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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 76 Documents
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Adolescent Girls’ Classroom With the 8000 Days Module for Knowledge and Self-Efficacy Sarifa Albahar; Runjati Runjati; Hermien Nugraheni
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.v8i1.4298

Abstract

Background: Stunting is a complex health problem in Indonesia. Prevention efforts that focus only on the First 1,000 Days of Life (HPK) are often considered too late, as many adolescent girls become pregnant without optimal health preparation. The First 8,000 Days of Life (HPK) approach extends the intervention period from adolescence to early childhood. Module-based education through youth classes has the potential to enhance adolescents’ knowledge and self-efficacy as prospective parents in preventing stunting. Objective: This study aimed to determine the effect of youth classes using the First 8,000 Days of Life (HPK)module on adolescents’ knowledge and self-efficacy in stunting prevention. Methods: This quantitative study employed a quasi-experimental design with a pretest–posttest control group approach.A total of 86 adolescent girls were recruited and divided equally into intervention and control groups at SMK Negeri 11 Semarang.The intervention group received the 8,000 HPK module for seven days, while the control group received standard leaflet-based education.Data were collected using validated and reliable questionnaires on knowledge and self-efficacy and analyzed using the Wilcoxon Signed Rank Test and Mann–Whitney Test. Results: A significant increase was observed in the intervention group’s knowledge (p = 0.000, Δ = 4.00) compared to the control group (Δ = 2.00). Similarly, self-efficacy improved significantly in the intervention group (p = 0.000) with a Cohen’s d effect size of 14.00, indicating a very large effect. Conclusion: Youth classes using the 8,000 Days of Life (HPK) module effectively enhanced adolescents’knowledge and self-efficacy in stunting prevention compared to standard educational media. Keywords: youth class; 8,000 days of life module; knowledge; self-efficacy; stunting prevention  
Exclusive Breastfeeding and Complementary Feeding Practices Are Associated with Stunting among Children Aged 6–24 Months: A Cross-Sectional Study in Sigi Regency Fariz Syamsu Ma’arif; Evi Fitriany; Ahmad Wisnu Wardhana; Hanis Kusumawati Rahayu; Sulistiawati Sudarso
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.v8i1.4315

Abstract

Background: Stunting is a chronic nutrition problem associated with long-term inadequate nutrient intake and suboptimal infant and young child feeding practices, including exclusive breastfeeding and complementary feeding (MP-ASI). This study assessed the association of exclusive breastfeeding and complementary feeding practices with stunting among children aged 6–24 months in the Biromaru Primary Health Center area, Sigi Regency. Methods: This analytical cross-sectional study included 89 children aged 6–24 months selected using total sampling. Data were collected through caregiver questionnaires and anthropometric measurements. Stunting was defined as length-for-age (PB/U) z-score < −2 SD based on the CDC 2020 reference. Associations were tested using the chi-square test (α=0.05), and effect sizes are presented as prevalence ratios (PR) with 95% confidence intervals (CI). Results: The prevalence of stunting was 55.1% (49/89). Stunting was significantly associated with non-exclusive breastfeeding (67.4% vs 41.9%; PR=1.61, 95% CI 1.07–2.42; p=0.016) and early initiation of complementary feeding <6 months (80.0% vs 50.0%; PR=1.60, 95% CI 1.14–2.25; p=0.033). Among complementary feeding quality indicators, inappropriate food type (PR=1.53, 95% CI 1.08–2.17; p=0.028), texture (PR=1.55, 95% CI 1.09–2.21; p=0.022), and especially feeding frequency (64.2% vs 27.3%; PR=2.35, 95% CI 1.16–4.76; p=0.003) were associated with stunting. Portion size was not significantly associated with stunting (PR=1.22, 95% CI 0.81–1.83; p=0.322). Conclusion: In this setting, stunting was associated with non-exclusive breastfeeding and suboptimal complementary feeding practices, particularly inadequate meal frequency. Nutrition programs should prioritize strengthening exclusive breastfeeding support and improving complementary feeding practices (timely initiation at 6 months, age-appropriate frequency, food type, and texture).
Micronutrient Supplementation and Its Association with Prevention of Postpartum Blues and Breastfeeding Outcomes: A Prospective Cohort Study in Balikpapan City Grace Carol Sipasulta; Endah Wijayanti; Rus Andraini; Genevieva Esmeraldine Tanihatu
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.v8i1.4348

Abstract

Background: Postpartum blues affects 37–67% of Indonesian mothers, yet the role of micronutrient supplementation as a preventive strategy remains underexplored. This study examined whether postpartum micronutrient supplementation was associated with lower incidence of postpartum blues and improved breastfeeding outcomes among postpartum mothers in Balikpapan, Indonesia. Methods: A prospective cohort study followed 152 postpartum mothers at RS Sayang Ibu and PBM Griya Bunda Sehat, Balikpapan City, for 16 months. The exposed group (n=83) received micronutrient supplementation for six months postpartum, while the unexposed group (n=69) did not. Outcomes were assessed using the Edinburgh Postnatal Depression Scale (EPDS) and 10 Steps to Successful Breastfeeding checklist. Ethical approval was obtained (DP.04.03/7.1/07893/2023). Results: Among supplemented mothers, 89.2% experienced no postpartum blues compared with 66.7% in the non-supplemented group. Micronutrient supplementation was significantly associated with reduced postpartum blues risk (p=0.001; OR=0.243; 95%CI: 0.10–0.57). Supplementation was also associated with improved breastfeeding success (p=0.030; OR=0.433; 95%CI: 0.20–0.93), with 83.1% achieving successful breastfeeding. Conclusion: Postpartum micronutrient supplementation was significantly associated with lower risk of postpartum blues and better breastfeeding outcomes. These findings suggest the potential benefit of integrating supplementation into maternal health programs, in line with SDG targets 3.1 and 3.4, pending confirmation through randomized controlled trials.
Employment Status as a Predictor of Breastfeeding Self-Efficacy Rini Mustikasari Kurnia Pratama; Damayanti Damayanti; Festy Mahanani Mulyaningrum; Bella Pratiwi Kurnia Pratama
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.v8i1.3897

Abstract

Background: In Indonesia, the percentage was 71.58% in 2021, and in the Province of Bengkulu in 2022, 67.85% of babies aged 0-5 months received exclusive breast milk. Around 32.15% of babies are still not breastfed. Breastfeeding with high self-confidence to successfully breastfeed their babies (breastfeeding self-efficacy) will influence the success of exclusive breastfeeding. The mother’s belief that her breast milk production is inadequate or little, which leads to worries that it won’t be sufficient to satisfy the baby’s demands, is the issue with not providing exclusive breastfeeding. This study aimed to identify factors that predict breastfeeding self-efficacy. Methods: The research design uses a cross-sectional analytical survey. The study population comprised 556 respondents, selected from a 100-person sample using the inclusion and exclusion criteria. The research period is from May to November 2024. Data collection uses a questionnaire with the BSES-SF. Data analysis uses discriminant analysis. Results:.The research results on the variables age (0.442), education (0.406), parity (0.575), ANC visits (0.165), and breastfeeding status (0.455), so there is no different in average age, education, parity, ANC visits, and breastfeeding status between self-efficacy in low and high breastfeeding mothers, while the working status variable has a p-value of 0.025, so there is a difference in the average working status between low and high self-efficacy. Conclusion: Mothers' working status as a predictor of breastfeeding self-efficacy.
Factors Related to the Incident of Postpartum Blues Rika Ruspita; Rifa Rahmi; Komaria Susanti
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.v8i1.3372

Abstract

Background: The incidence of postpartum blues varies, with Asia being a country that also experiences a fairly high incidence of postpartum blues, ranging from 26-85%, such as in Japan at 15-50%. Meanwhile, the United States 27%, France 31.7%, Nigeria 31.3% and Greece 44.5%. In Indonesia, several studies have been conducted on postpartum blues, including one in Riau Province, specifically in the city of Pekanbaru, where approximately 16.7% of postpartum mothers experience postpartum blues. This study aimed to determine the relationship between husband's support, attitudes and knowledge towards postpartum blues in the Independent Practice of Midwife Rosita Pekanbaru. Method: Using quantitative with analytical descriptive design. The location of this research was carried out at the Pekanbaru Midwife Rosita Maternity Home in April 2021 for 4 months. The sample in the Total Sampling research was all postpartum mothers at the Independent Practice of Midwife Rosita Pekanbaru totaling 30 people, the independent variables were husband's support, attitude, knowledge while the dependent variable was postpartum blues. Results: There is a relationship between husband's support (p=0.004), attitude (p=0.007) and knowledge (p=0.000) regarding postpartum blues. Conclusion: There is a relationship between husband's support, attitudes, knowledge and postpartum blues. This research suggests that health workers need to provide education to postpartum mothers and husbands about postpartum blues so that husbands are aware that their wives really need them at certain times and that husbands are expected to be there when their wives need them.
Kangaroo Mother Care with Integrated Sensors for Vital Sign Monitoring in Low Birth Weight Infants Muliani; Sarliana; Abd. Farid Lewa
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.v8i1.4248

Abstract

Background: Low birth weight (LBW) infants are at high risk of thermoregulatory, cardiovascular, and respiratory disorders, requiring accurate monitoring of vital signs. The limitations of continuous monitoring devices in healthcare facilities have prompted the development of sensor-based Kangaroo Mother Care (KMC) slings. This study aimed to assess the diagnostic accuracy of temperature, pulse rate (HR), and oxygen saturation (SpO₂) sensors on KMC slings compared to standard hospital medical devices. Methods: A cross-sectional comparative study was conducted on 31 LBW babies who underwent KMC treatment in the Perinatology room at Ampana Hospital from June to September 2025. Temperature, pulse, and SpO₂ measurements were simultaneously obtained using wearable sensors on KMC slings and standard devices, including clinical digital thermometers, neonatal multiparameter/ECG monitors, and medical pulse oximeters. The analysis includes sensitivity, specificity, and positive and negative predictive values. Results: The temperature sensor shows a sensitivity of 90.9% and a specificity of 66.7%. The HR sensor has a sensitivity of 77.8% and a specificity of 86.4%. The SpO₂ sensor shows a sensitivity of 88.0% and a specificity of 64.0%. These values demonstrate a fairly good abnormality detection rate, but still show limitations in consistently distinguishing normal physiological conditions from standard clinical devices. Conclusion: The sensor on the KMC sling shows moderate diagnostic performance and does not yet match the accuracy of standard clinical devices. Given the limitations of the design and sample size, these findings need to be interpreted with caution. These devices have the potential to be used as an initial monitoring or screening support tool in the context of KMC, but require further technical development and validation before wider implementation.

Page 8 of 8 | Total Record : 76

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