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The Difference in Breastfeeding Techniques of Primiparous Mothers Before and After Education on Correct Breastfeeding Techniques Using Audiovisual Media at Puskesmas Pakusari: The Difference in Breastfeeding Techniques of Primiparous Mothers Before and After Education on Correct Breastfeeding Techniques Using Audiovisual Media at Puskesmas Pakusari Novemika Fitria Aswinda; Sugijati
Fetus : Journal of Midwifery Vol. 3 No. 1 (2025): June
Publisher : LPPM Universitas dr. Soebandi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36858/fejom.v3i1.79

Many first-time mothers (primiparous women) experience difficulties in breastfeeding due to a lack of knowledge about proper breastfeeding techniques. This can lead to issues such as sore nipples, pain, and even breast engorgement, which may discourage some mothers from continuing to breastfeed. In fact, with appropriate education, these problems can be minimized. One method considered effective is the use of audiovisual media, as it is easier to understand and remember. This study aimed to determine the difference in breastfeeding techniques among primiparous mothers before and after receiving education on correct breastfeeding techniques through audiovisual media at Puskesmas Pakusari. The study employed a pre-experimental design with a one-group pre-test and post-test approach. The population consisted of all breastfeeding primiparous mothers at Puskesmas Pakusari. Total sampling technique was applied, with a sample size of 30 respondents. Data were collected using the LATCH scoring system and analyzed statistically using the wilcoxon. The results showed that before the education, most respondents (90.0%) had breastfeeding techniques in the "fair" category, with only 10.0% in the "good" category. After the education, there was a significant improvement, with the majority of mothers (76.7%) categorized as "good" and only 23.3% remaining in the "fair" category. Based on the statistical test results, a p-value of 0.000 < 0.05 (p<α) was obtained, indicating that H1 was accepted, which means there was a significant difference in the breastfeeding techniques of primiparous mothers before and after receiving education on correct breastfeeding techniques through audiovisual media at Puskesmas Pakusari. It is recommended that primiparous mothers seek information about proper breastfeeding techniques, particularly through audiovisual media, to support the success of breastfeeding

Studi Kasus primigravida trimester II dengan anemia di puskesmas tongguh kabupaten bangkalan : Case study of second trimester primigravida with anemia at Tongkuh Community Health Center, Bangkalan Regency tasya frescilia syafitri wahid; suryaningsih; siti anisak
Fetus : Journal of Midwifery Vol. 4 No. 1 (2026): June
Publisher : LPPM Universitas dr. Soebandi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36858/fejom.v6i1.30

ABSTRACT Various problems often occur in second trimester pregnant women, namely anemia, anemia is a condition where the number of red blood cells or hemoglobin concentration in it is lower than normal. This case study aims to determine the signs and symptoms of anemia, risk factors for anemia, the impact of anemia and the management of anemia. The method in this case study uses a multiple case design. The subjects of this case study used two pregnant women with the same criteria, namely second trimester primigravida with anemia. The case study was conducted in Karang Duwek village, Arosbaya sub-district. Data collection methods with interviews using questionnaires and maternal and child health book documentation. Analysis in the form of descriptive data. The results of this case study that the signs and symptoms of anemia in both respondents are often experiencing easy fatigue, abnormal blood pressure and dizziness. Risk factors in second trimester primigravida, namely respondent 1, were not found risk factors, while in respondent 2, namely age. The impact on second trimester primigravida with anemia was not found in both respondents. Management in second trimester primigravida with anemia is that both respondents have been given Fe tablets, but the 2nd respondent is not regular in taking Fe tablets because she feels lazy, and has been given IEC about anemia and foods high in iron. To reduce maternal and child mortality, prevention is needed, one of which is the occurrence of pregnancy anemia. Prevention of anemia can be done by taking Fe tablets regularly and eating iron-rich foods, and conducting routine antenatal care. Keywords:primigravida, anemia, signs and symptoms, management.

The Relationship Between Early Pregnancy and Premature Birth at RSD dr. Soebandi Jember: The Relationship Between Early Pregnancy and Premature Birth at RSD dr. Soebandi Jember anaabelatuz zahro; Ernawati Anggraeni
Fetus : Journal of Midwifery Vol. 4 No. 1 (2026): June
Publisher : LPPM Universitas dr. Soebandi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36858/fejom.v6i1.64

Teenage pregnancy occurs when a woman becomes pregnant under the age of 20. At this age, pregnant women tend to be at high risk of lack of nutritional intake necessary for fetal development. In addition, the size of the pelvis and uterus that are still not fully developed and the immature reproductive organs also increase the risk of complications. Psychologically, adolescents are also considered not to have sufficient mental readiness, so their ability to take care of themselves and their babies is still very limited. The purpose of this study was to analyze the Relationship between Early Pregnancy and Premature Birth at dr. Soebandi Hospital, Jember Regency. This research is quantitative with a correlational design. The population of this study is all maternity mothers at dr. Soebandi for the January-December 2024 period is 580. Sampling using the total sampling method using the slovin formula was obtained by 85 respondents. The data analysis used was the Chi Square test. The results of this study show that the analysis of the relationship between early pregnancy and premature birth at dr. Soebandi Jember Hospital obtained the results of the significance test (p value) = 0.000 which means that < 0.05 then H1 is accepted, and shows that there is a meaningful relationship between premature pregnancy and premature birth. According to the Chi Square test, it was found that there was a significant relationship between early pregnancy and premature birth. It is expected that pregnant women of early age will routinely check their pregnancy at health facilities, maintain a balanced nutritional intake, avoid stress, and get family support and assistance from health workers to minimize the risk of premature birth.

Relationship Between Mother's Role and Genitalia Care Behavior During Menstruat ion in Students of SMPN 7 Jember: Relationship Between Mother's Role and Genitalia Care Behavior During Menstruat ion in Students of SMPN 7 Jember Arin Nirwaningsih; Melati Puspita Sari
Fetus : Journal of Midwifery Vol. 3 No. 2 (2025): November
Publisher : LPPM Universitas dr. Soebandi

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The importance of performing genital organ care is not yet fully realized by adolescents due to the lack of information about feminine hygiene. The appropriate role of mothers in educating and modeling good behavior will help in increasing their children's knowledge about genital organ care during menstruation. From the results of a preliminary study conducted on 10 female students, it was found that 70% of female students did not understand how to care for their genital organs and 50% were not told by their mothers how to care for their genital organs properly. This study aims to determine the relationship between the role of mothers and genital organ care behavior during menstruation in female students of SMPN 7 Jember. The design of this study is a correlational study with a cross-sectional approach. The population of this study was all 462 female students of SMPN 7 Jember, a sample of 83 respondents, obtained by simple random sampling technique. The results of the study showed a p value (0.00) (<0.05) so H0 was rejected, which means there is a relationship between the role of mothers and genital care behavior during menstruation in female students at SMPN 7 Jember with a correlation coefficient value of 0.604, which means a strong category relationship. The more the mother's role in providing good information and education, the better the behavior of genital care during menstruation in her adolescent daughter. It can be concluded that there is a strong relaltionship between the role of mothers and genital care behavior during menstruation. It is recommended for adolescents to build communication with their mothers about how to care for genital organs during menstruation, the information provided by mothers about menstruation can increase children's knowledge.

The Relationship between Gadget Use and Gross Motor Development of Children Aged 3-6 Years at Miftahul Ulum Sidomukti Kindergarten: The Relationship between Gadget Use and Gross Motor Development of Children Aged 3-6 Years at Miftahul Ulum Sidomukti Kindergarten anaabelatuz zahro; Mudmainnah
Fetus : Journal of Midwifery Vol. 3 No. 2 (2025): November
Publisher : LPPM Universitas dr. Soebandi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36858/fejom.v5i2.68

Gadgets are small electronic devices that have a variety of specialized functions. Excessive radiation waves in gadgets will result in blue light beams that affect brain and nerve development. Excessive use of gadgets will affect children's movement activities so that it has an impact on the gross motor development of early childhood. The purpose of this study was to determine the significance of the relationship between the use of gadgets and the gross motor development of preschool children at Miftahul Ulum Sidomukti Kindergarten. The method of quantitative research type correlational design with Cross sectional approach. The population of this study were student guardians and preschool children at Miftahul Ulum Sidomukti Kindergarten totaling 35 people and total sampling was taken. The results of this study showed 35 respondents of preschool children studied at Miftahul Ulum Sidomukti Kindergarten were the use of gadgets with high intensity as much as 45.7%, while the gross motor development of children with the category began to develop as much as 57.1% and the results of the analysis of the p-value = 0.001 <0.05 which means there is a relationship between the use of gadgets and the gross motor development of preschool children aged 3-6 years with a contingency coefficient value of -0.550, meaning that the relationship is very strong which indicates that there is a negative relationship which means that the higher the intensity of gadget use, the child's gross motor development decreases. Conclusion: The role of parents has an important influence on character building and children's growth and development in motor development. suggestion: requires awareness and action to increase awareness of children in applying gadgets

The Effect of Guava Juice Consumption on Increasing Hemoglobin Levels in Pregnant Women At Puskesmas Panti: The Effect of Guava Juice Consumption on Increasing Hemoglobin Levels in Pregnant Women At Puskesmas Panti Afiyah Wijayanti; Ai Nur Zannah
Fetus : Journal of Midwifery Vol. 3 No. 2 (2025): November
Publisher : LPPM Universitas dr. Soebandi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36858/fejom.v5i2.76

Background: Anemia in pregnant women is generally caused by iron deficiency. In Jember, 2,895 pregnant women suffer from anemia, including 141 cases at Puskesmas Panti in December 2024. If left untreated, it can lead to complications such as hemorrhage, preeclampsia, and even death of the mother and baby. Treatment can be pharmacological, such as iron tablet supplementation, complemented by non-pharmacological approaches like providing guava juice. Guava juice contains a high amount of vitamin C, which helps enhance the absorption of iron from iron tablets by the body, while also supplying additional iron minerals to support the nutritional needs of pregnant women. Objective: This study aims to determine the effect of consuming guava juice on increasing hemoglobin levels in pregnant women in the working area of Puskesmas Panti. Methods: This quantitative study used a quasi-experimental design with a one-group pretest-posttest approach. The sample consisted of 15 pregnant women selected purposively from a total population of 18. Hemoglobin levels were measured digitally Results: The average hemoglobin level before the intervention was 9.2 g/dl, which increased to 11.2 g/dl after the intervention, with a p-value of <0.001. Conclusion: Consuming red guava juice has a significant effect on increasing hemoglobin levels in pregnant women. Recommendation: Guava juice can be an easily accessible alternative to help prevent and treat anemia in pregnant women.

The Relationship Between Stress and Breast Milk Production in Lactating Mothers in the Kalisat Community Health Center Area: The Relationship Between Stress and Breast Milk Production in Lactating Mothers in the Kalisat Community Health Center Area Halimatus Sadiah; Rizki Fitrianingtyas
Fetus : Journal of Midwifery Vol. 3 No. 2 (2025): November
Publisher : LPPM Universitas dr. Soebandi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36858/fejom.v5i2.77

Exclusive breastfeeding is recommended for the first six months of an infant's life. Breast milk production is influenced by various factors, including psychological conditions such as stress. Stress can inhibit the function of oxytocin and prolactin, hormones that play an important role in breast milk production. The objective of this study was to determine the relationship between stress and breast milk production in breastfeeding mothers in the Kalisat Community Health Center area.This was an analytical observational study with a cross-sectional design. The population for this study was 21 breastfeeding mothers from postpartum days 14-30, and a sample of 14 people was obtained. The sampling technique used was purposive sampling. The research instruments were the PSS (Perceived Stress Scale) questionnaire to measure stress and a breast milk production questionnaire to assess breast milk production. Data analysis used bivariate and univariate analysis with a non-parametric test using the Spearman rank test.The results showed that respondents experienced mild stress (64.3%) and moderate stress (35.7%). Regarding breast milk production, half of the respondents had good breast milk production, sufficient breast milk production (42.9%), and low breast milk production (7.1%). The results of the non-parametric Spearman rank test showed a p-value of 0.013 (<α 0.05), so it can be concluded that the alternative hypothesis (Ha) is accepted, which indicates a relationship between stress and breast milk production in breastfeeding mothers in the Kalisat Community Health Center area.Breastfeeding mothers are expected to maintain positive emotions and thoughts. Stress can inhibit breast milk production, while calmness and positive thoughts will help breast milk hormones work optimally, allowing breast milk to flow more smoothly.

Relationship between Duration Of DMPA Use And Sexual Function in Women of Reproductive Age at Independent: Ainayya, Y., Priyatno, A. D., Gustina, E., Ekawati, D., Studi, P., Kesehatan, M., Stik, M., & Husada, B. (2024). ANALISIS KEPUASAN SEKSUAL WANITA USIA SUBUR YANG MENGGUNAKAN METODE KONTRASEPSI SUNTIK KB 3 BULAN. 9, 231–251. Andryani, Z. Y., Alkautzar, A. M. ah, Alza, N., Taherong, F., Firdayanti, Diarfah, A. D., Liantanty, F., Nontji, W., & Arifuddin, S. (2021). The relation of estradiol co Citra Ammora; Rizki Fitrianingtyas
Fetus : Journal of Midwifery Vol. 3 No. 2 (2025): November
Publisher : LPPM Universitas dr. Soebandi

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ABSTARCT Duration of DMPA Use in WUS > 2 years can interfere with sexual function. DMPA can disrupt the body's natural hormonal balance, including decreased estrogen levels that can cause decreased libido and decreased sexual desire. From the results of a preliminary study using a questionnaire to 10 DMPA acceptors who included WUS (aged 20-35 years) at TPMB "R", data was obtained that 60% of acceptors experienced sexual dysfunction after using DMPA > 2 years and 40% of DMPA acceptors did not experience sexual dysfunction after using DMPA ≤ 2 years.Sexual dysfunction can also affect household harmony. This study aims to determine the relationship between the duration of DMPA use and sexual function in women of childbearing age at TPMB "R". The design of this study is correlational with a Cross Sectional approach. The study population was all WUS DMPA acceptors totaling 60 people, a sample of 52 respondents, obtained using the Simple Random Sampling technique. Data collection using the FSFI (Female Sexual Function Index) questionnaire and data analysis using the Chi-Square test. The results of the study showed that most respondents had used DMPA for > 2 years, namely 38 respondents (73.1%), almost all respondents experienced sexual dysfunction as much asas many as 42 people (80.8%), and the Chi-Suqare test obtained p (0.000) < α (0.05) meaning H0 is rejected, the contingency coefficient value of 0.570 means a moderate relationship, and the Goodman and Kruskal Tau value of 0.481 means there is a very significant relationship. It can be concluded that there is a moderate and very significant relationship between the duration of DMPA use and the sexual function of WUS in TPMB "R". It is recommended for DMPA acceptors if they have used it for > 2 years to replace it with another contraceptive.

THE RELATIONSHIP OF PARENTING STYLE WITH PICKY EATER BEHAVIOR IN CHILDREN PRESCHOLL AGE asri iman sari
Fetus : Journal of Midwifery Vol. 4 No. 1 (2026): June
Publisher : LPPM Universitas dr. Soebandi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36858/fejom.v6i1.85

Picky eating is common amongst pre-school children. This behaviour results in children consuming a limited variety of foods. Preliminary data from a study of 10 pre-school children at the Nurul Amien Early Childhood Education Centre (PAUD) indicated that 60 per cent of the children were picky eaters. The aim of this study was to determine the significance of the relationship between parenting styles and picky eating behaviour amongst pre-school children at the Nurul Amien Early Childhood Education Centre (PAUD) in Jember. The method employed an observational correlational analysis using a cross-sectional approach. The study population comprised 52 children aged 3–5 years at the Nurul Amien Early Childhood Education Centre in Jember. Sampling was conducted using simple random sampling, yielding a sample size of 46 respondents. The instruments used were a parental parenting style questionnaire and a picky eating behaviour questionnaire. Univariate data analysis utilised frequency distributions, whilst bivariate analysis employed the chi-square test and the contingency coefficient. The results indicated that the majority (54.3%) of parents practised a democratic parenting style and the majority (54.3%) of children did not exhibit picky eating behaviour. From the chi-square analysis, a p-value of 0.000 was obtained, which is less than α (0.05); therefore, H₀ was rejected. The contingency coefficient was 0.595, indicating a moderate association. In conclusion, there is a moderate association between parenting styles and picky eating behaviour in pre-school children.

The Case Report On Depo Medroxyprogesterone Acetate (DMPA) Contraceptive Users With The Side Effect Of Weight Gain In PMB Arini Agustiningrum, S.ST Bator Village, Klampis District, Bangkalan Regency auralika
Fetus : Journal of Midwifery Vol. 4 No. 1 (2026): June
Publisher : LPPM Universitas dr. Soebandi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36858/fejom.v6i1.86

Depo Medroxyprogesterone Acetate (DMPA) is a long-acting hormonal contraceptive method known for its effectiveness and practicality. However, its prolonged use is often associated with side effects, one of the most common being weight gain. This study aims to describe the midwifery care provided to a DMPA acceptor who experienced weight gain at the Independent Midwifery Practice (PMB) of Arini Agustiningrum, located in Bator Village, Klampis District, Bangkalan Regency. This research employed a descriptive design with a case study approach. The subject was a DMPA user who had been on the contraceptive for three years. During this period, her body weight increased from 90,00 kg to 99,40 kg (a gain of 9,40 kg), with a Body Mass Index (BMI) of 38,82 kg/m², indicating grade II obesity. Data were collected through interviews, observations, physical examinations, documentation review, and routine weight monitoring conducted over three visits between March and May 2025. The interventions included education on balanced nutrition, dietary regulation, distribution of a diet menu leaflet, increased physical activity, and regular weight tracking. Results showed a reduction in body weight from 99,40 kg to 97,00 kg within one month. Prior to the implementation of the case study, the researcher provided detailed information regarding the study’s purpose, benefits, procedures, and participants’ rights. The subject gave written consent by signing an informed consent form, in accordance with ethical research standards. The findings indicate that educational interventions and lifestyle modifications can gradually reduce body weight in DMPA users. Therefore, regular monitoring and nutritional counseling should be integrated into midwifery care to effectively address the side effects of hormonal contraceptive use.

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Ernawati Anggraeni

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Contact Name Ernawati Anggraeni

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Editorial Address Perumahan Darma Alam Blok BD 13- Sempusari Kaliwates Jember

Location Kab. jember, Jawa timur INDONESIA

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Contact Name
Ernawati Anggraeni

Contact Email
ernawati_anggraeni@uds.ac.id

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Journal Mail Official
femoj2023@gmail.com

Editorial Address
Perumahan Darma Alam Blok BD 13- Sempusari Kaliwates Jember

Location
Kab. jember,

Jawa timur

INDONESIA