INDONESIAN MIDWIFERY HEALTH AND SCIENCES JOURNAL
Indonesian Midwifery and Health Sciences Journal (e-ISSN 2656-7806) is a peer-reviewed open access scientific journal published by Universitas Airlangga. The scope for Indonesian Midwifery and Health Sciences Journal includes Adolescents, premarital and preconception, pregnancy, childbirth, postpartum and lactation, newborns, infants and toddlers, reproductive health, gynaecology, maternal emergencies, neonatal emergencies, contraception, family planning, menopause, health care and midwifery policies, midwifery education, management midwifery care services, Community Midwifery. Articles published in Indonesian Midwifery and Health Sciences Journal include original articles and literature reviews. Articles could be written in either Bahasa Indonesia or English. Contributors for Indonesian Midwifery and Health Sciences Journal are researchers, lecturers, students, midwifery practitioners and other practitioners that focus on midwifery and health sciences in Indonesia and worldwide.
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314 Documents
<![CDATA[PSYCHOLOGICAL WELL-BEING AND ANEMIA IN PREGNANT WOMEN IN RURAL INDONESIA ]]>
<![CDATA[Lastri Mei Winarni]]>;
<![CDATA[Nuryanti Nuryanti]]>;
<![CDATA[Iim Sukmawati]]>;
<![CDATA[Siti Haeriyah]]>
<![CDATA[ Indonesian Midwifery and Health Sciences Journal Vol. 10 No. 1 (2026): Indonesian Midwifery and Health Sciences Journal, January 2026 ]]>
Publisher : <![CDATA[UNIVERSITAS AIRLANGGA ]]>
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DOI: 10.20473/imhsj.v10i1.2026.95-104
<![CDATA[Background: Anemia during pregnancy remains a major global health concern and associated with both physiological and psychological consequences for mothers. Psychological well-being (PWB) plays a vital role in maternal health, influencing emotional regulation, resilience, and health-seeking behaviors. This study aimed to analyze the relationship between psychological well-being and anemia among pregnant women in Tangerang District, Indonesia. Method: A case control study design was used involving 84 pregnant women in their first to third trimesters who visited the Midwife Independent Practice in Pejamuran Village. Purposive sampling was used to recruit 42 anemic and 42 non-anemic pregnant women based on hemoglobin (Hb) measurements. Psychological well-being was assessed using Ryff’s Psychological Well-Being Scale (18-item), previously validated with a reliability coefficient of 0.705. Data were collected through structured interviews and self-administered questionnaires. Chi-Square analysis and Odds Ratio (OR) calculations were performed to examine the association between anemia status and PWB. Result: A significant association was found between psychological well-being and anemia in pregnancy (p = 0.001). Low PWB was highly prevalent among anemic women (80.95%) compared with non-anemic women (28.57%). The odds of experiencing anemia were 10.62 times higher among women with low psychological well-being than those with high psychological well-being. Conclusion: Psychological well-being is strongly associated with anemia in pregnancy, indicating the need for integrated antenatal care strategies that address both nutritional and psychological factors. Strengthening mental health support, improving counseling services, and enhancing anemia prevention programs may reduce maternal health risks and improve pregnancy outcomes.]]>
<![CDATA[WHAT IS SOCIAL MEDIA ADDICTION EFFECT TO RISKY SEXUAL BEHAVIOR AMONG ADOLESCENTS ? ]]>
<![CDATA[Ukhudiah Kafanila Malika Azar]]>;
<![CDATA[Azimatul Karimah]]>;
<![CDATA[Bagus Setyoboedi]]>
<![CDATA[ Indonesian Midwifery and Health Sciences Journal Vol. 10 No. 1 (2026): Indonesian Midwifery and Health Sciences Journal, January 2026 ]]>
Publisher : <![CDATA[UNIVERSITAS AIRLANGGA ]]>
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DOI: 10.20473/imhsj.v10i1.2026.105-119
<![CDATA[Background: In the era of Society 5.0, rapid advancements in digital technology have increased the use of social media, making it an integral part of daily life, particularly among adolescents. Adolescents are considered a vulnerable group due to their high exposure to social media content, including pornographic material, which may influence risky sexual behaviors. Therefore, this study aimed to examine the association between social media addiction and risky sexual behavior among adolescents at a senior high school in Sidoarjo, east java Indonesia. Method: This study used an analytic observational design with a cross-sectional approach. A total of 86 students were selected through purposive sampling. Data were collected using structured questionnaires assessing social media addiction and risky sexual behavior. Data analysis was conducted using the Chi-square test to determine the association between variables. Result: Most adolescents had a moderate level of social media addiction. A total of 48 students (55.8%) were categorized as engaging in risky sexual behaviors. The results showed that there was no significant association between social media addiction and risky sexual behavior (p = 0.905). However, the duration of social media use specifically Facebook, Twitter, and Instagram was significantly associated with both risky sexual behavior and the level of social media addiction (p < 0.05). Conclusion : Social media addiction was not significantly associated with risky sexual behavior among adolescents. However, the duration of social media use was found to be an important factor. Therefore, enhancing digital literacy and strengthening reproductive health education are recommended to reduce the potential negative impacts of social media on adolescents.]]>
<![CDATA[MOTHERS’ EXPERIENCES OF RESPONSIVE FEEDING AMONG STUNTED CHILDREN AGED 6–23 MONTHS : A QUALITATIVE STUDY ]]>
<![CDATA[Heina Azzahra Putri]]>;
<![CDATA[Woro Setia Ningtyas]]>;
<![CDATA[Widati Fatmaningrum]]>
<![CDATA[ Indonesian Midwifery and Health Sciences Journal Vol. 10 No. 2 (2026): Indonesian Midwifery and Health Sciences Journal, April 2026 ]]>
Publisher : <![CDATA[UNIVERSITAS AIRLANGGA ]]>
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DOI: 10.20473/imhsj.v10i2.2026.120-129
<![CDATA[Background: Stunting remains a major public health problem, with a global prevalence of 23.2% and 21.5% in Indonesia in 2024, where it is targeted to be reduced to 14%. Chronic undernutrition, especially from birth to 2 years, significantly contributes to impaired linear growth. Optimal feeding practices, including responsive feeding, are critical in ensuring adequate nutrient intake and preventing growth faltering. This study aims to explore how mothers implement responsive feeding practices among stunted children aged 6–23 months. Method: This study uses a qualitative method with a phenomenological approach. Informants were mothers of stunted children aged 6–23 months in Pesantren Subdistrict, Kediri East Java, selected using purposive sampling based on specific criteria. Data were collected through semi-structured interviews and analyzed thematically. Result: Four theme emerged: recognition of hunger and satiety cues, mother–child interaction during feeding, introduction of new foods and responses to refusal, and challenges in complementary feeding. Although most mothers recognized hunger and satiety cues, feeding practices were often distracted, and food refusal commonly led to lack of reintroduction and substitution with snacks or milk. Conclusion: Responsive feeding practices were not consistently implemented according to optimal nutrition principles. Feeding behaviors tended to be situational rather than structured, potentially affecting children’s daily energy intake. Strengthening caregiver education on responsive feeding is essential to improve feeding practices and support optimal child growth.]]>
<![CDATA[THE INFLUENCE OF PROPER SANITATION ACCESS ON STUNTING PREVALENCE IN EAST JAVA, INDONESIA ]]>
<![CDATA[Panada Sedianing Drastita]]>;
<![CDATA[Mohamed Sesay]]>;
<![CDATA[Hariyono Hariyono]]>;
<![CDATA[Wahyu Aditama Putra Mukti Wibawa]]>
<![CDATA[ Indonesian Midwifery and Health Sciences Journal Vol. 10 No. 1 (2026): Indonesian Midwifery and Health Sciences Journal, January 2026 ]]>
Publisher : <![CDATA[UNIVERSITAS AIRLANGGA ]]>
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DOI: 10.20473/imhsj.v10i1.2026.61-70
<![CDATA[Background : Globally, stunting is a malnutrition problem experienced by more than 148.1 million children under five in 2022. Stunting has negative impacts such us cognitive developmental disorders, chronic diseases after adulthood, giving birth to babies with low body weight, and passing on the cycle of malnutrition to the next generation. In East Java, the prevalence of stunting has decreased in the last 10 years. However, this achievement is still not in line with The National Medium Term Development Plan target plan down to 14%. This research aims to analyze the influence of proper sanitation access on stunting prevalence in East Java, Indonesia. Method: This study used quantitative approach analyzed using panel data regression with Pooled Least Square model. The panel consisting of a combination of cross-section and time series data. The data were collected from 38 province in 2019-2023. Result: The result from Pooled obtained a p-value 0,000 (p-value <0.05), which mean that proper sanitation access has a significant effect on the incidence of stunting. Conclusion: Increasing access to proper sanitation can reduce the prevalence of stunting.]]>
<![CDATA[PARTURIENT MOTHERS' KNOWLEDGE AND ITS ASSOCIATION WITH MICROPLASTIC EXPOSURE (ABUNDANCE, SHAPE, AND SIZE) IN TRANSPLACENTAL BLOOD ]]>
<![CDATA[Resma Juwita]]>;
<![CDATA[Nur Aini Hastuti]]>;
<![CDATA[Yulia Silvani]]>;
<![CDATA[Anggia Prameswari]]>
<![CDATA[ Indonesian Midwifery and Health Sciences Journal Vol. 10 No. 2 (2026): Indonesian Midwifery and Health Sciences Journal, April 2026 ]]>
Publisher : <![CDATA[UNIVERSITAS AIRLANGGA ]]>
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DOI: 10.20473/imhsj.v10i2.2026.138-148
<![CDATA[Introduction: Amidst escalating global plastic pollution, the potential for maternal-fetal transfer of microplastics has become a significant public health concern. This study investigates the relationship between maternal knowledge regarding plastics and the characteristics of microplastic contamination in transplacental blood within the Indonesian context. Aims: This research to evaluate whether the level of knowledge among parturient mothers regarding plastic materials influences the abundance, morphology, and dimensions of microplastic particles detected in transplacental blood. Methods: Transplacental blood samples were collected from 52 parturient mothers. Microplastic particles were isolated and characterized based on their quantity, shape, and size. Maternal knowledge levels were assessed via standardized questionnaires. Statistical associations were analyzed using the Kruskal-Wallis and Chi-Square tests. Results: The mean abundance of microplastics across all samples was 4.23 particles/mL, with a mean particle size of 24.57 μm. Statistical analyses indicated no significant association between maternal knowledge levels and microplastic abundance (p = 0.458), morphology (p = 0.370), or particle size (p = 0.426). However, descriptive trends revealed an inverse relationship, where lower knowledge levels corresponded to higher particle abundance and larger particle dimensions. Conclusion: No statistically significant association between maternal knowledge levels regarding plastics and the abundance, morphology, or dimensions of microplastic particles identified in transplacental blood.]]>
<![CDATA[BREASTFEEDING KNOWLEDGE, ATTITUDE AND PRACTICES AMONG MOTHERS IN AMANSIE DISTRICT, GHANA ]]>
<![CDATA[josephine owusuaa]]>
<![CDATA[ Indonesian Midwifery and Health Sciences Journal Vol. 10 No. 2 (2026): Indonesian Midwifery and Health Sciences Journal, April 2026 ]]>
Publisher : <![CDATA[UNIVERSITAS AIRLANGGA ]]>
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DOI: 10.20473/imhsj.v10i2.2026.149-161
<![CDATA[Background: Breastfeeding is a pillar of infant health and development, offering the best nutrition, immune protective effects, and emotional attachment. Through global advocacy, the exclusive breastfeeding (EBF) is still below the optimal rates in Sub-Saharan Africa. Knowledge, attitudes, and practices (KAP) of mothers are important to enhance the outcomes of breastfeeding. The objective of this study is to assess the knowledge, attitudes and practices of breastfeeding amongst mothers in a Maternal and Child Health (MCH) hospital in Kumasi, Ghana. Methods: A descriptive cross-sectional study was conducted among 120 mothers with infants at the age of 0-24 months old who were visiting postnatal and child welfare clinics. A structured pretested questionnaire covering sociodemographic, breastfeeding knowledge, attitudes and practices was used to collect data. Findings were summarized using descriptive statistics including frequency and percentages. Results: The majority of the mothers (78.3%) identified that infants are to be exclusively breastfed during six months, and 90.4% said that they have been given breastfeeding information by health-providing institutions. The attitudes towards breastfeeding were positive: 98.3% of participants thought that it is vital to the health of infants, and all of them found it more helpful than the formula feeding. But it was only among 52.5% that exclusive breastfeeding was practiced. Conclusion: Despite the overall positive attitude towards and understanding of breastfeeding, there is a lack of knowledge and performance. Specific interventions such as lactation counselling, community-based support, involvement of partners and work-based policies are suggested to increase exclusive breastfeeding practices.]]>
<![CDATA[MATERNAL KNOWLEDGE AND ATTITUDES TOWARD PREGNANCY DANGER SIGNS AS DETERMINANTS OF ANTENATAL CARE UTILIZATION: EVIDENCE FROM A RURAL PRIMARY HEALTH CENTER IN INDONESIA ]]>
<![CDATA[Deandra Maharani Widiatmaja]]>
<![CDATA[ Indonesian Midwifery and Health Sciences Journal Vol. 10 No. 2 (2026): Indonesian Midwifery and Health Sciences Journal, April 2026 ]]>
Publisher : <![CDATA[UNIVERSITAS AIRLANGGA ]]>
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DOI: 10.20473/imhsj.v10i2.2026.162-176
<![CDATA[Background: Preventable pregnancy complications remain a major contributor to maternal morbidity and mortality, particularly in rural and remote areas of Indonesia. Adequate antenatal care (ANC) utilization and early recognition of pregnancy danger signs are essential to improving maternal and neonatal outcomes. This study aimed to assess the association between maternal knowledge and attitudes toward pregnancy danger signs and ANC visit implementation. Method: A cross-sectional study was conducted in June 2025 at Mebung Primary Health Center, Alor District, East Nusa Tenggara, Indonesia. A total of 33 third-trimester pregnant women were recruited using purposive sampling. Maternal knowledge and attitudes were assessed using a structured questionnaire, while ANC visit implementation was evaluated based on compliance with recommended schedules recorded in the Maternal and Child Health (MCH) handbook. Data were analyzed using Spearman’s rank correlation test with a significance level of p < 0.05. Result: Most respondents demonstrated good knowledge (63.6%) and positive attitudes (57.6%) toward pregnancy danger signs. Good ANC utilization was observed in 54.5% of participants. Maternal knowledge showed a significant positive correlation with ANC visit implementation (r = 0.375; p = 0.032), while maternal attitude demonstrated a moderate positive correlation with ANC utilization (r = 0.448; p = 0.009). Conclusion: Maternal knowledge and attitudes toward pregnancy danger signs are significantly associated with ANC visit implementation. Strengthening maternal health education that addresses both knowledge and attitudes may enhance ANC utilization and contribute to the prevention of avoidable maternal and neonatal complications in rural settings.]]>
<![CDATA[ANALYSIS OF FACTORS INFLUENCING THE PARTICIPATION OF WOMEN OF REPRODUCTIVE AGE (WRA) IN THE VISUAL INSPECTION WITH ACETIC ACID (VIA) TEST ]]>
<![CDATA[Fitri Handayani]]>;
<![CDATA[Titi Legiati]]>;
<![CDATA[Ida Widiawati]]>
<![CDATA[ Indonesian Midwifery and Health Sciences Journal Vol. 10 No. 2 (2026): Indonesian Midwifery and Health Sciences Journal, April 2026 ]]>
Publisher : <![CDATA[UNIVERSITAS AIRLANGGA ]]>
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DOI: 10.20473/imhsj.v10i2.2026.177-195
<![CDATA[Background: Cervical cancer is caused by Human Papillomavirus (HPV) infection and is one of the deadliest types of cancer, as it is often detected at an advanced stage. Early detection through VIA testing has been proven effective in reducing the incidence of cervical cancer. The Indonesian government aims for more than 80% of women aged 30–50 years to undergo VIA testing. However, the coverage of this test remains low, particularly at the Lembang Community Health Center, where it only reaches 3.5%. This low participation is influenced by various factors. This study aims to analyze the factors influencing women's participation in VIA testing in the Lembang Community Health Center's service area. Method: This study used a cross-sectional approach. The study was conducted in the working area of the Lembang Community Health Center in 2024. The sample consisted of married women aged 20–50 years who met the inclusion and exclusion criteria. A total of 133 respondents were selected using proportionate stratified random sampling. Data were collected using questionnaires and analyzed using univariate, bivariate (chi-square), and multivariate (logistic regression) tests. Result: The results showed a significant relationship between knowledge and WRA participation in VIA testing (p = 0.000), attitude (p = 0.009), support from health workers (p = 0.001), access to information (p = 0.002), intention (p = 0.007), personal autonomy (p = 0.015), and cadre support (p = 0.025). Meanwhile, spousal support did not show a significant relationship with WRA participation in VIA testing (p = 0.662). The most influential factor was knowledge with an odds ratio (OR) value of 10.864. Conclusion: Therefore, it is recommended to conduct health promotion and education for WRA and their husbands so that both understand the importance of VIA testing for early detection of cervical cancer.]]>
<![CDATA[THE CORRELATION BETWEEN A HISTORY OF CHRONIC ENERGY DEFICIENCY (CED) DURING PREGNANCY AND THE INCIDENCE OF LOW BIRTH WEIGHT (LBW) ]]>
<![CDATA[Siti Patia]]>;
<![CDATA[Rika Resmana]]>;
<![CDATA[Yuni Nurrchasanah]]>;
<![CDATA[Sri Mulyati]]>
<![CDATA[ Indonesian Midwifery and Health Sciences Journal Vol. 10 No. 2 (2026): Indonesian Midwifery and Health Sciences Journal, April 2026 ]]>
Publisher : <![CDATA[UNIVERSITAS AIRLANGGA ]]>
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DOI: 10.20473/imhsj.v10i2.2026.218-230
<![CDATA[Background: Low birth weight (LBW) remains a major global public health problem, affecting approximately 14.7% of live births worldwide and contributing to nearly half of all neonatal deaths, making it one of the leading causes of neonatal mortality and morbidity. Maternal chronic energy deficiency (CED) during pregnancy reflects prolonged inadequate nutritional status that may impair fetal growth and increase the risk of LBW. This study aimed to examine the association between a history of CED during pregnancy and the occurrence of LBW in Bandung Regency, Indonesia. Method: A retrospective case–control study was conducted in Bandung Regency, Indonesia, using delivery records from January to April 2025. The study included 80 mothers (40 LBW cases and 40 controls) selected through purposive sampling. CED was defined as a pre-pregnancy or early pregnancy body mass index (BMI) <18.5 kg/m². Data were obtained from maternal health records at primary health centers and analyzed using the Chi-square test and odds ratio (OR) with a 95% confidence interval to determine the association between CED and LBW. Result: The analysis showed a significant association between a history of chronic energy deficiency during pregnancy and the incidence of low birth weight (p = 0.001). Mothers with chronic energy deficiency had a 7.36-fold higher risk of delivering low birth weight infants compared to mothers without chronic energy deficiency (OR = 7.364; 95% CI = 2.204–24.602). Conclusion : CED during pregnancy is significantly associated with LBW. Early identification of maternal nutritional status through BMI assessment and strengthened nutritional interventions at primary health care level are essential to prevent LBW.]]>
<![CDATA[THE EFFECT OF PHYSICAL EXERCISE ON JOINT PAIN INTENSITY AMONG MENOPAUSAL WOMEN IN SUMBERAGUNG VILLAGE ]]>
<![CDATA[Mirna Nurmala Ramadhani]]>;
<![CDATA[Wiwik Muhidayati]]>;
<![CDATA[Sri Luluk]]>
<![CDATA[ Indonesian Midwifery and Health Sciences Journal Vol. 10 No. 2 (2026): Indonesian Midwifery and Health Sciences Journal, April 2026 ]]>
Publisher : <![CDATA[UNIVERSITAS AIRLANGGA ]]>
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DOI: 10.20473/imhsj.v10i2.2026.209-217
<![CDATA[Background: Joint pain is one of the common complaints experienced by menopausal women due to degenerative processes and hormonal changes, particularly decreased estrogen levels, which affect the musculoskeletal system. This condition can lead to limited physical activity, reduced independence, and decreased quality of life. Management of joint pain does not always require pharmacological treatment but can also be addressed through non-pharmacological approaches such as physical exercise, which has been proven to be safe and effective. The purpose of this study was to determine the effect of physical exercise on joint pain intensity among menopausal women Method: This study used a pre-experimental design with a one-group pretest-posttest approach. A sample of 33 menopausal women was selected using a purposive sampling technique. Joint pain intensity was measured using the Numerical Rating Scale (NRS). The physical exercise intervention was conducted twice a week for six weeks. Data analysis was performed using the Wilcoxon Signed Rank Test to compare pretest and posttest joint pain intensity scores. Result: Before the intervention, most respondents experienced moderate joint pain, while after the intervention the majority experienced mild pain. The Wilcoxon test showed a significant decrease in joint pain intensity after physical exercise, with a p-value of 0.000 (p < 0.05). Conclusion: Physical exercise is effective in reducing joint pain intensity among menopausal women. It can be used as an alternative non-pharmacological intervention and is recommended to be implemented routinely in community health programs. Health workers and families are encouraged to support regular exercise to maintain joint function and improve the quality of life of menopausal women.]]>
