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INDONESIA
Science Midwifery
ISSN : 20867689     EISSN : 27219453     DOI : -
Core Subject : Health,
Jurnal Kebidanan dan ilmu kesehatan ini adalah di terbitkan 2 kali dalam setahun, dalam bidang kebidanan dan perawat.
Articles 1,455 Documents
The influence of family support in alleviating back pain among pregnant wome Jasmiati, Jasmiati; Nurmila, Nurmila; Putri, Hendrika Wijaya Katrini; Elizar, Elizar; Prihatin, Nova Sumaini; Rosyita, Rosyita
Science Midwifery Vol 13 No 5 (2025): December: 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.v13i5.2192

Abstract

Massage therapy can be provided to alleviate back pain in pregnant women with the aim of enhancing physical relaxation, making it safe and without adverse effects on the mother or fetus. This therapy can be performed by anyone, including family members serving as birth companions. This study aimed to determine the effect of family accompaniment on skills in managing back pain. This research employed a quasi-experimental design with a one-group pretest–posttest approach. The sample consisted of 30 pregnant women at Banda Sakti Public Health Center. Data were analyzed using the paired t-test. The results showed that the mean pretest skill score was 30.83, which increased to 79.72 in the posttest, with a p-value of 0.000. The study concludes that family-based accompaniment has a significant effect on improving skills in managing back pain among pregnant women at Banda Sakti Public Health Center.
Identification of gadget usage patterns and their impact on children's mental health using a local cultural approach in Ciamis Regency Zen, Dini Nurbaeti; Wibowo, Daniel Akbar; Wahyudi, Asep; Permana, Irfan; Nailla, Bunga Maratun; Firmansyah, Septian; Deswinta, Nina
Science Midwifery Vol 13 No 5 (2025): December: 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.v13i5.2194

Abstract

The development of digital technology has brought significant changes to children's behavior, including in Ciamis Regency. Gadgets such as smartphones and tablets are now part of children's daily lives, both for entertainment and learning. However, excessive use without parental supervision can have various negative impacts on children's mental health, such as sleep disturbances, emotional changes, and decreased social interaction. This study aims to identify gadget usage patterns and their impact on children's mental health, as well as explore the potential of local cultural values ​​as a promotive and preventive approach in maintaining children's psychosocial balance in the digital era. This study uses mixed methods with an explanatory sequential design, namely a quantitative analysis is carried out first to map the conditions of gadget use and mental health of school-aged children, then continued with a qualitative approach to explain the quantitative findings in more depth. In the quantitative stage, 60 children aged 7–12 years in Ciamis Regency were selected as respondents from the educational units that served as the research location. The instruments used were a questionnaire on gadget usage patterns and a mental health assessment instrument. Data analysis was carried out descriptively, cross-tabulation, and continued with ANOVA tests to determine the effect of gadget use on children's mental health. The results of the study showed that the majority of children were in the 9–11 year age range, a period of cognitive and psychosocial development that is highly sensitive to environmental stimulation. Gadget usage patterns showed that 50% of children were in the moderate usage category, while 36.7% were in the problematic usage category. The duration of gadget use was dominated by more than three hours per day with main activities such as watching YouTube, accessing TikTok, playing online games, and communicating via WhatsApp. Factors triggering high gadget use include busy parents, low supervision, and the use of gadgets as a tool to calm children. In terms of mental health, it was found that 43.3% of children were in the problematic category and 40% were in the borderline category, indicating a fairly concerning condition. Frequently reported symptoms included sleep disturbances, irritability, anxiety, decreased concentration, and withdrawal from social interactions. ANOVA analysis showed a p-value = 0.000, indicating a significant influence between gadget usage patterns and mental health. In other words, the more intense gadget use, the higher the risk of children experiencing mental health disorders. These findings align with previous research showing a strong link between excessive digital device use and increased symptoms of anxiety, depression, and social dysfunction in children and adolescents (Holmes et al., 2021; Odgers & Jensen, 2020).The qualitative phase was conducted through in-depth interviews with 21 informants consisting of parents and teachers. The analysis technique used was thematic analysis. The qualitative results revealed two major themes: (1) the emergence of psychological symptoms due to excessive gadget exposure and (2) changes in children's social behavior. Informants described that children became irritable when asked to stop playing with gadgets, were less interested in physical activities, and reduced interaction with peers. They preferred digital activities to traditional games or studying. Interviews also showed that local values ​​such as silih asih (compassion), silih asah (grooming), and silih asuh (caregiving) are still recognized, but have not been consistently integrated into parenting patterns and therefore have not been able to become a strong protective factor against the impact of gadget use. Overall, this study concludes that school-age children in Ciamis Regency are a group vulnerable to mental health problems related to gadget use. The mixed methods used provide a comprehensive picture that problematic gadget use patterns are directly proportional to the increased risk of mental health problems. Therefore, family-based interventions, schools, and local wisdom are important strategies in reducing the negative impacts of gadget use and supporting children's mental development.
Postpartum problems related only to breastfeeding the baby Astutik, Linda Puji; Migang, Yena wineini
Science Midwifery Vol 13 No 5 (2025): December: 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.v13i5.2196

Abstract

According to the WHO, exclusive breastfeeding is giving only breast milk to an infant from birth until 6 months of age, without any other food or drink, except for medications, vitamins, or minerals in syrup form prescribed by a doctor. Breastfeeding should ideally begin within the first hour after birth and be exclusive for the first six months for optimal growth, development, and health. Exclusive breastfeeding for infants aged 0-42 days is not without postpartum issues experienced by mothers. Therefore, this study aims to determine the relationship between postpartum problems in mothers and exclusive breastfeeding in infants. This is an analytical research type with a cross-sectional design. The sample size is 114 people, selected using the total sampling technique. From the research findings, it was discovered that the majority of mothers who did not experience postpartum problems tended to breastfeed their babies exclusively. There is a significant relationship between postpartum problems and exclusive breastfeeding (p-value = 0.026). Therefore, to support exclusive breastfeeding, midwives must help mothers overcome postpartum problems and be active in preventing problems during the puerperium.
The effectiveness of the KIANO (knees in, angkles out) position in the second stage of labor to reduce perineal tear Andriyani, Ari; Trisetyanigsih, Anugrah Destya; Virahaju, Mahindria Vici; Fianty, Eva Nurul; Haryati, Pipit; Narimawati, Emi; Sari, Galih Puspita; Putri, Kornelia; Adud, Adud
Science Midwifery Vol 13 No 5 (2025): December: 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.v13i5.2197

Abstract

The WHO estimates that perineal trauma rates are approximately 85% in vaginal deliveries, and most cases require perineal repair. Efforts to minimize the risk of perineum tear involve performing antenatal perineal massage alongside the use of warm perineal compresses during the second stage of childbirth, as well as various alternative birthing positions other than lithotomy. Conventional birthing positions, such as with the knees apart and feet parallel, are often unhelpful. Ideally, biomechanically during the second stage, the birthing position should optimize the diameter of the pelvic inlet to facilitate descent of the baby's head, such as with the knees together and the heels apart, which allows for sacral nutation and widening of the pelvic outlet. This study aims to determine the effectiveness of the KIANO (knees in, ankles out) maneuver in mothers in the second stage of labor in reducing perineal tears. A true experimental method with a post-test control group design was applied in this study. It was conducted at the Jetis and Tegalreo Community Health Centers, Tutik Purwani and Emi Narimawati TPMB, from July to October 2025. The subjects were primiparous women in their second stage of labor who met inclusion and exclusion criteria. The sampling technique used simple random sampling, with 60 women divided into two groups: 30 primiparous women with the KIANO intervention and 30 primiparous women as the control group.  Statistical analysis was performed with JASP version 0.19.1.0. Due to non-normal data distribution, Mann–Whitney U test was selected. The findings revealed a significant difference in degree of perineal tearing between intervention and control groups, demonstrating a small to moderate effect size (r = –0.240). It can be concluded that the KIANO method is effective in reducing the degree of perineal tearing during labor compared to the conventional method.
Relationship between parenting styles and mental health in first-year university students Sutrisno, Ananda Prastuti; Komala, Ratna
Science Midwifery Vol 13 No 5 (2025): December: 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.v13i5.2198

Abstract

This study examined the relationship between parenting styles and mental health among first-year university students in Indonesia. An analytic observational design with a cross-sectional approach was used. The research was conducted at two academies under Education Foundation X in Jakarta and included 43 first-year students aged 18–19 years who completed the Parental Authority Questionnaire-Short (PAQ-S) and the Depression, Anxiety, and Stress Scale-21 (DASS-21). Parenting styles were classified as authoritative, authoritarian, or permissive, and mental health was assessed in terms of depression, anxiety, and stress. Descriptive analysis showed that students who perceived their parents as authoritarian had the highest proportions of severe and extremely severe symptoms in all three domains. Non-parametric tests indicated significant differences in depression, anxiety, and stress scores across parenting style groups, with the authoritarian group showing higher median scores than the authoritative group. Post hoc comparisons confirmed that authoritarian parenting was associated with significantly poorer mental health than authoritative parenting. These findings suggested that parenting style remained an important factor for psychological well-being in late adolescence and supported the promotion of more authoritative parenting to help protect first-year university students from mental health problems.
Improving awareness and management of polycystic ovary syndrome Kusumawati, Wiwik; Wenang, Supriyatiningsih; Wahyuni, Alfaina
Science Midwifery Vol 13 No 5 (2025): December: 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.v13i5.2200

Abstract

The most common infertility causes among couples at AMC are oligoasthenoteratozoospermia in males (40%) and polycystic ovary syndrome (PCOS) in females (40%). This study aimed to develop an interprofessional collaboration model for the management of PCOS at the Reproductive and IVF Clinic of AMC Muhammadiyah Hospital, with the goal of improving patients’ medication adherence and therapy effectiveness. As the initial phase, a PCOS health education webinar was conducted to enhance participants’ knowledge and attitudes toward PCOS prevention and management. A pre- and post-test design was employed using an online questionnaire distributed via Google Forms to PCOS community members in Yogyakarta. The instrument assessed participants’ knowledge of PCOS, medication adherence, and perceptions of interprofessional collaborative management. Data was analyzed using SPSS software. Thirty-one women participated, of whom 14 (36%) had PCOS, with a median age of 27 years (range: 18–62). The educational webinar significantly improved participants’ understanding of PCOS (p < 0.000), particularly in terms of knowledge and attitudes regarding its prevention and management. The health education webinar effectively enhanced participants’ knowledge and attitudes toward PCOS prevention and management, highlighting the potential of interprofessional collaboration–based education to support comprehensive reproductive health care.
Emotional intelligence and caring behavior among nurses at Dr. M. Djamil General Hospital Padang Dorisnita, Dorisnita; Hartati, Hartati; Nuriyansyah, Melia
Science Midwifery Vol 13 No 6 (2026): 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.v13i6.2201

Abstract

Emotional intelligence (EI) is crucial in nursing education to develop competencies such as communication, decision-making, and empathy. In Indonesia, 70.5% of patients perceived hospital staff as lacking empathy, and 61.4% felt consultation times were shorter compared to those abroad. The purpose of this study was to describe nurses' caring behaviors and examine their relationship with emotional intelligence. The research method used was a cross-sectional analytic study conducted on 119 nurses from various hospital units. Emotional intelligence and caring behaviors were measured using a validated questionnaire. Data were analyzed using descriptive and bivariate statistics. The results showed that most respondents were aged ≥30 years (88.2%), female (88.2%), and had a Bachelor's degree in Nursing (62.2%). More than half had high emotional intelligence (56.3%), and most demonstrated good caring behaviors (95.8%). Age, gender, and education did not significantly influence emotional intelligence or caring behaviors (p > 0.05). Emotional intelligence showed a strong and significant relationship with caring behavior (OR = 7.412; 95% CI: 3.292–16.690; p < 0.001), with a moderate positive correlation (R = 0.518). Emotional intelligence explained 26.8% of the variance in caring behavior (R² = 0.268). Emotional intelligence significantly influenced nurses' caring behavior. Nurses with higher emotional intelligence tended to provide more empathetic and compassionate care, thereby improving patient satisfaction and service quality.
The relationship between maternal knowledge about nutrition and abstinence behavior during postpartum eating in the work area of Uptd Puskesmas Simpang Kiri of Subulussalam City Year 2025 Bancin, Fitriani; Ningsih, Rahayu; Amra, Ricca Nophia; Sanjaya, Ira; Irnawati, Irnawati; Lubis, Desi Handayani
Science Midwifery Vol 13 No 5 (2025): December: 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.v13i5.2203

Abstract

In Indonesia, there are still many postpartum mothers who abstain from eating during the postpartum period, out of 4,406,437 postpartum mothers who abstain from eating, which is as much as 86%. Abstaining from eating is a term used to describe a person's practice of not consuming certain foods due to cultural prohibitions passed down from generation to generation. The purpose of this study is to determine the relationship between maternal knowledge about nutrition and the behavior of abstinence from postpartum eating in the Work Area of the UPTD Puskesmas Simpang Kiri, Subulussalam City in 2025. This study is correlational analytics with a cross sectional approach using primary data and secondary data. The population in this study is all postpartum mothers in the Work Area of the UPTD Simpang Kiri Health Center. The sampling technique in this study used Total sampling, with a sample of 32 respondents and the measuring tool used was a questionnaire. The results of the study using the chi-square test obtained a result of 0.000 <0.05, so it can be concluded that there is a relationship between maternal knowledge about nutrition and the behavior of abstinence from postpartum eating in the UPTD Puskesmas Simpang Kiri Work Area of Subulussalam City in 2025. It is hoped that health workers, especially midwives, can further improve the quality of midwifery services, one of which is by increasing counseling on nutrition during the postpartum period.
Preliminary study of blood pressure and arterial stiffness monitoring using the niva device (non-invasive vascular analyzer) Avianningsih, Reformia; Hasimun, Patonah; Jafar, Garnadi; Putriyanti, Al-fira; Zakaria, Hasballah
Science Midwifery Vol 13 No 6 (2026): 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.v13i6.2212

Abstract

Introduction: Measuring vascular parameters using the NIVA (Non-Invasive Vascular Analyzer) is an important step in assessing the health of blood vessels in the community, especially in groups at risk of hypertension. Objective: This study aims to describe the results of baseline blood pressure and vascular parameter examinations in respondents before further intervention. Methods: Respondents underwent an initial screening process including informed consent, anamnesis, and baseline blood pressure measurement. Results: The graph shows a balanced gender distribution and a dominance of the 31-40 and 41-50 age groups, which are age groups at high risk of experiencing increased arterial stiffness. The hand and foot blood pressure graphs show variations in systolic and diastolic values ​​​​in the mild to moderate hypertension range, indicating that the hemodynamic condition of the respondents is stable and safe for NIVA examination. NIVA measurements were performed by attaching a cuff to the upper arm and left ankle to obtain parameters such as baPWV, ABI, MAP, PP, and Vascular Age. Blood pressure variations in the baseline graph support accurate reading of vascular parameters, especially because there was no indication of peripheral stenosis based on the comparison of hand and foot blood pressure. The data recording and validation process was performed by comparing the measurement results to the baseline, which was consistent with the initial graph. Conclusion: The examination results indicate that the respondents' initial condition met the requirements for non-invasive vascular evaluation and provided a representative picture of blood vessel health status prior to clinical intervention.
Determinants of obesity risk factors in pre-seniors and seniors in Central Java: 2023 survey analysis Fathonah, Yayuk; Kuntari, Titik; Jeem, Yaltafit Abror; Jamil, Nur Aisyah
Science Midwifery Vol 13 No 6 (2026): 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.v13i6.2214

Abstract

Background: Overweight and obesity are increasing globally and in Indonesia, particularly among pre-seniors and seniors. Age-related changes and behavioral factors heighten obesity risk. Data from the 2023 Indonesian Health Survey (SKI) show a high burden of obesity among older adults in Central Java. Objective: To identify determinants of overweight and obesity risk factors among pre-seniors and seniors in Central Java based on the 2023 SKI data. Methods: A cross-sectional study using secondary data from 23,602 respondents aged ≥45 years in Central Java. Nutritional status was assessed using Body Mass Index (BMI). Sociodemographic characteristics, consumption patterns, and physical activity were analyzed using chi-square tests and multivariate logistic regression to estimate Adjusted Odds Ratios (aOR). Results: 42.2% of respondents were overweight or obese. Risk factors included age ≥60 years (aOR=1.695), urban residence (aOR=1.349), and daily sweet beverage consumption (aOR=1.374). Protective factors included male sex (aOR=0.414), low education (aOR=0.628), marital status (married/widowed), and heavy physical activity (aOR=0.808). Moderate physical activity was not significant after adjustment. Conclusion: Obesity among pre-seniors and seniors in Central Java is influenced by demographic, social, and behavioral factors, indicating the need for tailored prevention strategies for older adults.

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