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Science Midwifery
Published by Institute of Computer Science
ISSN : 20867689     EISSN : 27219453     DOI : -
Core Subject : Health,
Dentistry Health Professions Nursing Public Health Veterinary
Jurnal Kebidanan dan ilmu kesehatan ini adalah di terbitkan 2 kali dalam setahun, dalam bidang kebidanan dan perawat.
Arjuna Subject : Keperawatan - Maternity and Midwifery
Articles 1,455 Documents
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Withdrawal Withdrawal, Withdrawal
Science Midwifery Vol 13 No 1 (2025): April: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v13i1.1876

Abstract

Withdrawal
Investigating crucial elements of formula milk and the inadequacy of exclusive breastfeeding in Indonesia: A litarature review Novitasari, Anis; Pramesti, Monica Ria; Adnani, Qorinah Estiningtyas Sakilah; Susiarno, Hadi
Science Midwifery Vol 13 No 1 (2025): April: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v13i1.1879

Abstract

Breast milk provides optimal nutrition for newborns, supporting their growth and development while meeting essential nutritional needs. Exclusive breastfeeding is crucial; however, many mothers face challenges that hinder their ability to breastfeed exclusively. Additionally, some parents believe that breast milk alone is insufficient, leading them to supplement with formula milk. Methods: This literature review analyzed studies from Google Scholar, Semantic Scholar, and Garuda, published between 2014 and 2024 in English or Indonesian. Only full-text quantitative or qualitative studies were included, assessed using the CASP tool, and data extraction followed a structured approach. The synthesis identified six predominant factors contributing to the failure of exclusive breastfeeding and the use of formula milk, which were further analyzed for interconnections. Results: The investigation produced 20 studies that highlighted the factors influencing formula milk use and the failure of exclusive breastfeeding in Indonesia. Key elements identified include understanding, spousal/family support, promotion of formula milk, maternal disposition, profession, and education. These factors were found to interact and exacerbate the challenges of exclusive breastfeeding. Conclusion: The review found that inadequate breastfeeding practices in Indonesia are primarily due to factors such as lack of knowledge, insufficient family support, the aggressive promotion of formula milk, maternal attitudes, work demands, and educational background. Addressing these issues through targeted interventions can improve breastfeeding rates and reduce the reliance on formula milk.
Improving reproductive health counseling for women with chronic kidney disease in nephrology settings Yosin, Esti Pratiwi
Science Midwifery Vol 13 No 1 (2025): April: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v13i1.1883

Abstract

Chronic kidney disease (CKD) presents significant challenges for women of reproductive age, particularly regarding pregnancy planning and maternal-fetal health risks. This study explores the perspectives of women with CKD on pregnancy and family planning, focusing on communication gaps between patients and nephrologists at Murni Teguh Hospital Pematang Siantar. Using a qualitative research design, semi-structured interviews were conducted with 30 women aged 18–45 years diagnosed with CKD at varying stages. Thematic analysis identified three key issues: (1) limited discussions with nephrologists regarding pregnancy and contraception, (2) patient concerns about pregnancy risks, and (3) the need for a multidisciplinary approach in reproductive healthcare. The findings revealed that 73.3% of participants had never received preconception counseling, despite expressing significant concerns about CKD-related pregnancy complications. Many participants perceived pregnancy as a high-risk endeavor due to fears of worsening renal function, hypertensive disorders, and adverse fetal outcomes. The study further highlights the critical role of nephrologists in reproductive health counseling, emphasizing the need for integrated care involving obstetricians and reproductive specialists. Enhancing nephrology training programs, implementing standardized reproductive health counseling protocols, and fostering patient-centered communication are essential for improving pregnancy outcomes among women with CKD. Future research should explore interdisciplinary interventions aimed at addressing the systemic barriers to reproductive health discussions in nephrology care.
Correlation between clinical severity and chest X-ray grade using the Brixia score in pneumonia patients confirmed with the Delta variant of Covid-19 Kantilaras, Anggita Putri; Pamungkas, Rifqy Hendrian
Science Midwifery Vol 13 No 1 (2025): April: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v13i1.1886

Abstract

Background: COVID-19 is a disease that attacks the respiratory organs. This disease can be transmitted directly or indirectly through droplets released by an infected individual. The clinical manifestations that appear vary depending on the degree of severity. Chest X-ray is one of the supporting examinations to establish a diagnosis of COVID-19. There are several chest X-ray assessments used to determine the severity of pneumonia in individuals infected with COVID-19, one of them is Brixia Score. The aim of this study is to determine the correlation between the degree of clinical severity and the degree of chest X-ray using Brixia Score in pneumonia patients confirmed with delta variant of COVID-19. Method: This study is an observational study using a correlative analysis method with a cross-sectional research design. Sampling in this study was carried out by non-random consecutive sampling from medical record data at the RSUD Merah Putih Magelang, totaling 38 samples. The statistical analysis used is the Spearman's test. Result: In this study, the correlation coefficient value was 0.851 and p < 0.05, which states that there is a strong correlation between the degree of clinical severity and the degree of chest X-ray using Brixia Score. Conclusion: There is a strong correlation between the degree of clinical severity and the degree of chest X-ray using the Brixia Score in pneumonia patients confirmed with delta variant of COVID-19.
Formulation and characterization of bay leaf extract nanophytosomes (Syzgium polyanthum) and affinity study of interaction with alpha glucosidase enzyme as antidiabetic Septianti, Regina Dwi; Jafar, Garnadi; Dinayanti, Westi Nur; Dinata, Deden Indra
Science Midwifery Vol 13 No 1 (2025): April: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v13i1.1888

Abstract

Introduction: Diabetes Mellitus is a metabolic syndrome disease in which around 90-95% of all cases of adults aged 20-79 years suffer from type 2 Diabetes Mellitus, with long-term conventional treatment causing side effects of hypoglycemia. Bay leaves which contain quercetin and kaempferol compounds are able to lower blood glucose levels, but have challenges in drug delivery due to easy oxidation and low bioavailability. Therefore, an innovative drug delivery system is needed, such as nanophytosomes, to increase its bioavailability. Objective: This study aims to develop a thin film formula of bay leaf extract nanophytosomes that have antidiabetic affinity with in silico studies and evaluate the physical characteristics of nanophytosomes. Method: in silico using the molecular docking method to evaluate the interaction of active compounds of bay leaves with the alpha glucosidase enzyme. Bay leaf nanophytosomes are formulated using heat homogenization and probe sonicator techniques. Characterization is carried out by measuring particle size, polydispersity index, zeta potential, and particle morphology. Results: The nanophytosome formula of bay leaf extract showed a particle size of <1000 nm, a polydispersity index of <0.5, and a zeta potential of ±25 mV. In silico studies showed that quercetin and kaempferol have a strong affinity for the α-glucosidase enzyme, which plays an important role in inhibiting glucose absorption. Conclusion: Bay leaf extract can be formulated into a phytosome-based nanoparticle delivery system that shows stable physical characteristics, high adsorption efficiency, and potential antidiabetic activity through the interaction of inhibiting the α-glucosidase enzyme.
Formulation and characterization of nanoemulgel of ethanol extract of bay leaves (Syzygium polyanthum) as an anti-burn agent using the hot plate method using white wistar rats Ningrum, Windi Pratama; Jafar, Garnadi; Pramudiahwardani, Ananda Rota; Kusriani, Herni
Science Midwifery Vol 13 No 1 (2025): April: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v13i1.1890

Abstract

Introduction: Wounds are tissue damage that can cause functional disorders and risk of infection. Effective wound management is essential to accelerate tissue regeneration and prevent complications. Bay leaf extract (Syzygium polyanthum) contains bioactive compounds such as flavonoids, tannins, and saponins that have anti-inflammatory, antibacterial, and wound healing activities. However, the limited bioavailability and skin penetration of these active compounds are challenges in topical therapy. Objective: This study aims to develop and evaluate a topical drug delivery system based on bay leaf extract nanoemulsion as an alternative therapy to accelerate wound healing. Method: Extraction was carried out using ethanol solvent, then formulated into a nanoemulsion with oil, surfactant, and co-surfactant components. Formulation characterization was carried out by measuring particle size, polydispersity index, zeta potential, and physical stability tests. Evaluation of effectiveness was carried out using a wound model in Wistar rats with the hot plate induction method. Wound healing observations were carried out clinically and histologically for a period of 14 days. Results: The formulation results showed that the nanoemulsion had a particle size of <200 nm, PDI <0.5, and zeta potential of ±25 mV, indicating good physical stability. Burn activity tests showed that topical administration of bay leaf extract nanoemulsion accelerated wound contraction, increased epithelialization, and improved tissue structure compared to the control group. Conclusion: Bay leaf extract can be formulated in a nanoemulsion-based nanoparticle delivery system that shows stable physical characteristics and is effective in accelerating wound healing.
Formulation and characterization of tretinoin nanosuspension and in silico testing as an anti-inflammatory Ramadhoni, M Ayodia; Jafar, Garnadi; Halizah, Arin Nur; Fatmawati, Fenti
Science Midwifery Vol 13 No 1 (2025): April: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v13i1.1892

Abstract

Introduction: Tretinoin is an effective retinoid derivative for acne therapy, but has formulation challenges due to its lipophilic nature and high crystallinity. An appropriate formulation strategy is needed to improve its stability and bioavailability. Objective: This study aims to evaluate the compatibility of tretinoin with excipients in nanosuspension formulations and their physicochemical characterization. Methods: Preliminary tests were carried out using Fourier Transform Infrared Spectroscopy (FTIR), crystallinity was analyzed by X-ray Diffraction (XRD), and thermal analysis by Differential Scanning Calorimetry (DSC). Nanosuspension characterization includes particle size, polydispersity index, zeta potential and entrapment efficiency. In silico test of the potential of tretinoin as a COX-2 inhibitor related to anti-inflammatory effects. Results: FTIR results showed no chemical interaction between tretinoin and excipients. XRD showed a decrease in tretinoin crystallinity after mixing with HPMC and PVP. DSC showed a shift in the melting point of tretinoin, indicating a physical interaction with excipients. Characterization of nanosuspension showed particle size <1000 nm, polydispersity index <0.5, zeta potential ±-20 mV, and entrapment efficiency >80%. In silico tests show that tretinoin has a binding energy of -9.57 kcal/mol against the Cyclooxygenase-2 (COX-2) enzyme with an inhibition constant of 96.03 nM. Conclusion: Tretinoin shows good compatibility and physicochemical characteristics in nanosuspension formulation, as well as potential as an anti-inflammatory agent through COX-2 inhibition.
Analysis of electronic medical record acceptance among inpatient registration staff using the technology acceptance model at RS PKU Muhammadiyah Gombong Purwati, Eli; Susena, Edy
Science Midwifery Vol 13 No 1 (2025): April: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v13i1.1895

Abstract

The adoption of Electronic Medical Records (EMR) has become an essential transformation in healthcare to enhance service efficiency and data accuracy. However, the successful implementation of EMR significantly depends on user acceptance, particularly among hospital administrative staff. This study aimed to evaluate EMR adoption at RS PKU Muhammadiyah Gombong using the Technology Acceptance Model (TAM), focusing on perceived usefulness (PU), perceived ease of use (PEOU), and behavioral intention (BI). A qualitative descriptive approach was employed through structured interviews, direct observations, and document analysis. The results showed that 75% of staff acknowledged improved efficiency and accuracy, yet 30% experienced workflow disruptions due to technical issues. Additionally, 60% found the system easy to use after training, but 25% struggled with document uploads. Major challenges included system downtime, connectivity issues, and storage limitations, with 50% of staff reporting these barriers. Training deficiencies were noted by 20% of respondents, highlighting the need for continuous learning initiatives. Management support played a vital role in implementation success, yet ongoing assistance remained necessary. Addressing technical constraints, refining training programs, and strengthening managerial engagement are crucial for optimizing EMR adoption.
Bloodless, painless, suture less circumcision: A combination of diode laser with cyanoacrylate skin glue in patient with second grade of phimosis Amsriza, Fadli Robby; Fakhriani, Rizka
Science Midwifery Vol 13 No 1 (2025): April: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v13i1.1901

Abstract

Circumcision is a common surgical operation that entails excising the foreskin from the penis, primarily to improve hygiene and prevent the accumulation of smegma. This practice is widely observed worldwide, especially within Muslim and Jewish populations. However, despite its advantages, circumcision may lead to several complications, such as excessive bleeding and infections. A healthy 13-year-old male presented for circumcision due to grade 2 phimosis, seeking to improve his personal hygiene. The procedure was executed using a combination of diode laser technology and cyanoacrylate skin glue, which minimized tissue trauma and provided effective wound closure. When circumcision is performed utilizing advanced methods such as diode laser and cyanoacrylate glue, it is regarded as a safe and effective intervention. This approach offers considerable benefits in terms of recovery duration, cosmetic results, and overall patient comfort, while also maintaining low rates of complications.
Evaluating electronic medical record implementation using the HOT-FIT model at UPTD Puskesmas Ungaran Kurniawati, Novi Ika; Widiyanto, Wahyu Wijaya
Science Midwifery Vol 13 No 1 (2025): April: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v13i1.1896

Abstract

This study evaluated the implementation of Electronic Medical Records (EMR) at UPTD Puskesmas Ungaran using the Human-Organization-Technology Fit (HOT-FIT) model. The research employed a descriptive qualitative approach to explore how human readiness, organizational support, and technological infrastructure influenced EMR adoption. Data were collected through in-depth interviews, observations, and document analysis involving twelve healthcare professionals. Thematic analysis revealed that most users had limited training and lacked confidence in using the system, often leading to partial documentation. Organizationally, there was minimal supervision, unclear standard operating procedures, and no internal technical support. Technologically, the system frequently experienced downtime and integration failures with national platforms such as Pcare BPJS. These findings indicate that the EMR implementation remains fragmented and procedural, rather than transformative. The study concluded that the success of EMR adoption requires not only system availability but also holistic readiness across all HOT-FIT dimensions. Practical recommendations include ongoing capacity-building, improved policy enforcement, and user-centered system development. This study provides insight for policymakers and healthcare managers to enhance EMR sustainability in primary care settings.

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