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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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THE RELATIONSHIP BETWEEN IRON TABLET COMPLIANCE AND HEALTHY DIETARY PATTERNS AND ANEMIA STATUS AMONG FEMALE ADOLESCENTS Fajri, Umi Nur; Sari, Dian Nirmala; Hakim, Lukman
Siklus : Journal Research Midwifery Politeknik Tegal Vol 15, No 1 (2026)
Publisher : Pusat Penelitian dan Pengabdian Masyarakat Politeknik Harapan Bersama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30591/siklus.v15i1.9869

Abstract

The adolescent phase is nutritionally vulnerable phase because it requires more energy and nutrients for growth and development. Unbalanced nutrient consumption can lead to nutritional deficiencies. Adolescent girls with irregular eating patterns, having food restrictions, often buying snacks because they follow friends, often skipping breakfast, eating fast food, and junk food can cause anemia. Consumption habits that inhibit iron absorption will affect hemoglobin levels. Efforts to prevent anemia in adolescent girls include having a healthy lifestyle and providing iron tablet supplements taken regularly. The purpose of this study was to determine the relationship between adherence to iron tablet consumption and a healthy diet with anemia status in adolescent girls. The method used in this study was analytical research with a cross-sectional approach. The sample consisted of 30 female adolescents at SMPN 1 Banjarmangu. The sampling technique used was cluster sampling. The statistical test used was correlation with chi-square. The results showed a relationship between adherence to iron tablet consumption and anemia status (p-value 0.00), and there was no relationship between a healthy diet and anemia status (p-value 0.279).
FACTORS ASSOCIATED WITH POST-CESAREAN SECTION WOUND HEALING Masitah, Dewi; Kristiyanti, Rini
Siklus : Journal Research Midwifery Politeknik Tegal Vol 15, No 1 (2026)
Publisher : Pusat Penelitian dan Pengabdian Masyarakat Politeknik Harapan Bersama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30591/siklus.v15i1.9781

Abstract

Sectio Caesarea (SC) is a surgical procedure to remove a baby from the mother's uterus. SC wound infection is a complication that can increase morbidity and mortality rates. Several factors influence SC wound healing. The purpose of this study was to determine the factors that influence SC wound healing at Bendan Hospital. This study used descriptive analytic design through cross-sectional approach by using chi-square test and logistic regression test. The population of this study were all postpartum mothers from November 17 - December 20, 2023, with a total sampling technique to obtain a sample of 70 respondents. The results of bivariate analysis showed there was a relationship between age (ρ=0.015), personal hygiene (ρ=0.015), anemia status (ρ=0.023), and fulfillment of nutrition (ρ=0.025). There was no association between BMI (ρ=0.579) and wound care knowledge (ρ=0.634). Multivariate analysis showed nutritional fulfillment had a value of ρ=0.042 and OR: 3,862. So the factor that most influences SC wound healing at Bendan Hospital is the fulfillment of nutrition. It is expected that health workers can provide education about nutrition to support SC wound healing to reduce SC wound infection.
COMPREHENSIVE MIXED-METHODS STUDY: KNOWLEDGE, ATTITUDES, AND PRACTICES OF STREET GIRL ADOLESCENTS TOWARD HIV AND AIDS PREVENTION Mulyana, Desi Nurlaela; Mukaromah, Nahdiyatul; Wulandari, Lukmi
Siklus : Journal Research Midwifery Politeknik Tegal Vol 15, No 1 (2026)
Publisher : Pusat Penelitian dan Pengabdian Masyarakat Politeknik Harapan Bersama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30591/siklus.v15i1.9850

Abstract

HIV and AIDS continue to represent substantial public health challenges among marginalized populations, particularly among street-connected adolescent girls who experience limited access to comprehensive reproductive health education and are exposed to adverse socio-economic conditions. This study sought to evaluate the knowledge, attitudes, and preventive actions of HIV/AIDS among female teenagers residing in the streets of Bekasi Regency. A sequential explanatory design with a mixed-methods approach was implemented. During the quantitative phase, 30 people were recruited using purposive and snowball sampling approaches. The qualitative phase comprised in-depth interviews with ten important informants to help contextualize the quantitative findings. The majority of respondents were in late adolescence (over 15 years old) (60%), had completed junior secondary education (50%), and worked in informal street jobs, mostly as street performers (57%). A mere 17% of interviewees stated that they had previously received HIV/AIDS counseling. Approximately 47% of respondents had a moderate grasp of HIV/AIDS, but more than 52.5% had negative views. Furthermore, the majority (55%) reported participating in preventative measures to a considerable extent. Qualitative findings revealed persistent misconceptions about HIV transmission channels, stigmatizing views toward HIV patients, and widespread feelings of fear and humiliation about HIV testing and participation in educational activities. In Bekasi Regency, street-involved adolescent females shown a sufficient level of awareness and participated in certain preventive actions; yet, unfavorable attitudes concerning HIV/AIDS persisted. These findings underscore the urgent need for integrated, community-based, and youth-centered HIV prevention interventions that explicitly address stigma reduction and promote the adoption of protective behaviors.
THE EFFECTIVENESS OF EDUCATIONAL VIDEOS ON LACTATION MASSAGE VERSUS PRINTED BROCHURES ON HUSBANDS' KNOWLEDGE AND SUPPORT IN SUCCESSFUL BREASTFEEDING Dewi, Lismaya Puspita; HR, Teni Nurlatifah; Suparni, Suparni; Sutisna, Ma'mun; Sabarudin, Udin; Wijayanegara, Hidayat
Siklus : Journal Research Midwifery Politeknik Tegal Vol 15, No 1 (2026)
Publisher : Pusat Penelitian dan Pengabdian Masyarakat Politeknik Harapan Bersama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30591/siklus.v15i1.9278

Abstract

The exclusive breastfeeding program represents a strategic government effort to strengthen the quality of human resources. One effective non-pharmacological approach to addressing this issue is lactation massage, which stimulates milk production and supports the breastfeeding process. This study aimed to evaluate the effectiveness of lactation massage educational videos compared with printed leaflets in improving husbands’ knowledge and roles in supporting successful breastfeeding at the Ciangsana Bogor Independent Midwife Practice in 2025. A quantitative approach with a quasi-experimental design was employed. The study involved 74 husbands of postpartum breastfeeding mothers who accompanied their wives during February–March 2025. Husbands’ knowledge and roles were assessed using structured questionnaires administered prior to the intervention and seven days afterward. Data were analyzed using a paired sample t-test, while the level of effectiveness was determined through gain score analysis. The findings revealed significant differences in both knowledge and roles between husbands who received lactation massage educational videos and those who received printed leaflets. The effectiveness analysis demonstrated that educational videos produced greater improvements, with a 57% increase in knowledge and a 56% increase in husbands’ roles, both classified as moderately effective. In conclusion, lactation massage educational videos are more effective than printed leaflets in strengthening husbands’ knowledge and roles in supporting breastfeeding success. The use of engaging and visually rich educational media may serve as a valuable strategy to foster meaningful husband participation and promote optimal breastfeeding outcomes.
EFFECTIVENESS OF BREASTFEEDING WITH HYPNOPRESSURE ON EARLY LACTATION IN COMMUNITY HEALTH CENTRES Chikmah, Adevia Maulidya; Andari, Istiqomah Dwi
Siklus : Journal Research Midwifery Politeknik Tegal Vol 15, No 1 (2026)
Publisher : Pusat Penelitian dan Pengabdian Masyarakat Politeknik Harapan Bersama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30591/siklus.v15i1.9828

Abstract

Tegal City Mayor Regulation No. 82 of 2023 concerning Behavioral and Social Change Strategies in Accelerating Stunting Reduction in Tegal City, explains that the target coverage of Exclusive Breastfeeding is 68% by 2024. The failure of the implementation of Exclusive Breastfeeding often occurs because the mother's breast milk has not come out in the early period after delivery, this is the reason for the mother to provide formula milk. Several risk factors that can slow the onset of lactation are anxiety, nutritional status, age, parity, type of delivery, birth weight, and early initiation of breastfeeding. Hypnopressure is a relaxation technique to help smooth the breastfeeding process. How to insert positive affirmations that help the breastfeeding process when the mother is relaxed or very concentrated on something. The purpose of this study is to Analyze the effectiveness of the implementation of breastfeeding with hypnopressure on lactation onset in the Tegal City Community Health Center Area. The research method used was pre-experimental, with a control group and intervention. The sampling technique was accidental sampling with 40 respondents. The results of the Mann Whitney test show that the asymp.sig value (2-tailed) is 0.004, which is smaller than the probability value of 0.05. Therefore, it can be concluded that "Ha is accepted", thus it can be said that breastfeeding with hypnopressure is effective for the onset of lactation.
THE EFFECTS OF OXYTOCIN MASSAGE AND BREAST CARE ON LACTATION OUTCOMES AMONG POSTPARTUM MOTHERS Wati, Dewi Fajar; Novita, Syarini
Siklus : Journal Research Midwifery Politeknik Tegal Vol 15, No 1 (2026)
Publisher : Pusat Penelitian dan Pengabdian Masyarakat Politeknik Harapan Bersama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30591/siklus.v15i1.9832

Abstract

Poor breast milk production is the main reason why mothers do not breastfeed early on, as they feel unable to meet their babies' needs and support adequate weight gain. One effective way to increase breast milk production is by caring for the breasts, maintaining hygiene, and performing oxytocin massage. This study aims to determine the effect of oxytocin massage and breast care on the smooth flow of breast milk in postpartum mothers at the PP Hospital in Jakarta. The research method is descriptive analytical using an experimental design with a two-group pretest-posttest design, in which measurements of the smooth flow of breast milk production are carried out using oxytocin massage and breast care. Data collection was conducted from December 2024 to April 2025 with a total sample size of 60 respondents using primary data and the Shapiro-Wilk test for normality, as well as hypothesis analysis using the Mann-Whitney test. Research results: The Mann-Whitney statistical test yielded a p-value of 0.000 α 0.05. Conclusion: Oxytocin massage and breast care have an effect on breast milk production in postpartum mothers in the Maternity Ward at PP Hospital Jakarta. Recommendation: It is hoped that PP Hospital Jakarta can expand the knowledge of health workers in an effort to increase mothers' understanding of the effect of oxytocin massage and breast care on breast milk production.
NUTRITIONAL INTERVENTION USING CHICKEN EGGS AND ZINC TO ENHANCE GROWTH IN STUNTED CHILDREN AGED 6–72 MONTHS Putri, Rizkiana; Pangestu, Gaidha Khusnul
Siklus : Journal Research Midwifery Politeknik Tegal Vol 15, No 1 (2026)
Publisher : Pusat Penelitian dan Pengabdian Masyarakat Politeknik Harapan Bersama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30591/siklus.v15i1.9601

Abstract

The results of the 2023 Indonesian Health Survey showed that the prevalence of stunting and wasting in toddlers was 21.5% and 8.5%. The stunting rate in Central Java Province was 20.7%, while wasting was 7.1%. Toddlers who experience growth retardation as a result of poor nutritional intake or repeated infections have a high risk of death and illness. This study aims to determine the effect of providing chicken eggs and zinc to improve growth of children with stunting. The study used Quase-Experiment one group pre-posttest design with 30 respondent for 90 days of intervention. The results showed that 86.67% of toddlers were stunted and 13.33% were severely stunted. The analysis test showed a significant difference and there was an effect of providing chicken eggs and zinc on increasing toddler weight (p-value 0.00). Likewise, for height, the p-value was 0.00, indicating that there was an effect of providing chicken eggs and zinc on increasing toddler height. Providing chicken eggs and zinc can be considered as an intervention to improve toddler nutritional status.
THE EFFECT OF DIGITAL MEDIA ON THE SOCIO-EMOTIONAL DEVELOPMENT OF CHILDREN AGED 5–6 YEARS Wulandari, Umianita Risca; Kumalasari, Dian
Siklus : Journal Research Midwifery Politeknik Tegal Vol 15, No 1 (2026)
Publisher : Pusat Penelitian dan Pengabdian Masyarakat Politeknik Harapan Bersama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30591/siklus.v15i1.9896

Abstract

The increasing use of digital media in early childhood is feared to impact children's ability to manage emotions, interact socially, and understand the behaviour of others. The study used a quantitative correlational design with 45 parents of children aged 5–6 years old as respondents. The study was conducted from June to July 2025 at Permata Pelangi Kindergarten, Kediri. The research instruments consisted of a digital media use questionnaire and a social-emotional development questionnaire adapted from SEAM, with a Cronbach's Alpha reliability of 0.87. Univariate and bivariate analyses were performed using the Chi-square test. The results showed that most children used digital media for 1–3 hours per day, and the majority had good social-emotional development. The characteristics of mothers, who were predominantly of productive age and had secondary education, potentially influenced their child's support patterns during digital media use. The analysis showed no significant relationship between screen time and child development (p 0.05). Although descriptively, children with longer screen time tended to have adequate development, this trend was not statistically significant. This indicates that the duration of digital media use is not the primary factor determining a child's social and emotional development. Other factors such as content quality, parenting styles, parental support, and children's social activities at school are thought to play a larger role.
OPTIMISING THE ROLE OF POSYANDU HEALTH WORKERS IN INCREASING POSTNATAL VISITS TO POSYANDU Siti Fatimah, Okta Zenita; Hidayah, Seventina Nurul
Siklus : Journal Research Midwifery Politeknik Tegal Vol 15, No 1 (2026)
Publisher : Pusat Penelitian dan Pengabdian Masyarakat Politeknik Harapan Bersama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30591/siklus.v15i1.9837

Abstract

The postpartum period is a critical phase that requires regular maternal health monitoring to prevent complications such as bleeding and infection. However, data from the Tegal District Health Office in 2024 indicate that postpartum mothers’ attendance at posyandu remains relatively low, at only about 58%, which has not yet met the national target of 80%. This condition highlights the need for active involvement of posyandu cadres in improving postpartum visit rates. This study aims to identify the efforts made by posyandu cadres to increase postpartum mothers’ attendance at posyandu in Slawi Wetan Urban Village. The research employed a descriptive qualitative approach. Informants consisted of five posyandu cadres and four postpartum mothers who actively participated in posyandu activities. Data were collected through in-depth interviews and observation, then analyzed thematically. The results show that posyandu cadres undertook various efforts, including providing education on the importance of postpartum check-ups, conducting home visits, and reminding mothers of activity schedules through communication platforms such as WhatsApp. Supporting factors included assistance from health center staff and community enthusiasm, while challenges involved cadres’ limited time and low awareness among some postpartum mothers. In conclusion, posyandu cadres play an essential role in increasing postpartum visit rates through educational, persuasive, and personal approaches, although cross-sectoral support is still needed to achieve the expected target.
BREASTFEEDING BARRIERS AND EXPECTATIONS AMONG MOTHERS AFTER CESAREAN SECTION Andini, Dwi Margareta; Ningsih, Dewi Andariya
Siklus : Journal Research Midwifery Politeknik Tegal Vol 15, No 1 (2026)
Publisher : Pusat Penelitian dan Pengabdian Masyarakat Politeknik Harapan Bersama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30591/siklus.v15i1.9657

Abstract

Breast milk is a nutritionally balanced food for babies. Breast milk is easy to digest, contains easily absorbed nutrients, provides immunity, and helps mothers and children form an emotional bond. The type of delivery influences the success of exclusive breastfeeding. Moms who have had a caesarean segment run the chance of not only breastfeeding their babies since they are awkward. The mother's pain limits the interaction between mother and baby and makes the mother reluctant to breastfeed her child. This study aimed to look into the breastfeeding experiences of primiparous mothers who had previously had a Caesarean section. This study employed a generic exploratory qualitative research design. Twelve primiparous women with a history of caesarean section served as research informants in this study. They were chosen using a technique known as purposive sampling. A semi-structured interview was used to collect data in the Umbulharjo I Health Center working area in Yogyakarta City from March to June 2023. Creswell, J.W. approach to thematic analysis was used to analyze research data. The analysis yielded two themes: breastfeeding obstacles and breastfeeding mothers' expectations. Improving breastfeeding health promotion and self-efficacy for post-caesarean mothers is expected to broaden the scope of breastfeeding for post-caesarean mothers.

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