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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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Analysis of emergency department waiting time evidence from a tertiary hospital in Indonesia: A qualitative study Alouw, Christy Natalia; Kaunang, Erling David; Homenta, Heriyannis
Science Midwifery Vol 13 No 3 (2025): August: 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.v13i3.2001

Abstract

Prolonged waiting times in the Emergency Department caused by high patient volume, limited resources, and operational inefficiencies. This study aims to identify and analyze the factors contributing to waiting times in the Emergency Department. This qualitative descriptive study was conducted over three months (March to May 2025) in the Emergency Department of Prof. Dr. R. D. Kandou General Hospital, Manado. Participants including hospital leadership, emergency physicians, nurses, and the ED head were purposively selected. Data were gathered through semi-structured interviews, direct observations, and patient flow data from the electronic medical records dashboard. Analysis used triangulation to identify patterns and factors influencing waiting times. Emergency Department employs a triage system prioritizing patients by urgency, but faces challenges such as high patient volume, limited staffing and beds, technical issues, and communication delays. Despite efforts to reduce waiting times, critically ill patients often exceed recommended ED stays due to complex care needs. Continuous improvements focus on increasing staff, enhancing infrastructure and information systems, strengthening coordination, and educating the public to optimize patient flow and service quality. Despite effective triage and digital queue systems, persistent staffing, infrastructure, and coordination challenges continue to limit ED efficiency, so improving these areas is essential to enhance performance.
Antibiotic awareness campaign evaluation: A systematic review of strategy, multisectoral engagement, and community-level implementation Setiatjahjati, Sri; Ichsan, Burhanudin; Indrayuda, Peni
Science Midwifery Vol 13 No 3 (2025): August: 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.v13i3.2006

Abstract

Inappropriate antibiotic use contributes to increasing antimicrobial resistance, a global health challenge. Public awareness campaigns are considered a crucial strategy for promoting rational antibiotic use. This article aims to systematically review published studies on antibiotic awareness campaigns globally, focusing on implementation strategies, multisectoral actor involvement, and community-level implementation. This review employed a systematic review of literature obtained from Scopus, PubMed, and ScienceDirect databases. The inclusion criteria were empirical studies (quantitative, qualitative, or mixed) published between 2019 and 2024 that addressed public antibiotic education campaigns. Based on the 294 identified articles, 12 selected studies were further analyzed. The results demonstrate a variety of campaign media, the predominance of short-term intervention durations, and the importance of multisectoral engagement. Studies that included pre-post evaluations of Knowledge, Attitude, and Practice were more effective in demonstrating the impact of behavioral change. Conclusions: Campaigns that are contextual, involve the community, and are supported by intersectoral collaboration have been shown to be more effective. This review recommends the need for sustainable campaigns and strategies tailored to local community characteristics, particularly in rural areas and vulnerable groups.
Risk factors influencing the incidence of perineal rupture in normal delivery Darlina, Darlina; Hakim, Dzulfikar Djalil Lukman; Mose, Johanes C.; Sukarsa, Mochamad Rizkar Arev; Krisnadi, Sofie Rifayani; Susiarno, Hadi
Science Midwifery Vol 13 No 3 (2025): August: 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.v13i3.2010

Abstract

Perineal rupture is a common complication during vaginal delivery and can lead to long-term health consequences for the mother. This study aims to identify the risk factors associated with perineal rupture in normal vaginal delivery. A scoping review was conducted by analyzing relevant literature from 2020 to 2024. The results indicate that major risk factors for perineal rupture include birth weight, parity, duration of the second stage of labor, and the use of obstetric instruments. Additionally, pregnancy exercise and perineal massage were found to be effective in reducing the incidence of perineal rupture, particularly in primiparous women. Proper management of labor, including monitoring fetal weight and employing appropriate medical techniques, plays a significant role in minimizing the risk of perineal rupture. This study recommends the implementation of evidence-based preventive measures to reduce the prevalence of perineal rupture and its long-term impacts on maternal health.
Analysis of children's dietary factors in the first 1000 days of life with the incidence of stunting in Gianyar Regency Pradnyawati, Luh Gede; Juwita, Dewa Ayu Putu Ratna; Wijaya, Made Indra
Science Midwifery Vol 13 No 3 (2025): August: 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.v13i3.2011

Abstract

Background: 1000 days period first life, which begins since moment conception until child 2 years old, is the most critical period for repair development physical and cognitive child. Stunting, or short stature, is a nutritional problem that persists in Indonesia, alongside underweight and overweight/obesity. Public especially parents who are less good in effort fulfillment need nutrition in the “golden period” become factor emergence problem nutrition. Objective: To analyze the factors of children's dietary patterns in the first 1000 days of life with the incidence of stunting in Gianyar Regency. Method: Study done with using research design case control for know analysis of factors influencing children's dietary patterns during the first 1000 days of life and the incidence of stunting in Gianyar Regency. Results: Material food source carbohydrates that are often consumed by toddlers both in the stunting group and group not stunting is white rice and porridge. Sources of protein that are often consumed by stunting groups and groups not stunting is meat chicken and eggs chicken. Based on results analysis, frequency eat source vegetables, it is known type material frequent foods consumed in the stunting group is spinach and carrots. While those that are often consumed group not stunting is spinach, carrots, and mustard greens green. Conclusion: With focus on optimization intake carbohydrates, protein, and vegetables during 1000 days of life, it is expected prevalence of stunting in the Gianyar Regency can lowered in a way significant, ensuring generation upcoming grow healthy and optimal.
Analysis of tannin and catechin levels in ethyl acetate extract of gambir twigs (Uncaria gambir Roxb.) using UV-Vis spectrophotometry Marjoni, Mhd. Riza; Trijuanda, Suci Enika; Evani, Nhila Putri
Science Midwifery Vol 13 No 3 (2025): August: 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.v13i3.2013

Abstract

The utilization of gambir twigs (Uncaria gambir Roxb.) as a source of bioactive compounds is still relatively minimal, even though gambir has the potential to contain tannins and catechins, which enable it to possess antioxidant, anti-inflammatory, and antimicrobial activities. This study aims to analyze the tannin and catechin content of gambir twig extracts tested using the UV-Vis spectrophotometry method. Extraction was performed using the maceration method with ethyl acetate solvent, followed by qualitative analysis using FeCl3 reagent. Quantitative analysis was conducted using the Folin-Ciocalteu method to determine the tannin content at a wavelength of 742 nm and catechin analysis at a wavelength of 280 nm. The research results show that the extraction yielded a yield of 17.83% with a DER-native value of 5.60. Qualitative analysis with the FeCl₃ reagent gave a positive result, indicated by the formation of dark greenish-black spots, showing the presence of phenolic compounds. The tannin content was measured at 0.290% w/w, with the regression equation y= 0.0072x + 0.2172 (R²=0.9523), while the catechin analysis with the regression equation y= 0.0019x + 0.049 was 0.006%. The analytical method shows good sensitivity with a detection limit of 10.5563 µg/mL and a quantification limit of 35.1877 µg/mL. The results of this study provide important information about the potential of gambir branches as a source of natural bioactive compounds.
Telehealth interventions on pain in postoperative orthopedic surgery patients: A systematic review Qothrunnadaa, Azka; Abidah, Aqmarina; Tisel, Yulmira Maria; Tabik, Albertina Dete; Dewi, Yulis Setiya; Mariyanti, Herdina
Science Midwifery Vol 13 No 3 (2025): August: 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.v13i3.2014

Abstract

This systematic review evaluates the effectiveness of telehealth interventions in managing pain among postoperative orthopedic surgery patients. The introduction highlights the transformative potential of digital health technologies, such as telemedicine and mobile health applications, in improving access, quality, and efficiency of healthcare, particularly for pain management and patient adherence. The methods section outlines a structured literature search across Scopus, PubMed, and Proquest databases, adhering to PRISMA guidelines, with inclusion criteria focusing on randomized controlled trials (RCTs) and quasi-experimental studies involving adult orthopedic patients aged 18–60 years. Ten studies met the criteria, demonstrating varied telehealth approaches, including mobile apps, video consultations, and remote monitoring. Results indicate significant pain reduction and improved clinical outcomes in telehealth groups compared to standard care, with enhanced patient adherence, functional recovery, and reduced opioid use. However, variability in intervention duration and pain measurement tools underscores the need for standardization. The conclusion affirms telehealth as a valuable tool for postoperative pain management, emphasizing its role in education, monitoring, and psychosocial support. Future research should explore combined interventions and economic impacts to optimize implementation.
Analysis of the inaccuracy of the prosedure code for outpatient BPJS patients in 2024 at Dr. Harjono S. Hospital, Ponorogo Regency Anggraini, Ivana Salsabila Myrilla; Novratilova, Sinta
Science Midwifery Vol 13 No 3 (2025): August: 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.v13i3.2019

Abstract

The implementation of the Indonesian Case Based Groups (INA-CBG) system is a crucial instrument in the National Health Insurance (JKN) program for the payment of health service claims at advanced referral health facilities (FKRTL). The success of this system depends heavily on the accuracy of the codification of the diagnosis (ICD-10) and the action/procedure (ICD-9-CM) which is a representation of the service output. Code accuracy is not only essential for the collection of claim costs, but also plays an important role in nursing care, improving service quality, and analyzing morbidity-mortality data. A preliminary study at Dr. Harjono S. Ponorogo Hospital in January-February 2025 found 12 outpatient claim files (cardiac and neurological polys) in the June-August 2024 period with inaccuracies in the code of procedure, including 10 files that were not coded and 2 files that were incorrectly coded. Furthermore, initial observations through interviews with internal verifiers indicated the absence of a Standard Operating Procedure (SPO) for coding BPJS patients and the absence of coding evaluations from internal parties and hospital management. Based on these problems, this study aims to analyze the factors that cause the inaccuracy of the procedure code of outpatient BPJS patients at Dr. Harjono S. Hospital, Ponorogo Regency.
Effectiveness of nutrition movement counseling in the first 1000 days of life on knowledge and attitude of pregnant women Rachman, Sandy Nurlaela; Alfi, Nur Mufidah; Fairuza, Filda
Science Midwifery Vol 13 No 3 (2025): August: 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.v13i3.2004

Abstract

Abstract: The Indonesian government implements the First 1000 Days Movement (HPK), to improve nutritional status during pregnancy and breastfeeding, aiming to support brain development and the immune system from pregnancy until a child’s first year. This study aims to determine the extent to which nutritional counseling for the First 1000 Days of Life impacts the knowledge and attitudes of pregnant women. A quasi-experimental design with pre-test and post-test groups was used, involving 60 pregnant women. Knowledge and attitudes were measured before and after counseling. Data were analyzed using the independent t-test. The results of this study indicate that the knowledge of pregnant women in the pre-test was classified as poor for 34 people (56.7%) and sufficient for 23 people (38.3%). After being given counseling, the knowledge category became good for 32 people (53.3%). In terms of attitudes, the pre-test showed the category of poor for 35 people (58.3%). After counseling, the attitudes of respondents were in the good category for 32 people (53.3%). The effectiveness of counseling nutritional education in the first 1000 days of life on knowledge (p value 0.000 < 0.05) and attitudes of pregnant women (p value 0.000 < 0.05). The conclusion of this study is that it is effective in changing the knowledge and attitudes of pregnant women, so there is a need for enhancing the capacity of health educators is essential to deliver impactful education and promote positive behavioral changes in support of the HPK Movement.
The effect of school well-being on grit with growth mindset as a mediator for students of SMK Harapan Bangsa Tanjung Morawa Siagian, Iqbal Warid; Hasanuddin, Hasanuddin; Dewi, Salamiah Sari
Science Midwifery Vol 13 No 3 (2025): August: 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.v13i3.2018

Abstract

Students of Sekolah Menengah Kejuruan (vocational high schools) are required to possess grit in facing various challenges, such as career preparation and industrial internships. However, in reality, some students experience decreased enthusiasm, career uncertainty, and a tendency to give up easily when dealing with academic pressures. This study aims to examine the effect of school well-being on grit with growth mindset as a mediating variable among students of Sekolah Menengah Kejuruan Harapan Bangsa. This research employed a quantitative approach using Structural Equation Modeling (SEM) with Partial Least Square (PLS). The population consisted of 493 students of Sekolah Menengah Kejuruan Harapan Bangsa, with a sample of 151 twelfth-grade students selected through purposive sampling. Research instruments included the school well-being scale, growth mindset scale, and grit scale. The results showed that school well-being had a positive and significant effect on grit (β = 0.392; t = 3.363; p = 0.001) and on growth mindset (β = 0.826; t = 19.770; p = 0.000). Furthermore, growth mindset had a positive and significant effect on grit (β = 0.496; t = 4.202; p = 0.000). Growth mindset also significantly mediated the relationship between school well-being and grit (t = 4.125; p = 0.000), with an indirect contribution of 41.0%. This study concludes that school well-being plays an important role in fostering grit both directly and indirectly through the development of a growth mindset.
Case study of epidemiological investigation of Dengue Hemorrhagic Fever (DHF) in Blitar City Aprillia, Shinta Meriza; Peristiowati, Yuli
Science Midwifery Vol 13 No 3 (2025): August: 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.v13i3.2005

Abstract

In 2024, there was an upward trend in Dengue Hemorrhagic Fever (DHF) cases in Blitar City, with a total of 135 reported cases. The Incidence Rate (IR) was 92.21 per 100,000 population, and the Case Fatality Rate (CFR) stood at 2.36%. This study aims to investigate DHF cases occurring in three Community Health Centers (Puskesmas) in Blitar City. Using secondary data sources, the highest transmission rate was recorded during the 13th epidemiological week (March 22, 2024) through the 14th week (March 25, 2024). Fatalities were reported in children aged 6 months and 10 years, with the highest Attack Rate found in the 5–14-year age group. In 2024, the Larvae-Free Index (Angka Bebas Jentik/ABJ) in Blitar City was recorded at 94.6%, slightly below the ideal target of >95%. Preventive and promotive efforts were carried out through effective Mosquito Nest Eradication (Eradication of Mosquito Breeding Places/PSN) using the 3M strategy: draining, covering, and recycling water storage containers, along with "Plus" actions such as sprinkling larvicide in hard-to-clean water containers, using mosquito repellent, sleeping under mosquito nets, breeding larva-eating fish, planting mosquito-repellent plants, installing window screens, and regularly inspecting water containers. Individuals experiencing recurrent fever with a body temperature ≥38°C for more than 3 days are advised to seek medical examination promptly and maintain adequate fluid intake. Fogging was conducted within a 200-meter radius around residences where DHF cases or confirmed diagnoses were found. Herd immunity efforts through immunization are considered a cost-effective alternative for controlling the spread of DHF

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