Jurnal Kebidanan

STUDI KASUS : PENERAPAN EVIDENCE BASED PRACTICE PADA PERSALINAN DENGAN KETUBAN PECAH DINI

Sitti Suharni Hermanses, Sitti Sarifah Kotarumalos — Wed, 31 Dec 2025 10:22:45 +0700

Premature Rupture of Membranes (PROM) is one of the obstetric complications that often causes morbidity and mortality in both mothers and infants. This condition occurs when the amniotic membranes rupture before the onset of labor contractions or before the gestational age reaches 37 weeks. PROM increases the risk of intrauterine infection, preterm labor, neonatal sepsis, and asphyxia if not properly managed. This case study aims to describe the application of Evidence Based Practice (EBP) in midwifery care for a woman in labor with PROM at Al-Fatah General Hospital Ambon. The case involved Mrs. D, a 22-year-old woman, G2P1A0, at 34 weeks of gestation, who was admitted to the hospital with complaints of watery discharge from the birth canal accompanied by lower abdominal pain and blood-stained mucus. Examination revealed cervical dilation of 7 cm, absence of membranes, fetal head at Hodge III, and a fetal heart rate of 145 beats per minute. The diagnosis was established as intrapartum stage I active phase with preterm premature rupture of membranes (PPROM). Midwifery management included close observation of labor progress, administration of Ringer’s Lactate infusion, and prophylactic intravenous Cefotaxime according to WHO guidelines. After four hours without progress, collaboration was carried out with an obstetrician, and a cesarean section (SC) was performed due to inadequate labor progression and risk of intrauterine infection. The implementation of EBP in this case proved to enhance maternal and neonatal safety through rapid, rational, and collaborative clinical decision-making. This evidence-based approach reflects Al-Fatah General Hospital Ambon’s commitment to providing safe, effective, and high-quality midwifery care.

STUDI KASUS : PENATALAKSANAAN NYERI PUNGGUNG BAWAH PADA IBU HAMIL TRIMESTER III DENGAN METODE PRENATAL MASSAGE

Ratna Malawat — Wed, 31 Dec 2025 10:31:57 +0700

Perubahan fisik yang terjadi selama kehamilan bisa membuat ibu merasa tidak nyaman, salah satunya adalah rasa sakit di bagian bawah punggung. Hasil dari penelitian pada ibu hamil diberbagai daerah di Indonesia mencapai 60-80% ibu hamil mengalami back pain (nyeri punggung) pada kehamilannya (1). Nyeri punggung dapat terjadi karena adanya tekanan pada otot punggung ataupun pergeseran pada tulang punggung sehingga menyebabkan sendi tertekan.Seiring dengan membesarnya uterus, maka pusat gravitasi pada wanita hamil akan berpindah kearah depan perpindahan ini akan menyebabkan ibu harus menyesuaikan posisi berdirinya. Nyeri punggung dari sakroiliaka/lumbar bisa menjadi gangguan punggung jangka panjang jika tidak segera dipulihkan. Penatalaksanaan untuk mengurangi nyeri punggung bawah (LBP) dapat dilakuan dengan Prenatal Massage. Studi kasus ini menggambarkan penatalaksanaan terapi komplementer prenatal massage pada ibu hamil trimester III dengan keluhan nyeri punggung bagian bawah. Setelah asuhan kebidanan diterapkan, Ny. D mengalami penurunan rasa nyeri pada punggung bagian bawah sehingga masalah dapat teratasi.

STUDI KASUS : EARLY WARNING SIGNS PADA KEHAMILAN TRIMESTER AKHIR MELALUI ASUHAN KEBIDANAN 10T

Sitti Sarifah Kotarumalos, Fasiha Fasiha — Wed, 31 Dec 2025 10:45:00 +0700

Late pregnancy is a critical phase because the risk of complications such as preeclampsia, bleeding, infection, and premature rupture of membranes increases, making early detection of Early Warning Signs (EWS) highly important. This case study aims to describe the implementation of the 10T-based midwifery care approach and its role in early detection in a pregnant woman, Mrs. D, G2P1A0, at 32 weeks of gestation who visited Rijali Health Center for routine antenatal care. Data were collected through interviews, observation, physical examination, and supporting examinations. The assessment showed that the mother and fetus were in good condition without any pregnancy danger signs; complaints of frequent urination and sleep disturbances were physiological discomforts of the third trimester. Blood pressure of 110/70 mmHg, fetal heart rate of 148 bpm, fundal height of 25 cm, and hemoglobin level of 11.8 g/dL indicated a low-risk physiological pregnancy. The application of the 10T components—including physical measurements, laboratory evaluation, management of complaints, iron supplementation, tetanus immunization, counseling on danger signs, and documentation in the maternal health book—proved helpful for midwives in conducting early detection and preventing complications. Education regarding rest patterns, nutrition, and warning signs increased the mother’s preparedness for childbirth. In conclusion, 10T-based midwifery care is effective in maintaining maternal well-being and supporting early detection of obstetric risks in late pregnancy. Pregnant women are advised to attend ANC regularly, consume iron supplements, and understand danger signs, while midwives should continue implementing the 10T components thoroughly and providing comprehensive counseling.

STUDI KASUS : OBSERVASI PERSALINAN SEBAGAI STRATEGI PENCEGAHAN KOMPLIKASI

Ismiyanti Achmad, Sitti Suharni Hermanses — Wed, 31 Dec 2025 10:29:54 +0700

This case study aims to describe the comprehensive observation of labor progress in a multiparous woman, Ny. D, who underwent spontaneous vaginal delivery with oxytocin induction due to postdate pregnancy. Labor observation was carried out intensively using systematic monitoring of uterine contractions, cervical dilation, fetal heart rate, maternal vital signs, and partograph recording. The case presentation includes detailed findings during the latent and active phases, decision-making during induction titration, and management according to safe delivery standards. Discussion highlights the alignment and variations between case management and current evidence-based guidelines, particularly regarding the timing of induction, assessment of fetal well-being, and documentation accuracy. The conclusion emphasizes that structured and continuous labor observation significantly contributes to safe maternal and neonatal outcomes. Recommendations include optimizing decision-making protocols, strengthening partograph utilization, and enhancing clinical readiness in monitoring induced labor

PENGARUH PEMBERIAN SUSU KEDELAI TERHADAP KADAR HEMOGLOBIN IBU NIFAS

Siti Yulaikah, Dewi Susilowati, Nafis Maeda Febriana — Wed, 31 Dec 2025 10:35:00 +0700

Background, Decrease hemoglobin levels often happened to the mother postpartum, especially in the first week First post childbirth. Condition This can cause disturbance recovery post giving birth, slowing down the healing process wound, improve risk infection, as well as hinder production of breast milk (ASI). One of the alternatives that can used For overcome problem This is with non- pharmacological approach. Soy milk is one of source vegetable containing substance iron, protein, fat, and beneficial isoflavones for health, and potentially help increase hemoglobin levels in blood. Research purposes, for know influence soy milk giving to hemoglobin levels in mothers postpartum.

Research methods, Study This use quasi- experimental design with approach two group pretest-posttest . The sample consists of from 30 mothers postpartum , divided into two groups , namely 15 people each intervention and 15 people group control , using technique purposive sampling . Group intervention given 250 ml of soy milk every Morning for 7 days . Data analysis was carried out with the t-test.

Research Results, Average increase hemoglobin levels in the group intervention of 1.3 gr/dl ± SD 0.16 with mark p = 0.000, which indicates existence significant influence .

Conclusion, Giving soy milk influential significant to improvement hemoglobin levels in mothers postpartum

STUDI KASUS : PENERAPAN TEKNIK MARMET SEBAGAI UPAYA MENINGKATKAN PRODUKSI ASI IBU POST PARTUM

Viqy Lestaluhu — Wed, 31 Dec 2025 10:40:28 +0700

Optimal breast milk production during the postpartum period is crucial for achieving exclusive breastfeeding. However, many mothers experience difficulty meeting their babies' milk needs due to physiological and psychological barriers, such as stress, inappropriate breastfeeding techniques, and lack of breast stimulation. One non-pharmacological approach that can be used to help increase breast milk production is the Marmet technique, a combination of breast massage and manual expression aimed at facilitating milk flow and stimulating the oxytocin reflex. This case study aims to illustrate the effectiveness of the Marmet technique in increasing breast milk production in postpartum mothers. The subject was a postpartum mother who experienced decreased breast milk production in the early stages of breastfeeding. The intervention was carried out for two weeks, regularly applying the Marmet technique before breastfeeding and before expressing breast milk. Data were collected through observations of breastfeeding frequency and the increase in expressed breast milk volume. The results showed a gradual increase in breast milk production after the intervention, characterized by an increase in expressed volume and a reduction in complaints of breast tenderness. In addition, the mother also reported increased comfort and confidence during breastfeeding. These findings suggest that the Marmet technique can be a simple and effective alternative intervention to address breast milk production issues in postpartum mothers. This study confirms that implementing the Marmet technique can support successful exclusive breastfeeding.

STUDI KASUS : ASUHAN KEBIDANAN KOMPREHENSIF PADA IBU POSTPARTUM DENGAN ANEMIA SEDANG

Widy Markosia Wabula, Dewi Sary Muhamad Rusdi — Wed, 31 Dec 2025 10:52:25 +0700

Anemia postpartum merupakan komplikasi yang sering dijumpai dan berdampak pada pemulihan ibu, pemberian ASI, serta kesehatan psikologis. Studi kasus ini mendeskripsikan proses asuhan kebidanan pada ibu usia 23 tahun, 6 jam postpartum, dengan anemia sedang (Hb 9,4 g/dL). Asuhan dilakukan melalui empat kunjungan, mulai dari pemberian suplementasi besi oral, edukasi nutrisi tinggi zat besi, pemantauan involusi uterus dan perdarahan, konseling menyusui, hingga evaluasi psikologis ibu. Hasil menunjukkan peningkatan Hb menjadi 11,2 g/dL pada kunjungan keempat dan perbaikan kondisi fisik serta psikis ibu. Studi ini menegaskan pentingnya asuhan kebidanan terstruktur, berbasis bukti, dan berkelanjutan untuk manajemen anemia postpartum. Disarankan agar pemantauan anemia dan edukasi nutrisi menjadi standar pelayanan nifas.

Kata kuci: anemia postpartum, asuhan kebidanan, suplementasi besi, studi kasus

EKSPLORASI KEKERASAN SEKSUAL PENYANDANG DISABILITAS DI KOTA AMBON

Adriana Sainafat, Chendy Pelatta, Yohana Djurumana — Wed, 31 Dec 2025 00:00:00 +0700

Sexual violence against people with disabilities has been increasing every year. According to a study by the University of Liverpool and WHO in 17 low-income countries, people with disabilities are 3.6 times more likely to experience physical violence and 2.9 times more likely to experience sexual harassment compared to their peers without disabilities. Contributing factors include lack of attention from family, inadequate legal protection, stigma, discrimination, dependence on others, and insufficient education on reproductive health and sexual violence. Therefore, an effective approach is needed. The aim of this study is to explore information from the community of people with disabilities. This is a qualitative study, with informants consisting of school principals, teachers, parents, and students with disabilities. Informants were selected using purposive sampling, and data were collected through interviews, observation, and document review. The results show that the level of sexual violence in Ambon City has increased, and some cases are not reported. People with disabilities are vulnerable to both verbal and non-verbal sexual violence. There is still a lack of special attention from the government, especially for private disabilities, resulting in a shortage of teachers with specific expertise in their fields, which directly impacts parents' knowledge due to the lack of direct education. It can be said that promotive and preventive efforts are still very low. Therefore, a multi-sectoral approach is necessary with the goal of preventing and protecting children with disabilities from sexual violence, so that children with disabilities can avoid stigma and discrimination and have access to health and legal services. The approach model implemented is the one health community approach, which is a multi-sector approach with the single goal of addressing sexual violence against persons with disabilities, serving as self-protection.

STUDI KASUS : PERAN EDUKASI PERSONAL DAN CONTINUITY OF CARE TERHADAP ADAPTASI PERILAKU KESEHATAN MATERNAL PADA REMAJA PRIMIPARA

Virgin Susilowati, Hasnawati Nukuhaly — Wed, 31 Dec 2025 10:47:50 +0700

Remaja primipara merupakan kelompok maternal yang rentan mengalami tantangan fisiologis, psikologis, dan sosial selama kehamilan, persalinan, dan masa nifas sehingga memerlukan pendekatan asuhan khusus. Penelitian studi kasus ini bertujuan menganalisis peran edukasi personal dan kontinuitas asuhan kebidanan dalam mendukung adaptasi perilaku kesehatan pada seorang ibu berusia 19 tahun dengan status gizi kurang (IMT 16,6 kg/m² dan LILA 19 cm). Pengumpulan data dilakukan melalui observasi, wawancara, pemeriksaan fisik, dan dokumentasi asuhan kebidanan komprehensif sejak masa antenatal hingga konseling KB. Hasil penelitian menunjukkan bahwa edukasi yang diberikan secara sistematis dan berkelanjutan mampu meningkatkan pemahaman ibu terkait perubahan fisiologis kehamilan, manajemen ketidaknyamanan, serta praktik perawatan diri dan bayi. Keberhasilan Inisiasi Menyusu Dini, praktik ASI eksklusif hingga dua minggu postpartum, serta pemilihan metode KB Laktasi Amenorea menunjukkan peningkatan self-efficacy maternal dan kualitas pengambilan keputusan kesehatan. Selain itu, penerapan continuity of care turut meningkatkan kedisiplinan kunjungan, penerimaan edukasi, serta kesiapan ibu menjalani masa transisi menjadi orang tua. Hasil studi ini menyimpulkan bahwa edukasi personal yang terarah dan kontinuitas asuhan kebidanan efektif dalam meningkatkan adaptasi perilaku kesehatan maternal pada remaja primipara dan direkomendasikan untuk dioptimalkan dalam pelayanan kebidanan, terutama di fasilitas pelayanan primer.