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Jurnal Ilmiah Kebidanan Imelda
Published by Universitas Imelda Medan
ISSN : 24428116     EISSN : 25977180     DOI : https://doi.org/10.52943/jikebi.v7i1.534
Core Subject : Health,
Health Professions
Imelda Midwifery Scientific Journal (Imelda Midwifery Scientific Journal) Imelda College of Health Sciences (STIKes) Imelda which has now become Imelda University Medan accepts related writings: 1. Maternal Health 2. Pregnancy / Antenatal Care 3. Postpartum 4.Child Health 5. Reproductive Health 6. Family Planning 7. Midwifery Imelda Midwifery Scientific Journal (Imelda Midwifery Scientific Journal) also accepts all writings with various disciplines of science with the terms of the core points remaining in the path and scope of the world of midwifery.
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 202 Documents
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DETEKSI DINI KEHAMILAN BERISIKO DENGAN KARTU SKOR POEDJI ROCHJATI (KSPR) DI PUSKESMAS MEDAN DELI TAHUN 2024 Tan, Hedy; Sitanggang, Hotmauli; Saragih, Tria Amelia Putri
Jurnal Ilmiah Kebidanan Imelda Vol. 11 No. 2 (2025): Jurnal Ilmiah Kebidanan Imelda
Publisher : Program Studi S1 & DIII-Kebidanan Universitas Imelda Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52943/jikebi.v11i2.1977

Abstract

Introduction: Risky pregnancies can cause serious complications for the mother and fetus, such as bleeding, preeclampsia and maternal death. Early detection using KSPR is very important to identify pregnant women at high risk and provide appropriate intervention. Objective: This study aims to detect early risk pregnancies using the Poedji Rochjati Score Card (KSPR) at the Medan Deli Community Health Center in 2024. Method: This research method is descriptive quantitative with data collection through interviews and observations on 114 pregnant women. The sampling technique used in this study was total sampling. The study ran from May to August 2024. Results: The results showed that 38% of pregnant women were at high risk, with the main risk factors including maternal age over 35 years, pregnancies too close together, and a history of previous risky pregnancies. Conclusion: The use of the KSPR has proven to be beneficial in categorizing pregnancy risk levels practically and quickly. This aligns with the initial goal of developing the KSPR by Poedji Rochjati: as a simple screening tool in primary care to support efforts to reduce maternal mortality (MMR) and infant mortality (IMR). With consistent use of the KSPR, health workers can more easily determine midwifery care plans, educate families, and prepare referrals when needed.
PENGARUH PENDIDIKAN KESEHATAN BERBASIS AUDIOVISUAL TERHADAP PENGETAHUAN IMS PADA REMAJA DI KABUPATEN SELUMA Lestari Nurjanah, Nimas Ayu
Jurnal Ilmiah Kebidanan Imelda Vol. 11 No. 2 (2025): Jurnal Ilmiah Kebidanan Imelda
Publisher : Program Studi S1 & DIII-Kebidanan Universitas Imelda Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52943/jikebi.v11i2.1988

Abstract

Sexually transmitted infections (IMS) refer to diseases commonly spread through sexual activity. Fungi, viruses, and parasites are some of the microorganisms that can cause infections. Currently, adolescents are more susceptible to sexually transmitted infections. According to the Indonesian Ministry of Health, in 2022, there were 19,973 IMS cases in Indonesia, showing an increasing trend. One factor contributing to the increase in sexually transmitted infections among adolescents is a lack of knowledge about these diseases. To increase adolescents' knowledge, learning media that can illustrate physical concepts are needed. Audiovisual media is one such medium. This study aims to determine the effect of health education using audiovisual media on adolescents' knowledge about sexually transmitted infections in Seluma Regency. This research method is quantitative using a quasi-experimental approach (quasi-experiment) using a One Group Design Pretest-Posttest design. The sample in this study were 38 students of grade IX of SMPN 11, Seluma Regency. The sample selection method in this study used a purposive sampling method. The data collection technique used a questionnaire distributed to respondents before and after health education using audiovisual. The data obtained were then analyzed using a paired sample t-test. The results showed that the difference in the average value before and after health education using video was 1.26 with a p value = 0.001 with a significance level of 0.05. So it can be concluded that health education using audiovisual media can influence adolescents' knowledge about sexually transmitted infections. Therefore, the use of audiovisual media in conducting health education for students is highly recommended in order to create changes in adolescents' attitudes about Sexually Transmitted Infections (IMS).
PENDEKATAN PENTA HELIX BERBASIS KEARIFAN LOKAL TERHADAP PENINGKATAN PENGGUNAAN TABLET TAMBAH DARAH (TTD) SEBAGAI PENCEGAHAN STUNTING DI KABUPATEN TAPANULI SELATAN Harahap, Ummi Irmadani; Yanti, Efrida
Jurnal Ilmiah Kebidanan Imelda Vol. 11 No. 2 (2025): Jurnal Ilmiah Kebidanan Imelda
Publisher : Program Studi S1 & DIII-Kebidanan Universitas Imelda Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52943/jikebi.v11i2.1992

Abstract

Stunting remains a major issue in South Tapanuli (15.6% in 2023). One direct cause is anemia from iron deficiency, linked to low adherence of pregnant women to iron–folic acid (IFA) tablets due to limited knowledge and negative attitudes.This study aims to explore the effect of a penta helix approach based on local wisdom on improving pregnant women’s use of iron tablets to help prevent stunting. Research method: This is a quantitative study using a pre-experimental design, specifically the one-group pretest-posttest design, as the goal is to compare pretest and posttest results within the intervention group. The sample was determined using purposive sampling, consisting of 60 pregnant women from the working areas of Pargarutan and Simarpinggan Health Centers, South Tapanuli Regency. Results: The findings of this study demonstrate a significant influence of the penta helix approach on enhancing knowledge, attitudes, and compliance with IFA among pregnant women as a preventive measure against stunting in South Tapanuli Regency. This is supported by the results of statistical analysis, which yielded a p-value of 0.001 (p < 0.005), indicating a statistically significant relationship. Conclusion: The penta helix approach has an effect on improving knowledge, attitudes, and compliance with IFA use among pregnant women to prevent stunting in South Tapanuli Regency.
HUBUNGAN PARTISIPASI KELAS IBU HAMIL DENGAN KEJADIAN KETUBAN PECAH DINI DI PUSKESMAS JEBED KABUPATEN PEMALANG Himma Muliani, Resty; Handayani, Sa’adah
Jurnal Ilmiah Kebidanan Imelda Vol. 11 No. 2 (2025): Jurnal Ilmiah Kebidanan Imelda
Publisher : Program Studi S1 & DIII-Kebidanan Universitas Imelda Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Introduction: Beyond reducing the risk of infection, no prophylactic strategies are currently available, and the cause of premature rupture of membranes remains unknown. Prenatal seminars can be used to educate and support pregnant women on how to manage premature rupture of membranes, among other initiatives. Objective: The aim of this study was to determine how the prevalence of premature rupture of membranes at the Mampu Bersalin Jebed Community Health Center in Pemalang Regency is associated with enrollment in prenatal classes. Methods: This study used a cross-sectional design and quantitative methodology. Using a purposive sampling approach, the sample size was 84 respondents, 42 of whom were mothers who experienced premature rupture of membranes and 42 of whom did not. The Spearman Rank correlation test was used to analyze secondary data from the community health center's medical records at a 5% significance level. Results: 24 respondents, or 28.6% of mothers with BPD, were mostly actively involved in prenatal classes, while 26 respondents, or 31% of mothers without BPD, participated primarily passively. With a p-value of 0.082, Spearman's Rank correlation test analysis did not reveal an association between attending prenatal classes and the risk of premature rupture of membranes. Conclusion: Based on the research results, it shows that there is no relationship between participation in pregnancy classes and the incidence of KPD with a p value of 0.082.
PENGARUH EDUKASI BERBASIS FAMILY CENTERED MATERNITY CARE TERHADAP PEMBERIAN ASI DALAM UPAYA PENCEGAHAN STUNTING Rhamawan, Chainny; Purba, Rentawati
Jurnal Ilmiah Kebidanan Imelda Vol. 12 No. 1 (2026): Jurnal Ilmiah Kebidanan Imelda
Publisher : Program Studi S1 & DIII-Kebidanan Universitas Imelda Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52943/jikebi.v12i1.2012

Abstract

Background: Stunting remains a major public health issue in Indonesia, strongly associated with inadequate nutrition during the early stages of life. Exclusive breastfeeding is recognized as one of the most effective interventions to prevent stunting. However, breastfeeding practices are influenced by maternal knowledge, attitudes, and family support. The Family Centered Maternity Care (FCMC) approach emphasizes family involvement in maternal and child health, aiming to improve breastfeeding practices and child nutrition. Objective: This study aimed to analyze the effect of FCMC-based education on breastfeeding practices and mothers’ perceptions of fulfilling children’s nutritional needs as an effort to prevent stunting. Methods: A mixed-method design was applied, combining quantitative and qualitative approaches. The quantitative phase used a randomized controlled trial involving 100 postpartum mothers divided into intervention and control groups. The intervention group received FCMC-based education, while the control group did not. Data were collected using structured questionnaires on breastfeeding practices, knowledge, attitudes, and family support, complemented by semi-structured interviews. Quantitative data were analyzed using descriptive and inferential statistics, while qualitative data were thematically analyzed. Results: The majority of respondents were <18 years old, had basic education, and 65% were employed. Most mothers had good knowledge (59%), good attitudes (61%), and adequate family support (54%). Breastfeeding was reported by 68% of participants. Statistical analysis showed that mothers in the intervention group were almost four times more likely to have a good perception of fulfilling child nutrition compared to the control group (OR = 3.881; 95% CI: 1.561–9.650; p = 0.005). Qualitative findings highlighted the role of family involvement, especially from husbands, in supporting breastfeeding practices. Conclusion: FCMC-based education significantly improves mothers’ perceptions of child nutrition and enhances breastfeeding practices. Integrating FCMC into maternal health programs is recommended as a sustainable strategy to support exclusive breastfeeding and prevent stunting in Indonesia.
PENGARUH PENGGUNAAN TEKNIK VISUALISASI TERHADAP PENINGKATAN PERSEPSI IBU TENTANG PEMENUHAN GIZI ANAK DALAM PENCEGAHAN STUNTING Karo-Karo, Hilda Yani; Cane, Purnama Sari
Jurnal Ilmiah Kebidanan Imelda Vol. 12 No. 1 (2026): Jurnal Ilmiah Kebidanan Imelda
Publisher : Program Studi S1 & DIII-Kebidanan Universitas Imelda Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52943/jikebi.v12i1.2013

Abstract

Background: Stunting remains a major public health problem in low- and middle-income countries, including Indonesia, where maternal age, education, knowledge, and perception play pivotal roles in child nutrition and growth outcomes. Objective: This study aimed to assess maternal characteristics, knowledge, and perceptions related to breastfeeding and nutrition, and to evaluate the effect of visualization techniques on improving maternal perception of child nutrition in the prevention of stunting. Methods: A cross-sectional design was applied involving 100 mothers as respondents. Data were collected on maternal age, education, employment status, knowledge of breastfeeding and stunting, and perception of child nutrition. An intervention using visualization techniques was conducted, and its effect on maternal perception was analyzed using chi-square tests and risk estimates with 95% confidence intervals. Results: Nearly half of the respondents were adolescent mothers (<18 years, 48%), while 45% had only basic education. A majority of mothers demonstrated good knowledge about breastfeeding and stunting (68%) and positive perceptions of nutrition (65%). However, knowledge and perception gaps remained among those with lower education. The use of visualization techniques significantly improved maternal perception of nutrition (p = 0.003), with mothers in the intervention group being four times more likely to report good perception compared to controls (OR = 4.0; 95% CI: 1.647–9.715). Conclusion: Maternal characteristics, particularly young age and low educational attainment, remain challenges for effective stunting prevention. Visualization-based education is an effective strategy to improve maternal perception and should be integrated into community health programs. Strengthening maternal nutrition literacy through innovative, accessible, and interactive interventions is essential to reduce stunting prevalence.
PENGALAMAN KELUARGA DALAM PERAWATAN ANAK SPEECH DELAY DI WILAYAH KERJA PUSKESMAS TERJUN Rambe, Nova Linda; BR. Sebayang, Wellina; Simamora, Debora Lestari; Syafitri, Amelia
Jurnal Ilmiah Kebidanan Imelda Vol. 12 No. 1 (2026): Jurnal Ilmiah Kebidanan Imelda
Publisher : Program Studi S1 & DIII-Kebidanan Universitas Imelda Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52943/jikebi.v12i1.2169

Abstract

Speech delay in children is a developmental disorder frequently found in the service area of Terjun Community Health Center. This study aimed to explore children's nutritional intake, sources of information, family management practices, and factors contributing to speech delay in children in this area. This study employed a qualitative method using a phenomenological approach with a snowball sampling technique. Data were collected through in-depth interviews with 5 families who had children with speech delay. The findings indicated that children's diets were relatively limited and lacked nutritional variety, consisting mainly of rice, vegetables, fish, eggs, and several fruits such as bananas and papaya. Most mothers provided formula milk from infancy due to difficulties in breastfeeding, which may influence children’s speech development. The inconsistent administration of supplements such as Cerebrovit, vitamin C, herbal honey, and fish oil may reduce their potential effectiveness. Parental experience also played an important role in recognizing speech delay, as parents compared their child’s speech development with that of older siblings. Family management strategies included intensive interaction and speech stimulation, and some families sought professional assistance for speech therapy. Genetic predisposition was also identified as a contributing factor. In addition, inadequate maternal nutritional intake during pregnancy due to economic constraints was reported to contribute to speech delay in children. In conclusion, speech delay among children in the Terjun Community Health Center area is associated with multiple factors, including limited dietary intake, inconsistent supplement administration, parental experience in recognizing developmental delays, genetic predisposition, and inadequate maternal nutrition during pregnancy.
PEMBERIAN ASI EKSKLUSIF DENGAN KEJADIAN STUNTING PADA ANAK USIA 6-59 BULAN Erianti, Anggie; Widowati, Hesty; Cholifah, Siti
Jurnal Ilmiah Kebidanan Imelda Vol. 12 No. 1 (2026): Jurnal Ilmiah Kebidanan Imelda
Publisher : Program Studi S1 & DIII-Kebidanan Universitas Imelda Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52943/jikebi.v12i1.2173

Abstract

Background: Stunting remains a major public health issue in Indonesia, strongly associated with inadequate nutrition during the early stages of life. Exclusive breastfeeding is recognized as one of the most effective interventions to prevent stunting. However, breastfeeding practices are influenced by maternal knowledge, attitudes, and family support. The Family Centered Maternity Care (FCMC) approach emphasizes family involvement in maternal and child health, aiming to improve breastfeeding practices and child nutrition. Objective: This study aimed to analyze the effect of FCMC-based education on breastfeeding practices and mothers’ perceptions of fulfilling children’s nutritional needs as an effort to prevent stunting. Methods: A mixed-method design was applied, combining quantitative and qualitative approaches. The quantitative phase used a randomized controlled trial involving 100 postpartum mothers divided into intervention and control groups. The intervention group received FCMC-based education, while the control group did not. Data were collected using structured questionnaires on breastfeeding practices, knowledge, attitudes, and family support, complemented by semi-structured interviews. Quantitative data were analyzed using descriptive and inferential statistics, while qualitative data were thematically analyzed. Results: The majority of respondents were <18 years old, had basic education, and 65% were employed. Most mothers had good knowledge (59%), good attitudes (61%), and adequate family support (54%). Breastfeeding was reported by 68% of participants. Statistical analysis showed that mothers in the intervention group were almost four times more likely to have a good perception of fulfilling child nutrition compared to the control group (OR = 3.881; 95% CI: 1.561–9.650; p = 0.005). Qualitative findings highlighted the role of family involvement, especially from husbands, in supporting breastfeeding practices. Conclusion: FCMC-based education significantly improves mothers’ perceptions of child nutrition and enhances breastfeeding practices. Integrating FCMC into maternal health programs is recommended as a sustainable strategy to support exclusive breastfeeding and prevent stunting in Indonesia.
DETEKSI DINI KECEMASAN PADA ASUHAN KEBIDANAN MASA KEHAMILAN, PERSALINAN DAN MASA NIFAS NY. A G2P1A0 DI KLINIK “A” KABUPATEN BANDUNG Agustina, Eka Alia; Susanti, Dyeri; Yanti, Damai; Oktri, Yosi
Jurnal Ilmiah Kebidanan Imelda Vol. 12 No. 1 (2026): Jurnal Ilmiah Kebidanan Imelda
Publisher : Program Studi S1 & DIII-Kebidanan Universitas Imelda Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52943/jikebi.v12i1.2190

Abstract

Pregnancy involves normal physiological changes that are often accompanied by psychological responses, one of which is anxiety, particularly during the third trimester. Unmanaged anxiety, combined with limited support from the husband or family, may negatively affect maternal and fetal health, the childbirth process, and the postpartum period. This study aimed to identify anxiety early and implement appropriate midwifery interventions to prevent potential complications. A descriptive case study with an observational approach was conducted on Mrs. “A” (G2P1A0), starting at 36 weeks of gestation and continuing through labor, the postpartum period, newborn care, and contraceptive counseling. Anxiety levels were assessed using the Taylor Manifest Anxiety Scale (T-MAS). Midwifery interventions included health education, counseling, therapeutic communication, prenatal yoga exercises, and breathing relaxation techniques. Prior to the intervention, the T-MAS score indicated moderate anxiety, mainly influenced by limited spousal presence and insufficient family support. Anxiety increased during labor due to the indication for cesarean section, and during the postpartum period due to family pressure related to infant feeding practices. After structured and continuous interventions, anxiety levels decreased to a mild category. The pregnancy, delivery, and postpartum period proceeded without complications. These findings indicate that early psychological screening combined with holistic midwifery care is effective in reducing anxiety and supporting maternal and neonatal well-being.
HUBUNGAN POLA ASUH, PENGETAHUAN GIZI, DAN STATUS PEKERJAAN IBU DENGAN PRAKTIK PEMBERIAN MP-ASI PADA BAYI 6-24 BULAN Sitompul, Gustina Delkis; Siregar, Siti Arofah; Harahap, Noer Halimah; Asmanita, Asmanita; Sinaga, Berdina Fifi Yanti; Harahap, Ida Novia
Jurnal Ilmiah Kebidanan Imelda Vol. 12 No. 1 (2026): Jurnal Ilmiah Kebidanan Imelda
Publisher : Program Studi S1 & DIII-Kebidanan Universitas Imelda Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52943/jikebi.v12i1.2210

Abstract

Early introduction of complementary foods (early CF) before four months of age increases the risk of malnutrition fivefold compared to timely introduction at six months. This study aims to analyze the relationship between parenting styles, nutritional literacy, and maternal occupational status regarding complementary feeding (CF) practices among children aged 6 to 24 months at the Sipiongot Community Health Center, North Padang Lawas Regency. This analytic study employed a cross-sectional approach involving 58 respondents. This design was selected to observe the inter-variable relationships simultaneously. Data revealed that the majority of respondents exhibited poor parenting categories (62.1%), moderate nutritional knowledge (50.0%), unemployment status (63.8%), and inadequate CF practices (55.2%). Bivariate analysis demonstrated significant correlations between CF practices and parenting style (p=0.045), nutritional knowledge (p=0.029), and occupational status (p=0.014). Maternal internal factors and employment status play a pivotal role in infant nutritional success. Massive nutritional education and targeted support for stay-at-home mothers are required to improve CF practices in this region.

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