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Sudden Infant Death Syndrome (SIDS) is a sudden and unexpected death in infants that is often associated with the prone sleeping position. This study aims to develop an automated monitoring system capable of detecting SIDS risk factors using the YOLOv8 algorithm and to analyze the effect of data augmentation on model performance. The dataset consists of two classes, baby-lying-on-back (supine) and baby-lying-on-stomach (prone), which were processed through model training and evaluation using precision, recall, F1-score, and mAP metrics. The model was trained under two scenarios, without data augmentation and with data augmentation. The results show that the model without augmentation achieved a precision of 90%, recall of 85%, F1-score of 86%, and mAP50 of 93.7%. After applying augmentation, performance improved to a precision of 90%, recall of 87%, F1-score of 88%, and mAP50 of 95.1%. These findings indicate that augmentation increases detection accuracy and enhances model generalization, including robustness against variations in lighting and camera angles. Furthermore, testing with image and video inputs revealed that the non-augmented model exhibited a tendency toward overfitting, particularly in favor of the baby-lying-on-stomach, whereas the augmented model successfully classified both classes accurately. The developed system is also equipped with an alarm feature and early-warning notifications via Telegram to smartphone when a prone position is detected for a certain duration. Overall, the results demonstrate that YOLOv8 with data augmentation is effective for an automated, non-invasive monitoring system for infants, making it suitable for detecting and preventing potential SIDS risk factors.

This study aims to strengthen the understanding of UNZAH Genggong students regarding the concept of the vital period and the development of awareness in infants. A qualitative approach was employed through interview and observation techniques to explore the process of improving this understanding. The findings indicate that structured learning and hands-on practice significantly enhance students’ knowledge of the vital period concept and the importance of awareness in supporting optimal infant development. Furthermore, the intervention emphasizes the need for integrating theory and practice in the learning process to improve students’ competencies in childcare and child development. The strategies implemented not only reinforce students’ conceptual understanding but also develop their practical skills, which are crucial in the context of early childhood education. The data show that educational strategies combining theory and practice can be sustained, providing a positive impact on the improvement of students’ competencies and the overall quality of early childhood education. Therefore, strengthening students’ understanding of the concepts of the vital period and infant awareness can make a significant contribution to better childcare quality and child development.

Oxygen is vital therapy where delivery accuracy is crucial, especially for infant patients, to ensure treatment effectiveness and prevent the risks of hypoxia or toxicity. With the implementation of the mandatory Domestic Product Utilization Policy (TKDN+BMP ≥ 40%), evaluating the quality of local products has become an urgent necessity. This study aims to test and analyze the quality and accuracy of domestically produced infant oxygen flowmeters compared to an imported product. The method used was experimental testing, measuring three brands of domestic products and one brand of foreign product at flow rate settings of 0.5, 1, 1.5, and 2 liters per minute (LPM). Each setting point was measured 10 times using a standardized calibrator to ensure data reliability. The measurement results were analyzed to identify the deviation level of each product. The findings of this study are expected to provide an objective conclusion on the quality equivalence of domestic products with imported ones and to identify which product has the lowest deviation rate. This can serve as scientific consideration for hospitals in selecting high-quality infant oxygen flowmeters, thereby supporting the domestic product policy.

This study aims to model the Infant Mortality Rate (IMR) in East Nusa Tenggara Province using truncated spline nonparametric regression. In this study, IMR is associated with four predictor variables: the percentage of poor people, the percentage of pregnant women under 19 years of age, low birth weight, and life expectancy. These four variables have an unpatterned relationship, indicating the presence of a nonparametric component in the model. The truncated spline regression method was chosen because of its ability to handle nonlinear relationships between variables. The results showed that the best model was obtained using three knot points, which produced a coefficient of determination (R²) of 97.47%. This indicates that the truncated spline regression model is able to explain 97.47% of the variation in IMR in East Nusa Tenggara Province. In addition, the four predictor variables have a significant influence on the model, making a significant contribution in explaining the factors that influence IMR in the region.

Angka kematian ibu (AKI) di Indonesia masih tinggi, salah satunya dipicu oleh komplikasi kehamilan akibat kekurangan gizi. Rendahnya literasi nutrisi pada ibu hamil berkontribusi terhadap meningkatnya risiko preeklamsia, anemia, dan bayi berat lahir rendah. Kegiatan pengabdian masyarakat ini bertujuan untuk meningkatkan literasi nutrisi ibu hamil melalui pendampingan berbasis media kalender makanan sebagai alat bantu edukasi sederhana dan aplikatif. Pengabdian dilaksanakan di Kantor Desa Bungaejaya, Kabupaten Gowa, Sulawesi Selatan, dengan melibatkan 10 orang ibu hamil. Kegiatan ini juga dihadiri oleh kepala desa, bidan desa, kader kesehatan, dan mitra Dompet Dhuafa. Metode kegiatan mencakup penyuluhan nutrisi kehamilan, pelatihan penggunaan kalender makanan. Hasil pengabdian menunjukkan adanya peningkatan pemahaman ibu hamil mengenai kebutuhan gizi selama kehamilan. Hasil kegiatan menunjukkan bahwa edukasi visual berbasis komunitas efektif dalam meningkatkan kesadaran nutrisi pada ibu hamil serta meningkatkan kemampuan ibu dalam mengidentifikasi nutrisi tepat sehari-hari selama hamil.

Low Birth Weight (LBW) infants are among the leading causes of neonatal morbidity and mortality in Indonesia. This condition is associated with the immaturity of organ systems, including thermoregulation and respiratory function, making infants prone to stress, hypothermia, and oxygenation problems. One nursing intervention that helps improve physiological stability is the nesting technique, which positions the baby similarly to the intrauterine condition using soft rolled cloths as a “nest.” This case study aimed to determine the effect of nesting on oxygen saturation and pulse frequency changes in LBW infants in the perinatology room of RSUD Batang. The design used a descriptive case study with a nursing process approach involving 5 LBW infants who met inclusion criteria. The intervention was carried out by applying nesting for 30 minutes, then measuring oxygen saturation and pulse rate before and after the intervention using a pulse oximeter. The results showed an increase in oxygen saturation and changes in pulse rate after nesting. The mean oxygen saturation before intervention was 94%, increasing to 98% after three days of treatment. The average pulse rate increased from 130 beats/minute to 136 beats/minute, remaining within normal physiological limits (120–160 bpm). This indicates improved comfort and physiological stability due to the flexed position during nesting, which reduces stress and enhances oxygen efficiency. In conclusion, the nesting technique effectively improves oxygen saturation and stabilizes pulse rate in LBW infants. It is recommended as an evidence-based nursing practice for promoting comfort and physiological stability in premature or LBW infants in perinatology units.    

Infancy is a crucial golden period for determining the quality of a child's future growth and development. Infant massage has long been recognized for its numerous benefits for infant growth and development. Various studies have shown that infant massage can increase weight gain, improve sleep quality, strengthen the immune system, and aid digestion. Many parents still lack understanding of infant massage. Some assume that infant massage is only performed on sick babies and is performed by traditional healers or medical personnel skilled in infant massage. The purpose of this community service is to increase mothers' knowledge about infant massage through outreach. The target audience was 22 mothers with babies in Gampong Barat, Nisam District, North Aceh Regency. The implementation method used was lectures, discussions, and demonstrations. The results showed that the majority of mothers' knowledge was in the good category after the outreach. This was due to the mothers' enthusiasm in participating in the outreach. Outreach is an effective method for increasing knowledge. Mothers are expected to continue to improve their knowledge about infant massage by increasing their interest in seeking information, whether through reading books, the media, or other sources.

The World Health Organization (WHO) stated that the prevalence of exclusive breastfeeding data globally, although there has been an increase, has not increased significantly, which is around 44% of the target of 50%. Factors suspected of influencing failure are knowledge, perception, family support, and employment. Objective: To determine the factors influencing the failure of exclusive breastfeeding in mothers with babies aged 6-12 months. Method: This type of research is descriptive analytical using the cross-sectional method. The study was conducted at RSIA Murni Teguh Rosiva Medan. The population was 62 people and all of them were used as samples (total sampling). Sampling was done by purposive sampling. The data used were primary data and secondary data. The analysis was conducted univariately and bivariately using the Chi-Square test. Results: Factors that influence the failure of exclusive breastfeeding at the Murni Teguh Rosiva Mother and Child Hospital Medan are perception (p = 0.000 <0.05), family support (p = 0.015 <0.05), and work (p = 0.032 <0.05), while the knowledge variable has no effect (p = 0.654 > 0.05). Conclusion: perception, support, family and work influence the failure of exclusive breastfeeding. Suggestion: It is recommended that nurses at the Murni Teguh Rosiva Medan Hospital encourage new mothers to only give breast milk to their babies until they are 6 months old

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.

Exclusive breastfeeding ensures the optimal development of children's potential intelligence. Babies without complete exclusive breastfeeding are more vulnerable to malnutrition. They face risks of both under-nutrition and over-nutrition. This study aims to determine the correlation between exclusive breastfeeding and nutritional status among infants in Kuta Cot Glie Public Health Center, Aceh Besar. This research was an analytical study with a cross-sectional approach. The sample consisted of 74 infants aged 0-6 months, selected using a Total Sampling technique. The study was conducted from May 1st to 23rd, 2025. The data were analyzed using univariate and bivariate methods with the Chi-Square test. Of the total 74 respondents, 44 respondents (59.5%) had a normal nutritional status. Additionally, 43 respondents (58.1%) were exclusively breastfed. The Chi-Square test showed a p-value = 0.001 < 0.05. The findings indicate a correlation between exclusive breastfeeding and nutritional status in infants. This study suggests that mothers exclusively breastfeed their babies. Therefore, mothers should also increase their knowledge by seeking information from various sources, such as clinics and professionals. This can help them understand the benefits of exclusive breastfeeding and how to prevent malnutrition in infants.

The umbilical cord is the main entry point for systemic infection in newborns. Umbilical cord care aims to prevent infection and accelerate the breaking of the umbilical cord. Some postpartum mothers have insufficient knowledge about umbilical cord care so that education is needed. This study aims to determine the effect of education on newborn umbilical cord care on postpartum mothers' knowledge. This research method is a quantitative pre-experimental study using the One Group Pre Test-Post Test without control approach. The study was conducted at RSIA Murni Teguh Rosiva Medan. The population was 101 patients per month and 47 samples were obtained. Sampling was done randomly. Analysis was carried out univariately in a frequency distribution table and bivariately using the Paired Sample T-Test because the data was normally distributed. The results of the study showed that before being given education (pretest) the majority of postpartum mothers had poor knowledge (53.2%) with an average value of 5.09 ± 1.501, after being given education (posttest), the majority of postpartum mothers had good knowledge (70.2%) with an average value of 8.19 ± 1.096. Providing education on newborn umbilical cord care had a significant effect on increasing the knowledge of postpartum mothers at RSIA Murni Teguh Rosiva Medan, obtained p-value = 0.000 <0.05. There was a difference in the knowledge of postpartum mothers before and after being given education on newborn umbilical cord care (pretest-posttest). The conclusion of the study was that mothers' knowledge of umbilical cord care increased after being given education. It is recommended for further researchers to conduct further research using other research variables such as attitudes, motivations, perceptions, and others, to complement the existing research results.

Diarrhea is a leading cause of morbidity and mortality in children under five, particularly in developing countries like Indonesia. To reduce the incidence of diarrhea, the government has implemented a policy to prevent it by administering rotavirus vaccination. To determine the relationship between rotavirus vaccination and the incidence of diarrhea in infants in Sadai sub-district, the working area of UPT Puskesmas Sei Panas, Batam City in 2024. This study was a quantitative study with a cross-sectional approach to 72 infants who received rotavirus vaccination.The implementation time starts on October 23 to November 06, 2024. Sampling using cluster random sampling technique. Measurement tools using questionnaires and observation sheets. Analysis of the data used is the chi square test. The study obtained rotavirus vaccination as many as 40 infants (55.6%), the incidence of moderate diarrhea as many as 37 infants (51.4%). Chi-Square test results showed the value of p value = 2.167. Because of the value (p value 2.167 > 0.05), this relationship is not statistically significant. There is no significant relationship between rotavirus vaccination and the incidence of diarrhea in infants in Sadai Village working area of UPT Puskesmas Sei Panas Batam City in 2024.

Hirschsprung’s disease is a congenital disorder caused by abnormal nerve cell development in the large intestine, leading to chronic intestinal obstruction in infants. This condition often manifests through symptoms such as constipation, abdominal distension, vomiting, and failure to thrive. The weak immune system of infants makes them highly susceptible to bacterial infections and further complications. At Bidadari General Hospital, there were 110 patients suspected of having Hirschsprung’s disease. One of the major challenges in managing these cases is the limited number of medical specialists, particularly pediatricians and pediatric surgeons, resulting in long waiting times for accurate diagnosis, especially during peak service hours. To address this issue, this study applies the Dempster-Shafer method in an expert system to assist in diagnosing Hirschsprung’s disease based on clinical symptoms. The method effectively handles uncertainty and combines multiple pieces of medical evidence to produce more accurate diagnostic probabilities. The analysis results show that from the selected symptoms, the highest diagnosis probability corresponds to short-segment Hirschsprung’s disease with a confidence level of 71.54%. These findings suggest that the Dempster-Shafer method can serve as an effective alternative tool to support early and accurate diagnosis of Hirschsprung’s disease in infants.

Background: Colostrum is the first natural food for newborns, containing essential nutrients and antibodies that protect against infection. Health education for pregnant women in their third trimester is crucial to enhance their knowledge and practices regarding colostrum provision. Despite the global decline in neonatal mortality, the rate remains high, partly due to limited access and low quality of neonatal care. In Indonesia, particularly in Semarang, although exclusive breastfeeding coverage has improved, many mothers still lack understanding of colostrum’s importance and remain influenced by misconceptions. Preliminary studies revealed insufficient knowledge among pregnant women about colostrum. Method: This study applied a quasi-experimental method with a pretest-posttest design and a control group. The intervention group received health education, while the control group did not. Results: Before intervention, most respondents in both groups had poor knowledge. After the intervention, knowledge in the intervention group increased significantly, with 88.8% reaching a good category, while the control group showed no significant change. Furthermore, 94.4% of mothers in the intervention group gave colostrum, compared with only 33.3% in the control group. Conclusion: Health education is an effective strategy to increase maternal knowledge and encourage colostrum practice, dispelling myths and promoting better neonatal outcomes.

Preterm birth remains a global health concern, with 1 in 10 babies worldwide born prematurely. In Indonesia, the preterm birth rate is 29.5%, with 19% in Central Java and as high as 30% in Kendal Regency. Preterm infants require specialized care, making maternal readiness a crucial factor in ensuring optimal home care. This study aimed to analyze the effect of educational interventions using a booklet on mothers’ knowledge and skills in caring for preterm infants. A quantitative quasi-experimental design with a pre- and post-test control group was employed. A total of 20 respondents were selected using purposive sampling. Bivariate analyses were conducted using the McNemar test for paired data and the chi-square test for unpaired data. The results showed a significant improvement in mothers’ knowledge after receiving education with the booklet (p < 0.05), whereas the lecture and leaflet methods showed no significant difference (p > 0.05). However, there was no significant improvement in caregiving skills in either the booklet group or the lecture and leaflet group (p > 0.05). In conclusion, booklet-based education effectively enhances maternal knowledge regarding preterm infant care but does not significantly improve caregiving skills. This highlights the need for practice-based interventions, such as hands-on training and demonstrations, to strengthen maternal competence in managing preterm infant care at home.

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.

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

Background: Fever is a common side effect after infants receive DPT (Diphtheria, Pertussis, and Tetanus) immunization. This condition often causes concern for parents, so appropriate treatment is needed. Generally, fever can be treated with pharmacological and non-pharmacological methods. One of the most widely used non-pharmacological treatments is warm compresses. However, innovations in the use of natural ingredients are starting to be noticed, one of which is dadap serep leaves which are thought to be more effective in helping to lower body temperature. The active compounds in dadap serep leaves are believed to provide a calming effect while helping vasodilation, so that body heat can be reduced more quickly. Methodology: This study used a quantitative method with a quasi-experimental design of the non-equivalent pretest posttest control group design. The research subjects were divided into two groups, namely the intervention group who received dadap serep leaf compresses and the control group who received warm compresses. Body temperature measurements were taken before and after the intervention. The data obtained were analyzed using statistical tests to see the difference in temperature reduction in each group. Results: The intervention group showed a significant reduction in body temperature, namely 73.3%. In contrast, the control group using warm compresses only experienced a 20% reduction, which was not statistically significant. The results of the intergroup comparison test also showed a significant difference, supporting the research hypothesis. Conclusion: Dadap serep leaf compresses were proven to be more effective than warm compresses in reducing fever in infants following DPT immunization. These findings suggest that the use of dadap serep leaves can be recommended as a safe, effective, and easy-to-implement non-pharmacological intervention alternative in daily practice.

Pijat bayi merupakan salah satu bentuk stimulasi sentuhan yang dapat mendukung tumbuh kembang bayi, termasuk membantu mengatasi gangguan tidur. Meskipun praktik ini telah dikenal secara tradisional di Indonesia, pemahaman masyarakat mengenai manfaat dan teknik pijat bayi yang tepat masih terbatas. Penelitian ini bertujuan untuk mengetahui hubungan pengetahuan ibu tentang Pijat bayi terhadap minat melakukan Pijat bayi kepada tenaga kesehatan di Tempat Praktek Mandiri Bidan (TPMB) Iswati, Kecamatan Senduro, Kabupaten Lumajang. Penelitian ini menggunakan metode kuantitatif dengan pendekatan deskriptif dan desain cross sectional. Populasi dalam penelitian ini adalah seluruh ibu yang memiliki bayi usia 1–12 bulan sebanyak 30 orang, dengan teknik total sampling. Analisis data menggunakan uji Chi-Square melalui aplikasi SPSS versi 25. Hasil penelitian menunjukkan bahwa terdapat hubungan yang signifikan antara pengetahuan ibu dengan minat melakukan baby massage ke tenaga kesehatan(p-value = 0,020 ; < alfa = 0,05). Temuan ini mengindikasikan bahwa semakin tinggi pengetahuan ibu, maka semakin besar pula minat mereka untuk melakukan pijat bayi secara profesional. Hasil penelitian ini diharapkan dapat menjadi dasar dalam pengembangan program edukasi bagi ibu mengenai pentingnya pijat bayi, serta menjadi referensi bagi penelitian selanjutnya.

Baby massage is a form of multisensory stimulation that involves touch, movement, as well as auditory and visual stimuli, which is known to provide various physiological and psychological benefits for babies, including increased breastfeeding frequency. This study aims to determine the relationship between infant massage and the frequency of breastfeeding in babies aged 1–6 months in the working area of the Lambai Health Center, North Kolaka Regency. The type of research used is an analytical survey with a cross-sectional approach. The sampling technique was carried out in total sampling, involving the entire population of infants aged 1–6 months who met the inclusion criteria. Data collection was carried out through observation and structured interviews with infant mothers, as well as recording breastfeeding frequencies before and after infant massage interventions. Data analysis uses relevant statistical tests to test the relationships between variables. The results showed a significant relationship between infant massage and increased breastfeeding frequency, with a p-value of 0.000 (p < 0.05), indicating that infant massage had an effect on increasing breastfeeding activity in infants. The conclusion of this study is that infant massage has a positive relationship with the frequency of breastfeeding in infants aged 1–6 months. These findings support the use of infant massage as a simple but effective intervention in supporting breastfeeding success, especially in the early stages of life. This study recommends that the practice of infant massage can be socialized more widely to health workers and parents as part of the promotion of maternal and child health. The implementation of regular baby massage has the potential to improve the nutritional status and optimal growth and development of the baby.