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Paramitha Amelia Kusumawardani
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midwiferia@umsida.ac.id
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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 5 Documents
 1 
Search results for , issue "vol. 12 no. 2 (2026): october" : 5 Documents clear
Clinical Competence and Self-Efficacy as Predictors of Severe Preeclampsia Management Among Midwives in East Kutai District Poni Angelia; Novita Anggraini; Rahmania Ambarika
Jurnal Kebidanan Midwiferia Vol. 12 No. 2 (2026): October
Publisher : Universitas Muhammadiyah Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21070/midwiferia.v12i2.1815

Abstract

Introduction Improper management of severe preeclampsia (PEB) can lead to various adverse effects on both the mother and the fetus. Therefore, improving clinical competence and self-efficacy is an important strategy to enhance the quality of maternal care and reduce maternal mortality rates. The purpose of this study was to determine the relationship between clinical competence and self-efficacy of midwives in the management of severe preeclampsia cases in the working area of the East Kutai District Health Office. Methods This research is a quantitative study using a cross-sectional approach. The sampling technique employed was simple random sampling, with a total sample of 267 respondents. Data were collected using questionnaires and observation sheets. Results The results showed that the majority of respondents were competent (82%) and had high self-efficacy (66,3%). Based on the results of the chi-square test, there is a significant relationship between clinical competence (p=0.031) and self-efficacy (p=0.016) and the management of PEB cases. The variables of clinical competence (Sig. 0.031) and self-efficacy (Sig. 0.016) partially influenced the variable of PEB management.  Discussion and Conclusion In the management of preeclampsia (PE), competency serves as a key pillar because this condition is time-sensitive and highly dependent on the speed of action. Competent healthcare providers are able to perform early detection through accurate blood pressure assessment and rapid recognition of subjective symptoms, enabling the seizure prevention procedure through the administration of Magnesium Sulfate (MgSO4) to be carried out in accordance with standard operating procedures (SOP) without hesitation.
History of Preeclampsia and the Risk of Future Stroke: A Systematic Review Ovella April Rieza; Akhmad Yogi Pramatirta; Dini Hidayat
Jurnal Kebidanan Midwiferia Vol. 12 No. 2 (2026): October
Publisher : Universitas Muhammadiyah Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21070/midwiferia.v12i2.1818

Abstract

Introduction Preeclampsia is a pregnancy complication that increases the risk of development of cardiovascular and cerebrovascular disease. The association of preeclampsia and future stroke risk is not entirely known yet. The purpose of this study is to assess and summarize the literature available about the association of history of preeclampsia with future stroke risk in women. Methods This systematic review was performed following the PRISMA guideline. Searches were conducted for literature in PubMed, ScienceDirect, and Scopus from 2017 to 2026. Studies included in this study are retrospective cohort studies which have examined the relationship between preeclampsia and future stroke risk. The studies included for this research were conducted in Taiwan, the United States, Australia, and the United Kingdom. Methodological quality assessment of the selected studies was done by using the Critical Appraisal Tool provided by Joanna Briggs Institute. Results It has been found that women with preeclampsia history have high chances of suffering from stroke in the future with an effect size range of aHR 1.71 to 2.05 and RR 3.79. More significant associations have been found for some types of strokes with aHR of 3.45 for hemorrhagic stroke and 1.90 to 4.76 for ischemic stroke. Discussion and Conclusion This increased risk of stroke lasts at least for decades, particularly among women with recurrent hypertensive disorders of pregnancy or preterm preeclampsia. In conclusion, a history of preeclampsia is associated with an increased risk of future stroke, highlighting the importance of long-term cardiovascular and cerebrovascular risk monitoring and prevention.
Determinants of the Implementation of Integrated Management of Childhood Illness (IMCI) by Midwives in Primary Health Care A Literature Review Oktaviani Zebua; Isyos Sari Sembiring; Astaria Ginting; Siti Nurmawan Sinaga
Jurnal Kebidanan Midwiferia Vol. 12 No. 2 (2026): October
Publisher : Universitas Muhammadiyah Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21070/midwiferia.v12i2.1822

Abstract

Introduction: Integrated Management of Childhood Illness (IMCI) is a strategy developed by the World Health Organization (WHO) and the United Nations Children's Fund (UNICEF) to improve child healthcare quality and reduce morbidity and mortality among children under five years of age. However, IMCI implementation in primary healthcare settings remains influenced by various individual, organizational, resource-related, operational, and health system factors. This literature review aimed to identify and synthesize the determinants influencing IMCI implementation. Methods: This review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 guidelines. Literature searches were conducted in Google Scholar, PubMed, Scopus, and ScienceDirect using keywords related to IMCI implementation and determinants. A total of 86 records were identified, with 72 records remaining after duplicate removal. Following title, abstract, and full-text screening, 34 articles met the eligibility criteria and were included in the review. Study selection was conducted by the primary reviewer and reviewed with research supervisors, with disagreements resolved through discussion and consensus. Methodological quality was assessed using the Joanna Briggs Institute (JBI) Critical Appraisal Checklist. Twenty-eight studies were appraised and classified as high quality, while six non-primary research articles were excluded from JBI assessment. Result: Five determinant categories were identified: individual healthcare worker factors, organizational factors, resource availability factors, health system factors, and operational factors. Knowledge, IMCI training, clinical competence, supervision, leadership support, medicine availability, policy support, financing, workload, and digital health technologies were identified as key determinants. Conclusion: Strengthening these factors may improve IMCI implementation, service quality, and child health outcomes.
Hand-In-Hand Book: A Cooperative Play Intervention for Preschool Fine Motor Development pujangga brilian aurora qolbi; Ratih Indah Kartikasari; Amirul Amalia
Jurnal Kebidanan Midwiferia Vol. 12 No. 2 (2026): October
Publisher : Universitas Muhammadiyah Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21070/midwiferia.v12i2.1828

Abstract

Introduction Fine motor development in preschool-aged children requires appropriate and ongoing stimulation. This study aimed to examine differences in changes in fine motor development between preschool-aged children receiving the Hand-In-Hand Book intervention and those receiving routine school activities. Methods A quasi-experimental pretest-posttest control group design was employed involving 44 children aged 48–66 months from RA BA Aisyiyah Mlideg and TK Dharma Wanita Ngrandu, Bojonegoro Regency, with 22 children in each group. Total sampling was used, with group allocation conducted at the school level and one school representing each group. The intervention consisted of the Hand-In-Hand Book, a busy book combined with cooperative play, administered over 2 weeks in 10 sessions of 30 minutes each. Fine motor development was assessed using a researcher-developed observation sheet based on age-appropriate KPSP indicators. The primary outcome was the change in fine motor scores from pretest to posttest. Data were analyzed using the Mann–Whitney U test. Results The proportion of children meeting the expected fine motor criteria in the intervention group increased from 18.2% at pretest to 100% at posttest, while no change was observed in the control group. A statistically significant difference in score changes was observed between groups (U = 44.00, Z = −5.416, p < 0.001), with a large effect size (r = 0.82). Discussion and Conclusion However, because school site was completely confounded with intervention, the observed difference cannot be attributed solely to the intervention. Further studies using multiple schools and more rigorous allocation procedures are needed.
Risk of Low Birth Weight Among Neonates Born to Mothers With Preeclampsia : A Systematic Review muji rahayu; Rosmani Sinaga; Enda Angina Br Karo; Clinton Antony; Dui Ronala Sihotang
Jurnal Kebidanan Midwiferia Vol. 12 No. 2 (2026): October
Publisher : Universitas Muhammadiyah Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21070/midwiferia.v12i2.1888

Abstract

Introduction Preeclampsia is a hypertensive disorder during pregnancy that can be associated with placental dysfunction, fetal growth restriction (FGR), preterm birth, and low birth weight (LBW). This systematic review aims to analyze the latest evidence regarding the risk of LBW in neonates born to mothers with preeclampsia and to identify factors that may influence it. Methods The literature search was conducted based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 through PubMed, Scopus, ScienceDirect, and Web of Science for primary English-language articles published between January 2022 and December 2025. Studies that met the criteria involved mothers with preeclampsia or hypertensive disorders in pregnancy and reported LBW or birth weight. Five primary studies met the criteria and were included in the qualitative synthesis. The synthesis was carried out narratively because there was heterogeneity in study design, population, exposure definitions, and outcomes. Results The results indicate that preeclampsia is associated with an increased risk of low birth weight (LBW), especially in early onset or severe cases, through placental perfusion disturbances, angiogenesis imbalance, fetal growth restriction, and medically indicated preterm delivery. Neonatal risk is also influenced by maternal comorbidities, gestational age at delivery, antenatal monitoring, and timing of delivery. Discussion and Conclusion Early risk detection, fetal growth monitoring, proper maternal management, and coordination of obstetric and neonatal services are necessary to support the prevention of LBW-related morbidity

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