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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 355 Documents
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Evaluating The Effectiveness of The PMTCT Program at RSUD Jayapura: A Mixed Method Study Lestari, Muji; Wahyuni, Sri
JURNAL KEBIDANAN Vol. 14 No. 2 (2024): Oktober 2024
Publisher : Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jkb.v14i2.12417

Abstract

At RSUD Jayapura, from 2021 to 2023, 62 babies were born to HIV-positive mothers. However, no prior study has evaluated whether all these babies were tested for HIV. Babies born directly into the delivery room without passing through the VCT clinic often face challenges in follow-up, especially with high dropout rates in the Prevention of Mother-To-Child HIV Transmission (PMTCT) program.  This study aimed to evaluate HIV transmission in babies enrolled in the PMTCT program at RSUD Jayapura and assess the involvement of healthcare providers (doctors, midwives, nurses, counselors, and lab technicians) in the program. A mixed-methods approach was used, combining quantitative (case-control design) and qualitative (content analysis of in-depth interviews). The quantitative sample included 64 babies born to HIV-positive mothers who participated in the PMTCT program from 2021 to 2023. The qualitative sample comprised 5 healthcare providers involved in the program. Data were analyzed using Chi-Square tests for quantitative analysis and content analysis for qualitative data. Chi-Square analysis showed a significant association with a p-value of 0.00 (<0.05) and an Odds Ratio (OR) of 217.000, indicating a strong impact of the PMTCT program in preventing HIV transmission. In-depth interviews with the VCT head revealed many cases were lost to follow-up, especially those whose families moved out of the city. Babies who remained in the area were mostly HIV-negative by 18 months. Interviews with midwives highlighted that HIV-positive mothers with low viral loads typically delivered via caesarean section, though they faced delayed wound healing and higher infection risks. No discrimination was observed in room usage for HIV-positive mothers.
Parental Parenting Styles, Social Media, and Peer Influence on Sexual Behavior among Adolescents Laili, Anis Nur; Wigati, Puspita Zella; Purwanti, Dwi; Sulistiyowati, Nur Indah; Esyuananik, Esyuananik
JURNAL KEBIDANAN Vol. 14 No. 2 (2024): Oktober 2024
Publisher : Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jkb.v14i2.12424

Abstract

Adolescence is a phase marked by curiosity and attraction to the opposite sex, which may influence their sexual behavior. According to BKKBN data from 2023, 60% of adolescents aged 16–17 years and 20% aged 14–15 years have engaged in sexual intercourse. A preliminary study at SMAN 1 Blega revealed that among 15 dating students, 4 reported kissing and petting. This study aimed to analyze the influence of parenting patterns, social media, and peer relationships on adolescent sexual behavior at SMAN 1 Blega. Using an analytical cross-sectional approach, the study surveyed 121 out of 158 grade 11 students through simple random sampling. Data analysis employed descriptive statistics, Spearman rank, and logistic regression. The findings indicated significant partial influences of authoritarian parenting (p=0.027; R²=0.208), non-risky social media access (p=0.002; R²=0.292), and peer influence (p=0.011; R²=0.256) on adolescent sexual behavior. Recommendations include replicating planned Generation (GenRe) and counseling teachers are advised to activate the Reproductive Health Information and Counseling Centers (PIK-R)programs tailored for adolescents and strengthening parental communication and supervision to mitigate risky sexual behaviors. 
Policy Brief: The Role Of Health Education Regarding Cervical Cancer Screening In Universities Paripurna, Yoga
JURNAL KEBIDANAN Vol. 14 No. 2 (2024): Oktober 2024
Publisher : Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jkb.v14i2.12437

Abstract

Cervical cancer is one of the leading causes of death among women worldwide, including in Indonesia. Although it can be prevented through cervical cancer screening such as Pap smears and HPV tests, many women, including students, are unaware of the importance of routine screening. Universities, as educational institutions with a significant female student population in a vulnerable age group, play a crucial role in raising awareness and encouraging participation in cervical cancer screenings. However, several challenges exist, including low awareness among students about cervical cancer, social stigma, limited access to medical services, and the lack of integration of health education into the Curriculum.This policy brief aims to provide policy recommendations that universities can implement to address these issues. Key recommendations include integrating health education on cervical cancer into the Curriculum, collaborating with health institutions to provide screening services on campus, and developing sensitive and inclusive awareness campaigns. By increasing knowledge, reducing stigma, and improving access to services, this policy is expected to enhance student participation in cervical cancer screening, reduce mortality rates from cervical cancer, and foster a healthier reproductive health culture among students.These policies promise positive impacts on student health and have the potential to enhance the University's reputation as an institution that cares about its students' well-being. Successful implementation of this policy will reduce the prevalence of cervical cancer among young women and improve the overall quality of life for students.
The Effect of Acupressure and Foot Hydrotherapy Using Red Ginger (Zingiber officinale var rubrum) on the Blood Pressure of Pregnant Women with Preeclampsia at Kembaran I Health Center Sulistyana, Ratna
JURNAL KEBIDANAN Vol. 14 No. 2 (2024): Oktober 2024
Publisher : Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jkb.v14i2.12450

Abstract

Hypertension in pregnancy, particularly preeclampsia, remains a significant health issue due to its potential risks to maternal and fetal health. Despite advances in medical management, there is a need for complementary interventions to address this condition effectively. This study investigates the impact of Acupressure and Foot Hydrotherapy interventions utilizing red ginger (Zingiber officinale var. rubrum) on reducing blood pressure in pregnant women with preeclampsia at the Kembaran I Health Center. The study employs a quantitative experimental design involving 15 pregnant women diagnosed with preeclampsia. Participants were selected through non-probability sampling based on inclusion criteria: gestational age of ≥20 weeks and Mean Arterial Pressure (MAP) ˃90 mmHg. Blood pressure was measured using a digital sphygmomanometer before and after the intervention, while an observation sheet recorded the systolic, diastolic, and MAP values. Data analysis was conducted using Paired Samples Correlations and paired sample t-tests to assess the intervention's effectiveness.Results reveal that Acupressure combined with Foot Hydrotherapy using red ginger significantly reduces blood pressure in preeclamptic women. This is evidenced by the t-test value exceeding the critical t-table value at a 5% significance level and degrees of freedom ( ), specifically 2.145. Additionally, the analysis demonstrates a high correlation between pre- and post-intervention blood pressure parameters, indicating consistent effectiveness of the therapy. This research underscores the potential of integrating complementary interventions, such as Acupressure and Foot Hydrotherapy with red ginger, into maternal healthcare protocols to manage preeclampsia and improve maternal outcomes. Further studies with larger samples are recommended to validate these findings and explore broader applications.
Sensitive Interventions in Overcoming Chronic Energy Deficiency of Pregnant Women in A Northern Coastal City of Central Java Yuliati, Erni; Sriatmi, Ayun; Suryoputro, Antono
JURNAL KEBIDANAN Vol. 14 No. 2 (2024): Oktober 2024
Publisher : Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jkb.v14i2.12459

Abstract

Pregnant women with Chronic Energy Deficiency (CED) can cause health problems for both mother and baby. Among them are babies with low birth weight (LBW), who are at risk of stunting. The Pekalongan City Government issued Mayor Regulation Number 11 of 2023 concerning the Acceleration of Integrated Stunting Reduction, where the group of CED pregnant women is one of the targets of Stunting-prone Families who need specific and sensitive interventions. This study aimed to analyze implementation of the policy, especially sensitive interventions of CED pregnant women in Pekalongan City. This study used a descriptive qualitative method. The research was conducted from August to September 2024. The object of the study was the implementation of sensitive interventions of CED pregnant women which was analyzed with Van Metter-Van Horn policy implementation model. The research was conducted through in-depth interviews, observation and documentation. The determination of informants used a non-probability technique with a purposive method, and 11 informants were obtained. The stages in data analysis were data collection, reduction, presentation, data verification and conclusion drawn. The results of the study found that sensitive interventions in form of access to clean drinking water and sanitation, housing improvement programs, social assistance recipient programs and training facilitation for families of CED pregnant women are still not optimal. Pregnant women in CED had not been considered as a priority in obtaining the benefits of assistance programs. It needed to be improved again in policy socialization, quality and quantity of resources, coordination and communication, and improvement of the environmental situation.
Effectiveness of Matching Game on Adolescent Girls' Menarche Knowledge Level Readytia, Eilena Prudencia; Umaroh, Umaroh; Amartha, Tecky Afifah Santy
JURNAL KEBIDANAN Vol. 15 No. 2 (2025): October 2025
Publisher : Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jkb.v15i2.12497

Abstract

Menarche marks the beginning of puberty for girls and requires adequate knowledge for proper preparation. A preliminary study revealed that all 11 students had misconceptions about menarche, highlighting the need for effective health education. This research evaluates the effectiveness of a matching game in increasing menarche knowledge among female adolescents at SD Kristen 03 Salatiga using a quasi-experimental design with a two-group pre-test post-test control group, where the control group received a leaflet. The sample included 42 participants from classes V and VI, with data collected by questionnaire and analyzed using univariate and bivariate analyses, specifically Wilcoxon statistical tests (p<0.05) and independent t-tests. The majority of respondents were 11 years old (76.2%) and 12 years old (23.8%). Menarche knowledge scores significantly increased from 62.86 to 94.05 after the matching game intervention and from 63.33 to 93.81 after the leaflet control group, both with p-values of 0.000, indicating that both interventions effectively improved knowledge. Mathematically, the score increase in the matching game group was 0.71 points higher than in the leaflet group. Although not statistically significant (p = 0.731), the 2.33% higher effectiveness of the matching game suggests its potential as a more engaging educational tool. This study demonstrates the effectiveness of matching games in adolescent reproductive health education and suggests future research to develop digital matching games to increase engagement.
The Relationship between Family Support and Maternal Readiness with Anxiety Levels Before Delivery Ritonga, Dewi; Basyir, Vaulinne; Rasyid, Rosfita
JURNAL KEBIDANAN Vol. 15 No. 1 (2025): April 2025
Publisher : Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jkb.v15i1.12610

Abstract

Anxiety in pregnant women is a common emotional condition that occurs during pregnancy, characterized by excessive feelings of anxiety, worry, or fear. Pregnancy anxiety itself is experienced by many pregnant women due to lack of knowledge, readiness and support from family, community and environment. Excessive anxiety during pregnancy can lead to an increased incidence of uterine atony, infection, maternal fatigue, and shock, while in infants it can increase the risk of preterm birth and low birth weight (LBW). This study aims to examine the relationship between family support and maternal readiness with the anxiety level of pregnant women before delivery. This study used a quantitative research design with a cross-sectional approach, conducted in the working area of Andalas Padang Community Health Center. The sample consisted of 59 third-trimester pregnant women, selected through Simple Random sampling. Data collection was carried out using a questionnaire. The results of this study showed that the percentage of pregnant women who received family support and experienced less severe anxiety was 52.2% (p=0.048), including analysis of this data using the Chi-Square Test. Furthermore, it was found that pregnant women who were less prepared for childbirth experienced severe anxiety at a rate of 50.0% (p=0.002). In conclusion, there is a relationship between family support and maternal readiness with anxiety levels before delivery in the working area of Andalas Padang Community Health Center.
Coral Plant (Jatropha multifida L) for Postpartum Perineal Wound Care: A Literature Review Fera, Fitria Candra; Marsum, Marsum; Rahayu, Sri
JURNAL KEBIDANAN Vol. 15 No. 1 (2025): April 2025
Publisher : Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jkb.v15i1.12630

Abstract

Postpartum maternal pain increases with injuries to the birth canal. Some cases of postpartum infections are caused by improper perineal wound care, which causes bacterial growth. If the perineal wound is not treated with proper care, it can lead to infection and even death in some cases. Traditional plant as nonpharmacological therapy such as Jatropha multifida L. could be one of alternative therapy for wound healing. The purpose of this study was to examine the potential of secondary metabolites found in the Jatropha multifida L. plant as antibacterial and anti-inflammatory as an effort to heal perineal wounds in postpartum mothers. This study used the PRISMA (Preferred Reporting Items for Systematic Review and Meta Analysis) method. Five literatures was obtained from several literature search engines, namely Science Direct, Google Scholar, PubMed, ResearchGate, and ProQuest. The keywords used in the search were "Jatropha multifida" and "Wound healing". The results of a literature review related to Jatropha multifida L. showed that this plant has the potential to be used as a therapy for healing perineal wounds in postpartum mothers because it contains several secondary metabolites such as alkaloids, flavonoids, tannins, and saponins which act as antibacterial and anti-inflammatories in the wound healing process.
Combination of Baby Massage and Ear Shenmen to Enhance Infant Sleep Quality: Quasi-Experimental Maryana, Nana; Noviani, Aris; Yuliarti, Yayu
JURNAL KEBIDANAN Vol. 15 No. 2 (2025): October 2025
Publisher : Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jkb.v15i2.12643

Abstract

One of the determinants of expansion and progression is seen from how well you sleep. According to WHO, in the world babies experience poor sleep quality more than 33%, in Indonesia more than 44%. More than 70% of parents do not consider it a problem at 2022. Non-pharmacological therapies, such as baby massage, Ear Shenmen acupressure to calm down the baby's body to ensure the infant can sleep soundly. The goal was intended to evaluate the combined efficacy of newborn massage and ear shenmen regarding the content of infants' sleep. Design quasi-experimental pre-tests with additional control groups. Baby Nad Kids And Mom's Spa: Population of Infants Aged 3-12 Months. A sample of 36 babies with purposive sampling, divided into 3 groups. The first group is baby massage and ear shenmen, the second group is baby massage and the third group is ear shenmen. Each group was given treatment for 3 weeks with 1 intervention per week, duration of 30 minutes, BISQ instrument with 15 question items. Bivariate data with paired t-test and multivariate with post-hoc bonferroni anova test. The results of infants' sleep quality in the pre test showed the combined vs baby massage value p=0.921, Combined vs Ear Shenmen value p= 1,000, Baby Massage vs Ear Shenmen value p= 0,464, whereas for in the combined group of delta values (124.50), infant massage group (72.80), ear shenmen group (48.50) and confidence value p=0.001 p=(p<0.05). Each group showed an average post value of >200, indicating that all groups were equally effective in raising the caliber of infants' sleep. But, the combined group with a delta value of 124.50 showed a higher increase, Consequently, it may be said that combining infant massage utilizing ear shenmen is more efficacious in enhancing the quality of infants' sleep.
Effect of Pumpkin Seed Extract (Cucurbita Moschata) on Premenstrual Syndrome Pain Intensity in Adolescent Girls Farkhati Nafi'ah, Eka Apriadi; Sumarni, Sri; Windiarti, Sri Endang
JURNAL KEBIDANAN Vol. 15 No. 1 (2025): April 2025
Publisher : Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jkb.v15i1.12663

Abstract

Premenstrual Syndrome is a condition commonly experienced by young women with physical and emotional symptoms that interfere with daily activities. The prevalence of PMS in Indonesia reaches 85% of the entire female population of reproductive age, consisting of 60-75% experiencing moderate and severe PMS. This study aimed to prove the effectiveness of pumpkin seed extract (Curcubita moschata) in reducing the level of Premenstrual Syndrome pain in young women. This quantitative research, using a True Experimental design, employed a pre-test and post-test with a control group design. The study population consisted of all young women experiencing premenstrual syndrome in the Semarang Ministry of Health Polytechnic area. The sampling technique used was a randomized clinical trial with 42 samples. Ethical approval from the Health Research Ethics Commission of Poltekkes Kemenkes Semarang with Number 1185/EA/F.XXIII.38/2024. The research was conducted on three treatment groups: intervention 1 with a dose of 500 mg 2x2 a day, intervention 2 with a dose of 500 mg 2x1 a day, and the control group which received starch tablets 500 mg 2x1 a day for 10 days. The results analyzed using the Paired T-Test showed that giving pumpkin seed extract at a dose of 500 mg 2x2 a day for 10 days could most significantly reduced the intensity of premenstrual syndrome pain (p-value 0.000; mean 3.86) compared to intervention 2 and control. These findings suggest that pumpkin seed extract has the potential to be an effective natural alternative for reducing PMS symptoms in adolescent girls, particularly in pain reduction. 

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