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Jurnal Kebidanan Manna
Published by Gayaku Publisher
ISSN : -     EISSN : 29637112     DOI : -
Core Subject : Health, Science,
Dentistry Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health
Jurnal Kebidanan Manna is a peer review and open access journal which publishes scientific works on provides a platform to publish in the field of midwifery and the journal also seeks to advance the quality of research by introducing or outlining new methods in the field of midwifery health for publications including midwifery and core health sciences. This journal contains manuscripts on Health Sciences which include Midwifery care, Nutrition, Psychology, community midwifery, Reproductive health, Elderly Health, Public Health, medicine, nursing and health science fields. The topic covers all midwifery areas including maternal and child health, midwifery, antenatal, labor, post-partum, family planning, adolescent health, pre-conception period, pre menopause.
Arjuna Subject : Kedokteran - Obstetrics and Gynaecology
Articles 69 Documents
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PENGARUH SENAM NIFAS TERHADAP PENURUNAN TINGGI FUNDUS UTERI (TFU) DAN AFTERPAINS PADA IBU NIFAS DI WILAYAH KERJA PUSKESMAS PONDOK SUGUH KABUPATEN MUKOMUKO TAHUN 2025 entan afriannisyah
Jurnal Kebidanan Manna Vol. 4 No. 2 (2025)
Publisher : Gayaku Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58222/jkm.v4i2.1850

Abstract

ABSTRAK Pada tahun 2023 di Indonesia kematian ibu pasca melahirkan memiliki rentang yang hampir tinggi, beberapa hal yang menyebabkannya yaitu lemahnya dari kontraksi uterus, sehingga pada ibu hamil terjadi penurunan fundus atau uteri lambat dan ibu hamil tidak ada merasakan sakit perut karena terjadi pendarahan, pada 2-3 hari ibu hamil merasakan kram pada Rahim ini terjadi secara intermiten, Karena itu, ibu hamil disarankan melakukan senam nifas sejak hari pertama sampai hari kesepuluh untuk mengatasi subinvolusi serta afterpain, Studi ini bertujuan Studi ini Mengkaji pengaruh senam nifas terhadap penurunan tinggi fundus uteri pada ibu setelah melahirkan di Puskesmas Pondok Suguh, Mukomuko, 2025. kajian ini untuk quasi eksperimen pendekatan cross sectional and two grup posttest-only design, semua nya dikumpulkan menjadi lembar observasi, pita ukur, lembar observasi dan SOP senam nifas, Dalam penelitian ini diterapkan uji independent t-test yang menghasilkan p-value 0,032 pada variabel tinggi fundus uteri dan 0,001 pada variabel afterpains. Karena nilai signifikansi < 0,05, maka terdapat pengaruh senam nifas terhadap penurunan TFU dan afterpains pada ibu setelah melahirkan di Puskesmas Pondok Suguh, Kabupaten Mukomuko.
The Relationship Between Knowledge and Distance to Health Facilities and the Completeness of K6 Prenatal Care Visits Tri Endah Suryani; Lolli Nababan; Poppy siska Putri; Efrilya Wahyu Suci Wulandari
Jurnal Kebidanan Manna Vol. 5 No. 1 (2026)
Publisher : Gayaku Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58222/jkm.v5i1.1884

Abstract

Background: Antenatal Care (ANC) services are a vital maternal health intervention for the early detection of pregnancy risk factors and the prevention of complications contributing to high maternal mortality rates. Although the national target for both the first visit (K1) and complete six visits (K6) is 100%, coverage remains suboptimal. Low knowledge regarding the benefits of prenatal check-ups often hinders adherence. Community Health Center X continues to face low complete K6 coverage at 60.4%. This study aims to analyze the relationship between pregnant women's knowledge level and distance to health facilities with the completeness of K6 ANC visits. Methods: An analytical study with a cross-sectional approach was conducted. The study sample comprised 47 postpartum women selected using total sampling. Data were analyzed using univariate and bivariate statistical analysis. Results: The findings revealed that 55.3% of respondents had not completed the K6 ANC visits, and 48.9% possessed a low level of knowledge regarding prenatal care. Although the majority of respondents (63.8%) had good geographic access living within a reasonable distance, this ease of access did not fully translate into service utilization due to continued reliance on traditional practices. Bivariate analysis demonstrated a significant association between knowledge level and K6 ANC completeness ($p = 0.003$), as well as between distance to health facilities and K6 ANC completeness ($p = 0.002$). Conclusion: Knowledge level, reproductive experience, and geographic accessibility are critical determinants influencing maternal adherence to standard complete antenatal care (K6) visits.
Formulation and In Vitro Evaluation of the Anticholesterol Activity of Effervescent Granules Containing Ethanolic Extract of Lempipi Leaves (Gymnema inodorum (Lour.) Decne) Nurwani Purnama Aji; Tri Yanuarto; Zahra Salsabilla; Putri Dewi Sartika
Jurnal Kebidanan Manna Vol. 5 No. 1 (2026)
Publisher : Gayaku Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58222/jkm.v5i1.1896

Abstract

Background: Hypercholesterolemia is one of the major risk factors for cardiovascular disease, with an increasing prevalence in Indonesia. The use of natural products as alternative therapies represents a promising approach. Lempipi leaves (Gymnema inodorum (Lour.) Decne) contain bioactive compounds, including flavonoids, saponins, tannins, and alkaloids, which may exhibit anticholesterol activity. Objective: This study aimed to formulate effervescent granules containing ethanolic extract of lempipi leaves and evaluate their physical quality and in vitro anticholesterol activity.Methods: Lempipi leaves were collected, processed into dried simplicia, and extracted by maceration using 96% ethanol. The resulting extract was formulated into effervescent granules. Physical quality evaluations included organoleptic properties, flow time, angle of repose, particle size distribution, degree of fineness, foam height, pH, and solubility. In vitro anticholesterol activity was assessed using a UV–Visible spectrophotometer at a wavelength of 627 nm. The activity was determined based on the percentage of inhibition and the half-maximal effective concentration (EC₅₀). Results: All effervescent granule formulations met the required physical quality standards. Formula 1 showed an EC₅₀ value of 125.587 ppm, indicating weak anticholesterol activity, whereas Formula 2 showed an EC₅₀ value of 76.99 ppm, indicating moderate anticholesterol activity. Formula 2 demonstrated stronger anticholesterol activity than Formula 1. Conclusion: Effervescent granules containing ethanolic extract of lempipi leaves exhibited in vitro anticholesterol activity and met the physical quality requirements. Formula 2 showed the highest activity and has the potential to be further developed as a herbal preparation to help reduce cholesterol levels. Suggestion: Further studies are recommended to optimize the formulation, determine the active compounds responsible for the anticholesterol effect, evaluate product stability, and conduct in vivo and clinical studies to confirm its efficacy and safety.
Maternal Knowledge of Umbilical Cord Care and Its Association With Cord Separation Duration: A Cross-Sectional Study in Simalungun Regency Elv Feedia Mona Saragih; Verawaty Fitrinelda Silaban
Jurnal Kebidanan Manna Vol. 5 No. 1 (2026)
Publisher : Gayaku Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58222/jkm.v5i1.1963

Abstract

Background: The postnatal period is a critical window for newborn survival, during which umbilical cord care directly influences separation timing and infection risk. Postpartum mothers serve as primary caregivers, yet their understanding of appropriate cord care varies considerably based on education, cultural tradition, and access to health information. Objective: This study examined the association between postpartum maternal knowledge of umbilical cord care and cord separation duration among newborns in Raya Kahean District, Simalungun Regency, alongside selected sociodemographic factors. Methods: An observational analytic cross-sectional study was conducted using total sampling of eligible postpartum mothers in the study area. Knowledge was assessed via a structured, validated questionnaire; cord separation duration was determined through direct observation and caregiver report; and associations between categorical variables were tested using the Chi-Square test. Results: Most mothers were of prime reproductive age with junior secondary education, predominantly identifying as homemakers. Cord care knowledge clustered in the moderate category, while most newborns achieved separation within the physiologically expected timeframe. A markedly strong association was found between maternal knowledge and cord separation duration, with better-informed mothers considerably more likely to experience prompt separation. Educational attainment also showed a significant association with separation outcomes, whereas maternal age and occupational status did not. Conclusion: Postpartum maternal knowledge emerged as the dominant determinant of cord separation timing, substantially outweighing age and occupation, while educational background served as a reinforcing structural enabler. These findings highlight the strategic importance of structured, culturally responsive health education within primary care services in this district.
The effect of Cinnamon Aromatherapy (Cinnamon Essential Oil) on Primary Dysmenorrhea in Adolescents. Shielvia Franciska Sari; Ririn ` Indrian; Lumastari Ajeng Wijayanti; Eny Sendra
Jurnal Kebidanan Manna Vol. 5 No. 1 (2026)
Publisher : Gayaku Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58222/jkm.v5i1.1971

Abstract

Introduction: Primary dysmenorrhea is menstrual pain without reproductive organ abnormalities experienced by most adolescent girls, with a prevalence reaching 45–95% globally and 60–70% in Indonesia. Untreated pain can limit physical activity and decrease the quality of life. This study aims to analyze the effect of cinnamon aromatherapy (Cinnamon Essential Oil) on reducing primary dysmenorrhea in adolescents. Methods: This study used a pre-experimental one-group pretest-posttest design. The population consisted of 56 third-year female students at the Health Polytechnic of the Ministry of Health Malang, Campus IV Kediri, with a sample of 36 respondents selected through a simple random sampling technique. Pain intensity was measured using the Numeric Rating Scale (NRS) observation sheet before and after the inhalation of cinnamon aromatherapy for 15–20 minutes. Data were analyzed using the Wilcoxon Signed-Rank test. Results: Before the intervention, nearly half of the respondents (47.2%) experienced moderate dysmenorrhea, 36.1% mild, and 16.7% severe, with no respondents being pain-free. After the administration of cinnamon aromatherapy, 30.6% of respondents no longer felt pain, 33.3% experienced mild and moderate pain respectively, while severe pain decreased to only 2.8%. The Wilcoxon test showed a p-value = 0.00$ with Z = -4.848, indicating a significant effect. This effect is attributed to the cinnamaldehyde and eugenol content, which possess antispasmodic and anti-inflammatory properties, thereby inhibiting prostaglandin synthesis and relaxing uterine muscles. Additionally, the aroma of cinnamon stimulates the release of serotonin and endorphins through the limbic olfactory pathway, inducing a relaxing effect and reducing pain perception. Conclusion: Cinnamon aromatherapy is proven effective in reducing the intensity of primary dysmenorrhea in adolescents. Suggestions: This intervention can be recommended as a safe, inexpensive, and easy-to-apply non-pharmacological therapy. Health education institutions are expected to utilize this intervention as a complementary alternative to reduce dependence on analgesic drugs in dysmenorrhea management.
The Effectiveness of Lactation Massage Using Jasmine Oil on Breast Milk Production Among Post-Cesarean Section Mothers in the Working Area of Sukorame Community Health Center, Kediri City Septina Rahma Damayanti; Dwi Estuning Rahayu; Susanti Pratamaningtyas; Sumy Dwu Antono
Jurnal Kebidanan Manna Vol. 5 No. 1 (2026)
Publisher : Gayaku Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58222/jkm.v5i1.1972

Abstract

Background: Breast milk production among mothers following cesarean section is often suboptimal due to postoperative pain, limited mobility, anxiety, and fatigue, which can inhibit the lactation process. Non-pharmacological interventions, such as lactation massage using jasmine oil, may help stimulate breast milk production by promoting relaxation and hormonal responses. Objective: To determine the difference in breast milk production before and after lactation massage using jasmine oil among post-cesarean section mothers in the working area of Sukorame Community Health Center, Kediri City. Methods: This study employed a pre-experimental design using a one-group pretest-posttest approach without a control group. A total of 36 post-cesarean section mothers were selected through simple random sampling. The intervention consisted of lactation massage with jasmine oil for 15–20 minutes, administered once daily for three consecutive days. Breast milk production was assessed using an observation checklist before and after the intervention. Data were analyzed using the Wilcoxon Signed Rank Test. Results: The analysis showed a statistically significant difference in breast milk production before and after lactation massage with jasmine oil (p-value = 0.000; p < 0.05). The intervention was associated with improved breast milk production among post-cesarean section mothers. Conclusion: Lactation massage using jasmine oil is effective in improving breast milk production among post-cesarean section mothers. The intervention enhances blood circulation, stimulates prolactin and oxytocin secretion, and provides a relaxing effect. Additionally, the aroma of jasmine oil helps reduce maternal anxiety and increase comfort, thereby optimizing the milk ejection reflex. Suggestion: Healthcare providers, particularly midwives and nurses, are encouraged to incorporate lactation massage with jasmine oil as a complementary non-pharmacological intervention to support breastfeeding among post-cesarean section mothers. Future studies should employ randomized controlled trial designs with larger sample sizes to further confirm its effectiveness.
The Effectiveness of Audiovisual Media Education on Mothers' Knowledge Regarding the Prevention of Postpartum Infections Retno Sri Wulandari; Susanti Pratamaningtyas; Sumy; ⁠Ririn Indrian
Jurnal Kebidanan Manna Vol. 5 No. 1 (2026)
Publisher : Gayaku Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58222/jkm.v5i1.1973

Abstract

Background: Postpartum infection remains one of the leading causes of maternal morbidity and mortality. Limited maternal knowledge regarding infection prevention contributes to postpartum complications. Audio-visual education is considered an effective learning strategy because it simultaneously stimulates visual and auditory senses. Objective: To determine the effectiveness of audio-visual education on mothers' knowledge regarding postpartum infection prevention at Kediri District Hospital. Methods: A pre-experimental study using a One Group Pre-test Post-test design was conducted among 34 postpartum mothers. Knowledge was measured using questionnaires before and after the intervention. Data were analyzed using the Wilcoxon Match Pairs Test with a significance level of 0.05. Results: Prior to the intervention, most respondents demonstrated moderate knowledge. Following audio-visual education, most respondents achieved good knowledge. Statistical analysis showed a significant improvement after the intervention (p=0.000). Audio-visual media enhanced mothers' understanding through integrated visual and auditory stimulation, improving learning retention and facilitating better comprehension of postpartum infection prevention. Conclusion: Audio-visual education significantly improves mothers' knowledge regarding postpartum infection prevention and can be implemented as an effective health education strategy in midwifery services.
The Effect Of Jasmine Aromatherapy on Sleep Quality Among Pre-Menopausal Women in The Working Area of Sukorame Public Health Center Dwi Sukma Fitriani; Ririn Indriani; Eny Sendra; Indah Rahmaningtyas
Jurnal Kebidanan Manna Vol. 5 No. 1 (2026)
Publisher : Gayaku Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58222/jkm.v5i1.1974

Abstract

Introduction: Sleep quality disturbances are among the common complaints experienced by pre-menopausal women due to hormonal changes occurring during the transition to menopause. Jasmine aromatherapy is known to have a relaxing effect through stimulation of the olfactory and limbic systems, thereby potentially improving sleep quality. Method: This study employed a Pre-Experimental One Group Pretest-Posttest Design. A total of 44 pre-menopausal women were selected using cluster sampling techniques. Sleep quality was measured using the Pittsburgh Sleep Quality Index (PSQI) questionnaire. Participants received jasmine aromatherapy intervention for five consecutive days. Results: The results of the Wilcoxon Signed Rank Test showed a p-value = 0.000 (p < 0.05) with an effect size (r) of 0.594 which is included in the large effect category. Conclusion: There is a significant effect of Jasmine Aromatherapy on the sleep quality of pre-menopausal women. Jasmine aromatherapy can be used as a complementary non-pharmacological therapy to improve sleep quality among pre-menopausal women.
The Effect of Child Massage on Daytime Sleep Quality in Children Aged 2–3 Years Ginanintha Amry Agustien; ⁠Indah Rahmaningtyas; Koekoeh Hardjito; Desy Dwi Cahyani
Jurnal Kebidanan Manna Vol. 5 No. 1 (2026)
Publisher : Gayaku Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58222/jkm.v5i1.2017

Abstract

Background: Poor daytime sleep quality is commonly found among children aged 2–3 years and may adversely affect growth, development, and emotional regulation. One potential non-pharmacological intervention to improve sleep quality is kids massage. Objective: To analyze the effect of kids massage on daytime sleep quality among children aged 2–3 years at Permata and Al-Amiin Daycare Centers in Kediri City. Methods: This study employed a pre-experimental design using a one-group pretest-posttest approach. A total of 36 children were selected through simple random sampling. The intervention consisted of a 15-minute kids massage session conducted four times per week for two weeks. Daytime sleep quality was assessed using a questionnaire adapted from the Brief Infant Sleep Questionnaire-Revised (BISQ-R). Data were analyzed using the Wilcoxon Signed Rank Test with a significance level of 0.05. Results: Before the intervention, only 11.1% of participants had good daytime sleep quality, increasing to 50.0% after the intervention. Meanwhile, the proportion of poor sleep quality decreased from 41.7% to 5.6%. The Wilcoxon test showed a Z value of -5.054 with a p-value < 0.001, indicating a statistically significant effect of kids massage on daytime sleep quality. Conclusion: Kids massage is effective in improving daytime sleep quality among children aged 2–3 years and can be recommended as a safe and practical non-pharmacological intervention for use at home and in daycare settings.
The Effect of Communication, Information, and Education (CIE) on Breastfeeding Techniques on the Reduction of Breast Engorgement in the Working Area of ​​Talang Tinggi Community Health Center, Seluma Regency Entan Afriannisyah; Handayani Handayani; Reni Hariyanti; Kintan Anisa
Jurnal Kebidanan Manna Vol. 5 No. 1 (2026)
Publisher : Gayaku Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58222/jkm.v5i1.2036

Abstract

Background : Breast milk dam is a common problem experienced by postpartum women and can interfere with the success of breastfeeding. Inappropriate breastfeeding techniques are one of the factors that can contribute to the occurrence of breast milk dams. Therefore, effective Communication, Information, and Education (IEC) regarding proper breastfeeding techniques is needed to improve mothers' knowledge and skills and prevent breast milk dams. Methods : This study used an analytic survey with a quasi-experimental approach and a two-group pre-test and post-test design. The study involved 32 postpartum women in the working area of Talang Tinggi Health Center, Seluma Regency, who were divided into an experimental group and a control group. The experimental group received IEC on breastfeeding techniques using leaflet media, while the control group received IEC without leaflet media. Data were analyzed using the Wilcoxon Signed Rank Test and Mann-Whitney U Test. Results : The Wilcoxon test showed a significant reduction in the incidence of breast milk dams in the experimental group after the IEC intervention using leaflets (p = 0.004; <0.05). In the control group, the intervention without leaflet media showed a less significant difference (p = 0.034). The Mann-Whitney U Test showed a significant difference between the experimental and control groups in reducing the incidence of breast milk dams (p = 0.001; <0.05). Conclusion: IEC on proper breastfeeding techniques accompanied by leaflet media is effective in reducing the incidence of breast milk dams among postpartum women. Leaflet-based IEC can improve mothers' knowledge and skills in applying correct breastfeeding techniques and may be used as an effective communication and educational strategy in primary health services

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