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Nizma Hartin Ferawati; Farida Noor Irfani; Nazula Rahma Shafriani

JURNAL ILMIAH KESEHATAN MASYARAKAT DAN SOSIAL 2026 CV. ALIM'SPUBLISHING

Neonatal sepsis is a major factor contributing to morbidity and mortality in newborns. C-Reactive Protein (CRP) and leukocytes are laboratory tests used as indicators of inflammation. This study aims to determine the relationship between C-Reactive Protein levels and leukocyte profiles in neonatal sepsis patients. The research method used was an observational analytic with a cross-sectional approach. Neonatal sepsis at PKU Muhammadiyah Yogyakarta in the period 2021-2026 consisted of 30 samples using a total sampling technique. The distribution of respondents was dominated by male gender compared to female gender, who had a low birth weight <2,500 grams. Based on the study, normal CRP levels were found in 21 respondents, which was caused by a delay in increasing CRP levels. Leukocytes had high levels in 18 respondents. Leukocytes are an initial phase of examination in detecting inflammation that does not require a long time, have several different morphological types in detecting inflammation in the body. This study shows that the most dominant increase in leukocyte levels is found in eosinophils and neutrophils. Based on medical record data at PKU Muhammadiyah Hospital Yogyakarta, analysis using the Spearman correlation test yielded a correlation coefficient of 0.261 with a significance value of 0.164 (p > 0.05). The results showed no significant relationship between the studied variables, with a positive direction and weak correlation strength. The conclusion of this study is that there is no significant relationship between C-Reactive Protein levels and leukocyte profiles in neonatal sepsis patients.

Nizma Hartin Ferawati; Farida Noor Irfani; Nazula Rahma Shafriani

JURNAL ILMIAH KESEHATAN MASYARAKAT DAN SOSIAL 2026 CV. ALIM'SPUBLISHING

Neonatal sepsis is a major factor contributing to morbidity and mortality in newborns. C-Reactive Protein (CRP) and leukocytes are laboratory tests used as indicators of inflammation. This study aims to determine the relationship between C-Reactive Protein levels and leukocyte profiles in neonatal sepsis patients. The research method used was an observational analytic with a cross-sectional approach. Neonatal sepsis at PKU Muhammadiyah Yogyakarta in the period 2021-2026 consisted of 30 samples using a total sampling technique. The distribution of respondents was dominated by male gender compared to female gender, who had a low birth weight <2,500 grams. Based on the study, normal CRP levels were found in 21 respondents, which was caused by a delay in increasing CRP levels. Leukocytes had high levels in 18 respondents. Leukocytes are an initial phase of examination in detecting inflammation that does not require a long time, have several different morphological types in detecting inflammation in the body. This study shows that the most dominant increase in leukocyte levels is found in eosinophils and neutrophils. Based on medical record data at PKU Muhammadiyah Hospital Yogyakarta, analysis using the Spearman correlation test yielded a correlation coefficient of 0.261 with a significance value of 0.164 (p > 0.05). The results showed no significant relationship between the studied variables, with a positive direction and weak correlation strength. The conclusion of this study is that there is no significant relationship between C-Reactive Protein levels and leukocyte profiles in neonatal sepsis patients.

Andri Nugraha Ramdhon

SABER : Jurnal Teknik Informatika, Sains dan Ilmu Komunikasi 2026 STIKes Ibnu Sina Ajibarang

The rapid development of AI-assisted programming has encouraged the emergence of vibe coding, an approach to software development in which developers focus more on formulating intentions, contexts, and constraints through prompts rather than writing code manually. However, existing evaluations of AI-generated code still tend to emphasize functional correctness and productivity, and therefore have not fully addressed the relationship between user intent, technical code reliability, and developers’ understanding of the generated artifacts. This study aims to propose a new evaluation method called TD-VCEM (Three-Dimensional Vibe Coding Evaluation Method) to assess vibe coding practices in a more comprehensive and auditable manner. The proposed method consists of three primary dimensions: Intent Alignment to evaluate the conformity of code with prompt requirements, Code Reliability to assess the technical quality of the generated code, and Developer Cognition to measure developers’ understanding of AI-generated code. TD-VCEM is designed through several stages, including prompt decomposition, prompt-to-code traceability matrix, code reliability assessment, and developer cognition evaluation. Each dimension employs indicator-based scoring rubrics normalized on a scale of 0–100, enabling the construction of a Vibe Coding Evaluation Score (VCES). This study does not present empirical experimental results; instead, it offers a methodological framework that can serve as a foundation for evaluating AI-generated code in modern software engineering environments. The proposed TD-VCEM is expected to improve review process transparency, reduce security risks, strengthen software maintainability, and ensure that developers maintain control and understanding of AI-generated code artifacts.

Jundapri, Kipa; Noriti, Marissa

Jurnal Kesehatan Medika Udayana 2026 Sekolah Tinggi Ilmu Kesehatan Kesdam IX/Udayana

Background: Women and newborns are vulnerable groups that must be given special attention in disaster situations such as war. The Israeli military aggression in Gaza, Palestine, has been ongoing since October 2023. Besides resulting in tens of thousands of direct war-related morbidities, vulnerable demographics such as pregnant women, maternity and newborns (neonates) in Gaza confront severe health hazards amid the conflict. Method: This study was descriftive analitic who employs Quantitative data was obtained from secondary data from medical records at Al-Emiraty Hospital. The Result of this study: before war, Mothers who delivery normal 20-38 year, caesarea, namely 20-40 year, during war, mothers who delivery normal 20-35 year and with caesarea 18-45 years  Meanwhile, baby weight, before war baby weight ?1499 grams was 0 baby, 1500-2499 grams was 15 babies, and ?125 babies, during war,  baby weight ?1499 grams was 1 baby, 1500-2499 grams was 51 babies, and ?2500 grams 189 babies. Conclusion: During the war there was a surge in patients because Al Emirates Hospital was the only referral for maternal and child cases.

Andy Hermawan; Akbar Kanugraha; Indira Faisa Afgani; Khaerun Nisa’Tri Safaati; Mutiara Ayu Alzahra Ramadhani

Modem : Jurnal Informatika dan Sains Teknologi 2026 Asosiasi Profesi Telekomunikasi Dan Informatika Indonesia

The exponential growth of digital music catalogs on streaming platforms such as Spotify has made personalized recommendation systems crucial for enhancing user experience. This study develops a hybrid music recommendation system that addresses both warm-user and cold-user scenarios by combining Alternating Least Squares (ALS) collaborative filtering with content-based filtering (CBF) augmented by a popularity component. The dataset consists of 8,549,544 user-track interactions and a master file of 1,204,025 tracks with ten audio features. After preprocessing, users were segmented into 14,880 warm users and 723 cold users based on a five-interaction threshold. The ALS model was trained on the user-item implicit feedback matrix and tuned through grid search over factors, alpha, and regularization. CBF was implemented using cosine similarity on normalized audio features, while popularity scores were applied for new users with insufficient history. Evaluation used Precision@10, Recall@10, and NDCG@10. The final ALS configuration achieved NDCG@10 of 0.1116, representing a 30% improvement over baseline, while the hybrid CBF improved NDCG@10 for cold users from 0.0070 to 0.0201. Findings indicate that adaptive routing among ALS, CBF, and popularity reliably handles different user states, providing a practical foundation for production-grade music recommendation systems.

Tika Tika; Selasih Putri Isnawati; Eka Vicky Yulivantina

VitaMedica : Jurnal Rumpun Kesehatan Umum 2026 STIKES Columbia Asia Medan

Nutritional problems among children under five remain a public health concern in Indonesia, including in the working area of Semitau Public Health Center, Kapuas Hulu Regency. Nutritional status is an important indicator in assessing child growth and development. Nutritional disorders such as undernutrition, severe undernutrition, and stunting may have long-term impacts on health, cognitive development, and productivity. Therefore, regular monitoring of nutritional status is necessary to determine the nutritional profile of children under five in the Semitau Public Health Center area. Objective: This study aimed to describe the nutritional status of children under five based on Weight-for-Age (W/A), Height-for-Age (H/A), and Weight-for-Height (W/H) indicators, as well as to describe the characteristics of mothers and children. Methods: This study used a descriptive method with a retrospective approach. Data were obtained from the recap of child weighing results in March 2025 in the working area of Semitau Public Health Center. The study population consisted of 395 children aged 0–59 months, with 351 children meeting the inclusion criteria selected using total sampling technique. Data were analyzed univariately to obtain the frequency distribution of nutritional status. Results: Based on W/A, 77% of children had normal nutritional status, 13.5% were undernourished, 6.1% were severely undernourished, and 1.0% were overweight. Based on H/A, 62.1% were normal, 20.8% were stunted, 11.5% were severely stunted, and 1.8% were tall. Based on W/H, 76.4% had normal nutritional status, 7.9% were undernourished, 2.0% were severely undernourished, 3.1% were overweight, and 2.6% were obese. Conclusion: The majority of children under five in the Semitau Public Health Center area had normal nutritional status. However, the stunting prevalence of 32.3% remains high according to WHO classification. Strengthening nutritional monitoring through integrated health posts and providing parental education on balanced nutrition are recommended.

I Wayan Gama

International Journal of Communication, Tourism, and Social Economic Trends 2026 Asosiasi Penelitian dan Pengajar Ilmu Sosial Indonesia

This study aims to explore the shift in students' ethical paradigms regarding the use of Generative Artificial Intelligence (AI) and its relationship to the phenomenon of plagiarism. Using a qualitative approach with the theoretical frameworks of Jean Baudrillard's Simulacra and Pierre Bourdieu's Habitus, this study examines how AI technology is changing the nature of scientific work. The results show the normalization of AI use as a new "digital habitus," where 83% of students consider AI a legitimate research tool, but on the other hand, it creates a condition of "Aesthetics Without Substance." The main findings reveal a reduction in originality where academic honesty is only measured through technical scores (such as Turnitin), rather than intellectual depth. The comparison between authentic and AI-based writing indicates the risk of systemic intellectual atrophy. In conclusion, this study recommends the need for a redesign of educational evaluation systems that focus on processes and verbal dialectics to mitigate the impact of pseudo-competence on college graduates.

Fritia Sy Dokliwan; Arif Yusuf Wicaksana; Isnin Aulia Ulfah Mu’awanah

Jurnal Kesehatan Amanah 2026 Universitas Muhammadiyah Manado

Hyperbilirubinemia is a normal condition that occurs in newborns during the first week of birth. This condition is important to note because too high bilirubin levels can lead to complications that can attack the brain such as the incidence of encephalopathy and the incidence of cerebral palsy in infants if left unchecked. This study aims to identify the incidence rate of hyperbilirubinemia in Nyi Ageng Serang Hospital Yogyakarta. This research method uses quantitative research with a cross sectional approach, which uses secondary data, namely data obtained from other parties or agencies. This study used total sampling because all data in this study were used during the 2021 period. The data obtained were analyzed using the SPSS 25.0 program using univariate, bivariate, Chi-Square and Odds Ratio tests. The results of this study showed that the proportion of neonates experiencing hyperbilirubinemia was 30.1% of a total of 558 subjects, while 69.9% did not experience hyperbilirubinemia, with the majority being delivered through normal birth. The Chi-Square test obtained a p-value of 0.582, indicating that there was no significant association between Caesarean delivery and the incidence of hyperbilirubinemia at Nyi Ageng Serang Hospital Yogyakarta in 2021. This is because the number of patients with less months neonates who were treated was less than the number of patients with full months neonates.

Rifqi Nandana Mahardika; Haryadi Haryadi

Jurnal Arjuna : Publikasi Ilmu Pendidikan, Bahasa dan Matematika 2026 Asosiasi Riset Ilmu Pendidikan Indonesia

Critical reading is one of the important language skills that students need to acquire. Based on observational results, the critical reading skills of eleventh-grade students at SMA Muhammadiyah 1 Semarang have not yet reached an optimal level. Therefore, this study aims to examine the effectiveness of teaching critical reading of news texts using the OK5R and SQ3R methods assisted by the Wordwall website for eleventh-grade students. This study employed an experimental method with a quasi-experimental design, specifically a nonequivalent control group design. The research instruments consisted of test and non-test instruments. The test instrument was a written test, while the non-test instruments included observation sheets and interview guidelines. Data analysis was conducted through prerequisite analysis tests (normality and homogeneity tests), instrument validity testing, and hypothesis testing using paired sample t-tests, independent sample t-tests, and n-gain score analysis with the assistance of SPSS version 25. The results showed that the n-gain score of the experimental class I using the OK5R method was 0.3465, while the experimental class II using the SQ3R method obtained an n-gain score of 0.0660. Based on these findings, teaching critical reading of news texts using the OK5R method assisted by the Wordwall website was more effective than the SQ3R method. It can be concluded that the OK5R method assisted by the Wordwall website is effective for teaching critical reading of news texts to eleventh-grade students, whereas the SQ3R method assisted by the Wordwall website is less effective.

Aiynun Zariah; Zulaikha Zulaikha; Nur’Annafi Firna Syam Maella

Jurnal Ilmu Komunikasi, Administrasi Publik dan Kebijakan Negara 2026 Asosiasi Peneliti Dan Pengajar Ilmu Sosial Indonesia

Indonesian Migrant Workers (PMI) face the problem of stigmatization and negative image that has been rooted in public perception for several decades, where the social construction of TKI is dominated by narratives of exploitation, violence, and victimization reinforced by conventional mass media coverage. The phenomenon of TKI emerging as content creators on the TikTok platform opens new opportunities for migrant workers to represent themselves independently and build personal Branding that has the potential to reconstruct their image in public perception. This study aims to analyze the personal Branding strategies of TKI content creators on TikTok, measure the engagement patterns and reach of the content produced, and evaluate the transformation of public perception toward Indonesian migrant workers as an implication of these digital communication practices. This study uses a qualitative approach with a case study design to explore the process of image reconstruction through personal Branding on the TikTok platform. Data were collected through in-depth interviews with five TKI content creators who have followers ranging from 750 thousand to 2.3 million, interviews with 50 active followers, and interviews with two digital communication experts. The research findings show that TKI content creators implement personal Branding strategies through content authenticity, narrative consistency, and positioning differentiation with engagement rates. Public perception changed significantly with a decrease in negative perception from 68 percent to 18 percent and an increase in positive perception from 10 percent to 55 percent within an exposure period of more than 12 months. Image reconstruction occurs through three mechanisms: humanization that displays the human side of TKI, normalization that elevates the profession as work worthy of respect, and inspiration that demonstrates their positive achievements. This study recommends that the government and related stakeholders support digital literacy for migrant workers to optimize social media platforms as a means of empowerment, as well as promote policies that protect and appreciate the contribution of TKI as an integral part of national economic development.

Farah Zahidah Imtinan; Siti Husaidah

Jurnal Riset Ilmu Farmasi dan Kesehatan 2026 Asosiasi Riset Ilmu Kesehatan Indonesia

The goal of continuous midwifery care is to use the SOAP documentation technique to provide comprehensive care to pregnant women up to birth control according to care standards. From May 2 - July 14, 2025, Mrs.C, G2P1A0, 32 years old received continuous midwifery care from pregnancy until get contraception methods, starting at 34 weeks of gestation. The mother complained of back pain during prenatal check-ups. The labor process went smoothly. With the assistance of a midwife, the baby was born on June 10, 2025. Birth weight: 3000 grams; length: 50 cm; head circumference: 34 cm; chest circumference: 33 cm; received Hb0 vaccine two hours after birth, eye ointment, and vitamin K shortly thereafter. The baby did not experience any problems or complaints during the first visit. Mrs. C received four visits during the postpartum period. The mother did not feel anything during the first visit up to the following visits. She continued to breastfeed exclusively, and her vital signs and fundal height returned to normal. The mother used a three-month injectable contraceptive so as not to interfere with the exclusive breastfeeding program. Mrs.C has received continuous midwifery care during pregnancy and contraceptive use, and her health is normal. It is expected that the midwife will be able to provide continuous midwifery care so that in the event of an emergency, it can be immediately identified and promptly handled.

Mia Kusmiati; Sovian Aritonang; Hari Imbrani; Megha Sakova; Alice Agatha Delfreeta Aritonang +2 more

Jurnal Pengabdian Masyarakat dan Transformasi Kesejahteraan 2025 Lembaga Pengembangan Kinerja Dosen

This article examines the effectiveness of fermented kombucha drinks in enhancing the immunity of menopausal women through an evidence-based nutrition approach. Additionally, the study highlights how community-based kombucha production and consumption programs can be part of non-military health diplomacy, supporting community resilience, especially for vulnerable groups like menopausal women who experience immune function decline due to hormonal changes. Using the Systematic Literature Review (SLR) method, the study analyzes 30 relevant articles published between 2018–2025 from reputable sources such as Scopus, PubMed, and others. The findings show that (1) kombucha improves immunity through cytokine modulation and increased antioxidant activity, (2) kombucha normalizes gut microbiota, contributing to the immune health of menopausal women, (3) fermentation variations and microbial composition affect kombucha's effectiveness, and (4) community-based kombucha production programs have potential in enhancing health literacy and local economic empowerment. This study provides a basis for local governments, health centers, and communities to integrate kombucha as a preventive health intervention, while also strengthening community resilience through nutrition education and functional food entrepreneurship. The article also offers a new conceptual model, “Kombucha Intervention – Immunity – Health Diplomacy,” that connects biological evidence, community health, and non-military resilience integratively.

Annisa Alfi Amalia; Putri Ancila Citra Prasetya

Jurnal Siti Rufaidah 2025 PPNI UNIMMAN

Continuity of Care (CoC) is a midwifery care model that provides continuous care from pregnancy, childbirth, the postpartum period, and newborn care to family planning services. This approach aims to improve the quality of care, enable early detection of complications, and enhance maternal and neonatal health outcomes. This study aimed to describe the implementation of Continuity of Care midwifery services for Mrs. D, aged 25 years, at PMB Siti Nur Azizah, Wonoayu, Sidoarjo, East Java.This study employed a descriptive method with a case study approach. The subject was Mrs. D, a primigravida woman who received midwifery care from the first trimester of pregnancy through the postpartum period, newborn care, and family planning services. Data were collected through interviews, observation, physical examinations, and medical record review.The results showed that throughout pregnancy, both maternal and fetal conditions remained within physiological limits with routine monitoring and adequate health education. Labor occurred spontaneously and normally with the application of respectful maternity care and interventions based on clinical indications. The postpartum period progressed normally with good uterine involution and adequate breast milk production. The newborn demonstrated optimal physiological adaptation and received essential neonatal care. In the family planning phase, Mrs. D chose a three-month injectable contraceptive, which was appropriate for her breastfeeding condition and pregnancy spacing needs.

Khairulisni Saniati; Silvia Finida Hannisa; Ngaisah Tri Rahayu; Dedy Siska

DIAGNOSA: Jurnal Ilmu Kesehatan dan Keperawatan 2025 International Forum of Researchers and Lecturers

In Indonesia in 2020, there were 28,158 infant deaths, of which 20,266 (72%) occurred during the neonatal period. Among these neonatal deaths, 27.4% were caused by neonatal asphyxia. In West Kalimantan Province, there were 682 neonatal deaths recorded in 2023. The leading causes of neonatal mortality in 2023 were Low Birth Weight (LBW) and prematurity (32%), followed by asphyxia (24%). Based on the 2023 Sintang Regency health profile, the infant mortality rate was 9.6 per 1,000 live births. This study aimed to determine the relationship between LBW and the incidence of neonatal asphyxia. The research used an analytical observational approach with a cross-sectional design. The study was conducted at Ade M. Djoen Sintang Regional Hospital from January to December 2023 using secondary data. The population consisted of all newborns at Ade M. Djoen Sintang Regional Hospital, totaling 104 infants. A total sampling technique was applied, resulting in a sample size of 104 respondents. Data were analyzed using the Chi-square test. The Chi-square analysis produced a p-value of 0.0241 (p < 0.05), indicating a statistically significant relationship between Low Birth Weight (LBW) and neonatal asphyxia. The Odds Ratio (OR) of 4.021 shows that LBW infants have a 4.021-fold higher risk of experiencing neonatal asphyxia compared to infants with normal birth weight.  

Mei Melda Napitupulu; Harsudianto Silaen

Jurnal Ilmu Kesehatan 2025 Lembaga Pengembangan Kinerja Dosen

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.

tiara, Fera; Endang Susilowati; Surniah Surniah

Jurnal Kesehatan dan Kedokteran 2025 Lembaga Pengembangan Kinerja Dosen

Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR) can be a measure of a country's welfare in determining the optimal degree of health. The maternal mortality rate in the world is 303 thousand people (WHO 2023). MMR in Indonesia was 4,129 people in 2023. Meanwhile, the Infant Mortality Rate (IMR) in the world is 29,945 people (WHO, 2023). In Indonesia, there were 16.85 infant mortality rates in 2023. SEZ is a nutritional deficiency in pregnant women that lasts for several months or years. SEZ conditions can indirectly cause MMR and IMR. SEZ in pregnant women can cause complications such as IUGR, Abortion, LBW, Circulation, Anemia, Bleeding, and Childbirth complications. Research Objective: Providing Comprehensive Midwifery Care in accordance with midwifery care standards starting from pregnancy, childbirth, postpartum, newborn, and family planning in Mrs. A 22 years old with Chronic Energy Deficiency (SEZ) and Chepalo Pelvic Disproportion (CPD) with a midwifery management approach according to Varney and SOAP. Research Methods: Descriptive Qualitative with Case Study approach Results: Comprehensive Midwifery Care on Mrs. A aged 22 years with SEZ can be overcome by an increase in LILA, there is a CPD so that SC delivery is performed and appropriate case management is carried out so that labor, newborn, postpartum period, and family planning goes well. Conclusion: The results of the comprehensive care given to Mrs. A 22 years old with Chronic Energy Deficiency (SEZ) can be resolved marked by an increase in LILA, SC delivery on indications of CPD, normal LBW, normal postpartum, and mini pill birth control.

Rukmini Rukmini; Mhd Rizaldy Wibowo; Shita Tiara; Nova Azahra; Sri Murniyanti

International Journal of Economic, Social and Development Sciences 2025 International Forum of Researchers and Lecturers

 The worsening economic conditions in this new normal era have made the family economy even worse. The prolonged lockdown conditions have limited employment opportunities, while income has decreased. To balance the amount of expenditure and family income, additional family income is needed, in conditions like this, the role of a woman in a family is needed. This study will try to examine and formulate a model of women's empowerment with a creative economy community approach in improving family welfare. Rural women's empowerment activities that will be carried out are providing entrepreneurial motivation, forming business groups, training and business management. Data were collected using observation, interview and questionnaire methods. This research was conducted on village communities, especially housewives in Beringin Village, Beringin District, Deli Serdang Regency. The research used experimental and survey methods. Data analysis techniques used qualitative and quantitative descriptive methods. The outputs of the research are (1) a draft model of women's empowerment with a creative economy community approach in improving family welfare and (2) publication in a national journal with a Technology Readiness Level (TKT) level three. The results of this first year of research are a draft model of women's empowerment. This empowerment model is able to attract the attention of women to actively participate in improving family welfare.

Intan Tri Lestari; Endang Susilowati; Widi Astuti

Nursing Applied Journal 2025 LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

This study aims to provide an overview of comprehensive midwifery care in reducing maternal morbidity and mortality at the Paguyangan Health Center, Brebes Regency. According to WHO data in 2023, the maternal mortality rate was recorded at 4,129 per 100,000 live births, with the same rate in Indonesia and 335 per 100,000 in Central Java. In Brebes Regency, there were 54 cases of maternal death caused by various factors. This study used a case study method with a descriptive approach to analyze midwifery care during pregnancy, childbirth, postpartum, newborn care, and family planning programs. The results show that Mrs. Ny. N, aged 35 and with a history of multiparity, had a pregnancy with high-risk factors. Despite this, her delivery proceeded naturally with a spontaneous birth of a female baby, who cried loudly, weighing 3110 grams, and measuring 50 cm in length. During the postpartum period, no complications were found, uterine reflexes were normal, and lochia was physiologically appropriate. The baby was healthy and received hepatitis B immunization and vitamin K1. In the family planning program, the mother chose to use a 3-month injection contraception. The conclusion of this study is that despite the high-risk factors faced by the mother, comprehensive midwifery care can help minimize risks and improve the quality of care during pregnancy and childbirth.

Surya Dharma; Ismail Efendy; Aida Fitria

Jurnal Kesehatan Amanah 2025 Universitas Muhammadiyah Manado

Stunting is a serious public health problem that has a long-term impact on the quality of life of future generations, especially in terms of physical, cognitive, and productivity growth. This study aims to analyze maternal factors that affect the incidence of stunting in toddlers aged 6–24 months in South Aceh Regency, the area with the highest prevalence of stunting in Aceh Province. The research design used a case-control study involving 228 respondents, consisting of 114 stunted toddlers as the case group and 114 non-stunted toddlers as the control group. Data were obtained through maternal health records (KIA book), observations, and e-PPGBM data, then analyzed using multiple logistic regression. The results of the study showed that maternal factors that had a significant effect on the incidence of stunting were the age of at-risk mothers (<20 years or >35 years), the number of children, pregnancy anemia, and chronic energy deficiency (KEK). The SEZ factor during pregnancy was the most dominant determinant with a 4.46 times greater risk of giving birth to stunted children compared to mothers with normal nutritional status (p=0.014; 95% CI=1.35–14.73). These findings confirm the importance of maternal nutrition interventions from pre-conception to pregnancy, optimization of antenatal care (ANC) visits, and appropriate family planning as a stunting prevention strategy based on local contexts.

Kisty Syakilatih Fauzah; Endang Susilowati; Mupliha Mupliha

Jurnal Ilmu Keperawatan dan Kebidanan 2025 Asosiasi Riset Ilmu Kesehatan Indonesia

Maternal mortality remains a challenge in Indonesia, and one contributing factor is chronic malnutrition (CED), which impacts pregnancy, childbirth, the postpartum period, and the newborn. The 2022 registration report shows that of the 3,249,203 pregnant women whose MUAC was measured, 283,833 had a MUAC of less than 23.5 cm (at risk of CED), meaning 8.7% of these pregnant women were at risk of CED. In the Brebes area, the 2022 report recorded 3,475 pregnant women with CED. At the Bantarkawung Community Health Center in 2023, there were 36 cases of preeclampsia, 22 cases of transverse lie, 107 cases of CED, and anemia. Objective: Provide comprehensive midwifery care in accordance with standards of care for pregnant women, women giving birth, newborns, postpartum women, and family planning. Research method: Qualitative descriptive method, the type of research approach used in this study is a comprehensive case study approach. Results: Comprehensive care was provided to Mrs. R who suffered from chronic energy deficiency, and was successfully overcome. Delivery was carried out by caesarean section, the baby was born normally, and the postpartum period went smoothly, and the mother chose a contraceptive method, namely a three-monthly birth control injection. Conclusion: Comprehensive obstetric care has been proven effective in overcoming chronic energy deficiency, ensuring a safe delivery, a normal baby born, a normal postpartum period, and compliance with contraceptive methods.