Science Midwifery https://midwifery.iocspublisher.org/index.php/midwifery <p align="justify"><strong>The Science Midwifery</strong> is a peer-reviewed free open access twice a year IOCSpublisher-Intitute of Computer Science (IOCS). 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> Institute of Computer Science (IOCS) en-US Science Midwifery 2086-7689 The Relationship of Knowledge with the Actions of the Patients of Pulmonary Tuberculosis About the Prevention of Covid–19 in Pulmonary Poly Rumah Sakit Haji Medan 2021 https://midwifery.iocspublisher.org/index.php/midwifery/article/view/130 <p>Covid-19 is the disease caused by corona virus a new type that appears at the end of 2019 the first time in Wuhan, China which is currently causing a pandemic almost all over the world. The main symptoms of the disease Covid-19 such as cough, fever, and shortness of breath. The purpose of this study is to know the relationship of knowledge with the Actions of the Patients of Pulmonary Tuberculosis about the Prevention of Covid-19 in Pulmonary Poly Rumah Sakit Haji Medan 2021. The design of this study is descriptive by using cross sectional study approach. The population in this study are 180 peoples with the techniques of sampling accidental for 2 weeks so that the sample in this study amounted to 30 peoples. The Data used are primary data and data collection of the first by applied a test validity and reliability. The results of this study found that knowledge of the patient of pulmonary tuberculosis about the prevention of Covid-19 the majority is in the category quite are 17 respondents (56,6%), while the actions of the patient of pulmonary tuberculosis about the prevention of Covid-19 the majority are in the category quite are 16 respondents (53,3%). The value of the coefficient of the product moment correlation (rxy) 0,840 are in the category of very strong relationship. Furthermore, the p value significant level of 0.00&lt;0.05, which is means the hypothesis is accepted, it’s mean that there is a relationship of patients’ knowledge of pulmonary tuberculosis about the prevention of Covid-19 in Pulmonary Poly Rumah Sakit Haji Medan in 2021. Concluded that there is a relationship between knowledge and action patients of pulmonary tuberculosis about the prevention of Covid-19. And this research is expected to increase knowledge and action about preventing Covid-19 by applying it in daily life, hopefully can avoid the transmission of Covid-19 for ourselves and others by obeying health protocols and avoiding complications.</p> Zuidah Zuidah Copyright (c) 2021 Science Midwifery 2021-07-25 2021-07-25 10 1, October 6 8 The Effect of Vitamin C Consumption on Increasing Hemoglobin and Ferrithin Levels of Pregnant Anemia Who Receive Blood Supplements https://midwifery.iocspublisher.org/index.php/midwifery/article/view/128 <p>Anemia in pregnancy is a problem that frequently occurs in pregnant women. It is a national health problem that will affect human resources in the future. Supplements in the government program to overcome the problem of anemia are by giving blood-added tablets and should be combined with vitamin C. The objective of this study was to determine the effect of vitamin C consumption on increasing hemoglobin and ferritin levels in pregnant women with anemia who received blood supplement tablets. This is a quasi-experimental design that uses a pretest and posttest approach with a control group. The research was conducted at the Pauh Public Health Center and the Health Laboratory Center. Data collection was carried out on January 02 – March 03 on 34 pregnant women with TM III who had anemia who were divided into two groups. Ferritin levels were checked by using ECLIA method and hemoglobin levels by a hematology analyzer. Normality test was done by using Shapiro Wilk and continued with T-test T-Independent and Dependent Test<em>.</em> The results showed that the average hemoglobin level before vitamin C consumption in the intervention group was 10.32 g/dL and the control group was 10.15 g/dL. Ferritin levels before the intervention group was 13.23 g/mL and the control group was 13.06 g/mL. Hemoglobin level after intervention was 11.75 g/dL and control 11.36 g/dL. Ferritin levels after intervention were 57.37 g/mL and control 50.91 g/mL. The results of the statistical test showed no difference in the increase in hemoglobin levels with a p value of 0.194 and a ferritin level with a p value of = 0.367 between the intervention and control groups. The conclusion in this study is that there was no difference in the increase in hemoglobin and ferritin levels of anemic pregnant women after consuming vitamin C between the intervention and control groups.</p> Gita Rahmadani Almurdi Almurdi Endrinaldi Endrinaldi Copyright (c) 2021 Science Midwifery 2021-07-15 2021-07-15 10 1, October 1 5 Leadership Relationship of The Head of Nursing with The Motivation of The Work of Implementing Nurses in North Sumatra Lung Special Hospital in 2021 https://midwifery.iocspublisher.org/index.php/midwifery/article/view/132 <p>Leadership is the ability to give constructive influence to others to make a cooperative effort to achieve a planned goal. Motivation is something that is strength, energy, or power, or a complex situation and preparedness is an impulse in an individual to move towards a specific goal. A nurse's motivation can also experience changes caused by factors that affect her. The purpose of this study was to analyze the relationship between the leadership of the head of nursing to the motivation of the work of the implementing nurse at the North Sumatra Lung Special Hospital. This research is an analytical survey research using the cross-sectional method. The population in this study was 53 nurses. The sampling technique used is the total population. Data analysis using univariate, bivariate analysis with Chi-Square test of Chi-Square person value to multivariate. Statistic test results with analysis there is a relationship between the leadership of a nursing head based on the soft skills of respondents ρ = 0.012 and hard skills respondents with a value of ρ = 0.004 (ρ value &lt; 0.05) with the motivation of the work of the implementing nurse at the Lung Special Hospital North Sumatra. The test results concluded there was a significant relationship between the leadership of the head of nursing and the motivation of the work of the implementing nurse at the North Sumatra Lung Special Hospital. It is recommended to further increase the motivation of workers in order to achieve the vision and mission of the hospital and increase the sense of responsibility of nurses to the tasks carried out.</p> Asnija Sinambela Zulfendri Zulfendri R Kintoko Rochadi Copyright (c) 2021 Science Midwifery 2021-08-03 2021-08-03 10 1, October 9 13 Growing Exclusive Breastfeeding on Relationships and Development in Infants Age 6-12 Months https://midwifery.iocspublisher.org/index.php/midwifery/article/view/150 <p>Breast milk is the single best food for babies aged 0 6 months. For this reason, exclusive breastfeeding for infants aged 0-6 months is the right step to maximize growth and development in infants aged 0-6 months and growth and development at later ages, because babies get proper nutrition and reduce the risk of infectious diseases that can affect nutritional conditions and growing. This study aims to determine the relationship of exclusive breastfeeding to growth and development in infants aged 6-12 months. This type of research is descriptive analytic with a cross-sectional study approach. The population in this study were all infants aged 6-12 months, namely 1538 infants. Sampling using consecutive sampling technique with a sample size of 56 respondents. The results showed that there was no significant relationship between exclusive breastfeeding and growth based on body weight (p = 1,000) and growth based on head circumference (p = 0.743). There was a significant relationship between exclusive breastfeeding and growth based on body length (p = 0.027) and the development of infants aged 6-12 months (p = 0.013). It can be concluded that exclusive breastfeeding has a significant relationship with growth based on body length and development of infants aged 6-12 months. Therefore, it is expected that breastfeeding mothers always give exclusive breastfeeding to infants aged 0-6 months in order to maximize the baby's growth and development and growth and development at a later age.Breast milk is the single best food for babies aged 0 6 months. For this reason, exclusive breastfeeding for infants aged 0-6 months is the right step to maximize growth and development in infants aged 0-6 months and growth and development at later ages, because babies get proper nutrition and reduce the risk of infectious diseases that can affect nutritional conditions and growing. This study aims to determine the relationship of exclusive breastfeeding to growth and development in infants aged 6-12 months. This type of research is descriptive analytic with a cross-sectional study approach. The population in this study were all infants aged 6-12 months, namely 1538 infants. Sampling using consecutive sampling technique with a sample size of 56 respondents. The results showed that there was no significant relationship between exclusive breastfeeding and growth based on body weight (p = 1,000) and growth based on head circumference (p = 0.743). There was a significant relationship between exclusive breastfeeding and growth based on body length (p = 0.027) and the development of infants aged 6-12 months (p = 0.013). It can be concluded that exclusive breastfeeding has a significant relationship with growth based on body length and development of infants aged 6-12 months. Therefore, it is expected that breastfeeding mothers always give exclusive breastfeeding to infants aged 0-6 months in order to maximize the baby's growth and development and growth and development at a later age.</p> Nela Novita Sari Eva Chundrayetti Yuliarni Syafrita Copyright (c) 2021 Science Midwifery 2021-08-23 2021-08-23 10 1, October 14 17 The relationship of knowledge about the impact of early marriage on pregnancy and delivery With adolescent women's attitudes towards Early marriage in the working area of Tuntungan health center, pancur Batu district in 2021 https://midwifery.iocspublisher.org/index.php/midwifery/article/view/139 <p>Marriage is an event in which a pair of prospective husband and wife are formally met in front of a certain religious leader, witnesses and a number of attendees to then be officially ratified as husband and wife with certain ceremonies and rituals (Kartono, 2018). The purpose of the study was to analyze the relationship between knowledge about the impact of early marriage on pregnancy and adolescent attitudes towards early marriage in the Tuntungan Health Center Work Area, Pancur Batu District in 2021. The population in this study were all female students in the Tuntungan Public Health Center working area, Pancur Batu District in 2021. A total of 104 people. The sample in this study was all female students in the working area of ​​the Tuntungan Health Center, Pancur Batu District in 2021 as many as 104 people. The results of the study based on knowledge, most of the respondents had less knowledge as many as 99 respondents (95.2%). Based on the attitude of most of the respondents have a bad attitude as many as 97 respondents (93.3%). Conclusion Most of the respondents have low knowledge due to the lack of information received about the impact of early marriage on pregnancy and childbirth. Because the more information received, the more knowledge gained. The education of the respondent's parents also has an educated elementary school as many as 72 respondents from 104 respondents. The higher a person's education, the person will tend to get more information. It can also affect knowledge about the impact of marriage on pregnancy and childbirth.</p> Aprilita Sitepu Desriati Sinaga Natalia Reni Pangaribuan Copyright (c) 2021 Science Midwifery 2021-08-25 2021-08-25 10 1, October 18 23 A Case Report: Hyperthrophic Pyloric Stenosis In 2-Months Old Boy https://midwifery.iocspublisher.org/index.php/midwifery/article/view/127 <p>Hypertrophic Pyloric Stenosis (HPS) refers to a narrow pylorus with clinical presentation is projectile and non-bilious vomiting. It occurs at the age of 2-8 weeks, with the case ratio between male-female is about 4:1. Ultrasound and barium meal are modalities to make the diagnosis. Reported a case 2-months old boy, who had chief complaint recurrent projectile and non-bilious vomiting. Ultrasound was performed with result thickening of pyloric with 6 mm of diameter. The patient has done pyloromyotomy. Patient suffered from post operative emesis which is still within normal limits and no other complication.</p> Luthfi Mohd Copyright (c) 2021 Science Midwifery 2021-08-25 2021-08-25 10 1, October 24 28 Screening Of α-Amylase Inhibitor Rhodomyrtus tomentosa (Aiton) Hassk. By Docking Method https://midwifery.iocspublisher.org/index.php/midwifery/article/view/136 <p>Diabetes cases in Indonesia are increasing along with economic growth and people’s welfare, so the use of oral drugs for diabetes mellitus is also increasing. One of the drugs used is acarbose, this drug works as an α-amylase inhibitor. With the increasing use of drugs causing side effects on the body, it is necessary to screen natural ingredients for alternative treatments of diabetes mellitus. The natural ingredient used in this research is <em>R. tomentosa</em>. The docking method used to find interaction stability is pyrex. The result of this research are alpha-Tocopherol quinone (-5,1 kcal/mol); blumeatin (-7,3 kcal/mol); methyl cinnamate (-5,1 kcal/mol); myricetin (-7,7 kcal/mol); naringenin (-7,0 kcal/mol); quercetin (-7,5 kcal/mol); rhodomyrtone (-7,4 kcal/mol); rhodomyrtosone B (-7,3 kcal/mol); rhodomyrtosone C (-8,8 kcal/mol); tetrahydroxyflavanone (-7,2 kcal/mol); tocopherol A (-7,8 kcal/mol); and verimol K (-6,4 kcal/mol). Based on the screening of <em>R.</em><em> tomentosa</em> content as an α-amylase inhibitor using the docking method, it can be concluded that the compound which has interaction stability is rhodomyrtosone C</p> samsul hadi Copyright (c) 2021 Science Midwifery 2021-08-25 2021-08-25 10 1, October 29 35 Influence Of Outpatient Registration Services On Satisfaction Of Patient In General Hospital Fl. Tobing City Of Sibolga 2020 https://midwifery.iocspublisher.org/index.php/midwifery/article/view/143 <p>Quality health services are health services that can satisfy every service user in accordance with the level of satisfaction of the average population and its implementation in accordance with the standards of the professional code of ethics that have been set. However, enhancing patient satisfaction in low-income settings is very challenging due to the inadequacy of resources as well as low health literacy among patients [1]. This study aims to determine the effect of outpatient registration services on patient satisfaction at the General Hospital F.L Tobing Sibolga City. This type of research is quantitative descriptive research. The population in this study were all outpatients who came for treatment at the time of the study, the number of patients seeking treatment per day was 450 people at the F.L.Tobing Hospital, Sibolga City in 2020 and a sample of 45 people. Methods of data analysis by means of univariate analysis and bivariate analysis.</p> Benri Situmorang Copyright (c) 2021 Science Midwifery 2021-08-25 2021-08-25 10 1, October 36 40 Review: Manufacturing Of Magnesium Oxide Nanoparticles As Antibacterial Agents https://midwifery.iocspublisher.org/index.php/midwifery/article/view/146 <p>The purpose of this article is to determine the most efficient synthesis method of magnesium oxide nanoparticles as an antimicrobial. The magnesium oxide synthesis method discussed in this study is complemented by the results of the study of the material sources, methods, advantages, and disadvantages of each method so that it can be a reference for choosing which method is more efficient in the synthesis of magnesium oxide. synthesis of magnesium oxide such as (1) synthesis of plant extracts,(2)) combustion, (3) sonochemical synthesis, (4) sol-gel synthesis, and (5) solid-state taken from the journal 2017-2020. This synthesis method resulted in the characterization of magnesium oxide nanoparticles which were analyzed using X-ray Diffraction (XRD), Fourier Transform Infra-Red (FTIR), Field Emission Scanning Electron Microscopy (FESEM). The results showed that there were advantages and disadvantages of each method of synthesis of magnesium oxide used. The most efficient method for synthesizing magnesium oxide as an antimicrobial is the sol-gel synthesis method. The sol-gel method uses readily available materials, has a relatively low cost, easy procedure to perform, and was found to be a light and efficient route for large-scale industrial production of fine magnesium oxide nanoparticles as antimicrobials.</p> Asep Nandiyanto Risti Ragadhita Citra Nurhashiva Tedi Kurniawan Copyright (c) 2021 Science Midwifery 2021-08-25 2021-08-25 10 1, October 41 54 Analysis on the Relation of Contraception Selection Towards Perceptions of Side Effects in Couples of Reproductive Age in the Working Area of Lubuk Buaya Public Health Center in Lubuk Buaya Sub-District, Padang City https://midwifery.iocspublisher.org/index.php/midwifery/article/view/166 <p>Family Planning Program (KB) is one of the programs used to cope with the increasing population. The purpose of the Family Planning Program (KB) is to improve the quality of the population through birth control, to reduce mortality, and to improve the quality of the family planning program, one of which is by using the Long-Term Contraceptive Method (MKJP). Side Effects on Couples of Reproductive Age in the Working Area of the Lubuk Buaya Public Health Center, Lubuk Buaya Sub-district, Padang City.This study used a cross sectional design. The research population was all couples of reproductive age who were in the working area of the Lubuk Buaya Sub-district Public Health Center, Padang City who received contraceptive services. The sample of this study was 108 respondents of reproductive age couples who had received family planning services. Data were collected by using questionnaires and data were analyzed by using chi-square test and logistic regression test. The results of this study found that there was a significant relation between perceptions of side effects on the contraception selection (p = 0.016) The &nbsp;conclusion of this study is that there is a relation between perceptions of the side effects on contraception selection.</p> Sandra Ilona Nuzulia Irawati Aladin Aladin Copyright (c) 2021 Science Midwifery 2021-08-30 2021-08-30 10 1, October 55 57 Hedonic Value Of Purple Sweet Potato’s (Ipomoea Batatas L) Yogurt During The Covid-19 Pandemic https://midwifery.iocspublisher.org/index.php/midwifery/article/view/148 <p>The Covid-19 pandemic is a time that needs to further improve the body's endurance, to avoid exposure to viral infections that cause the disease. Efforts to increase endurance can be through exercise, balanced nutrient intake, supplementary supplements, and others. One of the efforts to increase endurance is to consume yogurt as a drink containing good bacteria that play a role in improving endurance. However, at this time, the type of yogurt in the market, the dominance plus flavorings, and synthetic dyes. As, another alternative effort added to yogurt is to add purple sweet potato (<em>Ipomoea batatas L</em>) to provide natural and attractive color, as well as provide antioxidant benefits contained in purple sweet potato so that yogurt is made with enriched purple sweet potato. In fact, applications in the community need to be tested favorite, for yogurt to be accepted by the community. The purpose of this study is to find out the picture of fondness for purple sweet potato yogurt during the Covid-19 pandemic. The method was conducted experimentally with the treatment of P1 only yogurt, P2 contains yogurt and purple sweet potato 50:50, P3 contains yogurt and purple sweet potato 70:30 and P4 contains yogurt and purple sweet potato 80:20. Volunteers were given 4 bottles of yogurt (P1, P2, P3, P4), tasted it then filled out a hedonic value towards the color, aroma, taste, and overall appearance. The points given are 1 (very dislike), 2 (dislike), 3 (less than like), 4 (likes), and 5 (very likes). The hedonic value showed the mean P3 pick was (70:30). In conclusion, yogurt and purple sweet potato that people like is yogurt with yogurt composition as much as 70 parts and purple sweet potato &nbsp;30 parts.</p> Meri Meri Anindita Tri Kusuma Pratita Copyright (c) 2021 Science Midwifery 2021-09-01 2021-09-01 10 1, October 58 63 THE EFFECT OF APPLYING VITAMIN D ONREPAIRING OF THORAX PHOTO OF TUBERCULOSIS PATIENTS OF BATAK ETHNIC IN MEDAN https://midwifery.iocspublisher.org/index.php/midwifery/article/view/141 <p>This study aims to determine the effect of vitamin D on the repairingof thoracic on patients with pulmonary tuberculosis of Batak ethnic in Medan, conducted on 42 patients with TB, vitamin D group of 21 people and 21 placebo. Giving vitamin D dose of 2.5 mg (100,000 IU) for 4 times (weeks 0, 2, 4, 6) and placebo for 4 times (weeks 0, 2, 4, 6). B. The assessment of vitamin D and thorax photo were done before and after intervention.The results showed that the levels of vitamin D results before and after there is a difference, the measurement results using the enzyme linked immunosorbent assay (ELISA) provisions of the absorbance of each well at a wavelength of 450 ± 10 nm.Vitamin D levels were measured 25 (OH) D nmol / L then further analyzed using paired T test on vitamin D group p = 0:00, mean difference 29.27 + vitamin D levels were 22 ng / ml, whereas the placebo group p = 0:27, the difference of the mean levels of vitamin D 1:36 + 5:53 ng / ml. After examination of thorax photo in hospital then analyzed using Chi-square test. Vitamin D group showed a total improvement (66.7%) while the placebo treatment (33.3%), p = 0:06 concluded there was no effect of vitamin D on the restoration of thorax photo on patients pulmonary tuberculosis Batak ethnic.</p> Seri Rayani Bangun Bintang Y.K. Sinaga Nasipta Ginting Copyright (c) 2021 Science Midwifery 2021-09-02 2021-09-02 10 1, October 64 71 Relationship of Knowledge with Breastfeeding Mother's Attitude About Oxytosin Massage On The Smoothness Ofreast Milk Elisabet Purba New Midwife Clinic South Panyabungan District Year 2021 https://midwifery.iocspublisher.org/index.php/midwifery/article/view/142 <p>Oxytoxin massage is done to stimulate the oxytocin reflex or let me down reflex. Exclusive breastfeeding in Indonesia is still far from expectations. Nationally, the coverage of infants receiving exclusive breastfeeding in 2017 was 61.33%. However, this figure has not reached the target of exclusive breastfeeding coverage set by the government, which is 80%. The design of this research is analytic with cross sectional study approach. This type of research is descriptive correlational. The population in this study were all postpartum mothers at the Elisabeth Purba Baru Midwife Clinic. The sampling technique was a total sampling technique of 35 people.The results of the study, analysis of the chi-square test, obtained by the analysis of the Chi-Square test, it is known that the significant value of p value is 0.035. (0.035 &lt;0.05) then Ho is rejected and Ha is accepted so that in this study there is a significant relationship between knowledge and attitudes of breastfeeding mothers about oxytocin massage on breastfeeding smoothness at the Elisabeth Purba Baru Midwife Clinic. It is hoped that research sites, institutions, respondents and further researchers are advised to apply oxytocin massage to nursing mothers and explain the benefits to mothers so that mothers' knowledge increases and their attitudes are positive towards oxytocin massage</p> Helmi wardah Nasution Copyright (c) 2021 Science Midwifery 2021-09-03 2021-09-03 10 1, October 71 77 Factor Analysis With The Event Of Gout In The Community Of Lumban Barat Village https://midwifery.iocspublisher.org/index.php/midwifery/article/view/144 <p>Gout is a non-communicable disease that occurs due to the accumulation of crystals in the joints, resulting in an increase in gout levels in the body, and attacks the joints causes the joints become swollen, red skin color, a sensation of heat and pain in the joints. The results of the initial survey find 70 people with gout. The purpose of this study is to analyze factors related to the incidence of gout in people aged 30-60 years at Puskesmas area of ​​Lumban Barat village, Paranginan Humbang Hasundutan district in 2021.The research method used is an analytical observational design with a cross sectional design. The gout prevalence is 23.1%, age group 46-60 (63.5%), gender male (36,5%), obese BMI (47.1%), non-good eating pattern (44, 2%). Based on the chi square analysis, it is found that with the results of the chi square statistical test, the age value is p value 0.013, the gender value is p value 0,010, body mass index p value 0.004, eating patterns p value 0.010, which means there is a relationship between age, gender, body mass index, eating patterns, with gout occurence. The gout proportion in this region is 23.1%. Age, obesity, and not good eating patterns have been shown to be associated with the gout accurence. In this study, increasing age, gender, obesity, not eating patterns have each opportunity, 2,600, 3,267, 3,286, 3,557 times more to experience gout than subjects who are younger, not obese and have a good diet</p> Agustaria Ginting Murni Sari Dewi Simanullang Graicia Agustina Sihombing Copyright (c) 2021 Science Midwifery 2021-09-03 2021-09-03 10 1, October 78 84 Relationship of Knowledge And Attitude of Nurses With Quality Of Nursing Care In RSUD Tarutung https://midwifery.iocspublisher.org/index.php/midwifery/article/view/158 <p>Quality service is the hope of all clients who are brought and treated at the hospital, however not all hospitals are able to provide the desired service. This is because quality services can only be provided by health professionals who have good knowledge and abilities, so that patients feel comfortable. Convenience greatly affects the quality of the treatment undertaken. This study uses a cross sectional design. The total population is 35 nurses with a sample of 34 nurses using total sampling. Data analysis using the chi square test with a degree of confidence p &lt;0.05. Based on the results of the chi square test there is a relationship between knowledge and attitudes of nurses with the quality of nursing care in RSUD Tarutung with a significance degree (α) = 0.05 and df = 1, the calculation results are Sig (2-tailed) 0.013 &gt; (α) = 0.005, then Ho is rejected and Ha is accepted. It is recommended for nurses. The results of this study can be used as input to improve the quality of nursing services in providing more services for patients.</p> Dawson Hutauruk Nurlela M. Nababan Trimey Liria Hutauruk Copyright (c) 2021 Science Midwifery 2021-09-03 2021-09-03 10 1, October 85 91 Relationship between Education, Mother's Knowledge and Environmental Sanitation with Stunting for Toddlers in the Sarudik Primary Care Area Central Tapanuli Regency in 2020 https://midwifery.iocspublisher.org/index.php/midwifery/article/view/135 <p>Stunting describes chronic undernutrition status during growth and development since early life. This situation is represented by a z-score of height for age (TB/U) less than -2 standard deviations (SD) based on growth standards. Based on the results of a preliminary survey study conducted at the Sarudik Primary care in February 2020, it was found that the number of toddlers was 60 people with stunting incidence as many as 16 toddlers. Based on the data above, the researchers examined the relationship between education, maternal knowledge and environmental sanitation with stunting in toddlers in the area of the Sarudik Primary care, Central Tapanuli Regency in 2020. This type of research is analytic observational with a cross sectional approach (cross-sectional). With a sample of 60 children aged 6-23. This study uses the chi square statistical test. showed the incidence of stunting in children under five as many as 14 respondents (41.2%). Respondents who are less knowledgeable about the incidence of stunting in toddlers are 16 people (36.4%). Environmental sanitation in good respondents who experienced stunting as many as 2 people (6.9%) and poor environmental sanitation who experienced stunting as many as 15 people (48.4%). The variables of education, knowledge and environmental sanitation were related to the incidence of stunting, because the p value &lt;0.05.</p> Herlina Tarigan Copyright (c) 2021 Science Midwifery 2021-09-03 2021-09-03 10 1, October 92 97 Impact Of The Covid-19 Pandemic On Pregnant Mother's Anxiety: A Systematic Review https://midwifery.iocspublisher.org/index.php/midwifery/article/view/170 <p>The COVID-19 pandemic has impacted all aspects of life. Lockdown policies, poverty due to layoffs, and a lot of information about deaths have disrupted people's mental health. This study aims to prove the effect of the COVID-19 pandemic on the anxiety of pregnant women. The research method is a systematic review with 4 (four) stages of work: identification, screening, feasibility, and input. Search articles using three databases: Proquest, PubMed, and Google Sholar during the covid-19 pandemic period (2019-2021). The article is an English and Bahasa journal. The results of the study found 1,712 articles. After screening the eligibility criteria articles are 29 articles then reviewed. The results of the study show that the COVID-19 pandemic causes anxiety in pregnant women. The poverty factor makes the anxiety level higher. Special policies are needed for health services for pregnant women and economic support for families who have pregnant women.</p> Zeni Zaenal Mutaqin Copyright (c) 2021 Science Midwifery 2021-09-05 2021-09-05 10 1, October 98 102 Mom's Knowledge Regarding Basic Immunization To Babies In The Sigumpar Public Health Center Area Year 2021 https://midwifery.iocspublisher.org/index.php/midwifery/article/view/149 <p>Immunization is an effort to provide immunity to infants and children by introducing vaccines into the body to make antibodies to prevent certain diseases. There are 22.6 million children in the world who are not covered by routine immunization. More than 13% of Indonesian children have not received complete immunization for various reasons, whereas complete immunization can protect children from epidemics, disability and death. The percentage of measles immunization nationally is 82.1%, DPT/HB1 immunization is only 3.3%, the number of diphtheria cases is 78.4%, this achievement has not met the 90% target which is Indonesia's commitment to the regional scope. Not achieving the immunization target is caused by various things, one of which is lack of knowledge from mothers about immunization. This study aims to determine the knowledge of mothers about giving basic immunization to babies in the work area of ​​the Sigumpar Health Center, Tobasa Regency. The type of research used is descriptive, the population in this study is mothers who have babies 0-12 months and the research sample is 31 people who are taken by doing accidental sampling. The results of this study indicate that the majority of mothers' knowledge is in good category (67.7%) about giving basic immunization to babies at the Sigumpar Health Center, Tobasa Regency. direct visits so as to increase visits and maternal compliance in providing immunizations to their children so as to prevent disease for the baby's body.</p> Melva Epy Mardiana Manurung Copyright (c) 2021 Science Midwifery 2021-09-05 2021-09-05 10 1, October 103 107 The Analysis of Nursing Problems in Mothers with Hyperemesis Gravidarum at RS NU Banyuwangi https://midwifery.iocspublisher.org/index.php/midwifery/article/view/133 <p>Hyperemesis gravidarum is vomiting that occurs in early pregnancy until the gestational age of 20 weeks, where sometimes vomiting occurs so intense and interfere with daily activities. Hyperemesis gravidarum can harm the health of the mother that can cause a weight loss of more than 5% and lead to metabolic disorders. This research is a descriptive retrospective cross-sectional design with data collection on the patient's medical record for a year in 2019. This research was conducted at the HOSPITAL of Nahdlatul Ulama Banyuwangi. In this study found pregnant women with hyperemesis gravidarum based on the age of the mother most of the high experienced by pregnant women in the age group &lt;25 years as many as 30 people (68,2%). Based on the parity of the most high experienced by pregnant women in the group of parity primigravida as many as 30 people (68,2%). Based on the level of education of the mother most of the high experienced by pregnant women who have a high SCHOOL education that is as much as 18 people (40,9%). The results of the statistical test of this study concluded with the results of the test of SPSS version 17 the obtained value of the largest there is on the issue of nursing disorders of fluid balance with the amount of 52,3%, followed by disorders of nutrition with the number of the 31.8%, and the last is hipertermi with the amount of 15.9%. Based on the results of the analysis of nursing assessments of hyperemesis gravidarum cases experienced by pregnant women (research samples), three nursing diagnoses or nursing problems were found including fluid balance disorders, nutritional balance disorders and hyperthermia. The nursing problems experienced by the sample are in accordance with the implementation of the diagnosis according to the IDHS. From the three diagnoses, a priority nursing diagnosis was obtained, namely fluid balance disorders. From nursing diagnoses that appear, interventions that can be performed on pregnant women are adjusted to clinical signs so that the goal to overcome the problems that occur can be achieved.</p> Rahmawati Raharjo Mahmud Hakim Copyright (c) 2021 Science Midwifery 2021-09-05 2021-09-05 10 1, October 108 113 Stress Level of Mothers with Children with Special Needs https://midwifery.iocspublisher.org/index.php/midwifery/article/view/167 <p>Mothers with children with special needs have a higher stress level than parents with normal children. Mothers usually show psychological symptoms including depression and anxiety which will affect the quality of life of the child. Objective: This study aims to determine the stress level of mothers who have children with special needs at SLB Sindangsari Cikoneng Sindangsari. Methods: The study used a descriptive method with the instrument using a questionnaire. Results: It was found that of the 32 respondents in the moderate stress category, 30 respondents (93.75%) were found. Suggestion: support is needed, especially from the family so that the stress experienced by mothers with children with special needs can be overcome</p> Ima Sukmawati Elis Noviati Yuyun Rahayu Copyright (c) 2021 Science Midwifery 2021-09-07 2021-09-07 10 1, October 114 116 Risk Factors of Stunting In Pangkalan Kuras 2 Public Health Center at Pelalawan District, Riau Province https://midwifery.iocspublisher.org/index.php/midwifery/article/view/161 <p>WHO states that, in the world there are more than 2 million deaths in children aged 6 years old to 12 years old are directly related to nutrition, especially those caused by stunting and about 1 million deaths due to lack of energy and protein, vitamin A and zinc. In the 2013 Riskesdas, Riau is known to have a prevalence of stunting toddler for 30%, so Riau is still in a problematic condition, especially its public health related to nutrition. This study is a descriptive analytic study with a cross-sectional design. Where the sampling technique is total sampling with 57 people in total, namely all infant aged 5-56 months in the Pangkalan Kuras 2 Public Health Center, Pelalawan District, Riau Province. The results of the data analysis that obtained are the correlation between the maternal last education p =0.813, correlation of Breastfeeding History p=0.039, correlation of Maternal Height History p=0.357, and correlation of Infant Weight History p=0.337. There is no correlation between a low level of maternal education, a low maternal height history and a low birth weight history on the occurrence of stunting. And there is a correlation between non-exclusive breastfeeding to the occurrence of stunting.</p> Mayasari Rahmadhani Copyright (c) 2021 Science Midwifery 2021-09-07 2021-09-07 10 1, October 117 122 Health Education on Motivation of Health Cadres in High Risk Early Detection of Pregnant Women in Kepuh Village Boyolangu District, Tulungagung Regency https://midwifery.iocspublisher.org/index.php/midwifery/article/view/159 <p>Counseling on High Risk Early Detection (DDRT) can increase the motivation of Health Cadres to prevent complications and death in pregnant women. The purpose of this study was to determine the effect of health education on the motivation of cadres in early detection of high risk pregnant women in Kepuh Village, Boyolangu District, Tulungagung Regency. The design of this study was analytic as a pre-experiment, with the design of the One-group pre-post test design with a population of all posyandu cadres in the Village of Kepuh, Boyolangu Subdistrict, Tulungagung Regency with a total of 20 people. The sample is all from the population with a sampling technique in total sampling of 20 respondents. The collected data is processed by the Wilxocon test with a significance of α = 0.05. The results showed that most of the respondents were 11 (55.0%) respondents had moderate motivation before health education and most of the respondents were 14 (70.0%) respondents had strong motivation after health education. The results of the Wilxocon test obtained p-value = 0,000 for the influence of health education on the motivation of cadres in early detection of high risk pregnant women. Health education can increase the motivation of cadres in doing DDRT which ultimately can reduce the risk of emergency conditions for both the mother and the fetus.</p> Erma Retnaningtyas Retno Palupi Yonni Siwi Copyright (c) 2021 Science Midwifery 2021-09-07 2021-09-07 10 1, October 123 127 Determinantion of Formaldehyde in Tofu from Betung Banyuasin Market, South Sumatra https://midwifery.iocspublisher.org/index.php/midwifery/article/view/168 <p>Formalin is a hazardous chemical substance to public health which is often used in tofu products. Tofu is a vegetable product usage as a source of protein derived from soybeans, a protein that is needed by humans growth. This study aims to test the presence or absence of formalin content in tofu sold in the Betung Banyuasin market, South Sumatra. A qualitative method is used in the form of a color test by adding turmeric solution. The results of the qualitative test showed that the tofu contained negative formalin. The color test was carried out using a turmeric solution. In conclude, of the color test showed that 6 negative samples contained formalin, indicated by the solution not changing, namely the orange color of the natural color of turmeric did not change</p> yeni Indriyani Copyright (c) 2021 Science Midwifery 2021-09-07 2021-09-07 10 1, October 128 131 Purple Ruellia Flower (Ruellia Simplex Wright) Ethanol Extract Lotion as Skin Moisturizer https://midwifery.iocspublisher.org/index.php/midwifery/article/view/173 <p>Purple ruellia flower is a garden and yard ornamental plant that we often find in our environment. This study aims to determine whether purple ruellia flowers in a certain concentration are able to provide moisture and do not cause skin irritation. Purple ruellia flowers were macerated with 96% ethanol solvent, then ethanol extract of purple ruellia flowers was made with concentrations of 1%, 1.5%, 2%, 25%, and blanks. The results showed that purple ruellia simplex Wright flower ethanol extract lotion could be used as a homogeneous skin moisturizer, at concentrations of 1%, 1.5%, 2%, 2.5% stable in terms of odor changes. The ethanol extract of purple ruellia flower (Ruellia simplex Wright) in a concentration (2.5%) had a water content of (47.3%), almost the same as the comparison lotion on the market (CITRA) of (47.6%) in the "moist" category. , studied moisturizing lotion preparations do not irritate the skin.</p> Hepni Sibagariang Meliani Dwi Lestari Copyright (c) 2021 Science Midwifery 2021-09-07 2021-09-07 10 1, October 132 139 Relationship Job Satisfaction With Turnover Intention On Nurses In The Inpatient Ward Of A Private Hospital Batam City In 2020 https://midwifery.iocspublisher.org/index.php/midwifery/article/view/165 <p><em>American Health Care Association</em> revealed that from the total turnover rate of 35.1%, an increase of 39.5%, this data shows that there was the highest increase in nursing staff by 4%. Research in the United States, Canada, UK, and Germany shows that 41% of nurses in hospitals are dissatisfied with their jobs and 22% of them plan to leave their jobs within one year. One of the factors that affect turnover intention to nurses is job satisfaction. This study aims to determine the relationship between job satisfaction and turnover intention of nurses in patient room Private Hospital, using an analytical study with a cross sectional design. The number of nurses in the study was 51 nurses. The data analysis used was the Kruskall Wallis test, Kruskall Wallis statistical test results obtained value (p value = 0.003 &lt;0.05), indicating that Ho is rejected and Ha is accepted. Conclusion: There is a significant relationship between job satisfaction and turnover intention for nurses in the inpatient room of Private Hospital, Batam City in 2020. Hospital management is expected to make a policy to minimize the increase in turnover and increase nurse job satisfaction</p> Didi Yunaspi Fransiska Mariona Nova Roza Erda Afif D Alba Copyright (c) 2021 Science Midwifery 2021-09-09 2021-09-09 10 1, October 140 144 The Relationship Of The Duration Of Type 2 Diabetes Mellitus With Peripheral Neuropathy https://midwifery.iocspublisher.org/index.php/midwifery/article/view/171 <p>Patients with diabetes mellitus ≥ 5 years of age can cause diabetic peripheral neuropathy, which is a symmetrical peripheral nerve disorder characterized by sensory, motor and autonomic disorders that affect the outer leg nerves. The purpose of this study was to determine the correlation between duration of suffering from diabetes mellitus and the occurrence of peripheral neuropathy. This type of research is analytic with a cross sectional design, a sample of 52 respondents who are in the working area of ​​Puskesmas Tiban Baru Batam City, using purposive sampling with MNSI (Michigan Neuropathy Screening Instrument) questionnaire. The results of this study found that most people with diabetes mellitus ≥ 5 years were 31 respondents (59.6%), most of them had peripheral neuropathy as many as 31 respondents (59.6%) and almost all patients with diabetes mellitus ≥ 5 years had peripheral neuropathy as many as 24 respondents (77.4%). From the results of the chi suare statistical test p value = 0.001 (0.05), Ha is accepted, this indicates that there is a significant relationship between the duration of suffering from diabetes mellitus and the occurrence of peripheral neuropathy. People with diabetes mellitus are obliged to maintain a pattern of daily life such as physical activity, diet, and regularity in taking medication to reduce the risk of peripheral neuropathy.</p> T. Eltrikanawati Eltrikanawati Copyright (c) 2021 Science Midwifery 2021-09-13 2021-09-13 10 1, October 145 150 Relationship Of Mother's Knowledge About Protein Energy Malnutrition With Nutritional Status Of Preschool Children In Kristina Clinic Perumnas Sidikalang In 2021 https://midwifery.iocspublisher.org/index.php/midwifery/article/view/176 <p>Protein Energy Malnutrition (PEM) is one of the important nutritional disorders in Indonesia and other developing countries. One of the highest prevalence is found in children under five, one of which is caused by mother's knowledge. The purpose of this study was to analyze the relationship between mother's knowledge about protein energy malnutrition and the nutritional status of preschool children at the Clinic. The sample in this study were all mothers who had preschool-aged children who came to visit Kristina Clinic Perumnas Sidikalang in 2021 as many as 32 people. The results showed that the majority of respondents had good knowledge and the nutritional status of children was within normal limits, and there was a relationship between mother's knowledge of protein energy malnutrition and the nutritional status of preschool children with p = 0.001. The higher the mother's knowledge, the higher the child's nutritional status will be.</p> Desriati Sinaga Aprilita Sitepu Meliana Sianturi Copyright (c) 2021 Science Midwifery 2021-09-13 2021-09-13 10 1, October 151 155 Mother's Knowledge And Education On The Motor Development Of Children Aged 3-5 Years Old In Ra Amanah Al Fatonah Desa Mengulak Kabupaten Oku Timur In 2021 https://midwifery.iocspublisher.org/index.php/midwifery/article/view/169 <p>Child development is all changes that occur in children seen from various aspects, including physical (motor), language, psychosocial, socialization, moral, and belief aspects. Gross motor skills are body movements using large muscles or all limbs influenced by the child's own maturity. While fine motor is a movement that only involves certain body parts and is carried out by small muscles.This research is a quantitative study using a cross sectional approach where the independent and dependent variables are collected at the same time. The research population is all mothers who have children aged 3-5 years who attend RA. Amanah Al Fatonah, Mengulak Village, OKU Timur Regency in 2021, as many as 27 people. The sampling technique was Total Sampling technique so that the number of samples in this study was 27 respondents.The results showed that there was a relationship between knowledge and motor development of children aged 3-5 years with p value = 0.04, and there was a relationship between education and motor development of children aged 3-5 years with a p value of 0.004.Mother's knowledge and education play an important role to help optimal child development. With knowledge, mothers will obtain information, including how to properly care for children, maintain child health, and stimulate child development.</p> Erike Septa Prautami Ratna Dewi Copyright (c) 2021 Science Midwifery 2021-09-13 2021-09-13 10 1, October 156 160 Massage Therapy, Mapping Of Mother's Knowledge And Their Effect On Baby Weight https://midwifery.iocspublisher.org/index.php/midwifery/article/view/180 <p>The government's target in reducing the prevalence of stunting aims to reduce the number of people who are not qualified, because it will have an impact on the country's economy. Phase 1 data collection method was carried out by distributing questionnaires to 40 mothers who gave birth in Langkat, Deli Serdang and Medan. In the second stage, data collection was carried out using a quasi-experimental design. The approach taken is a non-randomized pre and post test with control design. Respondents in the second stage were 20 infants aged 6-12 months.Based on massage therapy performed by mothers for very large babies, as many as 21 people (52.5%). Data analysis using Chi-Squared p value = 0.019 &lt; (0.05), meaning that there is a significant relationship between mother's knowledge and massage therapy for babies. In the first month of massage, the baby's average weight increased by 49 grams, then there was an increase in the baby's weight again in the second month, namely an increase of 40 grams and in the 3rd month an increase in body weight of 94 grams. Weight gain in infants from 0 months - 3 months, then it can be seen that the weight gain in babies who are given massage is above the weight of babies who are not given massage.</p> Musdalina Musdalina Alfi Laili Ruri Aditya Sari Copyright (c) 2021 Science Midwifery 2021-09-16 2021-09-16 10 1, October 161 165 Effectiveness Of Prenatal Massage On Reducing Physical Complaints In Pregnant Women Trimester III https://midwifery.iocspublisher.org/index.php/midwifery/article/view/157 <p>Prenatal massage is one way to bring out wellness for body and mind in third trimester pregnant women, which can be overcome to overcome the physical Pe al problems they experience. The formulation of the problem in this study is the physical complaints experienced by pregnant women in the form of cramps in the legs, edema in the legs, back pain, difficulty sleeping can be resolved with prenatal massage and aims to determine the effectiveness of prenatal massage on physical complaints in third trimester pregnant women at the clinic Pera. The type of research is Quasi Experiment with Non Equivalent Control Group approach. The research sample was 32 pregnant women with third trimester, namely 16 people as the intervention group, 16 people as controls taken with consecutive sampling technique. Univariate analysis, Wilcoxon test and Mann Whitney test. The results of the mean value between the pre-test and post-test measurements of the control group was -0.25; (p=0.417&gt;=0.05). The result of the mean value between the pre-test and post-t est measurements of the intervention group was 3.5; (p=0,000 &lt;α=0,05). And the results of the difference in the average value of physical complaints in the control group and the intervention group are 3.75; (p = 0.000 &lt; = 0.05, there is a significant difference in the average value of respondents' physical complaints between the control group and the intervention group.) So the key is that prenatal massage is effective in reducing physical complaints of pregnant women in the third trimester. Physical complaints that are often experienced by pregnant women can be reduced.</p> Marta Imelda Sianturi Copyright (c) 2021 Science Midwifery 2021-09-16 2021-09-16 10 1, October 166 169 Factors Related To Patient Adherence To Anti Tuberculosis Drug Treatment At The Mekar Jaya Health Center https://midwifery.iocspublisher.org/index.php/midwifery/article/view/179 <p>Regular administration of Anti Tuberculosis Drug is one of key success of tuberculosis treatmen. Discontinuing treatment, has resulted a double immune and Multu Drug Resistant (MDR) in pulmonary tuberculosis bacterias. The purpose of this study was to determine the effect of Attitude, Distance and Family Support on adherence to anti Tuberculosis Treatment. Subject and Method: This study was a cross-sectional study carried out in working area Mekar Jaya Health Center. A total sample 65 patents who diagnosed TB which cunducted in April 2021. The dependent variable was adherence to Anti Tuberculosis Drug. The independent variables were Attitude,Distance and family support. Result: The findings revealed that 61.5 % of respondents did not comply with treatment, while 38.5 %. The bivariate test results attitude was possitively associated (p-value 0.009; OR; 3.946 CI (1.364-11.416), distance p-value 0.002, OR; 5.333 CI (1.801-15.797), and family support with p-value 0.003, OR 5.091 CI (1.684-15.390) To concluded, attitude, distance and family support are associated with patient’s adherence to anti tuberculosis drug treatment.</p> Yeni Indriyani Sutriyati Sutriyati Rima Ernia Muslimin Muslimin Copyright (c) 2021 Science Midwifery 2021-09-21 2021-09-21 10 1, October 170 174 Evaluation Of The Attitude Of Breastfeeding Of Covid-19 Survival During Self-Isolation Period https://midwifery.iocspublisher.org/index.php/midwifery/article/view/175 <p>In Indonesia and the world are experiencing the Covid-19 Pandemic. During the postpartum period, breastfeeding is highly recommended because it has been shown to provide a very strong protective effect against infectious diseases by increasing the baby's immune system and in various studies that this virus has never been found in breast milk, so this is a way for mothers to continue breastfeeding their babies. by continuing to practice procedures to prevent mother-to-child transmission of infection. The purpose of this study was to find out in depth the attitude of breastfeeding mothers who survived COVID-19 during the self-isolation period. Qualitative research methods directly to 30 informants, with a phenomenological study approach. Data was collected through observation and in-depth interviews. The data were analyzed using Interpretative Phenomenological adjusted to the size of the Guide for Breastfeeding Mothers (who are in Self-Isolation) during the Covid-19 Pandemic of the Indonesian Ministry of Health. The results of research conducted during the pandemic in 2020 showed positive and negative attitudes from breastfeeding mothers in the care of babies carried out, breastfeeding babies with Covid transmission prevention procedures, support from health workers and problems faced during self-isolation.</p> Vittria Meilinda Copyright (c) 2021 Science Midwifery 2021-09-24 2021-09-24 10 1, October 75 179 The Relationship Of KB Counseling With The Participation Of First Age Couples ( PUS ) Become A FP Acceptance In Gasaribu Village, Laguboti District Year 2021 https://midwifery.iocspublisher.org/index.php/midwifery/article/view/177 <p>From the results of the initial survey conducted by the author of 12 PUS in Gasaribu Village, the authors found 6 of them said that they had heard about family planning contraceptives but were not interested in becoming family planning acceptors because of wrong understanding or myths about contraception, one of which was the side effect of contraception. use of contraceptive methods and feelings of embarrassment because the contraceptive device is placed on their genitals. And 6 other people said they knew about the contraceptive method but did not use it because they wanted to have more children. Univariate analysis is an analysis that focuses on the depiction or descriptive of the data obtained. Describe the frequency distribution of each of the independent variables and the dependent variable. Bivariate analysis to see the relationship between family planning knowledge of reproductive age couples in using contraceptives. The data collected were analyzed using the chi square statistical test. Most of the respondents did not participate in the family planning program as many as 54 respondents (72.97%), while PUS who participated in the family planning program were as many as 20 respondents (27.03%). Based on the results of the study, it can be concluded that the majority of respondents' knowledge (PUS) about family planning in Gasaribu Village, Laguboti District, Toba Regency, has good knowledge, as many as 35 respondents (71.00%). 20 respondents (67.3%) did not participate in the family planning program, while 54 respondents (3 2, 7%) did not participate in the family planning program. The highest percentage of family planning participation based on cross tabulation of respondents with less knowledge was 8 respondents (34.7%), while the highest percentage did not participate in family planning programs with good knowledge as many as 27 respondents (77.2%). There is no significant relationship between the level of knowledge about family planning and participation in family planning in PUS in Gasaribu Village, Laguboti District, Toba Regency in 2021 as indicated by the chi-square statistical test with the result of a p-value of 0.318.</p> Munarni Simatupang Copyright (c) 2021 Science Midwifery 2021-09-24 2021-09-24 10 1, October 180 185 Complete Midwifery Care In Very High-Risk Pregnancy https://midwifery.iocspublisher.org/index.php/midwifery/article/view/182 <p>A very high-risk pregnancy is a risk group for pregnant women with the highest number of maternal and neonatal deaths. One way that can be carried out to prevent maternal and infant complications is to provide complete midwifery care. The purpose of this case study is to provide complete midwifery care to Mrs. "W" from pregnancy to family planning. The research design used is a case study with the research subject of Mrs. ”W”. Methods of collecting data through interviews, observation, and documentation studies. The results of midwifery care for Mrs. ”W” found data during pregnancy classified as very high-risk pregnancy with a Poedji Rochjati score of 14 (anemia, height &lt; 145 cm, and a history of childbirth with infusion). Problems during pregnancy are the lack of adequate nutrition and optimal rest as well as the discomfort of swollen legs and back pain. During labour, the diagnosis of premature rupture of membranes was obtained. In the puerperium, the problem of suture wound pain was found. During the newborn period, jaundice was diagnosed. During family planning, the mother chose 3 months of injectable contraception. Management was given according to the diagnosis and problems found from the time of pregnancy to family planning. Complete midwifery care can increase the effectiveness of health care for the mother as a whole so that it does not endanger the mother and baby and increase patient satisfaction in getting midwifery services.</p> Dintya Ivantarina Dwi Yuliawati Fitri Yuniarti Wulan Anggraini Copyright (c) 2021 Science Midwifery 2021-09-24 2021-09-24 10 1, October 186 197 Overview Of Elderly Knowledge About Rheumatoid Arthritis In Barusjahe District Puskesmas Karo 2021 https://midwifery.iocspublisher.org/index.php/midwifery/article/view/184 <p><em>Elderly is an age that has a greater likelihood of experiencing autoimmune, this is based on the statement that the older you get or the older you are, the more likely you are to experience autoimmune. Rheumatoid Arthritis (RA) is an autoimmune and immune system disease that causes chronic inflammation of the joints. This research purposed to describe the knowledge of the elderly about Rheumatoid arthritis in the Barusjahe Health Center Work Area, Karo Regency in 2021. This research uses descriptive research with the sampling technique in this study using purposive sampling. The number of respondents are 72 people. The research instrument is a questionnaire on the level of knowledge about Rheumatoid Arthritis with 25 questions. The results of this study are most of the knowledge level of the elderly about Rheumatoid Arhritis obtained in the category of sufficient knowledge level of 47.2%, 27.8% less, and 25% good. The conclusion is that the level of knowledge of the elderly about Rheumatoid Arthritis at the Barusjahe Health Center in 2021 is mostly good enough, it is hoped that health cadres can provide further information about rheumatoid arthritis so that they can increase the knowledge of the elderly to be good and improve the health status of the elderly</em></p> Indra Hizkia Lilis Novitarum Mestiana Br Karo Copyright (c) 2021 Science Midwifery 2021-09-29 2021-09-29 10 1, October 198 202 Nurse Caring Experience In Providing Nursing Services Among Covid-19 Patients In The Private Hospital Pekanbaru: A Phenomenological Study https://midwifery.iocspublisher.org/index.php/midwifery/article/view/186 <p>The spread of COVID-19 is still continuing very fast. The COVID-19 outbreak is a global problem that has an impact on various life settings and is a challenge for nurses in providing professional nursing care with the risk of contracting and even becoming a victim of COVID-19. The study aims to explore in depth the caring experiences of nurses in providing nursing services to COVID-19 patients in hospital. The research design is used descriptive phenomenology. Participants were 12 nurse, who were selected by purposive sampling technique. The Data be in the form of in-depth interviews and field notes. Furthermore, it is analyzed verbatim and using Colaizzi's approach. The results of the study found six themes, which is nurse anxiety, support system, professional responsibility, workload, refusal of information by patient and patient's family, risk of infection. The themes that emerge from the results of the study can serve as a reference for health workers, especially in the managerial field in taking policies regarding health services, especially nursing services by COVID-19 nurses in order to produce good and safe nursing services for both patients and nurses as nursing service providers.</p> Mersi Ekaputri Arya Ramadia Sumandar Sumandar Copyright (c) 2021 Science Midwifery 2021-09-28 2021-09-28 10 1, October 203 209 The Differences Effect Of Corn Hair Tea And Rajuke Tea On The Production Of Breast Milk In The Working Area Of Puskesmas Kota Selatan , Puskesma Kota Utara And Puskesmas Sipatana In Gorontalo City https://midwifery.iocspublisher.org/index.php/midwifery/article/view/187 <p>In 2018 in Gorontalo Province there were three health centers with the lowest breastfeeding coverage, Sipatana Public Health Center (33.9%), Kota Utara (23.8%), and Kota Selatan (16.6%). The results showed that the antioxidant content in the form of alkaloids and sterols can increase the production of breastmilk. This substance is contained in the combination tea of ​​Corn Hair and Moringa leaves (Rajuke). This study aimed to analyze the different effect of corn hair tea and Rajuke tea on breastmilk production in postpartum mothers.This research was pre-experimental with a control group pretest-posttest design which was carried out from August to November 2020 with number of sample were 60 postpartum motehrs. Respondents were divided into 2 groups, each group was given tea for 7 consecutive days and a breast pump. Data analysis used univariate and bivariate analysis using paired t-test. The results showed that Rajuke tea was more able to increase breastmilk production comparing to Corn Hair tea (0.86). The midwives are expected to provide promotion and education about foodstuffs that can increase breastmilk production by utilizing local ingredients.</p> Nurnaningsih Ali Abdul Nancy Olii Copyright (c) 2021 Science Midwifery 2021-09-30 2021-09-30 10 1, October 210 216 The Effect Of Giving Lemon Aromatherapy And Health Education On Pregnancy Anxienty Covid 19 Pandemic At Dungingi Health Center And Kota Barat Health Center The City Of Gorontalo https://midwifery.iocspublisher.org/index.php/midwifery/article/view/188 <p>Psychologically, mothers experience anxiety during pregnancy because they are worried that the baby will be born healthy or not, especially during Covid-19 pandemic. Pregnant women who are not prepared enough for giving birth will be more anxious and show fear and behave in silence or crying, if this continues until labor can cause pathological condition (Wa Ode et al, 2013). This study aimed to identify the effect of anxiety in pregnancy before and after being given lemon aromatherapy and health education. This research was a quasi-experimental using one-group pre-test post-test control design with cases of anxious third trimester pregnant women who are given lemon Aromatherapy and cases control of anxious third trimester pregnant women who was given education through books at the same time. The research was carried out in the working area of ​​Kota Barat Public Health Community and Dungingi Public Health Community in Gorontalo City from August to November 2020. The provision of lemon aromatherapy and health education as independent variable, the anxiety level of the third trimester of pregnant women as dependent variable. The research subjects were carried out by selecting samples that met the inclusion criteria, totaling 60 pregnant women in the third trimester and divided into the intervention group and the control group. Data analysis using Paired T-test with free sample test and difference test. The results of the study of the two groups, the mean value of the intervention group had a higher difference in anxiety level score reduction (9.6) than the control group (4.0) with significance value of 0.000 and 0.038, respectively (α = 0.05). The conclusion was, there is an effect of lemon aromatherapy and health education on the anxiety level of pregnant women in the third trimester of the Covid 19 pandemic at the Dungingi Health Center and the West City Health Center, Gorontalo City.</p> Juli Gladis Claudia Puspita Sukmawaty Rasyid Copyright (c) 2021 Science Midwifery 2021-09-30 2021-09-30 10 1, October 217 222 The Effect of Infant Massage and Breast Care on the Frequency and Breastfeeding Duration of Baby at Puskesmas Siak Hulu II https://midwifery.iocspublisher.org/index.php/midwifery/article/view/189 <p>The problem of growth disorders for children under five in Indonesia has started to emerge from an early age between the ages of 1- 6 months so that efforts are needed to reduce the speed of growth disorders and to increase the percentage of weight gain. The aim of this study was to determine the effect of infant massage and breast care on the frequency and breastfeeding duration at Puskesmas Siak Hulu II. The type of research is quantitative with a pre-experimental design with one group pretest-posttest. The research was conducted in December 2019 to August 2020. The population was infants aged 0-6 months and 12 babies obtained by using purposive sampling. The research instrument was an observation sheet. Data collection using primary and secondary data, with data analysis using univariate and bivariate. The univariate results showed that the frequency and breastfeeding duration of for infants before massage was mostly adequate (83.4%), with an average frequency and breastfeeding duration of before massage was 9.58 and after massage and breast care was sufficient as much as 100%, the average frequency and the breastfeeding duration of in infants after massage was 12,17. The results of the Paired T test statistical test showed a p-value of 0.002 (α = 0.05). It is hoped that the Siak Hulu II Puskesmas can increase public knowledge and services, especially baby massage and breast care to increase the frequency and breastfeeding duration for babies.</p> Komaria Susanti Dewi Nopita Sari Copyright (c) 2021 Science Midwifery 2021-10-01 2021-10-01 10 1, October 223 228 The Effectiveness of the Leaflet Media on Compliance of Pregnant Women Consuming Fe Tablets at Enok Transfering Health Center https://midwifery.iocspublisher.org/index.php/midwifery/article/view/193 <p>Pregnant women with anemia would affect, physical activity, increase morbidity and mortality, especially pregnant women with severe anemias.Basically, one's compliance can be improved by providing information to the public especially Fe tablets.&nbsp;To provide this information, several media are needed, one of which is&nbsp;leaf le at. This study aims to determine the effectiveness of&nbsp;leaflet&nbsp;media&nbsp;on maternal compliance in consuming Fe tablets at the Enok Transfer Health Center.&nbsp;The population was pregnant women in the third trimester and a sample of 10 people was taken by&nbsp;purposive sampling. The research instrument was an observation sheet. After being given counseling with&nbsp;leaflets&nbsp;most of them were still not obedient to consume Fe tablets as much as 70.6% and those who were obedient to consume Fe tablets were 29.4 %.&nbsp;The bivariate results showed that the provision of counseling with&nbsp;leaflets was&nbsp;effective on maternal compliance in consuming Fe tablets at the Enok Transfer Health Center, with the&nbsp;Wilcoxon&nbsp;test&nbsp;obtained p.&nbsp;value&nbsp;= 0.000 &lt;0.05.&nbsp;It is hoped that the Enok Transfer Community Health Center can improve services, especially in the field of care for pregnant women, by implementing counseling using&nbsp;leaflet&nbsp;media&nbsp;about the consumption of Fe tablets.</p> Eva Mayasari Riska Epina Hayu Copyright (c) 2021 Science Midwifery 2021-10-05 2021-10-05 10 1, October 229 233 The Effect of Giving Date Palm Juice (Phoenix Dactykiferal.) and Mung Beans (Vigna Radiata) on The Increasing Hemoglobin of Young Woman in Class XI Students at SMA Negeri 10 Pekanbaru https://midwifery.iocspublisher.org/index.php/midwifery/article/view/192 <p>Anemia is a condition where the level of hemoglobin (Hb) in the blood is &lt;12 g / dl. Teenagers have a high risk of anemia, especially iron nutritional anemia. Adolescent girls have a higher risk of anemia compared to boys because of some risk factors such as menstruation (too frequent frequency, too much blood coming out, and too long menstruation) etc. One way to overcome it is by food fortification. One of the foods that can prevent iron deficiency is dates and green beans. The purpose of this study was to analyze the effect of administration of dates palm juice and green bean extract on increasing levels of HB adolescent girls. This study uses a pretest and posttest research design with samples 13 respondents of the date palm juice group and 13 respondents of the mung bean juice group, with a sampling technique that is purposive sampling. Analysis of data using t-test dependent test with a degree of confidence &lt;0.05. Statistical results are the influence of giving date palm juice with p value = 0.001 and green bean juice with p value = 0,000. The conclusion is that there is an effect of giving dates palm juice and green bean juice on increasing Hb levels in young women. It is hoped that students will understand correctly about nutritional needs to prevent anemia</p> Yesi Septina Wati Lira Sismawati Hasibuan Copyright (c) 2021 Science Midwifery 2021-10-05 2021-10-05 10 1, October 234 237 Factors Causing The Use Of Intrauterine Device (IUD) Contraceptives In Couples Of Childbearing Age https://midwifery.iocspublisher.org/index.php/midwifery/article/view/178 <p>The Use of the Intra Uterine Device (IUD) in couples of childbearing age is still a major concern and has become a big problem for the health of countries in the world including developing countries. The purpose of this research was to determine the factors causing the use of the IUD&nbsp; in couples of childbearing age in Desa Gunung Hasahatan Kecamatan Padangsidimpuan Batunadua Kota Padangsidimpuan. This type of research is quantitative with a cross-sectional study design. The sample in this study was as many as 49 people. The sampling technique used in this study was purposive sampling. The Data was analyzed by univariate and bivariate used the Chi-Square test. The results showed that there was a relationship between the causes of age (p = 0.036), parity (p = 0.046), knowledge (p = 0.019) with the used of the IUD contraceptive. Expected to health workers&nbsp; to further enhance health promotion efforts especially about contraceptive IUD intensively through direct communication to the community with involve husband and family</p> Wiwi Wardani Tanjung Copyright (c) 2021 Science Midwifery 2021-10-05 2021-10-05 10 1, October 238 241 The Relationship Between Social Support And Public Anxiety In Facing The Covid-19 Pandemic In Environment II Tangkahan Village, Medan Labuhan Subdistrict In 2021 https://midwifery.iocspublisher.org/index.php/midwifery/article/view/190 <p>Social support is assistance obtained from people around the environment whose relationship is helpful and has own meaning for the person who receives it.. Anxiety is a feeling worried about&nbsp; uncertain characterized by feelings of fear and other responses. Currently social support is needed, with social support can think positively and minimize anxiety faced. This study aims to determine the relationship between&nbsp; social support and public anxiety in facing COVID-19 pandemic in Environmental II Tangkahan Village, Medan Labuhan Subdistrict 2021. This research is a cross- sectional study, with 73 respondents. Sampling was done by purposive sampling technique, is technique of collecting samples with certain considerations or criteria. With criteria: ready to be a respondent, aged 25-55 years, respondent is in good health and cooperative. The results showed 79.5% of social support in enough categories and 67.1% moderate anxiety. Statistical test results show the value of p-value = 0.041 (p&lt;0.05) with r = -0.24, which means that there is a negative relationship between social support and public anxiety in facing COVID-19 pandemic in Environment II, Tangkahan Village. Medan Labuhan District in 2021. Respondents expected to pay more attention and mutual care during this pandemic and always obey to the health protocol to reduce anxiety during a pandemic COVID-19</p> Lindawati Simorangkir Samfriati Sinurat Murni Sari Dewi Simanullang Rizka Oktavianty Hasugian Copyright (c) 2021 Science Midwifery 2021-10-05 2021-10-05 10 1, October 242 248 Anxiety Profile of Parents and Teachers During the Pandemic COVID-19 At SDS. ST. Antonius VI Medan https://midwifery.iocspublisher.org/index.php/midwifery/article/view/195 <p>At the beginning of 2020, the world was shocked by a new incident, namely an outbreak of the corona virus disease. The spread of the infection is very fast every day and has spread to almost all parts of the world, including Indonesia. The government has implemented several steps so that the corona virus does not spread faster, such as work from home (WFH), social distancing, and others. This causes many people to feel anxious, panicked, and even stressed. The online learning system in schools also adds pressure to the community, which are teachers and parents of students. This results in an increase in the incidence of anxiety experienced by teachers and parents of students. The objective of the study was to know the description of anxiety in teachers and parents of students in SDS. St. Antonius VI Medan during the COVID-19 pandemic.This study used a descriptive research method with a cross sectional approach and sampling was carried out by using a total sampling technique. From 132 respondents, 63 people (48%) experienced anxiety and 69 people (52%) did not experience anxiety</p> Sinta Deslina David M.T Simangunsong Copyright (c) 2021 Science Midwifery 2021-10-06 2021-10-06 10 1, October 249 253 Effect Of Antibacterial Gel Of Bidara Leaf Extract For Episiotomy Wound Healing At Hams Rsu, 2021 https://midwifery.iocspublisher.org/index.php/midwifery/article/view/196 <p>Wounds to the perineum or episiotomy are difficult to keep clean and dry. Special observations andcare are needed to ensure the perineal part can heal quickly and inspections should be carried out to find out if there are signs of infection or inflammation of the part. One of the medicinal plants that have the potential to treat wounds is the Bidara plant (Ziziphus Mauritiana). The Bidara plant (Ziziphus Mauritiana) is a plant that has many properties and has been used for herbal medicine in several countries and has been clinically investigated for its content such as the content of alkaloid compounds, glycosides, saponins, flavonoids, tertenoids and phenolics as well as the most abundant antioxidant activity in the leaves. .This research is a quantitative research using pre-experimental or quasi method. This study was conducted to determine the effect of using antibacterial gel of bidara leaf extract on episiotomy wound healing in the working area of HAMS KISARAN RSU. Based on the results of statistical tests using the Wilcoxon test, it is known that the p value (0.005) &lt; (0.05) means Ho is rejected, so there are differences in episiotomy wound healing before and after the use of antibacterial gel of bidara leaf extract. These results prove that there is a significant effect of using antibacterial gel of bidara leaf extract on episiotomy wound healing at HAMS Hospital Kisaran. These results prove that the use of antibacterial gel of bidara leaf extract is effective in accelerating episiotomy wound healing.</p> Indriati Aulia Ririn Angraini Copyright (c) 2021 Science Midwifery 2021-10-07 2021-10-07 10 1, October 254 261 The Effectiveness Of Using Aluminum Foil Baby Scard To Prevent Hypothermi In Lbw At Abdul Manam Simatupang Hospital https://midwifery.iocspublisher.org/index.php/midwifery/article/view/197 <p>The causes of maternal death have changed, where bleeding and infection tend to decrease while the proportion of preeclampsia-eclampsia is increasing. The general purpose of the study was to find out the relationship between pre-eclampsia and the action of Sectio Caaesaria at Abdul Manan Simatupang Hospital in 2021. This research method uses quantitative methods with a cross sectional approach. The population of this study amounted to 73 with a sample of 73 mothers who gave birth by using a total sampling technique. The research instrument used an observation sheet. The data analysis technique used descriptive analysis and chi square test. The results showed that of the 73 respondents who gave birth, the majority experienced severe eclampsia as many as 41 people and 38 people who received Sectio Caesarea (52.1%). Meanwhile, of the 32 mothers who suffered from mild preeclampsia who received Sectio Caesarea, 8 people (11.0%). The results of the chi-square test are known that the significant value of p value is 0.000 (p &lt;0.05), then Ho is rejected so that in this study there is a significant relationship between pre-eclampsia and sectio caesaria at Abdul Manan Simatupang Hospital in 2021. The conclusion is that there is a relationship between pre-eclampsia and sectio caesarea. Suggestions for this study are expected for health workers to be able to detect complications of pregnancy and childbirth as early as possible in order to minimize the incidence of severe pre-eclampsia</p> Ririn Anggriani Selvi Puspan Sari Copyright (c) 2021 Science Midwifery 2021-10-07 2021-10-07 10 1, October 262 268 The Effectiveness Of Papaya Leaf Decoction On Young Women Against Dysmenorrhea During Menstruation In MTS. Annur Of Aek Corsik Village In 2021 https://midwifery.iocspublisher.org/index.php/midwifery/article/view/198 <p>Menstruation is one of the aspects of sexual maturity that first occurs during puberty of a woman. Menstruation (menstruation) is periodic and cyclic bleeding from the uterus accompanied by the release (desquamation) of the endometrium. Menstruation (menstruation) accompanied by pain (Dysmenorrhea) is abdominal pain that comes from uterine cramps that occur during menstruation. According to WHO (Word Human Organization) the incidence of dysmenorrhea in Indonesia is 64.25%, consisting of 54% primary dysmenorrhea and 9.36% secondary dysmenorrhea. Handling dysmenorrhea by giving analgesic drugs as symptomatic (pharmacological) and non-pharmacological therapy, namely drinking papaya leaf decoction. This research is a type of quantitative research with a quasi-experimental one group pre post test method without control. Research with a group design of subjects was given an intervention without any comparison. This research was conducted at MTs An-Nur in Aek Korsik village in 2021, with a population of 72 students and a sample of 30 respondents. The sampling technique uses quota sampling. Data collection The intensity of dysmenorrhea using the Numerical Rating Scale (NRS), statistical analysis of the data using the paired sample T-Test test obtained that the average level of menstrual pain (dysmenorrhea intensity) or the mean before being given papaya leaf decoction was 4.70. Then there was a decrease for the average intensity of dysmenorrhea or the mean after being given papaya leaf decoction to 3.20 and the p-value was 0.000 &lt;0.05 (p = 0.000 &lt;0.05). The conclusion is that there is effectiveness of papaya leaf decoction in adolescent girls against dysmenorrhea during menstruation in MTs. Annur of Aek Korsik Village, so that it is hoped that young women who experience dysmenorrhea can consume boiled papaya leaves well.</p> Maidina Putri Afriyol Nelis Copyright (c) 2021 Science Midwifery 2021-10-07 2021-10-07 10 1, October 269 274 The Relationship between Postpartum Mother's Education and Postpartum Mother's Knowledge of Mastitis in the Independent Midwife Practice of Romauli Medan Marelan 2021 https://midwifery.iocspublisher.org/index.php/midwifery/article/view/200 <p>Mastitis is a problem in the breast that is characterized by pain caused by inflammation of the breast which can be accompanied by infection or non-infection. Mother's lack of knowledge about the breastfeeding process can cause errors in breastfeeding positions which result in blisters on the mother's nipples. In addition, it also causes the process of releasing and releasing breast milk that is less than optimal, causing breast engorgement.</p> <p>This study aims to determine the relationship between postpartum mother's education and knowledge about Mastitis in the Romauli Independent Midwife Practice in 2021. This study used a descriptive correlation method. The sample in this study was postpartum mothers 0-42 days in labor and postpartum visits at the Romauli Independent Midwife Practice in 2021 with a total of 30 respondents. Researchers used primary data and the data were processed using SPSS and presented using open tables.</p> <p>The relationship between postpartum mother's education and knowledge about mastitis at the Romauli Independent Midwife Practice in 2021 based on the results of the Spearman's-rank test, p-value = 0.009 (p&lt;0.05) which means that there is a relationship between postpartum mother's education and knowledge of mastitis with sufficient strength of the relationship.</p> <p>Knowledge of postpartum mothers about mastitis can be influenced by important factors, one of which is education. The higher a person's education, the better his knowledge will be.</p> Ermawaty Arisandi Merlina Sinabariba Meriati Bunga Arta Purba Angelin Selly Maduwu Copyright (c) 2021 Science Midwifery 2021-10-08 2021-10-08 10 1, October 275 280 The Effect Of Giving Onion Dayak (Eleutherrine Americana Merr) On Blood Pressure Changes In Hypertension Patients In New Village Dusun IV Kualuh Hulu District Labuhan Batu Utara https://midwifery.iocspublisher.org/index.php/midwifery/article/view/201 <p>Hypertension is one of the deadliest diseases in the world as many as 1 billion people in the world or 1 in 4 adults suffer from this disease. In fact, it is estimated that the number of people with hypertension will increase to 1.6 billion by 2025. This research was conducted in Pulo Dogom Village. This study aims to determine the effect of giving Dayak onion tea on changes in blood pressure in patients with hypertension. The design of this study was quasi-experimental with a sample size of 21 using one group pre post test without control. The sampling technique is by accidental sampling. Data analysis using paired T test. The statistical test shows that the Sig value is 0.014 &lt;0.05, then H0 is rejected and Ha is accepted.</p> Ekin Kurniawan Mahyunidar Mahyunidar Copyright (c) 2021 Science Midwifery 2021-10-12 2021-10-12 10 1, October 281 285