Publication Search

Stunting remains a chronic nutrition problem that requires strengthening community-based interventions, particularly through optimizing the role of posyandu cadres. This article aims to describe nutrition education and child growth monitoring for cadres as a strategy to prevent stunting at Posyandu Delima. The method employed was a participatory community empowerment approach based on health education. The activities were conducted through several stages, including needs assessment, development and delivery of nutrition education, hands-on practice in child growth monitoring, cadre mentoring, and evaluation with reflective feedback. The results showed an improvement in cadres’ knowledge and skills in interpreting growth indicators, identifying early risks of nutritional problems, and delivering structured nutrition education to caregivers of under-five children. Strengthening cadre capacity contributed to better quality of child growth monitoring and reinforced the role of posyandu as a community-based primary health service. In conclusion, integrated nutrition education and child growth monitoring are effective in supporting stunting prevention efforts and are aligned with national policies on strengthening maternal and child health services.

Stunting remains a chronic nutrition problem that requires strengthening community-based interventions, particularly through optimizing the role of posyandu cadres. This article aims to describe nutrition education and child growth monitoring for cadres as a strategy to prevent stunting at Posyandu Delima. The method employed was a participatory community empowerment approach based on health education. The activities were conducted through several stages, including needs assessment, development and delivery of nutrition education, hands-on practice in child growth monitoring, cadre mentoring, and evaluation with reflective feedback. The results showed an improvement in cadres’ knowledge and skills in interpreting growth indicators, identifying early risks of nutritional problems, and delivering structured nutrition education to caregivers of under-five children. Strengthening cadre capacity contributed to better quality of child growth monitoring and reinforced the role of posyandu as a community-based primary health service. In conclusion, integrated nutrition education and child growth monitoring are effective in supporting stunting prevention efforts and are aligned with national policies on strengthening maternal and child health services.

Background: Regular antenatal care is essential to ensure maternal and fetal health during pregnancy and to prevent complications. The level of maternal education plays an important role in shaping health knowledge, attitudes, and behaviors related to pregnancy care. Mothers with higher education levels tend to have better awareness and understanding of the importance of routine pregnancy check-ups. However, irregular antenatal visits are still found in several regions, including the working area of the Gandasuli Community Health Center, South Bacan District, South Halmahera Regency, North Maluku Province.Objective: This study aimed to analyze the relationship between mother’s education level and the regularity of pregnancy check-ups at the Gandasuli Community Health Center, South Bacan District, South Halmahera Regency, North Maluku Province.Methods: This study employed a quantitative analytical design with a cross-sectional approach. The sample consisted of 30 pregnant women selected using a total sampling technique. Data were collected using structured questionnaires and maternal health records to assess education level and the regularity of antenatal care visits. Data analysis was performed using the Wilcoxon test.Results: The results of the Wilcoxon test showed a significant relationship between mother’s education level and the regularity of pregnancy check-ups, with a p-value of 0.000 (p < 0.05). Conclusion: There is a significant relationship between mother’s education level and the regularity of pregnancy check-ups at the Gandasuli Community Health Center. Improving maternal education and strengthening health education programs are essential to increase compliance with routine antenatal care visits and improve maternal and fetal health outcomes.  

Interpregnancy interval is a modifiable risk factor that may influence pregnancy complications, which remain a significant issue for maternal health despite most women being of ideal reproductive age. This study aimed to analyze the relationship between interpregnancy interval and pregnancy complications at Marisa Health Center. An analytical observational quantitative design with a cross-sectional approach was used. The study population consisted of pregnant women who received antenatal care at the Marisa Community Health Center during the study period. A total of 20 respondents were selected using total sampling according to inclusion criteria. Data were collected through medical record reviews and observation sheets covering maternal characteristics, gestational age, and pregnancy complications. Data analysis was conducted using univariate and bivariate analysis, with Spearman's Rho correlation test. Results showed that most respondents had a pregnancy interval of 1–2 years, and the most common pregnancy complication was anemia. Spearman's Rho test revealed a p-value of 0.542 and a correlation coefficient of r = −0.145, indicating no statistically significant relationship between pregnancy interval and complications. The study concluded that interpregnancy interval was not a dominant factor related to pregnancy complications in the respondents. Preventing pregnancy complications requires a comprehensive approach, including improving antenatal care quality, early detection of risk factors, and continuous pregnancy planning counseling.

Background: Comprehensive midwifery care is essential for early detection of complications and reducing maternal and infant mortality rates. In Sleman Regency, despite high access to health services, continuous monitoring remains crucial for ensuring maternal and fetal safety. Objective: To provide comprehensive midwifery care for Mrs. M at Klinik Pratama Shaqi, Sleman, from the third trimester of pregnancy through the postpartum and neonatal periods. Methods: This is a descriptive qualitative study using a case study approach based on Varney's seven-step midwifery management and SOAP documentation. Findings: During pregnancy (37 weeks 6 days), the mother experienced physiological complaints of back pain and shortness of breath, managed through posture education and pregnancy exercises. Labor proceeded normally and spontaneously on October 6, 2024, utilizing "gentle birth" practices such as endorphin massage to reduce pain. A second-degree perineal tear occurred and was treated according to procedure. The baby was born healthy, weighing 3100 grams, with successful Early Initiation of Breastfeeding (EIB). During the postpartum and neonatal periods, uterine involution was normal, breast milk production was adequate, and the infant's growth met standards with no danger signs. Implications: Continuous assistance improves the mother's physical and psychological readiness and ensures a healthy neonatal transition.

Background: The maternal mortality rate in Indonesia reaches 177 per 100,000 live births, with 75 percent of deaths occurring in the first week of the postpartum period. The partnership between midwives and village shamans is an adaptive strategy to optimize maternal health services, but its implementation still faces various systemic obstacles. Objective: To analyze factors related to the partnership of village midwives and shamans in caring for postpartum mothers in the BLUD area of the Tumpung Laung Health Center UPT. Methods: A quantitative study with a cross-sectional design involved 50 respondents using a total sampling technique. Data were collected through a structured questionnaire and analyzed using the Chi-square test with a significance level of p<0.05. Results: There was a significant relationship between age (p=0.032), work experience (p=0.048), education (p=0.000), knowledge (p=0.000), competence (p=0.000), quality of communication (p=0.000), frequency of interaction (p=0.000), policy support (p=0.000), and availability of facilities (p=0.000) with partnership effectiveness. Conclusions: Effective partnerships are influenced by a multiplicity of factors at the individual, interpersonal, and structural levels, requiring holistic interventions through capacity building, communication strengthening, and comprehensive policy support to accelerate maternal mortality reduction.

The postpartum period is a critical transitional phase during which women are vulnerable to psychological disturbances, particularly postpartum depression. Psychological distress may undermine maternal confidence, including the perceived ability to breastfeed effectively. This study aimed to examine the relationship between breastfeeding self-efficacy and postpartum depression among postpartum mothers. A quantitative cross-sectional design was employed involving 45 respondents selected through total sampling. Depressive symptoms were assessed using the Edinburgh Postnatal Depression Scale (EPDS), while breastfeeding self-efficacy was measured using the Breastfeeding Self-Efficacy Scale-Short Form (BSE-SF). Data were analyzed using Spearman’s Rank correlation test with a significance level of 0.05. The results demonstrated a statistically significant and strong negative correlation between breastfeeding self-efficacy and postpartum depression (r = –0.616; p < 0.05). Mothers with higher depressive symptoms tended to report lower levels of breastfeeding self-efficacy. These findings highlight the importance of integrating mental health screening and breastfeeding support into postpartum care to strengthen maternal confidence and improve breastfeeding outcomes.  

Background: Breastfeeding is a crucial practice that provides optimal nutrition and immunity for infants while supporting maternal health. However, inadequate knowledge and limited understanding about the importance of breastfeeding often lead to low motivation among pregnant women in preparing for breastfeeding. Providing structured education is expected improve pregnant women’s readiness and commitment to breastfeeding after childbirth. Objective: This study aimed to determine the effect of providing education about the importance of breastfeeding on the motivation of pregnant women in preparing to breastfeed at the Paguat Community Health Center UPTD. Methods: This study employed a pre-experimental design with one-group pretest–posttest approach. A total of 30 pregnant women were selected as the sample using purposive sampling techniques. Data on mothers’ motivation to prepare for breastfeeding were collected before and after the educational intervention using a structured motivation questionnaire. The data were analyzed using the Wilcoxon signed-rank test to assess differences in motivation levels before and after the intervention. Results: The results of the Wilcoxon signed-rank test showed a p-value of 0.000 (p < 0.05), indicating a statistically significant effect of breastfeeding education on the motivation of pregnant women in preparing breastfeed. The findings demonstrate that educational interventions significantly increased maternal motivation following the provision of education. Conclusion: Providing education about the importance of breastfeeding has a significant positive effect on the motivation of pregnant women in preparing to breastfeed. Therefore, breastfeeding education should be strengthened and routinely implemented during antenatal care services to improve maternal readiness and support successful breastfeeding practices.

Stunting is a major public health problem that reflects chronic malnutrition and adversely affects children’s physical growth, cognitive development, and future productivity. The first 1,000 days of life represent a critical window during which stunting develops and determines long-term health outcomes. This study aims to review evidence on the determinants of childhood stunting and the effectiveness of prevention interventions within public health policy frameworks in Indonesia.A literature review was conducted using peer-reviewed articles, policy documents, and national reports published in the last decade. The literature was analyzed to identify key risk factors, intervention strategies, and policy impacts on stunting reduc-tion.The findings show that stunting is primarily driven by inadequate dietary intake, low socioeconomic status, limited caregiver nutrition knowledge, and poor access to health and sanitation services. National data indicate a decline in stunting prevalence in Indonesia from 24.4% in 2021 to 21.6% in 2022. Evidence consistently highlights that integrated interventions targeting the first 1,000 days of life, including maternal nutrition improvement, breastfeeding promotion, appropriate complementary feeding, and multisectoral collaboration, are effective in reducing stunting.In conclusion, reducing childhood stunting requires sustained, integrated, and policy-based interventions that prioritize early-life nutrition to improve human capital and support long-term national development.

The third trimester of pregnancy is a challenging period since pregnant women experience various physical and psychological changes that can affect their readiness for childbirth. High anxiety levels and the presence of pregnancy complications are known to reduce maternal preparedness for labor. This study aims to determine the relationship between anxiety levels and pregnancy complications with the readiness of third trimester pregnant women in facing childbirth in the working area of Benteng Community Health Center, Selayar Islands Regency. This research used a quantitative approach with a correlational design and a cross-sectional method. The population consisted of all third trimester pregnant women, with a total sample of 86 respondents selected using purposive sampling. The research instruments included an anxiety questionnaire using the Hamilton Anxiety Rating Scale (HARS), a pregnancy complication checklist, and a childbirth readiness questionnaire. Data were analyzed using the Chi-Square test and multiple logistic regression at a significance level of α = 0.05. The results of the study showed no significant relationship between anxiety and readiness for childbirth (p < 0.550) or between pregnancy complications and readiness for childbirth (p < 0.690). Therefore, it can be concluded that anxiety and pregnancy complications are not significantly related to the readiness of pregnant women in the third trimester for childbirth. This indicates that maternal readiness is influenced by factors other than the variables studied, such as knowledge, family support, and previous childbirth experiences.

Health issues are complex and require new ideas for their resolution. Public health focuses on disease prevention, health promotion, and physical, mental, and social therapy. Maternal and Child Health (MCH) and women’s health throughout their life cycle are crucial public health issues as they have a significant impact on the quality of human resources in a generation. In Pukdale Village, East Kupang District, Kupang Regency, problems such as the lack of knowledge among pregnant women about Chronic Energy Deficiency (CED), pregnancy anemia, Exclusive Breastfeeding (EBF), balanced nutrition, and weaning have been identified. To address these issues, a Community Midwifery Care program based on community service was carried out, which included counseling, training, demonstrations, and simulations. The results of this activity showed a positive response and active participation from the community in Pukdale Village in the programs implemented by the students. There was a significant improvement in the knowledge of pregnant women about CED, pregnancy anemia, EBF, as well as the knowledge of mothers of infants about balanced nutrition and weaning. This is expected to improve the overall health status of the community in the village.

Infant nutritional status is an important indicator of child health that is influenced by various factors, including maternal characteristics. Maternal education is often considered to play a role in determining infant care and feeding practices. This study aims to analyze the relationship between the mother's education level and infant nutritional status. The study uses a quantitative approach with a cross-sectional analytical observational design. The study sample consisted of 30 mothers and infants aged 0–12 months selected using purposive sampling. Maternal education level was categorized as elementary, secondary, and higher education, while infant nutritional status was determined based on anthropometric indicators according to WHO standards and the position of the Health Card (KMS). Data analysis was performed bivariately using Spearman's rho correlation test with a significance level of p < 0.05. The results of the study indicate that there is no significant relationship between the mother's level of education and the nutritional status of the infant (p = 0.575; r = −0.098). The correlation coefficient value indicates a very weak and statistically insignificant relationship. The conclusion of this study indicates that the mother's education level is not a factor directly related to the nutritional status of infants. The nutritional status of infants is likely to be more influenced by other more proximal factors, such as feeding practices, the quality and quantity of food intake, the child's health condition, and the family's environmental and socioeconomic factors.

Umbilical cord infection remains one of the major causes of morbidity and mortality among newborns, particularly in areas where knowledge and health practices are still limited. Padellegan Village is one of the regions where some mothers continue to practice traditional cord care methods, such as using herbal mixtures or non-sterile materials, which increases the risk of omphalitis. Initial situation analysis indicates that 40–60% of postpartum mothers are not yet familiar with the principles of clean and dry cord care (dry cord care), and access to accurate health information is still limited. Based on this condition, education on umbilical cord care is essential to improve mothers’ and health cadres’ understanding and skills in preventing neonatal infections. This community service activity focuses on providing evidence-based education regarding safe cord care techniques, infection risk factors, and danger signs that need to be recognized. Padellegan Village was selected due to the high need for maternal–neonatal health education and the low level of community knowledge related to cord care. This activity is expected to bring positive changes, such as improved maternal behavior in performing proper cord care, reduced use of unhygienic traditional methods, and strengthened roles of health cadres in monitoring neonatal health. Enhancing appropriate cord care practices can reduce the risk of infection in newborns, thereby contributing to improving the overall health status of the community in Padellegan Village.

Empowering pregnant women in their third trimester through Respectful Maternity Care-based childbirth preparation counseling is a relevant promotive and preventive strategy for improving maternal health. This counseling not only provides knowledge about the signs of labor, stages of labor, pain management options, and birth planning, but also equips mothers with an understanding of their rights in midwifery care. Childbirth preparation education often focuses solely on clinical aspects and fails to fully address the psychosocial aspects and the rights of mothers as service recipients. This has the potential to lead to an unpleasant childbirth experience and even contribute to disrespect and abuse during labor. This counseling can equip mothers with an understanding of their rights in midwifery care. With an empathetic, participatory, and woman-centered approach, pregnant women are expected to be able to recognize their needs, convey their preferences, and communicate effectively with health workers. The purpose of this counseling is to improve pregnant women's knowledge before and after being empowered in their third trimester through Respectful Maternity Care-based childbirth preparation counseling.

Anxiety in third-trimester pregnant women is a common condition that may negatively affect psychological readiness for childbirth. One effective non-pharmacological intervention to reduce anxiety is progressive muscle relaxation therapy. This community service activity aimed to reduce anxiety levels among third-trimester pregnant women through health education and practical training on progressive muscle relaxation therapy. The activity was conducted at PMB Lina Contesa and involved 25 third-trimester pregnant women. The intervention consisted of health education sessions, demonstrations, and guided practice of progressive muscle relaxation therapy. Anxiety levels were measured using the Hamilton Anxiety Rating Scale (HARS) before and after the intervention. The results showed a decrease in the mean anxiety scores after the intervention, shifting from moderate anxiety to mild anxiety levels. These findings indicate that progressive muscle relaxation therapy is effective in reducing anxiety among third-trimester pregnant women. In conclusion, health education combined with progressive muscle relaxation therapy is a safe, simple, and effective non-pharmacological approach to reduce maternal anxiety and is recommended to be integrated into antenatal care services at midwifery private practices.

Perineal wounds are commonly experienced by postpartum mothers after vaginal delivery and may cause pain and increase the risk of infection if not properly managed. Appropriate perineal wound care, including the use of non-pharmacological methods, requires adequate maternal knowledge and skills. This program aimed to improve postpartum mothers’ knowledge and skills in perineal wound care through education on betel leaf compresses at PMB Lina Contesa. A community empowerment approach was applied through health education combined with demonstrations and hands-on practice. Evaluation was conducted by assessing changes in maternal knowledge and skills and by observational monitoring of perineal wound conditions. The results showed improvements in maternal knowledge and skills in performing perineal wound care using betel leaf compresses. In addition, postpartum mothers reported reduced pain and no signs of infection during the observation period. These findings indicate that education on betel leaf compresses has the potential to serve as an applicable promotive and preventive approach to support accelerated perineal wound healing among postpartum mothers in primary midwifery care setting.

A high-risk pregnancy is a pregnancy that can affect both the pregnancy, delivery, newborn, and postpartum period. There are several high-risk pregnancies, including pregnant women who are <145cm tall, have low birth weight, are too young, and give birth too closely spaced, or what is known as the 4T. Prevention is carried out by conducting comprehensive supervision, this is a way to reduce MMR and IMR. The Central Java government has developed the One Student One Client (OSOC) program, it is hoped that the implementation of this program can reduce MMR in Central Java. MMR according to WHO in 2023 reached 189/100,000 live births, MMR based on ASEAN reached 235/100,000 live births, MMR according to the Indonesian Ministry of Health reached 205/100,000 live births, MMR in Central Java in 2023 has reached 485/100,000 live births, MMR in Brebes in 2023 54/100,000 live births and at the Bantarkawung Community Health Center MMR in 2023 amounted to 2 cases of maternal death. In this study, researchers used Varney and SOAP to document midwifery care comprehensively, with direct qualitative descriptive approach methods such as observation, interviews, and documentation.

Successful breastfeeding is a crucial factor in ensuring maternal and infant health, yet many postpartum mothers experience obstacles in optimally breastfeeding. One factor that plays a significant role in successful breastfeeding is family support and involvement. Families, particularly husbands and immediate family members, play a strategic role in providing the emotional, informational, and instrumental support mothers need during the postpartum period. This study aims to analyze the relationship between family roles and successful breastfeeding in postpartum mothers at TPMB Bdn. Neneng Banjarmasin. This study employed an observational analytical design with a cross-sectional approach. The sample consisted of 35 postpartum mothers with infants aged 0–6 months selected using purposive sampling. Data were collected using a structured questionnaire to measure family roles and successful breastfeeding, including aspects of early breastfeeding initiation, breastfeeding frequency, maternal comfort, and sustainability of breastfeeding practices. Data were analyzed univariately and bivariately using the Chi-square test with a significance level of p < 0.05. The results showed that most respondents received good family support and that the majority of postpartum mothers experienced successful breastfeeding. Bivariate analysis showed a significant relationship between family roles and breastfeeding success. In conclusion, family roles are significantly associated with breastfeeding success in postpartum mothers. This finding underscores the importance of a family-centered midwifery care approach in supporting breastfeeding success in community midwifery practice.

Antenatal Care (ANC) is a health service provided to pregnant women during pregnancy by healthcare professionals in accordance with established standards, one of which is the implementation of the 10T ANC service components. The quality of ANC services plays an important role in determining pregnant women’s satisfaction, which in turn affects their compliance with antenatal visits and the effectiveness of pregnancy monitoring. Maternal satisfaction is an essential indicator for assessing the quality of healthcare services at primary healthcare facilities. This study aimed to examine the relationship between 10T Antenatal Care services and pregnant women’s satisfaction at Biru-Biru Public Health Center in 2025. This research employed a quantitative method with an analytical design using a cross-sectional approach. The sample was selected through purposive sampling, involving 48 third-trimester pregnant women. Data were collected using questionnaires that assessed the implementation of 10T ANC services and the level of maternal satisfaction. The collected data were analyzed statistically to determine the relationship between the variables. The findings of this study are expected to provide insights into the importance of optimal implementation of 10T ANC standards. Therefore, healthcare providers, particularly midwives, are encouraged to continuously improve the quality of ANC services to enhance pregnant women’s satisfaction and support efforts to improve maternal and child health outcomes.

Low Birth Weight (LBW) remains a critical global health issue that significantly contributes to neonatal morbidity and mortality, particularly in developing countries such as Indonesia. The main challenge in addressing LBW lies in its complex and multifactorial risk profile, which involves biological, social, environmental, and healthcare-related determinants. This study aims to analyze and synthesize the risk factors associated with LBW based on recent scientific literature. A literature review method was applied by searching articles from Portal Garuda, DOAJ, PubMed, and Google Scholar published between 2020 and 2025 using relevant keywords. The findings indicate that maternal age, interpregnancy interval, nutritional status, anemia, preeclampsia, infections, socioeconomic conditions, environmental exposure, and the quality of antenatal care are significant determinants of LBW. The synthesis of evidence confirms that LBW is influenced by the interaction of multiple individual and healthcare system factors rather than a single cause. In conclusion, this study highlights the urgent need to strengthen antenatal care services, improve maternal nutritional status, control maternal diseases during pregnancy, and implement community-based promotive and preventive strategies as key efforts to reduce the incidence of LBW.