cover
Contact Name
Surya Indah Nurdin
Contact Email
suryaindahnurdin@gmail.com
Phone
+6281354816898
Journal Mail Official
suryaindahnurdin@gmail.com
Editorial Address
Jl. Prof.DR. Mansoer Pateda, Pentadio Timur, Telaga Biru
Location
Kab. gorontalo,
Gorontalo
INDONESIA
Madu : Jurnal Kesehatan
ISSN : 23015683     EISSN : 27759423     DOI : htpps://doi.org/10.31314/madu
Core Subject : Health,
Madu Jurnal Kesehatan published since August 2015, by Department DIV midwifery Universitas Muhammadiyah Gorontalo. Jurnal Ilmu Kebidanan published two times a year in June and December. Contains writings raised from research results in the field of midwifery. Pregnancy, Labor, Post Partum, Pathology, Midwifery community, Family planning, Reproduction health.
Articles 130 Documents
Pengaruh Pendidikan Kesehatan Video Animasi Terhadap Perilaku Ibu Nifas Primipara Dalam Perawatan Bayi Prihandina, Fatika Nurindah; Winarni, Sri; Setyarini, Didien Ika; Yulifah, Rita
Madu Jurnal Ilmu Kebidanan Vol 14, No 2: Desember 2025
Publisher : Program Studi DIV Kebidanan Fakultas Ilmu Kesehatan Universitas Muhammadiyah Gorontalo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31314/mjk.14.2.214-219.2025

Abstract

During the transition from intrauterine to extrauterine life, newborns require support to meet their needs for stimulation and play (ASAH), affection and emotional support (ASIH), as well as physical care, nutrition, and hygiene (ASUH). Mothers, as the closest caregivers, are expected to provide daily newborn care. This study aimed to analyze the effect of health education using animated video media on the behavior of primiparous postpartum mothers in caring for their babies, including bathing, umbilical cord care, and breastfeeding. The study employed a one-group pretest–posttest design with a Research and Development (R&D) approach. The population consisted of 15 primiparous postpartum mothers in June–July 2024, selected through total sampling. Instruments included a demographic questionnaire and a self-assessment checklist on newborn care practices. The intervention was delivered through animated video media accompanied by a brief demonstration by the researcher to clarify parts that mothers did not fully understand. Data were analyzed using the Wilcoxon Signed Rank Test, which showed a significant difference (p = 0.001). The results demonstrate that animated video education supplemented with a brief demonstration effectively improved maternal newborn care behavior. In conclusion, health education combining animated video and brief demonstration significantly enhances the ability of primiparous postpartum mothers to perform daily newborn care.
Hubungan Durasi Hipertensi Terhadap Pola Elektrokardiogram: Kajian Klinis Untuk Deteksi Dini Perubahan Jantung Marwono, Marwono; Apris, Muh. Asrul; Asri, Muhammad
Madu Jurnal Ilmu Kebidanan Vol 14, No 2: Desember 2025
Publisher : Program Studi DIV Kebidanan Fakultas Ilmu Kesehatan Universitas Muhammadiyah Gorontalo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31314/mjk.14.2.135-147.2025

Abstract

Hypertension is a major risk factor contributing to cardiovascular disorders, including left ventricular hypertrophy, making early detection through an ECG crucial for preventing complications. This study aimed to assess the relationship between hypertension duration and LVH/RVH findings and the overall interpretation of the ECG.The method used was a clinical experiment with a quantitative approach involving 67 hypertensive patients with disease duration of ≤5 years and >5 years. ECG data were analyzed to identify changes in patterns related to hypertension duration, and the Pearson correlation test was used to assess the relationship between variables. The sample was predominantly adult to elderly and predominantly female, with a relatively balanced distribution of hypertension duration. The analysis revealed a significant negative association between hypertension duration and LVH/RVH findings (r = –0.255; p = 0.038) and a weak but significant positive association between hypertension duration and overall ECG abnormalities (r = 0.285; p = 0.020). This pattern indicates that although cardiac structural and electrical changes tend to increase with hypertension duration, the limited sensitivity of the ECG results in a non-linear relationship. This study concludes that hypertension duration is associated with ECG changes, although the strength is weak, necessitating additional evaluation for a comprehensive cardiac assessment.
Risiko Kejadian Abortus pada Ibu Hamil dengan Advanced Maternal Age (AMA) di RSUD Kota Malang Megawati, Galih; Arifiandi, Maya Devi; Windari, Era Nurisa
Madu Jurnal Ilmu Kebidanan Vol 14, No 2: Desember 2025
Publisher : Program Studi DIV Kebidanan Fakultas Ilmu Kesehatan Universitas Muhammadiyah Gorontalo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31314/mjk.14.2.175-181.2025

Abstract

Social changes have led to delayed marriage and pregnancy planning due to higher educational attainment, career demands, and economic considerations. This shift has increased the number of pregnancies among women with Advanced Maternal Age (AMA), which is associated with a higher risk of miscarriage. This study aimed to analyze the risk of miscarriage among pregnant women with Advanced Maternal Age (AMA) at RSUD Kota Malang. This study employed a retrospective case-control design using medical record data. The study population consisted of pregnant women with gestational age <22 weeks during August 2024–July 2025. Purposive sampling was applied to obtain 108 respondents, including 54 cases and 54 controls with a 1:1 ratio. Maternal age was defined as the independent variable, while miscarriage was the dependent variable. Data was analyzed using the chi-square test to determine the association between variables, and odds ratio (OR) with a 95% confidence interval (CI) was calculated. The incidence of miscarriage among women with AMA was 73.7%, compared to 37.1% in women aged 20–34 years. Statistical analysis showed a significant association between AMA and miscarriage (p=0.001). Pregnant women with AMA had a 4.7-fold higher risk of miscarriage (OR=4.738; 95% CI: 1.986–11.307) than those of reproductive age. Advanced Maternal Age significantly increases the risk of miscarriage, indicating the importance of preconception counseling and intensive antenatal monitoring for women of advanced age.
Pengaruh Pendidikan Kesehatan Terhadap Keterampilan Ibu PKK Dalam Melakukan SADARI Rosyida, Ananda Dwi; Mustafa, Annasari; Yulifah, Rita; Triningsih, Reni Wahyu
Madu Jurnal Ilmu Kebidanan Vol 14, No 2: Desember 2025
Publisher : Program Studi DIV Kebidanan Fakultas Ilmu Kesehatan Universitas Muhammadiyah Gorontalo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31314/mjk.14.2.208-213.2025

Abstract

Breast cancer is one of the leading causes of death among women in Indonesia. One simple and self-administered method of early detection is Breast Self-Examination (SADARI). However, women’s skills in performing SADARI remain relatively low, including among PKK mothers, who play a strategic role in community health education. This low level of skill is caused by lack of information, minimal hands-on practice, and the absence of ongoing training. Health education is one intervention believed to improve these skills. This study aimed to determine the effect of health education on the skills of PKK mothers in performing SADARI in Rampal Celaket Subdistrict, Malang City. The research used a pre-experimental design with a one-group pretest-posttest approach. A total of 35 respondents were selected through purposive sampling. Data were collected using an observation checklist for SADARI skills covering 20 indicators. Data analysis was performed using the Wilcoxon Signed Rank Test. The results showed a significant improvement in skills after the health education intervention, with a p-value < 0.05. Before the intervention, most respondents were only able to perform around 6–7 out of 20 SADARI steps, whereas after the intervention, the majority were able to perform all 20 steps correctly and sequentially. It can be concluded that health education significantly improves the skills of PKK mothers in performing SADARI. Therefore, a structured and sustainable health education program should be considered as a promotive strategy to encourage early detection of breast cancer in the community.
Pengaruh Pemanfaatan Aplikasi Digital Terhadap Mutu Layanan Deteksi Dini Kehamilan Resiko Tinggi Rohmah, Siti; Susanti, Eny; Fitriah, Fitriah; Zainiyah, Zakkiyatus
Madu Jurnal Ilmu Kebidanan Vol 14, No 2: Desember 2025
Publisher : Program Studi DIV Kebidanan Fakultas Ilmu Kesehatan Universitas Muhammadiyah Gorontalo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31314/mjk.14.2.148-154.2025

Abstract

Efforts to sustainably reduce maternal mortality (MMR) through early detection of high-risk pregnancies in the Tongguh Arorbaya Primary Health Center (Puskesmas) work area are underway to support the regional MMR reduction program. The aims of this reseach were to analyze the effect of digital application utilization on the quality of high-risk pregnancy early detection services. The research method used was quasi-experimental research. The population was all public health center midwives. A sample of this research was 45 midwives. Bye using total sampling technique. Statistical analysis of this research was used the Wilcoxon signed-rank test. The results of the analysis were 0.00 of Asymp.Sig (2-tiled) which smaller than α (0.05) value, it’means indicating that the use of this digital application has a significant impact on improving the quality of early detection services for high-risk pregnancies. Therefore, it is hoped that public health center midwife’s responsibilities by continuing routine and ongoing screening to contribute to reducing MMR in Public health center work area
Determinan Kejadian Ruptur Perineum Pada Persalinan Pervaginam Katili, Rusli A; Nurdin, St. Surya Indah; Ahmad, Zul Fikar
Madu Jurnal Ilmu Kebidanan Vol 14, No 2: Desember 2025
Publisher : Program Studi DIV Kebidanan Fakultas Ilmu Kesehatan Universitas Muhammadiyah Gorontalo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31314/mjk.14.2.182-190.2025

Abstract

Perineal rupture is a common complication of vaginal delivery and may result in both short-term and long-term adverse outcomes for women. This study aimed to analyze the determinants of perineal rupture among women undergoing vaginal delivery at Sitti Khadijah Hospital, Gorontalo. A retrospective cohort design was employed using secondary data obtained from medical records of women who delivered vaginally. A total of 205 women were included in the study. The inclusion criteria comprised women who had vaginal delivery, singleton pregnancy with cephalic presentation, and complete medical records according to the study variables. Determinants were assessed using logistic regression analysis. The multivariate analysis revealed that birth weight was the only variable significantly associated with the occurrence of perineal rupture (OR = 1.003; p = 0.023). In contrast, maternal age, employment status, parity, gestational age at delivery, interpregnancy interval, and duration of the second stage of labor were not significantly associated with perineal rupture. Birth weight was identified as the main determinant of perineal rupture in vaginal delivery at Sitti Khadijah Hospital, Gorontalo. Preventive efforts should therefore focus on early identification of pregnancies at risk of delivering large infants and the optimization of safe, evidence-based intrapartum care practices.
Efektivitas Penggunaan Birthing Ball Dalam Mengurangi Nyeri Persalinan Kala I Fase Aktif Jusmawati, Jusmawati; Sya'bin, Nurul; Hartinah, Asniah; Saputri, Resti Dona; Sriwahyuningsih, Ade; Asli, Kartika; Muldaniyah, Muldaniyah
Madu Jurnal Ilmu Kebidanan Vol 14, No 2: Desember 2025
Publisher : Program Studi DIV Kebidanan Fakultas Ilmu Kesehatan Universitas Muhammadiyah Gorontalo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31314/mjk.14.1.%p.2025

Abstract

Labor pain during the active phase of the first stage is a major complaint that can cause anxiety and inhibit the progress of labor. Non-pharmacological interventions such as the use of a birthing ball are effective in reducing pain intensity. This study used a quasi-experimental design with a pre-test post-test with control group approach involving 30 laboring women (15 in the intervention group and 15 in the control group) at a Public Health Center in Maros Regency. Pain intensity was measured using the Verbal Rating Scale (VRS) or Numeric Rating Scale (NRS) before and 30 minutes after the intervention. The results showed a significant decrease in pain intensity in the intervention group (p=0.001) compared to the control group (p=0.125). It can be concluded that the use of a birthing ball is effective in reducing labor pain intensity during the active phase of the first stage.
Efektivitas E-Parenting Tools Dalam Meningkatkan Pengetahuan Orang Tua Tentang Tumbuh Kembang Anak Ekayanti, Ekayanti; Sya'bin, Nurul; Hartinah, Asniah; Saputri, Resti Dona; Sriwahyuningsih, Ade; Asli, Kartika; Muldaniyah, Muldaniyah
Madu Jurnal Ilmu Kebidanan Vol 14, No 2: Desember 2025
Publisher : Program Studi DIV Kebidanan Fakultas Ilmu Kesehatan Universitas Muhammadiyah Gorontalo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31314/mjk.14.2.155-159.2025

Abstract

In the digital era, the role of parents is crucial in monitoring and stimulating a child's growth and development, which is a golden period that determines the quality of life in the future. E-parenting tools, such as digital applications and online platforms, are technological innovations that facilitate parents in improving their knowledge about this topic. This study aimed to test the effectiveness of e-parenting tools in increasing parents' knowledge about child growth and development. The study used a pre-experimental design with a one-group pretest-posttest approach, involving 30 respondents from Posyandu Melati who were selected through purposive sampling. The respondents were parents of toddlers who could use a smartphone. The research findings show a significant increase in parents' knowledge after using the e-parenting tools. This is proven by the average post-test score (79.83) which was much higher than the pre-test score (62.67). Statistical analysis using a Paired t-test yielded a significance value (p-value) of 0.000, which is below the 0.05 threshold
Kinerja Petugas Klinik Voluntary Counseling and Testing (VCT) HIV-AIDS di Gorontalo Mohamad, Sabrina Nadjib; Firman, Muhammad Jihad; Arda, Zul Adhayani; Una, Mar’atuljannah
Madu Jurnal Ilmu Kebidanan Vol 14, No 2: Desember 2025
Publisher : Program Studi DIV Kebidanan Fakultas Ilmu Kesehatan Universitas Muhammadiyah Gorontalo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31314/mjk.14.2.191-200.2025

Abstract

As a preventive service, Voluntary and Counseling Testing (VCT) serves as the first gateway in the HIV/AIDS case management system, providing information, support, care, and treatment. VCT implementation is based on five international principles known as the 5Cs: informed consent, confidentiality, counseling, accurate test results, and linkage to follow-up care, treatment, and prevention services. This study aims to describe the performance of staff in VCT clinics based on confidentiality and counseling components. This study employed an observational study with a descriptive approach, utilizing a Mixed-Methods design. Data were collected through structured questionnaires administered to 31 respondents from an exhaustive sample, direct observation at the clinic, and in-depth interviews with VCT clinic staff and key informants. The results showed that 18 respondents (58.1%) consistently implemented confidentiality or guaranteed the confidentiality of patient data. Respondents who consistently counseled patients were 19 respondents (61.3%), and 16 of them (51.6%) consistently provided information, conducted risk assessments, and responded to clients' emotional needs during pre- and post-test counseling. VCT clinic staff in Gorontalo demonstrated good performance and competence in providing services and counseling to patients (83.9%). Recommended improvements include regular training and knowledge enhancement, provision of psychosocial support for staff, and enhancements to clinic facilities and infrastructure.
Dukungan Kader Sebagai Faktor Peningkatan Pengetahuan Peserta Pos Pembinaan Terpadu Penyakit Tidak Menular (PTM) Suyono, Suyono
Madu Jurnal Ilmu Kebidanan Vol 14, No 2: Desember 2025
Publisher : Program Studi DIV Kebidanan Fakultas Ilmu Kesehatan Universitas Muhammadiyah Gorontalo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31314/mjk.14.2.117-125.2025

Abstract

Pos Pembinaan Terpadu Penyakit Tidak Menular (Posbindu PTM) adalah bentuk partisipasi aktif masyarakat dalam kegiatan deteksi dini, pemantauan, dan tindak lanjut faktor risiko PTM secara terpadu, rutin, dan berkesinambungan. Dukungan kader memegang peran penting dalam keberhasilan pelaksanaan Posbindu, khususnya dalam meningkatkan pengetahuan masyarakat terkait pencegahan dan pengendalian PTM. Penelitian ini bertujuan untuk menganalisis pengaruh dukungan kader terhadap peningkatan pengetahuan peserta Posbindu PTM di Desa Kandangan. Penelitian menggunakan desain survei korelasional dengan pendekatan kuantitatif. Sampel sebanyak 74 responden dipilih melalui teknik purposive sampling. Data dikumpulkan menggunakan kuesioner dan dianalisis dengan uji Spearman Rho. Hasil penelitian menunjukkan bahwa sebelum mendapat dukungan kader, mayoritas peserta memiliki tingkat pengetahuan rendah (51,1%). Setelah adanya dukungan kader, proporsi pengetahuan kategori tinggi meningkat signifikan menjadi 92,8%. Uji statistik menunjukkan nilai p = 0,000 (p < 0,05), yang berarti terdapat pengaruh signifikan dukungan kader terhadap peningkatan pengetahuan peserta Posbindu PTM. Temuan ini menegaskan pentingnya optimalisasi peran kader sebagai edukator, motivator, dan fasilitator dalam upaya promotif dan preventif guna menekan angka kejadian PTM di masyarakat.

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