Science 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="">Look at the scope</a>)</em></p> <p>&nbsp;</p> <p>&nbsp;</p> Institute of Computer Science (IOCS) en-US Science Midwifery 2086-7689 The utilization of mackarel tuna as Nutrient-Dense Complementary Food (MPASI) <p>This study explores the potential of mackerel tuna as a nutritious complementary food source (MPASI) due to its rich protein content and high availability, which could play a crucial role in a balanced diet for toddlers. The aim of this research is to investigate the potential of mackerel tuna as a protein source in nutritious complementary foods for breastfeeding infants. This study employs experimental and observational methods to evaluate the potential of mackerel tuna as a complementary food. The results are analyzed descriptively, and protein content analysis is conducted on mackerel tuna nuggets. The research is carried out in three stages: recipe creation, recipe modification trials, and protein content testing. Protein content analysis, conducted at the Biochemistry Laboratory of FMIPA, Universitas Sumatera Utara, using spectrophotometry on mackerel tuna nugget samples, showed a protein content of 0.35 grams per gram, indicating 35 grams of protein in 100 grams of nuggets. Processed mackerel tuna in the form of nuggets represents a promising variation of MPASI menu rich in protein content. Protein is crucial for supporting the growth and development of toddlers as it is a primary nutrient essential for physical growth, including bone and muscle development. Additionally, protein plays a role in brain development, enhancing cognitive function in toddlers.</p> Tiara Nanda Puspita Tanjung Eliska Eliska Nadya Ulfa Tanjung Copyright (c) 2024 Science Midwifery 2024-07-06 2024-07-06 12 3 1056 1061 10.35335/midwifery.v12i3.1611 Potential of moringa leaves as antianemia for iron deficiency in white rat experiments <p>Iron deficiency anemiaa type of anemia that occurs due to the body lacking iron which results in a decrease in the number of red blood cells or hemoglobin in the blood which is insufficient for the body's physiological needs. In Indonesia, the prevalence of iron deficiency anemia is greatest in non-pregnant adult women, around 25-48% and pregnant women around 46-92%. According to several studies, Moringa leaves (Moringa oliefera) are a source of iron. Moringa leaves (moringa oliefera) are known to have various nutritional contents. one of which is iron, protein, vitamin A, Vitamin C, potassium and calcium. Moringa leaves are a plant that has quite a high iron content. The iron content in the body can help form hemoglobin and bind oxygen. This research aims to determine the potential of Moringa leaves as an anti-anemia. The reference search was carried out in the process of reviewing this article using the internet network via Pubmed, Sciencedirect and Google Scholar. National and international journals were obtained as primary data sources.From the data collected, Moringa leaves have the potential to increase hemoglobin levels in experimental white mice. The high amount of iron contained in Moringa leaves (Moringa oleifera) affects the increase in hemoglobin in the blood. This can be used as a reference for the use of Moringa leaves as an anti-anemia, both for prevention and treatment.</p> <p>&nbsp;</p> Imam Lukmanul Hakim Yani Mulyani Mulyani Yusransyah Yusransyah Copyright (c) 2024 Science Midwifery 2024-07-12 2024-07-12 12 3 1062 1066 10.35335/midwifery.v12i3.1613 Literature study: Relationship between pharmacist's "pharmaceutical care" and achievement of blood pressure targets in hypertension patients <p>Hypertension is defined by persistently elevated arterial blood pressure. The Seventh Report of the Joint National Committee (JNC VII) on Detection, Evalution, and Treatment of High Blood Pressure explains that hypertension is a condition where there is an increase in blood pressure in the arteries above 140/90 mmHg. The general goal of hypertension treatment is to reduce mortality and morbidity associated with hypertension. Mortality and morbidity are related to target organ damage. Reducing risk is the main goal of hypertension therapy, and the choice of drug therapy is significantly influenced by evidence showing risk reduction. The target blood pressure value recommended in JNC VII for most patients is &lt; 140/90 mm Hg, patients with diabetes &lt; 130/80 mm Hg and patients with chronic kidney disease &lt; 130/80 mm Hg. One part of the therapeutic management of hypertensive patients to achieve therapeutic goals is through pharmaceutical care (Pharmaceutical care). Counseling as an implementation of the concept of pharmaceutical care (pharmaceutical care) aims to provide additional knowledge about drugs and treatment with the hope of providing patients with an understanding of the role of drugs in curing their disease. This review summarizes the results of research on the effect of pharmacist intervention on achieving blood pressure targets for hypertensive patients by searching international and national published scientific journals from the last year 2010- 2021 via electronic databases in the form of Pubmed, ScienceDirect and Google Scholar.</p> <p>&nbsp;</p> Ika Sriwantika Yani Mulyani Patonah Patonah Copyright (c) 2024 Science Midwifery 2024-07-12 2024-07-12 12 3 1067 1072 10.35335/midwifery.v12i3.1615 The influence of toddler mothers class application on maternal behavior in complementary breastfeeding <p>An important period in a child's growth and development is the period under five years (toddlers), because this period is a period of basic growth that will affect and determine the child's subsequent development. During toddlerhood, children experience rapid growth and development and are often referred to as the golden period as well as the critical period. Health workers have a role in promoting knowledge about the health of toddlers to parents. The toddler mother class is a form of activity that provides knowledge to mothers about the health of their toddlers. This study analyzes the influence of android applications for mothers under five on maternal behavior in providing complementary foods for breast milk to toddlers 1-2 years old at the Palembang City Independent Practice Midwifery. The research method uses a Quasi experiment research design using a one-group pretest and posttest design approach. Based on the results of the statistical test using the McNemar statistical test, a ρ value of 0.000 (α&lt;0.005) was obtained, a meaningful difference was obtained between the behavior of mothers before and after using the Mother of Toddler Class application through the android application. This research is expected to be useful for mothers of toddlers and can be used as input material for midwives as an alternative method of implementing classes for mothers under five years old.</p> <p>&nbsp;</p> Desy Setiawati Kharisma Virgian Suprida Suprida Copyright (c) 2024 Science Midwifery 2024-07-13 2024-07-13 12 3 1073 1081 10.35335/midwifery.v12i3.1608 Giant juvenile fibroadenoma mammae case report <p>Mammae fibroadenoma (FAM) is a benign breast tumor with a mass consisting of epithelial tissue and stroma located under the skin of the breast. Fibroadenomas are mostly experienced in young women aged 10-18 years. The cause is not yet known for sure, but it is suspected that an increase in hormones occurs at a young age. FAM which is rapidly enlarged in size with a tumor diameter of more than 5 cm and weighs more than 500 grams is called Giant Juvenile Fibroadenoma. Characteristics of Giant Juvenile Fibroadenoma Mammae, although it is a benign tumor, can compress the surrounding tissue and change the structure of the lobules due to its increase in size and vascularization, and is at risk of leading to malignancy indicators. The case report reported one case in an 11-year-old girl with a major complaint of a lump in the left breast, rapidly enlarging over the past 6 months before being admitted to hospital. Preoperative cytology using Fine Needle Aspiration (FNA) showed the presence of Giant Juvenile Fibroadenoma (GJF) Mammae. The patient was given wide excision surgery with a surgical margin of 1 cm followed by a mastectomy procedure. A tumor measuring 7 x 7 cm was obtained with hypervascularization. Histopathological reports show benign juvenile giant fibroadenoma mammaries with negative margins. At follow-up up to 6 months, there were no signs of recurrence on physical examination and ultrasonography.</p> Zainal Abidin Copyright (c) 2024 Science Midwifery 2024-07-16 2024-07-16 12 3 1082 1090 10.35335/midwifery.v12i3.1570 Analysis of household environmental quality and health behavior on tuberculosis incidence in Jember Regency <p>Tuberculosis Disease remains a public health problem in Indonesia, with the country facing a triple burden of TB, namely the incidence of TB-HIV, Drug-Resistant TB (DR-TB), and Drug-Sensitive TB (DS-TB) simultaneously (Global Tuberculosis Report, 2019). The purpose of this study is to determine the relationship between Household Environmental Quality and Health Behavior on the Incidence of Tuberculosis in Jember Regency. This research is a quantitative analytical observational study with a cross-sectional design and purposive sampling technique, involving 105 respondents. After conducting the research, it can be concluded that the variable related to the incidence of Pulmonary TB is the practice of Pulmonary TB prevention, while the variables of wall type, floor type, ventilation area, presence of ceiling, and occupancy density are not related. Half of the respondents have poor behavior regarding tuberculosis prevention in Jember Regency.This research emphasizes the importance of improving the quality of the household environment and health behavior to reduce the incidence of tuberculosis in Jember Regency.</p> Syahnia Wasilatul Jannah Hadi Prayitno Ikhwan Nawarto Copyright (c) 2024 Science Midwifery 2024-07-16 2024-07-16 12 3 1091 1099 10.35335/midwifery.v12i3.1616 Evaluation of the implementation of the hospital management information system (SIMRS) using the hot fit method: Systematic review <p>Introduction: This research is motivated by the importance of implementing a hospital management information system (SIMRS) because it is important to assess its effectiveness, identify areas of improvement, and ensure that the system meets the specific needs and goals of the hospital. HOT FIT is a method that reviews the overall use of the system, namely humans, organizations, technology and benefits (Net Benefit). Method: This research is a study literature using the PRISMA diagram approach, with article searches using the research databases Pubmed, Science Direct, Google Scholar, and Scopus from 2018-2024. Results: A total of 10 relevant articles related to the application of SIMRS. Based on the results of the review of the article, it shows that human, organizational and technological factors have an important role in ensuring the success of SIMRS implementation. There are factors that do not depend on each other in implementing SIMRS, namely information quality, service quality, user satisfaction, organizational structure and organizational environment. Conclusion: System quality, system utilization, and net benefit factors all impact the success of SIMRS implementation. And there is a need for additional research regarding other factors that influence the application of SIMRS in improving the quality of information systems.</p> Munjirin Munjirin Arih Diyaning Intisari Budi Aji Copyright (c) 2024 Science Midwifery 2024-07-16 2024-07-16 12 3 1100 1108 10.35335/midwifery.v12i3.1585 Animated video education on the level of knowledge of Gastroesophageal Reflux Disease (GERD) in teenager <p>Background: GERD is one of the most frequently encountered and currently experienced problems an increase in prevalence every year. Apart from an unhealthy lifestyle, lack of knowledge can also be a risk factor for teenagers experiencing GERD. With the sophistication of technology, we can easily increase our knowledge with various media, one of which is animated video media. This type of research is quantitative research using a quasi-experiment design with one group pre-test post-test. This research collected data at SMA N 2 Meulaboh. The sample in this study was 210 respondents using probability sampling techniques. Data analysis used the Wilcoxon test. The research results found that applying animated videos could influence the level of knowledge about GERD in adolescents with a P value of 0.000. Research conclusion: There is an influence of animated videos on the level of knowledge of GERD in adolescents.</p> Nurromsyah Nasution Dinda Rahmadaningsih Orita Satria Copyright (c) 2024 Science Midwifery 2024-07-16 2024-07-16 12 3 1109 1114 10.35335/midwifery.v12i3.1598 Effectiveness educational video of Breast Self Examination (BSE) on knowledge of young women <p>Background: BSE examinations are conducted as early as feasible while women are still young, that is, when they are productive and between the ages of 13 and 49, they will also be very successful. Women in this age group are more likely to get cancer or breast tumors. The issue lies in women's lack of knowledge about the risks associated with BSE practice, which ranges from 25% to 30%. Adolescents' awareness can be raised more easily when education through video media stimulates their auditory and visual senses. The study's objective was to ascertain how young women's knowledge was impacted by the instructional film on breast self-examination (BSE). Method: A quasi-experimental study design without control is employed, consisting of pre- and post-test phases. The study, which involved 94 teenage female students, was carried out at MTSN 01 West Aceh from April 29 to May 21, 2024. Purposive sampling with inclusion criteria was the sample strategy used in this study. The study's findings demonstrate a substantial relationship between video-based BSE education and young women's BSE knowledge, with a p-value of 0.000&lt;0.05 for the Wilcoxon test results. Conclusion: The degree of knowledge of female students is significantly influenced by BSE instruction through video. Increasing the level of knowledge among female students.</p> <p>&nbsp;</p> Siti Damayanti Fitri Apriani Nurromsyah Nasution Miswarni Miswarni Copyright (c) 2024 Science Midwifery 2024-07-19 2024-07-19 12 3 1115 1121 10.35335/midwifery.v12i3.1606 Knowledge, motivation and work culture on compliance in completing medical records at Ibnu Sina Hospital Makassar <p>The importance of compliance in filling out medical records is a concern in the hospital service quality sector, because it has an impact on problems that often arise, namely filling in medical records, such as doctors' writing that is less specific and examinations that do not match the diagnosis. This situation has an impact on hospitals. This study aims to analyze the influence of knowledge, motivation and work culture on doctors' compliance in filling out medical records at Ibnu Sina Hospital Makassar. The type of research used is descriptive analysis, quantitative method, cross sectional design, to study the dynamics of correlation between risk and effect variables, using an approach, observation or data collection at the same time. Sample selection using purposive sampling technique by determining special characteristics according to the research objectives. The sample for this study was 70 doctors. The results of the research show that there is a correlation coefficient value of 0.276 on the knowledge variable, 0.390 on the motivation variable, 0.281 on the work culture variable and the results of multiple linear regression testing show an F-count value of 19.387 with a significant p value of 0.000 where there is at least 1 independent variable. influence on doctor's compliance simultaneously between the independent variable and the dependent variable. Therefore, knowledge, motivation and work culture have a significant influence on the doctor's compliance variable in filling out medical records.</p> Iin Widya Ningsi Mohamad Reza Hilmy Siswati Siswati Copyright (c) 2024 Science Midwifery 2024-07-19 2024-07-19 12 3 1122 1131 10.35335/midwifery.v12i3.1623 Factors influencing the incident of stunting in toddler in Tanjung Pasir Village, Tanah Java District, Simalungun District <p>Stunting in toddlers is an indication of malnutrition that is chronic in nature as a result of poor conditions that last long from birth. Stunting that occurs in the first 1000 days of life (HPK) can increase mortality and impairment of body functions. This research is to determine the factors that influence the incidence of stunting among toddlers in Tanjung Pasir Village, Tanah Jawa District, Simalungun Regency. This study used a descriptive analytic design with a cross-sectional approach. The number of respondents was 97 mothers with toddlers (24-59 months) in Tanjung Pasir village, Tanah Jawa sub-district, Simalungun Regency using simple random sampling technique. The dependent variable of this study was the incidence of stunting. Independent variables consisted of technological factors, family and social support, economics and maternal education. Data were collected using data from Tanah Jawa Health Centre and questionnaires and analysed using chi-square statistical test. There is an association between technological factors (p = 0.045), family and social support factors (p = 0.048), economic factors (p = 0.034), and educational history factors (p = 0.023) with the incidence of stunting in toddlers. There is a relationship between the variable factors and the incidence of stunting, this is evidenced by the results of the chi-square test which shows that there is a relationship between the variables tested.</p> Nurmiah Dongoran Wahyudi Wahyudi Reni Agustina Harahap Copyright (c) 2024 Science Midwifery 2024-07-19 2024-07-19 12 3 1132 1140 10.35335/midwifery.v12i3.1624