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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 1,547 Documents
 151   152   153   154   155 
Evaluation of the continuity of care (CoC) development model in midwifery care Ummi Saleh; Mareta B. Bakoil; Firda Kalzum Kiah; Wahidah Sukriani; Noordiaty Noordiaty; Chendy Sofianty Pelatta
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.v14i2.2166

Abstract

The Continuity of Care (CoC) development model is designed to improve the quality and continuity of midwifery services during pregnancy, childbirth, the postpartum period, infant care, and contraceptive use. Ensuring that these services are safe, effective, timely, efficient, equitable, and woman-centered can enhance maternal and neonatal health outcomes. This study aimed to evaluate the implementation of the CoC development model in midwifery services. A descriptive research design was used to assess the application of the CoC development model in three health centers: Sikumana, Alak, and Bakunase. The study population consisted of midwives working in these areas, selected using purposive sampling. Data were analyzed using univariate analysis. The implementation of the CoC development model in midwifery services was carried out well, though with varying levels of achievement across the stages of care. The implementation during pregnancy was categorized as very good (14.87%), during childbirth as very good (11.30%), and during the postpartum period as good (13.42%). The CoC development model has been effectively implemented in midwifery services, contributing to improved continuity and quality of care for mothers and newborns, although further enhancement is needed to ensure consistency across all stages.
Evaluation of implementation 10 steps to successful breastfeeding program at Dukuh Klopo Community Health Center Niken Grah Prihartanti; Diah Wijayanti Sutha
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.v14i2.2170

Abstract

Various regulations regarding programs that support breastfeeding already exist, but their coverage and other practices related to breastfeeding such as IMD have not reached the set targets, especially in Community Health Centers (Puskesmas) because so far the focus of implementation has only been on hospitals. The purpose of this study was to evaluate the implementation of the success of the 10 LMKM program at the Dukuh Klopo Community Health Center, Jombang. This research is a qualitative study with a case study research design. The data collection method used in-depth interviews. The sample in this study was 3 providers and 10 mothers who received the program. The place and time of the research were at the Dukuh Klopo Community Health Center from October to November 2025. The research analysis used the Miles and Hubberman model. The results showed that all midwives supported breastfeeding activities including discussions since pregnancy, all midwives assisted with early breastfeeding initiation (IMD) and joint care for mothers who gave birth. All breastfeeding mothers never received gifts that included the logo of a breast milk substitute (PASI) brand and mothers were sensitive to signs that their babies wanted to breastfeed. However, one aspect of the program remains incomplete: the lack of breastfeeding support groups (KP-ASI). A written policy regarding the 10 LMKMs is needed, and it is hoped that all midwives will participate in lactation management training to optimize their implementation.
The effectiveness of foot exercises and trigona honey on type 2 DM neuropathy Heny Marlina Riskawaty; Baik Heni Rispawati; Raudatul Jannah
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.v14i2.2204

Abstract

Type 2 Diabetes Mellitus (T2DM) is a chronic metabolic disorder with a steadily increasing number of cases globally. The International Diabetes Federation (IDF) reported in 2021 that 10.5% of the global population, or approximately 537 million adults, live with diabetes, and this figure is projected to increase to 12.2%, equivalent to 783 million people, by 2045. One of the chronic complications often experienced by people with T2DM is diabetic neuropathy. This condition is characterized by decreased peripheral nerve function and increased pain intensity. Foot exercises are a non-pharmacological intervention that can increase blood flow, strengthen muscles, and stimulate peripheral nerves, potentially improving neuropathy symptoms. The purpose of this study was to analyze the effectiveness of foot exercises in reducing pain and increasing sensitivity in the feet of people with type 2 DM. The method used was a quasi-experimental pretest-posttest design. A sample of 30 respondents was divided into two groups. Data analysis used the Wilcoxon Signed Rank Test. The results showed a significant reduction in pain between the first and fourth weeks (p=0.014). Right foot sensitivity increased significantly in the first week (p=0.013), the second week (p=0.001), and the fourth week (p=0.008), while the left foot showed a significant increase in the first week (p=0.013). In conclusion, foot exercises are effective in reducing pain and increasing foot sensitivity in patients with type 2 diabetes.
The relationship between nutritional status and the incidence of hypertension at primary health care facilities in the working area of bojongsoang community health center, bandung regency, 2025 Muhamad Rosyid Kusdiawan; Mia Miranda Sitti; Helmi Rosa Gunadi
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.v14i2.2269

Abstract

Background: Hypertension is a major public health problem that increases the risk of cardiovascular disease, stroke, and renal failure. Nutritional status, particularly overweight and obesity, is one of the contributing factors to hypertension. The prevalence of hypertension and overnutrition in the working area of Bojongsoang Primary Health Care remains high, making it necessary to assess their relationship. Methods: This study used a cross-sectional design with secondary data obtained from a previous study. A total of 135 respondents who met the inclusion and exclusion criteria at primary health care facilities in the working area of Bojongsoang Health Center, Bandung Regency, in 2025 were included. Nutritional status was determined using Body Mass Index (BMI), and hypertension status was classified as controlled and uncontrolled. Data were analyzed using univariate analysis and bivariate analysis with the Chi-Square test. Results: Most respondents were classified as obese (42.2%) and overweight (17.8%). The majority of respondents had uncontrolled hypertension (65.9%). Bivariate analysis showed a significant association between nutritional status and the incidence of hypertension (p < 0.05), with overweight and obese respondents having a higher proportion of uncontrolled hypertension compared to those with normal or underweight nutritional status. Conclusion: There is a significant relationship between nutritional status and the incidence of hypertension in primary health care facilities in the working area of Bojongsoang Health Center, Bandung Regency, in 2025. Nutritional status control, particularly the prevention of overweight and obesity, should be an essential component of hypertension management and prevention strategies.
Determinants of barriers to the implementation of the chronic disease management program (PROLANIS) among patients with diabetes mellitus in Indonesia: A systematic literature review Indah Koryah Indah; Elviera Gamelia; Suratman Suratman
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.v14i2.2367

Abstract

The Chronic Disease Management Program (PROLANIS) is a proactive healthcare service system developed by BPJS Kesehatan to manage chronic diseases, including diabetes mellitus (DM). Although the program has been implemented since 2014, its achievement remains far below optimal, with various barriers reported across different regions of Indonesia. This Systematic Literature Review aims to identify and synthesize the determinants of barriers to PROLANIS implementation among patients with diabetes mellitus in Indonesia. A literature search was conducted across PubMed, Scopus, and Google Scholar databases, covering the period 2021–2026. A total of 78 articles were identified, and following the PRISMA 2020 screening process, 22 studies met the inclusion criteria. Quality assessment was performed using the JBI Critical Appraisal Checklist. The results is barriers were identified across four principal dimensions: (a) the patient dimension, encompassing low knowledge levels, insufficient motivation, economic constraints, and distance to healthcare facilities; (b) the healthcare provider and primary care facility (FKTP) dimension, comprising limited human resources and inadequate infrastructure; (c) the BPJS system dimension, including frequently changing regulations and financing limitations; and (d) the environmental dimension, involving social support and cultural factors. The conclusion is barriers to PROLANIS DM implementation are multidimensional in nature. Comprehensive interventions targeting patient, provider, system, and environmental factors are required to improve program outcomes.
Development of an Android-Based E-Module on Hypnoprenatal Material for Diploma III Midwifery Students Sari Wahyuni; Nurul Komariah
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.v14i2.2380

Abstract

Mobile technology has become increasingly important in health professions education, yet midwifery learning in Indonesia still relies largely on printed modules and conventional lectures. Hypnoprenatal is a relaxation technique that has been reported in the literature as a complementary approach to reduce antenatal anxiety and fear of childbirth; however, digital instructional resources covering this topic for midwifery students remain limited. This study aimed to develop an Android-based hypnoprenatal e-module for Diploma III Midwifery students and to assess its feasibility as a learning medium, using the ADDIE model (Analysis, Design, Development, Implementation, Evaluation) as the research and development (R&D) framework. Methods: Feasibility was evaluated by two material experts, one media expert, one lecturer, and 20 fourth-semester students through validated five-point Likert-scale questionnaires. Responses were analyzed descriptively by calculating the percentage of agreement for each respondent group, which was then interpreted against a predetermined feasibility category scale (e.g., 81–100% = "Highly Feasible," 61–80% = "Feasible," and lower ranges indicating reduced feasibility). Results: After two rounds of expert validation and revision, the e-module obtained mean feasibility scores of 90.0% from the media expert and 96.3% from the material experts, both falling within the "Highly Feasible" category. Student feedback yielded 84.1% in the small-group trial and 90.1% in the large-group trial, while the lecturer's assessment reached 95.3%, all within the "Feasible" to "Highly Feasible" range. Conclusion: Based on these descriptive feasibility scores, the Android-based hypnoprenatal e-module is feasible for use as a self-directed learning medium for midwifery students. This study did not evaluate the e-module's effect on student learning outcomes or anxiety-related measures; further research employing experimental designs is needed to examine its effectiveness. . The findings nonetheless support the potential of this e-module as a starting point for integrating complementary-care content into competency-based midwifery education.
In vitro study the effect of flavonoid routine in cassava leaves (manihot esculenta c.) on the replication of dengue virus serotype 1 strain new guinea C Dery Handaiana Putra Galuh Pangestu; Dadan Ramadhan Apriyanto; Sri Marfuati; Beti Ernawati Dewi
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.v14i2.2381

Abstract

Dengue hemorrhagic fever (DHF) is an infectious disease caused by the dengue virus with clinical manifestations of fever, muscle pain and joint pain accompanied by leukopenia, rash, lymphadenopathy and thrombocytopenia. According to WHO, DHF is still a major health problem in Indonesia, while dengue antiviral therapy does not yet exist, but several studies have found the potential of cassava leaves because they contain routine flavonoid compounds that function as antivirals. Objective: To determine the effect of routine flavonoids from cassava leaves (Manihot esculenta C.) on the replication of Dengue virus serotype 1 strain New Guinea C in Vitro by analyzing the 50% inhibitory concentration (IC50), 50% cytotoxic concentration (CC50), and selectivity index. Method: The research was experimental with a post-test control group design. This study used 7 groups, namely 1 control group and 6 treatment groups. The treatment group consisted of routine administration of Flavonoids from cassava leaves (Manihot esculenta C.) with concentrations of 50 µg/ml, 25 µg/ml, 12.5 µg/ml, 6.25 µg/ml, 3.125 µg/ml and 1.5 µg/ml. The control group (K) was given 0.2% Dimethyl sulfoxide (DMSO). Data were tested using the Kruskal Wallis test. Results: In the Kruskal Wallis test, there was an effect of routine Flavonoids on dengue virus replication (p value = 0.006). The IC50 value obtained at a concentration of 3.36 µg/ml was declared very strong inhibition, and the CC50 at a concentration of 17.48 µg/ml was declared toxic, for the Selectivity Index obtained a value of 5.2 declared safe in its use. Conclusion: Routine flavonoids in cassava leaves (Manihot esculenta C.) have an effect on the replication of Dengue virus Serotype 1 Strain New Guinea C in Vitro.
The relationship between platelet-lymphocyte ratio (plr) and mortality of sepsis patients in the intensive care unit of Waled Regional General Hospital in 2020-2023 Khairunnisa Purwati; Donny Prasetyo Priyatmoko; Isti Noviani
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.v14i2.2382

Abstract

Background: Sepsis is one of the leading causes of mortality worldwide, especially in patients treated in intensive care units. This condition is characterized by organ dysfunction due to a systemic inflammatory response to infection that can lead to death if not treated promptly. Platelet-Lymphocyte Ratio (PLR) is a simple inflammatory marker that can provide information about sepsis mortality. PLR is calculated by dividing the platelet count by the absolute lymphocyte count. Objective: This study aims to analyze the relationship between PLR and mortality of sepsis patients in the Intensive Care Unit of Waled Regional General Hospital (RSUD Waled) in 2020-2023. Methods: This study used an analytical method with a cross-sectional design. Data were obtained through medical records with a sample size of 65 people and the data collection method was total sampling. Data analysis used the Fisher Exact Test. Results: Most sepsis patients had high PLR values, with 52 patients dying, and sepsis patients with low PLR values, with 10 patients surviving and 3 patients dying. The results of data analysis using the Fisher's Exact test showed a p-value of <0.001. Conclusion: There is a significant relationship between PLR and mortality of sepsis patients in the Intensive Care Unit of Waled Regional Hospital.
The relationship between knowledge levels and the use of soursop leaf tea among housewives with hypertension in the village of suku Sara Tangke Saipullah Saipullah; Andi Pratama Putra; Muzaffar Muzaffar; Rahmiati Tagore Putri; Maulina Iriyanti
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.v14i2.2384

Abstract

Hypertension remains a major global health problem due to its increasing prevalence and risk of serious complications. In addition to pharmacological treatment, health promotion efforts are needed to improve community awareness and encourage the use of safe complementary therapies. Soursop leaf tea (Annona muricata L.) has been widely recognized as a traditional herbal remedy; however, evidence regarding the effectiveness of educational interventions in promoting its utilization among hypertensive individuals remains limited. This study aimed to evaluate changes in knowledge and utilization of soursop leaf tea among hypertensive housewives in Suku Sara Tangke Village following a health education intervention. A one-group pretest–posttest pre-experimental design was employed from June to November 2025. A total of 46 respondents were selected through purposive sampling. Data were collected using a structured questionnaire and analyzed using the Wilcoxon signed-rank test. The findings demonstrated significant improvements in respondents’ knowledge and utilization of soursop leaf tea after the educational intervention. The obtained p-value of 0.000 (p < 0.05) indicates that the intervention was not only statistically significant but also practically meaningful in encouraging positive behavioral changes toward the adoption of herbal-based complementary therapy for hypertension management. The novelty of this study lies in integrating community-based health education with local herbal resources, highlighting the potential of soursop leaf tea utilization as a culturally relevant health promotion strategy among hypertensive housewives. These findings suggest that educational approaches can effectively support the acceptance and utilization of traditional herbal therapies within community health promotion programs.
Effectiveness of the putri self-management module in improving knowledge, attitudes, and blood glucose levels among patients with type 2 diabetes mellitus Ratna Indah Sari Dewi; Ramah Hayu; Herman Susilo; Putri Dafriani
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.v14i2.2386

Abstract

Poor glycemic control among patients with Type 2 Diabetes Mellitus (T2DM) is often associated with inadequate diabetes knowledge, low self-efficacy, and suboptimal self-management practices. The PUTRI (Pemberdayaan Untuk Tatalaksana dan Regulasi Individu) module was developed as a structured educational tool to support diabetes self-management in primary care settings. This study aimed to evaluate the effectiveness of the PUTRI module on patients’ knowledge, attitudes, and random blood glucose (RBG) levels. A quasi-experimental one-group pretest–posttest study was conducted among 50 patients with T2DM enrolled in a chronic disease management program at a primary healthcare center. Participants received a 7-day intervention using the PUTRI module. Knowledge and attitude were assessed using structured questionnaires, while RBG levels were measured using calibrated glucometers. Data were analyzed using the Wilcoxon Signed-Rank Test and Spearman’s correlation analysis. Significant improvements were observed in knowledge scores (0.176 ± 0.222 vs. 0.940 ± 0.121; p<0.001) and attitude scores (1.95 ± 0.505 vs. 2.91 ± 0.252; p<0.001) following the intervention. Mean RBG levels decreased from 267.54 mg/dL at baseline to 185.52 mg/dL on Day 7 (p<0.001). A moderate positive correlation was identified between post-test knowledge and attitude scores (rs=0.566, p<0.001), while self-efficacy was negatively correlated with Day-7 RBG levels (rs=-0.282, p=0.047). The PUTRI module was associated with improvements in diabetes-related knowledge, attitudes, and short-term glycemic outcomes among patients with T2DM. Further studies using randomized controlled designs and longer follow-up periods are recommended to confirm these findings.

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