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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 1,486 Documents
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Modern traditional games improve early childhood social-emotional skill: A systematic review P.S, Wulan Anugrah; Ramawati, Dian
Science Midwifery Vol 13 No 6 (2026): February: 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.v13i6.2218

Abstract

Problems in social and emotional development in children have been increasing in recent years Children with social emotional problems will become more introvert, experienced sleep disturbances, solitary violent behavior, lack of creativity, and the threat of cyberbullying, from this phenomenon, the right intervention is needed, one of which is play. intervention that has proven effective in developing social-emotional aspects is play. Play is not just a recreational activity, but has high therapeutic and educational value. Through play, children learn to manage emotions, resolve conflicts, empathize, and build cooperation skills.The purpose of this systematic review is to analyse the types of games and the success of games in improving social emotional development. This study uses a systematic review based on the Preferred Reporting Items for Systematic Review And Meta-Analysis (PRISMA) stage, articles were collected from PubMed, Google Scholar, ProQuest, Science Direct databases, from 2017 to 2024, Articles were selected according to the inclusion and exclusion criteria and critical appraisal was carried out using the JBI Instrument on the selected articles.The results of the review of articles from 2017-2024 obtained eight articles, five articles discuss modern games in improving early childhood social emotional development, three articles discuss traditional games in improving social emotional development, all articles agree that both modern and traditional games can improve social and emotional development with their respective advantages. It can be conclude that both traditional and modern games can enhance the social emotional development in early childhood.
Public knowledge about smoking as a triggering factor for oral cavity cancer Taufan, Arief Siddik; Lelyana, Shelly; Yuliadewi, Dicha; Tanumiharja, Leonardo Jaya Setiadi
Science Midwifery Vol 13 No 6 (2026): February: 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.v13i6.2221

Abstract

Smoking habits in Indonesia are still very high. Approximately 80-90% of oral cancers are caused by smoking, cigars, pipes, and chewing gum. Ignorance of the negative impacts of smoking is considered to be the root of this contradictory situation. The purpose of this study was to determine how the knowledge of rural communities about smoking as a cause of oral cancer has changed. This study aimed to determine how the knowledge of rural communities about smoking as a triggering factor for oral cancer. This study was descriptive and observational with a cross-sectional design. Respondents totaling 171 residents of Margaluyu Village, Pangalengan District, Bandung Regency were selected based on inclusion and exclusion criteria. Data were collected using questionnaires completed during the study and processed using SPSS. The study showed that the majority of residents had low knowledge about smoking as a triggering factor for oral cancer. This can be seen from 92.4% of respondents having a score below 55%, 6.4% of respondents having a sufficient score of 56% - 74%, and 1.2% of respondents having a score above 75%. This study concludes that in Margaluyu Village, Pangalengan District, Bandung Regency, public knowledge about cigarettes as a cause of oral cancer is generally still low.
Fissure tongue condition in a patient with down syndrome: A case report Tanumiharja, Leonardo Jaya Setiadi; Azizah, Anna Nur; Tampubolon, Edria Benita; Patoni, Patoni; Tanumiharja, Marvin Jaya Setiadi
Science Midwifery Vol 13 No 6 (2026): February: 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.v13i6.2222

Abstract

Fissured tongue is a normal variation of the tongue in which the surface of the dorsum of the tongue has fissures, with varying depths. This condition is commonly found in patients with Down's syndrome. The patient comes with complaints of increasing tongue sensitivity to spicy and sour tastes. In general, patients do not feel any complaints or pain if the fissures are not too deep but there is a risk of food ingesting in these cracks. Fissured tongue will become a pathological condition if the depth reaches >5mm, causing the patient to seek treatment. The purpose of this case report is to provide an overview of patients who have Down's syndrome accompanied by fissured tongue. The patient in this case report was not given any medication and was only given oral health education and oral hygiene instructions both directly and to the patient's guardian.
Analysis of hospital costs and insurance reimbursement systems for pneumonia patients: A literature review Pujokusuma, Nopriyan; Hidayat, Muhammad Syamsu; Ruliyandari , Rochana
Science Midwifery Vol 13 No 6 (2026): February: 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.v13i6.2225

Abstract

Pneumonia has remained one of the leading causes of global morbidity and mortality and has imposed a substantial clinical and financial burden on healthcare systems. The high cost of pneumonia care was influenced by disease severity, comorbidities, length of hospital stay, and the use of therapeutic and diagnostic interventions. The implementation of prospective payment systems, such as Diagnosis Related Groups (DRGs) and INA-CBG’s, aimed to improve cost efficiency; however, it often resulted in gaps between actual hospital costs and reimbursement tariffs. This literature review aimed to analyze hospital costs and insurance reimbursement systems for pneumonia patients. A Systematic Literature Review was conducted following PRISMA guidelines through searches of PubMed and Google Scholar for publications from 2020 to 2025. Eleven articles met the inclusion criteria and were analyzed narratively. The findings indicated that length of stay, clinical complexity, and the use of broad-spectrum antibiotics were the main determinants of high costs. Package-based payment systems improved efficiency but continued to face underfunding challenges. This study concluded that optimizing pneumonia cost management required clinical efficiency, accurate claims coding, and technological support to ensure hospital financial sustainability.
Late-pregnancy anxiety as a distinct multidimensional construct: Psychometric evidence from a community-based sample Jannah, Nurul; Selvarajh, Gunavathy
Science Midwifery Vol 13 No 6 (2026): February: 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.v13i6.2230

Abstract

Anxiety during pregnancy was recognized as a common maternal mental health concern with important implications for maternal well-being and perinatal outcomes. Evidence suggested that anxiety experienced in late pregnancy was more context-specific and qualitatively distinct from general anxiety, yet its underlying structure remained insufficiently examined. This study examined whether anxiety in late pregnancy constituted a distinct multidimensional psychological construct using a theory-driven psychometric approach. A community-based cross-sectional study was conducted among 280 women in late pregnancy between 28 and 40 weeks of gestation. A structured self-report instrument was developed through conceptual analysis and expert review, and its latent factor structure was evaluated using confirmatory factor analysis within a structural equation modeling framework. The analysis supported a three-domain multidimensional structure encompassing childbirth-related anxiety, fetal health anxiety, and maternal mental readiness and self-confidence. The model demonstrated acceptable overall fit (χ²/df = 3.15; RMSEA = 0.088; CFI = 0.97; TLI = 0.96), with all indicators loading significantly on their respective latent dimensions (standardized loadings ≈ 0.94–1.01). These findings indicated that anxiety in late pregnancy represented a distinct multidimensional construct, supporting dimension-specific assessment in antenatal and perinatal mental health research.
Routine hematological profile in tuberculosis patients undergoing treatment at Bakunase Community Health Center, Kupang City Novicadlitha, Yoan; Susilawati, Ni Made; Runumeha, Jevenich BN
Science Midwifery Vol 13 No 6 (2026): February: 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.v13i6.2224

Abstract

Tuberculosis is a disease caused by the bacterium Mycobacterium tuberculosis (M. tuberculosis). Anti-tuberculosis drugs are effective in killing Mycobacterium tuberculosis but may also have side effects on various organs, particularly the hematological system. Monitoring through laboratory examinations, particularly hematological tests, can help prevent complications of other diseases. This descriptive study aimed to determine the hematological profile of tuberculosis patients undergoing treatment at the Bakunase Public Health Center in Kupang City. The population in this study comprised TB patients receiving anti-tuberculosis therapy at the Bakunase Public Health Center in Kupang City, with a total sample of 30 patients. The sampling technique used was purposive sampling. The results showed that TB patients at Bakunase Public Health Center were predominantly male (56.7%), in the productive age group of 19–59 years (83.3%), and mainly in the intensive phase of treatment (0–2 months) (60%). In the productive age group, most hematological parameters were within normal limits, particularly erythrocytes, platelets, hemoglobin, and MCHC. Meanwhile, in the non-productive age group, fewer patients had normal hematological values. Based on treatment duration, patients in both the intensive and continuation phases generally had hematological values within normal limits, although percentages varied.
Analgesic effectiveness test of kitolod leaf ethanol extract (isotoma longiflora l.) against male white mice (mus musculus) Yanti, Inda Dwi; Budiyanto, Angga Bayu; Hardia, Lukman
Science Midwifery Vol 13 No 6 (2026): February: 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.v13i6.2227

Abstract

This study aims to evaluate the analgesic effectiveness of ethanol extract of Kitolod leaves (Isotoma longiflora L.) in male white mice (Mus musculus). Kitolod leaves are traditionally used as herbal remedies for pain, yet scientific evidence regarding their analgesic potential remains limited. This true experimental research employed a pre- and post-test with control group design, involving five groups: negative control (Na-CMC 1%), positive control (diclofenac sodium 50 mg), and three treatment groups administered Kitolod leaf extract at doses of 56 mg/kgBW, 112 mg/kgBW, and 224 mg/kgBW. Extract preparation was carried out using maceration with 96% ethanol, followed by phytochemical screening which confirmed the presence of flavonoids, alkaloids, tannins, and steroids. Analgesic activity was assessed using the tail flick method by measuring latency response to thermal stimuli at intervals of 30, 60, 90, 120, 150, and 180 minutes post-treatment. The results showed that Kitolod leaf extract increased pain response latency, with the 112 mg/kgBW and 224 mg/kgBW doses demonstrating the strongest analgesic effects comparable to diclofenac sodium. Statistical analysis using independent sample t-test and one-way ANOVA indicated significant differences (p < 0.05) between treatment and control groups. These findings suggest that Kitolod leaf ethanol extract possesses promising analgesic properties and may serve as a potential natural alternative for pain management.
Development of a web-based poedji rochjati score information system for early detection of high-risk pregnancy Lestari, Humaediah; Irfan, Pahrul; Azamti, Baiq Nova Aprilia
Science Midwifery Vol 13 No 6 (2026): February: 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.v13i6.2233

Abstract

Maternal mortality remains a critical public health issue that can be reduced through effective early detection of high-risk pregnancies. In Indonesia, the Poedji Rochjati Score Card (KSPR) is widely used as a screening tool; however, its implementation is predominantly manual, leading to inefficiencies in data management, risk classification, and continuity of antenatal care. This study aims to develop a web-based Poedji Rochjati Score to support early detection of high-risk pregnancies at the primary healthcare level. This research employed an applied research and development design using the Rapid Application Development (RAD) method. The results indicate that the developed system successfully automates KSPR scoring and pregnancy risk classification based on standardized criteria. The system improves the accuracy and consistency of risk assessment, enhances maternal health data management, and supports longitudinal monitoring of pregnancy risk status. Implementation findings show that the system facilitates more efficient antenatal care services and provides structured risk reports to support clinical and referral decision-making. This study contributes to applied health informatics by demonstrating how standardized maternal risk screening can be effectively digitalized at the primary healthcare level. In conclusion, the web-based Poedji Rochjati Score information system offers an effective and innovative solution for strengthening early detection of high-risk pregnancies. The integration of a standardized screening tool with digital technology enhances screening accuracy, service efficiency, and data continuity in antenatal care. This study provides a practical foundation for further development and wider implementation of digital maternal health screening systems to support improved maternal healthcare quality.
Understanding barriers and enablers of tuberculosis prevention in high-risk boarding school settings Wiranti, Bella; Intiasari, Arih Diyaning; Rejeki, Dwi Sarwani Sri
Science Midwifery Vol 13 No 6 (2026): February: 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.v13i6.2236

Abstract

Tuberculosis prevention remains a significant challenge in high-risk boarding school settings due to overcrowding, prolonged close contact, and limited institutional health governance. At the same time, existing Research has largely emphasised epidemiological and individual-level factors with limited attention to contextual and institutional dynamics, particularly among adolescents in congregate educational environments. This qualitative exploratory study aimed to examine barriers and enablers to tuberculosis prevention from the perspectives of adolescents, caregivers, school administrators, and health professionals, using in-depth interviews and focus group discussions with purposively selected participants involved in boarding school health management and tuberculosis prevention. Thematic analysis revealed that the availability of basic environmental facilities, caregiving support, and strong institutional cohesion served as key enablers of tuberculosis prevention; however, these were constrained by overcrowded living conditions, the absence of formal tuberculosis-specific procedures, tuberculosis-related stigma among adolescents, limited financial and health system support, informal governance practices, and fear of social consequences, which collectively hindered early reporting and preventive behaviors. Overall, tuberculosis prevention in boarding schools is shaped by a complex interplay of environmental, institutional, and sociocultural factors, underscoring the need for context-sensitive, institution-based prevention strategies that address stigma, strengthen governance, and enhance collaboration with health systems to reduce tuberculosis risk among adolescents in boarding schools.
Woolwich massage and back rolling are effective in increasing breast milk production in mothers with post-cesarean section indications of premature rupture of membranes (prom) in hospitals Alfanira, Alfanira; Hartati, Suryani; Meiliyani, Meiliyani
Science Midwifery Vol 13 No 6 (2026): February: 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.v13i6.2241

Abstract

Introduction: Premature rupture of the membranes (KPD) is one of the conditions that is a factor that causes the procedure to be performed by sectio caesarea because the prematurely ruptured membranes increase the risk to the mother and fetus. Cesarean delivery can lead to ineffective breastfeeding due to pain, stress, and separation between the mother and the baby in the NICU. Efforts are made to increase breast milk production, namely with Woolwich massage and back rolling. Objectives: The purpose of this study is to determine if the effectiveness of Woolwich massage and back rolling can increase breast milk production of post-cesarean section mothers with KPD indications in hospitals. Methods: This research method uses a descriptive method with a case study approach using postpartum nursing care carried out on April 28-Mei 3, 2025, for post-SC mothers on the indication of KPD. Results: The evaluation was carried out for 3 days, with the administration of Woolwich massage and back rolling twice a day for ±20 minutes. On the first day before the action was taken, the breast milk had not come out. After the massage, there began to be changes even though there was still very little breast milk. On the second day, breast milk production began to look more stable and was seen dripping until the fifth day, when the milk had begun to flow smoothly. Conclusion:  this study shows that the action of Woolwich massage and back rolling is proven to increase breast milk production in post-SC mothers with ineffective breastfeeding problems.

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