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161 Documents
<![CDATA[The Role of Midwives in Reproductive Health Education as an Effort to Delay Early Marriage Among Adolescents at the Dambalo Community Health Center ]]>
<![CDATA[Fitriana Sain]]>;
<![CDATA[Reny Retnaningsih]]>
<![CDATA[ Jurnal Siti Rufaidah Vol. 3 No. 2 (2025): Jurnal Siti Rufaidah ]]>
Publisher : <![CDATA[PPNI UNIMMAN ]]>
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DOI: 10.57214/jasira.v3i2.324
<![CDATA[Early marriage is a reproductive health issue that remains a challenge in various regions of Indonesia, requiring effective educational interventions for adolescents. This study aims to analyze the role of midwives in reproductive health education as an effort to delay early marriage among adolescents at the Dambalo Community Health Center (UPTD Puskesmas Dambalo). The study used an analytical observational design with a cross-sectional approach and involved 30 adolescents selected through total sampling. The variables examined included the role of midwives, knowledge, attitudes, and intentions to delay marriage. Data were collected through a standardized questionnaire and analyzed using Spearman's and Chi-square tests. The results showed that the role of midwives was significantly associated with an increase in adolescents' knowledge (r = 0.579; p = 0.0008). However, no relationship was found between the role of midwives and adolescent attitudes (r = 0.264; p = 0.158). Regarding the variable of intention, all respondents (100%) expressed a desire to delay marriage until the age of ≥ 20 years, so statistical analysis could not be performed. These findings confirm that midwife education is effective in increasing adolescent knowledge, but changes in attitudes and intentions are influenced by other social factors that have been established previously. A collaborative approach between midwives, families, and schools is needed to strengthen comprehensive prevention of early marriage.]]>
<![CDATA[The Effect of Oxytocin Massage on Breast Milk Production in Breastfeeding Mothers at the Galala Inpatient Health Center ]]>
<![CDATA[Fitriyati Syahbudin]]>;
<![CDATA[Reny Retnaningsih]]>
<![CDATA[ Jurnal Siti Rufaidah Vol. 3 No. 1 (2025): Jurnal Siti Rufaidah ]]>
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DOI: 10.57214/jasira.v3i1.325
<![CDATA[Breast milk production in the early postpartum period often experiences obstacles due to physiological and psychological factors, which can affect the success of exclusive breastfeeding. Non-pharmacological interventions such as oxytocin massage are known to help stimulate the milk ejection reflex, but their application in primary health facilities is still limited. This study aims to determine the effect of oxytocin massage on breast milk production in breastfeeding mothers. The study design used a quasi-experimental approach with a one-group pretest–posttest design. The study sample consisted of 30 breastfeeding mothers who met the criteria and were selected using total sampling technique at the Galala Inpatient Health Center. Breast milk production was measured based on volume and clinical signs of breast milk production before and after the oxytocin massage intervention. Data analysis used the Wilcoxon Signed Rank Test. The results showed a significant increase in breast milk volume and signs of production after the intervention with a p-value < 0.001. This indicates that oxytocin massage is effective in increasing breast milk production through a neurohormonal stimulation mechanism that enhances the let-down reflex. In conclusion, oxytocin massage can be recommended as a lactation support intervention in primary care facilities to support successful exclusive breastfeeding.]]>
<![CDATA[The Effect of Gadget Use on Speech Delay in Children Aged 3-5 Years ]]>
<![CDATA[Pratiwi Rintang]]>;
<![CDATA[Nila Widya Keswara]]>
<![CDATA[ Jurnal Siti Rufaidah Vol. 3 No. 3 (2025): :Jurnal Siti Rufaidah ]]>
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DOI: 10.57214/jasira.v3i3.330
<![CDATA[Language development in preschool children is an important aspect in supporting children's cognitive, social, and emotional abilities in the future. One environmental factor that is thought to contribute to speech delay is excessive use of gadgets at an early age. This study aims to analyze the effect of gadget use on speech delay in children aged 3–5 years at the Tungoi Community Health Center. This study uses an analytical observational design with a cross-sectional approach. The study sample consisted of 50 children aged 3–5 years who met the inclusion criteria, using consecutive sampling. Data were collected through a questionnaire on gadget use filled out by parents and a screening of children's speech development. Data analysis was performed univariately and bivariately using the Chi-Square test with a significance level of p < 0.05. The results showed that most children used gadgets for more than one hour per day (70%) and more than half of the respondents experienced speech delay (56%). The Chi-Square test showed a significant relationship between gadget use and the occurrence of speech delay (p = 0.000). Children with longer gadget use had a greater risk of speech development delay compared to children with more limited gadget use. The conclusion of this study indicates that gadget use is a significant risk factor for speech delay in children aged 3–5 years. Therefore, it is necessary to limit the duration of gadget use and increase the role of parents and health workers in providing optimal verbal stimulation and assistance to support children's language development.]]>
<![CDATA[Effectiveness of Spinach Extract Administration on Hemoglobin Level Improvement in Pregnant Women with Mild Anemia at Wiritasi Health Center ]]>
<![CDATA[Husnaini Husnaini]]>;
<![CDATA[Retno Dewi Prisusanti]]>
<![CDATA[ Jurnal Siti Rufaidah Vol. 3 No. 2 (2025): Jurnal Siti Rufaidah ]]>
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DOI: 10.57214/jasira.v3i2.331
<![CDATA[Mild anemia in pregnant women remains a common health problem at the primary healthcare level and may negatively affect both maternal health and fetal development. One non-pharmacological approach to managing anemia is the utilization of local food sources rich in iron, such as spinach. This study aimed to determine the effectiveness of spinach extract in increasing hemoglobin levels among pregnant women with mild anemia at Poskesdes Wiritasi. This study employed a quasi-experimental design using a one-group pretest–posttest approach without a control group. The sample consisted of 30 pregnant women diagnosed with mild anemia who were selected through purposive sampling. The intervention involved the regular administration of spinach extract for 14 consecutive days. Hemoglobin levels were measured before and after the intervention using a standard hemoglobin testing device. Data were analyzed to assess differences in hemoglobin levels before and after the intervention. The results showed a significant increase in hemoglobin levels following the administration of spinach extract. These findings indicate that spinach extract has a positive effect on improving hemoglobin levels in pregnant women with mild anemia. Therefore, spinach extract may serve as an effective, safe, and easily applicable local food–based nutritional intervention for the prevention and management of mild anemia among pregnant women at the village healthcare level.]]>
<![CDATA[The Relationship Between Duration of Labor and Talking Hold in Post-Partum Mothers in the Working Area of the Akelamo Inpatient Community Health Center ]]>
<![CDATA[Linda Astuti]]>;
<![CDATA[Retno Dewi Prisusanti]]>
<![CDATA[ Jurnal Siti Rufaidah Vol. 3 No. 1 (2025): Jurnal Siti Rufaidah ]]>
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DOI: 10.57214/jasira.v3i1.332
<![CDATA[Background: Duration of labor is a key determinant of childbirth outcomes and may influence the mother’s physiological and psychological state. Prolonged labor is often associated with increased maternal fatigue and emotional stress, which can delay the establishment of early maternal-infant bonding during the taking-hold period. Methods: This study employed a cross-sectional design with a quantitative approach. A total of 80 postpartum women who delivered vaginally at hospitals and maternity clinics were recruited through purposive sampling. Data were collected using an observation sheet for labor duration and the Maternal Postnatal Attachment Scale (MPAS). Statistical analysis was performed using Pearson’s correlation test with a significance level of p < 0.05. Results: The findings revealed a significant negative correlation between labor duration and maternal-infant bonding scores (r = -0.432; p = 0.002). Mothers who experienced labor longer than 12 hours demonstrated lower emotional closeness with their infants compared to those with shorter labor (<8 hours). Conclusion: Prolonged labor tends to hinder the development of early maternal-infant bonding. Emotional support and midwifery assistance during the labor process are essential to enhance bonding and psychological well-being in the postpartum period.]]>
<![CDATA[Hubungan Antara Sosial Budaya dengan Keberhasilan Pemberian ASI Eksklusif ]]>
<![CDATA[Neta Alvira Nirmala]]>;
<![CDATA[Danur Jaya]]>;
<![CDATA[Ahmad Rizal]]>
<![CDATA[ Jurnal Siti Rufaidah Vol. 4 No. 2 (2026): Jurnal Siti Rufaidah ]]>
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DOI: 10.57214/jasira.v4i2.333
<![CDATA[Exclusive breastfeeding during the first six months of a baby's life is an important effort in improving children's health and growth and development. However, the success of exclusive breastfeeding still faces various challenges, one of which is influenced by socio-cultural factors that develop in society. The purpose of this study is to determine the relationship between socio-cultural factors and the success of exclusive breastfeeding at Grha Permata Ibu Hospital In 2025. This study used a quantitative method with an analytical observational cross-sectional design. The study population consisted of mothers with infants aged 6–9 months at Grha Permata Ibu Hospital. The sample size was 96 respondents, obtained using the Lemeshow formula with total sampling technique. Data collection was conducted using a sociocultural questionnaire and an exclusive breastfeeding success questionnaire. Data analysis was performed univariately and bivariately using the chi-square test. Based on the chi-square test results, a p-value of <0.001 was obtained, meaning that the p-value was <α (0.05), so it can be concluded that there is a relationship between sociocultural factors and the success of exclusive breastfeeding at Grha Permata Ibu Hospital in 2025.]]>
<![CDATA[The Relationship Between Stress Levels and the Risk of Premature Birth in Pregnant Women at the Saritani Community Health Center (UPTD) ]]>
<![CDATA[Afreciami Kartika]]>;
<![CDATA[Widia Shofa Ilmiah]]>
<![CDATA[ Jurnal Siti Rufaidah Vol. 3 No. 2 (2025): Jurnal Siti Rufaidah ]]>
Publisher : <![CDATA[PPNI UNIMMAN ]]>
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DOI: 10.57214/jasira.v3i2.334
<![CDATA[Pregnancy is one of the most significant phases in a woman's life, involving both physical and psychological changes. One of the psychological factors that often arise during pregnancy is stress. Stress during pregnancy can affect both maternal health and fetal development, and may even increase the risk of preterm birth. This study aims to analyze the relationship between stress levels in pregnant women and the risk of preterm birth at the UPTD Puskesmas Saritani. The study uses a quantitative design with a descriptive approach, where data was collected from 104 pregnant women screened using the Edinburgh Postnatal Depression Scale (EPDS) and birth status recorded in the medical records of the health center. The results showed that pregnant women who experienced stress had a higher likelihood of preterm birth compared to those who did not experience stress. This study is expected to contribute to the understanding of the impact of stress on maternal and fetal health and provide a foundation for the development of health programs to detect and manage stress in pregnant women, ultimately reducing preterm birth rates.]]>
<![CDATA[The Effect of the Rebozo Technique on Reducing Lower Abdominal Pain in Pregnant Women in the Third Trimester ]]>
<![CDATA[Aisah Hajirin]]>;
<![CDATA[Widia Shofa Ilmiah]]>
<![CDATA[ Jurnal Siti Rufaidah Vol. 3 No. 1 (2025): Jurnal Siti Rufaidah ]]>
Publisher : <![CDATA[PPNI UNIMMAN ]]>
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DOI: 10.57214/jasira.v3i1.335
<![CDATA[and well-being of pregnant women. This study aims to examine the effect of the Rebozo technique in reducing lower abdominal pain in third-trimester pregnant women. A total of 65 third-trimester pregnant women at UPT Puskesmas Rum Balibunga participated in the study. The results show a significant reduction in pain levels after applying the Rebozo technique, with all participants reporting negative ranks (pain reduction). The Wilcoxon Signed Ranks Test yielded a Z = -8.062 and p-value = 0.000, indicating that the reduction in pain after applying the Rebozo technique was statistically significant. This pain reduction can be attributed to the relaxation effect provided by the Rebozo technique, which helps relieve muscle tension and provide physical support to the pregnant woman's body. The study suggests that the Rebozo technique can be an effective non-pharmacological alternative for reducing pain in pregnant women, especially in the third trimester.]]>
<![CDATA[The Effectiveness of Health Education Using Powerpoint and Audio Visual Media on Increasing the Knowledge of Women of Reproductive Age About Cervical Cancer in the Working Area of Gandasuli Public Health Center, South Bacan District in 2023 ]]>
<![CDATA[Marwah Marwah]]>;
<![CDATA[Rifzul Maulina]]>
<![CDATA[ Jurnal Siti Rufaidah Vol. 3 No. 2 (2025): Jurnal Siti Rufaidah ]]>
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DOI: 10.57214/jasira.v3i2.336
<![CDATA[The incidence of hypertension at the Tadoy Community Health Center was 29.4%. Based on the Tadoy Community Health Center Report in 2023, there were 78 cases of hypertension in pregnant women, dominated by pregnant women with HDK (50%). The short-term impact of hypertension during pregnancy can affect both the mother and the fetus. In addition to medication, therapy for pregnant women with hypertension can be given by soaking the feet in warm water and regularly consuming Ambon bananas. The purpose of this study was to determine the effect of warm water therapy and Ambon banana consumption on reducing blood pressure in pregnant women with hypertension. This type of research used a qualitative research method with a case study approach. This activity was carried out on two pregnant women with hypertension at the Tadoy Community Health Center. Providing warm water therapy was effective in reducing blood pressure in pregnant women from 150/90 mmHg at the first visit to 130/85 mmHg at the second visit and to 120/75 mmHg. Consuming bananas was also effective in reducing blood pressure from 150/90 mmHg at the first visit to 140/90 mmHg at the second visit and to 120/80 mmHg. There was a difference in effectiveness between warm water therapy and consuming Ambon bananas in reducing blood pressure in hypertensive pregnant women, where warm water therapy was more effective than Ambon bananas in lowering blood pressure. It is hoped that the results of this study can help lower blood pressure by soaking feet in warm water, so that pregnant women can do it independently and can reduce risks in pregnancy.]]>
<![CDATA[Pengaruh Pendidikan Kesehatan terhadap Pengetahun Ibu Hamil Tentang Skrining Hipotiroid Kongenital (SHK) di Puskesmas Pulisan Sulawesi Utara ]]>
<![CDATA[Meilanny G.H Warouw]]>;
<![CDATA[Rifzul Maulina]]>
<![CDATA[ Jurnal Siti Rufaidah Vol. 3 No. 1 (2025): Jurnal Siti Rufaidah ]]>
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DOI: 10.57214/jasira.v3i1.337
<![CDATA[Congenital hypothyroidism is a condition of decreased or non-functioning thyroid gland that is present since newborns. This occurs due to anatomical abnormalities or metabolic disorders of thyroid hormone formation or iodine deficiency. Congenital Hypothyroidism Screening (CHS) is an important health program that aims to detect thyroid disorders early in newborns. Congenital Hypothyroidism Screening is a screening/screening test to sort out babies suffering from Congenital Hypothyroidism from babies who do not suffer. This study aims to determine the effect of health education on pregnant women's knowledge about congenital hypothyroidism screening (CHS). This study used a Pre-Experimental Design with a One Group Pre-test and Post-test Design. The sample consisted of 56 pregnant women with sampling using a purposive sampling technique. Data collection was carried out by questionnaire and analyzed using the Wilcoxon Test. The results of the study obtained that most of the respondents' knowledge before being given the intervention was in the sufficient category (42.9%). While most of the knowledge after being given the intervention was in the good category (78.6%). The Wilcoxon test yielded a p-value of 0.00 < 0.05, indicating an effect of health education on knowledge about congenital hypothyroidism (CHS) screening among pregnant women at the Pulisan Community Health Center. This study is expected to provide input to pregnant women, who should be more critical, especially regarding indicators of understanding, examination timing, and the impact of not undergoing CHS. They can frequently read the KIA book and leaflets provided during counseling sessions to gain better and more quality knowledge.]]>
