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Nining Frianti; Ahmad Noor; Rahma Anggraini

Jurnal Kesehatan Amanah 2026 Universitas Muhammadiyah Manado

Partographs are an important instrument in labor monitoring that functions to detect complications early, monitor labor progress, and support appropriate clinical decision-making. However, incomplete filling of partographs is still a problem in various health service facilities and has the potential to affect the quality of midwifery services. This study aims to find out the completeness of filling in the partograph in childbirth monitoring at the Wajo Health Center UPTD Baubau City. This study uses a quantitative method with a descriptive design. The research population is all partograph documents for the period November 2025 to March 2026 as many as 40 documents. The sampling technique used total sampling and obtained 32 documents that met the research criteria. Data were collected using an observation checklist sheet and analyzed univariately through frequency and percentage distributions. The results showed that as many as 28 documents (87.5%) had not been fully filled out and only 4 documents (12.5%) had been filled in completely. The components with the highest level of completeness were uterine contractions (100%), drugs and fluids (96.9%), and labor progress (93.8%). Meanwhile, the components of maternal information (12.5%) and maternal condition (31.3%) had the lowest level of completeness. Most of the filling of partographs at the Wajo Health Center UPTD still does not meet the completeness standards. It is necessary to strengthen supervision, training, and periodic monitoring to improve the quality of childbirth documentation and support the safety of mothers and babies

Devi, Ni Putu Wiryastuti Sri Pratami; Rahyani, Ni Komang Yuni; Darmapatni, Made Widhi Gunapria

Bali Health Published Journal (BHPJ) 2026 Sekolah Tinggi Ilmu Kesehatan KESDAM IX/Udayana

Background: Labor is a physiological process that is commonly accompanied by pain, causing discomfort, anxiety, and fear that may interfere with maternal well-being and labor progress. Effleurage massage is a complementary, non-pharmacological intervention used to reduce labor pain. Purpose: This study aimed to evaluate the effectiveness of effleurage massage in reducing pain intensity during the first stage of labor. Method: A literature review was conducted using articles retrieved from Google Scholar. An initial search identified 45 articles, and after screening based on publication year (2021–2026), relevance, and inclusion criteria, 10 research articles were included for analysis. Data were extracted and synthesized descriptively. Results: The findings consistently showed that effleurage massage reduced labor pain by promoting relaxation, decreasing muscle tension, improving blood circulation, and stimulating endorphin release through the gate control mechanism. Most studies also reported improved maternal comfort during labor. Conclusion: In conclusion, effleurage massage is an effective, safe, affordable, and easy-to-apply complementary therapy that can be integrated into midwifery care to reduce labor pain and enhance maternal comfort.  

Apriani, Putu Yuli; Suarniti, Ni Wayan; Erawati, Ni Luh Putu Sri

Bali Health Published Journal (BHPJ) 2026 Sekolah Tinggi Ilmu Kesehatan KESDAM IX/Udayana

Background: Cesarean section (CS) is a mode of delivery frequently used in women with high-risk pregnancies. Over the past two decades, the rate of CS has increased significantly worldwide. Although CS can be a life-saving intervention when performed based on appropriate medical indications, it may also result in adverse outcomes for both mothers and infants and increase the clinical and economic burden on healthcare systems. Limiting CS rates can be achieved through the control of modifiable risk factors. Purpose: This study aimed to describe the factors contributing to the occurrence of cesarean section. Method: This study employed a descriptive cross-sectional design and was conducted at Singasana Regional General Hospital, Tabanan Regency, from February to May 2025. The study sample consisted of 259 women who underwent cesarean delivery during the period 2020–2024. Data were collected through a review of medical records using a checklist instrument. Univariate analysis was performed to describe maternal characteristics and indications for cesarean section. Result: Most cesarean deliveries occurred in women aged 20–35 years (77.99%) and in multiparous women (48.65%). The most dominant maternal factor was a previous cesarean section (37.6%), while the most common fetal factor was fetal distress (42.7%). Conclusion: Maternal age of 20–35 years, multiparity, a history of previous cesarean section, and fetal distress were the dominant factors associated with cesarean delivery. These findings highlight the importance of early antenatal risk screening and optimal labor management to reduce unnecessary cesarean sections and improve maternal and neonatal safety.

Susanti, Susan; Badi’ah, Atik; Dedi, Blacius

Jurnal Kesehatan Tropis Indonesia 2026 PT. LARPA JAYA PUBLISHER

Latar Belakang: Kekurangan Energi KRONIS (KEK) pada ibu hamil masih menjadi masalah gizi yang berdampak terhadap kesehatan ibu dan janin. KEK meningkatkan risiko terjadinya komplikasi kehamilan, persalinan, serta bayi berat lahir rendah. Data di wilayah kerja Puskesmas Bojonggambir menunjukkan masih tingginya jumlah ibu hamil dengan KEK. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang berhubungan dengan kejadian KEK pada ibu hamil di wilayah kerja Puskesmas Bojonggambir Kabupaten Tasikmalaya. Metode Penelitian: Penelitian ini menggunakan desain kuantitatif dengan pendekatan cross sectional. Populasi adalah seluruh ibu hamil yang tercatat di wilayah kerja Puskesmas Bojonggambir, dengan sampel sebanyak 82 responden yang diambil menggunakan teknik purposive sampling. Variabel independen meliputi usia, pendidikan, pengetahuan, paritas, dan pola konsumsi, sedangkan variabel dependen adalah kejadian KEK yang diukur menggunakan Lingkar Lengan Atas (LILA). Analisis data dilakukan secara univariat, bivariat, dan multivariat. Hasil: Hasil penelitian menunjukkan terdapat hubungan antara usia, pendidikan, pengetahuan, paritas, dan pola konsumsi dengan kejadian KEK pada ibu hamil. Faktor yang paling dominan berhubungan dengan KEK adalah pola konsumsi. Ibu hamil dengan pola konsumsi yang kurang baik memiliki risiko lebih tinggi mengalami KEK dibandingkan dengan ibu yang memiliki pola konsumsi baik. Simpulan: Penelitian ini adalah kejadian KEK pada ibu hamil dipengaruhi oleh faktor usia, pendidikan, pengetahuan, paritas, dan pola konsumsi, dengan pola konsumsi sebagai faktor dominan. Diperlukan upaya promotif dan preventif melalui edukasi gizi dan pemantauan status gizi secara rutin untuk menurunkan kejadian KEK.

Mutiarawati Mutiarawati; Reny Eka Saputri; Nora Rahmanindar

Jurnal Sains dan Kesehatan (JUSIKA) 2026 Universitas Muhamadiyah Manado

Preeclampsia is one of the leading causes of maternal mortality and may result in various complications during pregnancy and childbirth. In Tegal Regency, preeclampsia contributed to 27% of maternal deaths in 2024; therefore, studies on childbirth characteristics among mothers with this condition are needed. This study aimed to identify the characteristics of childbirth events in mothers with preeclampsia at Dr. Soeselo Slawi Regional Hospital, Tegal Regency. A descriptive design with a retrospective approach was used by reviewing the medical records of 202 mothers who delivered with preeclampsia during 2025. Data were analyzed univariately and presented as frequency distributions and percentages. The results showed that most mothers underwent operative delivery (62.38%), while spontaneous and induced labor accounted for 37.13% and 0.50%, respectively. Most deliveries occurred at preterm gestational age (62.38%), followed by term (36.14%) and postterm (1.49%) deliveries. Maternal and obstetric complications included bleeding (6.93%), fetal distress (4.95%), eclampsia (1.49%), and HELLP syndrome (0.99%). Most neonates had normal birth weight (82.18%) and did not require NICU care (95.05%), although low birth weight (17.82%) and NICU admission (4.95%) were still identified. The maternal clinical condition was dominated by blood pressure of 140–159/90–109 mmHg (75.74%). Proteinuria was found in 46.53% of respondents, with moderate proteinuria (+2) as the predominant category (38.30%). In conclusion, childbirth among mothers with preeclampsia was dominated by operative and preterm deliveries. These findings emphasize the importance of early detection and optimal management of preeclampsia to reduce maternal and neonatal complications and improve the quality of maternal-infant health services overall.

Annisa Uljannah; Afiqah Divaulhaq

Jurnal Ilmu Kesehatan Umum, Psikolog, Keperawatan dan Kebidanan 2026 Asosiasi Riset Ilmu Kesehatan Indonesia

Hydrocephalus is defined as active distension of the brain’s ventricular system, resulting from inadequate flow of cerebrospinal fluid from its site of production to its site of absorption into the systemic circulation. Hydrocephalus can affect anyone at any age; pediatric hydrocephalus affects 1 in 1,000 live births and is the most common cause of brain surgery in young patients. Hydrocephalus is a pathological condition characterized by abnormal accumulation of cerebrospinal fluid (CSF) due to increased production, impaired flow, or reduced absorption. Ventricular enlargement occurs in response to increased CSF volume and can lead to structural damage to the brain parenchyma. This condition can be congenital or acquired. One key point in prenatal diagnosis is the differentiation between fetal hydrocephalus and non-hypertensive ventriculomegaly. The former qualifies for intrauterine treatment with good outcomes. However, the latter can result in either favorable or catastrophic outcomes due to a damaging etiology, as seen in viral infections such as Zika virus. For an accurate diagnosis, fetal MRI is performed to detect brain anomalies, in addition to fetal ultrasound (to detect common complications), karyotype testing, and TORCH testing (toxoplasma, rubella, cytomegalovirus, herpes simplex). Obstetric management of fetal hydrocephalus depends on the gestational age at diagnosis and the presence of other anomalies. Treatment options include termination of pregnancy before the fetus is viable, placement of a ventriculoamniotic shunt, cephalocentesis before delivery, and/or cesarean section.

Sustiyani, Elly; Fahriana; Faizah, Nurul

Jurnal Kesehatan Tropis Indonesia 2026 PT. LARPA JAYA PUBLISHER

Anemia pada ibu hamil masih menjadi salah satu masalah kesehatan yang berkontribusi terhadap tingginya angka kematian ibu dan bayi di Indonesia. Anemia dalam kehamilan dapat meningkatkan risiko perdarahan postpartum, persalinan prematur, berat badan lahir rendah, serta komplikasi lainnya pada ibu dan janin. Penelitian ini bertujuan untuk melaksanakan asuhan kebidanan komunitas pada ibu hamil trimester II dengan anemia ringan di Dusun Bentek, Desa Menggala, Kecamatan Pemenang, Kabupaten Lombok Utara. Metode penelitian yang digunakan adalah studi kasus dengan pendekatan manajemen asuhan kebidanan meliputi pengkajian, analisis data, penentuan diagnosis, perencanaan, implementasi, dan evaluasi. Subjek penelitian adalah Ny. “R” usia 32 tahun G1P0A0H0 usia kehamilan 27 minggu dengan kadar hemoglobin 9,0 g/dL. Hasil pengkajian menunjukkan bahwa ibu mengalami anemia ringan disertai kurangnya pengetahuan mengenai pentingnya konsumsi tablet tambah darah dan pemenuhan nutrisi selama kehamilan. Asuhan yang diberikan meliputi edukasi kesehatan, konseling gizi, pemberian tablet tambah darah, pemantauan kehamilan, serta kolaborasi dengan petugas gizi. Hasil evaluasi menunjukkan adanya peningkatan pengetahuan ibu dan kepatuhan dalam mengonsumsi tablet tambah darah yang ditandai dengan peningkatan kadar hemoglobin menjadi 10,9 g/dL pada kunjungan ulang. Dengan demikian, asuhan kebidanan komunitas yang diberikan efektif dalam membantu mengatasi anemia ringan pada ibu hamil trimester II serta meningkatkan kesehatan ibu dan janin.

Annisa Mafazah Himatun Aliyyah; Siti Fina Rizka Utami; Rani Amelia; Sri Tanjung Rejeki

Jurnal Suara Pengabdian 45 2026 LPPM Universitas 17 Agustus 1945 Semarang

Anemia pada ibu hamil merupakan masalah kesehatan yang sering terjadi dan berisiko terhadap kesehatan ibu dan janin. Rendahnya pengetahuan serta kepatuhan dalam mengonsumsi tablet Fe menjadi salah satu penyebab tingginya kasus anemia selama kehamilan. Kegiatan pengabdian masyarakat ini bertujuan meningkatkan pengetahuan dan kesadaran ibu hamil tentang pentingnya konsumsi tablet Fe sebagai upaya pencegahan anemia. Metode yang digunakan berupa pemeriksaan kadar hb, penyuluhan melalui ceramah, diskusi. Kegiatan dilaksanakan pada 31 Januari 2026 di PMB Bidan Irma dengan peserta 13 ibu hamil. Hasil kegiatan menemukan 1 peserta ibu hamil yang terkena anemia, pentingnya peningkatan pengetahuan dan kesadaran ibu hamil mengenai bahaya anemia dan pentingnya konsumsi tablet Fe secara rutin. Peserta memberikan respons positif dan berharap kegiatan serupa dapat dilakukan secara berkelanjutan. Edukasi ini diharapkan mampu meningkatkan kepatuhan konsumsi tablet Fe serta mencegah komplikasi selama kehamilan, persalinan, dan masa nifas.

Qudratullah, Fyzria; Gustiani, Ria; Sundari, Dona Tri

Jurnal Kesehatan Tropis Indonesia 2026 PT. LARPA JAYA PUBLISHER

Senam hamil merupakan aktivitas fisik yang memberikan manfaat signifikan bagi kesehatan ibu dan janin, seperti meningkatkan kebugaran, mengurangi nyeri punggung, serta membantu persiapan persalinan. Namun, partisipasi ibu hamil dalam senam hamil masih rendah, yang salah satunya disebabkan oleh keterbatasan pengetahuan tentang manfaat dan pelaksanaannya. Pendidikan kesehatan berbasis media digital, seperti e-book, menjadi alternatif edukasi yang efektif, mudah diakses, dan fleksibel untuk meningkatkan pengetahuan ibu hamil. Penelitian ini bertujuan menganalisis pengaruh health education menggunakan media digital e-book terhadap pengetahuan ibu hamil mengenai senam hamil. Penelitian ini menggunakan desain pre-eksperimental one-group pretest–posttest dengan sampel 40 ibu hamil trimester II dan III yang mengikuti Program Manajemen Bersalin (PMB) Ferawati Palembang. Data dikumpulkan melalui kuesioner pengetahuan sebelum dan setelah intervensi edukasi, kemudian dianalisis menggunakan uji Wilcoxon. Hasil penelitian menunjukkan adanya peningkatan pengetahuan yang signifikan setelah pemberian edukasi dengan e-book, ditunjukkan oleh nilai p = 0,000 (p < 0,05). Temuan ini mengindikasikan bahwa pendidikan kesehatan berbasis e-book berpengaruh signifikan dalam meningkatkan pengetahuan ibu hamil tentang senam hamil. Oleh karena itu, penggunaan media digital dapat menjadi strategi efektif dalam upaya peningkatan kesehatan ibu hamil melalui edukasi yang mudah diakses dan berkelanjutan.

Nurhayani Nurhayani; Salwa Annisaa; Dian Shofia Reny S

Jurnal Kesehatan Amanah 2026 Universitas Muhammadiyah Manado

Labor pain begins in the first stage, which includes the latent phase (cervical dilation up to 3 cm) and the active phase (cervical dilation from 4 cm to 10 cm). The active phase sees an increase in the intensity and frequency of contractions, leading to peak pain. Research on 2,700 delivering mothers found that 15% experienced mild pain, 35% moderate pain, 30% severe pain, and 20% very severe pain. To reduce maternal mortality (AKI), minimizing labor pain is crucial. Labor pain can be controlled through pharmacological and non-pharmacological methods. Non-pharmacological methods include counter pressure, hypnobirthing, endorphin massage, effleurage massage, relaxation techniques, warm compresses, Mozart music, murottal therapy, acupressure, and aromatherapy. Distraction and pain management techniques are vital for healthcare providers to help reduce pain, especially during the first stage of labor. One effective method is deep breathing relaxation, where regulating the breathing pattern can reduce pain caused by cervical dilation. Slow deep breathing, a conscious relaxation technique, has several benefits, such as reducing stress and anxiety, improving focus, lowering blood pressure, enhancing sleep quality, and improving digestion. Objective: To determine the effect of slow deep breathing on labor pain reduction. Results: Wilcoxon statistical test showed a significance value of ρ = 0.023 (ρ<0.05), indicating a significant difference in labor pain levels before and after applying slow deep breathing. Conclusion: Slow deep breathing reduces labor pain levels.

Meyliya Qudriani; Nora Rahmanindar; Umriaty Umriaty; Intan Cristy; Mayasari Rizqi

Jurnal Pengabdian Masyarakat 2026 Lembaga Pengembangan Kinerja Dosen

Data from the 2020 LFSP (Long Form Population Census) recorded a maternal mortality ratio of 189 per 100,000 live births, while the infant mortality rate was recorded at 16.85 per 1,000 live births. The causes of maternal mortality were hemorrhage, preeclampsia/eclampsia, infection, prolonged labor, and miscarriage. Meanwhile, the majority of infant deaths were due to low birth weight, asphyxia, and infection at birth. Stunting remains a particular concern in Tegal City. Various measures have been taken, and the stunting rate has decreased to around 13.8% according to data from early 2025. This PKM is expected to increase public knowledge on caring for pregnant women, women in labor, postpartum women, and newborns, as well as preventing stunting in children, thereby reducing maternal and infant mortality rates. The methods used in this activity include health education and outreach with a promotive and preventive approach, targeting pregnant women and mothers with infants and toddlers. Community service was held on Wednesday, December 17, 2025, from 8:30 a.m. to 12:00 p.m. at the Boegenvil Health Center in Cabawan Village, Tegal City, with 53 participants. The results of this activity showed an increase in the level of knowledge of the participants, from 11 people with a good level of knowledge to 41 people after receiving counseling, with 3 participants still having a low level of knowledge.

Meyliya Qudriani; Nora Rahmanindar; Umriaty Umriaty; Intan Cristy; Mayasari Rizqi

Jurnal Pengabdian Masyarakat 2026 Lembaga Pengembangan Kinerja Dosen

Data from the 2020 LFSP (Long Form Population Census) recorded a maternal mortality ratio of 189 per 100,000 live births, while the infant mortality rate was recorded at 16.85 per 1,000 live births. The causes of maternal mortality were hemorrhage, preeclampsia/eclampsia, infection, prolonged labor, and miscarriage. Meanwhile, the majority of infant deaths were due to low birth weight, asphyxia, and infection at birth. Stunting remains a particular concern in Tegal City. Various measures have been taken, and the stunting rate has decreased to around 13.8% according to data from early 2025. This PKM is expected to increase public knowledge on caring for pregnant women, women in labor, postpartum women, and newborns, as well as preventing stunting in children, thereby reducing maternal and infant mortality rates. The methods used in this activity include health education and outreach with a promotive and preventive approach, targeting pregnant women and mothers with infants and toddlers. Community service was held on Wednesday, December 17, 2025, from 8:30 a.m. to 12:00 p.m. at the Boegenvil Health Center in Cabawan Village, Tegal City, with 53 participants. The results of this activity showed an increase in the level of knowledge of the participants, from 11 people with a good level of knowledge to 41 people after receiving counseling, with 3 participants still having a low level of knowledge.

Triswanti Triswanti; Lia Indria Sari; Mukhlisiana Ahmad; Lala Jamilah

Jurnal Ilmu Keperawatan dan Kebidanan 2026 Asosiasi Riset Ilmu Kesehatan Indonesia

Non-health facility deliveries remain a significant maternal health problem in rural areas, increasing the risk of complications for both mothers and newborns. Cigobang Village, Karang Tengah, Babakan Madang District, is one of the areas where home deliveries assisted by non-health personnel are still practiced. This community service activity was conducted through the Village Community Health Development (PKMD) program involving 103 respondents, there were 8 pregnant women (100%) who still planned to give birth at home assisted by non-health personnel. The objective of this activity was to improve community awareness and knowledge regarding safe delivery practices in health facilities. The methods included a community health assessment using questionnaires, maternal health education sessions, and interactive discussions with pregnant women, families, and community health cadres. The results showed that despite the implementation of health education, some pregnant women still planned home deliveries assisted by non-health personnel due to cultural beliefs, accessibility issues, and financial considerations. The PKMD activities contributed to increased community knowledge; however, continuous education and multisectoral collaboration are required to promote safer delivery practices.

St Subriani; Samsiah Samsiah; Alamsyah Alamsyah

Journal of Educational Innovation and Public Health 2026 Pusat Riset dan Inovasi Nasional

Background: The Maternal and Child Health (MCH) Book plays an essential role in enhancing pregnant women's knowledge of pregnancy health and labor preparation. However, its utilization remains suboptimal, which may affect a mother's readiness for childbirth. Objective: This study aims to analyze the relationship between pregnant women's knowledge of the MCH Book and their birth preparedness at the Mamajang Health Center in Makassar in 2025. Method: This research employs a quantitative design using purposive sampling with 86 pregnant women as respondents. Data were collected using a knowledge questionnaire about the MCH Book and a birth preparedness questionnaire. Data analysis was conducted using the Chi-Square statistical test. Results: The majority of pregnant women demonstrated good knowledge of the MCH Book (75.6%) and were categorized as prepared for childbirth (70.9%). Statistical testing indicated a significant relationship between pregnant women's knowledge of the MCH Book and their birth preparedness (p = 0.001). Conclusion: There is a significant relationship between pregnant women's knowledge of the MCH Book and their birth preparedness at the Mamajang Health Center in Makassar. Health workers are expected to enhance education and optimization of MCH Book utilization to support birth preparedness.

Harmawati Rustan

Jurnal ilmu Kesehatan Umum 2026 Asosiasi Riset Ilmu Kesehatan Indonesia

The third trimester of pregnancy is a challenging period since pregnant women experience various physical and psychological changes that can affect their readiness for childbirth. High anxiety levels and the presence of pregnancy complications are known to reduce maternal preparedness for labor. This study aims to determine the relationship between anxiety levels and pregnancy complications with the readiness of third trimester pregnant women in facing childbirth in the working area of Benteng Community Health Center, Selayar Islands Regency. This research used a quantitative approach with a correlational design and a cross-sectional method. The population consisted of all third trimester pregnant women, with a total sample of 86 respondents selected using purposive sampling. The research instruments included an anxiety questionnaire using the Hamilton Anxiety Rating Scale (HARS), a pregnancy complication checklist, and a childbirth readiness questionnaire. Data were analyzed using the Chi-Square test and multiple logistic regression at a significance level of α = 0.05. The results of the study showed no significant relationship between anxiety and readiness for childbirth (p < 0.550) or between pregnancy complications and readiness for childbirth (p < 0.690). Therefore, it can be concluded that anxiety and pregnancy complications are not significantly related to the readiness of pregnant women in the third trimester for childbirth. This indicates that maternal readiness is influenced by factors other than the variables studied, such as knowledge, family support, and previous childbirth experiences.

Susianti Susianti; Arifa Usman; Ayu Irawati

Ekspresi : Publikasi Kegiatan Pengabdian Indonesia 2026 Asosiasi Seni Desain dan Komunikasi Visual Indonesia

Empowering pregnant women in their third trimester through Respectful Maternity Care-based childbirth preparation counseling is a relevant promotive and preventive strategy for improving maternal health. This counseling not only provides knowledge about the signs of labor, stages of labor, pain management options, and birth planning, but also equips mothers with an understanding of their rights in midwifery care. Childbirth preparation education often focuses solely on clinical aspects and fails to fully address the psychosocial aspects and the rights of mothers as service recipients. This has the potential to lead to an unpleasant childbirth experience and even contribute to disrespect and abuse during labor. This counseling can equip mothers with an understanding of their rights in midwifery care. With an empathetic, participatory, and woman-centered approach, pregnant women are expected to be able to recognize their needs, convey their preferences, and communicate effectively with health workers. The purpose of this counseling is to improve pregnant women's knowledge before and after being empowered in their third trimester through Respectful Maternity Care-based childbirth preparation counseling.

Sofyani, Ajeng Ani; Rifzul Maulina

Jurnal Fisioterapi dan Ilmu Kesehatan Sisthana (JUFDIKES) 2026 Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Nyeri persalinan merupakan tantangan utama yang dihadapi ibu, khususnya pada kala I fase aktif. Penggunaan metode non-farmakologis seperti endorphin massage menjadi alternatif yang aman dan efektif untuk mengurangi nyeri tanpa efek samping. Penelitian ini bertujuan untuk mengkaji efektivitas endorphin massage dalam menurunkan intensitas nyeri pada ibu bersalin kala I fase aktif. Penelitian ini menggunakan desain kuasi-eksperimen dengan pendekatan pretest-posttest with control group. Sebanyak 12 responden dibagi menjadi dua kelompok: intervensi (diberikan endorphin massage) dan kontrol (perawatan standar). Intensitas nyeri diukur menggunakan Numeric Rating Scale (NRS) sebelum dan sesudah intervensi. Analisis data dilakukan dengan uji paired t-test dan independent t-test dengan tingkat signifikansi p < 0,05. Hasil penelitian menunjukkan bahwa rata-rata skor nyeri pada kelompok intervensi menurun signifikan dari 7,5 menjadi 4,0 (p = 0,000), sementara pada kelompok kontrol hanya turun dari 7,3 menjadi 7,0 dan tidak signifikan (p = 0,308). Uji independent t-test juga menunjukkan perbedaan bermakna antara kedua kelompok setelah intervensi (p = 0,000). Hasil ini menunjukkan bahwa endorphin massage terbukti efektif sebagai intervensi non-farmakologis untuk mengurangi nyeri persalinan. Teknik ini dapat diterapkan dalam praktik kebidanan sebagai metode yang aman, mudah, dan berpusat pada kenyamanan ibu.

Fikria Nur Ramadani; Shanti Ariandini; Nadhita Denia Putri; Putri Rinjani M

Jurnal Pengabdian dan Keberlanjutan Masyarakat 2026 Lembaga Pengembangan Kinerja Dosen

Maternal Mortality Rate (MMR) is one of the indicators of the quality of maternal and child health services in a country. Based on data from the 2024 SDKI (Indonesia Demographic and Health Survey), the maternal mortality rate decreased compared to the previous year, from 4,482 cases in 2023 to 4,150 deaths in 2024, but this figure is still far from the 2030 SDG target. In an effort to reduce maternal mortality, the government's program is the Program for Birth Planning and Complication Prevention (BPCR or P4K in bahasa), which emphasizes community empowerment in monitoring pregnant, delivering, and postpartum mothers. In its implementation, P4K still faces obstacles, one of which is the lack of knowledge among mothers and the community regarding P4K. This also occurs in RW17, Cilendek Barat Village, where many people are still unaware of P4K. Health education interventions about the importance of P4K are one of the activities carried out to increase the knowledge of mothers and the community. Participants are pregnant women, community health workers, and neighborhood association leaders. The success of the activity is measured by assessing participants' knowledge before and after the education is conducted. After education was provided, there was an 84% improvement in participants' knowledge. This activity involved community leaders, so it is hoped that it can increase knowledge and understanding of the importance of P4K.

Arum Winarsih; Hapisah Hapisah; Zakiah Zakiah

Jurnal Riset Rumpun Ilmu Kesehatan 2026 Pusat riset dan Inovasi Nasional

Background: Normal labor is influenced by Power, His, maternal strength, external pelvic passage, pelvic shape, pelvic width, and perineal elasticity, which affect labor.Objective: To determine the effect of perineal massage and peanut ball on labor progress.Method: This study used a quasi-experimental design with two groups and a posttest only. The sample consisted of 30 mothers in labor, divided into two groups: 15 respondents received perineal massage and 15 respondents received perineal massage and used a peanut ball. Data were analyzed using an Independent T-Test. Results: The study showed that the average duration of the first stage of active labor in the perineal massage group was 6.87 hours, while in the combination group of perineal massage and peanut ball it was 5.20 hours. Statistical testing showed a value of p = 0.012 (p < 0.05), indicating a significant difference between the two groups. Conclusion: Perineal massage and peanut balls are effective in accelerating labor as non-pharmacological midwifery interventions in labor management.

Nurfajriah, Suci; Atnesia Ajeng; Ika Oktaviani; Puspitasari Budiyanti

Mutiara : Jurnal Penelitian dan Karya Ilmiah 2025 STAI YPIQ BAUBAU, SULAWESI TENGGARA

Data from the World Health Organization (WHO) in 2020 shows that around 8-10% experi- ence anxiety during pregnancy and this increases to 13% when delivery ap- proaches. Midwives have a big role in overcoming this problem, one of which is by lavender aromatherapy and audio hypnosis. Research objective: to determine of giving lavender aromatherapy and audiohypnosis to reduce anxiety facing child- birth in third trimester pregnant women. Researchmethodology: Search for jour- nals using a database via Google Schoolar and Pubmed with keywords, then 10 journals were found that met the inclusion and exclusion criteria which were then reviewed. The research results from each journal show that the intervention of providing lavender aromatherapy and audio hypnosis has an effect on reducing anxiety facing childbirth in third trimester pregnant women. Conclusion: The intervention of providing lavender aromatherapy and audio hypnosis has an effect on reducing anxiety facing childbirth in third trimester pregnant women. Suggestion:Pregnant women who receive of lavender aromatherapy and audio hypnosis inter- vention are expected to be able to carry out the intervention correctly so that they can overcome stress and tension during pregnancy.