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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
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Determinants of early marriage incidence in adolescents in Rural West Kupang District, East Nusa Tenggara Suci Aspriyanti Anwar; Mega Putri Amalanda Amalanda; Rani Kusumawardani; Qorinah Estiningtyas Sakilah Adnani; Chyntia Haryana
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.v14i3.2410

Abstract

Early marriage remains a major public health problem in East Nusa Tenggara (NTT), particularly in rural areas where local cultural practices have received limited quantitative investigation despite their potential influence on marriage decisions. This study aimed to identify the determinants of early marriage among adolescents in rural West Kupang District. This quantitative study employed a cross-sectional design involving 98 adolescents aged 15–19 years from two villages (Oenaek and Sumlili) selected using the Slovin formula. Data were analyzed using univariate, bivariate (chi-square), and multivariate (multiple logistic regression) analyses. The prevalence of early marriage was 27.6%. Bivariate analysis identified six factors significantly associated with early marriage (p < 0.05), while multivariate analysis showed that local cultural/customary perceptions (AOR = 6.1; 95% CI: 1.9–19.6; p = 0.002), poor reproductive health knowledge (AOR = 3.2; p = 0.036), and poor family economic status (AOR = 2.9; p = 0.049) were the dominant determinants. The novelty of this study lies in quantitatively examining the role of local cultural perceptions, including the belis tradition, together with socioeconomic and behavioral factors in a rural NTT setting. These findings provide evidence to support culturally sensitive policies, strengthen adolescent reproductive health education, and guide community-based interventions to prevent early marriage in rural areas.
Effectiveness of nutritional counseling and fe tablet supplementation on hemoglobin levels of pregnant women in the working area of the Hajimena Health Center, Lampung Nur Wachiniah Mawadda; Harny Citra Purnama; Nurul Amalia; Qorinah Estiningtyas Sakilah Adnani; Chyntia Haryana
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.v14i3.2411

Abstract

Pregnancy-related anemia remains a significant public health problem in the working area of Puskesmas Hajimena, Natar Subdistrict, South Lampung, increasing the risk of preterm birth and low birth weight. Although iron (Fe) supplementation is routinely provided through antenatal care (ANC), anemia remains prevalent, suggesting that supplementation alone may be insufficient to address nutritional and behavioral factors affecting maternal hemoglobin (Hb) levels. This study addressed limited evidence regarding the integration of Health Belief Model (HBM)-based nutrition counseling with Fe supplementation in primary healthcare settings. A quasi-experimental pretest-posttest study with a control group involved 98 second-trimester pregnant women equally allocated into intervention and control groups. The intervention group received three HBM-based nutrition counseling sessions over eight weeks alongside Fe tablets, while the control group received Fe tablets alone. The intervention significantly increased Hb levels and reduced anemia prevalence. The novelty lies in integrating behavioral-based nutrition counseling into anemia prevention. Scientifically, the findings provide evidence that behavioral interventions can enhance Fe supplementation effectiveness. Practically and clinically, the intervention offers a feasible strategy for midwives to improve maternal knowledge, adherence, dietary practices, and anemia management within ANC services. From a policy perspective, the findings support integrating structured nutrition counseling into routine maternal health programs to strengthen anemia prevention and improve maternal health outcomes.
Anti-inflammatory activity test of matoa fruit peel ethanol extract (Pometia pinnata J. R. Forst. & G. Forst.) on carrageenan edema model of white rats Irene Eunike Tanod; A. M. Muslihin; Lukman Hardia
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.v14i3.2414

Abstract

Background: Inflammation is a protective biological response to tissue injury or infection; however, excessive inflammation may lead to tissue damage and chronic disease. Matoa fruit peel (Pometia pinnata J.R.Forst. & G.Forst.) contains bioactive compounds, including Flavonoids, saponins, tannins, and phenolics, which are known to have anti-inflammatory properties, are present in the plant. Objective: This study sought to assess the anti-inflammatory efficacy of the ethanol extract derived from the matoa fruit peel through the utilization of a carrageenan-induced paw edema model in male white rats. Methods: In an experiment, we used male white rats (Rattus norvegicus) and split them into five groups. We had a negative control, a positive control, and three treatment groups. The treatment groups got ethanol extract at different doses—100, 200, and 300 mg/kg of body weight. To get the inflammation going, we gave them a 1% carrageenan injection under their skin. Paw edema volume was measured periodically using a plethysmometer to determine the anti-inflammatory effect. Results: The initial volume of edema of the whole group was homogeneous (0.06 ± 0.00–0.01 mL). Ethanol extract of matoa fruit peel at doses of 100, 200, and 300 mg/kgBB showed anti-inflammatory activity by gradually reducing edema until the 6th hour. The dose of 100 mg/kgBB provided the highest edema inhibition effect (42.06 ± 8.36%), followed by the 300 mg/kgBB dose (41.27 ± 13.75%) and 200 mg/kgBB (31.75 ± 2.75%), while positive control showed the largest inhibition (61.11 ± 9.62%). Statistical analysis showed that all treatment groups differed significantly from negative controls (p < 0.05), but still had lower effectiveness than positive controls.Conclusion:Ethanol extract of matoa fruit peel demonstrates promising anti-inflammatory activity in carrageenan-induced male white rats and may serve as a potential natural source for anti-inflammatory drug development. Further studies are needed to identify the active compounds, clarify the molecular mechanisms, and evaluate the extract's safety.
Prosthodontic rehabilitation of a complete edentulous patient with mandibular prognathism: A case report Leonardo Jaya Setiadi Tanumiharja; Marvin Jaya Setiadi Tanumiharja; Winny Suwindere; Imanuella Stevanie Jovanca Situmorang; Metta Sari Sutanto; Joni Putra Nasution
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.v14i3.2415

Abstract

Background: Rehabilitation of completely edentulous patients with mandibular prognathism remains a clinical challenge because abnormal maxillomandibular relationships compromise denture retention, stability, occlusion, and function. Evidence describing prosthodontic management of this condition is still limited. Objective: To describe the prosthodontic rehabilitation of a completely edentulous patient with mandibular prognathism using complete dentures with an edge-to-edge tooth arrangement. Case Presentation: A 57-year-old male presented with complete edentulism for approximately ten years and complained of impaired mastication and speech. Clinical examination revealed a prognathic mandibular relationship with a 2-mm mandibular deviation to the right and severe alveolar ridge resorption. Treatment: The patient underwent conventional complete denture fabrication including preliminary and final impressions, jaw relation recording, semi-adjustable articulator mounting, and edge-to-edge anterior tooth arrangement to accommodate the skeletal discrepancy. Results: One month after denture insertion, clinical evaluation demonstrated satisfactory denture retention and stability without mucosal ulceration or occlusal interference. The patient reported improved chewing ability, speech, aesthetics, and overall satisfaction with the prosthesis. Clinical Significance: Edge-to-edge tooth arrangement can be considered a practical treatment option for complete denture rehabilitation in selected patients with mandibular prognathism, providing acceptable retention, stability, and functional outcomes despite unfavorable jaw relationships.
Factors associated with the intention of students at universitas muhammadiyah surakarta to quit smoking Nova Desfita Agusetiyani; Tanjung Anitasari Indah Kusumaningrum
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.v14i3.2418

Abstract

Smoking remains a major public health concern among university students and may lead to various adverse health consequences. Although previous studies have examined smoking cessation intention, limited evidence exists regarding the combined role of the Theory of Planned Behavior, smoking cessation knowledge, and peer support among Indonesian university students. Understanding factors associated with students’ intention to quit smoking is essential for developing effective smoking cessation interventions. This study aimed to identify factors associated with the intention to quit smoking among students at Universitas Muhammadiyah Surakarta. A quantitative study with a cross-sectional design was conducted from January to March 2025 involving 166 active student smokers selected using a total sampling technique. Data were collected through a structured questionnaire based on the Theory of Planned Behavior and analyzed using descriptive statistics, Chi-Square and Fisher’s Exact tests to examine associations between categorical variables, with a significance level of p < 0.05. The results showed that attitude (p < 0.001), knowledge regarding smoking cessation methods (p = 0.001), and peer support (p < 0.001) were significantly associated with smoking cessation intention. Students with positive attitudes, good knowledge, and higher peer support were more likely to intend to quit smoking. In contrast, subjective norms (p = 0.284) and perceived behavioral control (p = 0.107) were not significantly associated with the intention to quit smoking. These findings extend the application of the Theory of Planned Behavior and support universities in strengthening smoking cessation education, peer-based interventions, counseling services, and smoke-free campus policies.
The effectiveness of moringa oleifera and musa paradisiaca on hemoglobin levels in postpartum mothers Viqy Lestaluhu; Meilany Laisouw; Siska Febrina Fauziah; Fadila Fadila; Juhartini Juhartini
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

Abstract

Postpartum anemia is a common maternal health problem that may delay recovery and increase the risk of postpartum complications. Although Moringa oleifera leaves and Musa paradisiaca have individually been reported to improve hemoglobin levels, direct comparative evidence between these locally available food sources remains limited. This study aimed to compare their effectiveness in increasing hemoglobin levels among postpartum mothers.A quasi-experimental pretest–posttest control group study was conducted. Postpartum mothers were allocated into three groups: Moringa oleifera, Musa paradisiaca, and a control group receiving standard postpartum care. Participants in the intervention groups consumed 200 g of the assigned food daily for seven days. Hemoglobin levels were measured before and after the intervention using a digital hemoglobin analyzer. Data were analyzed using paired t-tests, one-way ANOVA, and the Games–Howell post hoc test (p < 0.05). Hemoglobin levels increased significantly in the Moringa oleifera group (9.94 ± 1.63 to 11.40 ± 1.15 g/dL; p = 0.001) and the Musa paradisiaca group (10.84 ± 1.52 to 12.10 ± 1.42 g/dL; p = 0.003), whereas the control group showed no significant improvement (p=0.116). ANOVA demonstrated significant differences in hemoglobin changes among groups (F = 6.938, p=0.003).This study provides novel evidence by directly comparing Moringa oleifera and Musa paradisiaca in postpartum mothers. Both interventions significantly improved hemoglobin levels compared with standard postpartum care, supporting their use as affordable and locally available complementary strategies for managing postpartum anemia.
Sigmoid colon perforation complicating neonatal rectovestibular fistula: A case report Partogi Napitupulu; Nadifa Agil; Revalita Wahab; Nathalia Ningrum
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.v14i3.2426

Abstract

Anorectal malformation (ARM) with rectovestibular fistula may allow small amounts of meconium to pass despite ongoing distal bowel obstruction. We report a three-day-old term female neonate with an imperforate anus, progressive abdominal distension, bilious vomiting, and minimal meconium passage through a rectovestibular fistula. Abdominal radiography showed marked bowel dilatation and pneumoperitoneum. Emergency laparotomy revealed sigmoid colon perforation with diffuse fecal peritonitis. The perforation was repaired, followed by a double-barrel sigmoid colostomy. The infant recovered well and was discharged on postoperative day eight. At three-month follow-up, the wound was completely healed and the colostomy remained healthy and functional. This case illustrates a rare but serious complication of rectovestibular fistula, in which limited meconium passage may coexist with significant bowel obstruction and subsequent perforation. These findings emphasize that thorough perineal inspection, high vigilance for obstruction despite minor meconium passage, and timely surgical intervention are essential to prevent bowel perforation in neonates with anorectal malformations.

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