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AloHA International Journal of Health Advancement (AIJHA)
Published by Alliance of Health Activists
ISSN : -     EISSN : 26218224     DOI : https://doi.org/10.33846/aijha
Core Subject : Health, Science,
Biochemistry, Genetics & Molecular Biology Dentistry Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health
Aloha International Journal of Health Advancement (AIJHA) is a media for the publication of articles on research, book review, literature review, commentary, opinion, case report, tips, scientific news and letter to editor in the areas of health science and practice such as public health, medicine, dentistry, nursing, midwifery, nutrition, pharmaceutical, environmental health, health technology, medical laboratories, health education, health information system, health management, and health popular.
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 219 Documents
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MIDWIFERY CARE FOR A POSTPARTUM MOTHER P20002 ON DAY 11 WITH MILK ENGORGEMENT: A CASE REPORT Nabila Syahda Arsanti; Astuti Setiyani; Suparji Suparji; Nana Usnawati
Aloha International Journal of Health Advancement (AIJHA) Vol 7, No 10 (2026): October 2026 (In Production)
Publisher : Alliance oh Health Activists (AloHA)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/%x

Abstract

The breastfeeding process is a series of activities that a mother will undergo, especially after giving birth. During this process, there are various problems that may occur, one of which is a blocked milk duct. This condition happens when breast milk cannot flow optimally, triggering several symptoms such as swollen, painful, and hard breasts, causing discomfort during breastfeeding. Improper handling of a blocked milk duct can lead to mastitis. Until now, the incidence rate of blocked milk ducts is 36.12%, which of course affects the success of exclusive breastfeeding. What makes this case unique is the use of aloe vera massage therapy as a non-pharmacological intervention to help reduce blocked milk ducts. The aim of this case report is to evaluate the effectiveness of aloe vera massage in reducing blocked milk ducts in post-Cesarean mothers. This research is qualitative with a case report using a midwifery care approaches Mrs. H, a 32-year-old woman (P20002), on the 11th day postpartum following a Cesarean section, who presented with complaints of swelling, firmness, tenderness of the left breast, and decreased breast milk production. The breast engorgement was managed through breastfeeding education, breast care, maternal condition monitoring, and aloe vera massage therapy. The care was documented using the SOAP format during three home visits. Initial assessment revealed that the patient's left breast was swollen, firm, and tender on palpation, with a body temperature of 37.5°C and inadequate breast milk flow. Following the provision of comprehensive midwifery care and aloe vera massage therapy over three home visits, there was a noticeable reduction in breast swelling, decreased pain, normalization of body temperature to 36.8°C, and improved breast milk production. The mother also demonstrated improved breastfeeding techniques, and no signs of complications such as mastitis were observed. Aloe vera massage therapy, combined with breastfeeding education and breast care, was effective in reducing breast engorgement, improving breast milk flow, and enhancing maternal comfort in a postpartum mother following Cesarean section. This therapy may serve as an alternative complementary intervention for the management of breast engorgement. Keywords: Breast Engorgement; Postpartum; Aloe Vera Massage
IMPROVING ANTIHYPERTENSIVE THERAPY ADHERENCE IN OBSESE HYPERTENSIVE PREGNANCY CHYNDIKA ARTAMEVIA; Triana Septianti Purwanto; Sunarto Sunarto
Aloha International Journal of Health Advancement (AIJHA) Vol 7, No 11 (2026): November 2026 (Upcoming)
Publisher : Alliance oh Health Activists (AloHA)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/%x

Abstract

Hypertension during pregnancy remains a major contributor to maternal and perinatal morbidity, particularly among women with obesity. Low adherence to antihypertensive therapy may worsen blood pressure control and increase the risk of complications such as preeclampsia, fetal growth restriction, and preterm birth. This study aimed to describe the implementation of comprehensive midwifery care to improve adherence to antihypertensive therapy in a pregnant woman with obesity and hypertension. A case report design was used involving a 26-year-old primigravida at 31–32 weeks of gestation with obesity (BMI 35.38 kg/m²), hypertension (blood pressure 150/80 mmHg), low knowledge regarding hypertension (HK-LS score 54.54%), and low medication adherence (MMAS-8 score 2.5). Data were collected through interviews, physical examinations, observation, medical record reviews, and continuous monitoring during antenatal visits at Puskesmas Plaosan, Magetan. Midwifery interventions included health education regarding hypertension in pregnancy, counseling on the importance of antihypertensive therapy, medication reminder strategies using observation sheets and alarms, family involvement, dietary counseling, physical activity recommendations, and regular blood pressure monitoring. Following the intervention, the client demonstrated improved adherence to therapy, increased understanding of hypertension management, and more consistent medication use. Blood pressure gradually decreased from 150/80 mmHg to 120/80 mmHg, and no signs of severe maternal or fetal complications were identified during the observation period. Comprehensive midwifery care contributed to improved adherence to antihypertensive therapy and supported better maternal health outcomes in an obese pregnant woman with hypertension.
Application of Comprehensive Midwifery Care to Enhance Postpartum Contraceptive Acceptance among Pregnant Women with Very High Risk Pregnancy Bintang Putri Shafarelda; Triana Septianti Purwanto; Sunarto Sunarto; Nurlailis Saadah
Aloha International Journal of Health Advancement (AIJHA) Vol 7, No 10 (2026): October 2026 (In Production)
Publisher : Alliance oh Health Activists (AloHA)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/%x

Abstract

Introduction: very high risk pregnancies remain a significant maternal health issue, contributing to an increased likelihood of complications during pregnancy and childbirth. One major contributing factor is the refusal to use contraception, which is strongly influenced by social circumstances, particularly among mothers with very high parity. Method: this report adopts a case study approach within the framework of comprehensive midwifery care. The subject is Mrs. “H,” a 33 year old woman, G10P70027, at 32 weeks of gestation. Data collection was conducted through subjective and objective assessments, physical and supporting examinations, and risk evaluation using the Poedji Rochjati Score Card (KSPR). Results: the assessment indicated that the mother was categorized as having a very high risk pregnancy, with a KSPR score of 14. The elevated risk was attributed to high parity, short interpregnancy intervals, and a history of abortion. Contraceptive refusal was influenced by prior experiences of side effects and negative perceptions within the social environment. Following continuous education and contraceptive counseling involving her husband, the mother demonstrated improved understanding of the risks associated with repeated pregnancies and the benefits of postpartum contraception. Conclusion: very high risk pregnancies among mothers with high parity are closely associated with contraceptive refusal shaped by social factors. Comprehensive and continuous midwifery care that actively involves family members has proven effective in enhancing maternal understanding and readiness for postpartum contraceptive planning. Keywords: Very High Risk, Contraceptive Refusal, Contraception
Comprehensive Midwifery Care for a Pregnant Woman with Obesity Yosynta Purin Ayunda; Tinuk Esti Handayani; Tutiek Herlina
Aloha International Journal of Health Advancement (AIJHA) Vol 7, No 10 (2026): October 2026 (In Production)
Publisher : Alliance oh Health Activists (AloHA)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/%x

Abstract

Introduction: Obesity during pregnancy is an increasingly common health problem and can increase the risk of various complications for both the mother and fetus. This condition is associated with a higher risk of gestational hypertension, preeclampsia, gestational diabetes mellitus, operative delivery, and fetal growth disorders. Therefore, comprehensive midwifery care is needed to monitor maternal health conditions and prevent complications during pregnancy. Objective: To describe the implementation of midwifery care for a pregnant woman with obesity at TPMB Mrs. “G”, Plaosan, Magetan. Methods: This report used a descriptive study with a case report design through the SOAP (Subjective, Objective, Assessment, Planning) approach in midwifery care management. Data were collected using primary and secondary data sources. Primary data were obtained through interviews, observations, and physical examinations, while secondary data were obtained from documentation such as the Maternal and Child Health (MCH) handbook and medical records. Data analysis was conducted descriptively based on subjective and objective findings, problem identification, care planning, implementation of interventions, and evaluation of care. Results and Discussion: The assessment of Mrs. W, a 31-year-old primigravida (G1P0A0) at 23 weeks of gestation, showed a Body Mass Index (BMI) of 31.64 kg/m², which was classified as obesity. The patient reported fatigue, back pain, and numbness in her hands. The care provided included education on balanced nutrition, recommendations for safe physical activity, monitoring of weight gain, and regular antenatal care examinations. After three months of follow-up care, the patient's condition improved as indicated by reduced physical complaints and weight gain within the recommended range. Conclusion: Comprehensive SOAP-based midwifery care can assist in monitoring maternal health, reducing the risk of pregnancy complications, and supporting the health of both mother and fetus. Keywords: Obesity During Pregnancy, Pregnancy
Shared Kangaroo Mother Care for Twin Preterm Neonates: A Midwifery Management Case Report Wafa Nazla Camila; Teta Puji Rahayu; Tutiek Herlina
Aloha International Journal of Health Advancement (AIJHA) Vol 7, No 10 (2026): October 2026 (In Production)
Publisher : Alliance oh Health Activists (AloHA)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/%x

Abstract

Introduction: Twin preterm neonates are infants delivered from a twin pregnancy prior to the completion of 37 weeks of gestation. Kangaroo Mother Care (KMC) is a recommended intervention for maintaining neonatal physiological stability through sustained skin-to-skin contact between the infant and the mother or another family member. Objective: This case report aims to describe the implementation of Kangaroo Mother Care in twin preterm neonates through a midwifery management approach. Methods: This report used a descriptive, single-case design applying midwifery management to Baby of Mrs. “Y,” twin preterm neonates residing in Kinandang Village, Bendo District, Magetan Regency. Data were obtained through interviews, observation, physical examination, and documentation review, and were processed following the stages of midwifery care: assessment, analysis, planning, implementation, and evaluation. Results and Discussion: Assessment findings indicated that both neonates required close monitoring of body temperature, respiratory pattern, feeding capacity, and general condition. Care activities comprised Shared Kangaroo Mother Care, monitoring of vital signs and growth parameters, infection-prevention measures, and family education on home-based care of preterm neonates. Over the course of observation, both infants maintained stable body temperature, showed progressive improvement in feeding ability, remained in good general condition, and the mother and family became able to perform KMC independently. Conclusion and Suggestion: Implementation of Kangaroo Mother Care through a midwifery management approach supported the physiological adaptation of twin preterm neonates, improved their feeding capacity, and strengthened family participation in ongoing neonatal care. Sustained KMC practice, regular follow-up, and continued family support are recommended to promote optimal growth and development of preterm infants. Keywords: Kangaroo Mother Care; infant; twins; preterm; case report
Katuk Leaf-Based Education Improves Lactation in a Primiparous Postpartum Mother with Hypogalactia and Obesity Yulia Prasetyani Lestari; Tinuk Esti Handayani; Rahayu Sumaningsih; Agung Suharto
Aloha International Journal of Health Advancement (AIJHA) Vol 7, No 11 (2026): November 2026 (Upcoming)
Publisher : Alliance oh Health Activists (AloHA)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/%x

Abstract

Introduction: Hypogalactia is a condition in which breast milk production is insufficient to meet an infant's nutritional needs. It commonly occurs among primiparous postpartum mothers due to limited breastfeeding experience, anxiety, fatigue, and other factors affecting lactation. Obesity may also contribute to impaired milk production and ejection. Katuk leaves are widely used as a local herbal galactagogue to support breastfeeding. Objective: To describe midwifery care for a primiparous postpartum mother with hypogalactia and obesity through local herbal-based education using katuk leaves. Methods: This case report employed a case study approach using the SOAP method including the study design, data collection methods, and data analysis. Data were collected through interviews, physical examinations, observations, and documentation during the postpartum period. Results and Discussion: Assessment of Mrs. R, a 23-year-old primiparous mother (P10001) on the fourth postpartum day, revealed low breast milk production, maternal anxiety regarding milk adequacy, and a BMI of 34.72 kg/m² (obesity). Interventions included breastfeeding education, on-demand breastfeeding, oxytocin massage, breast acupressure, psychological support, nutritional counseling, and education on katuk leaf consumption. By the 25th postpartum day, breast milk production improved, maternal confidence increased, and the infant's weight rose from 2,900 g to 3,600 g. Conclusion: Comprehensive midwifery care combined with local herbal-based education using katuk leaves helped improve breast milk production and support successful breastfeeding in a primiparous postpartum mother with hypogalactia and obesity. Keywords: Hypogalactia; Obesity; Primiparous Postpartum Mother; Katuk Leaves
Non-Pharmacological Midwifery Care Improves Maternal Comfort Post Sectio Casearea Mariskha Aurelia Putri; Astin Nur Hanifah; Triana Septianti Purwanto; Sulikah Sulikah
Aloha International Journal of Health Advancement (AIJHA) Vol 7, No 10 (2026): October 2026 (In Production)
Publisher : Alliance oh Health Activists (AloHA)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/%x

Abstract

Introduction: Postpartum women frequently experience musculoskeletal discomfort, particularly back pain, which may interfere with maternal comfort, mobility, rest, and infant care. Effective management strategies are essential to support recovery and improve quality of life. Objective: This case report aims to describe the midwifery care provided to a postpartum mother experiencing moderate back pain following cesarean section, and to evaluate the effectiveness of non-pharmacological interventions. Methods: A 43-year-old woman, P10001, on the 30th day of the postpartum period after cesarean section, presented with moderate back pain (NRS, VAS, VRS, CPS, Wong Baker = 6). Comprehensive midwifery care was delivered over four sessions, including back pain education, instruction on proper body mechanics, warm compresses, balanced nutrition, psychological support, and effleurage back massage as the primary non-pharmacological intervention. Results: Following the interventions, pain intensity decreased from NRS 6 to 3. Improvements were observed in lumbar muscle relaxation, posture, mobility, sleep quality, and maternal ability to perform daily activities, breastfeeding, and infant care with greater comfort. Conclusion: Comprehensive midwifery care, particularly the application of effleurage back massage combined with education and supportive measures, proved effective in reducing postpartum back pain and enhancing maternal well-being. Non-pharmacological interventions represent a valuable strategy to improve quality of life during the postpartum period. Keywords: Post Sectio Caesarea, back pain, effleurage massage.
Comprehensive Midwifery Care Improves Clinical and Nutritional Outcomes in a Primigravida Woman with Chronic Energy Deficiency Complicated by Hyperemesis Gravidarum Septi Mustika Ningrum; Triana Septianti Purwanto; Sunarto Sunarto; Astin Nur Hanifah
Aloha International Journal of Health Advancement (AIJHA) Vol 7, No 11 (2026): November 2026 (Upcoming)
Publisher : Alliance oh Health Activists (AloHA)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/%x

Abstract

Chronic Energy Deficiency (CED) and Hyperemesis Gravidarum (HG) are common conditions that may coexist during pregnancy and increase the risk of adverse maternal and fetal outcomes, particularly among primigravida women. Persistent nausea and vomiting may worsen pre-existing nutritional deficiencies, making comprehensive midwifery care essential. This case report aimed to describe the implementation of comprehensive midwifery care for a primigravida woman with CED complicated by HG. A case report design was conducted on a 24-year-old primigravida at 20 weeks and 2 days of gestation with concurrent CED and HG. Midwifery care was provided at Taji Community Health Center, Magetan Regency, Indonesia, from March 30 to April 13, 2026, through one initial assessment and two home visits. Care was implemented using the Varney Midwifery Management Approach and documented using the SOAP format. Interventions included pharmacological antiemetic therapy, dietary and fluid counseling, Multiple Micronutrient Supplement (MMS) supplementation, health education, and continuous monitoring using the Pregnancy-Unique Quantification of Emesis and Nausea (PUQE) score. Progressive clinical improvement was observed throughout the follow-up period. The PUQE score decreased from 13 (severe) at baseline to 10 at the first follow-up and 4 at the final visit. Maternal body weight increased from 48.0 kg to 48.4 kg and subsequently to 49.1 kg. The patient experienced complete resolution of nausea and vomiting, improved oral intake, resumed normal daily activities, and demonstrated good adherence to both pharmacological and non-pharmacological interventions. However, CED had not been completely resolved by the end of follow-up. Comprehensive midwifery care combining pharmacological treatment, nutritional counseling, MMS supplementation, health education, and continuous monitoring effectively improved clinical symptoms and maternal nutritional status in a primigravida woman with CED complicated by HG. Ongoing antenatal monitoring remains necessary until delivery to achieve optimal maternal nutritional recovery and prevent maternal and perinatal complications. Keywords: Chronic Energy Deficiency, Hyperemesis Gravidarum, Comprehensive Midwifery Care.
Case Report: A Woman Using Progestin Injectable Contraception for 9 Years Iqlima Hastuti Jatmiko; Teta Puji Rahayu; Nurlailis Saadah; Rahayu Sumaningsih
Aloha International Journal of Health Advancement (AIJHA) Vol 7, No 9 (2026): September 2026
Publisher : Alliance oh Health Activists (AloHA)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/%x

Abstract

Long-term use of progestin injectable contraception may increase the risk of menstrual disorders, decreased bone mineral density, reduced libido, and reduced quality of life. This study aimed to describe the midwifery care provided to a three-month progestin injectable contraceptive acceptor who had used the method for nine years. This study employed a case report design using a midwifery management approach with SOAP (Subjective, Objective, Assessment, and Plan) documentation. The client was a 42-year-old woman who had used three-month progestin injectable contraception for nine years because she no longer wished to become pregnant. She had previously used an implant, a one-month injectable contraceptive, and a three-month injectable contraceptive. Her body weight decreased from 58 kg to 55 kg while using the implant and returned to 58 kg after switching to injectable contraception. During the use of the three-month progestin injectable contraceptive, she experienced persistent amenorrhea. After receiving comprehensive midwifery care, including assessment, education, counseling, and evaluation, the client decided to switch to an intrauterine device (IUD) on June 29, 2026.Comprehensive midwifery care, including assessment, education, counseling, and evaluation, improved the client's understanding of selecting an appropriate contraceptive method based on her health condition, age, and mutual agreement with her husband.

Page 22 of 22 | Total Record : 219

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