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INDONESIA
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 59 Documents
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Feasibility Study of Web-Based Application Pronalin as an Educational Media to Prevent Complications in Pregnant Women Lestari, Meti Widiya; Budiarti, Yati; Herliani, Yulia; Astriyani, Endang; Kurniawati, Meti
Jurnal Bidan Cerdas Vol. 6 No. 3 (2024)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jbc.v6i3.3836

Abstract

Introduction: The percentage of obstetric complication handling in Indonesia in 2018 reached 94.16%, West Java reached 91.7% and Tasikmalaya reached 116.9%. Data from the Puspahiang Health Center shows that 90 pregnant women experience complications. Efforts to minimize the incidence of complications in pregnant women can be made through the utilization of the birth planning and complication prevention (P4K) program through education based on the pronalin web-based application. Objective: This study aims to analyze the feasibility of the Pronalin Web-based application as a P4K education media for pregnant women. Method: This study uses the research and development (R&D) method, which passes material testing and application feasibility testing. Results: The validation assessment by material experts showed a score of 53 (feasible) and the results of the suitability test for use by pregnant women obtained a percentage of 79.4%, which means that the pronalin web-based application is "Feasible" for use by pregnant women. Conclusion: The Pronalin web-based application is very feasible and needed according to the expectations of pregnant women in preparing for childbirth. It is recommended that Health Institutions such as Health centers improve obstetric services through socialization and use Pronalin in educational programs for pregnant women.
Healing Touch Intervention in Obstetrics: Influence on Endorphin Levels and Active Labor Phase Duration Sartika, Yan; Hevrialni, Rully; Daiyah, Isrowiyatun; Kundarti, Finta Isti
Jurnal Bidan Cerdas Vol. 6 No. 3 (2024)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jbc.v6i3.3040

Abstract

Introduction: Anxiety during labor can disrupt maternal homeostasis and prolong the labor process, leading to complications for both mother and baby. Healing touch therapy is a complementary method aimed at reducing anxiety and facilitating labor progression, but its effects on physiological outcomes like endorphin levels and labor duration require further investigation. Objective: This study aimed to evaluate the effect of healing touch therapy on endorphin levels and the duration of the active phase of the first stage of labor. Methods: A pre-experimental one-group pre-post-test design was used. A total of 40 pregnant women were divided into control (n=20) and intervention (n=20) groups. The intervention group received healing touch therapy three times for 30 minutes. Blood samples were taken before and after the therapy to measure endorphin levels, and labor duration was recorded. Results: Mann-Whitney tests showed no significant change in endorphin levels after healing touch therapy (p=0.379). However, the duration of the active phase of labor was significantly shorter in the intervention group (median: 254.5 minutes) compared to the control group (280 minutes) (p=0.005). Conclusion: While healing touch therapy did not significantly impact endorphin levels, it effectively reduced the duration of the active phase of labor, suggesting its potential to support labor progression. Further research is needed to confirm these findings.
Analysis of Socio-Cultural Factors in the Decision Making of Women of Childbearing Age Regarding Reproductive and Sexual Health Sari, Yulia; Fitriana, Shentya; Hajrah, Wa Ode; Simbolon, Ganda Agustina Hartati
Jurnal Bidan Cerdas Vol. 6 No. 3 (2024)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jbc.v6i3.3306

Abstract

Introduction: The right decision-making process will impact to health status of mothers and children, also to increase the human development index, especially health development in Indonesia. 23% of women said their husbands usually made decisions about household expenses, 11% said their husbands decided on their personal health care. Socio-demographic factors, such as the educational level of husband and wife, economic status are potential factors that can influence an individual's decision-making process. Exposure to information and knowledge, individual abilities can have a positive influence for woman's decision making. It was further stated that a woman's decision making on their sexual and reproductive health is highly dependent on the ability to meet her needs and exposure to knowledge. Objective: This study aims to determine socio-cultural factors on the role of women of childbearing age in making reproductive and sexual health decisions. Method: The research design used cross sectional. The sample calculation uses the lameshow formula for the difference in proportion test with a minimum sample size of 159 women of childbearing age. The sampling technique uses purposive sampling. The analysis used chi square and multiple logistic regression. Results: There is a relationship between socioculture and the role of women in decision making regarding reproductive and sexual health after being controlled by the variables husband's education, mother's education, husband's age, and family income (p = 0.006; OR 2.7' min-max 1.3- 5,6). Conclusion: It is necessary to increase women’s knowledge and their partners regarding gender justice in decision-making autonomy regarding sexual and reproductive health.
Differences in the Consumption of Macro and Micro Nutrients among Stunted Toddlers in Bengkulu City Suryani, Desri; Krisnasary, Arie; Pratiwi, Bintang Agustina; Yandrizal, Yandrizal
Jurnal Bidan Cerdas Vol. 6 No. 3 (2024)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jbc.v6i3.3483

Abstract

Introduction: Stunting remains a significant public health concern in Indonesia, with Bengkulu City reporting a prevalence of 12.9% in 2022. Consumption of macro and micronutrients is a factor directly related to toddlers' nutritional status. Objective: This study aimed to investigate the differences in macro and micronutrient consumption among stunted toddlers in Bengkulu City. Methods: A mixed-method approach with a sequential explanatory design was employed, involving 50 stunted toddlers and their mothers. Quantitative data were collected using a Food Frequency Questionnaire (FFQ), while qualitative data were obtained through interviews with six mothers. Results: The results showed no significant differences in the consumption of energy, carbohydrates, protein, fat, and zinc between toddlers with severe stunting and stunting. However, a significant difference was found in iron consumption (p=0.048), with severely stunted toddlers consuming less iron compared to stunted toddlers. Interviews revealed similar dietary patterns among mothers of both groups, with rice as the staple food and limited fish consumption.  Conclusion: The findings suggest monitoring iron-rich food consumption in stunted children is essential. Strengthening family empowerment programs, expanding educational initiatives on iron consumption, and regular nutritional monitoring are recommended to address stunting. Promotion of affordable, iron-rich foods and monitoring of iron intake by mothers and health workers are crucial in the treatment of stunting.
Parents' Intention Towards Early Marriage Of Their Daughters In Jambi City: A Cross-Sectional Study From The Perspective Of Social Norms Fitri, Adelina; Putra, Ashar Nuzulul; Sitanggang, Hendra Dhermawan; Ningsih, Vina Rahayu; Putri, Fitria Eka; Hubaybah, Hubaybah
Jurnal Bidan Cerdas Vol. 6 No. 3 (2024)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jbc.v6i3.3736

Abstract

Introduction: Early marriage remains a significant social issue in Indonesia, with adverse economic and health consequences, particularly for young girls. In Jambi Province, the prevalence of early marriage is notably high. Social norms, including parental attitudes, normative expectations, and reference group practices, are critical factors influencing this phenomenon. Objective: This study aimed to analyze the role of social norms in shaping parents' intentions to marry off their daughters at an early age in Jambi City. Methods: A cross-sectional study was conducted among 200 parents using cluster sampling across 11 sub-districts in Jambi City. Data on parental attitudes, empirical and normative expectations, sanctions, and reference group practices were collected through structured questionnaires and analyzed using chi-square tests and multivariate logistic regression. Results: Parental attitudes (OR=4.08, 95% CI: 1.74–9.34, p=0.001), normative expectations (OR=3.62, 95% CI: 1.58–8.28, p=0.003), and reference group practices (OR=2.93, 95% CI: 1.36–6.33, p=0.009) were significantly associated with intentions for early marriage. Multivariate analysis confirmed parental attitudes as the strongest predictor (OR=3.42, 95% CI: 1.46–8.00, p=0.005). Conclusion: Social norms significantly influence parents' intentions to marry off their daughters early. Strategies to mitigate early marriage should focus on educating parents and community leaders, enforcing regulations, and reshaping societal norms to protect adolescents' health and future.
Exploring the Effectiveness of GOLTEEN Website-Based Application in Enhancing Adolescent Sexual Behavior Knowledge Sari, Gita Nirmala; Aticeh, Aticeh; Baharudin, Tengku Farah Zahrani; Eprila, Eprila
Jurnal Bidan Cerdas Vol. 6 No. 3 (2024)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jbc.v6i3.3857

Abstract

Introduction: A survey conducted by the Ministry revealed that approximately 62.7% of Indonesian adolescents have engaged in sexual activity before marriage. Objective: This study aims to assess the effectiveness of the GOLTEEN application in enhancing adolescents' knowledge of sexual behavior. Methods: A pre-experimental design was utilized, with 37 students from a senior high school in Jakarta participating. Participants completed pre-test and post-test surveys to evaluate their knowledge levels before and after exposure to the GOLTEEN application. Statistical analyses, including the Wilcoxon test, were employed to determine the significance of any observed changes in knowledge. Results: The study found a statistically significant improvement in knowledge scores after the intervention (p<0.001). Participants demonstrated a substantial increase in their understanding of sexual behavior following their engagement with the GOLTEEN application. Notably, all respondents showed improvement in their knowledge levels, with no participants exhibiting a decrease in their scores. Conclusion: The findings suggest that the GOLTEEN application serves as an effective instrument for promoting sexual health education among adolescents. By harnessing web-based applications such as GOLTEEN, educators and health practitioners can disseminate critical information and elevate awareness regarding sexual behavior among youth more effectively. This underscores the significance of integrating technology-driven methodologies within public health interventions and educational programs designed to address pivotal issues related to adolescent sexual health.
Assistance for Pregnant Women Reducing Chronic Energy Deficit Cases Kaparang, Mercy Joice; Noya, Fransisca; Tempali, Sri Restu
Jurnal Bidan Cerdas Vol. 7 No. 1 (2025)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jbc.v7i1.3097

Abstract

Introduction: Chronic energy deficiency (CED) in pregnant women is a significant public health concern in Indonesia, with a prevalence of 17.3% in 2018. This study aimed to analyze the implementation of stunting prevention in CED pregnant women by providing exclusive breastfeeding until the baby is 6 months old in Central Sulawesi Province. Methods: A quantitative analytical approach with a group pre-test–post-test design was employed. The study was conducted at the Kampung Baru Health Center, Luwuk Banggai Regency, and the Lambunu 2 Health Center, Parigi Moutong Regency, between May and August 2023. The sample consisted of 38 pregnant women with CED, selected using purposive sampling. Data were collected through questionnaires on maternal knowledge about nutrition for pregnant women and exclusive breastfeeding. The intervention included providing health education on nutrition and a balanced menu for pregnant women, exclusive breastfeeding, and recording the consumption of supplementary feeding (PMT) biscuits. Results: The results showed a significant increase in mothers' knowledge about nutrition for pregnant women and exclusive breastfeeding after the intervention (p<0.05). Additionally, there was a significant reduction in the incidence of CED after the intervention (p=0.000). Conclusions: The study concludes that providing assistance to pregnant women through health education and PMT biscuits can effectively reduce the incidence of CED and improve maternal knowledge about nutrition and exclusive breastfeeding. These findings highlight the importance of implementing comprehensive interventions to prevent stunting and improve maternal and child health outcomes in Indonesia.
Preventing Postpartum Breast Engorgement: Cabbage Leaf Compresses vs. Marmet Technique Hadriani, Hadriani; Silfia, Niluh Nita; Usman, Hastuti; Admasari, Yuli; Rahmadani, Masita
Jurnal Bidan Cerdas Vol. 7 No. 2 (2025)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jbc.v7i2.3384

Abstract

Background: one of the common problems associated with breastfeeding and exclusive breastfeeding is breast engorgement until the incidence rate reaches 20%-70% in nursing mothers. Engorgement of the breasts can be prevented non-pharmacologically, namely by compressing cold cabbage leaves and the marmet technique. The study aimed to compare the effectiveness of cold cabbage leaf compresses and the Marmet technique in preventing postpartum breast engorgement in normal puerperal mothers. Methods: Types of pre-experimental research with One-shot case study design namely cabbage compress (duration 30 minutes) and marmet technique given 1 time. The total sample of 30 respondents, was divided by 15 respondents in each group and sampling by non-probability sampling type of consecutive sampling. The measuring instrument uses an observation sheet containing a six-point engorgement scale (SPES). Data was analyzed using the Wilcoxon and Mann-Whitney test (p<0,05). Results: analysis of the effect of cold cabbage leaf compress management and marmet technique on the prevention of breast engorgement for normal puerperal mothers was obtained in cold cabbage leaf compresses p-value of 0.014 and in the marmet technique obtained p-value 0.317. The results of the analysis of the effectiveness of the two techniques were obtained with a p-value of 0.007 or <0.05. Conclusion: Cold cabbage leaf compresses were significantly more effective in reducing breast engorgement compared to the Marmet technique in the Independent Practice of Midwives (PBM) Setia of Palu City. It is recommended to use both techniques in helping to prevent breast engorgement for normal puerperal mothers.
Hemoglobin Enhancement in Pregnancy: A Study on Fe Tablets Combined with Green and Red Bean Juices Lamana, Aspia; Fajrin, Dessy Hidayati; Sari, Nurmala; Kuswanti, Febti; Magdalena Sitorus, Sony Bernike; Khuzaifah, Khuzaifah
Jurnal Bidan Cerdas Vol. 6 No. 4 (2024)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jbc.v6i4.3662

Abstract

Introduction: The proportion of anemia in pregnant women in Indonesia has increased from 37.1% to 48.9% in 2018. This study aimed to determine the difference in the effectiveness of combining green bean (Vigna radiata) or red bean (Vigna angularis) juice with iron (Fe) tablets on hemoglobin (Hb) levels in pregnant women in Pontianak City, Indonesia. Method: A quasi-experimental study with a two-group pretest-posttest design was conducted on 32 pregnant women in their second trimester, divided into two groups of 16 each. The intervention group received a combination of green bean juice (300 ml/day) and Fe tablets, while the control group received a combination of red bean juice and Fe tablets for 14 days. Hemoglobin levels were measured before and after the intervention. Data were analyzed using paired and independent t-tests with a 95% confidence level. Results: The results showed a significant difference in the increase of Hb levels between the intervention and control groups (p=0.01). The mean Hb level increased from 10.90 to 11.72 g/dL in the green bean group and from 10.78 to 12.41 g/dL in the red bean group. The combination of red bean juice and Fe tablets showed the highest mean difference in Hb levels (1.63 g/dL). Conclusions: In conclusion, both combinations of green bean or red bean juice with Fe tablets were effective in increasing Hb levels in pregnant women, with the red bean combination showing a higher effectiveness. These findings provide additional information for healthcare professionals in educating about legumes that can help increase blood Hb levels during pregnancy.
Motivation for Pregnant Women to Get Covid-19 Vaccination Sukmawati, Ellyzabeth; Imanah, Norif Didik Nur
Jurnal Bidan Cerdas Vol. 6 No. 4 (2024)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jbc.v6i4.3978

Abstract

Introduction: In Indonesia, the uptake of COVID-19 vaccines has emerged as a divisive topic, sparking debate and controversy among the population. Despite government efforts to promote vaccination, the acceptance rate remains low in certain regions. For instance, in Central Java, only approximately 60% of pregnant women have been vaccinated against COVID-19, well below the national target of 80%. This lack of acceptance is largely due to misinformation, fear, and the lack of knowledge within the community, exacerbated by insufficient government oversight in vaccination campaigns. As a result, pregnant women have displayed varying levels of hesitancy and concern, which influences their response to the COVID-19 vaccine Methods: This type of study quantitativeand involved pregnant woman conducted across Central Java. A total of participants is 1084 person and duration two year in 2022-2024th. Data were collected through primarry and secondary data. Data analysis using multiple linear regression and R-Square test. Ethical approval was obtained from research and community service STIKES Serulingmas instituation and participants provided Informed consent. Results:  The motivation of pregnant women has a positive and significant direct effect on the interest in vaccination with ρѵ = 0.000 <0.05, meaning that the better the mother's motivation. The coefficient value of 78.3% has an effect on interest in vaccination against Covid-19. Conclusion:  Motivation of pregnant women influences interest in vaccination. The extent of societal unease and skepticism leading to misconceptions about COVID-19 immunization.

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