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INDONESIA
Jurnal Kebidanan
Published by Poltekkes Kemenkes Semarang
ISSN : 20897669     EISSN : 26212870     DOI : 10.31983/jkb.v13i1.9551
Core Subject : Health,
Health Professions
JURNAL KEBIDANAN is a national midwifery journal that publishes scientific works for midwives, nurses, academic parties, and practitioners. Types of articles in Journal Kebidanan include: Original research articles ; Reviews; Clinical case; Research letters; Letters to the editor. Welcomes and invites midwifery manuscripts with the scope: Pregnancy Birth Postpartum periodic Newborn and children Adolescence Family Planning Climacteric Midwifery Community Education in midwifery Holistic and complementary therapy in midwifery Health reproductive
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 13 Documents
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Search results for , issue "Vol 13, No 1 (2023): April 2023" : 13 Documents clear
“Preeclampsia.com” App To Preeclampsia Screening At Community Level: A Cohort Study Johariyah Johariyah; Detty Siti Nurdiati; Widyawati Widyawati
JURNAL KEBIDANAN Vol 13, No 1 (2023): April 2023
Publisher : Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jkb.v13i1.9484

Abstract

Indonesian maternal mortality in 2012, 32.5% was caused by hypertension, preeclampsia, and eclampsia, while 24.22% in 2015 and 26% in 2016. Currently, there is no method of screening for preeclampsia based on maternal characteristics that were carried out during the first visit antenatal. The use of technology has great potential to improve health care at the community, especially in low-middle income countries. It is necessary to make a breakthrough in the form of developing a screening model for preeclampsia by utilizing information technology. This study aims to determine the detection rate of the application of preeclampsia.com as a community-based preeclampsia screening tool. This study was conducted by cohort study  on 549 pregnant women who had their first antenatal visit before 16 weeks followed up to delivery. Data analysis was data of factors for the occurrence of preeclampsia using Chi square, while to determine the strength of the “Preeclampsia.com” model as a screening method and early detection of preeclampsia using multilevel logistic regression,  analysis performed using SPSS version 23.0. The results of the analysis showed that the sensitivity value of the "Preeclampsia.com" application was 64.1% and the specificity value was 85.5% (95% CI). The Positive Predictive Value (PPV) from the "preeclampsia.com" application is 25.3% and the Negative Predictive Value (NPV) from the "preeclampsia.com" application is 96.9%. Based on the results of multilevel logistic regression analysis, it was found that the ability of the model to predict the incidence of preeclampsia was 96.4%. The use of the Preeclampsia.com application is quite good for community-based preeclampsia screening
The Effect of Lavender Aromatherapy in Reducing Emesis Gravidarum (First Trimester) Bella Puspa Sari; Yuniarti Yuniarti; Kosma Heryati
JURNAL KEBIDANAN Vol 13, No 1 (2023): April 2023
Publisher : Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jkb.v13i1.7551

Abstract

Pregnancy is an event that occurs in a woman. Some uncomfortable things will come along with the physiological changes during pregnancy such as nausea, vomiting, and frequent urination. The most uncomfortable is nausea and vomiting (emesis gravidarum). Nausea and vomiting (emesis gravidarum) during pregnancy are common symptoms and often occur in the first trimester of pregnancy. One treatment to reduce non-pharmacological therapy is giving lavender aromatherapy. The purpose of this study was to determine the effect of lavender aromatherapy in reducing emesis gravidarum in the Telaga Dewa Public Health Center, Bengkulu City in 2021. The type of research used in this research is pre-experiment with One Group Pre-Test Post-Test design. The sampling technique in this study was using purposive sampling technique with a total sample size of 38 respondents and data collection using the PUQE-24 checklist sheet. The analysis method uses the Wilcoxon and Chi-Square test. The results of the Wilxocon test showed that there was an effect of giving lavender aromatherapy in reducing emesis gravidarum (p-value = 0.000). The results of the Chi-Square test showed that only one external variable had a relationship with the incidence of emesis gravidarum in first trimester pregnant women, namely parity obtained (p-value = 0.010). It is expected that pregnant women in the first trimester can apply lavender aromatherapy as an alternative to non-pharmacological therapy to overcome emesis gravidarum in first trimester pregnant women.
Implementation Of Video “Sri Mantab” As An Effort To Increase Efforts To Detect Independent Early Detection In The Group Of Pregnant Women Yanik Muyassaroh; Anjar Astuti
JURNAL KEBIDANAN Vol 13, No 1 (2023): April 2023
Publisher : Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jkb.v13i1.9424

Abstract

One of the factors causing death indirectly is late knowing of the danger signs of pregnancy. To anticipate this, it is necessary to identify complications of pregnancy or danger signs of pregnancy. One effort to improve the handling of cases of complications in pregnancy is to provide health education about the danger signs of pregnancy to pregnant women. There are still many pregnant women and their families who do not understand and have not applied the health information contained in the MCH handbook. So, to respond to this, the provision of health education about the early detection of danger signs in pregnant women can take advantage of technological advances using audiovisual media. the purpose of this research is to analyze whether there is an increase in knowledge, attitudes, and behavior of pregnant women using video. This research is a quasi-experimental study using a pre-posttest design with a control group. Bivariate analysis in this study was carried out on the independent and dependent variables using 2 different treatment groups, then the analysis in this study used the unpaired t-test using the Mann-Whitney test. The results of this study show that there is a difference in the increase in the average score of knowledge, attitudes, and behavior of pregnant women after being given counseling using video. from statistical test results, there were significant differences in the variables of knowledge, attitudes, and behavior between the treatment and control groups with p = 0.000. It is hoped that the provision of health education can use a variety of media, one of which is by utilizing audio-visual media for pregnant women which is useful for increasing knowledge, attitudes, and behavior regarding the early detection of danger signs in pregnancy.
Dominant Factors Associated with Low Birth Weight in Newborn Eva Arisandhy; Dyah Woro Kartiko Kusumo Wardani; Dewi Novitasari Suhaid; Putu Sukma Megaputri; Luh Ayu Purnami; Lina Anggaraeni Dwijayanti
JURNAL KEBIDANAN Vol 13, No 1 (2023): April 2023
Publisher : Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jkb.v13i1.8487

Abstract

The leading causes of neonatal or neonatal death in the world according to WHO, 2015 are low birth weight (LBW) 29%, sepsis and pneumonia 25%, asphyxia and trauma 23%. The incidence of BBLR in Blahbatuh II UPTD increased from 2017 to 2019. This study aims to determine the dominant factors associated with the incidence of LBW in the UPTD Puskesmas Blahbatuh II workspace. This study used an observational analytical design through a cross-sectional approach. The data used are secondary data from a retrospective cohort. The population of this study was all mothers born in the UPTD Puskesmas Blahbatuh II work area in 2019, a total of 137 respondents. Sampling technique with Total Sampling. Data analysis in this study used the chi-square test to prove the association of the factors causing LBW and multiple logistic regression tests to determine the most influential factors on the incidence of LBW. The results showed a significant association for 2 variables, antenatal examinations and nutritional status during pregnancy, while the variables maternal age, gestational distance, parity, Hb levels and maternal education have no significant association with the incidence of LBW. Multivariate analysis showed that the most important factor between nutritional status during pregnancy and ANC visits affecting LBW in the UPTD Puskesmas Blahbatuh II workspace was nutritional status during pregnancy. The Anova analysis test showed that the effect of nutritional status on LBW is 66.67% and the effect of ANC visits is 2.71%. It can be concluded that maternal nutritional status affects LBW more than ANC visits.
Initial Description of Breast Care for Fluency of Breast Milk Production in Primiparous Postpartum Mothers (Early Study of Electronic Bra Development) Ni Luh Desi Mahariani; Diyah Fatmasari; Edy Susanto
JURNAL KEBIDANAN Vol 13, No 1 (2023): April 2023
Publisher : Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jkb.v13i1.9589

Abstract

Breast Milk (ASI) is the best nutrition for babies. Exclusive breastfeeding is given to babies within 6 months. Exclusive breastfeeding is influenced by fluency of breast milk production. Efforts to increase breast milk by doing breast care. The purpose of the study was to find out description of breast care for fluency of breast milk production in primiparous postpartum mothers and the feasibility of using electronic bra development (early study of the electronic bra development). The research method used a descriptive observational and qualitatively analyzed which was carried out in November - December 2022. The sampling technique used simple random sampling with sample of primiparous postpartum mothers, total of 36 respondents. The data collection technique was by distributing questionnaires in the form of written interview guidelines. The results of this study are postpartum mothers immediately breastfeed if their breasts feel tense 70%, feel happy when breastfeeding their baby 50%, breastfeed 8 times 70%, produce little milk but continue to breastfeed 80%, breast milk is not fluency 70%, breastfeed in time 15 minutes 80%, baby feels dissatisfied with breastfeeding 80%, immediately breastfeeds if one breast is full with 100% milk, sufficient milk by giving breast milk 60%, baby's sucking reflex is quite good 40%. The results of the expert test show that the category is very feasible. The conclusion of this study is that primiparous postpartum mothers do not perform optimal breast care and development of electronic bra is suitable for use to increase the fluency of breast milk production.
The Maternal Risk Factors Analysis Based on The Type of Refferal Senders Suryani Yuliyanti; Fitri Rahmawati; Ratnawati Ratnawati
JURNAL KEBIDANAN Vol 13, No 1 (2023): April 2023
Publisher : Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jkb.v13i1.8430

Abstract

The obstetric emergency referral system is intended to handle pregnancy emergencies quickly, precisely, efficiently, and effectively by the capabilities and authorities of health care facilities. This condition is reflected by sending referrals following the established risk factor diagnosis. The purpose of this study was to determine the differences in maternal risk factors based on the type of referral sender’s health facility. A cross-sectional study was conducted in 2018-2019 taking 113 cases of referral deliveries at the Sultan Agung Islamic Hospital in Semarang. Referral senders are divided into three groups consisting of 1) private practice midwives, 2) primary health care, primary health clinics, general practitioner, type D hospitals, and 3) type C hospitals. The risk factors of pregnancy are divided into three categories such as low, high, and very high-risk pregnancies. Very high-risk pregnancy was the most dominant finding in each referral sending health facility. The very high-risk pregnancy rate that comes from private practice midwives is 62.5%; from the primary health centers, type D hospitals, clinics, and general practitioner is 57.9%, and 92.9% came from type C hospitals. Based on the fisher’s exact test, there is no difference in maternal risk factors based on the sender’s referral (p-value of 0.187). It is necessary to review and harmonize tiered referral regulations with regional health regulations, so that the referral system can be implemented effectively and efficiently.
Development of Applications to Prevent Children’s Anemia to Increase Mother’s Knowledge about Anemia in Children Yuliantisari Retnaningsih; Nur Djanah; Novan Edo Pratama
JURNAL KEBIDANAN Vol 13, No 1 (2023): April 2023
Publisher : Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jkb.v13i1.9028

Abstract

Anemia is a health problem that is often found throughout the world and has an impact on the quality of human resources. Nutritional anemia will slowly inhibit the growth and development of intelligence, children will be more susceptible to disease due to decreased immune systems, this will certainly improve the condition of children as successors. Utilizing current technological developments, it is very possible to develop systems that can optimize children's health, especially during the COVID-19 pandemic. The purpose of this study was to know the effect of the application of prevention of anemia in children on mother's knowledge about anemia in children. Quasi-experimental research using pre-post test control group design. Samples were mothers who had children under five in the Puskesmas Banguntapan II, which were divided into two groups (35 intervention groups and 35 control groups). Data analysis with univariate and bivariate. The group was given an application intervention to prevent anemia in children. The control group conducted presented information in accordance with the procedures carried out from the puskesmas with leaflets. Both groups were measured before the intervention and 1 month before the intervention using a questionnaire. The results showed there was a significant increase between the intervention group compared to the control group in the level of mother's knowledge about child anemia (p=0.001). The result is applications increase the effectiveness of mothers’ knowledge about anemia in children, the use of applications is more effective than the use of leaflets in increasing knowledge about anemia.
Effectiveness of The Combination Gym Ball and Peanut Ball Techniques on The Duration of Active Phase I Labor in Primigravida Mella Yuria Rachma Anandita; Legina Anggraeni; Annisa K
JURNAL KEBIDANAN Vol 13, No 1 (2023): April 2023
Publisher : Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jkb.v13i1.9557

Abstract

Prolonged parturition is one of the causes of increased mortality and morbidity in the mother and fetus. Mothers with prolonged labor have a higher risk of bleeding due to uterine atony, tearing of the birth canal, infection, shock and fatigue, while the fetus has an increased risk of cerebral trauma, severe asphyxia, infection and injury. Several physiological efforts that can be made to prevent prolonged labor include pregnancy exercise, breathing techniques and birthing ball techniques (Gym ball and Peanut Ball). The gym ball and peanut ball help the baby's head rotate to the optimal position during the first stage of labour. The aim of the research was to determine the effectiveness of the gym ball and peanut ball technique on the length of labor in the first stage of the active primigravida phase. The research method used the Quasy Experiment method with the Nonequivalent Control Group Design. The population of this study were mothers giving birth in Depok City, a sample of 105 primigravida mothers who were divided into experimental and control groups. The sample technique uses purposive sampling. The statistical test used is the two mean dependent difference test or the dependent T test (paired T test). The results of the study showed that the average difference in length of labor during the first stage of the active phase in primigravida using the gym ball and peanut ball technique lasted 3 hours 39 minutes. The results of the hypothesis test obtained a p value of 0.0001, which means that there is a difference in the average length of labor between the experimental group and the control group. The conclusion is that the gym ball and peanut ball techniques are effective in reducing the duration of the first stage of labor in primigravida. 
Effect of Freezing Duration and Thawing Temperature on Fat Content in Expressed Breast Milk Alexander Theo Yuda Salean; Subandrate Subandrate; Safyudin Safyudin
JURNAL KEBIDANAN Vol 13, No 1 (2023): April 2023
Publisher : Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jkb.v13i1.9494

Abstract

One of the methods to keep working mothers able to provide breast milk is freezing. However, the processing carried out on breast milk can affect the nutritional content in it. Therefore, this study aims to see the effect of freezing duration and thawing temperature on fat content in expressed breast milk. This research was experimental research with pretest and posttest design. Breast milk from one mother was divided into 45 samples based on freezing duration and thawing temperature. The dependent variable in this study was the fat content of expressed breast milk, while the independent variables were freezing duration and thawing temperature of expressed breast milk. The fat content test used was the GPO-PAP method. Then the data were analyzed using one-way anova test and paired t-test. The average expressed breast milk fat content from initial levels, freezing 3 days, 7 days and 14 days and thawed at 4oC, 25oC and 37oC respectively were 178,679, 176,604, 175,849, 173,962, 71,698, 67,736, 66,415, 68,302, 66.038, 66.226 mg/dL. Based on the paired t-test, there was a decrease in fat content which had implications for the freezing duration of 7 days and 14 days with p=0.000 (p0.05). Meanwhile, based on the results of the one-way anova test, there was no difference in fat content based on variations in thawing temperature (4oC, 25oC, and 37oC) with p0.05. As a conclusion, there is an effect of freezing duration on fat content in expressed breast milk, whereas there is no effect of thawing temperature on fat content in expressed breast milk.
The Relationship between Weight Gain and The Anemia in The Third Trimester Pregnant Women in Sangkrah Surakarta Health Center Area Bella Nadhifa; Rufidah Maulina; Amelya Augusthina Ayu Sari; Noviyati Rahardjo Putri; Siti Nurhidayati
JURNAL KEBIDANAN Vol 13, No 1 (2023): April 2023
Publisher : Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jkb.v13i1.9548

Abstract

Anemia during pregnancy is a blood disorder that occurs in pregnant women when hemoglobin (Hb) in the body is less than 11 gr / dl in the 1st and 3rd trimesters, and less than 10.5 gr / dl in the 2nd trimester. In Surakarta, there are 1,077 pregnant women with anemia (10.15%) in 2020, while in 2019 the number of pregnant women with anemia reached 10.51%. One of the factors causing anemia in pregnant women is nutritional status. The nutritional status of pregnant women can be measured by the mother's weight gain before pregnancy and during pregnancy. The purpose of this study was to determine the relationship between weight gain and the incidence of anemia in pregnant women in the III trimester in Sangkrah Surakarta Health Center area in 2022. This study used the cross sectional method. The population in this study was pregnant women in the third trimester which were 88 people in Sangkrah Health Center area. The sampling technique in this study was  total sampling. Data analysis using Chi-square statistical tests. The results showed that most respondents with abnormal weight gain experienced anemia as many as 33 pregnant women (37.5%). The results of the Chi-square test analysis ρ-value of 0.025 α (0.05) which means that there is a relationship between weight gain and the incidence of anemia in pregnant women in the third trimester in Sangkrah Surakarta Health Center area. It is recommended that the community can play an active role in preventing anemia for pregnant women by paying attention to the nutritional needs of pregnant women based on the ideal weight gain to achieve a good nutritional status of pregnant women.

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