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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 59 Documents
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Effectiveness of Pelvic Rocking Exercise on Primary Dysmenorrhea among Midwifery Students Raidanti, Dina; Wahidin, Wahidin; Fathimah, Siti; Jayanti, Christin
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.v7i2.3508

Abstract

Background: Primary dysmenorrhea is one of the most common gynecological problems experienced by women of reproductive age, characterized by spasmodic cramps and lower abdominal pain without pathological abnormalities. This condition negatively affects academic activities, productivity, and quality of life. Pelvic rocking exercise, a simple movement using a gym ball, has been suggested to improve uterine blood flow, reduce uterine muscle contractions, and stimulate endorphin release to decrease pain intensity. This study aimed to evaluate the effectiveness of pelvic rocking exercise on primary dysmenorrhea among undergraduate midwifery students. Methods: A quasi-experimental study with a one-group pretest–posttest design was conducted involving 18 first-year midwifery students experiencing primary dysmenorrhea, selected using accidental sampling. Pain intensity was measured before and after a 15-minute pelvic rocking exercise session and analyzed using the Wilcoxon signed-rank test. Results: The mean pain intensity before the intervention was 5.77 (moderate category), which decreased to 2.44 (mild category) after the intervention. The Wilcoxon test showed a p-value = 0.000 (p < 0.05), indicating a significant reduction in pain intensity. Conclusion: Pelvic rocking exercise was proven effective in reducing primary dysmenorrhea among midwifery students. It can therefore be recommended as a non-pharmacological intervention in managing menstrual pain.
Exclusive Breastfeeding History with The Incidence of Stunting in Children Aged 6-24 Months Sumarah, Sumarah; Hernayanti, Munica Rita
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.v7i2.3858

Abstract

Background: Stunting is nutritional health issues in Indonesia affecting children under 5 years. Numerous variables, including exclusive breastfeeding, can contribute to stunting. This study aims to find out the influence of history of exclusive breastfeeding to stunting in children between the ages of 6 and 24 months in the Turi Health Center working area. Methods: This study used a case-control study design and an observational-analytic sampling with a simple random sampling method. All children aged 6-24 months in Turi Health Center's toddler registration who met the inclusion and exclusion criteria were listed as study subjects. There were 100 subjects with 50 subjects being cases and 50 subjects being controls. Data analysis used univariable, bivariable using Chi-square, and multivariable using logistic regression. Results: The characteristics of respondents with male and female gender had the same proportion (50%), while the children age were mostly 13-24 months old (62%). Most of respondents had a history of exclusive breastfeeding (80%) dan had never experiencing infectious diseases (58%). The findings demonstrated a significant correlation between exclusive breastfeeding history and stunting among children aged 6-24 months with a p-value of 0.012 OR 3.857 (95% CI:1.278-11.638). Conclussion: Exclusive breastfeeding is one of the keys to provide sufficient nutrients among children under five. Exclusive breastfeeding continues to be promoted to decrease the prevalence of stunting in children aged 6-24 months.or exploring other variables that influence labor progress.
A Rapid Review of Electronic Medical Record (EMR) Implementation in Midwifery Care Services Juliandari, Kriska Afri; Ammalia, Septiana Ade; Padmaningtyas, Dewi Anggraini; Rohani, Rohani; Pratiwi, Cesa Septiana
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.v7i2.3866

Abstract

Background: one of the common problems associated with breastfeeding and exclusive breastfeeding is breast swelling until the incidence rate reaches 20%-70% in nursing mothers. Swelling of the breasts can be prevented non-pharmacologically, namely by compressing cold cabbage leaves and the marmet technique. Purpose: The study aimed to compare the effectiveness of cold cabbage leaf compresses and the Marmet technique in preventing postpartum breast swelling 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 swelling 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 swelling 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 swelling for normal puerperal mothers.
Effectiveness of an Application-Based Health Promotion Program on Prenatal Yoga for Pregnant Women Tombokan, Sandra; Purwandari, Atik; Tuju, Sjenny
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.v7i2.3960

Abstract

Background: Sleep disturbances are reported by approximately 78% of pregnant women in the United States, a figure significantly higher than in the pre-pregnancy period. Fatigue is a common complaint among expectant mothers, particularly during the third trimester. On average, pregnant women wake up between 3 to 11 times each night, with less than 2% experiencing uninterrupted sleep. In Indonesia, the prevalence of sleep disorders among pregnant women reaches about 64%. Furthermore, 65% of pregnant women with sleep apnea tend to deliver via cesarean section, and around 42% develop preeclampsia. This study aimed to evaluate the effectiveness of health promotion through prenatal yoga delivered via a web-based application for pregnant women. Method: A quasi-experimental method was used, employing a one-group pre-test and post-test design. The study took place in the working area of Amurang Health Center, South Minahasa Regency, from April to September 2023, involving 35 pregnant women in their third trimester. The participants were selected using accidental sampling. Data were collected through direct observation using a knowledge questionnaire (3 items) and the Pittsburgh Sleep Quality Index (PSQI) questionnaire (7 components). Data were analyzed using univariate and bivariate methods, with the Wilcoxon Signed Rank Test applied for statistical testing. Results: The findings indicated a significant improvement in sleep quality among third-trimester pregnant women after participating in the prenatal yoga sessions via the web application (P-value<0.001 < 0.05). Conclusion: The promotion of prenatal yoga through a web-based platform is effective in enhancing sleep quality in third-trimester pregnant women. It is recommended that pregnant women continue practicing prenatal yoga at home twice every two weeks using the application.
Heavy Metal Content in Breast Milk and Contributing Environmental and Maternal Factors: A Systematic Review Aisyiah, Aisyiah; Rahfiludin, Mohammad Zen; Agushybana, Farid; Sutiningsih, Dwi
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.v7i2.4042

Abstract

Background: Breast milk is an important source of nutrition for the growth and development of infants. It is highly susceptible to the accumulation of lipophilic compounds such as heavy metals. Breast milk can become a route through which infants are exposed to toxic substances like heavy metals. This study aimed to identify variations of trace elements and their associated factors contributing to the existence of trace elements in breast milk. Methods: This research employed a systematic literature review methodology utilizing PubMed, Scopus, and Science Direct databases. The search strategy followed specific English keywords to align with the PRISMA Extension for Systematic Reviews guidelines. Data synthesis involved a narrative approach, summarizing the main findings and interventions outlined in the chosen studies. The included articles consisted of full-text primary research published between 2013 and 2023. To mitigate potential language bias, only publications in English were considered for inclusion. Results: Our systematic review, comprising nine articles, revealed the presence of toxic metals including lead (Pb), cadmium (Cd), aluminum (Al), copper (Cu), chromium (Cr), mercury (Hg), and arsenic in human milk. Associated factors contributing to this presence include food intake (such as seafood, fruit, and canned fruit), water and canned drink consumption, smoking and exposure to smoke, regional location, and medical conditions. Conclusion: Heavy metals, including lead, cadmium, aluminum, copper, chromium, mercury, and arsenic are present in breast milk, influenced by factors like diet, water consumption, smoking, regional zones, and medical conditions. These findings underscore the urgent need for public health policies to monitor environmental exposure in lactating mothers and to develop dietary guidelines minimizing toxic exposure.
Implementation of The draivCare App on Maternal Health Services Yuwono, Dian Kurniasari; Monoarfa, Yustianty; Galenso, Nitro
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.v7i2.4049

Abstract

Background: Banggai Regency government collaborated with a local start-up, Draiv, to develop a health service app specialized for pregnant women, called draivCare. This study aims to evaluate the effect of draivCare utilization on maternal health services. Methods: This is a case-control method to identify the differentiation of ANC services utilization during the pregnancy period between groups. We use secondary data and conducting interview with midwives. A total 39 pregnant women who use draivCare app in their pregnancy were administered to the intervention(case) group, whereas 156 pregnant women who did not use draivCare app in their pregnancy belong to the control group. Antenatal care (ANC) frequency and components were the variables studied using chi-square. Results: The proportion of mother who received the fetal examination and the proportion of mothers who received tetanus toxoid immunization are significantly differ between groups. Despite the barriers such as android-based mobile phone ownership of the mothers, the communication between pregnant women and midwives is quite intense. Conclusion: The implementation of draivCare app has yet to affect pregnant women’s health care quality and quantity significantly. However, the intense communication between pregnant women and midwives shows a potential effect of the app on improving antenatal care.
Spousal Support and Its Influence on Exclusive Breastfeeding Success in Indonesian Infants: A Systematic Literature Review Aruani, Septi; Sukmana, Diniati; Adnani, Qorinah Estiningtyas Sakilah; Susiarno, Hadi; Adepoju, Viktor Abiola
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.v7i2.4050

Abstract

Background: Exclusive breastfeeding involves providing only breast milk to infants from birth to six months. Globally, 48% of infants were exclusively breastfed in 2023, with Indonesia reporting 68.6% for infants aged 0-5 months. The husband's support plays a crucial role in exclusive breastfeeding success through emotional, informational, instrumental, and evaluative support which enhance maternal comfort and extend breastfeeding duration. This study investigates the impact of spousal support on exclusive breastfeeding for infants (0–6 months). Methods: A literature review was conducted with twenty articles sourced from Google Scholar, Semantic Scholar, and Garuda databases. Results: The review identified that affective support, such as empathy, motivation, and encouragement, was reported in 75% of studies and strongly correlated with maternal confidence and reduced breastfeeding fatigue. Informational support such as guidance on latching techniques or resolving milk supply issues, was present in 50% of studies and was particularly impactful for primiparous mothers. Instrumental support, found in 70% of studies, included household assistance and infant care and was associated with reduced maternal stress and sustained breastfeeding. Appraisal support was also noted but less frequently emphasized. Conclusion: Emotional, informational, and instrumental support from husbands plays a pivotal role in sustaining exclusive breastfeeding. Interventions should prioritize father-inclusive education and engagement strategies to improve breastfeeding outcomes. Policymakers and healthcare providers must actively integrate paternal support components into maternal-child health programs
Scoping Review: WhatsApp-based Education to Increase Iron Intake to Prevent Pregnancy Anemia Herinawati, Herinawati; Margawati, Ani; Nugraheni, Sri Achadi; Pudjonarko, Dwi
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.v7i2.4077

Abstract

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.
Strengthening Application-Based Digital Health Literacy in The Prevention and Management of Stunting among Mothers with Children Under Five Years of Age Arum, Dyah Noviawati Setya; Masrif, Masrif; Ismiyati, Atik; Sumarah, Sumarah; Pengge, Nuning Marina; Wahyuni, Linda Nur
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.v7i2.4194

Abstract

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.
Flash Card-Based Education on Maternal Depressive Symptoms and Breastfeeding Techniques on Postpartum Mothers’ Motivation Sumarni, Sumarni; Minarti, Minarti
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.v7i2.4216

Abstract

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.

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