Jurnal Bidan Cerdas
Jurnal Bidan Cerdas is a national midwifery journal that publishes scientific works for midwives, nurses, academic people, and practitioners. Welcomes and invites original research article in midwifery, including: Birth | Pregnancy | Newborn | Adolescence | Family Planning | Climacterium | Midwifery Community | Education in midwifery | complementary therapy in midwifery | nutrition in pregnancy and child
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<![CDATA[Scoping Review: WhatsApp-based Education to Increase Iron Intake to Prevent Pregnancy Anemia ]]>
<![CDATA[Herinawati, Herinawati]]>;
<![CDATA[Margawati, Ani]]>;
<![CDATA[Nugraheni, Sri Achadi]]>;
<![CDATA[Pudjonarko, Dwi]]>
<![CDATA[ Jurnal Bidan Cerdas Vol. 7 No. 2 (2025) ]]>
Publisher : <![CDATA[Poltekkes Kemenkes Palu ]]>
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DOI: 10.33860/jbc.v7i2.4077
<![CDATA[Background: Pregnancy anemia is a global health problem that affects both mother and fetus. One solution to address pregnancy anemia is to increase iron intake, which can be done through various educational methods, including the use of technology platforms such as WhatsApp. This scoping review explores the academic literature on WhatsApp-based education to increase iron intake to prevent pregnancy anemia. Methods: This review used a scoping review method based on the Arksey and O'Malley framework. The literature search was conducted through several electronic databases, namely Google Scholar and PubMed by determining keywords using the PICO format, namely P (pregnancy anemia), I (WhatsApp), C (nil), O (iron supplementation) which captured articles from national and international journals, in English and Indonesian, using the PRISMA Method. Studies were selected from 2014-2024. Found in the initial search as many as 3427 articles and filtered to get 9 articles to synthesize. Results: The results of the article review obtained seven articles. The results showed that technology-based interventions, especially mobile applications and WhatsApp, were effective in improving the health of pregnant women through increased knowledge, anemia prevention practices, hemoglobin levels, and compliance with iron and folic acid consumption. Conclusion: WhatsApp-based education is effective in improving knowledge and anemia prevention practices among pregnant women.]]>
<![CDATA[Strengthening Application-Based Digital Health Literacy in The Prevention and Management of Stunting among Mothers with Children Under Five Years of Age ]]>
<![CDATA[Arum, Dyah Noviawati Setya]]>;
<![CDATA[Masrif, Masrif]]>;
<![CDATA[Ismiyati, Atik]]>;
<![CDATA[Sumarah, Sumarah]]>;
<![CDATA[Pengge, Nuning Marina]]>;
<![CDATA[Wahyuni, Linda Nur]]>
<![CDATA[ Jurnal Bidan Cerdas Vol. 7 No. 2 (2025) ]]>
Publisher : <![CDATA[Poltekkes Kemenkes Palu ]]>
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DOI: 10.33860/jbc.v7i2.4194
<![CDATA[Background: The rapid advancement of information technology has significantly transformed access to health information. However, the emergence of online media as a major information channel has also brought negative consequences, such as the widespread dissemination of misinformation, particularly when not accompanied by adequate digital literacy skills. This study aimed to analyze the effect of strengthening digital health literacy among mothers with children under five years of age in preventing and managing stunting. Methods: A quasi-experimental study with a two-group pre-posttest design was conducted involving 112 mothers of children under five with stunting, divided into control (n=56) and intervention (n=56) groups. Samples were selected using simple random sampling. A web-based application, Cegating, was developed and tested for usability using the System Usability Scale (SUS). Respondents’ knowledge was measured using a structured questionnaire. Data were analyzed using univariate and bivariate approaches with SPSS software. Results: The usability test of Cegating yielded a SUS score of 89.8%. In the intervention group, the mean knowledge score increased from 62.52 (pre-test) to 64.79 (post-test) (p=0.001). In the control group, the mean score increased from 60.68 to 63.30 (p=0.029). Conclusion: Strengthening digital health literacy improved mothers’ knowledge in preventing and managing stunting. The Cegating application is feasible and effective as an educational tool to enhance health education strategies for mothers with children under five to prevent and address stunting.]]>
<![CDATA[Flash Card-Based Education on Maternal Depressive Symptoms and Breastfeeding Techniques on Postpartum Mothers’ Motivation ]]>
<![CDATA[Sumarni, Sumarni]]>;
<![CDATA[Minarti, Minarti]]>
<![CDATA[ Jurnal Bidan Cerdas Vol. 7 No. 2 (2025) ]]>
Publisher : <![CDATA[Poltekkes Kemenkes Palu ]]>
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DOI: 10.33860/jbc.v7i2.4216
<![CDATA[Background: Postpartum changes occur in the body and mind for six weeks. This study examines how flashcard-based instruction affects maternal depression and fosters breastfeeding in postpartum mothers. Methods: The method used was quantitative research using the pre-experimental research design in one group (one-group pretest-posttest). The intensity of education on maternal depression and breastfeeding techniques using flash cards was measured through a pre-test before the intervention and a post-test after education. The sample used was 62 postpartum mothers. The method of collecting data is observation and a questionnaire. Data analysis and presentation through univariate and bivariate analysis. Results: The results indicated that the majority of postpartum moms were aged 20–35 years, possessed a senior high school education, were housewives, had many previous births, and experienced a normal delivery. The motivation to breastfeed rose markedly from a modest level in the pre-test (mean 41.58) to a much greater level at the post-test (mean 88.16). The Wilcoxon test results (p = 0.001 < 0.05) validated that educating mothers about depression symptoms and nursing procedures through flashcards significantly enhanced their motivation for exclusive breastfeeding during the first 3–14 days postpartum. Conclusion: This study concludes that there is an influence of maternal depressive symptoms and breastfeeding techniques on the motivation to provide breast milk to postpartum mothers during 3-14 days. Practical application: Midwives can use flash card-based teaching in postpartum care to improve maternal understanding, minimize depression symptoms, and motivate exclusive breastfeeding, improving maternal and infant health.]]>
<![CDATA[Knowledge and Uptake of VIA Screening: A Case-Control Study among Women of Reproductive Age in Kendari City ]]>
<![CDATA[Jingsung, Julian]]>
<![CDATA[ Jurnal Bidan Cerdas Vol. 7 No. 2 (2025) ]]>
Publisher : <![CDATA[Poltekkes Kemenkes Palu ]]>
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DOI: 10.33860/jbc.v7i2.4228
<![CDATA[Background: Cervical cancer remains one of the leading causes of mortality among women in Indonesia, largely due to low uptake of early detection methods such as Visual Inspection with Acetic Acid (VIA) screening. Knowledge among women of reproductive age (WRA) has been identified as an important factor associated with participation in screening. This study aimed to examine the association between knowledge level of WRA and VIA screening uptake at the BLUD UPTD Wua-Wua Public Health Center in Kendari City. Methods: A case-control design was applied involving 64 respondents, comprising 32 cases (women who had undergone VIA screening) and 32 controls (women who had not). Cases and controls were determined based on service records from the health center. Data were collected from June to August 2024 using a structured and validated questionnaire. The Chi-Square test was used for statistical analysis with a significance level of 0.05. Results: More than half of respondents (54.7%) demonstrated low knowledge. A significant association was found between knowledge level and VIA screening uptake (p<0.001). Conclusion: Knowledge level was significantly associated with VIA screening behavior among WRA. These findings suggest that strengthening awareness and educational efforts may contribute to improving participation in cervical cancer early detection programs.]]>
<![CDATA[PE-CARE: An Artificial Intelligence (AI)-Based Mobile Health Application to Improve Maternal Knowledge of Early Preeclampsia Detection – A Quasi-Experimental Study ]]>
<![CDATA[Hernawati, Erni]]>;
<![CDATA[Mutiara, Firsha Ilvany]]>;
<![CDATA[Hidayati, Sofa Nurul]]>
<![CDATA[ Jurnal Bidan Cerdas Vol. 7 No. 2 (2025) ]]>
Publisher : <![CDATA[Poltekkes Kemenkes Palu ]]>
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DOI: 10.33860/jbc.v7i2.4229
<![CDATA[Background: Preeclampsia remains a leading cause of maternal mortality worldwide, yet awareness and early detection remain limited in low- and middle-income countries. While artificial intelligence (AI)-based applications have been increasingly utilized in hospital settings, their adoption in Indonesian primary care remains minimal. This study aimed to evaluate the effectiveness of an AI-based mobile health application (PE-CARE) in improving maternal knowledge on early detection of preeclampsia. Methods: A quasi-experimental pretest–posttest control group design was conducted at Puskesmas Parongpong, West Bandung Regency, from February to March 2025. A total of 100 pregnant women (≤20 weeks gestation) were recruited using purposive sampling and assigned equally to the intervention (n=50) and control (n=50) groups. The intervention group used the PE-CARE application for 14 days, while the control group received conventional health education. Knowledge was assessed using a validated 15-item questionnaire. Data were analyzed using paired and independent t-tests, complemented by effect size (Cohen’s d) and 95% confidence intervals. Results: Knowledge scores improved significantly in both groups, with a larger gain in the intervention group (mean difference 28.1; Cohen’s d=3.79, 95% CI 25.7–30.5, p<0.001) compared to the control group (mean difference 11.5; Cohen’s d=1.56, 95% CI 9.3–13.7, p<0.001). Between-group comparison of posttest scores confirmed a significant effect favoring the intervention (mean difference 21.3; Cohen’s d=4.05, 95% CI 18.8–24.8, p<0.001). Conclusion: The PE-CARE application was effective in improving maternal knowledge of preeclampsia in a primary care setting. While these findings demonstrate the potential of AI-based mobile health tools to complement antenatal education, further research is needed to evaluate long-term behavioral and clinical outcomes as well as implementation feasibility in diverse primary care contexts.]]>
<![CDATA[Role of Management Functions in Stunting Coverage among Nutrition Officers in Majalengka Regency ]]>
<![CDATA[Banowati, Lilis]]>;
<![CDATA[Putri, Megi Melati Dwi]]>;
<![CDATA[Herawati, Cucu]]>;
<![CDATA[Hikmat, Rokhmatul]]>;
<![CDATA[Dani, Awis Hamid]]>;
<![CDATA[Muslimin, Muslimin]]>
<![CDATA[ Jurnal Bidan Cerdas Vol. 7 No. 2 (2025) ]]>
Publisher : <![CDATA[Poltekkes Kemenkes Palu ]]>
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DOI: 10.33860/jbc.v7i2.4235
<![CDATA[Background: Stunting remains a major public health problem in Indonesia, with persistently high prevalence despite ongoing national reduction programs. Primary healthcare centers (Puskesmas) play a frontline role in stunting prevention, yet challenges in management functions such as planning, implementation, and supervision may affect program outcomes. Methods: A cross-sectional study was conducted from July to August 2024 involving all 41 nutrition officers at Puskesmas in Majalengka Regency through total sampling. Data on planning, implementation, and supervision functions were collected using a validated questionnaire, while stunting coverage was obtained from official Puskesmas reports. Variables were categorized into “good” and “poor” based on mean scores. Statistical analysis included Chi-square tests and binary logistic regression to identify factors associated with stunting coverage. Results: More than half of respondents demonstrated poor planning (53.7%), poor implementation (51.2%), and poor supervision (61.0%). Bivariate analysis showed significant associations between all management functions and stunting coverage (p < 0.05). Multivariate logistic regression revealed that planning (OR = 6.9; 95% CI = 1.5–31.7; p = 0.01) and implementation (OR = 5.2; 95% CI = 1.1–23.7; p = 0.03) were significant predictors, with planning emerging as the strongest factor. Conclusion: Planning and implementation functions are critical determinants of stunting program coverage at the Puskesmas level. Weaknesses in technical capacity, human resources, and cross-sectoral collaboration hinder program effectiveness. Strengthening participatory planning, enhancing community engagement, and improving supervision mechanisms are essential strategies to optimize stunting reduction efforts. Further studies with larger and more diverse samples are recommended to validate these findings.]]>
<![CDATA[Progressive Muscle Relaxation and Benson Therapy in Reducing Anxiety in Breast Cancer Patients ]]>
<![CDATA[Rusmiyati, Rusmiyati]]>;
<![CDATA[Sukmawati, Ellyzabeth]]>;
<![CDATA[Trihadi, Dayat]]>;
<![CDATA[Solechan, Achmad]]>;
<![CDATA[Nisa, Dias Choirun]]>
<![CDATA[ Jurnal Bidan Cerdas Vol. 7 No. 2 (2025) ]]>
Publisher : <![CDATA[Poltekkes Kemenkes Palu ]]>
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DOI: 10.33860/jbc.v7i2.4206
<![CDATA[Background: This study aimed to examine the effect of non-pharmacological therapy, specifically progressive muscle relaxation and Benson relaxation, on anxiety levels in breast cancer patients undergoing chemotherapy. Chemotherapy is known to trigger psychological disorders, including anxiety, which can negatively affect treatment outcomes. Methods: A pre-experimental design with a one-group pretest–posttest approach was applied, involving 43 purposively selected respondents. Anxiety levels were measured using the Hamilton Anxiety Rating Scale (HARS). Results: The majority of respondents were aged 46–55 years, had completed high school or vocational school, were unemployed, and had undergone chemotherapy 1–6 times. The Wilcoxon signed-rank test revealed a significant reduction in anxiety scores after the intervention. Conclussion: These findings indicate that progressive muscle relaxation and Benson relaxation are effective in reducing anxiety among breast cancer patients undergoing chemotherapy, highlighting the importance of integrating non-pharmacological interventions into supportive oncology care.]]>
<![CDATA[Effect of Feeding Counseling and Massage Therapy on HAZ and WAZ Scores in Stunted Toddlers ]]>
<![CDATA[Qomariyah, Qomariyah]]>;
<![CDATA[Soraya, Desi]]>;
<![CDATA[Sukmawati, Ellyzabeth]]>
<![CDATA[ Jurnal Bidan Cerdas Vol. 7 No. 2 (2025) ]]>
Publisher : <![CDATA[Poltekkes Kemenkes Palu ]]>
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DOI: 10.33860/jbc.v7i2.4220
<![CDATA[Background: Stunting remains a major nutritional problem influenced by inadequate feeding practices during early childhood. This study examined the effect of feeding counseling and massage therapy for feeding difficulties on the nutritional status of stunted toddlers. Methods: A quasi-experimental design with a non-equivalent control group was conducted among 40 stunted toddlers aged 24–59 months in Semarang City. The intervention group received feeding counseling and massage therapy for three months, while the control group received standard care. Nutritional status was assessed using Weight-for-Age Z-score (WAZ) and Height-for-Age Z-score (HAZ). Results: The intervention led to a significant improvement in HAZ scores (p < 0.001), indicating a positive trend in linear growth, while WAZ scores showed no significant change. Conclussion: These results suggest that feeding counseling combined with massage therapy for feeding difficulties may support linear growth among stunted toddlers. However, the small sample size and short intervention period limit the generalizability of these findings.]]>
<![CDATA[Coping Mechanisms and Stress Levels in the Climacteric Phase ]]>
<![CDATA[Noeraini, I’ien]]>;
<![CDATA[Trihadi, Dayat]]>;
<![CDATA[Sukmawati, Ellyzabeth]]>;
<![CDATA[Sulistyaningrum, Danny Putri]]>;
<![CDATA[Solechan, Achmad]]>
<![CDATA[ Jurnal Bidan Cerdas Vol. 7 No. 2 (2025) ]]>
Publisher : <![CDATA[Poltekkes Kemenkes Palu ]]>
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DOI: 10.33860/jbc.v7i2.4207
<![CDATA[Background: The climacteric phase is a critical transitional period often accompanied by physical, emotional, and psychosocial changes that may influence an individual’s ability to cope with stress. This study analyzed the relationship between adaptive coping mechanisms and stress levels among elderly retirees using a sequential mixed-methods design. Methods: A total of 169 respondents participated in the quantitative phase, followed by in-depth interviews with 10 key informants. Results: Fisher’s Exact Test revealed a significant association between adaptive coping and stress levels (p = 0.000; p < 0.05), while age and gender were not significant factors. Qualitative insights emphasized the vital role of social support from family, peers, and the community in strengthening adaptive coping and emotional well-being. Both findings indicates that enhancing adaptive coping and social support effectively reduces stress among older adults. Conclussion: These results highlight the need for community-based mental health initiatives and post-retirement support programs to promote resilience and improve the quality of life in the elderly.]]>
<![CDATA[The Role of 'Bundo Kanduang' Women's Group in Early Detection of High-Risk Pregnancy in Tanah Datar ]]>
<![CDATA[Syarief, Devi]]>;
<![CDATA[Afrizal, Afrizal]]>;
<![CDATA[Hamdayani, Delvi]]>
<![CDATA[ Jurnal Bidan Cerdas Vol. 7 No. 2 (2025) ]]>
Publisher : <![CDATA[Poltekkes Kemenkes Palu ]]>
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DOI: 10.33860/jbc.v7i2.4100
<![CDATA[Background: West Sumatra Province is the only region in Indonesia that adheres to the matrilineal system. An influential community leader in West Sumatra is the women's group 'Bundo Kanduang'. A preliminary study found an increase in problematic pregnancies in Tanah Datar District, West Sumatra. This study aims to determine the role of the 'Bundo Kanduang' women's group in efforts to increase knowledge, attitudes, and family roles in the early detection of high-risk pregnancies Method: This study used a quasi experiment pre-post test study design with control group design in Tanah Datar 2024. The population was the husband/family of pregnant women and the total sample was 22 people. Univariate analysis included frequency distribution of knowledge, attitude, and family role. Bivariate analysis used the Mann-Whitney U Test to analyze differences between the control and intervention groups. Results: There was an increase in knowledge scores and family roles in early detection of high-risk pregnancies. Statistical test results showed that there were differences in knowledge (0.001) and family roles (0.004) between the control and intervention groups with a p-value <0.05. Conclusion: The 'Bundo Kanduang' women's group has successfully improved knowledge and family roles. However, there was no significant difference in attitude, so further research is needed.]]>
