Publication Search

The Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR) are critical indicators in assessing the quality of public health services. In 2024, both MMR and IMR in Lamongan Regency remained relatively high, indicating the need for strengthened health interventions. Health workers, especially midwives, play a vital role in improving maternal and child health. One of the government’s strategies to reduce maternal and infant mortality is expanding midwife service coverage at primary health facilities and ensuring the presence of village midwives as the frontline providers across the region. Village midwives are expected to meet established service standards to ensure the quality of maternal and child health care. Service effectiveness and efficiency are commonly measured through indicators such as first antenatal visit coverage (K1), fourth antenatal visit coverage (K4), postpartum visit coverage (KF3), and delivery assistance by health workers. However, in Lamongan Regency, the performance of village midwives has not been optimal, with several indicators falling short of set performance targets.This study aimed to analyze the relationship between the quality of work life and the performance of village midwives in Lamongan Regency in 2025. The research used a quantitative method with a cross-sectional study design. The study population comprised all village midwives in Lamongan Regency, with a sample of 80 respondents selected randomly. The independent variable in this study was the quality of work life, while the dependent variable was village midwife performance. Data were collected through questionnaires and analyzed using the chi-square statistical test. The results showed no significant relationship between the quality of work life and the performance of village midwives in Lamongan Regency in 2025. These findings suggest that other factors beyond work life quality may influence midwives’ performance.  

This study aims to examine the implementation of the selapanan tradition among Javanese postpartum women in Limau Manis Village, and to understand the meaning and community perceptions of this practice in the context of modern life. The selapanan tradition is part of local wisdom that has been passed down from generation to generation and has important value in postpartum maternal care. This study uses a qualitative method with an ethnographic approach, which allows researchers to understand cultural practices in depth through direct interaction with the community. Data collection techniques include participant observation, in-depth interviews with mothers who practice the tradition, community leaders, and traditional birth attendants, as well as documentation and field notes. The results show that selapanan is still preserved and practiced by the people of Limau Manis Village, although it has undergone several forms of adaptation to modern developments and modern medical guidelines. In its implementation, this tradition uses various natural ingredients such as parem (traditional body scrub), pilis (forehead concoction to refresh the eyes and mind), bengkungan (cloth to wrap the stomach), gerita (a kind of stagen or body binder), and the consumption of herbal medicine as part of physical care and body recovery. In addition to its physical aspects, selapanan also has a psychological dimension, providing emotional comfort and social support to postpartum mothers, thereby helping to prevent psychological disorders such as baby blues syndrome. This tradition serves not only as a form of traditional healthcare but also as a symbol of social solidarity and respect for local cultural values. Amidst the tide of modernization, preserving selapanan is crucial as a cultural identity that remains relevant. This study concludes that despite adjustments to medical developments, the selapanan tradition continues to play a significant role in maintaining maternal well-being and strengthening Javanese cultural values in the modern era.

This study examines the financial management practices in public health systems, focusing on funding, budgeting, and resource allocation. The objective is to explore the relationship between financial management strategies and healthcare service quality, particularly in low- and middle-income countries. A literature review methodology was used to analyze various studies published between 2010 and 2023. The findings indicate that stable funding, transparent budgeting, and efficient resource allocation significantly enhance healthcare outcomes. These practices ensure that critical services, such as maternal and child health care, are prioritized, thereby improving access to essential services. The study highlights the importance of adopting comprehensive financial strategies to address challenges in public health systems. The implications of this research emphasize the need for policy reforms to improve financial management practices, particularly in resource-limited settings. Future research should investigate the specific financial strategies that can be applied to enhance healthcare delivery in diverse healthcare environments.

The maternal mortality rate remains a significant global health challenge, particularly in developing countries. Timely detection of obstetric emergencies such as preeclampsia, sepsis, and postpartum hemorrhage is crucial to reducing delays in treatment. This literature review aims to analyze the implementation and effectiveness of the Modified Early Obstetric Warning Score (MEOWS) in primary healthcare settings. The review included 22 articles published between 2016 and 2023, identified through databases such as Scopus, PubMed, and ScienceDirect. Findings indicate that MEOWS is effective in detecting early signs of maternal deterioration, improving clinical decision-making, and preventing severe complications. However, challenges remain in adopting MEOWS in primary care due to limited training, lack of standardized protocols, and inadequate resources. The results highlight the need for capacity building, policy support, and contextual adaptation of MEOWS to optimize its use in community-based maternal care. This review suggests that the integration of MEOWS can strengthen obstetric triage systems and contribute to lowering maternal mortality rates in low-resource settings.

The Caesarean Section (C-Section) procedure is one of the most common surgical methods for childbirth, performed through an incision in the abdominal wall (laparotomy) and the uterine wall (hysterotomy). Despite its effectiveness in ensuring maternal and fetal safety, one of the major postoperative complaints reported by patients is pain. Pain itself is defined as an unpleasant sensory and emotional experience associated with actual or potential tissue damage, which is subjective and can only be described by the person experiencing it. Unmanaged pain may negatively affect postoperative recovery, emotional well-being, mobility, and breastfeeding initiation. Therefore, appropriate nursing care interventions are essential to help patients achieve comfort and recovery. This scientific paper explores the implementation of sacral plexus therapy as part of nursing interventions to address pain problems in post-C-section patients. The study employed a case study approach that applied the nursing care process, which includes comprehensive assessment, formulation of nursing diagnoses, planning, implementation of interventions, and evaluation. Nursing care was carried out over a period of 72 hours (3x24 hours), with pain intensity and patient comfort levels monitored throughout the process. The evaluation results showed that all nursing diagnoses related to pain were successfully resolved within the given timeframe. Specifically, the application of sacral plexus therapy proved effective in reducing the intensity of postoperative pain and improving overall comfort, enabling patients to gradually regain mobility and adapt to their postpartum condition. In conclusion, sacral plexus therapy can serve as a complementary and non-pharmacological intervention within nursing care to effectively manage pain in post-C-section patients. These findings highlight the importance of innovative and holistic approaches in nursing practice to improve patient recovery and quality of care after surgical childbirth.

Chronic Energy Deficiency (CED) in pregnant women remains a major nutritional problem in Indonesia and contributes to various maternal and neonatal complications. CED reflects a long-term energy and macronutrient deficit, often influenced by inadequate nutritional intake and socioeconomic limitations. This study aims to analyze nutritional intake and economic status as risk factors for Chronic Energy Deficiency (CED) in pregnant women in the Patilanggio Community Health Center (Puskesmas) working area. This study used a quantitative observational design with a cross-sectional approach. The study sample consisted of 30 pregnant women selected using a total sampling technique. Data were collected through interviews using a respondent characteristics questionnaire and food recall to assess energy and protein intake, as well as Mid-Upper Arm Circumference (MUAC) measurements to determine CED status. Data analysis was conducted descriptively and cross-descriptively. The results showed that all respondents had energy and protein intakes below 90% of the Recommended Dietary Allowance (RDA) and all were categorized as CED based on the MUAC measurement. All respondents were also categorized as low economic status, reflecting a homogeneous socioeconomic condition. These findings indicate that CED in pregnant women at the study site is associated with inadequate nutritional intake and limited economic status. In conclusion, CED in pregnant women is a chronic nutritional problem influenced by nutritional and socioeconomic factors, necessitating comprehensive prevention and treatment efforts based on primary health care services.

Giving breast milk (ASI) exclusively during the first six months of a baby's life is very important in supporting the baby's growth and development and body resilience. However, the practice of giving formula milk is still quite high and is a challenge in fulfilling exclusive breastfeeding. This study aims to determine the determining factors for giving formula milk to babies aged 0-6 months in the work environment UPT Primary Health Care Pujon. This research design uses a descriptive analytical approach with a cross-sectional method to identify factors associated with exclusive breastfeeding. The research population was all mothers who had babies with a sample of 52 respondents obtained through total sampling. Data analysis was carried out using the Chi-Square test and logistic regression to determine the most dominant factors. The research results showed that all variables had a p value > 0.05, namely age (p=0.274), education (p=0.156), occupation (p=0.384), parity (p=0.280) and socio-culture (p=0.711), so there was no significant relationship between these variables and exclusive breastfeeding. The logistic regression model was also not significant (p=0.308), indicating that there were no dominant factors influencing the practice of exclusive breastfeeding among respondents. Thus, the low coverage of exclusive breastfeeding in this study may be influenced by other factors outside the variables studied.

Baby massage performed by parents provides benefits that can foster parental self-confidence, improve the growth and development of babies. Lack of knowledge about the importance of implementing baby massage, so parents need to be provided with counseling about the benefits and correct techniques in baby massage. The purpose of this study was to determine the effect of baby massage counseling on the knowledge and attitudes of mothers in massaging babies at the Community Health Center. This study is a quantitative study, with the method used being a pre-experiment with a one-group pre-test and post-test design approach, with a total sample of 40 respondents using total sampling. Data collection techniques with observation sheets and questionnaires. Data were analyzed using the Wilcoxon signed-rank test. The results of this study obtained a value of þ = 0.000 < from α = 0.05 there indicating a significant difference in maternal knowledge before and after counseling, namely, from most of the mothers' knowledge of 70% less, increasing to the knowledge of most of the mothers of 72.5% who have good knowledge. The attitude of mothers before and after counseling was given, namely, the majority of mothers' attitudes 77.5% were negative, increasing to the majority of mothers' attitudes 70% were positive. The conclusion of this study is the influence of infant massage counseling on the knowledge and attitudes of mothers in massaging babies at the Community Health Center. The study is expected to provide benefits for the development of nursing science, provide an overview of the benefits of infant massage and how to massage babies correctly, and for further researchers to conduct infant massage counseling more than twice, so that all respondents who participate in infant massage counseling are not only motivated but skilled in massaging babies.

Preeclampsia is a severe pregnancy complication characterized by hypertension and signs of organ damage, with a multifactorial etiology involving maternal, genetic, and environmental interactions. This study aims to analyze determinants contributing to the occurrence of preeclampsia through a comprehensive literature review. The research method involved an in-depth analysis of 15 scientific journals, consisting of 8 national publications from Google Scholar and 7 international publications from PubMed, selected based on relevance, credibility, and publication date. Data from these sources were synthesized to identify common risk factors, biological mechanisms, and preventive measures. The findings indicate that the primary risk factors for preeclampsia include a history of chronic hypertension, obesity, gestational diabetes, nulliparity (first pregnancy), and a family history of preeclampsia. Nutritional deficiencies, particularly low calcium and vitamin D intake, are also significantly associated with increased risk. Furthermore, immunological factors such as abnormal maternal immune tolerance, as well as placental dysfunction leading to poor perfusion, play a crucial role in the pathogenesis of preeclampsia. The interplay between these factors suggests that preeclampsia is not caused by a single mechanism, but rather by a complex network of physiological, metabolic, and genetic influences. This complexity underscores the importance of early risk factor identification and intervention strategies during antenatal care. Preventive efforts may include nutritional supplementation, weight management, blood pressure monitoring, and targeted medical interventions for high-risk individuals. In conclusion, preeclampsia remains a significant contributor to maternal and perinatal morbidity and mortality worldwide. Understanding its determinants enables healthcare providers to implement timely preventive measures and reduce its negative impacts on both mother and fetus. Further research is warranted to elucidate the precise mechanisms underlying these determinants, potentially paving the way for more effective prevention and treatment strategies.

The toddler period is a golden stage of child development influenced by several factors, including maternal knowledge in parenting. Working mothers face challenges in balancing professional responsibilities with caregiving roles. This study aimed to examine the relationship between working mothers’ knowledge and the growth and development of toddlers at Kasih Ibu Sejati Clinic, Sosa District, Padang Lawas Regency. This research used a descriptive analytic design with a cross-sectional approach involving 42 working mothers with toddlers. The results showed that most working mothers had good knowledge (38.1%) and most toddlers were in the good developmental category (64.3%). The Chi-square test yielded a p-value of 0.004, indicating a significant relationship between the mother's level of knowledge and toddler development. Good knowledge enables mothers to provide better-quality care despite time limitations. These findings imply the importance of enhancing education for working mothers to support optimal child development.

Antenatal Care (ANC) is an essential component of maternal health services that plays a vital role in maintaining the health of the mother and fetus during pregnancy and delivery. In Indonesia, coverage of ANC services K1 has reached 100%, but coverage of K4 has only reached 78% and has not met the national target. A case study in Sidenreng Rappang Regency showed better results with K1 coverage of 98% and K4 reaching 97%, although there is still room for improvement. This quantitative study with a cross-sectional design aims to analyze the relationship between maternal knowledge, attitudes, and husband's support factors on the utilization of ANC services at the Compong Village Health Post. The study population included 190 mothers with toddlers registered at the Compong Village Health Post. Sampling was carried out using the Slovin formula with a 95% confidence level and a 5% margin of error, resulting in 127 respondents as the research sample. The data collection method was carried out through a structured questionnaire containing questions about respondent characteristics, level of knowledge, attitudes towards ANC, and level of husband's support. Data analysis used the Chi-Square statistical test with a significance level of p<0.05 to determine the relationship between the independent and dependent variables. The results revealed several important findings. First, there was a significant relationship (p=0.002) between maternal knowledge and utilization of ANC services. Second, maternal attitudes also showed a significant relationship (p=0.001) with the frequency of ANC visits. Third, husband's support was shown to have a significant influence (p=0.003) on maternal participation in ANC programs. These findings confirm the multifactorial role in determining ANC service utilization. Practical implications of this study include recommendations for improving health education programs that not only target pregnant women but also actively involve husbands.

The increase in women's participation in the workforce has a significant impact on early childhood parenting patterns and the dynamics of household life. This research aims to analyze how career women apply parenting styles to young children and how this affects child development and the balance of home life. The study uses a mixed methods approach with an explanatory sequential design, starting with a quantitative approach followed by a qualitative approach. The goal is to gain a comprehensive understanding of the parenting styles of career women, early childhood development, and household life. The research population includes career women who have young children at the GMIT Horeb Perumnas Congregation in Kupang City. The research results show that although career women face time limitations, they tend to adopt a democratic parenting style supported by caregivers or partners. Child development can remain optimal if communication patterns and emotional involvement are maintained. However, challenges arise in terms of emotional closeness and quality time. Therefore, adaptive strategies and family support are needed to maintain a balance between career and maternal roles.

Iron-deficiency anemia during pregnancy remains a major public health concern in developing countries. This study aims to evaluate the effectiveness of iron and folic acid supplementation, known as iron tablets, in reducing the risk of anemia among pregnant women. A descriptive qualitative literature review method was employed by analyzing nine eligible studies published between 2013 and 2023. Articles were selected from databases including Google Scholar, PubMed, and ScienceDirect using specific keywords. The findings suggest that regular consumption of iron tablets, particularly starting in the second trimester and meeting the minimum recommended dose of 90 tablets, is effective in improving hemoglobin levels and lowering anemia prevalence. However, compliance remains a significant challenge, influenced by side effects, maternal knowledge, and social support. The review highlights the need for behavior-based interventions and family involvement to enhance adherence. The implication of this review supports the integration of targeted health education and follow-up strategies within antenatal care services to reduce anemia-related risks in pregnancy.

This study explores the meaning and role of the Nahunan tradition in maternal and infant care among the Dayak Ngaju community. A descriptive qualitative method was employed, utilizing literature review and field interviews. The findings reveal that Nahunan is not merely a naming ritual, but also symbolizes spiritual protection and social acceptance of the child. The practice involves traditional leaders, herbal remedies, and natural symbols. However, modern influences have diminished the younger generation’s understanding of its values. Preserving local culture within healthcare services is essential to maintaining community identity.

Integration between traditional and modern midwifery care practices is a very important strategic step in efforts to improve the quality of maternal health services, especially in indigenous communities such as the Dayak tribe. This article aims to explore the opportunities and benefits that can be obtained from combining the two approaches, including how this integration can improve maternal and child health outcomes. The method used in this study is a qualitative method with a literature study approach. The conclusion of this study is that there is a relationship between traditional and modern midwifery care practices. Traditional practices that contain cultural, spiritual, and local experience values ​​have been shown to provide a sense of security for pregnant women. On the other hand, the modern midwifery approach provides the clinical basis and medical interventions needed in high-risk conditions.

Complications of pregnancy and childbirth as the highest cause of maternal mortality can be prevented by examining pregnancy through regular ANC Antenatal service standards include conducting physical examinations including inspection, palpation and auscultation. In addition to physical examination, counseling and counseling is one of the standards in antenatal care (Ministry of Health, 2020). The high incidence of dengue hemorrhagic fever (DHF) in West Sulawesi makes it very necessary to provide education on the prevention of DHF in pregnant women because dengue infection in pregnancy can cause the risk of bleeding for the mother. Community service activities aim to increase the knowledge of pregnant women about fetal development so as to minimize the incidence of emergencies in pregnancy and increase awareness of dengue fever mosquito breeding. Dengue fever infection in pregnancy. The implementation method includes an approach in the form of a pregnancy examination and providing education related to dengue fever prevention. The results of community service activities show that on May 10, 2025, pregnancy checks were carried out for 10 pregnant women and education related to dengue fever prevention was provided.

Natural and non-natural disasters significantly disrupt healthcare systems, particularly obstetric and gynecological services, which are highly vulnerable to service interruptions and quality decline. Pregnant women, postpartum mothers, and newborns face an increased risk of complications and mortality without adequate medical care. Health professionals play a crucial role in ensuring the continuity of reproductive health services through the implementation of the Minimum Initial Service Package (MISP), emergency management, health education, and intersectoral coordination. However, challenges such as limited resources, psychological pressure, and lack of specialized training hinder optimal performance. Therefore, strengthening the capacity of healthcare workers, enhancing disaster preparedness, providing adequate logistics, and enacting supportive governmental policies are essential to maintain effective obstetric-gynecological care during crises. This literature review comprehensively discusses the role of health workers in ensuring reproductive health services in disaster settings as a strategy to improve access and service quality during emergencies.

Stunting is a chronic nutritional problem that has long-term impacts on the quality of human resources and is closely related to maternal health during pregnancy. Antenatal care (ANC) serves as an important promotive and preventive strategy to reduce the risk of stunting; however, pregnant women’s active participation in utilizing ANC services remains a challenge, particularly at the primary health care level. This study aims to analyze the relationship between pregnant women’s knowledge about stunting and their active participation in ANC at the Saritani Community Health Center. This research employed a quantitative analytical design with a cross-sectional approach. The population consisted of all pregnant women who attended ANC services, with a sample of 60 respondents selected through purposive sampling. Data were collected using a structured questionnaire measuring knowledge of stunting and ANC attendance behavior. Data analysis was conducted using univariate and bivariate methods, with the Chi-square test applied to examine the relationship between variables. The results showed a significant association between knowledge of stunting and ANC participation (p < 0.05). Pregnant women with higher knowledge levels were more likely to attend ANC regularly. In conclusion, improving knowledge about stunting among pregnant women is a key strategy to enhance ANC utilization and support early prevention efforts.

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.

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.