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> en-US (Patrisia) (Tigor Methodeus) Sat, 30 Dec 2023 00:00:00 +0000 OJS 60 Comparison of the effectiveness of aromatic ginger warm water bath with salt warm water against leg oedema of pregnant women in the third trimester <p>Leg edema is found in around 80% of pregnant women in the third trimester, occurring due to pressure on the uterus which inhibits venous return and gravitational pull causing greater fluid retention. The aim of the research was to determine the comparison of the effectiveness of warm water soaking in aromatic ginger and salt warm water on leg edema of pregnant women in the third trimester in the Padusunan Padang Pariaman Health Center work area in 2023. The research design used was quasi-experimental with a two group pretest-posttest design. The sample of pregnant women who experienced lower limb edema was 52 people. Data processing uses a dependent t-test (paired sample t-test). The results of this study obtained the average level of edema in pregnant women in the third trimester before the warm water soak in aromatic ginger (3.62) and after (1.65). The average level of edema in pregnant women in the third trimester before the warm water soak was carried out salt (3.31) and after (1.96), Effectiveness before being given aromatic ginger warm water with warm salt water against leg edema in pregnant women in the third trimester (3-4) and after (1-3), There is effectiveness before and after giving aromatic ginger warm water with salt warm water against leg edema in third trimester pregnant women in the Padusunan Padang Pariaman Community Health Center work area in 2023 (p-value &lt; 0.05). It is estimated that every pregnant woman who experiences edema during convulsions below should apply warm water immersion therapy to reduce the edema.</p> Novia Rita Aninora, Welly Handayani, Resi Citra M Copyright (c) 2023 Science Midwifery Fri, 08 Dec 2023 00:00:00 +0000 Development of a balanced menu based on local food of Southwest Papua with serving the contents of my plate as an effort to improve consumption patterns of stunting children <p>People need to know that many natural healthy foods come from local foods with high nutritional value to prevent various nutritional problems. The general aim of this research is to develop a balanced menu based on local Southwest Papuan food with the contents of Piringku as an effort to improve the consumption patterns of stunted children. The type of research used is experimental with a development research method approach. Research was carried out to prepare a 7-day food menu pattern using a local food menu based on balanced nutrition and to test the effectiveness of the product.This local food-based menu is made on a 7-day cycle to avoid boredom and refers to the dietary requirements of children under five, namely providing adequate nutrients for body growth and development. From the results of the hedonic test, it was found that the 7-day menu based on local food from Southwest Papua was varied, the portions were appropriate, the colors were attractive, liked, the taste was good and the texture was appropriate.</p> Wilma Florensia, La Supu Copyright (c) 2023 Science Midwifery Fri, 08 Dec 2023 04:25:18 +0000 Phytochemical screening and antioxidant activity of Brasicca oleracea vegetables from Cikajang, Garut <p>Antioxidants from dietary plants have been thought to be good for human health. <em>Brassica oleracea</em> vegetables are potential antioxidant vegetables. Cikajang is one of the vegetable-producing centers in West Java, located in Garut district. Vegetables cultivated in the Cikajang area include cabbage, cauliflower, and keciwis, which are species of <em>Brassica oleracea</em>. There is no research regarding the phytochemistry and antioxidant activity of <em>Brassica oleracea</em> vegetables collected in Cikajang. Behalf of that, this research aims to determine the phytochemical screening and antioxidant activity of cabbage, cauliflower, and keciwis from Cikajang. The phytochemical screening was carried out using several identification reagents, while the antioxidant activity test was carried out using the DPPH (2,2 diphenyl-1-picrylhidrazyl) method. The results of phytochemical screening show that in the dry powder and extract of cabbage, flavonoids, phenols, and steroids/triterpenoids were identified. In the dry powder and extract of cauliflower, flavonoids, saponins, phenols, and steroid/triterpenoids were identified. In the dry powder and extract of keciwis, flavonoids, saponins, gallic tannins, and phenols were identified. The results of the antioxidant activity test using DPPH show that vitamin C as a standard had an IC50 value of 5.223 µg/ml, while the IC50 values of cabbage, cauliflower, and keciwis extracts were 39.948, 35.199, and 15.032 µg/ml, respectively.</p> Ria Mariani, R. Aldizal Mahendra Rizkio Syamsudin, Neneng Sumarni, Diki P Wibowo Copyright (c) 2023 Science Midwifery Fri, 08 Dec 2023 05:18:46 +0000 The evaluation of pendewasaan usia perkawinan (PUP) program in Jambi City <p>Badan Kependudukan dan Keluarga Berencana Nasional (BKKBN) stated that the ideal age for women to be married is 21 years old, while for men it is 25 years old. According to the report from Siga BKKBN, married woman in Jambi Province reached 598.395 people, there were 6.359 people who were married between the ages of 15 - 19 years and Jambi City was the region that had the highest number of married woman (more than 80.000 people) but had the lowest number of woman who getting married at the age of 15-19 years, that is only 0.2% of married woman. This is in line with the implementation of the Pendewasaan Usia Perkawinan (PUP) program organized by the BKKBN, the purpose of the program is to ensure that marriage takes place at the ideal age. The aim of this research is to evaluate the sustainability of the PUP program in Jambi City. The research was conducted using qualitative methods with a grounded theory research design. The results show that the input and process of the PUP program has gone well, however, in terms of cross-sector relations with government agencies that have a supporting role in the PUP program, it is known that there is still sectoral ego and policy overlap.</p> Rizda Choyrin Nizwa, Dwi Noerjoedianto, Rizalia Wardiah, Rumita Ena Sari, Sri Astuti Siregar Copyright (c) 2023 Science Midwifery Fri, 08 Dec 2023 05:42:22 +0000 Literature review: The utilization of tomatoes (Solanum lycopersicum) and lidah buaya (Aloe vera) in cosmetic applications <p>The popularity of herbal cosmetics has been growing due to their effectiveness and ability to reduce the adverse effects associated with the use of synthetic goods. Plants contain phytochemicals like alkaloids, flavonoids, saponins, sterols, triterpenoids, and tannins, which give them many health benefits, such as antioxidant activity, anti-inflammatory effects, UV protection, skin regeneration, depigmentation, anti-dandruff properties, and more. Plants like tomatoes and <em>Aloe vera</em> contain phytochemicals that can be used in cosmetics. We want to give you all the information you need about how tomatoes and <em>Aloe vera</em> might be used in cosmetics. This includes what chemicals they contain, how they work biologically, and how to make cosmetics with them. This article review employs online literature studies as its methodology. The research data comprises articles sourced from reputable journal platforms, including Google Scholar, PubMed, Science Direct, and Research Gate. These articles were selected from publications spanning the period from 2013 to 2023. The research that has already been done supports the idea that both tomatoes and <em>Aloe vera</em> contain many chemicals that could be used in cosmetic treatments.</p> Diki Prayugo Wibowo, Siti Rahma, Irma Erika Herawati, Ria Mariani Copyright (c) 2023 Science Midwifery Fri, 08 Dec 2023 06:13:43 +0000 The impact of coal mining on community health disorders around PT. Pacific Coal Mining <p>Coal is a sedimentary rock whose main ingredient consists of carbon resulting from the formation of plant remains that have experienced heat and geological pressure for millions of years. Coal mining activities cause air pollution and are a negative externality that has an impact on health problems in the community. This research was conducted at PT. Pacific Coal Mining uses a qualitative descriptive method, data collection is carried out by direct observation of the impacts arising from coal mining activities. The results of this research arebased on people's habits in terms of washing, bathing and drinking, the majority use river water. Nutritional adequacy and food adequacy are considered sufficient. Furthermore, regarding the type of disease, the majority of respondents (83.33%) admitted that their family members had suffered from illness. The illnesses suffered include 40.00% upper respiratory tract infections/ARI (flu, coughs and colds), 26.67% suffering from malaria/chilling fever, 3.33% suffering from digestive tract diseases (diarrhea, dysentery and vomiting), and 13.33% suffered from other diseases, such as rheumatism, swollen legs and high blood pressure. As for health services, the health service facilities available at the study object are still very limited.</p> Haqan Hari Asri, Elsa Yuniarti, Abdul Razak, Linda Handayuni Copyright (c) 2023 Science Midwifery Fri, 08 Dec 2023 06:36:31 +0000 The relationship between overweight and stress towards the premenstrual syndrome in undergraduate students of midwife education, Airlangga University <p>Premenstrual syndrome is one of the menstrual disorders that appear 7-10 days before menstruation comes and can disappear during menstruation, but can also continue afterwards. Indonesian women who experience premenstrual syndrome (PMS) are 80-90%. Adolescents aged 18-21 years (44.5%) and 22-25 years (22.5%) experience moderate to severe PMS. The purpose of this study was to analyze the relationship between overweight and stress on the incidence of premenstrual syndrome in undergraduate midwifery education students at Airlangga University. This research used observational analytic study method with cross sectional approach. The population was 283 people with a sample size of 138 people conducted by purposive sampling. The independent variables in this study were overweight and stress, while the dependent variable was the incidence of premenstrual syndrome. The instruments in this study used the SPAF questionnaire, DASS-42, and BMI calculation using body weight and height. The data were analyzed using Spearman correlation with α = 0.05. The results of this study found that 32.6% of female students had overweight and obese BMI, 74% of female students experienced high to moderate stress, and 63% of female students experienced mild premenstrual syndrome. In the Spearman correlation test results, it was found that overweight and the incidence of premenstrual syndrome had a p value = 0.000 (p &lt; 0.05) and the level of stress and the incidence of premenstrual syndrome with a p value = 0.000 (p &lt; 0.05). There is an association between overweight and stress with the incidence of premenstrual syndrome (PMS).</p> Binta Ulfatul Kharisma, Sri Ratna Dwiningsih, Sofia Al Farizi Copyright (c) 2023 Science Midwifery Fri, 08 Dec 2023 06:57:03 +0000 The relationship between knowledge and adherence to insulin therapy in type 2 diabetes mellitus patients at the outpatient clinic of Budi Kemuliaan Hospital, Batam City <p>Diabetes mellitus is a prevalent degenerative disease in today's society. Indonesia, as one of the countries with the largest population, has experienced a significant increase in the global prevalence of type 2 diabetes mellitus. Approximately 20% of the Indonesian population uses insulin with or without oral antidiabetic drugs. It has been found that patient compliance in Indonesia does not meet the recommended glycemic targets. This non-compliance is attributed to patients' lack of knowledge and understanding about insulin and its use in therapy. This study aims to explore the relationship between knowledge and adherence to insulin therapy among type 2 diabetes mellitus patients in the outpatient clinic of Budi Kemuliaan Hospital, Batam City. A descriptive correlation method was employed, utilizing a prospective cross-sectional research design. The sample was selected using purposive sampling, resulting in a total of 60 patients who met the inclusion criteria. Data were collected through two questionnaires: a knowledge questionnaire and the Medication Adherence Scale (MMAS). Statistical analysis included frequency distribution tests and chi-square tests. The research findings revealed a significant relationship between knowledge and adherence to insulin therapy, with a Chi-Square test yielding a P-Value of 0.029, where P-Value α &lt; 0.05. In conclusion, this study demonstrates a significant correlation between knowledge and adherence to insulin therapy among type 2 diabetes mellitus patients. It is recommended that healthcare providers at Budi Kemuliaan Hospital deliver accurate information to patients to enhance their knowledge and understanding of insulin use, as well as the potential complications associated with diabetes mellitus.</p> Aprilya Sri Rachmayanti, Nahrul Hasan, Suci Fitriani Sammulia, Reny Haryani, Suhaera Suhaera, Rastria Meilanda, Asmina Sinaga Copyright (c) 2023 Science Midwifery Mon, 11 Dec 2023 10:09:03 +0000 Understanding waste management in the 04 birugo Bukittinggi state elementary school environment <p>Population growth has an impact on the need for land availability and food production needs. The need for land and food production will increase the amount of waste or leftovers, both from the production and consumption processes, these wastes or leftovers are known as waste. This research was conducted at State Elementary School 04 Birugo Bukittinggi. The method used in this research is direct observation and interviews. The data collected was analyzed descriptively qualitatively and quantitatively by emphasizing the substance of the problem regarding the relationship between variables that influence each other in the social-based waste management process, such as aspects of students and the environment and techniques for using equipment/technology, which influence waste management. The results of this research can be seen from the types of waste found in schools, there are 2 types of waste, namely organic waste with 3 types and inorganic waste with 6 types. Furthermore, the generation of organic waste and inorganic waste obtained a total of 2,978.78 grams of organic waste and 4,214.00 grams of inorganic waste which was calculated for 13 months. As for waste management at the 04 Birugo Bukuttinggi Elementary School, follow up on organic waste by making solid and liquid organic fertilizer.</p> Widian Nigrum, Elsa Yuniarti, Abdul Razak, Linda Handayuni Copyright (c) 2023 Science Midwifery Mon, 11 Dec 2023 10:26:09 +0000 Determinants of family planning service utilization among adolescents <p>Efforts to improve adolescents' access to basic health services are very important for community health centers and their networks at the first level of service.&nbsp;&nbsp; So that access to adolescents in utilizing family planning services determines whether the program runs or not. The aim of this study was to identify factors influencing adolescents use of family planning services. This study is an observational study with an analytical survey method, with the cross-sectional approach. The objects in this study were all adolescents in class XI at SMK Bhakti Utama Pati, totaling 38 people. The independent variables in this study were age, knowledge about reproductive health, access to family planning services, quality of family planning services, and the dependent variable in this study was Utilisation of Family Planning Services in Adolescents. The instrument used was a questionnaire that had been tested. Univariate analysis using frequency distribution, bivariate analysis using chi-square, and multivariate analysis using multiple logistic regression. The results of the analysis with Chi-Square showed that there was a significant relationship between age (X2 = 8.306 and p=0.031), knowledge (X2 = 6.756 and p=0.009), access (X2 = 5.158 and p=0.023), and service quality (X2 = 15.454 and p = &lt;0.001) with the utilization of family planning services in adolescents. The results showed that the independent variables in the multiple logistic regression model, namely age, knowledge, access, and service quality together were able to explain the utilization of family planning services in adolescents by 69.8% with an X2= 28.156 with p &lt; 0.001.</p> Luluk Yuliati, Irfana Tri Wijayanti Copyright (c) 2023 Science Midwifery Tue, 19 Dec 2023 04:46:01 +0000 Atherosclerosis in rat PCOS model induced by testosterone propionate combined with high fat high fructose diet <p>Atherosclerosis is closely related to the metabolic syndrome like what occurs to Polycystic Ovary Syndrome (PCOS). The recent increase in prevalence due to high calories diet and high carbohydrate, infrequent exercise, and the escalating obesity trend increased insulin resistance. PCOS is linked to many long term health problems, such as cardiovascular disease, atherosclerosis, and diabetes. How is the potential of atherosclerosis for PCOS model mice induced with testosterone propionate and high fat diet and high fructose? This research is important to conduct in order to determine the potential of atherosclerosis for PCOS through the observation on mice model of PCOS. This research employed Postest Only Control Group Design method. Twenty female Rattus norvegicus strain Wistar mice weighing between 100 and 130 grams, aged 3 months, served as the samples. After observing estrous cycle, 15 mice were randomly chosen to be made PCOS model induced with testosterone propionate 1mg/100 g BW/day intramuscularly combined with high fat diet and high fructose.&nbsp; The treatment was given on day 18, 21, and 24. Afterwards, the mice were sacrificed on day 19, 22, and 25. After 12 hours of fasting the mice, the mice were sacrificed and the coronary arteries attached to the heart were taken to be made histological preparations. Then, the degree of atherosclerosis potential was observed. Statistical analysis used One Way Anova test with significance level of α=0,05. Data analysis was performed using Statistical Product and Servive Solutions (SPSS) program version 24.0 for Windows.&nbsp;</p> Dirwan Suryo Sularto, Alfaina Wahyuni Copyright (c) 2023 Science Midwifery Tue, 19 Dec 2023 00:00:00 +0000 The effectiveness of communication, information, and education (CIE) media on balanced nutrition behavior in elementary school students at SDN Bulurokeng 1 <p>Insufficient energy and protein intake below the minimum requirements is usually the beginning of nutritional problems in elementary school children.&nbsp; Balanced nutrition behavior needs to be applied to avoid problems by providing education through IEC media. The purpose of the study to measure the effectiveness of IEC media on increasing knowledge, attitudes, and actions regarding balanced nutrition of elementary school children at SDN Bulurokeng 1 Makassar City. This research is a quantitative study using a quasi experiment design with a one group pre-test post- test design approach. The media used for intervention is KIE media Leaflet balanced nutrition. Data normality test using Kolmogrof Smirnov with the results of data not normally distributed. Then analyzed using the Wilcoxon Signed Rank Test statistical test. The results showed that the mean value of knowledge before the intervention was 73.33 after 72.08, there was no difference before and after the intervention (p value = 0.53), the attitude before the intervention was 57.35 after 76.00, the action before the intervention was 58.3 after 75.83 there was an average increase (p Value = 0.00). The study indicated that IEC media increases attitudes and actions toward balanced nutritional behavior in elementary school pupils at SDN Bulurokeng 1.</p> Irmawati R. J, Fitriyah Amiruddin, Astri Toffi Copyright (c) 2023 Science Midwifery Wed, 20 Dec 2023 02:41:36 +0000 Rupture of the lacrimal saccus of occuli sinistra with rupture of the palpebra occuli sinistra <p>This research aims to analyze the case of rupture of lacrimal sac occuli sinistra with rupture of the palpebra occuli sinitra. The research method used qualitative with a case study approach. Data collection was carried out using primary and secondary methods. Primary was carried out through direct observation, while secondary data was obtained through journal literature and books. Case illustration: a 58 years old woman complained of pain in her left eye ± 1 day ago due to a traffic accident, that was a motorbike collision accompanied by lacerations and bleeding in the lower eyelid near the nose. Physical examination revealed that the patient appeared moderately ill, composmentis, GCS 15, blood pressure: <sup>160</sup>/<sub>90 </sub>mmHg, pulse frequency: 70x/minute, respiratory frequency: 20x/minute, temperature: 36,8<sup>0 </sup>C, and BMI: 23,4 kg/m<sup>2 </sup>is overweight<em>. </em>Physical examination of the eyes superior and inferior eyelids have edema (+), tenderness (+). In the lacrimal punctum, there was a tear in the vertical direction measuring ± 1.5 cm and bleeding. The palpebral fissure is the horizontal size = 30 mm and the vertical = 7 mm. The patient's treatment was planned to involve recanalization of the lacrimal sac occuli sinitra accompanied by palpebral hecting under general anesthesia. The 0.5% optiflox (levofloxacin 1 mg) eye drops were administered 1 drop/hour OS, methylprednisolone 3 x 4 mg tablets PO, levofloxacin 1 x 500 mg tablet PO, and amlodipine 1 x 10 mg tablet. This case report shows that rupture of lacrimal sac occuli sinistra and rupture of the palpebra occuli sinitra occurred due to indirect blunt trauma. Complications can be prevented by carrying out appropriate management and control of risk factors.</p> Vira Teresia, Oktarina Nila Juwita Copyright (c) 2023 Science Midwifery Sat, 30 Dec 2023 00:00:00 +0000 Hematometra ec agenesis serviks, suspek MRKH <p>Background: Primary amenorrhea is the absence of menarche. After gon-adal dysgenesis, the Mayer-Rokitansky-Küster-Hauser (MRKH) syn-drome is the second most common cause of primary amenorrhea. Herein, we de-scribe how to diagnose and the treatment of MRKH. Case presentation: A 21-year-old lady with complaints of abdominal pain in the lower portion of the navel for the past 4 months that has worsened in the previous week, accompanied by complaints of urinat-ing slowly and feeling agony. The patient claimed to be single, to have never had coitus, and to have never menstruated previously. Physical examination revealed tanned 5 breasts, axillary hair (+), and an ab-dominal lump palpable on the 2nd finger region below the navel with pain. There were 5 tanner pubic hairs, labia major +/+, labia minor +/+, and a hymen bulging (-) in the vagi-nal area. A cystic mass pressing on the anterior region of the rectum, hy-men (+) impression of the vaginal septum, and vaginal introitus (-) are all felt when examined in the anus. Uterine dimensions 10x5x4 cm, hypoechoic mass in the uterine cavity, free fluid (-), cervical canal not evident, vaginal introitus (-), hematocol-pos (-), and abdominal ultrasonography results re-vealed no abnormali-ties. Other tests were not carried out. A laparotomy was conducted to remove the hematometra based on the results of clinical and support-ive investigations. Conclusion: This is a rare occurrence of cervical agenesis, occurring in 1 in 80,000 women. Additional tests are required in this case to con-firm the diagnosis of MRKH. The treatment in this scenario seeks to reduce pain and evacuate blood, so that subsequent treatment to re-store the cervical canal at a more comprehensive health service cen-ter is required.</p> Selvy Anriani, Prastika Candra Triastuti, Gde Ngurah Bayu Dalem Putra Copyright (c) 2023 Science Midwifery Sat, 30 Dec 2023 00:00:00 +0000 Analysis of the variation of injury patterns in people who have experienced sexual violence <p><span lang="EN-US">Establishing sexual violence can be a complex process due to the lack of witnesses other than the perpetrator and victim. So, law enforcers rely on medical practitioners to find medical evidence, such as physical damage to the victim's body. The objective of this study is to establish the characteristics of different injury patterns in individuals who have experienced sexual violence. This study is a comprehensive descriptive analysis of medical records and visum et repertum (VeR) data obtained from five hospitals in Yogyakarta, Indonesia. A total of 84 cases met both the inclusion and exclusion criteria. The findings indicated that 60.7% of victims did not experience recurring incidents of sexual violence. In most cases, the perpetrator typically had a preexisting relationship with the victim (81%), and 25% of the victims underwent a medical examination more than 45 days after the incident. The predominant injuries observed on the victim's body were contusions, with 52.6% occurring in the chest region and 26.3% in the upper extremities. The prevailing genital injury observed was an old rupture of the hymen. There was no apparent relationship between the injuries that occurred outside the genital and genitoanal area. Moreover, a significant correlation was found between the proximity of the perpetrator to the victim.</span></p> Dirwan Suryo Soularto, Nugraha Nanda Ayu Prastiwi Copyright (c) 2023 Science Midwifery Sat, 30 Dec 2023 00:00:00 +0000