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Jurnal Bidan Cerdas
Published by Poltekkes Kemenkes Palu
ISSN : 27159965     EISSN : 26549352     DOI : https://doi.org/10.33860/jbc.v6i2.3563
Core Subject : Health,
Public Health
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
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 14 Documents
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Search results for , issue "vol. 8 no. 1 (2026)" : 14 Documents clear
Online Health Promotion about Anemia Towards Adolescent Females and It’s Effectiveness Gusti Ayu Marhaeni; Ni Gusti Kompiang Sriasih; Ni Nyoman Astika Dewi; Ni Ketut Nuratni; Ni Nyoman Budiani; Ni Wayan Armini
Jurnal Bidan Cerdas Vol. 8 No. 1 (2026)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jbc.v8i1.3948

Abstract

Background: Anemia poses greater risk in females, contributing to stunting. Despite reliance on online platforms, limited research  investigated their impact on adolescents' knowledge, attitudes, and practices toward anemia prevention. This study aimed to evaluate the effectiveness of online health promotion towards the knowledge, attitude, and practices of adolescent females in preventing anemia. Methods: This experimental study employed a pretest-posttest control group design. The intervention group received an online health promotion and module, while the control group received a leaflet. The sample was 100 female students from two senior high schools, selected through proportional stratified random sampling. The instrument used questionnaires validated by all items have r count > r table (0.195), and a reliability test using Cronbach’s Alpha obtained > 0.7, showing reliable instrument. The analysis utilized a non-parametric test Wilcoxon test, to understand the effectiveness with effect size, and the Mann-Whitney test to compare differences between groups. Results: Statistical tests revealed significant effectiveness and differences (p<0.05), within the large effect size of 0.92–0.96. The magnitude was evident in intervention group; 90% respondents showed good knowledge, 92% positive attitudes and practices, compared to the control group, showed 64% attitudes, 62% practices, and 62% knowledge. The results imply that online health education with module-based health is effective in empowering adolescents about anemia. Conclusion: The findings underscore the effectiveness of online health promotion. Schools can adopt this approach as policy to promote sustainable and healthy practicess for anemia prevention. Further research should provide refinement, involve larger and more diverse population with socioeconomic analysis.
Impact of Video vs. Leaflet Education on Parents' Knowledge and Attitudes Towards Stunting Prevention Siti Fatimah; Arantika Meidya; Arif Sabta Aji; Hamdhoona Abdullah; Siti Nurunniyah
Jurnal Bidan Cerdas Vol. 8 No. 1 (2026)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jbc.v8i1.4157

Abstract

Background: Stunting is a significant health challenge, leading to health issues and impaired cognitive development in children, affecting the nation’s future human resources. While various educational interventions have been implemented, no evaluation has compared the effectiveness of different media for parents. This study aimed to evaluate the effectiveness of video and leaflet-based education for mothers and fathers of toddlers at risk of stunting. Methods: A quasi-experimental pretest-posttest one-group design was used. The sample consisted of 120 parents, divided into an intervention group (video) and a control group (leaflet), selected by simple random sampling. Multiple regression analysis was created to examine the association. Results: Significant pretest-posttest improvements in knowledge and attitudes were observed in both parents (p <0.05). Logistic regression analysis showed that video-based education positively influenced mothers' knowledge and attitudes, with education type being the only significant factor affecting mothers' knowledge. In fathers, video-based education increased knowledge, but no factors were found to affect attitudes. Conclusion: Both video and leaflet-based education effectively improved mothers' knowledge and attitudes. Video education enhanced fathers' knowledge but had no effect on their attitudes. These differences may reflect the greater attention and perception of stunting among mothers in the socio-cultural context of Indonesia.
Association of Physical Activity, Depression, Anxiety, and Stress with Menstrual Cycle Regularity among Adolescents: A Cross-Sectional Study Sunarsih Sunarsih; Ana Mariza; Susilawati Susilawati
Jurnal Bidan Cerdas Vol. 8 No. 1 (2026)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jbc.v8i1.4246

Abstract

Background: A regular menstrual cycle is an important indicator of adolescent reproductive health. Menstrual irregularities may reflect underlying physical and psychological problems. Evidence regarding the influence of physical activity and psychological factors on menstrual cycle regularity among adolescents remains inconsistent. This study aimed to examine the association of physical activity, depression, anxiety, and stress with menstrual cycle regularity among adolescents. Methods: A quantitative cross-sectional study was conducted among 74 female adolescents selected through purposive sampling. Inclusion criteria were post-menarche adolescents who consented to participate, while those with a history of congenital gynecological disorders were excluded. Physical activity was measured using the International Physical Activity Questionnaire–Short Form (IPAQ-SF), while depression, anxiety, and stress were assessed using the Depression Anxiety Stress Scale (DASS-42). Menstrual cycle regularity was defined as a cycle length of 21–35 days with ≤7 days variation. Data were analyzed using chi-square tests and odds ratios (OR). Results: Most respondents (71.6%) had a regular menstrual cycle. Physical activity was significantly associated with menstrual cycle regularity (p = 0.001). Depression, anxiety, and stress were also significantly associated with menstrual cycle regularity (p < 0.05), with anxiety showing the strongest association (OR = 9.444). Conclusion: Physical activity and psychological factors were significantly associated with menstrual cycle regularity among adolescents, with anxiety as the strongest factor. School-based physical activity and mental health support may help promote menstrual health. Longitudinal studies are needed to confirm causal relationships.
The Effectiveness of Progressive Muscle Relaxation Technique in Reducing Labor Pain During the First Stage of Active Phase Neneng Siti Lathifah; Grestina Yuni Farida Simamora; Anggraini Anggraini
Jurnal Bidan Cerdas Vol. 8 No. 1 (2026)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jbc.v8i1.4290

Abstract

Background: In Indonesia, there are over 4 million births annually, with 7,503 occurring in Pesawaran District and 720 in Kedondong Public Health Center.  A preliminary survey at Kedondong Public Health Center revealed that most women experienced moderate to severe pain (pain scale 5–8). Existing interventions such as breathing techniques, spousal support, and positive suggestions have not been optimally effective in reducing pain. Progressive muscle relaxation (PMR), a non-pharmacological technique combining deep breathing with alternating muscle contraction and relaxation, is believed to reduce pain transmission and improve oxygen flow. Methods: This quantitative study used a quasi-experimental two-group pretest-posttest design. The population consisted of 51 laboring mothers at independent midwifery practices (PMB) in the Kedondong Health Center working area. A total of 32 participants were selected using accidental sampling and divided equally into intervention and control groups (16 each). Data were collected using observation sheets and analyzed using univariate and bivariate methods (Mann-Whitney test). Results: The univariate analysis showed that the average pain score in the intervention group before the relaxation technique was 7.06 and decreased to 5.44 after the intervention. In the control group, the average pain score before was 6.63 and slightly decreased to 6.00. The results indicated that progressive muscle relaxation was effective in reducing labor pain (p-value = 0.000). Conclusion: Progressive muscle relaxation is effective in reducing labor pain during the active phase of the first stage. Progressive muscle relaxation is applied as a non-pharmacological method to manage labor pain and increase maternal comfort and safety.
Effects of Reflexology Therapy Implementation for Postpartum Mothers’ Well-being at a Health Care Facility Mudy Oktiningrum; Tia Nurhanifah; Mianti Nurizky
Jurnal Bidan Cerdas Vol. 8 No. 1 (2026)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jbc.v8i1.4326

Abstract

Background: The well-being of postpartum mothers is a crucial aspect of maternal health services. However, many women encounter challenges during childbirth, including severe pain, stress, and a lack of information on pain management. Data from the Association of Indonesian Hospitals show that 15% of postpartum mothers experience complications, 21% suffer from severe pain, and 64% do not receive information on how to reduce labor pain. Reflexology therapy serves as a non-pharmacological method to relieve pain and enhance relaxation. This study analyzed the effectiveness of reflexology therapy in reducing pain and stress while improving the satisfaction of postpartum mothers with maternal health services. Methods: The study used a quasi-experimental design with a pretest–posttest control group, conducted from June to October 2025 at Gondo Suwarno Hospital, Ungaran. Researchers purposively selected 60 postpartum mothers and divided them into two groups: an intervention group and a control group. Data were analyzed using paired t-tests and independent t-tests with a significance level of 0.05. Results: Reflexology therapy significantly reduced pain and stress scores and increased maternal satisfaction in the intervention group, while no significant changes were observed in the control group. Between-group comparisons confirmed that the magnitude and direction of outcome changes favored the intervention group (p < 0.05). Reflexology therapy significantly reduced pain and stress levels in the intervention group compared to the control group (p < 0.05) and increased satisfaction with health services. Conclusion: Reflexology therapy contributes to postpartum maternal well-being through physiological pain modulation, psychological relaxation, and improved perceptions of care quality. Healthcare providers are encouraged to integrate reflexology as a complementary intervention in maternal health services.
The Effect of Andaliman Aromatherapy (Zanthoxylum acanthopodium Dc) on Pre-Delivery Anxiety Juneris Aritonang; Sharfina Haslin; Ayu Agita Br. Surbakti
Jurnal Bidan Cerdas Vol. 8 No. 1 (2026)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jbc.v8i1.4201

Abstract

Background: Anxiety is common in the third trimester. Globally, untreated anxiety affects 15–25% of pregnant women, with adverse effects on maternal health, labor, and fetal outcomes. Inhalation aromatherapy is a non-pharmacological intervention. Andaliman (Zanthoxylum acanthopodium DC), containing α-pinene, limonene, geraniol, citronellol, and geranyl acetate, shows therapeutic potential. This study aimed to evaluate the effect of inhalation aromatherapy with andaliman essential oil on pre-delivery anxiety in pregnant women. Method: This pre-experimental study used a one-group pretest–posttest design. Thirteen third-trimester primigravida women at PMB Rika Fadilah Marelan in 2024 were recruited using a total sampling approach. Anxiety was confirmed using the Hamilton Anxiety Rating Scale (HARS). Participants inhaled five drops of andaliman essential oil diluted in 20 ml of water for 15 minutes, twice in one week. Data were analyzed using the Wilcoxon signed-rank test. Result: The mean pre-test anxiety score was 30.08 ± 4.591 (range 23–37), indicating moderate to severe anxiety. After the intervention, the mean score decreased significantly to 19.85 ± 2.734 (range 15–24), corresponding to mild to moderate anxiety (p = 0.000). Conclusion: Inhalation aromatherapy with andaliman essential oil effectively reduced anxiety in pregnant women before delivery and may serve as a safe, practical, and culturally acceptable complementary intervention.
The Effect of Lavender Aromatherapy Scores in Mothers with Postpartum Blues Anggraini Anggraini; Neneng Siti latifah; Desmalia Desmalia
Jurnal Bidan Cerdas Vol. 8 No. 1 (2026)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jbc.v8i1.4291

Abstract

Introduction: Postpartum blues is a mild mood disorder that commonly occurs in postpartum mothers, characterized by mood swings, anxiety, and emotional exhaustion. Globally, the incidence of postpartum blues is affects about 50-80% of mothers after giving birth, while in Indonesia the prevalence reaches 50-70%, If not properly managed, this condition may develop into more severe postpartum depression, which can negatively affect the mother–child relationship and overall family well-being. This study aims to determine the effect of lavender aromatherapy on EPDS scores in mothers with postpartum blues in the Working Area of UPTD Madukoro Primary Health Care, North Lampung Regency Methods: This study used quantitative methods with a quasi experiment design and pretest-posttest design with control group. The study population consisted of all postpartum mothers on the third day who experienced postpartum blues, with a sample of 30 participants divided into 15 in the intervention group and 15 in the control group. Results: The results showed that the average EPDS score in the group given lavender aromatherapy decreased from 11.87 to 3.6. In the control group, it decreased from 11.53 to 5.27. The greater decrease in the intervention group showed a significant effect of lavender aromatherapy on reducing EPDS scores in mothers with postpartum blues with a p-value of 0.000. Conclusion: lavender aromatherapy has a significant effect on reducing EPDS scores in mothers with postpartum blues.
Islamic-Informed Spiritual-Empathic Listening Support for Postpartum Trauma: A Rapid Evidence Review Fitriana Fitriana; Yudhia Fratidina; Feri Kameliawati; Rahayu Sri Astutik
Jurnal Bidan Cerdas Vol. 8 No. 1 (2026)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jbc.v8i1.4333

Abstract

Background: A worldwide health concern is postnatal psychological discomfort, which includes symptoms of anxiety, and despair. Although listening-based therapies have become popular as flexible, low-cost ways to treat maternal mental health, there is currently little data on their efficacy and cultural fit. With an emphasis on Islamic-informed approaches, this study sought to compile the most recent data on the efficacy, viability, and cultural significance of listening services in enhancing maternal psychological outcomes. Methods: A Rapid Evidence Review (RER) was conducted following PRISMA 2020 guidelines. Twelve empirical studies published between 2018 and May 2025 were included (4 randomized controlled trials, 3 quasi-experimental studies, 3 observational studies, 1 qualitative, and 1 mixed-method design). Results: Ten of the twelve studies (83%) reported statistically significant reductions in maternal psychological distress. Randomized controlled trials demonstrated measurable decreases in EPDS, PCL-5, and DASS-21 scores following structured midwife-led debriefing or counseling sessions. Several interventions showed significant reductions in postpartum anxiety and PTSD symptoms after brief (1–4 session) models. Faith-integrated listening approaches in Muslim-majority settings enhanced spiritual resilience, emotional validation, and cultural acceptability. Digital and telehealth modalities improved accessibility, particularly during the COVID-19 pandemic, although higher attrition rates and short follow-up durations were frequently noted. Conclusion: Postnatal listening services are an efficient and affordable way to improve the psychological well-being of mothers when paired with treatment that is sensitive to cultural and spiritual differences. Future studies and clinical applications should place a high priority on formalizing Islamic informed listening frameworks in midwifery practice in Muslim communities.
Adolescent Girls’ Classroom With the 8000 Days Module for Knowledge and Self-Efficacy Sarifa Albahar; Runjati Runjati; Hermien Nugraheni
Jurnal Bidan Cerdas Vol. 8 No. 1 (2026)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jbc.v8i1.4298

Abstract

Background: Stunting is a complex health problem in Indonesia. Prevention efforts that focus only on the First 1,000 Days of Life (HPK) are often considered too late, as many adolescent girls become pregnant without optimal health preparation. The First 8,000 Days of Life (HPK) approach extends the intervention period from adolescence to early childhood. Module-based education through youth classes has the potential to enhance adolescents’ knowledge and self-efficacy as prospective parents in preventing stunting. Objective: This study aimed to determine the effect of youth classes using the First 8,000 Days of Life (HPK)module on adolescents’ knowledge and self-efficacy in stunting prevention. Methods: This quantitative study employed a quasi-experimental design with a pretest–posttest control group approach.A total of 86 adolescent girls were recruited and divided equally into intervention and control groups at SMK Negeri 11 Semarang.The intervention group received the 8,000 HPK module for seven days, while the control group received standard leaflet-based education.Data were collected using validated and reliable questionnaires on knowledge and self-efficacy and analyzed using the Wilcoxon Signed Rank Test and Mann–Whitney Test. Results: A significant increase was observed in the intervention group’s knowledge (p = 0.000, Δ = 4.00) compared to the control group (Δ = 2.00). Similarly, self-efficacy improved significantly in the intervention group (p = 0.000) with a Cohen’s d effect size of 14.00, indicating a very large effect. Conclusion: Youth classes using the 8,000 Days of Life (HPK) module effectively enhanced adolescents’knowledge and self-efficacy in stunting prevention compared to standard educational media. Keywords: youth class; 8,000 days of life module; knowledge; self-efficacy; stunting prevention  
Exclusive Breastfeeding and Complementary Feeding Practices Are Associated with Stunting among Children Aged 6–24 Months: A Cross-Sectional Study in Sigi Regency Fariz Syamsu Ma’arif; Evi Fitriany; Ahmad Wisnu Wardhana; Hanis Kusumawati Rahayu; Sulistiawati Sudarso
Jurnal Bidan Cerdas Vol. 8 No. 1 (2026)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jbc.v8i1.4315

Abstract

Background: Stunting is a chronic nutrition problem associated with long-term inadequate nutrient intake and suboptimal infant and young child feeding practices, including exclusive breastfeeding and complementary feeding (MP-ASI). This study assessed the association of exclusive breastfeeding and complementary feeding practices with stunting among children aged 6–24 months in the Biromaru Primary Health Center area, Sigi Regency. Methods: This analytical cross-sectional study included 89 children aged 6–24 months selected using total sampling. Data were collected through caregiver questionnaires and anthropometric measurements. Stunting was defined as length-for-age (PB/U) z-score < −2 SD based on the CDC 2020 reference. Associations were tested using the chi-square test (α=0.05), and effect sizes are presented as prevalence ratios (PR) with 95% confidence intervals (CI). Results: The prevalence of stunting was 55.1% (49/89). Stunting was significantly associated with non-exclusive breastfeeding (67.4% vs 41.9%; PR=1.61, 95% CI 1.07–2.42; p=0.016) and early initiation of complementary feeding <6 months (80.0% vs 50.0%; PR=1.60, 95% CI 1.14–2.25; p=0.033). Among complementary feeding quality indicators, inappropriate food type (PR=1.53, 95% CI 1.08–2.17; p=0.028), texture (PR=1.55, 95% CI 1.09–2.21; p=0.022), and especially feeding frequency (64.2% vs 27.3%; PR=2.35, 95% CI 1.16–4.76; p=0.003) were associated with stunting. Portion size was not significantly associated with stunting (PR=1.22, 95% CI 0.81–1.83; p=0.322). Conclusion: In this setting, stunting was associated with non-exclusive breastfeeding and suboptimal complementary feeding practices, particularly inadequate meal frequency. Nutrition programs should prioritize strengthening exclusive breastfeeding support and improving complementary feeding practices (timely initiation at 6 months, age-appropriate frequency, food type, and texture).

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