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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.
Arjuna Subject : -
Articles 243 Documents
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Coverage and Determinants of the Success of Antenatal Care (ANC) in First Trimester Pregnant Women at Lubuk Pakam Public Health Center Nathasia Elga Haryono; Via Wiyana; Martine Agustina Meha; Kurniawati
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: 10.35451/9npbgr94

Abstract

Antenatal Care (ANC) services play a crucial role in the early detection of pregnancy complications, prevention of maternal morbidity and mortality, and overall improvement of maternal and fetal health. High-quality ANC provides opportunities for healthcare providers to conduct screening, health education, and promotive as well as preventive interventions throughout pregnancy. However, its implementation in the field still faces challenges related to service completeness, continuity, and quality. This study aimed to assess the coverage and quality of Integrated Antenatal Care (ANC) services among first-trimester pregnant women at Lubuk Pakam Health Center. A quantitative descriptive design was used with a total sampling technique involving 120 respondents. Data were collected through structured interviews, direct observation, and document review of medical records. The results showed that 78.3% of mothers had attended ANC visits, but only 58.3% received the complete 10T standard services. Laboratory examinations (60%) and referrals (25%) remained below national standards. The dominant factors influencing ANC success were maternal knowledge, family support, and access to health facilities. Therefore, strategies to improve ANC quality should include strengthening laboratory and human resources, providing continuous staff training, and enhancing maternal and family education to ensure optimal and comprehensive antenatal care services.
The Effectiveness Of Puperial Exercise And OxcytocinMassage Againts Uterine Involusi In PostpartumMother At The Clinic Meria Turnip; Elvi Era Liesmayani; Sri Putriani Sinaga; Desika Wali Pardede
JURNAL KEBIDANAN KESTRA (JKK) Vol. 8 No. 2 (2026): Jurnal Kebidanan Kestra (JKK)
Publisher : Fakultas Kebidanan Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/095y9d69

Abstract

Uterine involution is an important physiological process after childbirth that indicates the recovery of the uterus to its normal size and function. However, suboptimal involution can cause serious complications in postpartum mothers. Non-pharmacological approaches, specifically postpartum exercise and oxytocin massage, are recognized for their potential to facilitate uterine involution. This study aims to evaluate the efficacy of these two interventions among postpartum mothers at the Matahari Pratama Clinic. Adopting a quasi-experimental framework with a two-group pretest-posttest design, the research involved 20 participants divided equally into two intervention groups. Uterine involution progress was systematically monitored both prior to and following the administration of either postpartum exercise or oxytocin massage. The results 1showed that before the intervention, 7 respondents (70%) experienced abnormal uterine involution. After being given postpartum exercise, the number of respondents experiencing normal uterine involution increased to 7 people (70%). Meanwhile, after oxytocin massage, 6 respondents (60%) showed normal uterine involution conditions. The findings suggest that both postpartum exercise and oxytocin massage significantly facilitate the acceleration of uterine involution. This effectiveness is statistically supported by a significance value of (p < 0.05), confirming that these non-pharmacological interventions are viable methods for enhancing postpartum recovery. However, postpartum gymnastics has been shown to provide more optimal results than oxytocin massage. Therefore, these two interventions are recommended to be implemented routinely in postpartum care as an effort to accelerate the process of uterine involution and prevent complications.
The Effect of Health Education Using Leaflets on Knowledge of Childbirth in Primigravida Mothers Deviani Fatimah; Yulianti
JURNAL KEBIDANAN KESTRA (JKK) Vol. 8 No. 2 (2026): 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/x9pkxj38

Abstract

Knowledge of pregnant women, especially primigravidas, plays a crucial role in preparing for childbirth. Lack of understanding can increase anxiety and the risk of complications. Leaflets are a practical, easy-to-understand, and self-study tool for health education. This study aimed to determine the effect of health education using leaflets on knowledge about childbirth among primigravida mothers. The study used a quasi-experimental design with a one-group pretest-posttest. The sample was 77 primigravida mothers who underwent examinations at Lagaligo Regional General Hospital I, East Luwu Regency, in September 2024. The research instrument was a standardized questionnaire whose validity was tested. Data were analyzed using univariate and bivariate tests using the Wilcoxon test with a significance level of p < 0.05. Before the intervention, 29 respondents (37.7%) had good knowledge, 25 (32.5%), and 23 (29.9%) had insufficient knowledge. After the intervention, good knowledge increased to 56 people (72.7%), sufficient knowledge decreased to 21 people (27.3%), and no respondents had poor knowledge. The Wilcoxon test results showed a p-value of 0.000, indicating a significant difference before and after leaflet distribution. Health education using leaflets effectively increased primigravida mothers' knowledge about childbirth. This media can be used as an educational tool in antenatal care to support safe childbirth. Further research using an experimental design with controls is recommended to evaluate the impact on childbirth behavior and readiness.
Toddler Feeding Mode And Toddler Eating Behaviour Rahmi Nurrasyidah; Lutfiana Puspita Sari
JURNAL KEBIDANAN KESTRA (JKK) Vol. 8 No. 2 (2026): 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/h7gsx312

Abstract

The role of mothers is very important in introducing and getting used to healthy foods. Prevention and treatment of stunting are related to the habituation of healthy foods from an early age. Mothers' strategies in providing food need to be studied for their influence on toddlers' eating behavior. Objective: This study was designed to determine the relationship between toddler feeding modes and toddler eating behavior. Research methodology: This study was an observational study with a cross-sectional design involving 60 mothers of toddlers. Exclusion criteria were mothers with toddlers suffering from congenital diseases, developmental disorders, infectious diseases treated in hospitals, malignant diseases, and incomplete questionnaires. Primary data collection included respondent characteristics and feeding methods using the Caregiver's Feeding Styles Questionnaire (CFSQ). Toddler eating behavior was measured using the Infant and Child Feeding Questionnaire (ICFQ) and the Children Eating Behavior Questionnaire (CBEQ) food fussiness subsection. Analysis using the Chi Square test. Results: The study found no relationship between feeding modes and picky eating behavior in toddlers where p Value >0.005. There is no relationship between feeding mode and eating behavior in toddlers associated with eating disorders, with a p-value of >0.005. Conclusion : There is no relationship between feeding mode and toddlers' eating behavior. Researchers recommend further research with a larger sample size and a case-control design to avoid research bias.
The Correlation Between Body Mass Index and Random Blood Sugar Levels in Adolescents at SMP Muhammadiyah 2 Gamping Isneini Mewanda Putri; Luluk Rosida
JURNAL KEBIDANAN KESTRA (JKK) Vol. 8 No. 2 (2026): 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/h06dpp23

Abstract

Obesity is one of the nutritional problems commonly experienced by Indonesian adolescents. The negative impact of obesity is closely related to various serious diseases such as diabetes mellitus. Currently, adolescents can also suffer from diabetes mellitus just like adults. This study aims to determine the correlation between body mass index and random blood sugar levels in adolescents at SMP (Junior High School) Muhammadiyah 2 Gamping. This study method employed an observational analytic with a cross-sectional design. The population were 97 eighth grade students. The sampling technique employed proportionate stratified random sampling and number of samples was 49 students. Data collection performed using weight scales, stadiometers, digital glucometers, and observation sheets. The results of the univariate analysis showed that of the 49 respondents; the most body mass index was in the normal category (20 respondents (40.8%), and the most random blood sugar levels were in the prediabetes category (39 respondents (79.6%). The results of the correlation analysis with Spearman Rank obtained a p-value of 0.794 (>0.05) so it can be concluded that there is no relationship between body mass index and random blood sugar levels. However, students of SMP Muhammadiyah 2 Gamping are expected to continue to pay attention to their body health by consuming nutritious foods, living a healthy lifestyle, and doing regular physical activities.
The Relationship between Premenopausal Syndrome and Stress Levels in Women in Lubuk Buaya Subdistrict, Padang City Nadhiati Awlia Nasution; Lidwina Trieleventa Lumruan Sihombing
JURNAL KEBIDANAN KESTRA (JKK) Vol. 8 No. 2 (2026): 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/fmthdm80

Abstract

Background: Premenopause is characterised by a decline in ovarian oestrogen levels, which can cause physical and psychological complaints known as premenopausal syndrome. Various factors can trigger stress in premenopausal women, one of which is the changes caused by premenopausal syndrome. Objective: The objective of this study was to determine the relationship between premenopausal syndrome and stress levels in premenopausal women in Lubuk Buaya Village, Koto Tangah District, Padang City. Method: This was a quantitative study with a cross-sectional design. The sample in this study consisted of 80 premenopausal women who had not yet experienced menopause and resided in Lubuk Buaya Village. Data collection was conducted through observation and questionnaires. Data analysis was performed using linear regression analysis. Results: The results showed that 45% of the participants experienced mild symptoms of premenopausal syndrome and 46.3% experienced mild stress levels. The results of the linear regression analysis showed that the calculated r was greater than the table r (0.594 > 0.220). This indicates that premenopausal syndrome has a significant relationship with stress levels, accounting for 35.3%, while the remaining 64.7% is determined by other factors. 
The Effect of Cabbage Leaf Compress (Brassica Oleracea Var.Capitata) on Breast Swelling in Postpartum Mothers at the Nining Primary Clinic  Lubuk Pakam Fiyola Ladyvia; Natasha Elga Haryono; ismah khaerunisa
JURNAL KEBIDANAN KESTRA (JKK) Vol. 8 No. 2 (2026): 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/mk97w517

Abstract

Breast engorgement is a common problem in postpartum mothers, caused by milk stasis due to constriction of the lactiferous ducts or inadequate emptying of the mammary glands. In Indonesia, this condition affects approximately 10–20% of breastfeeding mothers, or around 2.3 million women. The 2024 Indonesian Health Survey reported an incidence of 24.8% among lactating mothers in North Sumatra Province. This study aimed to determine the effectiveness of cabbage leaf compresses in reducing breast engorgement among postpartum mothers at the Nining Pelawati Midwife Clinic, Lubuk Pakam District, in 2025. A quasi-experimental design with a one-group pretest–posttest approach was used. A total of 35 postpartum mothers experiencing breast engorgement were selected through total sampling. The intervention consisted of cold cabbage leaf compresses applied twice daily for 20–30 minutes. Data were analyzed using the Wilcoxon test to compare engorgement levels before and after the intervention. Before treatment, most respondents experienced moderate (65.7%), severe (22.9%), and mild (11.4%) engorgement. After the intervention, engorgement levels decreased to mild in 65.7% of respondents, moderate in 28.6%, and severe in only 5.7%. Statistical analysis showed a significant difference between pre- and post-intervention conditions (Z = -3.140; p = 0.002). In conclusion, cabbage leaf compresses are significantly effective in reducing breast engorgement in postpartum mothers. This non-pharmacological method is recommended as a safe, simple, and cost-effective alternative for managing postpartum breast swelling.
Maternal Characteristic Factors Associated with the Incidence of Neonatal Jaundice in Newborns at PKU Muhammadiyah Yogyakarta Shelviana Agustin; Anjarwati; Sri Ratnaningsih
JURNAL KEBIDANAN KESTRA (JKK) Vol. 8 No. 2 (2026): 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/pjsbrt02

Abstract

Neonatal jaundice is a common health problem in newborns due to increased bilirubin levels in the blood and has the potential to cause serious complications such as kernicterus. Globally, approximately 60% of full-term infants and 80% of premature infants experience jaundice in the first week of life. In the Special Region of Yogyakarta, 329 cases of neonatal jaundice were recorded in 2024. In addition to infant factors, maternal characteristics are also considered to play a role in the incidence of neonatal jaundice. This study aims to determine the correlation between maternal age, parity, and education level with the incidence of neonatal jaundice at PKU Muhammadiyah Hospital, Yogyakarta. Methods: This quantitative study employed an observational analytical design and a cross-sectional approach. Data were obtained from newborn medical records, including maternal age, parity, education, and jaundice incidence. Analysis used univariate and bivariate analysis with Fisher's Exact Test. The results showed that physiological jaundice was more common in infants of mothers aged 20-35 years (57.6%) and highly educated (48.5%). Pathological jaundice was more common in infants of mothers of high-risk age (42.4%). There was a significant association between maternal age and the incidence of neonatal jaundice (p = 0.006). However, there was no association between education level (p = 0.491) or parity (p = 0.363) and the incidence of neonatal jaundice. It is recommended that further research include other variables and increase the sample size for more comprehensive and accurate results.
The Effect of Pineapple Juice on Menstrual Pain Intensity among Adolescents Astri Ulina Saragih; Novita Br Ginting Munthe; Risky Yulanda; Santa Natalia
JURNAL KEBIDANAN KESTRA (JKK) Vol. 8 No. 2 (2026): Jurnal Kebidanan Kestra (JKK)
Publisher : Fakultas Kebidanan Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/092rqd20

Abstract

Dysmenorrhea is a common problem among adolescent girls and can interfere with daily activities. One non-pharmacological therapy is pineapple juice, which contains bromelain enzyme as a natural anti-inflammatory agent. This study aimed to determine the effect of pineapple juice on menstrual pain intensity among adolescents at SMA Nusantara Lubuk Pakam. This study used a quasi-experimental design with a pretest-posttest without control group approach. The sample consisted of 30 adolescent girls experiencing menstrual pain selected using purposive sampling. Pain intensity was measured using the Numeric Rating Scale (NRS) before and after intervention. The intervention was the administration of 250 ml pineapple juice for 3 days during menstruation. The results showed that the mean pain intensity before intervention was 6.2 (SD=1.1) and decreased to 3.1 (SD=1.0) after intervention. The Wilcoxon test showed a p-value of 0.000 (p<0.05), indicating a significant effect of pineapple juice on reducing menstrual pain intensity. In conclusion, pineapple juice is effective as a non-pharmacological therapy to reduce menstrual pain in adolescents.
The Effect of Complementary Therapy With Facial and Lavender Aromatherapy on Anxiety Management Among Postpartum Mothers NATHASIA HARYONO
JURNAL KEBIDANAN KESTRA (JKK) Vol. 8 No. 2 (2026): 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/hn90vq72

Abstract

The postpartum period is a critical phase in a woman's reproductive life, characterized by physical and psychological vulnerability due to hormonal changes, the postpartum recovery process, and adaptation to the new role as a mother. This condition often triggers postpartum anxiety, which, if not properly managed, can affect the mother's mental health and the quality of childcare. Complementary interventions such as facial acupressure (totok wajah) and lavender aromatherapy have been widely recommended due to their relaxation mechanisms that help reduce emotional tension. This study aimed to determine the effect of facial acupressure and lavender aromatherapy on reducing anxiety levels among postpartum mothers at Grandmed Hospital Lubuk Pakam. The research design used was a pre-experimental study with a one-group pretest–posttest approach involving 28 postpartum mothers selected through a total sampling technique. Anxiety levels were measured before and after the intervention using a questionnaire instrument. Data analysis was conducted using the Shapiro–Wilk test and the Wilcoxon test because the data were not normally distributed (p < 0.05).The results showed that before the intervention, respondents were categorized as having mild anxiety (35.7%), moderate anxiety (42.9%), and severe anxiety (21.4%). After the intervention, 35.7% of respondents no longer experienced anxiety, 42.9% were categorized as having mild anxiety, and 21.4% had moderate anxiety, while severe anxiety was no longer found. The Wilcoxon test showed a p-value of 0.000, indicating a significant difference between anxiety levels before and after the intervention.Physiologically, facial acupressure promotes relaxation through stimulation of acupressure points, while lavender aromatherapy, which contains linalool and linalyl acetate, works by reducing sympathetic nervous system activity. Therefore, the combination of these two interventions is proven to be effective as a non-pharmacological method for reducing anxiety in postpartum mothers.

Page 24 of 25 | Total Record : 243

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