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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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The Effect of Mindfulness-Based Cognitive Therapy and Moringa Leaves on Reducing Fatigue in Breast Cancer Patients Kundarti, Finta Isti; Titisari, Ira; Kristianto, Yohanes
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.v7i1.4040

Abstract

Introduction: Breast cancer is the most prevalent type of cancer  among women,  with fatigue being one of  its common side effects. This study aims to ascertain the effect of Moringa oleifera and mindfulness-based cognitive therapy on fatigue in breast cancer patients. Methods: The study used a quasi-experimental design with a total of 50 respondents, divided into  an intervention group (n = 25) and a control group (n = 25), selected through simple random sampling. The study was conducted at the Bayangkara Hospital in Kediri City. The intervention group received  Moringa oleifera at a dose of 500 mg  twice daily  for 30 days  alongside mindfulness-based cognitive therapy for 8 weeks. The data were tested using a t-test  with SPPS version 17.  Results: Posttest results showed  a significant reduction in fatigue levels in the intervention group compared to the control group (m = 1.82 SD = 1.83 vs m = 3.34 SD = 2.24), p-value 0.001.  Conclusion: These findings show  a combination of Moringa oleifera and MBCT is effective in  reducing fatigue  among breast cancer patients.  The interventions are practical, non-invasive strategies that healthcare professionals can consider for improving the stamina and quality of life of breast cancer patients.
Effect of Prenatal Yoga on Lower Back Pain in Third Trimester Pregnant Women Sumarni; Lestari, Yayuk Puji
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.v7i1.4151

Abstract

Background: Third trimester pregnancy is often accompanied by complaints of lower back pain due to hormonal changes and body mechanics. This pain is experienced by 60–80% of pregnant women in Indonesia. Non-pharmacological treatments such as prenatal yoga are considered effective in reducing pain without risk to the fetus. Objective: to assess the impact of prenatal yoga on lower back pain in pregnant women during their third trimester. Method: A quasi-experimental approach was implemented, utilizing a one-group pre-test post-test design with 28 third-trimester pregnant women at TPMB W Banjarmasin City between June and August 2024, selected through purposive sampling. The prenatal yoga sessions lasted 45 minutes per session over a four-week period, led by a certified midwife. Pain levels were evaluated using the Numeric Rating Scale (NRS) and analyzed through the Wilcoxon Signed Rank Test. Results: Before the intervention, the majority of respondents experienced moderate pain (46.4%) with an average pain scale of 2.32 (SD 0.66). After the intervention, most experienced mild pain (78.6%) with the average pain scale decreasing to 1.21 (SD 0.41). The Wilcoxon test results indicated a statistically significant change p = 0.001 (α = <0.05), between the pre- and post-prenatal yoga conditions. Conclusion: Prenatal yoga has been shown to effectively alleviate the pain of lower back suffered by pregnant women during their third trimester. To strengthen these findings, further studies utilizing a randomized controlled trial approach with a larger sample size are recommended.
A Quasi-Experimental Study of Mobile Health Intervention: Measuring the Impact of Android-Based Prenatal Classes on Knowledge and Attitudes of First-Time Mothers in Indonesia Hernawati, Erni; Hassan, Hafizh Che; Nambiar, Nisha; Hidayati, Sofa Nurul
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.v7i1.4184

Abstract

Introduction: Maternal mortality remains a critical global health challenge, with approximately 287,000 pregnancy-related deaths recorded in 2020 (WHO, 2024). In Indonesia, where maternal healthcare access varies significantly, digital interventions may offer scalable solutions. This quasi-experimental study evaluates the effectiveness of an Android-based prenatal education application in improving knowledge and attitudes among first-time mothers in Cimahi, West Java. By comparing app-based learning with traditional methods, we assess whether mobile technology can help bridge gaps in maternal health education and contribute to safer pregnancy outcomes. Methods: This quasi-experimental study involved 120 first-trimester primigravida women (60 intervention, 60 control) in Cimahi City. The independent variable was the use of an Android-based prenatal education application; dependent variables were maternal knowledge and attitudes. Instruments included a validated 20-item knowledge test and a 10-item attitude Likert scale. Data were analyzed using paired and independent t-tests, as well as SmartPLS path modeling.  Results: In the intervention group, knowledge scores increased from 19.8 ± 2.1 to 34.3 ± 2.0, and attitude scores improved from 8.2 ± 1.2 to 13.3 ± 2.8 (p < 0.001). The control group showed smaller, non-significant changes (knowledge: 19.5 ± 2.2 to 21.5 ± 2.6; attitude: 7.3 ± 1.5 to 8.3 ± 1.6). Post-test differences between groups were statistically significant (p < 0.001). Conclusion: The Android-based prenatal education application significantly enhanced the knowledge and attitudes of first-time pregnant women. These findings support the integration of digital education into routine antenatal care services.
Utilizing Digital Applications as Educational Media for Adolescent Reproductive Health Within The Family Nursing Approach Nurhaeni, Ani; Rahayu, Rosalia; Oktiany, Thia; Purbaningsih, Endah Sari; Wahyuni, Lili; Marisa, Dewi Erna
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.v7i1.4193

Abstract

Background: Adolescent reproductive health remains a major public health concern, particularly in developing regions. This study aimed to evaluate a digital, family-centered reproductive health education intervention to improve adolescents’ knowledge, attitudes, and family involvement. Methods: A quasi-experimental pretest-posttest control group design was conducted in Cirebon, Indonesia, involving 120 adolescents. Variables included knowledge, attitudes, and family involvement. Instruments were validated questionnaires. Data were analyzed using descriptive statistics, paired t-tests, ANCOVA, and multiple linear regression. Effect sizes were reported using Cohen’s d and η². Results: The intervention group (62.5% female, mean age 15.8 ± 1.2 years) showed significant improvements: knowledge (ΔM = +12.4, p < 0.001, d = 1.45), attitude (ΔM = +9.2, p < 0.001, d = 1.32), and family involvement (ΔM = +14.2, p < 0.001, d = 1.61). ANCOVA indicated significant between-group differences (p < 0.001) with large effect sizes (η² = 0.170–0.187). Conclusion: A digital, family-centered education model effectively enhances adolescent reproductive health outcomes and offers a scalable intervention framework.
The Garpu Banting-Women’s Movement Program Prevent Stunting Increases Knowledge of Feeding Practices: Quasi-Experiment Annisa, Lulu; Ismail, Djauhar; Sulistyaningsih, Sulistyaningsih
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.v7i1.3848

Abstract

Background: The prevalence of stunting in Indonesia in 2022 was 21.6%, stunting can cause cognitive impairment, short stature, pain and even death. The aim is to determine the effect of the Garpu Banting Program on the mothers’ level of knowledge, attitudes, and practices in feeding. Methods: This study used a quasi-experimental design with pre-test, post-test and control group designs.The Sampling used experimental research standards (CONSORT) with a sample size of 50, namely 25 in the experimental group and 25 samples in the control group. Results: The findings revealed variations in the experimental group’s mothers’ knowledge (p=0.000), attitudes (p=0.000), and practices (p=0.000) regarding feeding before and after receiving the Garpu Banting Program’s nutrition education and home visits. In the control group, there were differences in the mean ratings of mothers' feeding knowledge (p=0.000), attitude (p=0.000), and practice (p=0.009). Logistic regression analysis found that education (OR=10.630 (0.820-0.140), source of information (OR=0.673 (0.177-2.555), and employment (OR=3.781 (0.754-18.949)) did not influence on mothers’ attitudes and practices in feeding. Conclusion: The Garpu Banting Program has a considerable impact on mothers’ knowledge, attitudes, and feeding patterns through nutritional education on complementary foods and home visits.
The Effect of Postpartum Yoga on Increasing Breast Milk Production in Breastfeeding Mothers 0-6 Months Enggar, Enggar; Sirri, Jein Christanti; Gana, Meissy Trilita; Pont, Anna Veronica
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.v7i1.4070

Abstract

Background: Yoga is useful for increasing blood flow to the breasts. Practicing yoga will calm the mother's mind and soul so that oxytocin will be produced more when there is peace of mind and soul and a pleasant and peaceful sensation to increase breast milk production. Objective: This study aimed to investigate the effect of postpartum yoga on breast milk production among breastfeeding mothers aged 0-6 months in the Biromaru Health Center Work Area. Method: This study used a pre-experimental design.in., one.group.'one-group pretest-posttest design. The sample was breastfeeding mothers aged 0-6 months totaling 24 respondents taken through the Purposive sampling technique. The study was conducted in April-July 2022. Data analysis used the Wilcoxon test. Results: research found an increase in breast milk production which is shown by the amount of breast milk production before the implementation of yoga as many as 8 people (33.3%) had insufficient breast milk production (≤60 ml) and as many as 16 people (66.7%) with sufficient breast milk production (>60 ml). After doing yoga as many as 3 people (12.5%) had insufficient breast milk production and as many as 21 people (87.5%) had sufficient breast milk production. The analysis obtained a p-value = 0.001 (p <0.05) to show a significant effect between postpartum yoga and increased breast milk production. Conclusion: breastfeeding mothers can produce more breast milk because they do yoga. "To meet the nutritional needs of children and achieve the goal of exclusive breastfeeding, we hope that breastfeeding mothers can do yoga to increase breast milk production as a safe and simple method.
Accuracy of the Obstetric Early Warning System in Predicting Maternal Morbidity: Systematic Literature Review Cicilia, Fitri; Runjati, Runjati; Latifah, Leny; Idayati, Idayati; Kusumawati, Dwi Erma
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.v7i1.3451

Abstract

Background: The Obstetric Early Warning System does not seem to be well known among health workers, especially midwives. One way to prevent maternal mortality, which is quite high in Indonesia, is to prevent delays in diagnosis through appropriate screening, thereby enabling quicker treatment, thus resulting in a reduction in cases of maternal mortality. This study tries to discuss the evidence regarding the application of the Obstetric Early Warning System by showing its accuracy in predicting maternal morbidity. Method: A systematic Literature Review is the right choice to collect the latest evidence. Search for articles through electronic browser databases, namely Pubmed and Google Scholar. This browser was chosen because it was considered to have a more complete source based on the research topic, namely obstetric early warning. The key words used are MOEWS, MEWT, MEWC, MEWS in the period 2013-October 2023. Results: A total of 2647 articles were obtained but only 8 selected articles were discussed because they met the inclusion and exclusion criteria. Early warning in obstetric patients evaluated in this study consisted of SOS, MOEWS, MEWT, SI, e-CART, MEWC, and MEWS. Conclusion: The obstetric early warning system can predict maternal morbidity, although the level of accuracy varies. All early warning systems always begin with checking vital signs so the assessment needs to be carried out carefully to initiate immediate action if necessary.
Cadre’s Assistance of the Integrated Health Service Post (Posyandu) Effectively Improves Adherence of Pregnant Women Taking Iron Supplements in West Sorong Health Center Situmorang, Cory; Dewi, Ni Nyoman Sri Artina; Kinanti, Kinanti
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.v7i1.4034

Abstract

Background: The leading cause of maternal death in Indonesia is postpartum hemorrhage resulting from uterine atony. This can be exacerbated if women experience anemia during pregnancy. Women experience anemia due to the body's lack of iron.  This study was conducted to determine the effectiveness of cadre assistance's integrated health service post using a flip sheet on the compliance of pregnant women consuming iron supplement tablets at the West Sorong Health Center. Method: This study used quasi-experimental research with a Nonequivalent Control Group Design. The study sample consisted of 34 people, divided into two groups which are control and intervention groups. Statistical tests using Wilcoxon, Mann-Whitney, and N-Gain Score. Results: the final results of adherence to taking iron supplement tablets in the experimental group showed that the majority of pregnant women had a high level of compliance, characterized by P-Value = &lt;0.001. On the other hand, the final results of the level of compliance in the control group, the majority of respondents were at a low level of compliance characterized by P-Value = 0.058. After going through the Mann-Whitney test, the P-Value = <0.001 (P-value <0.05) shows that the alternative Hypothesis is accepted. Conclusion: The conclusion in this study was that the assistance of integrated health service post cadres was carried out for 14 days 6 times in the intervention group using the flip sheet media, influenced the compliance of pregnant women in the intervention group of taking iron supplement tablets higher than in the dick group with low compliance, the effectiveness of integrated health service post cadre assistance using flip sheets on the compliance of pregnant women taking blood supplement tablets at the West Sorong Health Center with moderate effectiveness.
Effectiveness of Audio-Visual Media on the Four Aspects of Complementary Feeding Education in Pregnant Women to Prevent Stunting Admasari, Yuli; Sarliana, Sarliana; Linda, Linda
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.v7i2.3068

Abstract

Background: Indonesia has the third-highest stunting rate in Southeast Asia, with inadequate of complementary feeding  contributing to the issue. Enhancing pregnant women's knowledge and attitudes about proper complementary feeding is crucial, and research shows that audio-visual media is more effective for education than other formats. This study aimed to compare the effectiveness of audio-visual educational media and leaflets in educating pregnant women about the four conditions (namely timely, adequate, safe, and properly fed) for giving complementary feeding. Methods: This study utilized a quasi-experimental design with a post-test-only control group. Data was collected from 40 Biromaru Community Health Center pregnant women from August to September 2023. The analysis utilized frequency distribution and the Mann-Whitney test. Results: The average knowledge (24.58) and attitude (25.88) of the audio-visual media group was higher than the knowledge (16.43) and attitude (15.13) of the leaflet media group. P value=0.02(<0.05) for the knowledge variable and p=0.01(<0.05) for the attitude variable Conclusion: Audio-visual media is more effective than leaflets in improving knowledge and attitudes about the four complementary feeding requirements to prevent stunting in pregnant women. It can serve as an alternative educational tool for health workers during pregnant women's classes.
Social Cultural Aspects During Childbirth of Coastal Community Mamuju Regency Supriadi, Rizky Febriyanti; Ashriady, Ashriady; Mariana, Dina; Tiyas, Ajeng Hayuning; Salim, Luthfi Agus
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.v7i2.3426

Abstract

Background: Pregnancy and birth experience is essentially a social construction shaped by cultural perceptions and practices. It is crucial for healthcare professionals to identify the most common practices in their environment to improve the concept of care for the patients. This study aimed to determine the socio-cultural aspects of childbirth care in the coastal area of Mamuju (Karampuang and Beru-Beru villages), Mamuju Regency. Methods: This study use a qualitative research method with a phenomenological approach. The subjects of this study consisted of the primary informants, the mothers in labor, and supporting informants, the village midwives, shamans, and community leaders. Results: It showed that the socio-cultural aspects during childbirth were in the form of myths or beliefs related to specific behaviors and rituals. The behavior is a form of symbolic language containing the meaning of merit or to ease the labor process. From a health perspective, these myths do not have a direct negative impact on health status. However, some myths can maintain and improve maternal health if adequately supervised. Conclusion: Healthcare professionals need a synergistically and sustainably practical communication approach to change attitudes and behavior related to childbirth care with an adaptive approach while respecting the good values in every aspect of culture.

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