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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 67 Documents
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The Effect of Aloe Vera Gel on Symptomatic Treatment of Pruritus Gravidarum Meti Widiya Lestari; Nita Nurvita; Salma Thufailah; Ai Lela Nurul Muhlis Khoeriah
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.v7i3.4116

Abstract

Background: Pruritus is a common discomfort occurring in the second and third trimesters of pregnancy, triggering a scratch. The treatment of pruritus can be administered through pharmacological and non-pharmacological therapies; however, many pregnant women avoid pharmacological medications due to concerns regarding potential adverse effects on the fetus. Topical Aloe vera gel is a recommended non-pharmacological alternative with no side effects for mother or infant. This research investigates the impact of Aloe vera gel application on pruritus in pregnant women. Method: This research used a one-group pretest-posttest design. 15 third-trimester pregnant women with pruritus were selected by purposive sampling at Mangkubumi Health Center. Participants applied the treatment twice daily for two weeks. Result: Before the aloe vera gel intervention, 40% of participants experienced mild itching and 60% moderate itching. Post-intervention, 6.6% reported complete relief, while 93.4% showed decreased itching intensity. Based on the Wilcoxon statistical test, a highly significant difference was observed (p = 0,001). Conclusion: It can be concluded that there was a statistically significant effect of aloe vera gel for reducing pruritus in pregnant women.
The Effectiveness of Health Education through Animation Videos on Mothers' Knowledge of Breast Milk Management Yuni Kristiani Tumani; NiLuh Ayu Anggraeny
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.v7i3.4275

Abstract

Background: A psychological problem that often occurs in postpartum mothers is postpartum depression, which typically emerges within a few days or in the first week after giving birth, affecting approximately 10–20% of new mothers and posing significant risks to both maternal well-being and infant care. The aim of this study was to determine the relationship between family support and type of delivery and the incidence of postpartum maternal depression. Method: This type of research is observational research with cross-sectional design. The population in this study were postpartum mothers on day 7-14 with a sample size of 73 The independent variables were family support and type of delivery, the dependent variable was postpartum depression. The instruments used were family support questionnaires, EPDS and medical records. Analysis using the Mann-Whitney Test with a significance level of Asymp.Sig (2-tailed) <0.05. Results: The results showed that out of 73 respondents, a small portion (20.55%) with low levels of family support had a high incidence of postpartum depression, while respondents with CS delivery almost half (35.71%) experienced high depressionThe Spearman Rho test showed a significant correlation between family support and postpartum depression (p = 0.000), while the Mann-Whitney test indicated a significant association between type of delivery and postpartum depression (p = 0.001). Conclusion: This study found a significant association between family support, mode of delivery, and postpartum depression. Enhancing family involvement in maternal care may help prevent postpartum depression.
The Association Between Age and Parity with the Incidence of Cervical Cancer: A Case-Control Study Susilawati Susilawati; Nasywa Ardelia Putri; Ana Mariza; Sunarsih Sunarsih
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.v7i3.4285

Abstract

Background: Cervical cancer is one of the leading causes of mortality among women worldwide and ranks second in Indonesia after breast cancer. Data from Dr. H. Abdul Moeloek General Hospital in 2024 recorded 255 hospitalized patients diagnosed with cervical cancer, equivalent to approximately 0.57% of total visits. Risk factors associated with cervical cancer incidence include age and parity, which may influence susceptibility to persistent HPV infection and cervical cell changes. Methods: This study employed a quantitative case-control design. The study population consisted of all 255 inpatients diagnosed with cervical cancer in 2024. A total of 192 respondents were selected using random sampling, comprising 96 cases (with cervical cancer) and 96 controls (without cervical cancer). Data were analyzed using univariate and bivariate methods with the Chi-Square test. Results: The Chi Square test results show a significant relationship between age and cervical cancer incidence (p=0.001; OR=44.922), as well as a relationship between parity and cervical cancer incidence (p=0.001; OR=103.400). Women who are older and have higher parity are at greater risk of developing cervical cancer than those who are at lower risk. Conclusion: There is a significant association between age <20/>35 years and grandmultiparity with the incidence of cervical cancer. Women of reproductive age are advised to increase their awareness of early detection through regular IVA (Visual Inspection with Acetic Acid) or Pap smear examinations at least every 3 years. Health workers are expected to strengthen health promotion programs on healthy reproductive age and safe number of births in order to reduce the incidence of cervical cancer.
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

Introduction: 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). Ethical approval was obtained from the Health Research Ethics Committee of Malahayati University, Lampung. 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

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