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INDONESIA
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 1,547 Documents
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G-valley fusion coffee: The potential of golden valley dates (phoenix dactylifera) as an alternative antihypertensive coffee substitute Hilma Agusstya; Muthia Aida Sari; Meri Tri Jayanti; Reza Ahmad Al Hajj; Shazia Mirza Rizfanti
Science Midwifery Vol 14 No 1 (2026): 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.v14i1.2336

Abstract

Hypertension remains one of the leading global health problems and is strongly associated with excessive caffeine consumption from conventional coffee, creating the need for safer alternative beverages with functional health benefits. This study aimed to analyze the potential of Golden Valley dates (Phoenix dactylifera) as a potassium-rich antihypertensive alternative beverage through the development of G-Valley Fusion Coffee. This experimental study employed laboratory testing and sensory evaluation methods. Laboratory analyses were conducted to determine potassium content, moisture content, ash content, and pH value, while organoleptic testing involved panelists aged 13–40 years to assess color, taste, aroma, and texture preferences across three formulations: 100% date seed (FA), 100% date flesh (FB), and a combination formulation (FC). The results showed that date flesh contained the highest potassium level (2141 ppm), indicating strong potential as a functional antihypertensive beverage ingredient. Sensory evaluation revealed that formulation FA achieved the highest acceptance levels in taste (93%), aroma (90%), texture (87%), and color (68%). These findings suggest that G-Valley Fusion Coffee has promising potential as an alternative functional beverage with antihypertensive benefits and acceptable sensory characteristics for consumers.
Outpatient satisfaction with the integration of primary health care services: A comparative study in Gowa Regency Andi Afriyani Safitri; Fais Satrianegara; Fatmawaty Mallapiang
Science Midwifery Vol 14 No 1 (2026): 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.v14i1.2337

Abstract

The implementation of Primary Healthcare Integration aimed to address service fragmentation and improve the quality of health services in Indonesia. This study evaluated outpatient satisfaction with the integrated system compared to a conventional service model in Gowa Regency. A quantitative comparative research design was employed, involving 100 respondents from a health center implementing the integration and 97 respondents from a health center using the conventional model. Data were collected through questionnaires measuring five dimensions of service quality: reliability, responsiveness, assurance, empathy, and tangibles. Statistical analysis using the Mann-Whitney U test revealed a significant difference in satisfaction levels between the two groups (p < 0.001). The integrated system group showed a substantially higher mean rank of 144.08 compared to 52.53 in the conventional group. High satisfaction levels were observed across all dimensions in the integrated system, particularly in the empathy and tangible aspects. It was concluded that the lifecycle-based cluster approach within the integrated system significantly enhanced patient experience and satisfaction. These findings suggested that the transformation of primary health services effectively met community expectations and provided a more structured healthcare delivery model.
Formulation and characterization of nanostructured lipid carriers of curcumin and their development in topical gel preparations for drug delivery systems Garnadi Jafar; Choerrunisa Choerrunisa; Ika Kurnia Sukmawati; Al-fira Putriyanti
Science Midwifery Vol 14 No 1 (2026): 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.v14i1.2339

Abstract

Curcumin is a bioactive compound derived from Curcuma longa with anti-inflammatory and antioxidant activities; however, its topical application is limited due to poor solubility and stability. The development of nanoparticle-based delivery systems such as Nanostructured Lipid Carriers (NLC) can enhance drug stability and skin penetration. This study aimed to formulate curcumin-loaded NLC, evaluate its physicochemical characteristics, and develop a gel dosage form based on the optimized NLC formulation. The research methods included preliminary solubility testing of curcumin in various lipid and surfactant components, compatibility analysis using Differential Scanning Calorimetry (DSC), formulation of five NLC formulations using hot homogenization and probe sonication methods, and characterization including particle size, polydispersity index, zeta potential, entrapment efficiency, and morphology using Transmission Electron Microscopy (TEM). The selected NLC formulation was subsequently incorporated into a gel system and evaluated for pH, viscosity, and spreadability. The results demonstrated that the curcumin NLC exhibited nanoscale particle size with relatively uniform distribution, stable zeta potential values, and high entrapment efficiency. TEM analysis confirmed spherical particle morphology. The NLC-based gel formulation showed acceptable physicochemical properties, including skin-compatible pH, suitable viscosity, and optimal spreadability. In conclusion, curcumin was successfully formulated into an NLC system and further developed into a topical gel formulation with promising physicochemical characteristics as a lipid-based drug delivery system.
Resolving medical malpractice disputes through customary institutions: Between statutory law and local wisdom Novi Afsari; Avy Permata Sari; Fatmasari Diahpermata Djajaputri Adhimutiahara; Ida Bagus Gede Adiguna Wibawa; Carolina Kuntardjo
Science Midwifery Vol 14 No 1 (2026): 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.v14i1.2340

Abstract

The transformation of medical dispute resolution in Indonesia reveals a critical paradox: while Law No. 17 of 2023 on Health mandates non-litigation mechanisms, the existing framework remains entrapped within a state-centric legal paradigm that systematically marginalizes customary institutions which have long served as accessible, socially legitimate, and restoratively-oriented dispute forums across diverse Indonesian communities. A fundamental research gap persists in the prevailing legal monism approach, which creates a normative vacuum by failing to recognize customary institutions operationally within health law, thereby forcing communities to choose between legally certain but inaccessible formal mechanisms and socially accepted but legally uncertain customary processes — a justice gap that disproportionately burdens economically vulnerable populations. This study employs a normative-prescriptive legal methodology integrating legislative, conceptual, and comparative approaches to reconstruct the positional framework of customary institutions within medical dispute resolution. The findings reveal that customary institutions hold strong constitutional legitimacy under Article 18B(2) of the 1945 Constitution yet operate within a normative vacuum in the medical domain, and introduce a Two-Tier Integrative Model positioning customary institutions as relational mediation forums at the first tier and MKDKI as technical verifier at the second tier, connected through a court homologation mechanism. This study provides a strategic normative blueprint recommending explicit revision of Law No. 17 of 2023 to accommodate customary institutions within the national medical dispute resolution system.
Legal liability of nurses in adverse events: A normative-empirical analysis of patient safety governance at RSUD dr. Soeroto Ngawi Melita Widyastuti; Sri Ayu Astuti; Imam Ropii; Marsudi Dedi Putra; Carolina Kuntardjo
Science Midwifery Vol 14 No 1 (2026): 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.v14i1.2341

Abstract

Adverse events pose a serious threat to patient safety in hospitals. Data from RSUD Dr. Soeroto Ngawi reveal fluctuations in medical incident cases over 2021–2024 (n=354), with procedural and medication errors dominating patient safety reports. A critical research gap persists regarding inconsistent SOP implementation and a blame culture that suppresses transparent incident reporting — gaps unaddressed through an integrated legal-empirical lens. This study aims to analyze forms of nursing negligence, construct a legal accountability framework, and identify barriers and resolution efforts at a regional public hospital. An empirical legal approach was employed, combining case-based and statutory analysis. Data were collected through in-depth interviews with eight key informants, observation, and document review, then analyzed using descriptive qualitative methods with legal triangulation. Results indicate that nursing negligence primarily occurs in patient identification and clinical communication during handover. Nurses' accountability is manifested through immediate clinical responses, IKP system reporting, and root-cause investigations under Law No. 17 of 2023 on Health. Accountability nonetheless remains hindered by psychological barriers and structural workload imbalances. The scientific contribution of this study is the Dual-Layer Accountability Model, which proportionately assigns legal liability between individual professional conduct and institutional systemic failures — a framework absent from prior Indonesian health law scholarship. It is recommended that hospital management adopt a non-punitive just culture, digitize incident reporting, and strengthen clinical risk management training to ensure legal certainty for nurses while advancing patient safety.
Formulation and antibacterial activity of black mulberry fruit (Morus nigra L.) extract cream against cutibacterium acnes and staphylococcus epidermidis Yola Desnera Putri; Lisna Munawaroh; Ledianasari Ledianasari; Adit Andriyannto
Science Midwifery Vol 14 No 1 (2026): 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.v14i1.2338

Abstract

Acne vulgaris is an inflammatory disorder of the pilosebaceous unit characterized by sebum overproduction, abnormal keratinization, microbial proliferation, and inflammation, with Propionibacterium acnes and Staphylococcus epidermidis as key contributing bacteria. To reduce the side effects associated with conventional acne therapies, natural ingredients have been explored as alternative approaches. Black mulberry (Morus nigra) fruit is one such natural source known to contain bioactive compounds, including flavonoids, tannins, and terpenoids, which possess antibacterial properties. This study aimed to develop and evaluate a topical cream formulation containing ethanolic extract of black mulberry fruit and to assess its antibacterial activity and physicochemical stability. The extract was obtained through 96% ethanol maceration and formulated into creams at concentrations of 1.25%, 2.5%, and 5%. Antibacterial activity was evaluated using the agar well diffusion method, while cream quality was assessed through organoleptic properties, homogeneity, pH, viscosity, spreadability, and centrifugation stability. The results showed that the extract exhibited strong antibacterial activity against both tested bacteria. All concentrations demonstrated inhibition zones categorized as strong, with a concentration-dependent increase in activity. At 1.25% inhibition zones against P. acnes were 11.7 ± 0.25 m, while against S. epidermidis were 11.9 ± 0.20 mm at day 28. All formulations showed acceptable physicochemical characteristics and remained stable during 28 days of storage. The novelty of this study lies in the development of a stable topical cream formulation of M. nigra extract with confirmed antibacterial activity, providing a potential plant-based alternative for anti-acne therapy.
Implementation care nursing child: Hyperbilirubinemia Kansia Anastasia Terok; Henny Pongantung; Vina Putri Patandung; Enjelita Karujan; Umboh Morenita Jeanifer
Science Midwifery Vol 14 No 1 (2026): 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.v14i1.2331

Abstract

Hyperbilirubinemia is a condition characterized by elevated bilirubin levels in newborns that clinically appear as jaundice. This study aimed to describe the implementation of nursing care in newborns diagnosed with hyperbilirubinemia in a hospital setting. A descriptive case study approach was used involving three newborns with hyperbilirubinemia treated at Gunung Maria General Hospital, Tomohon, in March 2024. Data were obtained through comprehensive nursing care processes including assessment, nursing diagnosis, planning, implementation, and evaluation. The findings indicated that the infants experienced neonatal jaundice accompanied by hyperthermia, risk of impaired skin integrity, risk of infection, and parental anxiety. Nursing interventions were carried out through phototherapy management, breastfeeding education, hyperthermia management, infection prevention, and maintenance of skin integrity. After four days of nursing care, bilirubin levels decreased and the identified nursing problems showed improvement. The implementation of nursing care, particularly phototherapy combined with supportive interventions, contributed to the improvement of the infants’ condition and reduction of bilirubin levels.
The effect of amaranthus tricolor on hemoglobin levels in adolescent girls: Literature reviewe Dilma'aarij Agustia; Wiwiek Elsada Nainggolan; Ruth Yohana Girsang; Novitri Adelina Sipayung; Yusmalia Hidayati
Science Midwifery Vol 14 No 2 (2026): June: 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.v14i2.2345

Abstract

Iron deficiency anemia remains a major health problem among adolescent girls, often caused by low iron intake and poor absorption. Amaranthus tricolor (red spinach) is a local vegetable known to contain high levels of iron, vitamin C, and antioxidants that support iron absorption. This literature review aimed to analyze the effect of Amaranthus tricolor on hemoglobin levels in adolescent girls. The literature search followed the PRISMA flow using databases such as PubMed, Google Scholar, SpringerLink, and Science Direct for studies published between 2015–2025. Inclusion criteria were full-text articles in Indonesian or English with randomized controlled trial or quasi-experimental designs involving adolescent girls aged 10–18 years. Four studies met the eligibility criteria. Results showed that administration of red spinach extract, tea, or capsule forms significantly increased hemoglobin levels. One study reported, while others demonstrated higher hemoglobin improvements in the intervention group compared to controls receiving Fe tablets (p < 0.05). Overall, red spinach effectively improves hemoglobin levels through its iron, vitamin C, and antioxidant content, indicating its potential as a functional food for anemia prevention among adolescents. Further high-quality studies are recommended to determine optimal dosage, form, and duration of intervention.
Analysis of factors affecting mothers' behavior in selecting nutritious food for toddlers from the perspective of sharia financial literacy Lidia Aditama Putri; Kholid Albar; Dewi Kartika Sari; Firdatul Ikhwati Istianah; Zunita Zunita
Science Midwifery Vol 14 No 2 (2026): June: 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.v14i2.2348

Abstract

The selection of nutritious foods for toddlers is one of the key factors in stunting prevention and is strongly influenced by mothers' ability to manage household resources. This study aimed to analyze the relationship between Sharia financial literacy and mothers' behavior in selecting nutritious foods, as well as to identify the factors that most strongly influence such behavior. This study employed an analytic quantitative design with a cross-sectional approach involving 108 mothers with toddlers in Gresik Regency. The sample was selected using purposive sampling, and data were collected through a Google Form-based questionnaire. Data analysis was conducted through univariate, bivariable, and multivariable analyses using Spearman's rank test and logistic regression. The results showed that the majority of respondents had moderate Sharia financial literacy (59.3%) and fair nutritious food selection behavior (50.9%). There was a significant relationship between Sharia financial literacy and nutritious food selection behavior (p < 0.05). In the multivariable analysis, access to nutritious food and Sharia financial literacy were shown to have significant effects, with access to nutritious food emerging as the most dominant factor. This study indicates that strengthening Sharia financial literacy and improving access to nutritious food are important in supporting mothers' behavior in selecting nutritious foods for toddlers.
The relationship between knowledge about earwax cleaning with the grade of impacted cerumen in medical students Asti Widuri; Intan Kusuma Ayu Setyaning Galih
Science Midwifery Vol 14 No 2 (2026): June: 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.v14i2.2349

Abstract

The practice of using cotton buds for ear cleaning is common in the community. However, the use of cotton buds will cause various ear health problems. This study is needed to determine whether there is a relationship between knowledge about ear cleaning using cotton buds and the grade of cerumen impaction. Quantitative research using an observational analytic design with a cross-sectional approach. Sampling was carried out by simple random sampling using 37 respondents. The instrument used was a questionnaire and cerumen grade using otoscopy examination. The data were analyzed using chi square. Respondents who have a good level of knowledge (97.3%) have a sufficient level of knowledge (2.7%). The grade of cerumen in the right ear was grade 1 (13.5%), grade 2 (73.0%), grade 3, (10.8%), and grade 4 (2.7%). The left ear has the same as the right ear. There is no relationship between knowledge about the cleaning ears habits and the grade of cerumen with a p-value (0.381 > 0.05). Most respondents have a good level of knowledge. The knowledge about earwax cleaning not related with cerumen impaction grade.

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