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This paper applies the Gamma Regression Model to determine the probability of newborns in the Diyala Province developing neonatal jaundice, or hyperbilirubinemia. This disease is prevalent, and it may be severe due to the large amount of unconjugated bilirubin in the blood. The aim of the study was to test the relationship between the levels of bilirubin and a set of independent variables, including the weight of birth, gestational age, and the proportion of red blood cells (PVC). 67 worth of data regarding neonatal cases was collected, and the outcome was that the model fitted well. The findings further indicated that whereas the influence of PVC was significant and positive on the bilirubin level, lower gestational age and less weight at birth had significant negative influence. As the results of the study indicate, the Gamma Regression Model is an effective tool to assess medical data and predict critical scenarios, which assists a clinician with the timely and accurate decision-making.

Low Birth Weight (LBW) infants are among the leading causes of neonatal morbidity and mortality in Indonesia. This condition results from the immaturity of organ systems, including thermoregulation, making infants vulnerable to hypothermia. One non-pharmacological intervention to maintain body temperature stability is the nesting technique, which positions the baby in a flexed posture similar to the intrauterine condition using soft rolled cloths as a “nest.” This case study aimed to determine the effect of nesting on body temperature changes in LBW infants in the perinatology room of RSUD Batang. The study used a descriptive case study with a nursing process approach involving five LBW infants (<2500 g, spontaneous breathing). The intervention involved applying nesting for 30 minutes daily over three consecutive days. Body temperature was measured before and after the intervention using a digital thermometer. The results showed an increase in body temperature in all subjects. The average temperature before intervention was 35.9°C and increased to 36.6°C after three days of nesting therapy. This indicates that nesting effectively helps maintain body temperature stability in LBW infants by providing comfort, reducing stress, and conserving body energy. In conclusion, nesting is an effective evidence-based nursing intervention for improving body temperature in LBW infants and is recommended for perinatology care settings.

Red blood cells are essential for carrying oxygen and vital nutrients needed for the growth of the fetus, therefore anemia during pregnancy is a complex issue. It is vital for all expectant mothers to fulfill their iron needs because maternal anemia during pregnancy can result in adverse consequences for the child, such as premature birth and low birth weight. The chance of a woman developing anemia increases as she ages during pregnancy. Bleeding is a direct result of the anemia experienced during labor in 17.24% of cases. The purpose of this study was to determine the connection between the incidence of anemia and young pregnant women in Ir. Soekarno Hospital on Morotai Island. The study used an analytical survey with a cross-sectional approach, which is useful for finding relationships between two or more variables. The whole sampling technique, which included 40 participants in all, was used. A checklist was used as the study's instrument. Chi-Square analysis was used to analyze the collected data using SPSS software. The chi-square statistical analysis produced a P-value (asymp. The p-value (2-tailed) is 0.002, which is less than the 0.05 significance level. This indicates a relationship between the start of anemia and young pregnant women. Thus, it is possible to infer a link between the incidence of anemia and young pregnant women, leading to the rejection of H0 and the endorsement of H1.

Pregnancy is a physiological process that involves various physical and psychological changes in women. One common psychological issue that can arise is anxiety related to body image, which can significantly influence the eating behaviors of pregnant women. This psychological challenge may lead to eating disorders such as anorexia nervosa, binge eating disorder, and bulimia nervosa. The presence of eating disorders during pregnancy can have detrimental effects on maternal health, including nutritional deficiencies, fatigue, and an increased risk of complications during pregnancy, such as preterm birth and gestational diabetes. Additionally, these disorders can negatively impact the fetus, resulting in inadequate nutrient intake, low birth weight, and developmental delays. Therefore, maintaining a healthy, balanced diet, alongside psychological support, is crucial for pregnant women. Health education, along with professional counseling and guidance from healthcare providers, plays a vital role in preventing and managing eating disorders during pregnancy. Such efforts ultimately contribute to optimal health outcomes for both the mother and the developing fetus, ensuring the well-being of both in the long term.

Pregnancy is a physiological process that involves various physical and psychological changes in women. One common psychological issue that can arise is anxiety related to body image, which can significantly influence the eating behaviors of pregnant women. This psychological challenge may lead to eating disorders such as anorexia nervosa, binge eating disorder, and bulimia nervosa. The presence of eating disorders during pregnancy can have detrimental effects on maternal health, including nutritional deficiencies, fatigue, and an increased risk of complications during pregnancy, such as preterm birth and gestational diabetes. Additionally, these disorders can negatively impact the fetus, resulting in inadequate nutrient intake, low birth weight, and developmental delays. Therefore, maintaining a healthy, balanced diet, alongside psychological support, is crucial for pregnant women. Health education, along with professional counseling and guidance from healthcare providers, plays a vital role in preventing and managing eating disorders during pregnancy. Such efforts ultimately contribute to optimal health outcomes for both the mother and the developing fetus, ensuring the well-being of both in the long term.

Pregnant women with Chronic Energy Deficiency (KEK) are in a condition that can affect the health of both the mother and the fetus. KEK in pregnant women increases the risk of Low Birth Weight (LBW) babies, premature birth, maternal and infant mortality. Various efforts have been made to address KEK during pregnancy, yet its prevalence remains high. The aim of this community service is to improve the knowledge and nutritional fulfillment of pregnant women with KEK, as well as the prevention and management of KEK, through education for pregnant women with KEK and also explaining how to improve the nutrition of pregnant women. The target of this community service activity is pregnant women with KEK at the UPTD Camplong Health Center. The implementation of community service was carried out using a quasi-experimental approach with a pre-test and post-test design in the form of questionnaires for all pregnant women. The goal of this activity is to increase pregnant women's knowledge about KEK and balanced nutrition fulfillment. The results and benefits obtained from this community service activity include educating about fulfilling a balanced diet and improving nutrition, as well as increasing knowledge and insight for the community, especially pregnant women with KEK. The conclusion of this community service activity is that education and assistance can be an effective strategy to improve the health of pregnant women with KEK.

Pregnancy is frequently associated with discomforts such as back pain, edema, and postural changes that may interfere with daily activities. Approximately 50–70% of pregnant women experience back pain due to hormonal changes and increased body weight. The use of a Birth Ball is considered one of the non-pharmacological alternatives to alleviate these complaints, as it improves pelvic muscle flexibility and supports postural correction. Proper education is essential to ensure appropriate and effective utilization. This study aimed to evaluate the effectiveness of education using lecture and demonstration methods on the understanding of Birth Ball use among pregnant women. A pre-experimental design with a one-group pre-test post-test approach was applied. The sample consisted of 28 third-trimester pregnant women selected through purposive sampling. Findings revealed that the respondents’ understanding prior to education was 0%, which significantly increased to 96.43% following the intervention. Statistical analysis using the Wilcoxon Signed Rank Test yielded Z = -4.873 with p < 0.05, indicating a significant difference between pre- and post-education. It can be concluded that education delivered through lecture and demonstration methods is effective in enhancing pregnant women’s understanding of Birth Ball use.

Background: Perineal rupture is a common complication in vaginal delivery that can increase the risk of postpartum hemorrhage, infection, and maternal death. One of the factors that contribute to the occurrence of perineal rupture is the baby's birth weight. Babies with a birth weight ≥4000 grams can cause greater pressure on the mother's birth canal, increasing the possibility of perineal tissue tears. In Indonesia, 75% of mothers who give birth vaginally experience perineal lacerations, and postpartum hemorrhage is still the main cause of 40% of maternal deaths. Purpose: This study aims to determine the relationship between birth weight and the incidence of perineal rupture in normal deliveries at the Independent Midwife Practice of Lusi Marbun, Simalungun Regency in 2022. Method: This study used an observational analytical design with a case-control approach. A sample of 30 mothers giving birth was selected using the total sampling method. Data were analyzed using the Chi-square test to determine the relationship between birth weight and perineal rupture. Results: The study showed that the majority of infants had a birth weight <4000 grams (63.3%), and the majority of mothers experienced second-degree perineal rupture (70%). Bivariate analysis showed a significant relationship between birth weight and the incidence of perineal rupture (p-value = 0.000). Conclusion: There is a significant relationship between birth weight and the incidence of perineal rupture. The greater the infant's birth weight, the higher the risk of perineal rupture in the mother during labor. It is important for health workers to detect fetal weight early, provide nutritional education during pregnancy, and optimally prepare for labor to minimize the risk of complications.

Anemia among pregnant women remains a significant public health concern in Indonesia, contributing to adverse maternal and fetal outcomes such as preterm birth, low birth weight, and impaired fetal development. The third trimester represents a critical stage, as iron requirements increase substantially due to rapid fetal growth and expanded maternal blood volume. Insufficient hemoglobin (HB) levels during this period are closely linked to negative health outcomes, highlighting the need for effective prevention strategies. Health education has been widely recognized as an important intervention to enhance knowledge, attitudes, and practices related to nutrition, iron supplementation, and anemia prevention. This study aimed to examine the effect of health education on anemia prevention by assessing hemoglobin levels in third-trimester pregnant women. A quantitative pre-experimental design with a one-group pretest-posttest approach was applied to 30 participants selected through purposive sampling. Hemoglobin levels were measured before and after structured health education sessions covering anemia prevention, iron tablet adherence, dietary improvement, and healthy lifestyle practices. Data were analyzed using the Wilcoxon signed-rank test with a significance level of p < 0.05. The findings showed a significant increase in hemoglobin levels after the intervention (p = 0.000). These results indicate that structured health education effectively improves hemoglobin levels and supports anemia prevention in pregnant women.

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.

The prevalence of stunting globally in 2021 reached 171 million to 314 million. In Indonesia, the results of the Indonesian Nutritional Status Survey (SSGI) showed that the stunting rate in 2019 was 27.7%, in 2021 it was 24.4%, and in 2022 it was 21.4%. Child stunting is a health concern in Indonesia. Causes of stunting in children include poor nutrition, low exclusive breastfeeding rates, low birth weight (LBW), and maternal factors in providing nutrition from pregnancy to 59 months of age. Research reports that stunting is influenced by parents' lack of knowledge about balanced nutrition. Knowledge plays a vital role in the life and development of individuals and society.Purpose This study aims to determine the relationship between maternal knowledge about balanced nutrition and the incidence of stunting in toddlers in the Jambu Village area, Mlonggo District, Jepara City. Method This research is a quantitative correlational study with a cross-sectional design. The population in this study were mothers with toddlers in the Jambu Village area, Mlonggo District. The sampling technique used total sampling to obtain a sample of 34 respondents. Measurement of the level of knowledge of nutritional balance by providing questions with multiple choices of true and false and for stunting using Microtois and Anthropometric Table. Data processing using SPSS with a computer using the Spearman Rho statistical test.The results of the study showed that the majority of respondents had good nutritional balance knowledge, amounting to 16 (47.1%), while 17 (50.0%) respondents did not experience stunting.There is a relationship between maternal knowledge about balanced nutrition and the incidence of stunting in toddlers in Jambu Village, Mlonggo District, Jepara Regency.

Kangaroo mother care is a treatment for low-birth-weight infants that involves direct skin-to-skin contact between the infant and the mother (skin-to-skin contact). This provides health and psychological benefits, particularly in providing warmth to the infant, enhancing maternal bonding, increasing maternal trust and satisfaction, and reducing stress. The difference in body temperature of low-birth-weight infants treated with kangaroo mother care for one hour and three hours. Research Method: The research design used was a quasi-experimental, pre-post test with control group design, which involves administering treatment or intervention to the experimental group and then measuring and analyzing the effects of the treatment. The sample size for this study was 30 people. Bivariate analysis was conducted using the independent t-test and paired t-test. The results showed that the infant's body temperature before the kangaroo mother care intervention was in the below-normal. The infant's body temperature after the intervention was in to normal range. The infant's body temperature after the kangaroo mother care intervention in the one-hour had a p value = 0,000 or <0,05). The infant's body temperature after the intervention was in to normal range. The infant's body temperature after the kangaroo mother care intervention in the three-hour had a p value = 0,000 or <0,05). The infant's body temperature after the kangaroo mother care intervention in the one-hour had a p value = 0,000 or <0,05). The infant's body temperature after the kangaroo mother care intervention in the three-hour had a p value = 0,000 or <0,05).

Asphyxia nonatorum contributed 30.3% to the cause of neonatal death in Central Java Province in 2019, in the case of LBW the percentage was greater than asphyxia neonatoum in cases of neonatal death in Central Java in 2019, namely 46.4%. This research design is quantitative research, with a cross-sectional approach. The sampling technique used the chi-square formula and obtained a sample of 40 respondents. The data collection method used data from medical records. Data analysis used univariate analysis and bivariate analysis using the chi-square test. The characteristics of the respondents were mostly male with a total of 26 babies (65.0%), the majority of the gestational age of the babies in the premature category was 25 people (62.5%). The majority of the babies' mothers had a high school education of 29 people (72.5%), the majority were born by CS procedure of 33 babies (82.5%), with normal amniotic fluid characteristics of 25 people (62.5%). The majority of babies had a weight in There were 22 babies (55.0%) in the LBW category, and the majority of respondents had LBW and moderate asphyxia, 12 babies (54.5%). Based on the analysis results, the d value was 0.518, indicating a moderate positive correlation with a p value (0.000 < 0.05), indicating a relationship between low birth weight and asphyxia at Roemani Muhammadiyah Hospital, Semarang. There is a relationship between low birth weight and asphyxia at Roemani Muhammadiyah Hospital, Semarang.

Anemia in pregnant women remains a major public health issue in Indonesia, including in Bukittinggi City. According to the Bukittinggi Health Office report in 2022, the prevalence of anemia among pregnant women reached 42%. This condition increases the risk of pregnancy complications such as bleeding, preterm delivery, low birth weight, and even maternal and infant mortality. Families play an essential role in supporting pregnant women, particularly in ensuring compliance with iron tablet consumption and providing nutritious food. This community service program aimed to improve family knowledge of anemia prevention through participatory health education. The methods included problem identification, focus group discussions, interactive education, simulation of nutritious meal planning, and accompaniment by community health cadres. The results showed a 35% increase in family knowledge based on pre- and post-test results. Furthermore, positive behavioral changes were observed, such as improved compliance with iron tablet consumption and the establishment of family support groups for pregnant women as new social institutions. This program demonstrated that participatory family-based education is effective in increasing knowledge and fostering social transformation for anemia prevention.

Pregnancy is a unique time in a woman's life and a valuable experience for a married couple. During pregnancy, women adjust to their pregnancy, and it's not uncommon for many to experience disappointment and anxiety due to hormonal influences and physical and psychological changes. Anxious pregnant women can experience negative consequences for themselves and their fetuses, such as increased blood pressure, preeclampsia, prematurity, low birth weight, and even the risk of maternal and fetal death. Hypnobirthing is a method for reducing anxiety and has no effect on fetal growth and development. The purpose of this study was to determine the effect of hypnobirthing as self-hypnosis in reducing anxiety in pregnant women. This study used a quasi-experimental design with a sample size of 50 participants. Data collection was conducted at Tidore City Regional Hospital. The variables used in this study were the level of anxiety of pregnant women as the dependent variable and hypnobirthing as the independent variable. Maternal anxiety levels were measured before and after hypnobirthing using the HARS questionnaire. Univariate and bivariate analyses (Wilcoxon sign test) were used for analysis. The results of the study showed that there was a difference in anxiety levels before and after hypnobirthing was given of 0.92 and there was a p-value of 0.0001, which means that there was a significant influence between hypnobirthing and reducing anxiety in pregnant women

Pregnancy is a unique natural condition because although it is not a disease, it often causes complications due to various anatomical and physiological changes in the mother's body. Pregnant women who suffer from anemia can have an impact on the fetus, such as premature birth, the risk of low birth weight (LBW), fetal abnormalities, and increased risk of fetal distress. In general, the causes of anemia in pregnancy are iron deficiency and acute bleeding or even the interaction of both. The purpose of this study was to determine the difference in the effectiveness of giving red spinach juice and Ambon bananas on Hb levels in pregnant women in the third trimester. The design used in this study was a quantitative inferential study including the pre-experimental type with two group pretest-posttest. Based on the time of data collection, it included the cross-sectional type, sourced from primary and secondary data. An assessment of the difference in increasing HB levels was carried out before and after treatment (Pretest and Postest two Group Design). Data analysis consisted of univariate and bivariate analysis. The results of the analysis showed an effect in giving red spinach juice and Ambon bananas. It is hoped that the Health Center will facilitate health workers (midwives) in providing information on providing guava juice with red spinach leaf juice as an alternative for preventing and managing anemia during pregnancy in the Health Center's work area.    

Low Birth Weight (LBW) is a condition in which a newborn weighs less than 2.5 kg, generally caused by premature birth (<37 weeks) or intrauterine growth restriction. LBW increases the risk of health problems such as growth delays, cognitive impairments, infections, respiratory disorders, cardiovascular issues, gastrointestinal problems, kidney disorders, and higher rates of infant morbidity and mortality. This study aimed to identify factors associated with LBW in the working area of Rosalina Munthe Clinic. The study used an analytical design with a cross-sectional approach, and data were analyzed using univariate and bivariate methods with SPSS. Results showed that 33.3% of respondents had LBW infants. Mothers with unsafe age were 39.7%, those with unsafe pregnancy intervals were 61.9%, low socioeconomic status was found in 66.7%, and low educational level in 81%. Analysis revealed a significant association between maternal age and LBW incidence. However, pregnancy interval, anemia, and socioeconomic status showed no significant association with LBW. This study highlights that maternal age plays a key role in LBW occurrence, while other factors require further investigation to understand their contribution to the risk of delivering low birth weight infants.

Neonatal jaundice is a common health problem in newborns, characterized by yellow discoloration of the skin and sclera due to increased bilirubin levels in the blood. This condition, if not detected and treated properly, can lead to serious complications such as kernicterus, which can lead to long-term neurological developmental disorders. Risk factors contributing to jaundice include suboptimal breastfeeding practices, delayed initiation of breastfeeding, and low birth weight. Adequate breastfeeding from an early age plays a crucial role in accelerating the excretion of bilirubin through feces, while monitoring birth weight can help identify infants at risk of hyperbilirubinemia. This outreach activity aims to increase mothers' and families' knowledge about the importance of early and exclusive breastfeeding, as well as monitoring birth weight as a preventive measure for neonatal jaundice. The activity was conducted at Andi Makkasau Regional Hospital using lectures, interactive discussions, and the use of educational media such as leaflets and posters. The training materials covered the definition, risk factors, signs and symptoms of jaundice, early detection procedures, the benefits of breastfeeding in preventing jaundice, and the importance of recording and monitoring infant weight. The activity was evaluated through pre- and post-tests to gauge participants' understanding. The evaluation results showed a significant increase in participants' knowledge, particularly regarding the relationship between delayed breastfeeding, low birth weight, and an increased risk of neonatal jaundice. Furthermore, participants gained a better understanding of home-based measures to detect early symptoms and when to immediately take their baby to a health facility.

Anxiety often arises during pregnancy due to both physical and psychological changes that can negatively impact the health of both the mother and the fetus. These changes may include hormonal fluctuations, fear of labor, and concerns about the baby’s wellbeing. In Indonesia, approximately 28.7% of 373,000 pregnant women in their third trimester experience anxiety as they approach labor. If left untreated, anxiety during pregnancy can lead to complications such as prolonged labor, low birth weight, and postpartum depression. Therefore, early and appropriate intervention is crucial. This study aims to describe the application of Islamic mindfulness meditation therapy as a non-pharmacological intervention to reduce anxiety in pregnant women at Puskesmas Purbaratu, Tasikmalaya. Anxiety is a condition in which an individual feels uneasy, worried, or uncomfortable. Islamic mindfulness meditation therapy is a relaxation technique that integrates spiritual practices with mental focus through meditation, allowing the soul and mind to be calm, centered, and connected with God. It includes dhikr (remembrance of Allah), controlled breathing, and contemplation of positive thoughts. The method used in this study is a case study involving two primigravida pregnant clients experiencing moderate anxiety. Data were collected through interviews, observations, and measurements using the Hamilton Anxiety Rating Scale (HARS). The results indicate that Islamic mindfulness meditation therapy significantly reduced anxiety levels from moderate to mild after five consecutive days of implementation. This was achieved through a combination of breathing exercises, spiritual reflection, and relaxation. This study concludes that Islamic mindfulness meditation can be an effective, affordable, and spiritually enriching alternative therapy to reduce anxiety in pregnant women, especially during the vulnerable third trimester. It is recommended that health workers consider incorporating this method into antenatal care programs.

Based on the data obtained, 157 babies were born with LBW in 2016. In 2017 there were 142 babies born with LBW. In 2018 there were 134 babies born with LBW. Based on the results of an initial survey conducted by researchers at the TK IV 07.01 Lhokseumawe Hospital, the prevalence of LBW every month is still high from the last 3 years. The purpose of this study was to analyse the risk factors for the incidence of low birth weight babies at the Hospital TK IV 07.01 Lhokseumawe in 2024. The design of this study was quantitative research with a retrospective approach. The population of this study was 138 people, the sample was obtained by saturated sampling technique as many as 138 people. Univariate analysis, bivariate using chi-square and multivariate using multiple logistic regression at 95% confidence level. The results showed that the variables that had a risk with the incidence of LBW in Hospital TK IV 07.01 Lhokseumawe in 2024 were multiple pregnancies (p=0.026 <0.05) and a history of premature birth (p=0.017 <0.05). Variables that did not have a risk with the incidence of LBW were maternal age (p=0.847 >0.05), preeclampsia/eclampsia (p=1.000 >0.05), pregnancy distance (p=0.0322 <0.05) and premature rupture of membranes (p=0.439 >0.05). The study concluded that the incidence of LBW was influenced by 2 factors, namely multiple pregnancies and a history of preterm birth. The most dominant factor influencing it is the history of premature pregnancy.