Jurnal Kebidanan

EFEKTIFITAS MASSAGE ENDORPHIN UNTUK MENGURANGI NYERI PUNGGUNG IBU HAMIL TRIMESTER III

2026-06-30T19:27:55+07:00

During pregnancy, physiological and psychological changes occur, these changes occur as a form of body adaptation to the growth and development of the fetus during pregnancy3. The result of physiological and psychological changes causes pregnant women to experience discomfort that is felt from the first to third trimester. One of the discomforts felt in the third trimester is back pain. Globally, back pain in pregnant women is a significant health problem. WHO noted that around 24%-90% of pregnant women experience back pain during pregnancy, with around 25% of complaints continuing into the postpartum period. The research design used in this study was a quasi-experiment with a pretest-posttest approach with a control group. The instrument used to measure pain intensity was the NRS (Numeric Rating Scale) scale sheet. The data were collected and then analyzed to obtain the results of an independent sample t-test regarding the difference in back pain in pregnant women in the third trimester before and after the intervention between the treatment group given Endorphin Massage and the control group given standard services to pregnant women showed a p value = 0.000, so it was interpreted that there was a significant difference in reducing back pain between the two groups. It appears that there was a significant decrease in the group given Endorphin Massage, so it is recommended that health workers promote and teach non-pharmacological methods such as endorphin massage which can reduce discomfort during pregnancy so that pregnant women can take initial action when they feel discomfort.

PENGARUH KONSELING TERHADAP TINGKAT KECEMASAN SEBELUM PROSES PERSALINAN PADA WANITA HAMIL TRIMESTER KETIGA

2026-06-30T19:27:55+07:00

Anxiety during pregnancy can be triggered by limited knowledge, which gives rise to fear of childbirth, feelings of anxiety, sadness, stress, and even depression, thus increasing the psychological burden on pregnant women. Counseling should be an important part of antenatal care. The purpose of this study was to analyze the effect of counseling regarding the childbirth process on the level of anxiety before childbirth in the third trimester of pregnant women in the Bendo Community Health Center, Kediri Regency. This study used a pre-experimental design with a population of all third trimester pregnant women in the Bendo Community Health Center, Kediri Regency (n=37). A sample of 16 respondents was selected using a purposive sampling method. HARS and ZSAS-based questionnaires were used to collect data, and the Wilcoxon Signed Rank test was used for analysis. The results showed that before the counseling, most respondents (81.25%) were at a moderate level of anxiety, while after the counseling, the majority of respondents (81.25%) experienced mild anxiety. The Wilcoxon test showed a p-value <α (0.001 <0.05). The analysis shows that counseling on the childbirth process has an impact on the level of anxiety before delivery among pregnant women in their third trimester in the Bendo Community Health Center, Kediri Regency. It is hoped that research sites will use these results as an overview and input for improving midwifery services.

PENGETAHUAN SUPLEMENTASI KALSIUM SEBAGAI PREDIKTOR KEPATUHAN KONSUMSI PADA IBU HAMIL: STUDI CROSS-SECTIONAL DI KARAWANG

2026-06-30T19:27:56+07:00

Background: Preeclampsia is a major contributor to maternal mortality in Indonesia. WHO recommends a calcium intake of 1,500–2,000 mg/day for pregnant women with inadequate calcium consumption, which has been shown to reduce the risk of preeclampsia by up to 55%. The success of this intervention depends on the mother's compliance which is significantly influenced by her level of knowledge. Objective: To analyze the relationship between pregnant women's knowledge about calcium supplementation and compliance with calcium tablet consumption in the prevention of preeclampsia in the Tunggajati Health Center Working Area, Karawang Regency. Methods: Quantitative observational research with a cross-sectional design was conducted in December 2025–March 2026. A total of 92 pregnant women in the second and third trimester were involved through consecutive sampling techniques. Knowledge was measured using instruments based on the 2020 WHO guidelines (validity r = 0.412–0.786; reliability of Cronbach's α = 0.847), while adherence was measured using the Indonesian version of the Morisky Medication Adherence Scale-8 (MMAS-8) (α = 0.832). The Chi-square test along with the Prevalence Ratio (PR) was applied to the bivariate analysis, followed by multivariate logistic regression. Results: A total of 41.3% of respondents had good knowledge and only 35.9% achieved high compliance. A meaningful relationship was found between the two variables (p = 0.001; PR = 2.84; 95% CI: 1.71–4.72). After adjusting for confounding variables, knowledge remained an independent predictor (aOR = 4.12; 95% CI: 1.82–9.33; p = 0.001). Conclusion: Pregnant women's knowledge of calcium supplementation was proven to be an independent predictor of adherence to calcium tablet consumption. Strengthening antenatal education based on the Health Belief Model is recommended to increase compliance and support efforts to prevent preeclampsia.

PENINGKATAN KETERAMPILAN IBU MENYUSUI MELALUI EDUKASI TEKNIK MENYUSUI YANG EFEKTIF

2026-06-30T19:27:55+07:00

Keterampilan menyusui merupakan salah satu faktor penting yang menentukan keberhasilan pemberian Air Susu Ibu (ASI) dan mendukung pertumbuhan bayi secara optimal. Keterampilan menyusui yang kurang memadai dapat menyebabkan pelekatan yang tidak tepat, ketidaknyamanan pada ibu, serta menurunkan efektivitas proses menyusui. Penelitian ini bertujuan untuk menganalisis pengaruh edukasi teknik menyusui yang efektif terhadap peningkatan keterampilan ibu menyusui. Penelitian ini menggunakan desain quasi eksperimen dengan pretest-posttest control group design yang melibatkan ibu menyusui sebagai responden dan dibagi menjadi kelompok intervensi dan kelompok kontrol. Kelompok intervensi diberikan edukasi teknik menyusui yang efektif yang meliputi posisi menyusui, teknik pelekatan yang benar, frekuensi menyusui, dan penanganan masalah umum selama menyusui, sedangkan kelompok kontrol memperoleh pelayanan rutin. Data keterampilan menyusui dikumpulkan menggunakan lembar observasi sebelum dan sesudah intervensi. Hasil penelitian menunjukkan bahwa kelompok intervensi mengalami peningkatan keterampilan menyusui yang lebih tinggi dibandingkan kelompok kontrol. Ibu mampu menerapkan posisi dan pelekatan yang benar serta menunjukkan peningkatan kepercayaan diri dalam menyusui bayinya. Disimpulkan bahwa edukasi teknik menyusui yang efektif berpengaruh positif terhadap peningkatan keterampilan ibu menyusui. Tenaga kesehatan disarankan untuk mengintegrasikan edukasi menyusui secara terstruktur dalam pelayanan kesehatan ibu dan anak guna meningkatkan keberhasilan pemberian ASI eksklusif.

KUALITAS TIDUR IBU DAN PRAKTIK PEMBERIAN ASI: PERBANDINGAN PENILAIAN SUBJEKTIF DAN PITTSBURGH SLEEP QUALITY INDEX (PSQI)

2026-06-30T19:27:56+07:00

The postpartum period poses significant risks to sleep quality disruption, particularly among breastfeeding mothers who simultaneously face the demands of infant feeding, domestic work, and caregiving responsibilities. Poor sleep quality may affect the success of exclusive breastfeeding; however, evidence on this relationship remains inconsistent in the literature, partly due to differences in sleep quality measurement methods. This study aimed to analyze the association between subjective sleep quality and sleep quality based on the Pittsburgh Sleep Quality Index (PSQI) score with breastfeeding practices. A cross-sectional design was employed involving 214 mothers with children aged 0–2 years recruited through social media. Data were collected via an online questionnaire comprising subjective sleep quality assessment, PSQI, and breastfeeding practice measures. The majority of respondents perceived their sleep quality as fairly good (71.0%); however, based on PSQI scores, most had poor sleep quality (79.0%). Exclusive breastfeeding was reported by 74.8% of respondents. Chi-square analysis revealed no statistically significant association between subjective sleep quality and breastfeeding practices (p=0.509), nor between PSQI-based sleep quality and breastfeeding practices (p=0.061). Nevertheless, mothers with good sleep quality based on PSQI scores showed a higher tendency toward exclusive breastfeeding. A discrepancy exists between subjective sleep quality perception and structured sleep quality assessment using the PSQI. The PSQI is recommended for routine maternal sleep screening as it provides a more comprehensive and objective assessment compared to subjective perception alone.

HUBUNGAN PREMENSTRUAL SYNDROME DENGAN STABILITAS EMOSIONAL REMAJA PUTRI

2026-06-30T19:27:54+07:00

Latar Belakang : Premenstrual Syndrome (PMS) merupakan sekumpulan gejala fisik, psikologi dan emosi yang muncul sebelum menstruasi dan hilang ketika menstruasi berlangsung. Premenstrual Syndrome juga dapat menyebabkan terjadinya perubahan stabilitas emosional, khususnya pada remaja. Perubahan kadar hormon estrogen dan progesteron selama siklus menstruasi dapat memengaruhi neurotransmiter di otak, terutama serotonin yang berperan dalam mengatur suasana hati (mood). Tujuan: Menganalisis hubungan Premenstrual Syndrome dengan stabilitas emosional remaja putri. Metode: Janis penelitian ini adalah kuantitatif korelasional, desain penelitian cross-sectional. Tempat penelitian di SMPN 9 Jember. Waktu pelaksanaan pada bulan Mei 2025. Populasi pada penelitian ini adalah seluruh remaja putri kelas VIII di SMPN 9 sebanyak 110 siswi. Teknik pengambilan sampel simple random sampling yaitu 58 siswi. Instrumen menggunakan kuesioner Shortened Premenstrual Assessment Form (SPAF), dan kuesioner kestabilan emosional. Uji statistik menggunakan uji sperman rank. Hasil: Diperoleh nilai ρ value = 0,004, (< α 0,05). Kesimpulan: ada hubungan Premenstrual Syndrome dengan kestabilan emosional remaja putri. Remaja putri dapat menjaga stabilitas emosional dengan meningkatkan pola hidup sehat dan olah raga teratur untuk mengurangi ketidaknyamanan selama mentruasi.

ANEMIA CALON PENGANTIN (CATIN) DAN TRIMESTER 1 SEBAGAI FAKTOR RESIKO KEK PRIMIGRAVIDA DI PUSKESMAS PRAMBONWETAN TUBAN

2026-07-02T11:47:48+07:00

Nutritional deficiency during pregnancy can lead to Chronic Energy Deficiency (CED) and stunting. In Indonesia, the high rate of anemia among women of childbearing age significantly contributes to this nutritional crisis. This study aims to analyze the relationship between anemia during the preconception period (catin) and the first trimester of pregnancy with the incidence of CED in primigravida pregnant women at the Prambonwetan Community Health Center, Tuban. This quantitative study employed a cross-sectional design. Samples were selected using simple random sampling via random.org. The independent variables were anemia during the catin period and the first trimester, while the dependent variable was the incidence of CED in primigravida mothers. Data were gathered from medical records, catin registers, and integrated ANC books, then analyzed using the Spearman's rank correlation via SPSS version 26. The Spearman’s rank test analysis revealed a significant relationship, with a value of P < 0,001, leading to the rejection of $H_0$ and acceptance of $H_1$. Statistically, there is a strong correlation between anemia during the catin period and first-trimester pregnancy with the incidence of CED in primigravida mothers. Anemia experienced during both the preconception stage and early pregnancy is significantly associated with the occurrence of CED in first-time pregnant women. Pregnant women and future brides are strongly encouraged to consume balanced nutrition and routinely take blood supplement tablets (Fe) to prevent anemia and lower the risk of CED

HUBUNGAN PREMENSTRUAL SYNDROME DENGAN KUALITAS TIDUR SISWI MTs. ZAINUL HASAN

2026-06-30T19:27:56+07:00

Background: Premenstrual Syndrome (PMS) is a set of physical, emotional, and behavioral symptoms that appear before menstruation and usually subside afterward. Hormonal imbalances of estrogen and progesterone are among the triggering factors for PMS symptoms. These imbalances can affect the central nervous system through a decrease in serotonin and melatonin levels, which play an important role in regulating mood and the sleep cycle. As a result, many women experience sleep disturbances before menstruation. At MTs. Zainul Hasan Balung, 48 out of 90 students (53.3%) experience PMS.Objective: To analyze the relationship between the occurrence of premenstrual syndrome and sleep quality among female students at MTs. Zainul Hasan. Methods: This research is a quantitative analytic study with data collected observationally. The sample consisted of 48 female students at MTs. Zainul Hasan, selected using a purposive sampling technique. Data were analyzed using the Chi-square test. Results: The study found that 20 students (41.7%) experienced mild PMS symptoms, 23 students (47.9%) experienced moderate PMS symptoms, and 5 students (10.4%) experienced severe PMS symptoms. In terms of sleep quality, 28 students (58.3%) had poor sleep quality, while 20 students (41.7%) had good sleep quality. Data analysis using the Chi-square test yielded a p-value of 0.000 (<0.05) and a correlation coefficient of 0.554. Conclusion: There is a moderate association between premenstrual syndrome and sleep quality among female students at MTs. Zainul Hasan. Recommendation: Advice for female students to take steps to relieve PMS symptoms, such as regular exercise, which will improve the quality of sleep.

FAKTOR YANG BERHUBUNGAN DENGAN KEIKUTSERTAAN PASANGAN USIA SUBUR DALAM PROGRAM KELUARGA BERENCANA DI KELURAHAN SEMELAGI KECIL

2026-07-01T08:25:51+07:00

Background: Family Planning Program is one of the government’s efforts to improve public health quality, particularly in reducing maternal mortality and infant mortality rates. Through family planning programs, reproductive-age couples are able to plan the number and spacing of children, thereby creating healthy and prosperous families.

Objective: This study aimed to determine the factors associated with participation of reproductive-age couples in the Family Planning Program.

Methods: This study employed an analytical observational design with a case-control approach. The population consisted of reproductive-age couples in Semelagi Kecil Village of UPT Puskesmas Singkawang Utara I. The case sampling technique used total sampling with a total of 118 reproductive-age couples who did not participate in the family planning program, while the control sample used simple random sampling with a total of 118 reproductive-age couples who participated in the family planning program. Data were analyzed using the Chi-square test.

Results: The results showed a significant relationship between maternal age and participation in the Family Planning Program (p-value = 0.027). There was also a significant relationship between parity and participation in the Family Planning Program (p-value < 0.001), as well as between maternal occupation and participation in the program (p-value = 0.032). Meanwhile, there was no significant relationship between maternal education level and participation in the Family Planning Program (p-value = 0.182), nor between family income and participation in the program (p-value = 0.362).

Conclusion: Maternal age, parity, and occupation are related to participation in family planning, while education and income are not related to participation in family planning