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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 380 Documents
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ASSOCIATION BETWEEN PSYCHOLOGICAL DISTRESS, SLEEP QUALITY, AND VARIABILITY OF PHYSIOLOGICAL VAGINAL DISCHARGE AMONG ADOLESCENT GIRLS Regina Ayu Fristiyanti; Suci Fitriana Pramudya Wardani; Irna Olvaliani Aimang; Nur Sophia Matin
Siklus : Journal Research Midwifery Politeknik Tegal Vol 15, No 2 (2026)
Publisher : Pusat Penelitian dan Pengabdian Masyarakat Politeknik Harapan Bersama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30591/siklus.v15i2.10317

Abstract

Physiological vaginal discharge is a normal condition in adolescent girls, yet variations in its characteristics often cause concern. Psychological distress and sleep quality are suspected to influence the variability of physiological vaginal discharge. This study aimed to analyze the relationship between psychological distress, sleep quality, and the variability of physiological vaginal discharge in adolescent girls. This cross-sectional study involved 120 female students aged 15–18 years at a Banyuwangi Regency high school. Psychological distress was measured using the Kessler Psychological Distress Scale (K10), sleep quality using the Pittsburgh Sleep Quality Index (PSQI), and discharge variability was categorized into "low" and "high" based on secretion characteristics recorded via four-day self-logs. Data analysis employed the chi-square test and logistic regression. Results showed significant associations between psychological distress (p=0.018) and sleep quality (p=0.038) with the variability of physiological vaginal discharge. High psychological distress (OR=4.20; 95% CI: 1.45–12.15; p=0.008), very high psychological distress (OR=6.40; 95% CI: 1.85–22.10; p=0.003), and poor sleep quality (OR=2.75; 95% CI: 1.20–6.30; p=0.017) increased the likelihood of high variability. Psychological distress was the most dominant factor. These findings indicate that psychological aspects and sleep quality can influence the reproductive health of adolescent girls.
SOCIAL MEDIA DYNAMICS, PEER INFLUENCE, AND DATING BEHAVIOR AMONG ADOLESCENTS Suci Fitriana Pramudya Wardani; Ayu Aminatussyadiah; Amrina Nur Rohmah
Siklus : Journal Research Midwifery Politeknik Tegal Vol 15, No 2 (2026)
Publisher : Pusat Penelitian dan Pengabdian Masyarakat Politeknik Harapan Bersama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30591/siklus.v15i2.10313

Abstract

Adolescent dating behavior is influenced by various factors, including social media use and peer influence. Increased exposure to social media and peer interactions may affect adolescents’ dating behavior. This study aimed to determine the relationship between social media use, peer influence, and dating behavior among adolescents in one of the health vocational schools in Brebes Regency. This study used a descriptive correlational design with a cross-sectional approach. A total of 70 respondents were selected using total sampling. Data were collected using questionnaires and analyzed with the Chi-Square test. The results showed that 52 respondents (74.3%) had negative social media influence, 49 respondents (70.0%) had negative peer influence, and 38 respondents (54.3%) had good dating behavior. Bivariate analysis indicated no significant relationship between social media use and dating behavior (p-value = 0.242), and no significant relationship between peer influence and dating behavior (p-value = 0.283). The study concluded that social media use and peer influence were not significantly associated with adolescent dating behavior. Other factors such as self-control, parenting patterns, and reproductive health education may play a greater role.
PARENTAL COMPLIANCE WITH ROUTINE CHILDHOOD IMMUNIZATION AMONG CHILDREN 0-24 MONTHS Istiana Syamsiati Savira; Ratih Sakti Prastiwi; Nanda Bachtiar
Siklus : Journal Research Midwifery Politeknik Tegal Vol 15, No 2 (2026)
Publisher : Pusat Penelitian dan Pengabdian Masyarakat Politeknik Harapan Bersama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30591/siklus.v15i2.10434

Abstract

Immunization is an essential strategy to protect children from vaccine-preventable diseases. In Indonesia, achieving complete immunization coverage remains a challenge at the primary health care level, including in Tegal Regency, where immunization coverage requires continuous evaluation to ensure all children receive timely vaccination. The success of immunization programs depends not only on the availability of health services but also on parental compliance in bringing children for immunization according to the recommended schedule.  This study aimed to describe the level of parental compliance in bringing children aged 0–24 months for timely basic immunization in the working area of Suradadi Primary Health Center. A quantitative study with a descriptive survey design was conducted among parents of children aged 24–36 months. A total of 22 respondents were selected using quota sampling based on predefined inclusion criteria. Data were collected through observations of maternal and child health (MCH) books and children's immunization records and analyzed descriptively using frequency distributions and percentages. The findings showed that most respondents were of productive age, had completed secondary education, and were housewives. Overall, 20 respondents (90.9%) were compliant with the recommended immunization schedule, while 2 respondents (9.1%) were non-compliant. The high level of compliance indicates that most parents appropriately utilized immunization services according to the schedule. Strengthening health education, optimizing the role of community health volunteers, and implementing reminder systems are needed to maintain and improve parental compliance and ensure equitable immunization coverage among children.
THE EFFECTIVENESS OF ERGONOMIC EXERCISES ON INSOMNIA LEVELS AMONG MENOPAUSAL WOMEN Agi Yulia Ria Dini; Ela Rohaeni; Aas Hasanah
Siklus : Journal Research Midwifery Politeknik Tegal Vol 15, No 2 (2026)
Publisher : Pusat Penelitian dan Pengabdian Masyarakat Politeknik Harapan Bersama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30591/siklus.v15i2.10325

Abstract

Insomnia is a common sleep disorder among menopausal women caused by physiological and psychological changes, leading to a decline in quality of life. Preliminary findings indicate that most menopausal women in Sindangari Village experience mild to moderate insomnia. Non-pharmacological interventions such as ergonomic exercise are considered effective because they involve muscle movements and breathing techniques that promote relaxation and improve sleep quality. This study aimed to examine the effectiveness of ergonomic exercise in reducing insomnia levels among menopausal women in Sindangari Village, Sukasari District, Sumedang Regency. A pre-experimental one-group pretest–posttest design was employed. The study population consisted of 65 menopausal women with insomnia, from which 32 respondents were selected using purposive sampling. Insomnia levels were assessed using the Insomnia Rating Scale (IRS). Data were analyzed using a paired sample t-test with a significance level of 0.05. The results showed a significant reduction in insomnia levels after the ergonomic exercise intervention (p = 0.000; p 0.05). In conclusion, ergonomic exercise is effective in reducing insomnia among menopausal women and may be considered a non-pharmacological alternative to improve their quality of life.
DETERMINANTS OF HEALTH PROMOTION FACTORS AMONG ADOLESCENT MOTHERS REGARDING THE RISK OF SOCIO-EMOTIONAL DISORDERS IN TODDLERS Wida Rahma Arwiyantasari; Mufida Dian Hardika; Nayka Nurrohmah
Siklus : Journal Research Midwifery Politeknik Tegal Vol 15, No 2 (2026)
Publisher : Pusat Penelitian dan Pengabdian Masyarakat Politeknik Harapan Bersama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30591/siklus.v15i2.10306

Abstract

Teenage pregnancy is a public health issue that can influence a child's socio-emotional development through biological, psychological, and environmental factors. Health promotion factors during pregnancy are believed to play a role in reducing the risk of socio-emotional disorders; however, evidence regarding mothers with a history of teenage pregnancy remains limited. This study aimed to analyze the determinants of health promotion factors regarding the risk of socio-emotional disorders in children aged 12–59 months. A quantitative approach with a cross-sectional analytic observational design was employed. The sample consisted of 35 mothers who had been pregnant at age ≤19 and currently had children aged 12–59 months, selected using total sampling. Data were collected via questionnaire-based interviews and analyzed using the Chi-square test and multiple logistic regression with IBM SPSS Statistics. Bivariate analysis results indicated that attitude (p=0.048), access to information (p=0.036), and social support (p=0.028) were significantly associated with the risk of socio-emotional disorders in children. Multivariate analysis revealed that social support was the most dominant factor (OR=5.652; 95% CI=1.429–22.354; p=0.014), followed by access to information (OR=4.289; 95% CI=1.158–15.887; p=0.029) and attitude (OR=3.611; 95% CI=1.069–12.195; p=0.039). Knowledge and health promotion activities did not show a significant effect. Social support, access to information, and maternal attitude are key determinants of the risk of socio-emotional disorders in children aged 12–59 months and should therefore be the focus of health promotion efforts.
DETERMINANTS OF ANEMIA AMONG THIRD TRIMESTER PREGNANT WOMEN Rosa Susanti; Okta Zenita Siti Fatimah; Wanti Astriani Hasan; Seventina Nurul Hidayah
Siklus : Journal Research Midwifery Politeknik Tegal Vol 15, No 2 (2026)
Publisher : Pusat Penelitian dan Pengabdian Masyarakat Politeknik Harapan Bersama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30591/siklus.v15i2.10320

Abstract

The Indonesian Health Survey (SKI) 2023 revealed that 27.7% of pregnant women suffered from anemia. Data from the Larangan Utara Public Health Center (UPT Puskesmas) in Tangerang City indicated an upward trend in anemia cases among women in their third trimester of pregnancy. In 2022, anemia was identified in 122 women (13.7%) out of 887 who were examined for hemoglobin levels, and the number increased to 135 women (15.5%) out of 867 in 2023. This study aimed to determine the primary factors contributing to anemia among third-trimester pregnant women at the Larangan Utara Public Health Center, Tangerang City, in 2024. The research adopted a quantitative approach with a logistic regression design. A total of 60 respondents were included through a total sampling technique. Data collection was conducted using a structured questionnaire, and analysis was performed using multivariate linear regression. The findings indicated that three main factors were significantly associated with anemia: Chronic Energy Deficiency (CED) (p = 0.000), educational level (p = 0.031), and compliance with iron (Fe) tablet intake (p = 0.035). Among these, Chronic Energy Deficiency was identified as the most dominant factor influencing anemia occurrence. In conclusion, anemia among third-trimester pregnant women is influenced by chronic energy deficiency, educational level, and adherence to Fe tablet consumption, with CED being the most significant determinant. It is recommended that healthcare providers at the Larangan Utara Public Health Center implement more effective prevention and management strategies, including nutrition education, infection control, and enhanced monitoring for high-risk pregnant women.
THE RELATIONSHIP BETWEEN EARLY MARRIAGE AND THE INCIDENCE OF STUNTING Wahida Wahida; Idayati Idayati; Ajeng Hayuning Tiyas; Gusriani Gusriani
Siklus : Journal Research Midwifery Politeknik Tegal Vol 15, No 2 (2026)
Publisher : Pusat Penelitian dan Pengabdian Masyarakat Politeknik Harapan Bersama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30591/siklus.v15i2.10327

Abstract

Stunting is a chronic nutritional disorder influenced by multiple factors, including child marriage. West Sulawesi is one of the provinces in Indonesia with a high prevalence of both stunting and child marriage. This study aimed to examine the association between child marriage and stunting among children aged 23–59 months in Mamuju Regency. An analytical observational study with a cross-sectional design was conducted involving 62 mothers selected through purposive sampling. Data were collected through interviews and anthropometric measurements and analyzed using the chi-square test and Odds Ratio (OR). The results showed no significant association between child marriage and stunting (p = 0.667; OR = 0.72; 95% CI: 0.16–3.27). These findings suggest that stunting is a multifactorial condition influenced by various determinants beyond child marriage, highlighting the need for a comprehensive approach to its prevention. The Technology Readiness Level (TRL) of this study was Level 2.
KNOWLEDGE AND ATTITUDES TOWARD REPRODUCTIVE HEALTH ARE ASSOCIATED WITH CYBERSEX ACTIVITIES AMONG ADOLESCENTS Destiana Angie Callista Putri; Nina Hidayatunnikmah; Nyna Puspita Ningrum
Siklus : Journal Research Midwifery Politeknik Tegal Vol 15, No 2 (2026)
Publisher : Pusat Penelitian dan Pengabdian Masyarakat Politeknik Harapan Bersama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30591/siklus.v15i2.10433

Abstract

Cybersex is a form of sexually related behaviour conducted through the internet and has become increasingly prevalent among adolescents due to widespread access to digital technology. Adolescents' knowledge and attitudes regarding reproductive health may influence their engagement in cybersex activities. This study aimed to examine the association between reproductive health knowledge and attitudes and cybersex activities among adolescents. An analytical observational study with a cross-sectional design was conducted among 110 adolescents aged 17–19 years at SMK Pawyatan Daha 1 Kediri. Participants were selected using simple random sampling. Data were collected using a structured questionnaire assessing the frequency and types of cybersex activities, reproductive health knowledge, and attitudes towards reproductive health issues, including contraceptive use and sexually transmitted infections. Data were analysed using Spearman's rank correlation test. Spearman's correlation analysis demonstrated a significant association between cybersex activities and reproductive health knowledge (p0.001; r=0.579), as well as between cybersex activities and reproductive health attitudes (p0.001; r=0.582). The correlation coefficient indicated that attitudes toward reproductive health showed a slightly stronger association with cybersex activities than knowledge.Reproductive health knowledge and attitudes were significantly associated with cybersex activities among adolescents. Strengthening reproductive health education and promoting positive attitudes may help adolescents make healthier decisions regarding online sexual behaviour.
EFFORTS TO INCREASE EXCLUSIVE BREASTFEEDING AMONG POSTPARTUM MOTHERS Okta Zenita Siti Fatimah; Seventina Nurul Hidayah
Siklus : Journal Research Midwifery Politeknik Tegal Vol 15, No 2 (2026)
Publisher : Pusat Penelitian dan Pengabdian Masyarakat Politeknik Harapan Bersama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30591/siklus.v15i2.10321

Abstract

Exclusive breastfeeding is crucial for improving maternal and infant health and reducing neonatal morbidity and mortality, yet implementation obstacles remain. Preliminary observations at Pasar Rebo Regional General Hospital (RSUD), East Jakarta, showed suboptimal exclusive breastfeeding coverage, with only 65% of mothers breastfeeding exclusively during care, while others used formula or faced difficulties. This qualitative case study aimed to evaluate efforts to increase exclusive breastfeeding at RSUD Pasar Rebo. Using purposive sampling, 15 informants were selected: 5 experienced healthcare workers (midwives, nurses, lactation counselors) and 10 postpartum mothers (days 1–42). Data were gathered through in-depth interviews, Focus Group Discussions, and direct observations, then analyzed using content and thematic analysis. Results identified key efforts: breastfeeding education, Early Initiation of Breastfeeding (EIBF/IMD), rooming-in, and technique counseling. Supporting factors included available healthcare staff, hospital policies, and family support. Conversely, main barriers were maternal lack of knowledge, postpartum fatigue, and misconceptions about milk supply. Although efforts exist, continuous education and support remain essential.
THE EFFECT OF FASTING DIETS (INTERMITTENT FASTING) ON CHANGES IN BODY WEIGHT AND BODY MASS INDEX (BMI) Rifatul Masrikhiyah; Anggray Duvita Wahyani
Siklus : Journal Research Midwifery Politeknik Tegal Vol 15, No 2 (2026)
Publisher : Pusat Penelitian dan Pengabdian Masyarakat Politeknik Harapan Bersama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30591/siklus.v15i2.10475

Abstract

Intermittent fasting (IF) is gaining popularity as a non-pharmacological intervention for weight loss and the improvement of cardiometabolic profiles. This study aimed to determine the effect of intermittent fasting on changes in body weight and Body Mass Index (BMI) among students at Muhadi Setiabudi University. A pre-experimental design with a one-group pretest-posttest approach was employed. The study sample consisted of 40 respondents whose body weight and BMI were measured before and after the intervention. Data were analyzed using the Paired Sample T-Test. The results showed a decrease in the respondents' mean body weight from 49.31 kg to 48.26 kg and a decrease in mean BMI from 20.85 to 20.40. Bivariate analysis revealed a significance value of 0.000 (p 0.05) for both variables, demonstrating a significant effect of intermittent fasting on reductions in body weight and BMI. The study concludes that intermittent fasting influences changes in the students' body weight and BMI.

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