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Alip Kuntari; Novita Puspita Dewi; Fatya Nurul Hanifa

Nursing Applied Journal 2025 LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Preterm birth is a serious threat and a leading cause of neonatal morbidity and mortality in Indonesia. Preterm birth is caused by various factors induding hypertension, paristy, occupation, poor nutritional status, and maternal age during pregnancy. The purpose of this study was to determine the relationship between these faktors and preterm birth at the Pacitan community health Center. Method : The study population was all 420 mothers giving birth in 2023-2024 at the Puskesmas Pacitan, and the sample size was adjusted to the case, resulting in 74 pregnant women with 34 respondens in the case group and 34 in the control group. A retrospective cohorrt study with a case-control approschh was used. Statistical test used chi-square for bivariate test and multivariate tests with logistic regression to analyze categorial data and measure the strength of the relationship. The results of the statistical analysis are as follows: a bivariate test using chi-square analysis of factors affecting the incidence of prematurity revealed maternal age during pregnancy (p-value 0,022), occupation (p-value 0,173), parity (p-value 0,047), nutritional status (p-value 0,047), and hypertension (p-value 0,058). The results of the binary logistic regression test showed that maternal age during pregnancy, parity,and nutriitional status werw all significant (p = 0,000). A nagelkerke  R2 of 1.000 indicated that the model was able to explain 100% of the variation in the incidence of prematurity. Conclusion: there is a relationship between maternal age during pregnancy, parity, maternal nutritional, and hypertension with the incidence of prematurity. There is no relationship between occupation and the incidence of prematurity.

Intan Tri Lestari; Endang Susilowati; Widi Astuti

Nursing Applied Journal 2025 LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

This study aims to provide an overview of comprehensive midwifery care in reducing maternal morbidity and mortality at the Paguyangan Health Center, Brebes Regency. According to WHO data in 2023, the maternal mortality rate was recorded at 4,129 per 100,000 live births, with the same rate in Indonesia and 335 per 100,000 in Central Java. In Brebes Regency, there were 54 cases of maternal death caused by various factors. This study used a case study method with a descriptive approach to analyze midwifery care during pregnancy, childbirth, postpartum, newborn care, and family planning programs. The results show that Mrs. Ny. N, aged 35 and with a history of multiparity, had a pregnancy with high-risk factors. Despite this, her delivery proceeded naturally with a spontaneous birth of a female baby, who cried loudly, weighing 3110 grams, and measuring 50 cm in length. During the postpartum period, no complications were found, uterine reflexes were normal, and lochia was physiologically appropriate. The baby was healthy and received hepatitis B immunization and vitamin K1. In the family planning program, the mother chose to use a 3-month injection contraception. The conclusion of this study is that despite the high-risk factors faced by the mother, comprehensive midwifery care can help minimize risks and improve the quality of care during pregnancy and childbirth.

Wirayudha, Sri Annung; Inawati Inawati; Agusaputra, Harman; Hernanda, Pratika Yuhyi

Jurnal Riset Rumpun Ilmu Kedokteran 2025 Pusat riset dan Inovasi Nasional

Type 2 Diabetes Mellitus is a chronic metabolic disease with a continuously increasing global prevalence. Understanding the characteristics of patients is essential for early detection, clinical management, and prevention of complications. Objective: To identify the characteristics of patients with type 2 diabetes mellitus at Dukuh Kupang Primary Health Center, Surabaya, based on age, gender, routine check-ups, duration of illness, body mass index (BMI), and complications. Methods: This descriptive observational study employed a cross-sectional approach and was conducted from January to February 2025. A total of 30 respondents were selected using purposive sampling. Data were obtained from medical records and supplemented by questionnaires. Results: Most patients were aged >60 years (57%), female (60%), had a normal BMI (50%), and adhered to routine medical check-ups (97%). The majority had been diagnosed for more than 5 years (53%) and experienced complications (83%), with neuropathy being the most common type (73%). Conclusion: Patients with DM type 2 at Dukuh Kupang Health Center were predominantly elderly, female, had a normal BMI, and experienced neuropathic complications.

Kiki Handayani; Mona Hastuti

Jurnal Praba : Jurnal Rumpun Kesehatan Umum 2025 STIKES Columbia Asia Medan

Hypertension is one of the main health problems in the elderly that can reduce the quality of life and increase the risk of complications such as stroke and kidney failure. Hypertension treatment is not only through pharmacological therapy, but also non-pharmacological interventions such as hypertension exercise which has been proven effective in lowering blood pressure. This study aims to implement and evaluate the effect of hypertension exercise on reducing blood pressure in the elderly in the work area of ​​the Kampung Baru Health Center UPT. The method used is a case study of a 71-year-old elderly with blood pressure of 160/100 mmHg. The exercise intervention was carried out for seven consecutive days with blood pressure measurements taken before and after the intervention. The results showed a decrease in blood pressure and complaints of headaches, as well as an increase in patient knowledge about hypertension. Hypertension exercise has been proven to be an effective independent nursing intervention to lower blood pressure and improve the quality of life of the elderly.

Pinta Br Perangin Angin; Nur Azizah; Khairunisa Khairunisa

The Journal General Health and Pharmaceutical Sciences Research 2025 LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Background Low back pain is a common complaint experienced by pregnant women, with a prevalence reaching 50% in the UK and Scandinavia and 70% in Australia. In Indonesia, the number of pregnant women in 2020 was recorded at 5,298,285 people, with 114,392 of them in North Sumatra. Physiological changes in pregnancy such as uterine enlargement, shifting center of gravity, weight gain, and the influence of the hormone relaxin can cause ligament stretching and muscle spasms that trigger back pain. Although the coverage of antenatal visits (K1 and K4) in North Sumatra has reached the national target, many pregnant women still complain of back pain, mainly due to low participation in prenatal classes. One non-pharmacological intervention proven to be beneficial in reducing back pain is prenatal exercise. This study aimed to determine the effect of prenatal exercise on back pain in pregnant women at the Tiga Juhar Community Health Center, STM Hulu District, Deli Serdang Regency in 2023. Method: This study used a pre-experimental design with a One Group Pre-test and Post-test design without a control group. The study sample consisted of 32 pregnant women who met the inclusion criteria. Back pain intensity data were collected before and after the prenatal exercise intervention, then analyzed using the Wilcoxon Signed Rank Test. Results: Before prenatal exercise, the majority of respondents experienced moderate back pain (53.1%). After the intervention, the majority of respondents experienced mild pain (59.4%). The Wilcoxon test results showed a p-value of 0.002 (<0.05), indicating a significant difference between back pain intensity before and after prenatal exercise.Conclusion: Prenatal exercise has been shown to significantly reduce back pain in pregnant women. Therefore, prenatal exercise can be recommended as an effective non-pharmacological intervention to improve maternal comfort during pregnancy.

Aprymanti Pabimbin; Raden Maria Veronika Widiatrilupi

Medical Laboratory Journal 2025 LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Anemia in pregnancy remains a major public health concern, particularly in developing countries where prevalence reaches 38%. Iron deficiency is the leading cause, contributing to adverse maternal and fetal outcomes such as preterm delivery, low birth weight, and maternal mortality. Compliance with iron supplementation is critical, yet data from North Sulawesi indicate that only 60% of pregnant women adhere to recommended intake. This study aimed to analyze the relationship between compliance with Fe tablet consumption and anemia incidence among pregnant women at the Suluun Community Health Center, South Minahasa. Using a cross-sectional design, 100 respondents were selected via purposive sampling based on Slovin’s formula. Data collection involved questionnaires assessing compliance and demographics, alongside hemoglobin measurements to determine anemia status. Statistical analysis employed Chi-Square and logistic regression tests. Results showed that 56.7% of respondents were compliant, while 43.3% were non-compliant. A significant relationship was found between compliance and anemia incidence (p=0.004), with 76.9% of non-compliant women experiencing anemia compared to 23.5% of compliant women. These findings highlight the importance of education, family support, and healthcare access in improving adherence to iron supplementation. Strengthening health programs targeting these factors is essential to reduce anemia prevalence among pregnant women.

Leni Br Sarumpaet; Nur Azizah; Lidya Natalia Sinuhaji; Debby Chintya Yun

The Journal General Health and Pharmaceutical Sciences Research 2025 LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Background: Stunting is a chronic nutritional problem in children under five years old caused by inadequate nutritional intake and recurrent infections, especially in the First 1000 Days of Life (HPK). Exclusive breastfeeding and maternal nutritional knowledge are key factors that influence the incidence of stunting. Indonesia faces a high prevalence of stunting, which can impact the quality of human resources in the future if not addressed immediately. Objective: This study aims to determine the relationship between maternal nutritional knowledge and the duration of exclusive breastfeeding with the incidence of stunting in infants aged 6–12 months in the working area of ​​Kuala Bangka Health Center, Kualuh Hilir District, North Labuhan Batu Regency in 2021. Method: This study used a case-control design with a sample of 110 respondents (55 cases and 55 controls) selected by purposive sampling. Data were collected through interviews using a structured questionnaire and analyzed using the Chi-Square test. Results: The results showed a significant association between the duration of exclusive breastfeeding and the incidence of stunting (p = 0.002; OR = 4.394; 95% CI = 1.709–11.295), where infants who were not exclusively breastfed had a 4.4 times greater risk of experiencing stunting than infants who received optimal exclusive breastfeeding. However, there was no significant association between maternal nutritional knowledge and the incidence of stunting (p = 0.233). Conclusion: The duration of exclusive breastfeeding was proven to be associated with the incidence of stunting, while maternal knowledge did not show a significant association. Stunting prevention efforts should focus on improving the practice of appropriate and comprehensive exclusive breastfeeding, accompanied by practice-based nutrition education that mothers can apply in childcare.

Melisa Melisa; Endang Susilowati; Nurhidayah Nurhidayah

Inovasi Kesehatan Global 2025 Lembaga Pengembangan Kinerja Dosen

(MMR) refers to the number of deaths of women that occur during the pregnancy period or within 42 days after delivery. According to WHO in (2022) MMR is an indicator that states the number of maternal deaths for 303,000 per 100.000 live births, According to the Brebes health office (2022) MMR 177.94/ 100.000 live birth, IMR 197 cases. According to data obtained from the Sirampog Health Center daring 2022, the maternal mortality rate was recorded at one case, and eleven infant dealths. The study aims to provide comprehensive midwifery care to patients with a history of cesarean section, using a qualitative descriptive case study approach. Based on integrate midwifery care carried out on patients who had a history of cesarean section, the results were obtained, namely Mrs. Saya’s pregnancy with an indication of CPD as well as high blood pressure and ureine protein approaching positive one. Delivery was carried out by secarean section as an effort to prevent complications in the mother anda baby. During the neonatal care period up to 28 days of age, no abdormalities or problems were found. During the postpartum period up to 42 days, on problem or complications were found. Mrs. I  chose to use an IUD as a contraceptive.

Boby Pratama Jaya; Firganefi Firganefi; Dona Raisa Monica; Eko Raharjo; Refi Meidiantama

Referendum : Jurnal Hukum Perdata dan Pidana 2025 Asosiasi Peneliti dan Pengajar Ilmu Hukum Indonesia

Drug abuse among university students is a serious phenomenon that affects the social, moral, and intellectual aspects of the younger generation. Students, who are ideally positioned as agents of change and drivers of national development, are often found to be vulnerable to drug abuse. This study aims to analyze the implementation of Law No. 35 of 2009 on Narcotics in preventing drug abuse among university students in Lampung Province, as well as to identify its inhibiting factors. The research employs a normative juridical and empirical juridical approach, using primary and secondary data obtained through interviews, field studies, and literature reviews. Key informants include the Narcotics Directorate of the Lampung Regional Police, P4GN Unila, the Vice-Rector III for Student Affairs and Alumni at Unila, and lecturers from the Criminal Law Department at Unila. The findings show that the Lampung Regional Police have implemented preventive strategies such as counseling, campaigns, urine tests, and drug abuse education on campuses, as well as repressive strategies through law enforcement against students involved in narcotics distribution, with 283 recorded cases over the past five years. However, the effectiveness of implementation is still hindered by limited campus facilities (counseling centers, safe reporting systems), the lack of regulatory responsiveness to digital challenges, and low student trust in law enforcement. Therefore, prevention efforts need to be strengthened through cross-sectoral synergy, policy updates, and the enhancement of the role of universities in creating a safe, healthy, and drug-free campus environment.

Siti Rukmana; Yaviza Puspitasari

International Journal of Medicine and Health 2025 Lembaga Pengembangan Kinerja Dosen

Cervical cancer is a malignant tumor that grows in the cervix caused by infection with the Human Papilloma Virus, acquired through sexual intercourse. Indonesia ranks 8th in the highest incidence of cancer in Southeast Asia, the highest prevalence of cancer is Yogyakarta Province where Sleman Regency ranks the highest IVA positive at 2.5% and Halis IVA at the Pakem Health Center is suspected of cervical cancer reaching 13 out of 22 positive IVA results. This achievement is still very low, because there is still low public awareness to carry out early detection of cervical cancer. To determine the relationship between attitude and behavior for early detection of cervical cancer. Quantitative research with a Case Control approach. A sample of 160 women with a proportional sampling technique. Data collection was in the form of filling out questionnaires online using Google Forms with chi square test data analysis and logistic regression. There was a relationship between positive attitude p-value=0.017 and OR of 3.462, women aged >35 years p- value=0.038, multipara parity p-value=0.007, with early detection behavior of cervical cancer. Parity provided a great chance of 7,038 times that women performed early detection behaviors of cervical cancer (CT 95%= 0.187-264,350). To improve early detection examinations, health workers can design health education and promotion models, increase educational socialization to cadres, the public and the community continuously and sustainably.

Kartini Kartini; Nur Azizah; Ester Simanullang; Adelina Sembiring

The Journal General Health and Pharmaceutical Sciences Research 2025 LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Pregnancy is a physiological condition that causes physical and psychological changes, one of which is nausea and vomiting (emesis gravidarum), which often occurs in the first trimester. If left untreated, this condition can lead to nutritional disorders, dehydration, weight loss, and impact the health of the mother and fetus. Management can be carried out with pharmacological and non-pharmacological therapies, one of which is lemon aromatherapy, which is known to have a relaxing and refreshing effect and help reduce nausea symptoms. The purpose of this study was to determine the effectiveness of lemon aromatherapy in reducing nausea and vomiting in pregnant women in the first trimester at the Bies Community Health Center, Bies District, Central Aceh Regency in 2022. The study used a quasi-experimental design with a one-group pretest-posttest design for pregnant women in the first trimester. Thirty respondents were selected using a purposive sampling technique. The research instrument used an observation sheet, and data analysis was performed using the Wilcoxon test. The results showed that before the intervention, the majority of respondents experienced severe nausea (53.3%) and moderate vomiting (50%). After receiving lemon aromatherapy, the majority of respondents experienced mild nausea (90%) and mild vomiting (93.3%). The statistical test results showed a p-value of 0.000 (p < 0.05), indicating a significant difference between before and after the intervention. The conclusion of this study is that lemon aromatherapy is effective in reducing nausea and vomiting in pregnant women in the first trimester. Lemon aromatherapy can be recommended as a safe, simple, and easy-to-implement non-pharmacological therapy alternative for treating emesis gravidarum.

Alya Fadila Husna; Noviana Zara

Inovasi Kesehatan Global 2025 Lembaga Pengembangan Kinerja Dosen

Hypertension is a condition where blood pressure is persistently above the normal limit. This condition is a risk factor that can cause damage to vital organs, including the heart, brain, retina, kidneys, aorta, and peripheral blood vessels. This case study aims to describe the implementation of these management efforts in a 45-year-old female patient with hypertension in Blang Dalam Geunteng Village, Nisam District, North Aceh. Mrs. H, a 45-year-old woman, came to the General Clinic of Nisam Community Health Center with a primary complaint of headache since one week before the visit. The headache felt like a throbbing pain throughout the head and was intermittent. This complaint was quite disruptive to the patient's daily activities, especially when doing light household chores. In addition, the patient complained of a throbbing sensation in both eyes that began to be felt simultaneously with the onset of the headache. This complaint appeared mainly when waking up in the morning. The patient has a history of hypertension that has been diagnosed since 2024. Family history shows that the patient's biological mother also suffered from hypertension and one of the patient's siblings was also diagnosed with high blood pressure but had not started treatment. Physical examination showed a blood pressure of 150/90 mmHg. Data were collected through anamnesis, physical examination, supporting procedures, home visits, and family documentation. The holistic assessment included quantitative and qualitative aspects of the initial visit, the process, and the outcome of the visit. Interventions included hypertension education, medication adherence, a healthy lifestyle, and family support for blood pressure management and lifestyle. This case study demonstrates the importance of a holistic and continuous family medicine approach in the management of patients with grade II hypertension, particularly those with familial risk factors.

Novy Angelina Christyolivia; Sulistiyah Sulistiyah

International Journal of Medicine and Health 2025 Lembaga Pengembangan Kinerja Dosen

Iron deficiency anemia is a significant public health problem in pregnant women, because it can cause maternal and fetal complications. Compliance with iron tablet consumption is often low due to limited knowledge, side effects, and cultural misconceptions. Leaflet-based education is a low-cost intervention that has the potential to improve understanding and compliance. This study aims to analyze the effect of leaflet education on the adherence of iron tablet consumption in pregnant women at the Pujon Health Center, Batu. The research design used a quasi-experiment with a pretest-posttest control group design. A total of 40 pregnant women were divided into an intervention group (n = 20) that received leaflet education and a control group (n = 20) that received standard counseling. Compliance was measured over four weeks through self-consumption records and tablet count calculations, while knowledge was assessed with a structured questionnaire. Data analysis used the Chi-square test with a significance level of p < 0.05. Results showed a significant improvement in adherence in the intervention group, with 70% of pregnant women complying compared to 15% in the control group (p = 0.001). Leaflet education also increased knowledge scores and consistency of iron tablet consumption. The conclusion of this study confirms that leaflet education is effective in increasing iron supplementation adherence, so it is recommended to be integrated into routine antenatal services to prevent anemia and support maternal and fetal health.

Suhaimi Agus; Tut Rayani Aksohini Wijayanti

Medical Laboratory Journal 2025 LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Stunting, a major public health issue, is often caused by prolonged nutritional deficiencies during early life. Research shows that maternal nutritional status before conception plays a crucial role in child growth outcomes, but this phase is often overlooked in stunting prevention. The pre-pregnancy body mass index (BMI) is a key indicator of maternal nutrition and may influence a child's linear growth. This study aimed to explore the relationship between maternal pre-pregnancy BMI and stunting in children under five years old in the Soasio Primary Health Center, Tidore Islands City. A cross-sectional analytical observational study was conducted with 50 mother-child pairs selected via total sampling. Maternal pre-pregnancy BMI was obtained from health records, while child stunting was assessed using height-for-age or length-for-age Z-scores based on WHO growth standards. Data were analyzed using univariate analysis, Chi-square tests, and logistic regression. The results revealed a significant correlation between maternal pre-pregnancy BMI and child stunting. Children born to underweight mothers were more likely to experience stunting compared to those born to mothers with a normal BMI. No significant correlation was found between overweight or obesity and stunting. The study concludes that maternal undernutrition before pregnancy is strongly linked to stunting and highlights the need for better nutritional screening and interventions for women of reproductive age.

Fahima Abubakar; Raden Maria Veronika Widiatrilupi

The Journal General Health and Pharmaceutical Sciences Research 2025 LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Preeclampsia is a life-threatening obstetric complication and a major contributor to maternal mortality worldwide, accounting for 10–15% of all maternal deaths. In Indonesia, postpartum hemorrhage remains the leading cause of maternal death, contributing to approximately 30% of cases. Hypertension during pregnancy accompanied by proteinuria not only endangers maternal health but also increases the risk of postpartum hemorrhage. Therefore, understanding the relationship between the severity of preeclampsia and the incidence of postpartum hemorrhage is crucial for developing effective prevention and management strategies, especially at the primary healthcare level. This study aims to analyze the relationship between the gradation of preeclampsia severity and the occurrence of postpartum hemorrhage among mothers giving birth at the Tepeleo Inpatient Health Center UPTD. The research used a quantitative cross-sectional design involving 30 respondents selected through purposive sampling. Data collected included demographic characteristics, severity of preeclampsia, clinical parameters such as blood pressure and proteinuria, mode of delivery, and types of postpartum hemorrhage. Data were analyzed using descriptive statistics and the Chi-Square test with a 95% confidence level. The results showed that most respondents were aged 20–35 years (63.3%), had secondary education, and were multiparous (43.3%). Mild preeclampsia accounted for 73.3%, while severe cases were 26.7%. Uterine atony was the most common cause of hemorrhage (56.7%). Statistical analysis revealed a significant relationship between preeclampsia severity and postpartum hemorrhage (p = 0.007).

Huwiani Huwiani; Rani Safitri

Medical Laboratory Journal 2025 LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Several things contribute to the rise in Indonesia's Maternal Mortality Rate (AKI), one of which is how moms behave and think while they are pregnant. If pregnant women don't follow the recommended schedule for antenatal care (ANC) exams, a number of pregnancy issues may go unnoticed at an early stage, which may have an impact on the pregnancy process, childbirth, the postpartum period, and the health of the child being born. As a result, midwife visits play a key role in improving pregnant women's adherence to ANC tests via education, mentorship, and close supervision. The goal of this study is to assess the impact of midwife appointments on pregnant women's adherence to ANC exams at the Rumbalibunga Tidore Health Center UPT. With a cross-sectional research design, this study employs a quantitative methodology. This research focuses on 66 pregnant women who are enrolled in the Rumbalibungan Health Center UPT's working area in Tidore. Total sampling, which utilizes the entire population as a research sample, is the method employed. The chi-square test was used in bivariate analysis to investigate the impact of midwife visits on antenatal care (ANC) examination compliance, while univariate analysis was performed to describe the frequency and percentage distribution of each variable. The majority of participants, or 51.5%, had not followed the recommended antenatal care (ANC) exams, according to the data. After a midwife's visit to the home, which served as an intervention, there was an increase in the compliance of pregnant women in having ANC tests. The chi-square test yielded a p-value of 0.021 (p < 0.05) in the statistical analysis, indicating that the midwife's home visit has a substantial impact on adherence to the ANC examination. According to the study's findings, the UPT Puskesmas may enhance its coaching operations to the community by providing frequent home visits and health education, particularly to expectant mothers and women of reproductive age. The instruction covers pregnancy preparation, the value of antenatal care (ANC) exams, the optimum time to begin pregnancy exams, and the timeline for follow-up exams. Consequently, it is hoped that pregnant women will adhere to the service standards established for pregnancy tests, which call for at least four tests throughout the course of the pregnancy.

Novrianti Andale; Anik Purwati

International Journal of Medicine and Health 2025 Lembaga Pengembangan Kinerja Dosen

In addition to being programmatically successful in lowering TFR and slowing population growth rates, the Long-Term Contraceptive technique (MKJP) is an affordable technique of preventing conception. This study's objective was to examine variables associated with long-term contraceptive (MKJP) selection at the Motoboi Kecil Community Health Center. The study design is cross-sectional and the research methodology is quantitative. The investigation was carried out in the workspace of the Motoboi Kecil Community Health Center. 300 women of reproductive age made up the study's population, and a straightforward random selection procedure was used to choose 45 participants. A questionnaire was used to gather the data, which were then subjected to univariate and bivariate analysis using the Chi-Square statistical test. Age and MKJP choice did not correlate, according to the data (p-value = 0.09 > 0.05). The choice of MKJP was correlated with education (p-value = 0.003 < 0.05). The choice of MKJP was correlated with occupation (p-value = 0.003 < 0.05). The choice of MKJP and the husband's support are related, with a p value of 0.004 < 0.05. Parity and MKJP selection are related, with a p value of 0.003 < 0.05. Knowledge and MKJP selection are related, with a p-value of 0.003 < 0.05.

Pradita Setianingrum; Nella Vallen; Kristina Maharani

Jurnal Ilmu Kesehatan Umum, Psikolog, Keperawatan dan Kebidanan 2025 Asosiasi Riset Ilmu Kesehatan Indonesia

Urinary incontinence is a common medical condition among older women, characterized by the involuntary leakage of urine due to impaired bladder control. This condition not only affects physical health but also has significant psychosocial impacts, including reduced self-confidence and quality of life. Non-pharmacological interventions, particularly pelvic floor muscle exercises, have been recognized as effective strategies to strengthen the bladder sphincter and pelvic floor muscles, thereby enhancing urinary retention. The present study aimed to evaluate the effectiveness of pelvic floor muscle exercises in reducing the frequency of urinary incontinence among elderly women. An experimental design with a one-group pretest–posttest approach was employed. The study population consisted of 64 elderly women receiving care at the Gunung Pati Public Health Center in Semarang, from which 45 participants were selected through purposive sampling based on inclusion criteria. Data were collected using structured questionnaires and clinical observation to assess the frequency of urinary incontinence episodes before and after the intervention. Statistical analysis was performed using the Wilcoxon signed-rank test, and the results indicated a significant reduction in urinary incontinence episodes following the exercise program, with a p-value of <0.001. These findings suggest that pelvic floor muscle exercises are a simple, cost-effective, and non-invasive intervention to manage urinary incontinence in elderly women. Implementing such exercises in community health programs can play a vital role in promoting the well-being and independence of older women. The study recommends incorporating pelvic floor muscle training into routine elderly care services and encourages further research with larger samples and longer follow-up periods to confirm the long-term benefits.

Asnia Ananta; Tia Nurhanifah; Mudy Oktiningrum

Jurnal Ilmu Kesehatan Umum, Psikolog, Keperawatan dan Kebidanan 2025 Asosiasi Riset Ilmu Kesehatan Indonesia

Back pain is a common complaint among pregnant women, especially in the third trimester, caused by hormonal changes, uterine enlargement, and poor postural balance. If untreated, this pain can disrupt sleep quality and daily activities. The pelvic tilt technique, a non-pharmacological intervention, strengthens abdominal and pelvic muscles, maintains posture, and relieves back pain. This study examined the effect of the pelvic tilt technique on back pain intensity in third-trimester pregnant women at Karangdoro Public Health Center. The study used a quasi-experimental design with a one-group pretest–posttest approach. The population consisted of all third-trimester pregnant women with physiological back pain (without comorbid conditions or a history of premature rupture of membranes). Using a total sampling technique, 34 respondents were included. The intervention was conducted for seven consecutive days. Data collection employed observation sheets and the Numeric Rating Scale (NRS). Data analysis used the Wilcoxon test because the normality test yielded p < 0.05. Statistical results showed p = 0.000 (< 0.05), indicating that the pelvic tilt technique significantly reduced back pain intensity. These findings suggest that pelvic tilt exercises can serve as a safe, simple, and effective non-pharmacological alternative therapy to alleviate bapain in third-trimester pregnant women.

Rindang Kasih Parawansha Hariyoko; Nella Vallen; Qomariyah Qomariyah

Inovasi Kesehatan Global 2025 Lembaga Pengembangan Kinerja Dosen

Introduction: Back pain during pregnancy is a problem that is often experienced by pregnant women and is complex because it involves not only physical changes, but also psychological aspects. Changes in body biomechanics, weight gain, and shifting of the center of gravity due to uterine enlargement are the main factors that trigger pain complaints, especially in the lower back area. This condition can have a negative impact on the quality of life of pregnant women, interfere with daily activities, and even worsen emotional states due to the emergence of anxiety, fear, and stress if not managed properly. Treatment of back pain in pregnant women can be done through safe non-pharmacological methods, one of which is prenatal yoga. Yoga practice for pregnant women has been proven to provide benefits in the form of relaxation, posture improvement, and increased muscle elasticity. One of the effective movements is the Angry Cat Pose because it is able to stretch the back muscles, improve blood circulation, and reduce pressure on the lower spine. Objective: This study aims to analyze the effect  of Angry Cat Pose  exercise on the intensity of back pain in pregnant women in the third trimester. Methods: This study used a quasi-experimental design with a one group pretest-posttest design. The study sample consisted of 31 pregnant women in the third trimester with complaints of back pain who visited the Gunungpati Health Center. The research instrument was in the form of a questionnaire, while the data analysis was carried out using the Wilcoxon test with a significance level of <0.05. Results: The results showed a significant effect of the Angry Cat Pose  exercise on the reduction of back pain in pregnant women in the third trimester with p=0.000. After the intervention, the majority of respondents experienced a decrease in pain to the mild category on a scale of 1–3. Conclusion: The Angry Cat Pose  exercise has been shown to be effective in reducing back pain in third trimester pregnant women, so it can be recommended as a safe, simple, and routine nonpharmacological intervention under the supervision of health workers.