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Paramitha Amelia Kusumawardani
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INDONESIA
Jurnal Kebidanan Midwiferia
Published by Universitas Muhammadiyah Sidoarjo
ISSN : 25482246     EISSN : 25482246     DOI : https://doi.org/10.21070/mid
Core Subject : Health,
Nursing
Focus To facilitate scholars researchers and lecturers to publish articles on midwifery Scope Midwiferia publishes research articles in the field of midwifery with the following Midwifery Maternal and child health Infants and toddlers Womens reproductive health
Arjuna Subject : Keperawatan - Maternity and Midwifery
Articles 11 Documents
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Search results for , issue "Vol. 11 No. 2 (2025): Oktober" : 11 Documents clear
Effect of Recovery Supplementary Feeding on Height Improvement in Stunted Toddlers: A Study at Mijen Health Center, Semarang, Central Java Lutfitasari, Ariyani; Rahmayani, Alya Aulia; Kusumawati, Erna; Puspitaningrum, Dewi
Jurnal Kebidanan Midwiferia Vol. 11 No. 2 (2025): Oktober
Publisher : Universitas Muhammadiyah Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21070/midwiferia.v11i2.1707

Abstract

Background: The level of child malnutrition in Indonesia is considered to be high in the world. Some efforts were granted including the provision of supplementary food in some areas of Indonesia. The effort is chosen as a step to fulfill the need for nutrition in children. Objectives: This study aims to determine the relationship between providing supplementary food recovery and height gain in stunted toddlers at Mijen Health Center, Semarang City, Central Java. Method: This research employed a descriptive quantitative approach with a cross-sectional survey design. A checklist was used in the study. The sample consisted of 50 stunted toddlers selected through saturation sampling. Statistical analysis utilized the Chi-Square test with a confidence level of 95%. Results: As many as 52% of respondents have spent the recovery supplemental feeding (PMT) consumed for 60 days. The height of toddlers given recovery PMT increased, which previously had an average Z-score of -2.03, then increased to -1.86. Based on the results of the Chi-Square test, a P-Value of 0.009 (<0.05) can be interpreted that there is a significant relationship because the P-Value is <0.05; OR of 5,500 can be interpreted that recovery supplements that are not eaten out have a 5,500 times greater risk of no increase in height of stunted toddlers compared to toddlers who consume recovery PMT. Conclusion: This study concludes that there is a relationship between the provision of recovery supplementary food and height gain in stunted toddlers in the operational area of Mijen Health Center, Semarang City, Central Java.
The Relationship Between Vitamin D Levels in Pregnant Women and Spontaneous Abortion During Early Pregnancy Alqani, Vian Hussam Almansi; Mohammed, Ashwaq Kadhim
Jurnal Kebidanan Midwiferia Vol. 11 No. 2 (2025): Oktober
Publisher : Universitas Muhammadiyah Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21070/midwiferia.v11i2.1728

Abstract

Background: About 10-15% of clinically detectable pregnancies end in a spontaneous abortion. This research set out to examine Iraqi pregnant women's vitamin D levels in connection to their risk of miscarriage. Our goal is to learn more about the correlation between vitamin D insufficiency and abortion rates by analyzing blood vitamin D concentrations in women who have experienced spontaneous miscarriages. Materials and methods: An investigation of a cross-sectional nature was carried out at the Al Diwaniya Maternity and Child Teaching Hospital in Iraq between the months of August 2016 and August 2017. Using well-established laboratory procedures, 42 women who had previously experienced an abortion of their own accord provided blood samples for the purpose of determining their vitamin D levels. Result: The average concentration of vitamin D in the serum was 21.48 ± 11.82 ng/ml, while sixty percent of the participants had levels that were insufficient (less than twenty ng/ml). It was shown that there was a significant negative correlation (r = -0.717, p < 0.001) between the levels of vitamin D and the occurrence of miscarriages. Using regression analysis, it was discovered that vitamin D levels were responsible for explaining 51.4% of the variance in the incidences of miscarriage. Conclusion: Vitamin D deficiency is significantly associated with an increased risk of spontaneous miscarriage. Preventing vitamin D insufficiency may reduce miscarriage rates among Iraqi women.
Validity and Reliability Test New Questionnaire of Knowledge, Perception, Family Support, and Adherence of Pregnant Women with Anemia Using TTD Supplement Atmadani, Rizka Novia; Arum, Dinar Famora; Akrom, Akrom; Urbayatun, Siti
Jurnal Kebidanan Midwiferia Vol. 11 No. 2 (2025): Oktober
Publisher : Universitas Muhammadiyah Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21070/midwiferia.v11i2.1720

Abstract

Anemia according to WHO (World Health Organization) is defined as crucial incidence during pregnancy. In adult groups, it is common in women of reproductive age, especially in pregnant women due to iron deficiency. Pregnant women need to consume Iron Folic Acid Supplement/Tablet Tambah Darah (TTD) regularly to prevent and overcome anemia. Several factors are important to be studied in anemic pregnant women. Therefore, researchers wanted to examine the validity and reliability of the new questionnaire. The purpose of this study was to determine the validity and reliability of the questionnaire on the level of knowledge, perceived barriers, perceived benefits, and adherence in anemic pregnant women in the use of TTD. This study uses quantitative research in the form of descriptive research and uses a cross-sectional design. Using non- probability sampling with purposive sampling technique and 100 mothers. In research conducted in September 2023 showed that the validity and reliability test questionnaire on the questionnaire level of knowledge, perceived barriers, perceived benefits, family support and adherence questions are valid and also reliable with Cronbach alpha above 0.6.
The Role of Audio Visual Education in Contraceptive Use in 48-Hour Postpartum Women Setiyorini, Luluk; Jayanti, Ratna Dwi; Utomo, Budi
Jurnal Kebidanan Midwiferia Vol. 11 No. 2 (2025): Oktober
Publisher : Universitas Muhammadiyah Sidoarjo

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Abstract

The 48-hour postpartum period is the ideal time to choose contraception because ovulation can occur 34 days postpartum for mothers who are not breastfeeding optimally. Audio-visual contraceptive education is provided during pregnancy to facilitate contraceptive use during the 48-hour postpartum period. This study aims to determine the relationship between knowledge levels after audio-visual education and contraceptive use during the 48-hour postpartum period. It also aims to identify contraceptive method use during the 48-hour postpartum period. This study is a pre-experimental study with a one-group post-test only design involving 30 pregnant women in the third trimester with a gestational age of ≥ 36 weeks, selected through consecutive sampling. The intervention was provided in the form of audio-visual education. Knowledge levels were measured using a questionnaire after the intervention. Postpartum contraceptive use was identified using medical records. The relationship between knowledge levels after the intervention and contraceptive use during the 48-hour postpartum period was measured using a chi-square test, yielding a p-value of 0.002, indicating a significant association between knowledge after the audio-visual education intervention and contraceptive use during the 48-hour postpartum perio. One of the key components of the Childbirth Planning and Complication Prevention Programme (P4K) is education about contraception during pregnancy. Family planning counselling and contraceptive methods during pregnancy can increase mothers' awareness of contraceptive use.
Effectiveness of Ketoprofen Suppositories in Reducing the Risk of Preterm Labor at a Teaching Hospital in Malang Isworowati, Tri; Utomo, Budi; Jayanti, Ratna Dwi
Jurnal Kebidanan Midwiferia Vol. 11 No. 2 (2025): Oktober
Publisher : Universitas Muhammadiyah Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21070/midwiferia.v11i2.1730

Abstract

Partus prematurus imminens (PPI) was a condition that threatened preterm labor, marked by labor signs before term (20 to <37 weeks) and birth weight under 2500 grams. Management included rest, hydration, and pharmacological measures. One approach used to delay labor was tocolytic therapy, such as ketoprofen suppositories, to inhibit uterine contractions. This study aimed to analyze the difference in uterine contractions before and after the administration of ketoprofen suppositories in women at risk of preterm labor. This study used a quasi-experimental design with a pre-test and post-test without a control group. The sample included 30 pregnant women with PPI who met the inclusion criteria. Consecutive sampling was used. The intervention administered was ketoprofen suppository therapy, 200 mg (2 tablets) given rectally. Data were collected using an observation sheet and analyzed using the Wilcoxon signed-rank test. The results showed that the mean uterine contraction score before therapy was 2,17, which decreased to 1,20 after therapy. There was a statistically significant difference in uterine contractions before and after the intervention. The Wilcoxon signed-rank test resulted in a p-value of 0,001 (p ≤ 0,05). The findings indicated a significant difference in uterine contractions before and after the administration of ketoprofen suppositories in pregnant women at risk of preterm labor. Ketoprofen suppository therapy was effective in reducing uterine contractions in pregnant women at risk of preterm labor, with routine fetal monitoring ensuring the safety of the intervention.  
Individual, Organizational, and Work Environment Factors Associated with Burnout among Nurses at Sumberglagah Regional Public Hospital Sudiyanto, Henry; Widodo, Irvan; Fardiansyah, Arief
Jurnal Kebidanan Midwiferia Vol. 11 No. 2 (2025): Oktober
Publisher : Universitas Muhammadiyah Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21070/midwiferia.v11i2.1742

Abstract

Background: Burnout syndrome among nurses is a critical occupational health issue that can impair job performance, reduce patient safety, and increase turnover rates. This study aimed to analyze the influence of individual factors, organizational factors, and work environment on the incidence of burnout syndrome among nurses at Sumberglagah Regional Public Hospital. Method: A cross-sectional design was employed, involving 99 nurses selected through simple random sampling from a total population of 131 nurses. Data were collected using validated questionnaires measuring individual factors, organizational support, work environment quality, and burnout syndrome using the Maslach Burnout Inventory-Human Services Survey (MBI-HSS). Data analysis included univariate, bivariate (Chi-square), and multivariate (multiple linear regression) tests. Result: The results showed that individual factors (p = 0.000, β = –15.763) and work environment (p = 0.000, β = –10.671) had a significant negative effect on burnout syndrome, indicating that higher scores in these areas were associated with lower burnout levels. Organizational factors (p = 0.107, β = –5.667) were not found to have a statistically significant independent effect. Conclusion: These findings highlight the need for integrated interventions combining personal resilience training with improvements in workplace conditions. Strengthening coping skills, fostering positive thinking, ensuring adequate staffing, and providing supportive physical and psychosocial environments are recommended strategies to reduce burnout risk. Implementing such measures is essential for protecting nurse well-being and maintaining the quality and safety of healthcare services.  
Factors Influencing Patient Satisfaction in the KIA Unit Priyanti, Sari; Safitri, Citra Adityarini; Syalfina, Agustin Dwi; Sulistyawati, Wiwit; Irawati, Dian; Sukarsih, Anik
Jurnal Kebidanan Midwiferia Vol. 11 No. 2 (2025): Oktober
Publisher : Universitas Muhammadiyah Sidoarjo

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Abstract

The quality of midwifery services has three main components: patient care, technical quality, and customer quality. Service quality refers to non-healthcare aspects of care and reflects the patient's experience with the healthcare system, including the relationship between the client and the provider and the standard of facilities. Service satisfaction is now a usual way to check how good healthcare is. This study looked at how midwifery services at the Jeruk Community Health Center in Pacitan Regency affected how satisfied patients were. The study used a cross-sectional method to look at the data. It took place at the Jeruk Community Health Center in Pacitan Regency in January 2024. A total of 125 people got a 3-month injection. From these, 54 were chosen as participants through simple random sampling. Information was collected using a questionnaire. The data was analyzed using a chi-square test. The results showed Midwifery services on patient satisfaction are an indicator of the Community Health Center's success in providing services. Therefore, the performance of both health workers and other supporting staff needs to be maintained and further improved to improve health services at the Jeruk Community Health Center in Pacitan Regency.
Analysis of the Relationship Between Parenting Patterns and Supplementary Feeding on Stunting Incidence in Gedungboyountung Village Siti Sholikha; Muthoharoh, Husnul; Arifiah Muslim, Dellamitha; Mubarokah El Fitri, Hibatun
Jurnal Kebidanan Midwiferia Vol. 11 No. 2 (2025): Oktober
Publisher : Universitas Muhammadiyah Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21070/midwiferia.v11i2.1749

Abstract

Stunting is a persistent public health problem in Indonesia, particularly in rural communities, and is influenced by caregiving practices and dietary patterns. This study aimed to analyze the association between parenting practices, supplementary feeding (PMT), and the incidence of stunting among children aged 6–59 months in Gedungboyountung Village. A cross-sectional analytic design was conducted from June to August 2025 with 60 respondents selected through purposive sampling. Parenting and feeding practices were assessed using structured questionnaires, while stunting was determined based on height-for-age z-scores. Data were analyzed using the Chi-square test. The findings showed that 8.3% (5 children) were stunted. A significant association was observed between parenting practices and stunting (p = 0.028), indicating that children raised with poor parenting were more likely to be stunted. Supplementary feeding was also significantly associated with stunting (p = 0.014), with inappropriate or low-quality feeding practices increasing the risk of growth faltering. These results suggest that stunting in rural areas is strongly linked to behavioral and caregiving factors, especially the adequacy of food provision and the quality of parenting.  Strengthening community-based health education programs to improve parenting skills and ensure appropriate supplementary feeding may serve as effective strategies to reduce stunting prevalence. Further studies with larger sample sizes and longitudinal approaches are recommended to confirm these findings and to explore additional determinants such as socioeconomic conditions, maternal education, and sanitation.
Effectiveness of the Lactation Buddy Intervention Based on WhatsApp Group on the Success of Exclusive Breastfeeding Muthoharoh, Husnul; Sholikha, Siti; Kustini, Kustini; Dinuriyah, Risma Syahadatut; Fitri, Hibatun Mubarokah El
Jurnal Kebidanan Midwiferia Vol. 11 No. 2 (2025): Oktober
Publisher : Universitas Muhammadiyah Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21070/midwiferia.v11i2.1751

Abstract

Exclusive breastfeeding is the most effective nutritional intervention to prevent stunting. However, Lamongan Regency still records low exclusive breastfeeding coverage. This study aimed to analyze the effectiveness of the Lactation Buddy intervention through WhatsApp Group in supporting exclusive breastfeeding practice. This research employed a quasi-experimental design with a non-randomized control group pretest-posttest. The study was conducted in Deket Kulon Village, Deket Sub-district, Lamongan Regency, involving 60 mothers with infants aged 0–6 months who were recruited using purposive sampling and divided into intervention (n=30) and control (n=30) groups. The intervention group received three-month assistance through WhatsApp Group facilitated by health workers and lactation counselors, while the control group obtained standard care. Data were collected using structured questionnaires, interviews, and observations. Results indicated significant improvement in the intervention group: the average knowledge score increased from 65.3 to 85.7 (p<0.001), positive attitudes toward breastfeeding rose from 60% to 80% (p=0.002), and correct breastfeeding practices improved from 53.3% to 83.3% (p<0.001). Furthermore, exclusive breastfeeding success was achieved by 83.3% of mothers in the intervention group compared to 56.7% in the control group (p=0.01). The findings confirm that the Lactation Buddy intervention via WhatsApp Group is effective in improving maternal knowledge, attitudes, practices, and exclusive breastfeeding success, and may serve as a scalable strategy to support stunting prevention in Deket Kulon Village, Deket Sub-district, Lamongan Regency.
How Women Experience and Evaluate Midwifery-Led Care During Childbirth: Insights from a Mixed-Method Study Rashash, Doaa Sami
Jurnal Kebidanan Midwiferia Vol. 11 No. 2 (2025): Oktober
Publisher : Universitas Muhammadiyah Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21070/midwiferia.v11i2.1759

Abstract

Background: Midwifery-led care has been associated with improved childbirth experiences in various settings; however, evidence from low-resource and culturally distinct contexts remains limited. Objective: To examine women’s experiences and satisfaction with midwifery-led care during childbirth in Thi-Qar, Iraq, and to compare it with physician-led care. Methods: A convergent parallel mixed-methods study was conducted among 150 postpartum women (≤6 weeks). Quantitative data were collected using the Mackey Childbirth Satisfaction Rating Scale (MCSRS) and analyzed with descriptive statistics, independent-samples t-tests, and Pearson/Spearman correlations. Qualitative data were obtained from 15–20 semi-structured interviews and underwent thematic analysis. Results: Mean item scores for midwifery-led care ranged from 2.76 to 3.15 (1–5 scale), indicating moderate satisfaction; maternal satisfaction scores ranged 2.89–3.04. No statistically significant correlation was observed between midwifery-led care scores and overall maternal satisfaction (Pearson r = –0.085; p = 0.298). Thematic analysis revealed strong communication and information provision but identified gaps in continuous emotional support, privacy, and pain management. Conclusion: While midwifery-led care was perceived positively in terms of communication, it did not consistently translate into higher maternal satisfaction in this setting. Interventions targeting continuous emotional support, pain relief, and birth environment may enhance satisfaction.

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