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Napande: Jurnal Bidan
Published by Poltekkes Kemenkes Palu
ISSN : 28298365     EISSN : 28298365     DOI : 10.33860/njb
Core Subject : Health, Education,
Health Professions Languange, Linguistic, Communication & Media Medicine & Pharmacology Nursing Public Health
Napande: Jurnal Bidan is a national midwifery journal that publishes scientific works for midwives, nurses, academic people, and practitioners. Welcomes and invites original research articles in midwifery, including: Birth | Pregnancy | Newborn | Adolescence | Family Planning | Climacterium | Midwifery Community | Education in midwifery | complementary therapy in Midwifery | nutrition in pregnancy and child
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 61 Documents
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Motivation and Family Support in Relation to Pregnant Women’s Participation in Prenatal Yoga Classes Susanti, Silfia Sekar Arum Mandalia Elly; Ekasari, Dily; Garcaia, Zeferina Dos Dantos Noemia; Febriani, Gabriela Advitri; Delpia, Yesi Vila; Uberty, Adhetya
Napande: Jurnal Bidan Vol. 4 No. 2 (2025): October
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/njb.v4i2.4189

Abstract

Background: The adaptation process for a woman during pregnancy is one of the most challenging situations because it involves various discomforts, including back pain, shortness of breath, and anxiety.  One way to address these discomforts is through prenatal yoga. Objective to determine the relationship between motivation and family support on the participation of pregnant women in prenatal yoga classes to reduce discomfort during pregnancy. Method: The study used correlational analytics with a cross-sectional research design. Data were collected from the Independent Midwifery Practice (PMB) Denik between May and June 2025, involving 30 pregnant women selected through total sampling. The research instrument used a questionnaire. Statistical tests used chi-square and logistic regression with an α value (0.05). Results: The study shows that almost all respondents have strong motivation (90.0%), most respondents have sufficient family support (60.0%), and almost all respondents attend yoga classes (90.0%). Logistic regression test p<  (0.001 < 0.05). Conclusion: Maternal motivation is more effective than family support in encouraging  pregnant women to participate in prenatal yoga. Maternal motivation can be used by health workers as a factor to increase participation in prenatal yoga.
The Effect Of Peer Peer Education On The Level Of Knowledge and Attitudes About Examination of Breast Self Examination in Adolescent Indri Bakti Salsabila, Dinar; Sri Hardjanti, Triana; Runjati
Napande: Jurnal Bidan Vol. 4 No. 2 (2025): October
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/njb.v4i2.4194

Abstract

Background: Early detection through Breast Self-Examination (BSE) is an easy and affordable preventive effort. Since peers strongly influence adolescents’ health behaviors, peer education is considered an effective way to increase their knowledge and attitudes toward BSE. Method: This study employs a quasi-experimental design with a pretest-posttest control group. The study included 42 female adolescents, divided into 21 participants each in the intervention and control groups. The intervention group was given peer education, and the control group was only given a leaflet, then the group's knowledge and attitudes were measured before and after the intervention, and data were collected using a questionnaire. Sampling used simple random sampling based on inclusion criteria, namely 10th grade students, students who were present during the study, and willing to be respondents. Result: There were differences in the intervention group after being compared with the control group. The results showed that the average increase in knowledge in the intervention group was 5.05, while in the control group it was 3.52, with a p-value of 0.004 (<0.05). The average increase in attitude scores in the intervention group was 6.71 compared to 2.86 in the control group, with a p-value of 0.001 (<0.05). Conclusion: The health education intervention was effective in improving respondents' knowledge and attitudes compared to the non-intervention group. Therefore, it is recommended that similar health education programs be implemented more widely in the community and that further research be conducted to assess their long-term effectiveness.
The Impact of Nutrion Education for Health Workers on Lactation Knowledge and Healthy Dietary Practices Harnaningsi; Yun Diniaty Rosidi, Indah; Lestari Salim, Ika
Napande: Jurnal Bidan Vol. 4 No. 2 (2025): October
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/njb.v4i2.4197

Abstract

Background: During the postpartum period, nutritional requirements increase significantly, particularly for breastfeeding mothers. The increase is approximately 25%, as the body needs additional energy for maternal recovery and adequate milk production to support infant health. Nutritional adequacy is determined not only by the quantity of food consumed but also by the quality of nutrients. Methods: This study employed a pre-experimental design with a One-Group Pretest–Posttest approach. Data were collected using questionnaires administered before and after the intervention, and were analyzed using descriptive statistics and inferential analysis through paired t-tests. Results: The findings revealed a significant improvement in postpartum mothers’ knowledge following the intervention, with a 28% increase observed. Statistical analysis indicated that nutrition education delivered by healthcare professionals had a significant effect on enhancing lactation knowledge and promoting healthy dietary practices among breastfeeding mothers (p-value 0.001 < 0.05). Conclusion: Nutrition education by health workers has proven effective in improving lactation knowledge and healthy dietary practices among breastfeeding mothers. These findings highlight the need to integrate educational interventions into maternal and child health programs, particularly at community health posts and primary care services
Digital Transformation of Services Midwifery : A Global Review of Telemedicine Use Iffah, Uliy; Afrah, Rahmayani
Napande: Jurnal Bidan Vol. 4 No. 2 (2025): October
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/njb.v4i2.4229

Abstract

Background: Telemedicine has emerged as a key innovation in transforming global healthcare services, including midwifery practice. Advances in digital technology facilitate pregnancy monitoring, remote consultations, and maternal health education in a more efficient, timely, and cost-effective manner, thereby supporting Sustainable Development Goal (SDG) 3.1 to reduce maternal mortality. This article reviews the implementation of telemedicine in eight countries—Indonesia, India, Nigeria, Australia, the United Kingdom, Japan, Singapore, and the United States with an emphasis on its contribution to maternal health. Method: A literature review was conducted by analyzing scientific articles and books published between 2021 and 2025 that addressed midwifery, antenatal care, and maternal health outcomes. Result: In developing countries such as Indonesia, India, and Nigeria, telemedicine expands access to antenatal care, accelerates referrals, reduces geographic barriers, and enhances maternal health literacy through community-based digital platforms. In developed countries such as Australia, the United Kingdom, Japan, Singapore, and the United States, telemedicine focuses on health system integration, early detection of pregnancy complications, and optimizing service efficiency using advanced technologies, including artificial intelligence, big data analytics, telemonitoring, and wearable devices. Midwives play a pivotal role as direct care providers, clinical decision-makers, and intermediaries between digital platforms and patients. Conclusion: Telemedicine is not merely a temporary response to healthcare limitations in developing countries but also a catalyst for innovation, quality improvement, and equity in global midwifery services.
The Effect of Complementary Hydrotherapy Using Warm Water on Blood Pressure Reduction in Hypertensive Pregnant Women at a Health Center in Palu City Chen, Asriwidyayanti; Silfia, Niluh Nita; Putri, Winda Inayah
Napande: Jurnal Bidan Vol. 4 No. 2 (2025): October
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/njb.v4i2.4231

Abstract

Background:  Hypertension in pregnancy remains one of the leading causes of serious complications that increase maternal morbidity and mortality, thus requiring safe and simple non-pharmacological interventions. This study aims to determine the effect of hydrotherapy using warm water on reducing blood pressure in pregnant women with hypertension. Method: This study employed a pre-experimental study with a one-group pretest–posttest design was conducted involving 30 purposively selected pregnant women with hypertension. The intervention consisted of foot immersion in warm water at 40 °C for 30 minutes, performed twice within two weeks. Blood pressure was measured before and after the intervention and analyzed using the Wilcoxon signed-rank test. Result: The intervention showed a significant reduction in systolic blood pressure, with an average decrease of 14 mmHg, and in diastolic blood pressure, with an average decrease of 10 mmHg (p < 0.001). Conclusion: Warm water hydrotherapy is effective in lowering blood pressure in pregnant women with hypertension. It is recommended that this therapy be adopted by healthcare providers as a non-pharmacological option and promoted for self-practice among pregnant women to help prevent pregnancy complications
The Effect of Pocket Book-Based Education on Adolescent Girls’ Knowledge of Menstrual Personal Hygiene: A Quasi-Experimental Study Siregar, Nursyahid; Sinaga, Elisa Goretti; Kurnia, Nurul Ummul
Napande: Jurnal Bidan Vol. 5 No. 1 (2026)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/njb.v5i1.4201

Abstract

Background: Poor menstrual hygiene remains a significant public health concern among adolescent girls. Around 60% of adolescent girls have inadequate knowledge and practices regarding menstrual hygiene, which contributes to a 30–40% risk of reproductive tract infections (RTIs). Local studies in East Kalimantan have shown that more than half (65%) of students still have only fair knowledge of menstrual personal hygiene. Therefore, effective educational media such as pocket books are needed to improve adolescents’ understanding and awareness of proper menstrual hygiene. Methods: This quasi-experimental study used a pretest–posttest control group design involving 80 seventh-grade female students at SMP Negeri 29 Samarinda. The intervention group received pocket-book education, while the control group received conventional education. Data were analyzed using the Wilcoxon and Mann–Whitney tests. Results: The findings showed a significant improvement in the knowledge scores of adolescent girls after receiving pocketbook education (p < 0.05). The mean knowledge score in the intervention group increased from 14.95 before intervention to 17.00 after (p = 0.001), while the control group increased from 14.20 to 15.58 (p = 0.011). The Mann–Whitney test indicated that the posttest knowledge score of the intervention group was significantly higher than that of the control group (p = 0.001). Conclusion: Education using pocket books was proven effective in significantly increasing adolescent girls’ knowledge of menstrual personal hygiene compared with conventional education. Pocket books can be utilized as a practical, engaging, and sustainable medium for reproductive health education among adolescents
Examining the Effect of Lactation Yoga on Anxiety in Breastfeeding Mothers Lamana, Aspia; Nuraini, Titin; Noftalina, Elsa; Kuswanti, Febti; Khuzaifah
Napande: Jurnal Bidan Vol. 5 No. 1 (2026)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/njb.v5i1.4239

Abstract

Background: Anxiety in breastfeeding mothers can inhibit the let-down reflex due to increased adrenaline and cortisol, leading to vasoconstriction in alveolar blood vessels. Non-pharmacological interventions, such as lactation yoga, may help alleviate this condition. Lactatio yoga is a gentle exercise that breastfeeding mothers can perform to relax the body while breastfeeding. Our objective is to assess the impact of lactation yoga on anxiety levels among breastfeeding mothers in the Kebong Public Health Center, Sintang Regency. Method: This study employed a pre-experimental one-group pretest–posttest design. Lactation yoga intervention was provided only to breastfeeding mothers aged 6 weeks to 6 months; the sample comprised 21 participants, selected through total sampling. Data were analyzed using the Wilcoxon test. Result: Post-intervention anxiety scores were significantly lower than pre-intervention scores (p= 0.001, p <0.005). Conclusion: Lactation yoga significantly reduces anxiety in breastfeeding mothers. Recommendation: Incorporating lactation yoga into maternal health programs may help decrease anxiety and promote the success of exclusive breastfeeding.
The "Prevent Anemia" Board Game Increases Adolescent Knowledge Devriany, Ade; Ramadani, Fitri Suci; Amin, Wirawati; Suriani
Napande: Jurnal Bidan Vol. 5 No. 1 (2026)
Publisher : Poltekkes Kemenkes Palu

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

Abstract

Background: Anemia remains a public health problem among adolescent girls, primarily due to low iron intake and non-compliance with iron supplementation (IBP). Anemia in adolescent girls can impact learning concentration, academic achievement, and fitness, and is at risk of continuing into pregnancy. One important factor influencing anemia prevention behavior is knowledge. The prevalence of iron supplementation among adolescent girls in South Sulawesi in 2023 was 65.5% and in Jeneponto Regency it was 73.0%, still below the national target of 75.0%. Therefore, innovative, engaging, and easily understood educational media are needed for adolescents, one of which is through board-based educational games. Interactive approaches are considered capable of increasing engagement, motivation, and understanding of adolescent girls' health. Methods: This study employed a quantitative method with a pre-experimental one group pre-test and post-test design. The sample consisted of 80 adolescent girls at SMPN 1 Tamalatea, Jeneponto Regency, selected using a purposive sampling technique. The research instrument was a questionnaire measuring knowledge of anemia and iron supplementation, which had been tested for validity and reliability. The intervention was delivered through health education using the “Cegah Anemia” boardgame, implemented in group-based learning sessions. Results: The findings showed that prior to the intervention, most respondents had a moderate (61.3%) or poor (37.5%) level of knowledge. After the intervention, knowledge levels increased, with the majority of respondents categorized as having good knowledge (57.5%). The Wilcoxon signed-rank test indicated a statistically significant improvement in knowledge following the intervention. Conclusion: Health education using the “Cegah Anemia” boardgame is effective in improving adolescent girls’ knowledge regarding anemia and iron supplementation at SMPN 1 Tamalatea
Hypertensive Disorder in Pregnancy: A Comparative Cross-Sectional Study of Maternal Characteristics in Urban and Rural Communities Sakti, Putri Mulia; Kuswanti, Febti; Khuzaifah; Jumhati, Siti; Fatimah, Sundari
Napande: Jurnal Bidan Vol. 5 No. 1 (2026)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/njb.v5i1.4323

Abstract

Background: Hypertensive disorders of pregnancy remain a major contributor to maternal morbidity and mortality worldwide, affecting approximately 10% of pregnancies. Demographic and lifestyle factors play a crucial role in the development of hypertension during pregnancy, with evidence suggesting higher pregnancy-related mortality risks among women living in rural areas compared to urban settings. This study aimed to examine differences in risk factors for hypertensive disorders in pregnancy between pregnant women residing in urban and rural areas. Method: A cross-sectional study was conducted from March to September 2025 at two community health centers, one in an urban area (Depok, West Java) and one in a rural area (Poso Regency). The study population comprised pregnant women diagnosed with hypertension after 20 weeks of gestation. A total of 66 respondents were recruited using accidental sampling. Data were collected using a questionnaire adapted from the 2023 Indonesian Health Survey (maternal health section). Statistical analysis included the Kolmogorov–Smirnov test for normality and the Mann–Whitney test for group comparisons, with a significance level of p < 0.05. Ethical approval was obtained before data collection. Result: Of the 17 risk factors assessed, five showed significant differences between urban and rural respondents. These included parity (p = 0.021), history of chronic disease (p = 0.021), exposure to cigarette smoke (p = 0.001), physical activity (p = 0.008), and frequency of spicy food consumption (p = 0.012). Conclusion: Significant differences in maternal characteristics associated with hypertensive disorders of pregnancy were observed between urban and rural populations. These findings highlight the need for context-specific maternal health interventions that consider local demographic and lifestyle factors to improve maternal and perinatal outcomes
The Effect of Cinnamon Aromatherapy in Reducing Primary Dysmenorrhea Among Adolescent Girls: A Quasi-Experimental Study Nurhanifah, Tia; Soraya, Desi; Sa’adah, Anifatus
Napande: Jurnal Bidan Vol. 5 No. 1 (2026)
Publisher : Poltekkes Kemenkes Palu

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

Abstract

Background: Primary dysmenorrhea is a common gynecological condition affecting adolescent girls, often characterized by moderate to severe menstrual pain that disrupts daily activities and reduces quality of life. The prevalence of primary dysmenorrhea among adolescents is reported to be as high as 75%. Although pharmacological interventions such as nonsteroidal anti-inflammatory drugs (NSAIDs) are widely used, concerns about side effects and accessibility have encouraged exploration of alternative, non-pharmacological approaches. Aromatherapy using cinnamon, which contains active compounds such as cinnamaldehyde and eugenol, has demonstrated antispasmodic and anti-inflammatory properties, making it a promising candidate for pain management. This study aimed to evaluate the effectiveness of cinnamon aromatherapy in reducing pain associated with primary dysmenorrhea among adolescent girls. Methods: A quasi-experimental design with a pretest-posttest one-group approach was used. 70 high school students in SMA Kesatrian 1 Central Java, Indonesia, who experienced primary dysmenorrhea were selected through total sampling. Participants received cinnamon aromatherapy via inhalation for three consecutive days during menstruation. Pain intensity was measured using the Numeric Rating Scale (NRS) before and after the intervention. Data were analyzed using the Wilcoxon signed-rank test following a normality check via the Kolmogorov–Smirnov test. Results: A significant reduction in pain intensity was observed following the intervention (Z = -6.679, p < 0.001), before the intervention, 36 female adolescents (51.4%) experienced moderate dysmenorrhea. After the intervention, 37 female adolescents (52.9%) experienced mild primary dysmenorrhea. Conclusion: Cinnamon aromatherapy effectively reduces menstrual pain and can be considered a non-pharmacological alternative for managing primary dysmenorrhea in adolescents.

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