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Anxiety is a common psychological response experienced by mothers during labor, which can impact both maternal and neonatal outcomes. Husband's support, as a form of social support, is believed to reduce maternal anxiety levels during delivery. However, empirical evidence in Indonesia, particularly at Obi General Hospital, is still limited. This study aimed to analyze the effect of husband's support on maternal anxiety levels during normal delivery at Obi Hospital in 2025. A quasi-experimental design with a non-equivalent control group approach was used. The study population consisted of mothers who underwent normal delivery at Obi General Hospital in 2025. A purposive sampling technique selected 30 respondents, divided into two groups: 15 respondents with husband support and 15 without. The research instrument was a validated anxiety level questionnaire, and data were analyzed using the Chi-Square test with α = 0.05. The majority of respondents were aged 25-34 years (60%), multigravida (53.3%), had a high school education (50%), were unemployed (60%), and had normal deliveries without complications (83.3%). In the group with husband's assistance, 80% experienced mild stress, 20% moderate stress, and none severe stress. In contrast, in the group without husband support, 26.7% experienced mild stress, 46.7% moderate stress, and 26.7% severe stress. The Chi-Square test yielded a p-value of 0.008 (p < 0.05), indicating a significant relationship between husband's support and maternal anxiety levels. In conclusion, husband’s support significantly reduces maternal anxiety during normal labor. Health facilities should implement policies that encourage active husband involvement in labor to improve maternal outcomes and the birth experience.

Background: The second stage of labor is a critical phase associated with risks of maternal and neonatal complications if it lasts too long. Nonpharmacological interventions such as the gymball method have the potential to accelerate labor progress by optimizing the position and mobilization of the mother in labor, but contextual evidence in primary health care facilities in Indonesia is still limited. Objective: This study aims to analyze the effect of the gymball method on accelerating the second stage of labor in laboring mothers at the Mananggu Community Health Center. Methods: This study used a quasi-experimental design with a posttest-only control group approach. The sample consisted of 30 laboring women divided into an intervention group (gymball) and a control group (standard care). The dependent variable was the duration of the second stage of labor. Data were collected using observation sheets and partographs, then analyzed using an independent t-test. Results: The average duration of the second stage of labor in the gymball group was significantly shorter than that in the control group (p < 0.05). Conclusion: The gymball method was proven to be effective in accelerating the second stage of labor. This intervention is safe, low-cost, and feasible to be implemented as part of midwifery care at community health centers to improve the quality of normal delivery services.

Sectio caesarea is one of the surgical delivery methods performed when normal delivery is not possible. Although this procedure is considered safe, prospective patients often experience high stress due to fear of surgery, interventions such as religious music therapy that have spiritual value can calm emotions. This study aims to determine the effect of religious music therapy on stress levels in pre-section caesarean patients at RSUD dr. Tjitrowardojo Purworejo. This study used a quasi-experimental design with a non-randomized control group pretest-posttest design approach. The study sample was 30 patients who were divided into two groups, namely 15 people as the intervention group and 15 people as the control group. The research instruments were music therapy and stress level questionnaires. To analyze the data, the Wilcoxon Signed Rank Test and the Mann-Whitney Test were used.. The results showed a significant decrease in patient stress levels after listening to religious music. The average stress score before the intervention was higher than after the intervention, and the statistical test showed a p value <0.05, which means that religious music therapy has a significant effect on reducing stress. Religious music therapy can reduce stress levels in pre-cesarean section patients. This intervention can be used as part of anesthesia maintenance to improve patient comfort and mental readiness before surgery.

Continuity of care in midwifery is a series of continuous and comprehensive service activities ranging from pregnancy, childbirth, postpartum, newborn services and family planning services that connect women's health needs, especially and the personal circumstances of each individual. Comprehensive care is an examination that is carried out in complete with simple laboratory examinations and counseling. Comprehensive midwifery care includes places for continuous examination activities, including pregnancy midwifery care, childbirth midwifery care, postpartum midwifery care and newborn midwifery care and birth control acceptors. Pregnancy care prioritizes continuity of care is very important for women to get services from the same professional or from a small team of professionals, because that way the development of their condition will be monitored at all times and they will also become trusting and open because they feel that they already know the caregiver. The type of research used is descriptive, with a case study (Case Study), the sample used is Mrs. AS. After taking care of her, she has provided comprehensive obstetric care starting from pregnant women, childbirth, postpartum, babies and the results are normal pregnancy, normal childbirth, normal babies, and up to family planning. There is no gap between theory and case in the Comprehensive Midwifery Care for Mrs. AS and By.Mrs. AS in Kandangan Village.

Rupture of the perineum is one of the common complications 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 of ≥4000 grams can cause greater pressure on the mother's birth canal, increasing the likelihood of tearing of perineal tissue. In Indonesia, 75% of mothers who give birth vaginally experience perineal lacerations, and postpartum bleeding is still the leading cause of 40% of maternal deaths. This study aims to determine the relationship between infant birth weight and the incidence of perineal rupture in normal childbirth at the Lusi Marbun Independent Midwife Practice, Simalungun Regency in 2022.This study uses an observational analytical design with a case control approach. A sample of 30 maternity mothers was selected using the total sampling method. The data were analyzed using the Chi-square test to determine the relationship between birth weight and perineal rupture. The results showed that the majority of babies had a birth weight of <4000 grams (63.3%) and the majority of mothers experienced a second degree perineal rupture (70%). The results of bivariate analysis showed that there was a significant relationship between birth weight and the incidence of perineal rupture (p-value = 0.000). There is a significant relationship between birth weight and the incidence of perineal rupture. The greater the baby's weight, the higher the risk of perineal rupture in the mother during childbirth. It is important for health workers to carry out early detection of fetal weight, provide nutrition education during pregnancy, and prepare for the delivery process optimally to minimize the risk of complications.

The results of the Population Census data carried out in 2020 showed that the maternal mortality rate reached 189 per 100 thousand live births. And based on these figures, Indonesia is ranked second highest in ASEAN, which is further than other countries such as Thailand, Malaysia, Vietnam and Brunei, which have achievements below 100 per 100 thousand live births. The maternal mortality rate is one of the important programs for the Ministry of Health (Kemenkes) to pay attention to. Therefore, through this, the Ministry of Health carries out a care program from before pregnancy, pregnancy, childbirth, babies. And a number of cases of pregnant women giving birth include anemia 48.9%, hypertension 12.7%, KEK 17.3% and complications as much as 28%. The impact of childbirth on maternal mortality is also something that cannot be separated from the occurrence of maternal death. As a health worker with high integrity, it is very necessary to implement Mother and Baby Care. Indicators of quality service are in the process of pregnancy care, postpartum delivery carried out by health workers to the mother. One of them is carried out in the delivery process by explaining to the mother the technique of pushing when the opening is complete or 10cm. Do not do forced pushing (Valsalva) or tell the mother to push forcibly before it is certain that the opening is complete. This is one of the strict prohibitions conveyed by Bergastrom in his book. The process of delivering a baby can generally cause tears in the vagina and perineum. So when leading pushing in a mother in labor, it is necessary to do so as not to cause irregular tears in the birth canal. However, the process of delivering a baby through the birth canal or through normal delivery requires deliberate tearing to widen the birth canal. However, for further action, it is necessary to do hecting or stitches on the episiotomy wound which aims to restore the original shape of the perineal incision scar and stop bleeding as well as healing.

Cancer is one of the leading causes of death in the world, with the incidence rate continuing to increase every year. Conventional treatments such as chemotherapy and radiotherapy often have limitations, especially related to selectivity towards cancer cells and toxic side effects caused to normal cells. Therefore, an alternative approach that is more effective and safe is needed. One promising approach is the utilization of bioactive compounds from natural materials that are optimized through a medicinal chemistry approach. This study aims to examine the potential of natural compounds such as epigallocatechin gallate (EGCG) from green tea, berberine from Berberis vulgaris, curcumin from turmeric (Curcuma longa), and cardiotonic steroids (CTS) from Digitalis purpurea and Nerium oleander as anticancer agents, as well as their optimization strategies through structural modification, increased stability, and modern delivery technology. The method used is a systematic literature review of scientific articles from 2020 to 2025 obtained through the PubMed, ScienceDirect, and Google Scholar databases. The results of the study indicate that these compounds have various anticancer mechanisms of action, such as apoptosis induction, cell cycle inhibition, and activation of specific signaling pathways such as PI3K/Akt, MAPK, and ferroptosis. However, challenges such as low bioavailability, poor stability, and toxicity are still obstacles in their application. Through a medicinal chemistry approach, these compounds can be structurally modified or reformulated to improve their clinical effectiveness. In conclusion, the combination of natural wealth with medicinal chemistry innovation opens up great opportunities in the development of more selective, effective, and safe anticancer therapies in the future.    

Aspect-based sentiment Analysis (ABSA) is vital in capturing customer opinions on specific e-commerce products and service attributes. This study proposes a hybrid deep learning model integrating Bi-Directional Gated Recurrent Units (BiGRU) and Bi-Directional Attention Flow (BiDAF) to perform aspect-level sentiment classification. BiGRU captures sequential dependencies, while BiDAF enhances attention by focusing on sentiment-relevant segments. The model is trained on an Amazon review dataset with preprocessing steps, including emoji handling, slang normalization, and lemmatization. It achieves a peak training accuracy of 99.78% at epoch 138 with early stopping. The model delivers a strong performance on the Amazon test set across four key aspects: price, quality, service, and delivery, with F1 scores ranging from 0.90 to 0.92. The model was also evaluated on the SemEval 2014 ABSA dataset to assess generalizability. Results on the restaurant domain achieved an F1-score of 88.78% and 83.66% on the laptop domain, outperforming several state-of-the-art baselines. These findings confirm the effectiveness of the BiGRU-BiDAF architecture in modeling aspect-specific sentiment across diverse domains.

Lower back pain is a common complaint experienced by pregnant women, especially in the second and third trimesters as the gestational age increases. This condition can interfere with daily activities and reduce the quality of life of pregnant women. Pregnancy exercise is one of the non-pharmacological interventions that is believed to help reduce lower back pain. This study aims to analyze the effect of pregnancy exercise on reducing the level of lower back pain in pregnant women in the second and third trimesters. The research method that can be used is a quasi-experimental design with a pre-post test design with one comparison treatment. The research sample was 28 pregnant women in the second and third trimesters who experienced lower back pain and met the inclusion criteria. Measurement of the level of lower back pain will be carried out before and after the intervention period using a valid and reliable pain scale. The data collected will be analyzed using an appropriate statistical test to compare changes in pain levels between before and after the intervention. The results of the study showed that the average lower back pain before the intervention was 3.32 and Std.Deviation 0.772. The average lower back pain after the intervention was 2.25 and Std.Deviation 1.005. Based on the results of bivariate analysis using the Paired-Samples T Test, a significant p value of 0.000 (p <0.05) was obtained, so there is a difference in lower back pain in pregnant women. Thus, it can be said that there is a significant difference in lower back pain before and after pregnancy exercise. It is hoped that the results of this study can provide scientific evidence regarding the effect of pregnancy exercise in reducing lower back pain in pregnant women in the second and third trimesters, so that it can be a recommendation in midwifery care to improve the comfort and quality of life of pregnant women.Keywords: Postpartum exercise, uterine involution, normal delivery

The maternal mortality rate is an indicator of health status and is one of the health problems in the world. Brebes Regency is one of the contributors to the highest maternal mortality rate in Central Java. In 2021, the Bumiayu Regional General Hospital contributed to the Maternal Mortality Rate in Brebes Regency by 15 cases. The purpose of this research is to be able to provide comprehensive midwifery care for Mrs. The research method used is qualitative descriptive research with a case study approach. The case study carried out is in the form of comprehensive midwifery care that examines pregnancy, childbirth, newborns, postpartum and family planning with Varney's 7-step midwifery management and SOAP. The results of the pregnancy were found to be anemia and CED, delivery by caesarean section, the newborn was normal, during the neonatal period physiological jaundice was found, then appropriate management was carried out so that it could be resolved, during the postpartum period no problems were found, the mother used MOW KB. The conclusion obtained was that care had been carried out in accordance with midwifery service standards and the problem of anemia and CED had not been resolved  

Childbirth not only involves physiological conditions but also involves psychological. Every delivery and delivery method both normal delivery and surgery (cesarean section) gives different experiences to maternity mothers so that in some mothers it can cause stress, fear or anxiety. Anxiety is a feeling of anxiety, worry or discomfort as if something happened that is perceived as a threat followed by certain physiological reactions such as. This study aimed to identify how the behavior of health workers and family support relates to anxiety levels in preoperative cesarean section mothers using descriptive correlation. The sample was 21 respondents at RSU Melati Perbaungan Medan. The sampling technique uses accidental sampling, which is the taking of respondents who happen to be present or available. The instrument was a questionnaire on the behavior of health workers, family support and anxiety levels in preoperative mothers of cesarean sections. The results showed a relationship between the behavior of health workers and family support with anxiety levels in preoperative cesarean section mothers where p < 0.05 and the relationship was strong, this was indicated by the value of r = 0.650. It can be concluded that the behavior shown by health workers and also support from family is very helpful to reduce anxiety in preoperative cesarean section mothers. For this reason, it is hoped that the RSU Melati Perbaungan will improve the quality of services, especially services for preoperative cesarean section mothers so that mothers get support from health workers. And health workers are expected to continue to improve the behavior of officers to increase the confidence of preoperative mothers.

Risk factors for pregnancy that cause complications and maternal death include chronic energy deficiency and anemia. The pregnancy rate for pregnant women with chronic energy deficiency at the Bumiayu Community Health Center in 2022 is 56 cases, while the incidence of anemia at the Bumiayu Community Health Center is 22 cases. Research method: the method used in this research is a qualitative descriptive method with a comprehensive case study approach. Comprehensive midwifery care for Mrs S found early pregnancy problems, namely chronic energy deficiency and anemia. The delivery was carried out normally vaginally and the baby was born normally. During the postpartum and birth control period, no complications were found. Comprehensive midwifery care for Mrs S with chronic energy deficiency and anemia was in accordance with midwifery care and no complications occurred.

Postpartum hemorrhage is a serious complication that can occur after delivery and is a major cause of maternal morbidity and mortality. This literature review aims to analyze postpartum hemorrhage as a major risk factor for anemia in postpartum mothers. The method used was Systematic Literature Review with a literature research approach using the Google Scholar database. The analysis of eight articles showed that anemia during pregnancy had a significant association with the incidence of postpartum hemorrhage, with a risk of up to 45.7 times greater than mothers without anemia. Other contributing factors included type of delivery, where sectiocaesarea increased the risk of postpartum anemia compared to normal delivery (p=0.004). In conclusion, anemia is a significant risk factor for postpartum hemorrhage that requires early detection, nutritional status monitoring, and comprehensive antenatal care to prevent complications in postpartum women.

Iron anemia is the biggest macro nutritional problem in Indonesia, which occurs in toddlers, pregnant women and adolescent girls. Adolescent girls with anemia are at risk of giving birth to LBW babies (<2500 grams), giving birth to premature babies, neonatal infections and death in the baby's mother during delivery. The aim of this study was to analyze the relationship between screen time and sleep quality with hemoglobin levels in adolescent girls.  This research method uses quantitative observational research with a cross-sectional design and a sample size of 76 respondents using a purposive sampling technique. The results of this study show that 55 respondents (72.4%) had normal hemoglobin levels and 21 respondents (27.6%) had poor hemoglobin levels. The bad screen time category was 40 respondents (52.6%) and the good one was 36 respondents (47.4%). And the category of poor sleep quality was 57 respondents (75.0%) and good sleep quality was 19 respondents (25%). The results of this study showed that there was no relationship between screen time and sleep quality and hemoglobin levels in young women at SMA Karya Bakti and SMKN 6 Palu.  

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

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

: Background: Nutrients are obtained from food and fluids which are then assimilated by the body. Nutrition itself is one of the factors that can support the wound healing process, there are things that are no less important that must be considered as well, namely the nutrients from the food we eat during the wound healing process. Objective: The purpose of postoperative diet is to strive for the patient's nutritional status to return to normal immediately to accelerate the healing process and increase the patient's immune system, by providing basic needs (fluids, energy, protein), replacing the loss of protein, glycogen, iron, and other nutrients, correcting electrolyte and fluid imbalances, preventing and stopping bleeding. Methods: The media used in health education activities is leaflets. Through leaflets we hope that the delivery of material can be understood by participants and can be delivered well.Results: The results of observations from this health education activity, that the majority of participants are active in asking questions and answering questions given by the health education team and can explain the essence of the material that has been delivered by the speaker Conclusion: Of the 20 patient families who attended 15 people had understood the fulfillment of nutritional needs for the correct post op wound healing process.

Background : Childbirth is accompanied by perineal wounds in Indonesia as much as 75%. In 2022, there will be 12,145 cases of mothers experiencing perineal wounds in Central Java. In 2021, there were 255 cases of mothers experiencing perineal wounds in Boyolali (59.4%) from 429 deliveries. The process that occurs during normal delivery can cause perineal tears. Treatment of perineal wounds often uses binahong leaves to speed up healing of perineal wounds and prevent infection. Objective: To determine the effect of perineal wounds before and after being given boiled water from binahong leaves during the postpartum period. Method: Descriptive with application to 2 respondents. Respondents were given boiled water from binahong leaves from the first day to the eighth day post partum in a row. Results: After applying boiled water from binahong leaves for 8 consecutive days, the results showed a decrease in the rate of healing of perineal wounds in both respondents, there was a decrease in scores in Mrs. U and Mrs. A is 0 (good wound healing). Conclusion: There is an effect of giving boiled water from binahong leaves which can accelerate the healing of perineal wounds.

Background: Perineal wounds are wounds due to tearing of the birth canal either due to rupture or due to episiotomy at the time of delivery of the fetus. One of the impacts of normal labor is the risk of perineal infection. The prevalence in Indonesia of post partum infection reaches 7.3% and ranks third in causes of death after bleeding. For this reason, it is necessary to make efforts in taking care of the wound to keep it clean and dry, and avoid infection. Objective: Application of betel leaf and honey decoction to accelerate the healing process of perineal wounds. Methods: This type of research uses descriptive research methods and observes 2 respondents with post partum conditions and is given the implementation of wound care carried out in Boyolali with the application time of June 18, 2024-June 24, 2024. Results: The REEDA score after being given the intervention experienced an improved status with a comparison of the results of the application of the 7th action on the first respondent, the initial REEDA score of 2 decreased to 0 while the application of the 7th action on the second respondent, the initial REEDA score of 1 decreased to 0. Conclusion: There is an effect on the application of wound care using betel leaf decoction water and honey which shows that green betel leaves and honey are effective in healing perineal wounds.

Communication plays a crucial role in influencing employee performance. Performance decline is often caused by communication issues, particularly in the hotel back office, such as the lack of effectiveness in information delivery and miscommunication among employees. This study aims to analyze the impact of communication on employee performance at Hotel Tentrem Yogyakarta. The data used includes quantitative data from employee performance evaluations in 2023, the number of employees, employee communication levels from 2019-2023, and qualitative data from interviews with human resources. The study population consists of 241 employees at Hotel Tentrem Yogyakarta. Data was collected using documentation and questionnaires distributed to respondents. Data analysis techniques include validity testing, reliability testing, normality testing, heteroskedasticity testing, simple linear regression, t-test, and coefficient of determination (R²). The study findings show that the calculated t value (38.728) is greater than the t table value (0.1264) with a significance level of 0.000, indicating a positive and significant effect of communication on employee performance at Hotel Tentrem Yogyakarta. The coefficient of determination value of 0.863 indicates that 86.3% of the impact on employee performance is due to communication, while 13.7% is influenced by other factors outside the scope of this study.