfeeding mothers, alll of whom were salmpled using al totall salmpling technique. Daltal were collected through observaltions before alnd alfter the intervention of aldministering 250 ml of soy milk three times dalily for seven dalys. Daltal were alnallyzed using univalrialte methods to determine frequency distribution, alnd bivalrialte methods using the Wilcoxon test to determine differences in brealst milk production before alnd alfter the intervention. ALfter the intervention, 80% of respondents experienced improved brealst milk production. The Wilcoxon test showed al p-vallue of 0.005 (<0.05), indicalting al significalnt relaltionship between soy milk consumption alnd increalsed brealst milk production. Therefore, it caln be concluded thalt soy milk consumption hals al positive impalct on increalsing brealst milk production in brealstfeeding mothers. Consuming soy milk caln allso be al nalturall allternaltive to support the success of aln exclusive brealstfeeding progralm.
The Effect of Warm Water Compresson Breast Milk Production Postpartum Mothers at Juliana's Independent Midwifery Practice Pardede, Desika Wali; Meriati Bungal Arta Purba; Yunita Sari 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: 10.35451/43evxa38

Abstract

Background: The smooth process of breast milk (ASI) production and secretion is often an obstacle for postpartum mothers, and this condition can affect the success of the exclusive breastfeeding program. One of the non-pharmacological approaches that can be applied to overcome this problem is by giving warm compresses to the breast areola area. Objective: This study aims to evaluate the effect of warm compresses on breast milk secretion in postpartum mothers at the independent midwifery practice of Juliana. Method: This study used a pre-experimental design with a one-group pretest-posttest model. A total of 35 postpartum mothers were selected as samples using purposive sampling techniques. The Shapiro-Wilk normality test showed that the data were not normally distributed; therefore, hypothesis testing was conducted using the Wilcoxon Signed-Rank test. Results: Before the intervention, all respondents (100%) experienced insufficient breast milk secretion. After applying warm compresses, 28 respondents (80%) showed improvement with smooth milk secretion. The Wilcoxon test yielded a value of Z = -5.292 and p-value = 0.000 (p < 0.05), indicating a significant difference before and after the intervention. Conclusion: The administration of warm compresses proved to have a significant effect on improving breast milk secretion in postpartum mothers. This intervention can serve as a simple, effective, and easily applicable non-pharmacological alternative to support successful breastfeeding.
The Effect of Endorphin Massage on Back Pain in Pregnant Women Lumruan Sihombing, Lidwina Trieleventa; Siska Anri Yani; Nasution, Nadhiati Awlia
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: 10.35451/1nccba60

Abstract

During pregnancy, the mother's body undergoes postural changes as a form of adjustment to the increase in the weight of the uterus. Back pain experienced by pregnant women can hinder daily activities and cause discomfort that affects the mother's physical and emotional condition. Therefore, back pain in pregnant women needs to be treated as early as possible so that the health of the mother and fetus is maintained during pregnancy. Endorphin massage is a form of therapy performed through gentle and calming massage, which is very beneficial for pregnant women. This study is a quasi-experimental quantitative research design, using a pretest-posttest one-group design to examine the effect of endorphin massage on back pain in pregnant women at the Putri Ayu Community Health Center in Jambi City. The average pain score before intervention was 6.00, indicating a fairly high level of pain. After the endorphin massage intervention, there was a significant change in pain distribution to 2.27. The results of the study indicate that endorphin massage has a significant effect on reducing the intensity of back pain in pregnant women in the working area of the Putri Ayu Community Health Center, with a significance value (p = 0.000).
Effectiveness of Red Bean (Phaseolus vulgaris L.) Processing on Improving Hemoglobin in Anemic Pregnant Women hariati, mayang citra; Nur Saputri, Ika; ., Pitriani; Cahya, Rani
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/cvwkzj35

Abstract

Anemia during pregnancy is still a common health problem and can have serious impacts on the health of both the mother and the fetus. Iron deficiency is the main cause, thus effective prevention and management efforts are needed, either through supplementation or the intake of nutritious foods rich in iron. One natural food ingredient that has the potential to increase hemoglobin levels is red beans (Phaseolus vulgaris). The purpose of this study is to determine the effectiveness of red bean preparations in increasing hemoglobin in pregnant women experiencing anemia at the Mars Clinic. The study used a Quasi-Experimental method with a One Group Pre Test Post Test approach. By using a total sampling technique, 17 respondents were obtained. The results of the Wilcoxon statistical test showed a p-value of 0.001 (p < 0.05), which means there is a significant effect of giving red bean porridge on the increase of hemoglobin levels in pregnant women. It is recommended that healthcare workers, especially midwives, promote the prevention and management of anemia by utilizing foods such as red beans.  
The Effect of Progressive Muscle Relaxation on Fear of Childbirth in Primigravida Mothers Anuhgera, Diah Evawanna; Apryanti, Yohana Putri; Lidia Lushinta
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: 10.35451/3mcbpw15

Abstract

Pregnancy and childbirth are extraordinary physiological experiences but can also be a source of psychological stress for women, especially for primigravidas who have no previous experience. Fear of childbirth often arises from uncertainty about pain management, concerns about the fetus's condition, and a lack of adequate information. This condition results in increased stress, sleep disturbances, and even mild depression, which can affect the mother's physical and mental readiness for childbirth. This study aims to analyze the effect of progressive muscle relaxation on fear of childbirth in primigravida mothers. The type of research used is an experimental study with a pretest-posttest without a control group. The sample consisted of third-trimester primigravida pregnant women who met the inclusion criteria, using a purposive sampling technique. The intervention in the form of progressive muscle relaxation exercises was given for 2 weeks at a frequency of three times per week and independent practice at home. The research instruments used were the Wijma Delivery Expectancy/Experience Questionnaire (W-DEQ), a demographic and obstetric history questionnaire, and a compliance sheet. Data analysis used dependent and independent t-tests. The results showed a significant decrease in fear of childbirth scores after progressive muscle relaxation with a p-value of 0.001. In conclusion, progressive muscle relaxation training is effective in improving the physical and psychological readiness of primigravida mothers for childbirth. This study recommends that health workers, particularly midwives, integrate progressive muscle relaxation training as a non-pharmacological intervention in prenatal classes.

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