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Journal Research Midwifery Politeknik Tegal
Published by Politeknik Harapan Bersama Tegal
ISSN : 20896778     EISSN : 25495054     DOI : https://doi.org/10.30591/
Core Subject : Health,
Medicine & Pharmacology Nursing Public Health
Siklus : Journal Research Midwifery Politeknik Tegal (JRMP) is a periodical scientific journal with registrated number ISSN 2089-6778 (print), 2549- 5054 (online). Published by Pusat Penelitian dan Pengabdian Masyarakat (P3M) Politeknik Harapan Bersama and managed by Program Studi Kebidanan Politeknik Harapan Bersama which is published two times a year (January and June). The SIKLUS: Journal Research Midwifery Politeknik Tegal accept research articles which includes Health sciences, midwifery, nursing, public health, Social Sciences who related to midwifery.
Arjuna Subject : Kedokteran - Kedokteran (Lain-Lain)
Articles 361 Documents
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NUTRITIONAL STATUS AND ANEMIA IN PREGNANT WOMEN Novita, Syarini; Wati, Dewi Fajar
Siklus : Journal Research Midwifery Politeknik Tegal Vol 14, No 02 (2025)
Publisher : Pusat Penelitian dan Pengabdian Masyarakat Politeknik Harapan Bersama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30591/siklus.v14i02.8707

Abstract

Anemia affects a significant number of pregnant women in Indonesia, with a prevalence of approximately 48.9%. In Lampung, the incidence remains high, posing serious risks to both mothers and their unborn children due to low hemoglobin levels. This study aimed to determine the effect of nutritional status on the incidence of anemia among pregnant women at the Tanjung Agung Health Center. Using an analytical survey with a cross-sectional approach, the study included 67 first-trimester pregnant women selected through total sampling. Data were obtained from secondary sources, specifically upper arm circumference (LILA) measurements and anemia status recorded on maternal health cards. Findings revealed that 80% of pregnant women with poor nutritional status experienced anemia. Statistical analysis showed a significant relationship between nutritional status and anemia, with a p-value of 0.001 (≤ α 0.05) and an odds ratio (OR) of 8.53. This indicates that pregnant women with poor nutritional status are over eight times more likely to develop anemia. In conclusion, poor nutritional status significantly increases the risk of anemia during pregnancy. The study recommends that families actively support pregnant women by promoting a varied and iron-rich diet and ensuring regular hemoglobin checks during antenatal visits to help prevent complications.
EFFECTIVENESS OF INTERACTIVE LEARNING MULTIMEDIA FOR DIANA NORMAL DELIVERY CARE (MULTERIANA) ON IMPROVING STUDENTS' INTERESTS AND SKILLS Nz.Gea, Diana Oktavia; Sutisna, Ma'mun; ,, Suparni; Herawati, Yanti; Wijayanegara, Hidayat; Rowawi, Roni
Siklus : Journal Research Midwifery Politeknik Tegal Vol 14, No 02 (2025)
Publisher : Pusat Penelitian dan Pengabdian Masyarakat Politeknik Harapan Bersama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30591/siklus.v14i02.7621

Abstract

The learning process requires media that align with technological advancements to enhance effectiveness and innovation. One such tool is the MULTERIANA Application, designed to support improved learning outcomes. This study aimed to analyze the effectiveness of the MULTERIANA Application in increasing student interest and skills at the Harapan Keluarga Midwifery Academy. The research used a pre-experimental design with a one-group pretest-posttest approach. The population included all fourth-semester female students, with a total sample of 57 participants selected through total sampling. Data were analyzed using the Wilcoxon test. The results showed a significant effect of the MULTERIANA Application on student interest in learning APN (midwifery care in normal delivery), with a p-value of 0.000. Similarly, the application significantly improved students’ skills in practicing normal delivery care, also with a p-value of 0.000. Based on the WebQual 4.0 assessment, the application was rated 54.6% effective before the intervention and improved to 76.3% afterward, indicating enhanced effectiveness. In conclusion, the MULTERIANA Application successfully increased both interest and skills in midwifery students. It is recommended that this application be used as a learning medium in delivery care courses to help students practice APN more effectively and independently.
MINDFULNESS BONDING INTERVENTION BETWEEN MOTHER AND FETUS USING AUDIO TOWARDS PREGNANT WOMEN'S ANXIETY AHEAD OF LABOR Herawati, Meirita; Desriya, Nia; Sri Rahayu, Ari Oktora
Siklus : Journal Research Midwifery Politeknik Tegal Vol 14, No 02 (2025)
Publisher : Pusat Penelitian dan Pengabdian Masyarakat Politeknik Harapan Bersama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30591/siklus.v14i02.8680

Abstract

Childbirth is a long process, 13-14 hours for primigravida mothers and 6-7 hours for multigravida mothers. In this situation, there are many changes and may cause stress. Neglecting this condition can negatively affect both parties. Mindfulness can help with anxiety in this study. Focusing on the present moment, environment, and activities around you is known as mindfulness. This study aims to determine how effective the use of audio is to reduce anxiety in pregnant women before labor through the relationship of self-awareness between mother and fetus. This study uses a pre-experiment method before and after the experiment in a one-group design. With the total sampling technique, the study population consisted of 21 pregnant women. TM III was conducted in the working area of Rejosari Health Center in July 2024. The Pregnancy Anxiety Scale questionnaire and audio recording were used as media. The results of the two mean difference test analyses showed that the anxiety level of respondents before the self-awareness intervention was 26.76 and after the intervention was 22.38, with a p-value of 0.000. This means that mindfulness activities using audio helped lower the anxiety of pregnant women before giving birth.
FAMILY PERCEPTION OF SCRAPING THERAPY AS AN ALTERNATIVE TO TRADITIONAL TREATMENT Hidayah, Seventina Nurul; Harnawati, Riska Arsita; Andari, Istiqomah Dwi; Chikmah, Adevia Maulidya; Qudriani, Meyliya
Siklus : Journal Research Midwifery Politeknik Tegal Vol 14, No 02 (2025)
Publisher : Pusat Penelitian dan Pengabdian Masyarakat Politeknik Harapan Bersama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30591/siklus.v14i02.8901

Abstract

Scraping therapy, known locally as kerokan, is a traditional treatment still widely practiced in Indonesia to address minor ailments such as colds, muscle aches, and fever. Family perceptions strongly influence the preference for scraping therapy as a primary form of home care. This study aims to explore how families perceive scraping therapy as an alternative to modern medicine. A qualitative case study design was employed, involving participants who had received or administered scraping therapy in the past year, were aged 18 or older, and participated voluntarily. Purposive sampling was used to select participants. Data were collected through in-depth interviews and focus group discussions (FGDs), focusing on their knowledge, motivations, and personal experiences. Thematic analysis was conducted to identify key patterns and meanings. The findings revealed that many families consider scraping therapy effective, affordable, and easy to perform. It is viewed as a cultural tradition passed down through generations and a practical solution amid limited access to healthcare facilities. Nevertheless, some concerns were noted, including potential skin irritation and the absence of scientific validation. Despite these issues, cultural beliefs and accessibility make scraping therapy the preferred choice for minor health problems. Healthcare professionals should educate communities while respecting local traditions to ensure safe practices.
THE EFFECT OF HYPNOTHERAPY ON THE LEVEL OF ANXIETY OF PREGNANT WOMEN IN THE THIRD TRIMESTER Permatasari, Indah; Kumalasary, Diyanah; Yulianti, Ria; Hidayah, Fika Nurul
Siklus : Journal Research Midwifery Politeknik Tegal Vol 14, No 02 (2025)
Publisher : Pusat Penelitian dan Pengabdian Masyarakat Politeknik Harapan Bersama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30591/siklus.v14i02.7919

Abstract

In the third trimester of pregnancy, there are physical changes and side effects of pregnancy that make mothers worry, so pregnant women start to worry about the birth process. Hypnotherapy techniques can help relax the muscles so that the mother avoids anxiety and makes the mother calmer when facing childbirth. This research aims to determine the effect of hypnotherapy on the anxiety level of pregnant women in the third trimester. The research sample was 30 people, carried out from 15 May to 15 June 2023. This research is a quantitative research with a Quasi Experiment design with a one group pre test and post test design. The analysis method used was univariate and bivariate, analysis using the Paired Samples T-Test. The results of the study showed significant differences before and after hypnotherapy on pregnant women with a significance value of 0.000 0.05. In conclusion, there is an influence of hypnotherapy on the level of anxiety in third trimester pregnant women at PMB Indah Permatasari, 2023. The suggestion is that midwives can apply hypnotherapy as a complementary approach in an effort to reduce the level of anxiety in third trimester pregnant women in handling childbirth. 
KNOWLEDGE AND ATTITUDE OF MIDWIVES REGARDING THE ENHANCEMENT OF BREAST MILK PRODUCTION (ASI) THROUGH LACTATION MASSAGE Nisa, Juhrotun; Hidayah, Seventina Nurul; Chikmah, Adevia Maulidya; Harnawati, Riska Arsita
Siklus : Journal Research Midwifery Politeknik Tegal Vol 14, No 02 (2025)
Publisher : Pusat Penelitian dan Pengabdian Masyarakat Politeknik Harapan Bersama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30591/siklus.v14i02.8594

Abstract

Inadequate breast milk production for newborns might result in impaired growth and development. Enhancing breast milk production can be achieved by lactation massage, a therapeutic technique including massage movements on the breast area that stimulates lymphatic and blood circulation, increases milk production, and alleviates issues related to blocked milk ducts. The applicability of this scientific findings to health services is limited; therefore, midwifery support is essential in enhancing breast milk production with lactation massage. Midwives can utilize their expertise to perform lactation massage, thereby enhancing breast milk supply and promoting the effectiveness of exclusive breastfeeding. This study aimed to ascertain the correlation between midwives' knowledge and attitudes on the enhancement of breast milk production by lactation massage. The method used was cross-sectional, and the target population consists of midwives attending Harapan Bersama Polytechnic. Utilizing a total sampling technique involving 11 individuals. Data were acquired by surveys and subsequently analyzed using the chi-square method. The study's results yielded a P value of 0.04 (α0.05), indicating a correlation between midwives' knowledge and attitudes on the enhancement of breast milk supply via lactation massage, with an odds ratio of 0.33. Midwives' knowledge and abilities must be improved in order to use lactation massage to boost the supply of breast milk.
OVERVIEW OF KNOWLEDGE ABOUT FREE SEX AND EARLY MARRIAGE OF TEENS Rahmawati, Wenny; Retnaningrum, Dwi Norma
Siklus : Journal Research Midwifery Politeknik Tegal Vol 14, No 02 (2025)
Publisher : Pusat Penelitian dan Pengabdian Masyarakat Politeknik Harapan Bersama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30591/siklus.v14i02.7120

Abstract

Data from BKKBN for 2023 shows worrying adolescent sexual behavior in Indonesia. 60% of Indonesian teenagers are involved in sexual relations at the age of 16-17 years. In addition, 20% of teenagers have sex at the age of 19-20 years and 20% even have sex at the age of 14-15 years. This free sexual behavior will trigger an increase in the occurrence of early marriages caused by marriage by accident. Early marriage at the age of less than 19 years will cause various reproductive and psychological health problems in teenagers. This study aims to determine the description of knowledge related to free sex and early marriage in adolescents using a cross-sectional method. As a result, the majority (49.7%) of respondents had poor knowledge about free sex, a small portion (9.2%) had poor knowledge about free sex. Regarding early marriage, the majority (41.6%) of respondents had poor knowledge regarding the concept of early marriage and a small portion (4.3%) had poor knowledge.
THE CONTRIBUTION OF FAMILY SUPPORT TO PREGNANT WOMEN'S DAILY NUTRITION AWARENESS Siti Fatimah, Okta Zenita; Hidayah, Seventina Nurul; Chikmah, Adevia Maulidya
Siklus : Journal Research Midwifery Politeknik Tegal Vol 14, No 02 (2025)
Publisher : Pusat Penelitian dan Pengabdian Masyarakat Politeknik Harapan Bersama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30591/siklus.v14i02.8646

Abstract

Family support plays a vital role in promoting the health of pregnant women, particularly in ensuring they meet their daily nutritional needs. This qualitative case study was conducted in Kelurahan Baru, Pasar Rebo District, East Jakarta, and focused on investigating how family support contributes to increasing pregnant women’s awareness of nutritional adequacy. The study involved pregnant women and their closest family members, selected through purposive sampling. Data were collected using in-depth interviews and focus group discussions to gain a greater insight into how family support influences nutritional behavior. The findings show that husbands and mothers-in-law are perceived as the most influential sources of support. Pregnant women reported receiving emotional encouragement, help with food preparation, and collaborative decision-making, all of which increased their nutritional awareness and consistency in maintaining a healthy diet. Additionally, the study identified the family's nutrition knowledge, communication quality, and access to nutritious foods as key factors that shaped the effectiveness of support. In conclusion, the study emphasizes the importance of involving close family members in maternal nutrition efforts. Empowering families through education and encouraging their active involvement in maternal care can be a strategic approach to improving both maternal and fetal health outcomes during pregnancy.
EFFECTIVENESS OF RED BETEL LEAF (PIPER CROCATUM) IN REDUCING SYMPTOMS OF FLUOR ALBUS IN WOMEN OF REPRODUCTIVE AGE Mulyanti, Sri; Karo, Marni Br; M, Riyen Sari
Siklus : Journal Research Midwifery Politeknik Tegal Vol 14, No 02 (2025)
Publisher : Pusat Penelitian dan Pengabdian Masyarakat Politeknik Harapan Bersama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30591/siklus.v14i02.7448

Abstract

Fluor albus is the presence of Trichomonas vaginalis and Candida albicans bacterial infections. Fluor albus itself is an excessive discharge from the vagina that is not menstrual blood. Red betel leaf is one of the potential medicinal plants that is empirically known to have properties to cure various types of diseases, including fluor albus. This research method employs a quantitative design, specifically the randomized pretest post-test control group design. The subjects selected in this study were women of childbearing age in Islamic boarding schools. The number of samples was 40 people. The data analysis used was univariate and bivariate using the sample t-test. Based on the results of statistical analysis using the t-test, a p-value of 0.000 0.05 was obtained. The result shows that Ho is rejected and Ha is accepted. So it can be concluded that there is an effect of boiled red betel leaf water (piper crocatum) on reducing fluor albus symptoms in women of childbearing age.
DESIGN ANDROID-BASED APPLICATION OF “PERMEN” FOR MENARCHE PREPARATION FOR TEENAGE GIRLS Susilawati, Sri; Kurniawati, Ade
Siklus : Journal Research Midwifery Politeknik Tegal Vol 14, No 02 (2025)
Publisher : Pusat Penelitian dan Pengabdian Masyarakat Politeknik Harapan Bersama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30591/siklus.v14i02.8639

Abstract

According to Riskesdas data, menarche among adolescents aged 10–19 years typically occurs at age 12 (42.8%), age 15 (96.2%), and age 18 (99.6%). Many adolescents experience anxiety during their first menstruation due to a lack of knowledge, leaving them psychologically, mentally, and emotionally unprepared for the bodily changes. In today’s digital era, there is a growing need for accessible educational tools that provide accurate information about menstruation. To address this, an application called “Permen” (short for *Persiapan Menarche*) was developed to help adolescent girls prepare for their first menstruation anytime and anywhere. The aim of this study was to design a mobile-based menarche preparation application using the System Development Life Cycle (SDLC) method. The SDLC model applied was the waterfall model, which follows a structured, step-by-step approach in software development. The research successfully resulted in the creation of the “Permen” application, which has undergone both black box testing and expert validation. The application provides comprehensive and age-appropriate information about menarche, helping reduce anxiety and increase awareness among adolescent girls. In conclusion, the “Permen” application serves as a practical educational tool to support young girls during the transition of puberty by improving their readiness and understanding of menstruation.

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