Publication Search

Maternal Mortality Rate (MMR) is the number of maternal deaths during pregnancy or within 42 days after the end of pregnancy from any cause related to pregnancy during a certain time per 100,000 live births (World Bank, 2021). The maternal mortality rate (MMR) worldwide according to the World Health Organization (WHO) in 2020 is 295,000 deaths with the causes of maternal death being high blood pressure during pregnancy (pre-eclampsia and eclampsia), bleeding, postpartum infections, and unsafe abortion (WHO , 2021). According to ASEAN data, the highest MMR was in Myanmar at 282.00/100,000 KH in 2020 and the lowest MMR was in Singapore in 2020. There were no maternal deaths in Singapore (ASEAN Secretariat, 2021). According to the Indonesian Ministry of Health (2020), the number of MMR in Indonesia in 2020 was 4,627 cases and in 2021 it increased to 6,865 cases (Media Indonesia, 2021). The maternal mortality rate in Indonesia is still quite high. From data from the Kaliwadas Health Center, maternal deaths were caused by bleeding, pneumonia, pulmonary TB, hemorrhagic shock. And there are various factors that can cause the most maternal deaths in Indonesia, namely bleeding, hypertension in pregnancy, bleeding disorders, CPD, history of SC (Ministry of Health of the Republic of Indonesia, 2020).Objective: Able to provide comprehensive services according to service standards in pregnancy care, childbirth, postpartum, postpartum, family planning.Research methods : This research uses a qualitative descriptive method with a field observational case study approach. Results: Based on the comprehensive midwifery care provided to Mrs. N, 27 years old with a history of caesarean section (SC) and cephalopelvic disproportion (CPD), Mrs. S with the first visit to the fourth visit with a diagnosis of CPD so action had to be taken with (SC). In the care of newborns up to 28 days no problems were found and during the postpartum period no problems were found. Mrs. S chose implantable birth control contraception. Conclusion: Appropriate care provided by midwives during pregnancy, childbirth, newborns, postpartum and family planning is very important for the health of mothers and babies.    

Anemia in pregnant women can increase the risk of premature birth, maternal and child death, and infectious diseases.  Iron deficiency anemia in mothers can affect the growth and development of the fetus/baby during pregnancy and afterward. The aim of the research is to determine the factors that influence pregnant women's knowledge about foods containing iron at the Peureulak Health Center, East Aceh in 2024. The type and design of this research is Correlative Descriptive with a Cross Sectional Study approach, namely to see the relationship between the Dependent and Independent Variables. Independent variables are factors that influence pregnant women's knowledge and dependent variables (food containing iron). The sampling technique in this study was accidental, meaning that by chance anyone who came to the Peureulak Health Center for Ante Natal Care (ANC) visits during March and April 2024 would be sampled. Research results There is a relationship between knowledge of pregnant women about the meaning of containing iron at the Peureulak Health Center, East Aceh in 2024 with age, education, occupation, gravida and source of information

Background: Hypertensive Disease in Pregnancy (HDK) is a vascular disorder that occurs during pregnancy, arises during pregnancy or in the postpartum periode, and is one of the most common causes of maternal death. Objective: this study was to determine how factors of having a history of hypertension, obesity, and using hormonal birth control impact the incidence of hypertension Disease in pregnancy (HDK). Metodes: the research approach used was analytic observation with a croos sectional design. This study involved 332 pregnant women who come to the Health Center. A sampel random sampling technique, with a sample size of 183 was used. In this study, the independent variables were history of hypertension, obesity, and hormonal birth control use; the incidence of HDK was the dependent variable. Data was collected using a documention study approach with an observation sheets. To analyse the data, a logistic regression statistical test was used with an error rate of α 0.05. The results showed that pregnant women with HDK were exposed to hypertension 45.6%, and hormonal birth control by 36.3%. The result of bivariate analysis of hypertension history with HDK is o.o1 < α 0.05, and the variable of obesity with HDK is 0.024 < α 0.05 and the variable of hormonal birth control history with HDK is 0.21% < α 0.05. The conclusion of the results showed that of the three factors contributing to the incidence of HDK, only the history of hypertension and obesity had a significant influence, with a history of hypertension accounting for 9.9% of HDK cases. Therefore, it is recommended that Strengthing Integrated Antenatal care for increasing the role of mindwives and general practitioners in better screening of pregnant women at risk.

According to the United Nations Childrens Funds and the World Health Organization, children should only be breastfed for six months and solid foods given after the child is six months old and continue to be breastfed until the child is two years old. According to WHO, the data on exclusive breastfeeding globally has not increased significantly, namely around 44% of babies aged 0 to 6 months worldwide who received exclusive breastfeeding during the period 2015 to 2018 from 50% of the breastfeeding target (WHO, 2019). Based on the results of interviews with 15 mothers of toddlers, 7 of them said that their children were not given exclusive breast milk due to the lack of milk production so that their babies quickly starved and fussy. 5 mothers of toddlers said that the 3-month-old child could have been given complementary foods for breast milk and 3 other mothers of toddlers said that the heavy workload that made the breastfeeding mother had given MP-ASI from an early age. The general purpose of this study is to see the relationship between maternal knowledge and exclusive breastfeeding in infants aged 6 – 12 months in the working area of the Namrole Health Center, South Buru Regency. This study is an analytical observational research using a cross sectional approach. The results of the chi-square test showed that there was a good relationship between the mother's knowledge about exclusive breastfeeding and exclusive breastfeeding in toddlers with a p value = 0.000. because the p value < 0.005 thus H0 is rejected and Ha is accepted, so there is a good relationship between maternal knowledge and the provision of Exclusive Breastfeeding to toddlers in the working area of the Namrole care center. Knowledge Most of the mothers of babies are in the poor category, which is 56.9%, most of the mothers of babies do not give exclusive breastfeeding, which is 69%, There is a clear relationship between maternal knowledge and exclusive breastfeeding in the work area of the Namrole Health Center.

The increased of Maternal Mortality Rate (MMR) can be lowered through by various efforts, one of them with quality Antenatal Care (ANC). Quality of ANC services can be given by several health workers who work together in giving services to patients through the Interprofessional Collaboration (IPC). IPC or interprofessional collaboration can improve health service quality. The purpose of this study is to find out an overview of the level of perception of health workers about IPC on ANC services in Lubuk Buaya Health Center. This study is descriptive research using crosssectional design. The study sample is 30 health workers who are determined by the total sampling method. Data collection use the Collaborative Practice Assessment Tools (CPAT) questionnaire. The results of the study can be found that all health workers (100%) have a high perception of IPC in ANC services with components of connection among members, coordination and division of roles, and missions, goals, and objectives have the highest percentage (100%) and decision-making and conflict management components have the lowest percentage (10%). All health professions consist of GPs, midwives, nurses, dentists, pharmacists, nutritionists, and ATLM have a high perception (100%) of IPC on ANC services. The dentist professions have a high perception of all eight components, meanwhile other professions have a high perception of the seven components of perception and have a moderate perception in one component of perception, that is the components of decision making and conflict management. In general, health workers have a high perception of IPC in ANC services, but there are still a moderate perception in one components of perception so efforts are needed to improve IPC competence in that component.

The postpartum period is the period a woman goes through, starting after giving birth to the products of conception (baby and placenta) and ending up to 6 weeks after giving birth. During the postpartum period, the reproductive organs will slowly experience changes to the state before pregnancy. This change in the reproductive organs is called involution. Postpartum care is needed during this period because it is a critical period for both mother and baby. It is estimated that 60% of maternal deaths due to pregnancy occur after delivery and 50% of postpartum deaths occur within the first 24 hours. Postpartum care is carried out to reduce maternal mortality because the postpartum period is a critical period that needs monitoring. Results: Management of Midwifery Care for Mrs. D Physiological postpartum period with little breast milk, during monitoring no potential problems were found such as signs of mastitis, blocked breast milk, breast abscess and breast cancer. However, a little breast milk comes out because there is no stimulation by the way the baby breastfeeds the mother. Conclusion: From the case study after monitoring and analyzing data on mothers with complaints of little breast milk coming out at PMB Bd. Riyanti in 2024 monitoring of the postpartum period is running normally, vital signs are within normal limits and documentation and actions have been carried out on NY "D" with the result that no gaps were found between the theory and the cases obtained.

postpartum period is the period a woman goes through, starting after giving birth to the products of conception (baby and placenta) and ending up to 6 weeks after giving birth. During the postpartum period, the reproductive organs will slowly experience changes to the state before pregnancy. This change in the reproductive organs is called involution. Postpartum care is needed during this period because it is a critical period for both mother and baby. It is estimated that 60% of maternal deaths due to pregnancy occur after delivery and 50% of postpartum deaths occur within the first 24 hours. Postpartum care is carried out to reduce maternal mortality because the postpartum period is a critical period that needs monitoring. Results: care for NY "S" with post partum physiology 3 days ago with complaints that the stomach still felt bloated and little milk came out and during these 3 days no potential problems were found such as signs of mastitis, blocked breast milk, breast abscess, and breast cancer . However, the breast milk comes out a little because there is no stimulation by the way the baby breastfeeds on the mother, the uterine contractions are good and the lochia is appropriate. Conclusion: From the case study after examining and analyzing data on mothers and mothers 3 days postpartum at PMB NY Bd. Riyanti in 2024, the postpartum period is proceeding normally, vital signs are within normal limits and documentation and actions have been carried out on NY "S" with the result that no gaps were found between the theory and the cases obtained.

Breast milk dam is a swelling of the breast due to an increase in venous and lymph flow, causing breast milk dam. Data (SDKI) showed that 42% of mothers experienced breast milk dams. Breast milk dams are caused by discontinuous breastfeeding, the baby has not breastfed properly, improper breastfeeding position, wearing BH that is too tight, nipple abnormalities, absence of breast care before and after childbirth and lack of maternal knowledge about breast care. The aim is to determine the relationship between breastfeeding position and breast care with the incidence of breast milk dam in the working area of Sei.Langkai Health Center, Batam City 2023. The method in this study used quantitative research with analytical descriptive research and used a Cross Sectional research design, the sample in this study was 65 postpartum women, statistical tests using Chi-Square, purposive sampling technique. The distribution of breastfeeding positions was not correct as many as 36 postpartum women (55.4%), postpartum women did not perform breast care as many as 55 postpartum women (84.6%), the majority of postpartum women who experienced breast milk dams were 36 postpartum women (55.4%). The results of statistical analysis with Chi-Square found that there was no relationship between breastfeeding position and the incidence of breast milk dam with a value (P-Value) = 0.099 where (P < ?) = 0.05, and there was a relationship between breast care and the incidence of breast milk dam with a value (P-Value) = 0.030 where (P < ?) = 0.05. The conclusion is that there is no relationship between breastfeeding position and the incidence of breast milk dam and there is a relationship between breastfeeding position and breast milk dam. it is hoped that midwives and other health workers can teach mothers directly during breastfeeding how to do the correct breastfeeding position and breast care technique.

High risk pregnancy is a condition that can affect the condition of the mother and fetus in the pregnancy she is facing (Manuaba, 2012). Pregnant women who experience medical disorders or health problems will be included in the high risk category, so that the need for implementing care during pregnancy becomes greater (Robson and Waugh, 2012). others include miscarriage, obstructed labor, antepartum bleeding, fetal death in the womb (Intra Uterine Fetal Death), poisoning in pregnancy, babies born under term, and low birth weight babies. The impact of high-risk pregnancies can be prevented through regular prenatal care (antenatal care) which aims to keep the mother healthy during pregnancy, childbirth and postpartum as well as ensuring that the baby is born healthy, containing possible pregnancy risks, and optimal management planning. against high-risk pregnancies and reducing maternal and infant morbidity and mortality. Antenatal services can detect and handle high risk cases adequately, provide clean and safe delivery assistance, affordable obstetric/perinatal services and referrals

Comprehensive Care is continuous care from pregnancy to Family Planning (FP). Comprehensive care aims to provide quality services and prevent maternal and child mortality. The purpose of this case study is to provide comprehensive care to mothers from pregnancy, childbirth, postpartum, and newborn care using the documentation of the Seven Steps of Varney and SOAP. This assessment was conducted from January to April 2024 through data collection methods, interviews, and observations. Pregnancy care included three visits with the first day of the last menstrual period on July 12, 2023, and the expected delivery date on April 19, 2024. During the first, second, and third visits, the general condition of the mother was found to be good. Labor care was provided on April 24, 2024, at 11:30 AM when the mother came to the Midwife's Independent Practice, accompanied by her husband, complaining of abdominal pain since 08:00 AM and discharge mixed with blood. An internal examination revealed 4 cm dilation. At 4:00 PM, labor management was carried out. The delivery process was normal with the 60 Steps of Active Management of the Third Stage of Labor (AMTSL), the baby was born normal, male, weighing 2500 grams, with a length of 47 cm, and immediate newborn care was performed. Postpartum and newborn care proceeded smoothly without complications for both mother and baby.

Improper care of the umbilical cord can lead to premature detachment and increase the risk of umbilical cord infection (neonatal tetanus). As long as the umbilical cord has not detached naturally, it needs to be properly cared for. Failure to do so can result in infection characterized by moisture, pus, and a foul odor around the umbilical cord. This review aims to determine the influence of mothers' knowledge on the care of the umbilical cord in newborns. This review aims to investigate the impact of mothers' knowledge on the care of the umbilical cord in newborns. This study utilizes a literature review method, utilizing journal articles obtained from Google Scholar, SINTA, and Garuda databases, published between 2019 and 2023, with full text available in the Indonesian language. Based on the reviewed journals, it was found that 7 journals discovered the influence of maternal knowledge on umbilical cord care in newborns, while 4 journals stated that there are still mothers who perform umbilical cord care incorrectly according to the procedure. Based on the literature review of 10 research journals, respondents' characteristics among postpartum mothers can be classified based on age, educational level, and occupation. All these factors significantly impact a mother's knowledge regarding the care of the umbilical cord in newborns, highlighting the importance of health education in enhancing maternal knowledge.

Inflammation caused by diapers is one of the most common skin diseases in infants and children worldwide. Diaper rash disrupts the baby's (perineal) skin health and can also interfere with the baby's growth and development. This can occur because the baby becomes fussy, especially during urination or bowel movements, and has difficulty sleeping. To obtain a literature review on maternal knowledge regarding perineal care and the occurrence of diaper dermatitis in infants. Articles published on diaper dermatitis were searched in databases and search engines, including Irandoc, SID, Ovid, PubMed, Google Scholar, ScienceDirect, SINTA, Garuda, and IranMedex, from 2019 to 2023, in both Indonesian full-text articles. Ten journals meet the research criteria based on 30 published and identified journals from 2019-2023. The researchers found that the mother's knowledge level is one-factor affecting perineal care and the occurrence of diaper dermatitis in infants. Based on the reviewed journals, it can be concluded that the level of knowledge is crucial in implementing proper perineal care as it is one of the factors that can influence the occurrence of diaper dermatitis in infants, classified by age, education, occupation, or experience. Therefore, health education is vital in improving maternal knowledge in this regard.  

Pregnancy with breech presentation is where the fetus lies longitudinally in the uterus while the head is at the fundus uteri and in the buttocks position below the uterine cavity (Putri and Ningrum, 2019). Cases of breech presentation both mother and fetus experience a large increase in risk and for labor with breech location have high mortality and morbidity (Putra 2015). The maternal mortality rate (MMR) according to WHO 2021 is 32.9/100,000 KH. ASEAN 2021 MMR is 235/100,000. Indonesian Ministry of Health 2021 AKI 7,389 people, Central Java Health Office 2023 AKI as much as 485. Data from the Brebes Health Office 2022 as many as 50 cases while from the kaliwadas puskesmas area in 2022 there was 1 case of death. Researchers implement comprehensive midwifery care using Varney and SOAP documentation. This study uses descriptive qualitative methods through direct approaches, interviews, observation and documentation. The main informant is Mrs.H while for additional informants there are village midwives, puskesmas midwives, husbands and Mrs.H's family. Based on the results of research obtained from the care of pregnancy, childbirth, postpartum, LBW and family planning, problems were found in the form of pregnancy with breech presentation and cesarean delivery for indications of failed induction.

Maternal mortality rates reflect the risks faced by the mother during pregnancy and childbirth. The high rate of maternal death is likely to occur in high risk pregnant women that can not detected earlier. The role of Puskesmas as primary health care facilities and midwives as the spearhead of service, becomes important in this early detection. Therefore, researchers are interested in the effect of competence on the performance of midwives in maternal health services in Puskesmas Mampu PONED Bandung. To determine Competence of Midwives, The Performance of Midwives and to determine the effect of Competence on the Performance of the midwives in Puskesmas Mampu PONED Bandung. The type of this research is verificative analysis with cases study methods. The sampling method using a total sampling method (census). The entire population will be selected as sample that is midwives who work at Puskesmas Mampu PONED Bandung 77 midwive. After data is collected, the data distribution will be tested using the product moment correlation technique. Then the data will proceed with analysis that consists of two parts: a descriptive analysis and regression analysis. The result of correlation analysis, obtained a very strong relationship between the Performance and Competence of the Midwives (r = 0.972). Then from the regression analysis known that there is an influence on the Performance and Competency of the Midwives (t arithmetic = 35.802). Competence and Performance of midwives in Puskesmas Mampu PONED Bandung is good. There is also a very strong influence between the competence of midwives with performance significantly

Preeclampsia is a disease that appears with signs of hypertension, edema, and urine protein that arise due to pregnancy and childbirth. Childbirth with preeclampsia is one of the most critical problems in midwifery care. In Indonesia 30% of maternal deaths are caused by hypertension in pregnancy and in North Sumatra 9 the number of maternal deaths is always dangerously caused by preeclampsia. The aim of this service is to increase and increase knowledge and be able to empower pregnant women in the prevention and early detection of preeclampsia in pregnant women in Bangun Rejo village in 2024.. Results of service to the community shows that the implementation of counseling for pregnant women in improving the quality of life of pregnant women before and after carrying out counseling for pregnant women has obtained significant results in Bangun Rejo village. This can be seen, many pregnant women who have not carried out early detection of preeclampsia have a poor quality of life, as many as 23 people. (76.7%), but after providing counseling to pregnant women, the quality of pregnant women was good, as many as 27 people (90%) in the same group. It is hoped that pregnant women can improve their health by checking themselves from early pregnancy and looking at each examination for signs of preeclampsia and treating it immediately and early detection of preeclampsia can be carried out routinely in Bangun Rejo village once a month by having their pregnancy checked at the Health Facility in 2024.

The postpartum period is a very important period because complications often occur, including postpartum infections. One of the factors causing postpartum infections can come from injuries to the birth canal which are good media for the development of germs. This article aims to determine the care of normal postpartum mothers regarding perineal wound care. The methods used in making this literature review are PubMed, Google Scholar, Pequest, Sincedirect and Wiley. The results were published from 2019-2024, Results of normal postpartum maternal care regarding perineal wound care in normal postpartum mothers can be given with boiled binahong leaves, how to care for the vagina with cultural care maintenance or preservation, washing with soap and running water and applying betadine, given jusnalo and boiled red betel leaf water is recommended for postpartum mothers who experience perineal wounds.

Penyakit Pneumonia hingga saat ini masih tercatat sebagai masalah kesehatan utama pada anak di negara berkembang. Pneumonia is the main cause of death for toddlers both in Indonesia and in the world. Pneumonia is an acute infectious disease that attacks the lower respiratory system (Alveoli) caused by viruses, fungi and bacteria. This study aims to determine the description of mothers' knowledge about treating mild pneumonia in toddlers at home. This type of research used a descriptive survey method with saturated sampling techniques for 34 mothers whose children had experienced pneumonia. The results of research based on knowledge showed that of the 34 mothers, 3 respondents (9%) had good knowledge, 11 respondents (33%) had sufficient knowledge and 20 respondents (59%) had poor knowledge. Based on age, there were 0 respondents aged <20 years, 29 respondents aged 20-35 years (86%), and 5 respondents aged >35 years (15%). Based on age, there were 0 respondents aged <20 years, 29 respondents aged 20-35 years (86%), and 5 respondents aged >35 years (15%). Based on education, 18 respondents had primary education (53%), 13 respondents had secondary education (39%), and 3 respondents had higher education (9%). Based on parity, 6 respondents were found to be primipara (18%), 24 respondents were multipara (71%), and 4 respondents were grandemultipara (12%). Based on the research results, the variables age and parity have no effect on maternal knowledge about treating pneumonia in toddlers, while education influences maternal knowledge. It is hoped that further development of counseling and research methods will increase maternal knowledge about treating pneumonia in toddlers at home.

This study examines the relationship between Kegel exercises and the healing of perineal wounds in postpartum mothers who underwent normal delivery. Perineal wounds, a common outcome of vaginal childbirth, can lead to discomfort and complications if not properly managed. Kegel exercises, known for strengthening the pelvic floor muscles, may also play a crucial role in accelerating the healing process of perineal wounds. This research involved a sample of postpartum mothers who were instructed to perform Kegel exercises regularly. Data were collected through clinical observations and self-reported healing experiences over a specified period. The findings indicate a significant positive correlation between the regular practice of Kegel exercises and the expedited healing of perineal wounds. Mothers who adhered to the exercise regimen reported reduced pain, faster wound closure, and improved overall postpartum recovery. These results suggest that Kegel exercises should be recommended as a routine postpartum practice to promote faster healing and enhance the well-being of new mothers. Further research is recommended to explore the underlying mechanisms and to establish standardized guidelines for the implementation of Kegel exercises in postpartum care.

perineal injury in puerperal mothers refers to tears that occur in the birth canal, both caused by Labor and episiotomy. This tear can occur spontaneously or through an episiotomy. Perineal care is important to prevent infection, as inadequate care can lead to infection, which is one of the causes of postpartum maternal death. Based on this, the researchers tried an alternative by using betel leaf steeping to accelerate the healing of perineal wounds. This study aims to determine the effect of betel leaf steeping on the duration of perineal wound healing in puerperal mothers in PMB Endang Pasar Minggu, South Jakarta. this study uses a quantitative approach with Pre-Experimental design and One-Shot Case Study. The sampling technique used was consecutive sampling, with a total of 20 participants. research shows that most postpartum mothers experience rapid perineal wound healing after receiving treatment with betel leaf steeping. The one sample proportion test revealed that 60% of respondents experienced a decrease in perineal injuries after being given betel leaf steeping. there is an effect of betel leaf steeping on long-term perineal injury in puerperal mothers in PMB Endang Pasar Minggu Jakerta Selatan.  

Anaemia is a common medical condition characterised by a lack of red blood cells or a decrease in haemoglobin levels below normal, which is important for the distribution of oxygen in the body. This disorder has a significant impact on global health, especially in the elderly, pregnant women, and individuals with chronic diseases. Anaemia in women of reproductive age poses a severe health challenge, causing more than 115,000 maternal deaths each year. This activity uses the PDCA (Plan-Do-Check-Act) method to screen for anaemia by measuring haemoglobin and hematocrit levels in the productive age population at PT. Narindo, North Jakarta. The examination results showed that 38 people (28.57%) men and 5 people (3.97%) women had anemia. Routine screening, especially in high-risk populations, is critical for early identification and timely intervention, thereby reducing complications and health care costs. Efficient management through nutritional and pharmacological interventions can improve the quality of life and productivity of individuals suffering from anemia, thereby reducing the wider socio-economic impact.