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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 
Aerobic exercise as a non-pharmacological intervention to reduce weight gain in 3-month injectable contraceptive users Zulhijriani Zulhijriani; Nur Cahyani Ari Lestari; Salwa Annisaa; Luluk Yuliati
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.v14i2.2388

Abstract

Weight gain is identified as one of the most prevalent side effects among users of 3-month injectable contraceptives (Depot Medroxyprogesterone Acetate/DMPA), which significantly impacts user compliance and long-term health. This study aims to analyze the effect of a structured aerobic exercise intervention on weight reduction among DMPA users. This research employed a quantitative pre-experimental design with a pretest-posttest approach. The study was conducted in Tondomulyo Village, Pati District, Central Java, involving 50 women of reproductive age (15–49 years) who were current users of 3-month injectable contraceptives, selected through purposive sampling. Body weight was measured before and after the intervention using calibrated digital scales. Data were analyzed using a paired sample t-test via SPSS with a significance level of p < 0.05. The study found a statistically significant decrease in body weight following the aerobic exercise intervention (p=0.000). The mean body weight decreased from 61.92 kg at pre-intervention to 60.86 kg post-intervention, resulting in a mean difference of 1.06 kg. Most participants engaged in light-intensity exercise (58%), though regular exercise was associated with more optimal metabolic outcomes. Aerobic exercise is an effective non-pharmacological intervention for managing weight gain among DMPA users. Incorporating structured physical activity into reproductive health programs can serve as a holistic approach to mitigate contraceptive side effects and improve user continuation rates.
Combination of slow deep breathing with rose aromatherapy and progressive muscle relaxation on blood pressure among hypertensive patients in Manado City Faradilla Miftah Suranata; Rahmat Hidayat Djalil; Nelfa Fitria Takahepis; Bunga Pakaya
Science Midwifery Vol 14 No 3 (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.v14i3.2298

Abstract

Hypertension is one of the major health problems in Manado City, with an increasing prevalence and the potential to cause serious complications if left uncontrolled. Non-pharmacological interventions, such as the combination of slow deep breathing (SDB) with rose aromatherapy and progressive muscle relaxation (PMR), may serve as alternative therapies to support blood pressure management by increasing parasympathetic nervous system activity. This study aimed to evaluate the effectiveness of SDB combined with rose aromatherapy and PMR in reducing blood pressure among patients with hypertension. This study employed a quantitative pre-experimental design with a two-group pretest-posttest approach. A total of 32 patients with hypertension were allocated into two intervention groups: the SDB combined with rose aromatherapy group and the PMR group. Both interventions were conducted for four weeks. Systolic and diastolic blood pressure measurements were recorded before and after the interventions. The results showed that the SDB combined with rose aromatherapy group experienced a reduction in systolic blood pressure of 10 mmHg (p=0.001) and diastolic blood pressure of 5.43 mmHg (p=0.001). Meanwhile, the PMR group demonstrated a reduction in systolic blood pressure of 13.4 mmHg (p=0.001) and diastolic blood pressure of 5.3 mmHg (p=0.001). The Independent Samples T-Test revealed significant differences in post-intervention blood pressure between the two groups for both systolic blood pressure (mean difference=-18.33; 95% CI: -19.18 to -0.85; p=0.015) and diastolic blood pressure (mean difference=-9.02; 95% CI: -9.57 to -0.55; p=0.014). Conclusion: Both SDB combined with rose aromatherapy and PMR significantly reduced blood pressure among patients with hypertension. Slow Deep Breathing (SDB) combined with rose aromatherapy showed greater reductions in post-intervention systolic and diastolic blood pressure compared with Progressive Muscle Relaxation (PMR), supporting its potential role as a non-pharmacological approach for hypertension management.
The effect of classical instrumental music (Kenny G–Style) on reducing anxiety in pregnant women during labor: A literature review Rut Yohana Girsang; Dilma’aarij Agustia; Novitri Adelina Sipayung; Dinda Dian Meidita; Ria Fazelita Gultom
Science Midwifery Vol 14 No 3 (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.v14i3.2383

Abstract

Maternal anxiety during labor remains a significant psychological condition that may adversely affect labor progression, pain perception, and overall childbirth outcomes. Non-pharmacological interventions, particularly music therapy, have been increasingly recognized as complementary strategies to improve maternal psychological well-being. This literature review aims to examine the effectiveness of classical and instrumental music, including the style of Kenny G, in reducing anxiety among pregnant women during labor. A systematic literature review was conducted by searching peer-reviewed articles published between 2018 and 2025 in databases including PubMed, Scopus, ScienceDirect, and Google Scholar. Keywords used included “music therapy,” “labor anxiety,” “pregnancy,” “childbirth,” and “relaxation music.” The findings indicate that exposure to calming instrumental music is associated with reduced anxiety levels, decreased physiological stress markers (such as heart rate and cortisol), and improved maternal relaxation during labor. The slow tempo and smooth melodic structure characteristic of instrumental jazz and contemporary classical music, including Kenny G’s compositions, are associated with activation of the parasympathetic nervous system, promoting relaxation and emotional stability. Overall, music therapy is a safe, low-cost, and non-invasive intervention that can be integrated into midwifery care to enhance maternal comfort during childbirth.
Nutrition care in pediatric patients with severe diabetic ketoacidosis, hyperglycemia and suspected type 1 diabetes Wahyu Dwi Suzanti; Sukmawati Sukmawati; Suriani Rauf; Musyawarah Thahir
Science Midwifery Vol 14 No 3 (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.v14i3.2393

Abstract

Diabetes mellitus (DM) is a chronic disease with an increasing prevalence among children. Type 1 DM, the most common form in pediatrics, results from autoimmune destruction of pancreatic β-cells, leading to absolute insulin deficiency. Diabetic ketoacidosis (DKA) is a life-threatening acute complication that may cause acute kidney injury (AKI), electrolyte imbalance, and respiratory distress. This case study applied the Standardized Nutrition Care Process (SNCP), including nutritional assessment, diagnosis, intervention, monitoring, and evaluation, in a 1-year-3-month-old girl diagnosed with severe DKA, suspected type 1 DM, severe dehydration, community-acquired pneumonia, anemia, hypokalemia, azotemia, KDIGO stage II AKI, and marasmus-type malnutrition. Nutritional assessment showed severe malnutrition (weight-for-length Z-score < −3 SD) with clinical signs of iga gambang. Nutrition diagnoses included altered nutrition-related laboratory values associated with endocrine dysfunction, evidenced by HbA1c 11.1%, random blood glucose >200 mg/dL, urea 123 mg/dL, creatinine 0.9 mg/dL, hemoglobin 10.1 g/dL, and estimated glomerular filtration rate (eGFR) 48%, as well as disease-related pediatric malnutrition characterized by low weight-for-length, mid-upper arm circumference (MUAC) 83.3%, inadequate intake (<50% of requirements), and clinical malnutrition signs. Nutritional intervention consisted of a 1,100-kcal diabetic diet with enteral formula via nasogastric tube and chopped porridge orally. The patient's nutritional intake gradually improved to an adequate level during hospitalization, although significant changes in nutritional status were not observed because of the short intervention period. Nutrition education was provided to the family to support long-term management. This case highlights the importance of individualized, gradual, and closely monitored nutritional therapy as part of multidisciplinary care to optimize recovery and prevent further complications in pediatric patients with type 1 DM and severe DKA.
Analysis of nutritional status of children at state elementary School Kampung Rawa 02 Central Jakarta Jenny Anna Siauta; Gani Putri Aryanto; Rukmaini Rukmaini; Yenny Aulya
Science Midwifery Vol 14 No 3 (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.v14i3.2391

Abstract

Nutritional status is a crucial indicator influencing children's growth and development, health, and academic achievement. Nutritional issues in elementary school-aged children remain a public health issue, with both undernutrition and overnutrition and obesity contributing to growth disorders and the risk of future disease. To analyze the nutritional status of children at SDN Kampung Rawa 02, Central Jakarta, and the factors influencing it. This study used a quantitative cross-sectional design. The sample consisted of 148 students in grades 4–6. Data were analyzed using the chi-square test. Data were collected through questionnaires and BMI/Ag measurement using a microtoise and scales. Univariate and bivariate analyses were performed. The proportion of children with nutritional status showed undernutrition (7.4%), overnutrition (47.3%), and obesity (15.5%). The majority of respondents reported poor eating and drinking habits (56.1%), insufficient physical activity (66.2%), an unsupportive environment (55.4%), and insufficient family involvement (60.1%). Bivariate analysis showed a significant relationship between knowledge level (p=0.02), eating and drinking behavior (p=0.006), physical activity (p=0.01), environment (p=0.03), and family role (p=0.01) and children's nutritional status. The nutritional status of children at SDN Kampung Rawa 02, Central Jakarta, indicates nutritional problems, including undernutrition, overnutrition, and obesity. Factors such as knowledge level, eating and drinking behavior, physical activity, environment, and family role play a role in influencing children's nutritional status. Nutrition education and school and family support are needed to maintain children's nutritional status.
Youth education through focus group discussions: An effective strategy for preventing early marriage and child violence Yulianti Yulianti; Ida Widaningsih; Hajar Nur Fathur Rohmah
Science Midwifery Vol 14 No 3 (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.v14i3.2397

Abstract

Early marriage remains a problem that impacts health, psychological, social, and economic aspects, and increases the risk of violence against children. This study aims to analyze the effectiveness of educational media through the Focus Group Discussion (FGD) method in increasing adolescents' knowledge about the dangers of early marriage and the risks of violence against children. The study used a quasi-experimental design with a one-group pretest-posttest design. The study was conducted in February 2026 at SMPN 2 Cikarang Utara, Wanajaya Village, Bekasi Regency, involving 30 adolescents as a sample. Data were analyzed using the Wilcoxon test to compare the level of knowledge before and after the intervention. The research results show that the focus group discussion (FGD) method is effective in increasing adolescents' knowledge about the impacts of early marriage and the risks of violence against children. The FGD method enables adolescents to better understand the dangers of early marriage, recognize the risks of violence against children, and be better prepared to apply this information in their daily lives. The findings of this study indicate that adolescent education through Focus Group Discussions (FGDs) is effective in increasing adolescents' knowledge, awareness, and attitudes regarding the dangers of early marriage and the risks of violence against children. Therefore, the FGD method can be implemented as an effective educational strategy in schools and communities to support efforts to prevent early marriage and protect children on an ongoing basis.
The effect of giving papaya fruit on the sufficiency of breast milk in post-post mothers Fenny Fernando; Melia Pebrina; Dewi Fransisca; Ramah Hayu
Science Midwifery Vol 14 No 3 (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.v14i3.2398

Abstract

Exclusive breastfeeding coverage in the Lubuk Buaya Community Health Center, Padang, remains low at 53.2%. While papaya is a known natural galactagogue, there is a research gap regarding its efficacy in urban West Sumatra settings. The novelty of this study lies in its specific geographic context and use of multidimensional infant clinical signs to evaluate breast milk sufficiency. This study aimed to analyze the effect of papaya consumption on breast milk sufficiency in postpartum mothers. Using a pre-experimental one-group pretest–posttest design, 16 postpartum mothers (aged 20–35 years, nursing infants 0–6 months) were selected via purposive sampling. They consumed 200g of ripe papaya three times daily for seven days. Sufficiency was evaluated using a structured observation sheet assessing indicators like urinary frequency, weight changes, and hydration. Analyzed via the Wilcoxon Signed Rank test, inadequate sufficiency dropped from 56.2% to 0%. The average score increased from 3.44 to 4.69, reflecting a mean increase of 1.25 points (p=0.001, large effect size r=0.62). Academically, this enriches literature on community-level lactation management. Practically, it provides midwives an affordable, non-pharmacological alternative. For policy, these findings serve as actionable input to integrate local food interventions into maternal-neonatal nutritional guidelines.
Molecular and transcriptional regulation of the interleukin-10 gene: Implications of the -1082 G/A promoter polymorphism on the immune response in pulmonary tuberculosis Rieke Dwi Ramadhany; Desi Oktariana; Kemas Yakub Rahadiyanto
Science Midwifery Vol 14 No 3 (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.v14i3.2399

Abstract

Background: Host immune responses critically determine tuberculosis outcomes. Although the interleukin-10 (IL-10) -1082 G/A promoter polymorphism alters IL-10 expression and pulmonary tuberculosis susceptibility, global studies report conflicting findings that lack a comprehensive molecular synthesis. Objective: This review critically evaluates IL-10 molecular regulation and the immunological and clinical implications of the -1082 G/A polymorphism in pulmonary tuberculosis. Methods: A narrative literature review utilized PubMed, ScienceDirect, and Google Scholar (2008–2026). Employing a structured literature selection flowchart and the Joanna Briggs Institute (JBI) Critical Appraisal tools for quality assessment, 55 high-quality articles were ultimately selected and synthesized narratively. Results: The G allele exhibits greater affinity for the Sp1 transcription factor, increasing IL-10 expression. This hyper-secretion suppresses macrophage activation and Th1-mediated immunity via the JAK/STAT pathway. Crucially, susceptibility differences among populations are heavily influenced by linkage disequilibrium, ethnic genetic diversity, epigenetic regulation, and gene–environment interactions. Conclusion: This review provides an integrated perspective linking the IL-10 promoter polymorphism with immune regulation, highlighting its potential as a predictive biomarker for precision medicine and risk stratification in vulnerable demographics. Large-scale, multi-ethnic longitudinal studies integrating genetic and epigenetic analyses are recommended.
Clinical effectiveness of allopurinol–febuxostat versus allopurinol–colchicine combination therapy in patients with gout: A retrospective study at Universitas Sebelas Maret Hospital, Indonesia Langgeng Inaya; Lucia Vita Inandha Dewi; Hidayah Apriliawan
Science Midwifery Vol 14 No 3 (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.v14i3.2405

Abstract

Background: Gout is a metabolic disorder characterized by elevated serum uric acid levels, which may lead to joint inflammation and decreased quality of life. Combination therapies, including allopurinol–febuxostat and allopurinol–colchicine, are commonly used to control serum uric acid levels and improve clinical outcomes. Objective: This study aimed to compare the clinical effectiveness of allopurinol–febuxostat and allopurinol–colchicine combination therapy in patients with gout. Methods: This retrospective observational study used medical records of patients diagnosed with gout or hyperuricemia at Universitas Sebelas Maret Hospital. A total of 79 patients who met the inclusion criteria were included. Patient characteristics, serum uric acid levels before and after therapy, and follow-up duration were collected and analyzed using comparative statistical tests. Results: The allopurinol–febuxostat group showed a reduction in serum uric acid levels from 7.98 ± 0.50 mg/dL to 5.01 ± 0.53 mg/dL, corresponding to a mean reduction of 2.90 ± 0.62 mg/dL. The allopurinol–colchicine group showed a reduction from 7.98 ± 0.56 mg/dL to 5.24 ± 0.65 mg/dL, with a mean reduction of 2.83 ± 0.58 mg/dL. The between-group mean difference in serum uric acid reduction was 0.07 mg/dL, with a statistically significant difference in treatment effectiveness (p = 0.004). The 95% confidence interval (95% CI: [lower limit] to [upper limit]) and effect size (Cohen's d = [value]) should be reported to indicate the precision and magnitude of the treatment effect. Conclusion: Both combination therapies effectively reduced serum uric acid levels; however, the allopurinol–febuxostat combination demonstrated significantly greater effectiveness than the allopurinol–colchicine combination. Reporting confidence intervals and effect size alongside statistical significance provides a more comprehensive interpretation of the treatment effect.
Identifying anemia determinant factors in adolescent girls to improve productivity: A systematic review Ni Putu Wahyu Laksmi Natha Devi; Luh Seri Ani; Komang Ayu Kartikasari
Science Midwifery Vol 14 No 3 (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.v14i3.2407

Abstract

Anemia has a negative impact on the productivity of adolescent girls. However, adolescents' understanding of risk factors for anemia is still limited. Therefore, a literature study was conducted to provide knowledge about the determinant factors of anemia for adolescent. The purpose of this literature review is to identify determinant factors for the incidence of anemia in adolescent girls. This study was systematically compiled based on a literature search using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) method. Data was collected from Google Scholar and PubMed electronic databases from May to June 2024. Articles are disaggregated based on inclusion and exclusion criteria. The criteria for journal inclusion are articles published in the 2019-2024 range, Indonesian and English language journals. The criteria for journal exclusion are incomplete journals. Two reviewers independently assessed the feasibility of the article using the Newcastle Ottawa scale guidelines. A total of 20 articles were considered feasible. Factors related to the incidence of anemia in adolescent girls include dietary patterns, body image, physical activity, nutritional status, iron consumption, disease history, menstruation, and adolescent girls' knowledge. The results of this study have implications for adolescents' understanding of preventable anemia risk factors. In addition, this research contributes to the improvement of adolescent productivity through an understanding of the determinants of anemia in adolescents. Therefore, it is recommended to further research is expected to evaluate effective models of anemia prevention for adolescents to increase adolescent productivity.

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