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Kadar Ramadhan
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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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Knowledge and Uptake of VIA Screening: A Case-Control Study among Women of Reproductive Age in Kendari City Jingsung, Julian
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.v7i2.4228

Abstract

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.
PE-CARE: An Artificial Intelligence (AI)-Based Mobile Health Application to Improve Maternal Knowledge of Early Preeclampsia Detection – A Quasi-Experimental Study Hernawati, Erni; Mutiara, Firsha Ilvany; Hidayati, Sofa Nurul
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.v7i2.4229

Abstract

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.
Role of Management Functions in Stunting Coverage among Nutrition Officers in Majalengka Regency Banowati, Lilis; Putri, Megi Melati Dwi; Herawati, Cucu; Hikmat, Rokhmatul; Dani, Awis Hamid; Muslimin, Muslimin
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.v7i2.4235

Abstract

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.
Progressive Muscle Relaxation and Benson Therapy in Reducing Anxiety in Breast Cancer Patients Rusmiyati, Rusmiyati; Sukmawati, Ellyzabeth; Trihadi, Dayat; Solechan, Achmad; Nisa, Dias Choirun
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.v7i2.4206

Abstract

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.
Effect of Feeding Counseling and Massage Therapy on HAZ and WAZ Scores in Stunted Toddlers Qomariyah, Qomariyah; Soraya, Desi; Sukmawati, Ellyzabeth
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.v7i2.4220

Abstract

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.
Coping Mechanisms and Stress Levels in the Climacteric Phase Noeraini, I’ien; Trihadi, Dayat; Sukmawati, Ellyzabeth; Sulistyaningrum, Danny Putri; Solechan, Achmad
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.v7i2.4207

Abstract

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.
The Role of 'Bundo Kanduang' Women's Group in Early Detection of High-Risk Pregnancy in Tanah Datar Syarief, Devi; Afrizal, Afrizal; Hamdayani, Delvi
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.v7i2.4100

Abstract

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.
Effectiveness of the Combination of Oxytocin Massage with Baby Massage towards Increasing Breast Milk Production Lalita, Elisabeth M. F.; Sulistyowati, Dwi Wahyu; Donsu, Amelia; Nita Silfia, Niluh; Pratiwi, Dian; Montolalu, Agnes; Sahelangi, Olfie
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.v7i2.3936

Abstract

Background: Postpartum mothers in Indonesia are encountering significant challenges with breastfeeding, resulting in a high rate of early discontinuation due to low milk production. However, the combined therapy of oxytocin massage for mothers and baby massage has demonstrated substantial effectiveness in increasing breast milk production. This innovative approach holds significant promise for preventing stunting in newborns and aligns with the government's efforts to reduce stunting rates. This study aims to combine therapy for mothers and babies, especially oxytocin massage stimulation, together with infant massage, to increase breast milk production. Methods: The study was designed as a quasi-experimental study and included two groups of participants: the experimental group and the control group. The study involved a total of 48 participants, with 24 in each group, and used blocked randomization as the sampling technique. The study measured the increase in breast milk production and conducted an analysis using the Independent sample t-test. Results showed that the experimental group given oxytocin massage with baby massage obtained significant results on increasing breast milk production compared to the control group, with an average difference of 9,917 cc. The independent t-test produced a p-value of 0.001; these results prove that there is a significant difference between the experimental group and the control group. Oxytocin is crucial for transferring breast milk from mother to baby, and baby massage increases the frequency of breastfeeding, stimulating the hormone prolactin to produce breast milk. This intervention can be recommended to postpartum mothers, families as a form of support or to health workers to improve the achievement of exclusive breastfeeding.
Mobile-Based Box Breathing Application Blood Pressure in Pregnant Women at Risk of Preeclampsia Aprina, Aprina; Astuti, Titi; Anita, Anita
Jurnal Bidan Cerdas Vol. 7 No. 3 (2025)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jbc.v7i3.4249

Abstract

Background: Preeclampsia is a pregnancy-related hypertensive disorder that remains a major contributor to maternal and perinatal morbidity and mortality. Non-pharmacological interventions, such as box breathing, have gained attention as complementary strategies for blood pressure control in pregnant women at risk of preeclampsia. This study aimed to examine the effect of a mobile-based box breathing intervention on blood pressure among pregnant women at risk of preeclampsia. Methods: A pre-experimental study with a one-group pretest–posttest design was conducted among 197 pregnant women recruited using purposive sampling from four hospitals in Lampung Province, Indonesia. Blood pressure was measured before and after the intervention, and data were analyzed using a paired sample t-test. Results: The mean systolic blood pressure decreased from 139.46 mmHg (SD = 14.28; range 105–195 mmHg) to 122.93 mmHg (SD = 10.91; range 96–167 mmHg), with a mean difference of 16.53 mmHg (SD = 13.43; p < 0.001). The mean diastolic blood pressure declined from 90.15 mmHg (SD = 11.90; range 56–156 mmHg) to 82.46 mmHg (SD = 8.21; range 66–106 mmHg), with a mean difference of 7.69 mmHg (SD = 10.74; p < 0.001). Conclusion: Mobile-based box breathing was associated with a significant reduction in both systolic and diastolic blood pressure among pregnant women at risk of preeclampsia.

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