Science Midwifery https://midwifery.iocspublisher.org/index.php/midwifery <p align="justify"><strong>The Science Midwifery</strong> is a peer-reviewed open access <strong>bi-monthly</strong> Intitute of Computer Science (IOCS). This journal is <strong>published bi-monthly (August, October, December, February, April, June)</strong> since August 2022. This professional journal provides a venue for the publication of research relevant to midwifery and reproductive health practice by specialists and researchers in various disciplines including midwifery, reproductive health, maternal and child health, obstetrics and gynecology, sexual health promotion, women's health and nursing. It publishes quantitative and qualitative original articles, review articles, short communications, case reports and letters to the editor in a broad range of clinical and interdisciplinary topics. <em>(<a href="http://midwifery.iocspublisher.org/index.php/midwifery/EP#focusAndScope">Look at the scope</a>)</em></p> <p>&nbsp;</p> <p>&nbsp;</p> Institute of Computer Science (IOCS) en-US Science Midwifery 2086-7689 Batal https://midwifery.iocspublisher.org/index.php/midwifery/article/view/1455 <p>Batal</p> Batal Batal Batal Batal Batal Batal Copyright (c) 2024 Science Midwifery 2024-03-12 2024-03-12 12 1 1 7 10.35335/midwifery.v12i1.1455 Factors influencing the occurrence of infertility in pregnant women in Sriamur Village in 2023 https://midwifery.iocspublisher.org/index.php/midwifery/article/view/1446 <p>The study conducted in Sriamur Village, Tambun Utara District in 2023 aimed to investigate factors influencing infertility among women of reproductive age (PUS). Infertility, defined as the inability to conceive after one year of unprotected intercourse or inability to carry a pregnancy to term, was examined in relation to age, lifestyle, BMI, stress, and menstrual disorders. Using quantitative cross-sectional research, the study analyzed data from 16 infertile PUS using a total sampling technique. The results indicated significant relationships between several factors and infertility. Regarding age, both husbands and wives showed no statistically significant relationship. Similarly, lifestyle, BMI, stress, and menstrual disorders exhibited no significant association with infertility among both husbands and wives. However, the study concluded that there was a relationship between age, lifestyle, BMI, stress, and menstrual disorders with the occurrence of infertility among PUS in the study area. This research contributes valuable insights into understanding the multifactorial nature of infertility and highlights the importance of addressing various aspects such as lifestyle choices, stress management, and menstrual health in the context of reproductive health. By identifying these factors, healthcare professionals can develop targeted interventions and support strategies to help individuals facing infertility in Sriamur Village and similar communities.</p> Lenny Irmawaty Sirait Annisa Triani Wiwit Desi Intarti Copyright (c) 2024 Science Midwifery 2024-03-12 2024-03-12 12 1 8 18 10.35335/midwifery.v12i1.1446 Dragon fruit intervention for increasing hemoglobin level on pregnant woment in Sumber Agung Village https://midwifery.iocspublisher.org/index.php/midwifery/article/view/1394 <p>Background: Iron Deficiency Anemia is a condition the hemoglobin level less of 11gr%. The global pravalence of anemia in pregnancy is estimated to be approximattely 41,8%. In Indonesia the pravalences anemia reach of 48,9%, and 84,6% beetween occurs in the 15-24 year age group, and in the sumber agung village the number of anemia in 2023 reach of 4 cases. Anemia Assosiated with risk of low birth weight, preterm labor, abortus, postpartum haemorrage and Fetal maternal neonatal death. The Purpose of study is to investigated of Dragon fruit juice within increased level of the hemoglobin in woman’s pregnant in the working area at Sumber Agung Village. Method’s: The study design use quantitative observasional research design, involved 14 participant woman anemia in pregnant, in the each of them comsumed ferosus sulfate and Dragon fruit. The data analyse by descriptive level of hemoglobin before and after intervention. The result showed the mean of level of hemoglobin in woman anemia increased up to 1,4 gr/dl, within seven days intervention. The Conclussion The combination of ferosus sulfate and dragon fruit, describe for increasing level of hemoglobin at woman anemia in pregnancies.&nbsp; Suggestion: Dragon fruid could be an alternative intervention to prevent of anemia in pregnancies.</p> Nila Qurniasih Beniqna Maharani Besmaya Komalasari Komalasari Kirana Candrasari Inggit Primadevi Copyright (c) 2024 Science Midwifery 2024-03-12 2024-03-12 12 1 19 25 10.35335/midwifery.v12i1.1394 Factors associated with caesarean section in women giving birth at RSUD dr. Abdul Rivai Berau https://midwifery.iocspublisher.org/index.php/midwifery/article/view/1454 <p>Caesarean section deliveries can result in a variety of consequences, so they become alternative procedures for childbirth. However, there has been an increase in caesarean section deliveries in the last three months at Dr Abdul Rivai Hospital Berau. It is necessary to know causal factors such as severe pre-eclampsia to address the high rate of caesarean section deliveries, premature rupture of membranes and history of caesarean section deliveries so future pregnant women can prevent caesarean section deliveries by overcoming the problems that occur. This study aimed to determine the factors associated with caesarean section in women giving birth. This study used an analytical survey and a retrospective design. The population was data from women giving birth at Dr Abdul Rivai Hospital Berau from June 01, 2023 to August 31, 2023, numbered 567 people. The Slovin formula obtained a sample of 235 people. Data analysis used chi-square. This study showed that 21.3% of women in labor experienced severe pre-eclampsia, 19.6% had a history of previous caesarean section, 18.3% experienced premature rupture of membranes and 52.3% of caesarean section deliveries. There was a relationship between severe pre-eclampsia and caesarean section (p = 0.001). There was a relationship between previous history of caesarean section and caesarean section (p = 0.006). There was a relationship between premature rupture of membranes and caesarean section (p = 0.043). This indicates Severe pre-eclampsia, premature rupture of membranes and history of caesarean section as factors causing caesarean section. Hospitals expect to provide counseling about maintaining good pregnancies to avoid caesarean sections for pregnant women who have regular health checks.</p> Wayan Luhwati Dwi Hartati Tuti Meihartati Heni Purwanti Copyright (c) 2024 Science Midwifery 2024-03-13 2024-03-13 12 1 26 37 10.35335/midwifery.v12i1.1454 The effectiveness of the rebozo technique and the zilgrei method on labor pain during the active phase I in mothers giving birth https://midwifery.iocspublisher.org/index.php/midwifery/article/view/1450 <p>Uncontrolled labor pain causes poor blood circulation to the placenta, resulting in fetal hypoxia and threatening the mother's safety. The hospital has never provided Rebozo technique therapy and the Zilgrei method to mothers in labor. The research analyzed the effectiveness of the Rebozo technique and the Zilgrei method for labor pain in the active phase of the first stage. This type of research is quasi-experimental and Nonequivalent Control Group Design. The population is primigravida mothers giving birth normally from January to September 2023, totaling 385 people with a monthly average of 40 people. The Lameshow formula sample was obtained by 34 people including the intervention and control groups, 17 people each. The results showed that the pain before being given the Rebozo technique was 6 while after being given the Rebozo technique it was 5. The pain before being given the Zilgrei method was 6 while after being given the Zilgrei method it was 5. The Rebozo technique was effective in reducing labor pain in the active phase of the first stage (p value 0.000). The Zilgrei method is effective in reducing pain in the first stage of labor (p value 0.000). There is no difference in the effectiveness of the Rebozo technique and the Zilgrei method for labor pain in the active phase of the first stage (p value 0.985). It can be concluded that the Rebozo and Zilgrei methods can be an alternative to reduce labor pain.</p> Vivin Nur Faidah Heni Purwanti Tuti Meihartati Chandra Sulistyorini Copyright (c) 2024 Science Midwifery 2024-03-13 2024-03-13 12 1 38 47 10.35335/midwifery.v12i1.1450 The effectiveness of health education using video media and leaflets on the ability to mobilize early in post caesarean section patients https://midwifery.iocspublisher.org/index.php/midwifery/article/view/1451 <p>Early mobilization helps speed up post-surgical recovery, allowing wound healing and improving blood circulation. Post-caesarean section, the patient is at Dr Abdul Rivai Hospital Berau; after 6 hours post-caesarean section is still afraid of early mobilization and needs to learn more about early mobilization. A lack of early mobilization ability can be a lack of information, which creates a lack of motivation. Health education is carried out by hospitals through counseling, without using media such as videos and leaflets. Purpose: This study aimed to know the effectiveness of health education using video media and pamphlets on the ability of early mobilization in Post Sectio Caesaria patients. This was a quasi-experimental research type with two pre- and post-test design groups. The population was post sectio caesarea patients at dr. Abdul Rivai Hospital Berau in September 2023 numbered 81 people, based on the Lameshow formula, a sample of 30 people, including video and leaflet media groups of 15 people each. The early mobilization score before giving video media was a mean value of 5.67, and after giving video media, a mean value of 7.53. The early mobilization score before providing the leaflet media was a mean value of 5.67, and after providing the leaflet media, the mean value was 7.27. It showed differences in the effectiveness of health education using video and leaflet media on early mobilization abilities. This indicates that Video media and leaflets can help improve early mobilization abilities in Post Sectio Caesarea patients.</p> Ely Kusumawati Dwi Hartati Widya Astutik Tuti Meihartati Copyright (c) 2024 Science Midwifery 2024-03-13 2024-03-13 12 1 48 57 10.35335/midwifery.v12i1.1451 The effectiveness of preoperative educational videos on self efficacy and early mobilization implementation in post sectio caesarea mothers https://midwifery.iocspublisher.org/index.php/midwifery/article/view/1453 <p>Hospital efforts to increase early mobilization have so far only been through verbal education, but patients still need better Self-Efficacy and elements in carrying out early mobilization. However, early mobilization is very important to speed up post-operative recovery. Early mobilization requires maternal self-efficacy to carry out early mobilization. For this reason, it is necessary to increase self-efficacy by providing pre-operative education using video media so that post-operative patients can immediately mobilize early. This study aims to determine the effectiveness of preoperative educational videos on Self Efficacy and the implementation of early mobilization in mothers after caesarean section. This type of research is quasi-experimental research, and a pre-post-test control group design is used for Self Efficacy, followed by a post-test with a control group for early mobilization. The population is post-cesarean section mothers with an average number of 78 people per month. According to the Roscoe formula, the sample was 34 people, including the intervention and control groups, 17 people each. Data analysis used paired samples t test, independent t test, and Mann-Whitney test. This research shows that preoperative educational videos are effective in increasing Self Efficacy (p-value = 0.008 and average difference = 20.36). Preoperative educational videos are effective in implementing early mobilization in mothers after cesarean section (p-value = 0.008). Conclusion: Preoperative educational videos can increase Self Efficacy and implement early mobilization.</p> Ni Putu Juliani Dwi Hartati Khoirul Anam Tuti Meihartati Copyright (c) 2024 Science Midwifery 2024-03-13 2024-03-13 12 1 58 68 10.35335/midwifery.v12i1.1453 External patient visits and healthcare service delivery at terara public health center: A management perspective analysis https://midwifery.iocspublisher.org/index.php/midwifery/article/view/1426 <p>The increasing visits of patients from outside the area to Terara Public Health Center constitute a phenomenon of growing significance within the context of healthcare provision in the region. This necessitates an understanding of the impact of these external patient visits on healthcare service delivery at Terara Public Health Center, encompassing aspects such as resource availability, operational efficiency, and service management. Therefore, this research aims to analyze the management perspective regarding the influence of external patient visits on healthcare provision at Terara Public Health Center. This research employs a descriptive method with a qualitative approach. Data collection takes the form of words or images, thus not focusing on numerical data. The intention of this study is to provide an overview, elucidate, and interpret the current situation regarding the impact of external visits on healthcare services at Terara Public Health Center from a service management perspective. This research was conducted at Terara Public Health Center. The findings indicate that the high influx of patients from outside the area to Terara Public Health Center has a significant impact on service management, including increased patient queues, maintenance costs of medical equipment, availability of medications, and the need for more adequate facilities and infrastructure. Management at Terara Public Health Center has taken steps to address these impacts, such as increasing the procurement of medications and enhancing facilities and infrastructure.</p> Nurhayati Nurhayati Sastrawan Sastrawan Sismulyanto Sismulyanto Saimi Saimi Menap Menap Copyright (c) 2024 Science Midwifery 2024-03-13 2024-03-13 12 1 69 78 10.35335/midwifery.v12i1.1426 Unveiling performance patterns: Analysis of employees' performance in public health centers in East Lombok District https://midwifery.iocspublisher.org/index.php/midwifery/article/view/1424 <p>Employee performance is closely tied to the support of the environment in striving for work achievements, thus the individual capabilities of human resources (HR) employees are crucial in achieving such success. The aim of this research is to analyze the performance of healthcare center (puskesmas) employees in East Lombok Regency. This research method utilizes a qualitative approach. The study was conducted from June to December 2023 in 5 representative healthcare centers namely Labuhan Haji, Krongkong, Kotaraja, Karang Baru, and Dasan Lekong. The research informants consisted of 5 individuals, with 3 as primary informants and 2 as supporting informants. Data was collected through group discussion forums. The results of this research indicate that employee performance in East Lombok is not satisfactory, as evidenced by patient complaints. Based on these findings, it is recommended that healthcare center employees should be open in all aspects to their environment, not only related to performance but also in communication, so that the relationship between employees and their environment can be well established.</p> Budiman Budiman Menap Menap Karjono Karjono Saimi Saimi Copyright (c) 2024 Science Midwifery 2024-03-13 2024-03-13 12 1 79 87 10.35335/midwifery.v12i1.1424 Analysis of risk factors that influence events hypertension pre-elderly https://midwifery.iocspublisher.org/index.php/midwifery/article/view/1423 <p>Hypertension is one of disease chronic affects global health, especially in populations pre-elderly. Identification factor influencing risks incident hypertension at stage pre-elderly can give valuable insight _ For effort appropriate prevention and intervention _ time, potential reduce burden disease, as well increase quality life and hope life for affected individual _ impact. Research purposes This is for identify and analyze factors contributing risks _ to incident hypertension in the population pre-elderly. Study This use design cross-sectional study. Data collection methods used in study This is survey method. Data analysis using analysis bivariate and multivariate. Research result show that factor age, breed, habits smoking, alcohol consumption, soft drink consumption are variables that don't relate with factor risk incident hypertension in the elderly. Whereas factor history family, stressors, obesity, activity physical, consuming food high fat, habit consume food salty, habitual drinking coffee &gt; 3 times a day, consuming junk food is variable that becomes factor risk incident hypertension in the elderly.</p> Nursini Juiban Hadi Saimi Saimi Copyright (c) 2024 Science Midwifery 2024-03-15 2024-03-15 12 1 88 98 10.35335/midwifery.v12i1.1423 Comparison of the effectiveness of the irrigation material ethyl diamine tetra-acetic acid (edta) 17% and benzalconium chloride 1% on the smear layer in the 1/3 apical https://midwifery.iocspublisher.org/index.php/midwifery/article/view/1440 <p>Context: A smear layer can form on the root canal walls during mechanical root canal preparation. Bacteria that cause root canal infections can grow on the smear layer, which can also lead to micro-leakage in the top one-third of the root canal. Benzalkonium chloride (BAC) is a necessary and effective substance for root canal irrigation. In addition to being a cationic nitrogen agent having a quaternary ammonium group, BAC is a combination of alkyl dimethyl benzyl ammonium chloride, which has broad spectrum antibacterial activity. The goal of this study was to assess the efficacy of 1% BAK and 17% EDTA on the smear layer of the apical 1/3 and to measure the degree of cleanliness that BAK produced compared to 17% EDTA. The research was conducted utilising a scanning electron microscope (SEM) approach in a laboratory setting. Findings: SEM analysis of the sample smear layer yielded BAK 1% 0.667 and EDTA 17% 1.667 according to the Garberoglio and Becce scoring system. Kruskal-Wallis analysis of the data showed that the 17% EDTA group had an average range of 11.50, the 1% BAK group of 5.58, the 2.5% NaOCl group of 11.92, and the negative control group of 21.00. In conclusion, when comparing the groups with and without the negative control, the 17% EDTA group had a p value of 0.0069, the 1% BAK group a p value of 0.0019, and the 2.5% NaOCl group a p value of 0.0013, all determined by Mann-Whitney data analysis. Thus, it is evident that BAK 1% is more efficient than EDTA 17% in affecting the smear layer at the apical 1/3.</p> Juliano Putra Angkasa Rudy Djuanda Gita Tarigan Copyright (c) 2024 Science Midwifery 2024-03-15 2024-03-15 12 1 107 115 10.35335/midwifery.v12i1.1440 The relationship between nurse behavior, waiting time, and preoperative education with preoperative patient satisfaction central surgical installation https://midwifery.iocspublisher.org/index.php/midwifery/article/view/1425 <p>In context service health , satisfaction patient be one _ indicator main in evaluate quality services provided by the house Sick . Installation service _ surgery central own role crucial in the treatment process patient before operation . Factors _ like behavior nurse , time wait , and preoperative education has identified as a number of possible factors _ influence satisfaction patients in the preoperative phase . Study This aim For know connection behavior nurse , time wait , and preoperative education with satisfaction preoperative patients in the installation surgery central . Research methods This use approach quantitative . The research location is at Patut Regional Hospital Obedient Patju , West Lombok. Respondent in research This totaling 97 people. The data collection method uses questionnaire . Research result show There is connection between behavior nurse with satisfaction patient , p This showed from r value is 0.417. Variable time wait also show There is connection with satisfaction patient , p This showed from r value is 0.624. In aspect Preoperative education also shows _ There is connection between time Wait with satisfaction patient , p This showed from r value is 0.282. Percentage satisfaction patients who are influenced by behavior nurse , time wait , and pre- operative education at the installation Central Surgery viz amounting to 51.4%, the rest 48.6 % is influenced by other variables that are not researched .</p> Saimi Saimi Menap Menap Iwan Kusmayadi AS Copyright (c) 2024 Science Midwifery 2024-03-16 2024-03-16 12 1 116 126 10.35335/midwifery.v12i1.1425 Nursing with heart: Analyzing the influence of motivation and remuneration in improving nurse performance at RSJ Mutiara Sukma https://midwifery.iocspublisher.org/index.php/midwifery/article/view/1422 <p>The role of nurses in Mental Health Hospitals (RSJ) is crucial in providing quality mental health care. Motivation and remuneration have been identified as key factors influencing nurse performance in RSJs. This study aims to explore the influence of motivation and remuneration on nurse performance at RSJ Mutiara Sukma. A qualitative approach with regression analysis was used in this study. A sample of 110 nurses was randomly selected from the total population of 153 nurses at RSJ Mutiara Sukma. Data were collected through in-depth interviews and observations. The analysis results showed a significant relationship between motivation, remuneration, and nurse performance. High motivation, both intrinsic and extrinsic factors, positively contributed to nurse performance. Similarly, fair and adequate remuneration also influenced the improvement of nurse performance. These findings emphasize the importance of considering motivation and remuneration as key factors in enhancing nurse performance at RSJ Mutiara Sukma. Hospital management should consider implementing policies that support intrinsic and extrinsic motivation and ensure a fair remuneration system as strategies to improve the effectiveness of mental health care services in the institution.</p> Fitria Hidayati Saimi Saimi Copyright (c) 2024 Science Midwifery 2024-03-16 2024-03-16 12 1 127 136 10.35335/midwifery.v12i1.1422 Legal responsibility of foreign doctors who commit medical malpractice in Indonesia https://midwifery.iocspublisher.org/index.php/midwifery/article/view/1428 <p>This research investigates the legal liability of foreign doctors in cases of malpractice and illegal medical practices in Indonesia. It explores the legal framework governing such practices and the protection available to victims. Despite existing laws such as Law Number 8 of 1999 concerning Consumer Protection and Law Number 29 concerning Medical Practice, they fail to adequately safeguard patients, particularly in cases involving foreign doctors. Although legislation mandates health as a human right and outlines legal protection for victims, enforcement is lacking. There's a notable absence of specific regulations governing the supervision of foreign doctors practicing in Indonesia. While various laws touch on aspects of supervision and regulation, such as Law Number 13 of 2003 concerning Employment and Law Number 6 of 2011 concerning Immigration, they lack specificity. The research recommends revising and enhancing legal regulations to address these gaps, particularly focusing on regulations pertaining to foreign doctors' practices and patient protection. This includes advocating for specialized regulations tailored to address malpractice committed by foreign doctors and ensuring their enforcement to uphold patient safety and rights.</p> Abraham Ethan Martupa Sahat Marune Copyright (c) 2024 Science Midwifery 2024-03-18 2024-03-18 12 1 137 147 10.35335/midwifery.v12i1.1428 Reduction of emesis gravidarum using lavender aromatherapy in the first trimester of pregnancy (literature review) https://midwifery.iocspublisher.org/index.php/midwifery/article/view/1444 <p>Background: Emesis gravidarum is a common condition of nausea and vomiting that occurs during pregnancy, especially in the first trimester. Effective management to reduce these symptoms is important for improving the quality of life of pregnant women. Lavender aromatherapy has been identified as a possible alternative method to reduce emesis gravidarum. The aim of this systematic review was to investigate the existing scientific evidence on the use of lavender aromatherapy in reducing the symptoms of emesis gravidarum in the first trimester of pregnancy. The research method involved a thorough literature search in various sources such as electronic databases, journals, and other related articles. Inclusion criteria were set to select studies relevant to the research topic. The results of the literature search were systematically analyzed and synthesized. &nbsp;The findings of this systematic review showed that the consistent use of lavender aromatherapy resulted in a significant reduction in the symptoms of emesis gravidarum in the first trimester of pregnancy. Several studies reported a decrease in the intensity of nausea and frequency of vomiting after using lavender aromatherapy. However, there was variation in the study designs and sample sizes, which affected the strength of the available evidence. Based on this review, lavender aromatherapy can be a promising choice as an additional therapy to reduce the symptoms of emesis gravidarum in the first trimester of pregnancy.</p> Adri Idiana Ratna Dewi Noviyanti Noviyanti Copyright (c) 2024 Science Midwifery 2024-03-25 2024-03-25 12 1 148 157 10.35335/midwifery.v12i1.1444 Optimizing maternal healthcare: Holistic strategies for early detection and management of preeclampsia https://midwifery.iocspublisher.org/index.php/midwifery/article/view/1442 <p>Preeclampsia remains a serious challenge in maternal healthcare, with significant risks of complications for both the mother and the fetus. In this context, this research aims to explore holistic strategies for early detection and management of preeclampsia to optimize maternal healthcare. Through a comprehensive literature review, this article presents various approaches that have been implemented, including blood pressure monitoring, biomarker identification, and the use of prediction models for preeclampsia. The research findings highlight the need for an integrated approach between primary healthcare services and hospitals, as well as increased awareness and training for healthcare professionals in recognizing the symptoms and risk factors of preeclampsia. Furthermore, the article emphasizes the importance of interdisciplinary collaboration and further research to develop more effective and efficient strategies in managing this condition. Therefore, the optimization of maternal healthcare requires a holistic approach that encompasses early detection and management of preeclampsia to improve overall maternal and neonatal health outcomes.</p> Asmanidar Asmanidar Emilda Emilda Copyright (c) 2024 Science Midwifery 2024-03-25 2024-03-25 12 1 158 167 10.35335/midwifery.v12i1.1442 Analysis of midwives' knowledge regarding the use of acupressure on pregnant women at Ingin Jaya Community Health Center, Aceh Besar https://midwifery.iocspublisher.org/index.php/midwifery/article/view/1441 <p>This study aims to analyze the level of midwives' knowledge regarding the use of acupressure on pregnant women at the Ingin Jaya Community Health Center, Aceh Besar. The research method employed in this study involved surveying and analyzing data from a number of midwives stationed at the Ingin Jaya Community Health Center. The survey was conducted using a specially designed questionnaire to measure midwives' knowledge about various aspects of acupressure including how to perform it, its usage, benefits, contraindications, and knowledge of acupressure points on pregnant women at the Ingin Jaya Community Health Center, Aceh Besar. The study found that midwives' knowledge of using acupressure on pregnant women in Indonesia is still limited. The majority of midwives have insufficient understanding of various aspects of acupressure such as its techniques, benefits, and relevant acupressure points. This limited understanding may affect the quality of prenatal care they provide. After the intervention, the majority of respondents achieved a post-test percentage above 75%, with some even reaching 90%. This indicates the significant effectiveness of complementary acupressure therapy in improving the respondents' conditions after the intervention. There was variation in the percentage of improvement between pre-test and post-test scores among the respondents. However, overall, it is evident that most respondents experienced consistent improvements in post-test percentages.</p> Adri Idiana Noviyanti Noviyanti Ratna Dewi Juliastuti Juliastuti T Iskandar Faisal Copyright (c) 2024 Science Midwifery 2024-03-25 2024-03-25 12 1 168 175 10.35335/midwifery.v12i1.1441 Evaluation of perinatal maternal audit program (AMP) in the Langsa City https://midwifery.iocspublisher.org/index.php/midwifery/article/view/1437 <p>The government has established the Neonatal Maternal Audit (AMP) program to assess the provision of health services to mothers and children, aiming to address obstetric and neonatal emergencies. Despite the implementation of AMP in Langsa City, the rates of maternal and infant mortality remain high. This study aimed to evaluate the AMP program in Langsa City. A cross-sectional survey research design was used, conducted at the Langsa City Health Office. The subjects of the study included the Mother and Child Program Holders at Puskesmas and hospitals, as well as the Maternal Perinatal Audit Program Implementation team at the Health Office. The findings revealed that the implementing team had an average tenure of 5 years, an average age of 38 years, and a D3 Midwifery education. They had received training on AMP and AMP-SR, possessed an AMP implementation manual, and conducted verbal autopsies, but only a few performed medical records. Strengthening materials and training on AMP-SR for program implementers in Langsa City is necessary. The implementation of the AMP program in Langsa City has shown positive aspects in terms of manpower and case selection, but areas requiring attention and improvement were also identified. Increasing the number of concurrent positions and providing comprehensive materials to program implementers will enhance their capabilities and effectiveness.</p> Fithriany Fithriany Emilda AS Cut Mutiah Silfia Dewi Lili Kartika Sari Harahap Sandy Rahayu Copyright (c) 2024 Science Midwifery 2024-03-25 2024-03-25 12 1 176 186 10.35335/midwifery.v12i1.1437 Knowledge and skills in combating stunting in toddlers in Aceh Besar regency (a comparative study of BKKBN cadres with Integrated Service Post cadres) https://midwifery.iocspublisher.org/index.php/midwifery/article/view/1436 <p>Stunting is a critical issue with irreversible consequences on children's growth and development. In Ingin Jaya and Indrapuri districts, stunting is a significant concern. This research examined the knowledge and skills of TPK and Posyandu cadres in tackling stunting in Aceh Besar Regency. The study included 50 TPK cadres and 50 Integrated Service Post cadres actively engaged in Want Jaya and Indrapuri districts in 2022. Analysis revealed no significant differences in knowledge (P=0.562) and skills (P=0.445) between the cadres. Cadres' motivation level emerged as the most influential factor impacting stunting prevalence, with lower motivation associated with a 4.67% increase in stunting village score (P=0.030). These findings offer valuable insights for addressing stunting and inform effective management strategies in rural areas. While no significant differences were found in knowledge, skills, education, and occupation between TPK and Integrated Service Post cadres in Aceh Besar District, variations were observed in the distance from the village to the district capital. Inadequate knowledge and motivation in both cadre groups significantly affect efforts to combat toddler stunting.</p> Abdul Majid Hermansyah Hermansyah Meutia Zahara Asnawi Abdullah Hafnidar Hafnidar Copyright (c) 2024 Science Midwifery 2024-03-26 2024-03-26 12 1 187 196 10.35335/midwifery.v12i1.1436 The effectiveness of using red betel leaf (piper ornatum) infusion compared to binahong leaf (anredera cordifolia) infusion in healing external genital infections https://midwifery.iocspublisher.org/index.php/midwifery/article/view/1434 <p>The group of women vulnerable to viral and bacterial infections. Efforts to prevent more serious external genitalia infections often involve daily genital hygiene habits. One of the efforts made is utilizing plants as traditional remedies, such as using boiled water from red betel leaves and Binahong leaves to cleanse external genitalia. This study aims to analyze the effectiveness of using boiled water from red betel leaves (Piper Ornatum) compared to Binahong leaf decoction (Anredera cordifolia) on the healing level of infected external genital organs in female cockle seekers. The method used is a quasi-experimental study with randomization and pre-post test design. The population consists of 134 female cockle seekers, with 30 individuals in treatment group I and 30 individuals in treatment group II, based on predefined inclusion criteria. Data analysis was performed using the Wilcoxon signed-rank test and Mann-Whitney test. The results show a significant difference in the healing of external genital infections in female cockle seekers before and after the use of boiled water from red betel leaves, with p=0.000 (p&lt;0.05), as well as a significant difference before and after the use of Binahong leaf decoction, with p=0.000 (p&lt;0.05). The findings indicate that boiled water from red betel leaves is more effective in healing external genital infections compared to Binahong leaf decoction among female cockle seekers in Krueng Tibang, with an average infection healing score of 25.</p> Salmiani Abdul Manaf Novemi Novemi Copyright (c) 2024 Science Midwifery 2024-03-26 2024-03-26 12 1 197 204 10.35335/midwifery.v12i1.1434 The relationship between health literacy and quality of life among diabetes mellitus patients in the working area of Darul Imarah Subdistrict Health Center https://midwifery.iocspublisher.org/index.php/midwifery/article/view/1433 <p>The study aimed to examine the relationship between health literacy and the quality of life of Diabetes Mellitus (DM) patients in the Darul Imarah Sub-District Health Center, Aceh Besar District. Using an analytical observational design with a cross-sectional approach, the study included 1,125 DM patients, with 100 individuals selected as research samples. Data analysis involved univariate, bivariate, and multivariate analysis using logistic regression. The findings revealed that a majority of DM patients in the working area of the health center experienced poor quality of life (82%). Additionally, there was a significant relationship between health literacy and the quality of life of DM patients (OR=8.34; 95% CI=1.05-66.05; p=0.044). Confounding assessment identified socioeconomic status, family history of DM, access to information, and low physical activity as factors influencing the quality of life of DM patients. The multivariate analysis highlighted socioeconomic status as the most dominant factor (OR=25.43; 95% CI=2.24-288.44; p=0.009). In conclusion, DM patients in the Darul Imarah Sub-District, Aceh Besar Regency, generally have poor quality of life, with health literacy, socioeconomic factors, descent, information access, and physical activity playing significant roles in influencing it.</p> Ayu Isnani Hermansyah Hermansyah Maidar Maidar Irwan Saputra Asnawi Abdullah Hafnidar Ar Rani Copyright (c) 2024 Science Midwifery 2024-03-26 2024-03-26 12 1 205 215 10.35335/midwifery.v12i1.1433 Analysis of determinants of adherence to anti-tuberculosis drugs in tb patients during covid-19 at the public health center of Aceh Besar Regency https://midwifery.iocspublisher.org/index.php/midwifery/article/view/1432 <p>The Covid-19 pandemic has had a significant impact on TB patients, particularly in terms of treatment and drug monitoring. During the pandemic in 2020, there were 350 cases of TB in Aceh Besar District. This study aimed to assess the compliance of TB patients during the Covid-19 period at the Aceh Besar District Health Center. A cross-sectional study design was employed, and data were collected from 118 TB patients from April to October 2020. The research was conducted in April 2022. Questionnaires were used for data collection, and bivariate and multivariate analyses were performed using the STATA 12 application program. The results of the multivariate analysis revealed that several risk factors, including Covid-19, history of illness, sources of information, age, knowledge, and trips to the health center, were associated with non-compliance in taking OAT medications. Efforts to increase awareness and educate the public about the risk factors of TB should continue, even during the Covid-19 pandemic. Building partnerships with former TB patients who have completed treatment and recovered can also help in promoting adherence to OAT medications among current TB patients.</p> Amiruddin Amiruddin Fahmi Ichwansyah Hermansyah Hermansyah Maidar Maidar Asnawi Abdullah Copyright (c) 2024 Science Midwifery 2024-03-26 2024-03-26 12 1 216 225 10.35335/midwifery.v12i1.1432 Determinants influencing healthcare workers' anxiety levels during the COVID-19 pandemic at Cut Nyak Dhien Regional General Hospital, West Aceh https://midwifery.iocspublisher.org/index.php/midwifery/article/view/1431 <p>The COVID-19 pandemic has had a significant impact on society, particularly on healthcare professionals who have been at the forefront of the pandemic response. They have faced a high risk of virus exposure and have been burdened with extraordinary responsibilities in saving lives. Since the onset of the pandemic until February 2022, thousands of healthcare workers have been exposed to the virus, and some have even lost their lives. Therefore, this study was conducted to understand the factors influencing the level of anxiety among healthcare workers during the COVID-19 pandemic. The research employed a cross-sectional survey approach and was conducted at Cut Nyak Dhien Regional General Hospital, West Aceh Regency, in November 2021. The study population consisted of 396 healthcare workers, with a sample of 304 healthcare workers selected using purposive sampling. Data collected were analyzed using logistic regression. The findings revealed that the majority of healthcare workers at Cut Nyak Dhien Hospital experienced high levels of anxiety during the COVID-19 pandemic, with 72.37% experiencing panic anxiety, while 27.63% experienced non-panic anxiety. Significant factors influencing anxiety levels included family support, with an odds ratio (OR) of 2.1 and a p-value of 0.017, sufficient knowledge with an OR of 0.5 and a p-value of 0.084, and adequate provision of Personal Protective Equipment (PPE) with an OR of 2.1 and a p-value of 0.026. However, there was no significant relationship between anxiety levels and variables such as age, profession, marital status, highest education level, and comorbid conditions.</p> Nadalia Indah Tari Melania Hidayat Radhiah Zakaria Maidar Maidar Asnawi Abdullah Copyright (c) 2024 Science Midwifery 2024-03-26 2024-03-26 12 1 226 235 10.35335/midwifery.v12i1.1431 Utilization of voluntary counseling and testing (VCT) services among transexual in Banda Aceh https://midwifery.iocspublisher.org/index.php/midwifery/article/view/1429 <p>Indonesia ranks fifth in Asia in terms of high risk of HIV/AIDS. Men who have sex with men (MSM) are 22 times more likely to contract HIV among at-risk populations worldwide. MSM ranks third in the percentage of HIV-positive individuals undergoing HIV testing in Indonesia, at 8.75%. Previous research estimated that there were 30 active transgender sex workers in Banda Aceh and 311 MSM. Voluntary Counseling and Testing (VCT) is one way to detect HIV. However, several factors prevent transgender individuals from utilizing VCT services. The research design used is descriptive quantitative, analyzing VCT utilization among transgender individuals in Banda Aceh in 2021. The sample size in this study is 77 individuals using total sampling technique. Data collection was conducted using a questionnaire. Data analysis involves univariate analysis. t was found that 83.12% of surveyed transgender women are under the age of 35, with 80.52% having a secondary education. 71.43% of them work in salons, and 83.13% identify themselves as Acehnese. Only 50.65% have partners, although 58.44% exhibit a positive attitude towards VCT services. However, 55.84% face stigma and discrimination. Approximately 53.25% of respondents rate VCT facilities positively, but only 54.55% utilize the service. 33.33% have used VCT for 3 years, primarily at health centers, with partner rejection being the main obstacle (34.29%). While 84.42% correctly identify VCT, there are still misunderstandings, such as simultaneous testing and counseling (79.22%). Additionally, only 62.34% are aware of the voluntary nature of HIV testing, and only 50.65% understand the affordability and lifelong treatment of HIV.</p> Nazira Yusuf Marthoenis Marthoenis Irwan Saputra Hermansyah Hermansyah Asnawi Abdullah Copyright (c) 2024 Science Midwifery 2024-03-30 2024-03-30 12 1 236 243 10.35335/midwifery.v12i1.1429 The relationship between knowledge level and compliance to blood supplement tablets consumption in adolescent girls https://midwifery.iocspublisher.org/index.php/midwifery/article/view/1462 <p>Anemia is one of the top 3 burdens of malnutrition in Southeast Asia. Globally, iron deficiency anemia is the leading cause of morbidity and mortality among adolescent girls aged 10-19 years. during the last 3 years the consumption coverage rate was only 44%. TTD Knowledge is one of the factors that can influence a person's TTD consumption behavior, because knowledge is the dominant factor in shaping a person's actions. To determine the relationship between knowledge level and compliance of TTD consumption among adolescent girls at SMPN 4 Tanjung Redeb, Berau Regency. This study used analytic descriptive quantitative research methods with a cross sectional research approach. With a total sample size of 76 people. Based on the results of the Spearman rank correlation test, the p value is 0.020, where this figure is &lt;0.05, which means Ha is accepted and Ho is rejected, so it can be concluded that there is a relationship between knowledge and compliance of adolescents girls of SMPN 4 Tanjung Redeb in taking blood supplement tablets, There is a relationship between knowledge and compliance in adolescent girls in the consumption of TTD in adolescent girls.</p> Siti Rufiah Salhaj Sumiati Sumiati Khoirul Anam Tuti Meihartati Copyright (c) 2024 Science Midwifery 2024-03-30 2024-03-30 12 1 244 253 10.35335/midwifery.v12i1.1462 Differences in acid-resistant battery examination results ziehl neelsen method and Rapid Molecular Test (TCM) at Sekayu regional hospital in 2023 https://midwifery.iocspublisher.org/index.php/midwifery/article/view/1408 <p>Pulmonary tuberculosis is the most deadly infectious disease in the world, besides this disease is caused by <em>Mycobacterium tuberculosis</em> (MTB). <em>Ziehl Neelsen</em> examination and TCM (<em>Rapid Molecular Test</em>) are the methods used to detect Mycobacterium tuberculosis. The aim of this study was to determine the results of acid-resistant bacteria in pulmonary tuberculosis examination between the <em>Ziehl Neelsen</em> and TCM methods at Sekayu Regional Hospital. This type of research is quantitative analytical with a cross sectional approach by looking at the positive or negative results of patients suspected of having tuberculosis. The research method used was <em>Ziehl Neelsen</em> and TCM sputum examination methods. The results of the research from the 9 samples examined were that 6 samples were negative and 3 samples were positive in the <em>Ziehl Neelsen</em> microscopic examination method, while in the Molecular Rapid Test examination, 3 positive results were found for MTB Detected very Low and 6 (Negative) MTB Not Detected. The conclusion of this study is that there is no difference between the two methods. It is recommended that the public carry out BCG (<em>Bacille Calmette Guerin</em>) vaccination and ensure that the house has good air ventilation.</p> M Nabil Alkaff Rima Ernia Eva Wulandari Copyright (c) 2024 Science Midwifery 2024-03-30 2024-03-30 12 1 254 262 10.35335/midwifery.v12i1.1408 The relationship between anxiety levels and breast milk production in postpartum mothers https://midwifery.iocspublisher.org/index.php/midwifery/article/view/1463 <p>Exclusive coverage of breast milk (ASI) at RSUD dr. Abdul Rivai Berau in 2021 was 62.44% and in 2022 it decreased to 46.24%, this can be caused by psychological factors experienced by postpartum mothers in the form of anxiety which inhibits the release of breast milk. To determine the relationship between anxiety levels and breast milk production in postpartum mothers at RSUD dr. Abdul Rivai Berau. This type of research is quantitative with analytical survey research and cross sectional design. The population is postpartum mothers with normal delivery at RSUD dr. Abdul Rivai Berau in September 2023 numbered 72 people, based on the Slovin formula with a sample of 42 people. The instruments used in the research were the Taylor Manifest Anxiety Scale anxiety scale questionnaire which was modified from Ameliasari's (2019) research and the breast milk excretion observation sheet. Data analysis used the Chi Square test. The level of anxiety in postpartum mothers at RSUD dr. Abdul Rivai Berau mostly had mild anxiety at 17 respondents (40.5%), while 10 respondents (23.8%) had moderate anxiety. Expression of breast milk in postpartum mothers at RSUD dr. Abdul Rivai Berau mostly had abnormal breast milk production of 22 respondents (52.4%), while 20 respondents (47.6%) had normal breast milk production. There is a relationship between anxiety levels and breast milk production in postpartum mothers at RSUD dr. Abdul Rivai Berau (p value = 0.048 &lt; α: 0.05). There is a relationship between anxiety levels and breast milk production in postpartum mothers.</p> Yuni Kasmia Dwi Hartati Tuti Meihartati Widya Astutik Copyright (c) 2024 Science Midwifery 2024-04-01 2024-04-01 12 1 263 272 10.35335/midwifery.v12i1.1463 Determinants of factors influencing the utilization of Covid-19 vaccination services at sigli public health center, Pidie Regency, Aceh, Indonesia https://midwifery.iocspublisher.org/index.php/midwifery/article/view/1430 <p>This study aims to identify the factors influencing people's utilization of vaccination services at the Sigli City Health Center. This research employed an analytical observational design with a cross-sectional approach. Independent variables included age, occupation, education, knowledge, accessibility, family support, perception, and immunization history, while the dependent variable was the utilization of the Covid-19 vaccine service. The study was conducted in November, with a sample size of 371 respondents selected using random sampling techniques based on the Slovin formula. Data were collected through questionnaires distributed to the respondents. The research findings revealed that approximately 78.71% of the population utilized the vaccine service, while 21.29% did not. Bivariate analysis indicated that out of the eight variables examined, five variables had a significant relationship with the utilization of the Covid-19 vaccine service, namely occupation, knowledge, accessibility, family support, and perception, each with a p-value of 0.000. Multivariate analysis further confirmed that knowledge was the most dominant factor, with a p-value of 0.000 and an Odds Ratio of 23.3 (95% CI = 63.5-85.9). Thus, a lack of knowledge was found to be a significant factor influencing the utilization of the Covid-19 vaccine service. &nbsp;</p> Riska Fauza Melania Hidayat Meutia Zahara Radhiah Radhiah Asnawi Abdullah Copyright (c) 2024 Science Midwifery 2024-04-05 2024-04-05 12 1 273 282 10.35335/midwifery.v12i1.1430 The relationship between nutritional status and anemia in children aged 36-59 months with developmental problems https://midwifery.iocspublisher.org/index.php/midwifery/article/view/1465 <p>The first five years are a very important period for the growth and development of children. Nutritional status and anemia are factors that influence child development. Based on an initial study conducted at PKM Long Ayan, DDTK screening (Early Detection of Growth and Development) in children aged 6 to 72 months as many as 323 children found the highest developmental problems in the age group 36-59 months with a total of 44 children (13.6%). To know the relationship between nutritional status and anemia in children aged 36-59 months with developmental problems in the Long Ayan Sub-Community Health Center Working Area. Quantitative associative with a cross sectional approach. The number of samples was 40 people with total sampling. Bivariate analysis with spearman rank Based on the results of the spearman rank correlation test, the p value is 0.011, where this figure &lt;0.05 which means Ha is accepted and Ho is rejected, so it can be concluded that there is a relationship between nutritional status and child development problems, and for the anemia variable, based on the results of the spearman rank correlation test, the p value is 0.042, where this figure &lt;0.05 which means Ha is accepted, so it can be concluded that there is a relationship between anemia status and child development problems. There is a relationship between nutritional status and anemia with developmental problems in children aged 36-59 months in the Long Ayan Pustu work area.</p> Hasilia Marantika Risnawati Risnawati Tuti Meihartati Chandra Sulistyoroni Copyright (c) 2024 Science Midwifery 2024-04-06 2024-04-06 12 1 283 292 10.35335/midwifery.v12i1.1465 The influence of occupational health and safety signs on safe behavior among oil palm factory workers at PT. Sewangi Sawit Sejahtera https://midwifery.iocspublisher.org/index.php/midwifery/article/view/1445 <p>The installation of safety signs in the palm oil factory of PT. Sewangi Sawit Sejahtera is still insufficiently attended to by the workers, as evidenced by the presence of several outdated safety signs that are no longer clearly visible, rendering the conveyed messages unclear. The general objective of this study is to determine the Influence of Safety Signs on Workers' Safety Behavior at the Palm Oil Factory of PT. Sewangi Sawit Sejahtera in 2021. The significance of this research lies in its role as a platform for exchanging information and providing education on workplace accident prevention. This study adopts a Quasi-Experimental Non-Randomized Control Group Pretest and Posttest Design, involving 40 workers in the factory. The research was conducted between August and September 2021. The findings indicate a significant impact on workers' safety behavior before and after the intervention in the Experimental group, as evidenced by the significance level of the paired t-test. Logistic Regression analysis reveals that the most influential variable on safety behavior is the presence of safety signs, followed by tenure, supervision, and age. Therefore, it is recommended that efforts be made to enhance socialization activities and training to improve workers' knowledge regarding workplace safety and health, along with repairing or replacing unclear or damaged safety signs within the company premises.</p> Rani Sumarni Santoso Santoso Abdurrahman Hamid Copyright (c) 2024 Science Midwifery 2024-04-16 2024-04-16 12 1 293 302 10.35335/midwifery.v12i1.1445 Effect of giving banana hearts on breast milk production in postpartum mothers https://midwifery.iocspublisher.org/index.php/midwifery/article/view/1448 <p>One way to create a quality next generation is by providing exclusive breastfeeding, because the nutrition that children need, especially from birth to 6 months of age, can be fulfilled by breast milk without additional drinks and other foods. The proportion of babies receiving exclusive breastfeeding up to August 2017 was around 40%, which has increased compared to 2012, around 38%. WHO targets that by 2025, 50% of children under five will receive exclusive breastfeeding, and giving banana blossoms is a form of support for mothers so that breastfeeding coverage can be realized. type of research with post test only. The sample of 32 postpartum mothers in the work area of the Independent Practice of Midwife Syafriani, Nibong Baroh Village, Nibong District, North Aceh Regency, was taken using purposive sampling and analyzed using the Wilcoxon Test. The results of the Wilcoxon test showed that there was a difference in the average value of breast milk production, p value 0.002, which means that giving banana blossoms was effective in increasing breast milk production. The conclusion obtained from this research is that there is a difference in the average effect of giving banana blossoms before and after giving banana blossoms on breast milk production with a p value of 0.002. It is hoped that postpartum mothers can use banana blossoms to increase breast milk production so that the achievement of exclusive breastfeeding increases.</p> Hafsah Us Mey Elisa Safitri Julina Br Sembiring Copyright (c) 2024 Science Midwifery 2024-04-18 2024-04-18 12 1 303 312 10.35335/midwifery.v12i1.1448 "Unveiling cellular immunity: A study on diabetes mellitus patients with gangrene wounds" https://midwifery.iocspublisher.org/index.php/midwifery/article/view/1471 <p>Diabetes mellitus experiences disruptions in the immune system, particularly in cellular components. Cells crucial in inflammatory conditions are represented by granulocytes and lymphocytes. However, further explanation is needed regarding the quantities of these cells, especially in diabetes mellitus with gangrene. The research method employed is a quantitative descriptive cross-sectional approach. The research population consists of diabetes mellitus patients with gangrene wounds. The sample size contributing to the study is 14 individuals, representing the total population. Exclusion criteria include patients with other systemic infections. The research findings reveal the frequency distribution of the average granulocyte cell count to be 65.47%, with a standard deviation (SD) of 8.52, a minimum value of 53.3%, and a maximum value of 83.4%. The average lymphocyte cell count is 25.7%, with an SD of 7.97, a minimum value of 10.8%, and a maximum value of 38.7%. In conclusion, the study indicates an increased granulocyte count in 4 individuals or 26.6%, while 10 individuals or 71.4% exhibit normal counts. Conversely, the normal lymphocyte count is observed in 11 individuals or 78.6%, whereas 3 individuals or 21.4% exhibit low counts.</p> Meri Meri Lisna Meisya F Yane Liswanti Copyright (c) 2024 Science Midwifery 2024-04-19 2024-04-19 12 1 313 321 10.35335/midwifery.v12i1.1471 The turbulence of drug trafficking among the elite https://midwifery.iocspublisher.org/index.php/midwifery/article/view/1491 <p>Sidenreng Rappang Regency is the largest rice-producing area or rice barn and then this positive stigma shifted to being called a drug producer or drug barn which became one of the centers of drug trafficking in South Sulawesi Province. This research is a qualitative research that aims to find out the network pattern that allows for an increase in network cases which are the center of network operations and the mode of network operation in capturing drug abuse. The snowball sampling technique is a sampling method in which samples are obtained through a rolling and multilevel process, from one individual to another. The research location is focused on Baranti sub-district, Sidenreng Rappang district with the consideration that this area is a red zone. The results showed that there was an increase in the number of drug cases and the mode of operation of the network was highly structured and there was a positive response from the government from all components in Sidenreng Rappang.</p> Santalia Banne Tondok Rahmat Pannyiwi Andi Nursinah Nuraida Kubangun Iskandar Zulkarnaen Hardianti Naim Dian Meiliani Yulis Copyright (c) 2024 Science Midwifery 2024-04-21 2024-04-21 12 1 322 327 10.35335/midwifery.v12i1.1491