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INDONESIA
JOURNAL OF Mother and Child Health Concerns
Published by Indonesian Public Health-Observer Information Forum
ISSN : 27984095     EISSN : 27984192     DOI : 10.56922
Core Subject : Health,
Health Professions Nursing Public Health
Berisi kumpulan karya ilmiah dari peneliti diberbagai perguruan tinggi di Indonesia, khususnya di bidang kesehatan ibu dan anak yang berdasarkan kepada kebutuhan pasien secara total meliputi: kebutuhan fisik, emosi, sosial, ekonomi dan spiritual. Adapun penelitiannya mencakup 4 aspek pokok, yakni: promotif, preventif, kuratif, dan rehabilitatif. Terbit 2 kali dalam satu tahun bulan Juni dan Desember
Arjuna Subject : Keperawatan - Maternity and Midwifery
Articles 267 Documents
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Effectiveness of oxytocin massage on breast milk production in postpartum mothers Anastasia Lina; Asmaurina Pramulya; Efrosina Ludovika Kalista; Agnes Dwiana Widi Astuti; Anjelina Sera; Odilya Firmatary
THE JOURNAL OF Mother and Child Health  Concerns Vol. 5 No. 1 (2026): April Edition 2026
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/mchc.v5i1.3118

Abstract

Background: The postpartum period is a crucial period in a mother's life after childbirth, as it involves significant physical and emotional recovery. One of the main causes of postpartum morbidity is breastfeeding problems due to low milk production. Based on the 2023 Indonesian Health Profile from the Ministry of Health, only around 65.5% of mothers successfully breastfeed exclusively for the first six months. Breastfeeding is considered the best method to provide necessary nutrition, which has benefits not only for the mother's health but also for the optimal growth and development of the child. Oxytocin massage therapy is a massage that aims to stimulate the hormone oxytocin. This technique is effective in increasing milk production and release, providing relaxation, reducing stress, and increasing the bond between mother and baby. Purpose: To identify breast milk production in postpartum mothers using oxytocin massage. Method: This experimental study used a post-test control group design. The population was 36 postpartum mothers within 3 hours of delivery. Through purposive sampling, 24 postpartum mothers were selected as respondents, divided into 12 in the intervention group and 12 in the control group. The measurement instrument used was an observation questionnaire on breast milk production, which measured the newborn's urine volume over a 24-hour period (normally 6-8 times a day). A urine volume of 30-50 mg was categorized as good and a urine volume of less than 29 mg was ≥ inadequate. The intervention consisted of oxytocin massage given to postpartum mothers 3 hours postpartum, every morning and evening, for 3 days. Data were analyzed using the Wilcoxon test to determine the effect of oxytocin massage on breast milk production. Results: The average age of respondents was 27.63 years with a standard deviation of ±4.29 years with the majority of respondents being in the 26-30 years age range of 45.8%. Most of the respondents' education level was junior high school, namely 41.7%, and the majority of respondents had a job status as a housewife, namely 62.5%. Based on the Wilcoxon test, pValue=0.02 was obtained, where for the intervention group, those classified as less were 16.7% and those in the good category were 83.3%. While for the control group, those classified as less were 66.7% and those in the good category were 33.3%. Conclusion: Oxytocin massage intervention has an effect on increasing breast milk production in postpartum mothers. Oxytocin massage has been proven effective in increasing breast milk production and shows a significant difference in breast milk volume after oxytocin massage, where breast milk production increases to a greater or smoother flow, thereby ensuring adequate breast milk supply for the baby. Suggestion: It is recommended that health facilities or community cadres educate the public regarding the understanding and benefits of oxytocin massage. This increased public knowledge will contribute to the implementation of early nutritional adequacy programs for toddlers as an effort to prevent stunting.
The effect of breastfeeding home visits by integrated health post cadres on mothers’ attitudes toward exclusive breastfeeding : breastfeeding Suci Deswanti; Hikmah Ifayanti; Rika Agustina; Eka Tri Wulandari
THE JOURNAL OF Mother and Child Health  Concerns Vol. 5 No. 1 (2026): April Edition 2026
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/mchc.v5i1.2954

Abstract

Background: Exclusive breastfeeding during the first six months of life is an essential effort to improve infant health status and reduce morbidity and mortality rates. However, the coverage of exclusive breastfeeding remains suboptimal, one of which is influenced by mothers’ attitudes toward breastfeeding practices. One of the promotive strategies that can be implemented to develop positive maternal attitudes is breastfeeding home visits conducted by integrated health post cadres). Preliminary data in Pekon Sukamaju indicated that some mothers had not fully practiced exclusive breastfeeding. Purpose: to determine the effect of breastfeeding home visits by integrated health post cadres) on mothers’ attitudes toward exclusive breastfeeding. Method: This study employed a quantitative method with a pre-experimental one group pre-test and post-test design. The population consisted of all mothers with infants aged 0–28 days in Pekon Sukamaju, totaling 25 individuals, with 20 respondents selected using accidental sampling according to inclusion criteria. Data were collected using an attitude questionnaire with a Likert scale administered before and after the home visit intervention. Data analysis was conducted using univariate analysis to determine the mean, standard deviation, minimum, and maximum values, and bivariate analysis using the Paired T-Test with a significance level of α = 0.05. Results: The results showed that the mean score of mothers’ attitudes before the home visit was 33.05 (SD = 6.886), which increased to 48.25 (SD = 6.146) after the intervention. The mean difference of 15.20 indicated an improvement toward a more positive attitude. Conclusion: The Paired T-Test result obtained a p-value of 0.000 (< 0.05), indicating a significant effect of breastfeeding home visits by integrated health post cadres on mothers’ attitudes toward exclusive breastfeeding.
The relationship of parenting patterns to the growth and development of children aged 2-4 years Yesi Safitri; Nidatul Khofiyah
THE JOURNAL OF Mother and Child Health  Concerns Vol. 5 No. 1 (2026): April Edition 2026
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/mchc.v5i1.3014

Abstract

Background: Early childhood growth and development constitute a crucial period that determines the quality of human resources in the future. However, problems related to growth and development are still frequently found among children under five years of age. Based on data from the Yogyakarta Health Office in 2023, derived from 2022 records, the coverage of growth and development monitoring among children under five reached 53.3%. This percentage indicates that the coverage has not yet met the 2023 strategic plan target of 85%. One environmental factor that influences children’s growth and development is parenting style. In this context, inappropriate parenting practices can lead to suboptimal physical growth and developmental outcomes in children. Purpose: to analyze the relationship between parenting style and the growth and development of children aged 2-4 years. Method: This study employed a quantitative approach using a descriptive correlational design with a cross-sectional method. The research population consisted of all children aged 2-4 years in the working area of Puskesmas (Community Health Center) Kasihan II, totaling 938 children. A sample of 100 respondents was selected using proportional stratified sampling and cluster random sampling techniques. Data were collected using standardized instruments. Parenting style was measured using the PSDQ questionnaire, child growth was assessed using the weight-for-age (WFA) indicator, and child development was evaluated using the KPSP instrument. Data analysis was conducted using the Spearman rank test at a significance level of <0.05. Results: The results showed a significant relationship between parenting style and child growth (p = 0.000; r= 0.376) as well as child development (p= 0.000; r = 0.646). Conclusion: Democratic parenting is most effective in supporting the growth and development of children aged 2-4 years. Most children experience normal growth and development. There is a significant relationship between parenting and growth. Suggestion: Parents are expected to adopt a democratic parenting style to support optimal child growth and development.
A Calm mom–baby happy: utilizing lemongrass peel aromatherapy to treat baby blues syndrome in postpartum mothers Raffiky Sustamy; Wiwik Muhidayati
THE JOURNAL OF Mother and Child Health  Concerns Vol. 5 No. 1 (2026): April Edition 2026
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/mchc.v5i1.3051

Abstract

Background: In Indonesia, the prevalence of Baby Blues Syndrome is relatively high. The Ministry of Health (2023) reported an incidence rate ranging from 50%–70%, or approximately 1–2 cases per 1,000 births. Furthermore, data from the National Population and Family Planning Agency shows that approximately 57% of mothers experience symptoms of baby blues, making Indonesia one of the countries with a high prevalence in Asia. If left untreated, this condition can negatively impact the mother-baby relationship and increase the risk of postpartum depression. The "Calm Mom – Baby Happy" innovation utilizes a combination of orange peel and lemongrass aromatherapy as a non-pharmacological intervention. Purpose: To determine the effectiveness of orange peel and lemongrass aromatherapy in reducing the level of baby blues syndrome symptoms in postpartum mothers in Dander District. It provides a relaxing effect. Method: This study used a quasi-experimental design with a pre-test and post-test control group design. The study population was postpartum mothers in the Dander Community Health Center (Puskesmas) area, with a sample of [insert number] respondents drawn through a purposive sampling technique. The level of baby blues was measured using the Edinburgh Postnatal Depression Scale (EPDS). The intervention consisted of 15 minutes of aromatherapy inhalation daily for one week. Results: Statistical analysis using the Wilcoxon Signed Rank Test showed a significant decrease in EPDS scores after the intervention (p-value <0.05). Before the intervention, the majority of respondents were in the moderate to high-risk category for baby blues, while after the intervention, most respondents experienced reduced nervous tension and reported better sleep quality. Conlusion: Orange peel aromatherapy, rich in limonene, works to suppress the sympathetic nervous system, while the citral content in lemongrass has a mild sedative effect. Inhalation through the limbic system stimulates the release of endorphins and serotonin, which create a sense of calm. This proves that the combination of these two local ingredients is effective in stabilizing the emotions of postpartum mothers without any medical side effects. Suggestion: This method is recommended as a self-help therapy at home for postpartum mothers in Dander District to improve maternal mental well-being and the quality of infant care.  
Effectiveness and safety of oral versus intravenous iron therapy in iron deficiency anemia during pregnancy: A pharmacological review Reny Haryani; Juwana Janu
THE JOURNAL OF Mother and Child Health  Concerns Vol. 5 No. 1 (2026): April Edition 2026
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/mchc.v5i1.3058

Abstract

Background: Iron deficiency anemia is a global health problem commonly occurring during pregnancy. The World Health Organization reported a prevalence of 35.5% in 2023, which may lead to serious consequences for both mother and fetus. Management of this condition is generally carried out through oral or intravenous iron therapy, each having its own advantages and limitations. Purpose: to evaluate the effectiveness and safety of oral versus intravenous iron therapy in pregnant women with iron deficiency anemia. Method: A limited systematic review was conducted based on PRISMA guidelines. Literature searching was performed using the PubMed database for studies published between 2015 and 2025. A total of 75 articles were identified, of which 5 studies met the inclusion criteria and were analyzed descriptively. Results: The findings showed that intravenous iron therapy, particularly ferric carboxymaltose, was more effective in increasing hemoglobin and ferritin levels compared to oral therapy. In terms of safety, oral iron was more frequently associated with gastrointestinal side effects, whereas intravenous iron was generally well tolerated with mild adverse effects. Conclusion: Intravenous iron therapy demonstrates superior effectiveness in improving hematological parameters; however, oral iron remains the first-line therapy due to its accessibility and lower cost. Therefore, treatment selection should be individualized based on the patient’s clinical condition.
The role of cadres in utilizing integrated health post for toddler growth monitoring Rania Purwanti; Kharisah Diniyah; Sholaikhah Sulistyoningtyas
THE JOURNAL OF Mother and Child Health  Concerns Vol. 5 No. 1 (2026): April Edition 2026
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/mchc.v5i1.3076

Abstract

Background: Integrated Health Post plays a crucial role in monitoring toddler growth as an effort to prevent nutritional problems and stunting in the community. The successful utilization of integrated health post is inseparable from the role of cadres as the spearhead of health services at the community level. Purpose: to describe the role of cadres in utilizing integrated health post for toddler growth monitoring. Method: a descriptive approach. Informants in this study consisted of midwives, integrated health post cadres, and mothers of toddlers selected using a purposive sampling technique. Data collection techniques were conducted through in-depth interviews and analyzed using thematic analysis. Results: The results showed that cadres have carried out their roles as servants, educators, motivators, companions, and community mobilizers. Cadres play an active role in toddler growth monitoring services, such as providing basic information regarding weighing results, reminding integrated health post schedules, and accompanying mothers of toddlers who experience growth problems or who rarely attend Integrated health post regularly. However, the role of cadres as educators has not been optimal due to limited educational materials, low cadre confidence, uneven training, and limited supporting facilities and infrastructure. Conclusion: The conclusion of this study indicates that capacity building for cadres is necessary through ongoing training and guidance from Community Health Center to ensure more effective, optimal, and sustainable monitoring of toddler growth in the community. Suggestion: It is recommended that Community Health Center provide continuous training, guidance, and adequate educational media and facilities to improve the capacity and confidence of cadres, especially in their role as educators, so that the implementation of Integrated health post services can be more optimal and sustainable
Relationship between family support and breastfeeding self-efficacy towards providing breast milk to breastfeeding mothers Abel Kurnia Desladima; Sri Mulyani; Yuliana Yuliana; Luri Mekeama; Meinarisa Meinarisa
THE JOURNAL OF Mother and Child Health  Concerns Vol. 5 No. 1 (2026): April Edition 2026
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/mchc.v5i1.3104

Abstract

Background: Breast milk feeding has a significant positive impact on maternal and infant health, providing protection against various acute and chronic diseases. To improve providing breast milk success, breastfeeding self-efficacy as an internal factor, and external factors obtained from family support. Purpose: to decide the impact of family support and breastfeeding self-efficacy on providing breast milk between breastfeeding mothers. Method: This research used a quantitative retrospective study approach. The population consisted of 190 breastfeeding mothers, with a minimum sample size of 71 respondents choice using accidental sampling. Data collection used questionnaires on providing breast milk, family support, and the Breastfeeding Self-Efficacy Scale Short Form (BSES-SF). The data was analyzed use the chi-square test to see the relationship between the variables. Results: 90% of respondents received good family support, and 87% have high breastfeeding self-efficacy. 87% of respondents exclusively breastfed, while 13% did not. The chi-square test output indicates a significant relationship between family support and breast milk feeding (p-value <0.001), and a significant relationship between breastfeeding self-efficacy and breast milk feeding (p-value <0.001). Conclusion: There is a significant relationship between family support and breastfeeding self-efficacy towards providing breast milk to breastfeeding mothers.
The effect of pregnant women’s compliance levels on their satisfaction with antenatal care Asmah Sukarta; Parmiati Parmiati; Hamdiyah Hamdiyah
THE JOURNAL OF Mother and Child Health  Concerns Vol. 5 No. 2 (2026): May Edition 2026
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/mchc.v5i2.3200

Abstract

Background: Pregnancy is a physiological process, yet it requires special care and services to ensure the safety of both the mother and the baby. A mother’s adherence to attending antenatal care (ANC) visits refers to her compliance with the recommended health care visits, in accordance with established standards. Satisfaction reflects how satisfied patients are with the care they receive; patients tend to react positively when care meets their expectations. Conversely, they tend to express dissatisfaction if services do not meet the standards they anticipate. Purpose: To determine the effect of pregnant women’s compliance levels on satisfaction with antenatal care services. Method: This was a cross-sectional study conducted from December 1, 2025, to December 30, 2026, in the service area of the Bontomatene Community Health Center involving 30 pregnant women as the sample. A purposive sampling technique was used, and a questionnaire was administered. Results: Based on the study results regarding the influence of pregnant women’s compliance levels on satisfaction with antenatal care services, the statistical test yielded a p-value of 0.000 < 0.05, indicating that there is an influence of pregnant women’s compliance levels on satisfaction with antenatal care services at the Blud. Conclusion: There is an effect of the level of compliance of pregnant women on satisfaction with antenatal care services at the Blud, with a p-value of 0.000 < 0.05 Suggestion: It is hoped that the results of this study will enhance the knowledge of all respondents, particularly regarding the level of compliance among pregnant women and their satisfaction with antenatal care services.
The effect of massage education on low birth weight (LBW) babies on the stimulation of their growth and development Hariana Erdewi Sinaga
THE JOURNAL OF Mother and Child Health  Concerns Vol. 5 No. 2 (2026): May Edition 2026
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/mchc.v5i2.2932

Abstract

Background: Low Birth Weight (LBW) babies are babies weighing less than 2,500 grams at birth and are at high risk for health problems and developmental delays. One intervention that can be provided is infant massage education as a form of early stimulation to promote growth and development. However, the application of infant massage to LBW babies is still not optimal in independent midwifery practices. Purpose: to determine the effect of massage education on LBW babies on stimulating infant growth and development. Method: This study used a quantitative approach with a quasi-experimental design (nonequivalent control group design). The sample consisted of all 14 low birth weight (LBW) infants registered in the Jayusnijar PMB register. Data collection was conducted through the stages of midwifery care, including assessment, diagnosis, planning, implementation, and evaluation. Data analysis used the nonparametric Wilcoxon Signed Rank Test to assess the effect of baby massage on infant growth and development. Results: The majority of respondents were female (64.3%), second-born (57.1%), and born by cesarean section (78.6%). After the intervention, 7 babies (50.0%) in the control group experienced optimal improvement, while 12 babies (85.7%) in the experimental group experienced optimal improvement. The statistical test results showed a significant effect of baby massage on stimulating infant growth and development with a p-value of 0.021 (p < 0.05). Conclusion: Education and baby massage significantly influence the growth and development of LBW infants. This intervention can be recommended as part of midwifery care to improve the growth quality of LBW infants.
Continuity of care midwifery care in the preconception period Rahmadini Faricha Hakim; Sausan Dhinda Amallia; Yulizawati Yulizawati
THE JOURNAL OF Mother and Child Health  Concerns Vol. 5 No. 2 (2026): May Edition 2026
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/mchc.v5i2.2986

Abstract

Background: Continuity of Care (CoC) midwifery care is a service model that provides comprehensive and continuous care to improve women's health status, particularly starting from the preconception period. The preconception period is a critical phase for identifying health risk factors and preparing women physically and mentally for a healthy pregnancy. Purpose: to describe the implementation of Continuity of Care midwifery services during the preconception period. Method: This study employed a case study design involving four women of reproductive age who were prospective brides. Data were collected through anamnesis, physical examination, observation, and documentation using Varney’s midwifery management and SOAP format. Results: The results showed that one client (25%) experienced Chronic Energy Deficiency (CED), and two clients (50%) were classified as obese based on Body Mass Index assessment. All clients (100%) received preconception counseling, nutritional education, and Tetanus Toxoid (TT) immunization. After receiving continuous midwifery care, there was an improvement in clients’ knowledge regarding preconception health and pregnancy preparation. Conclusion: The implementation of Continuity of Care during the preconception period plays an important role in early detection of risk factors and supports the preparation for a healthy pregnancy.

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