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Postpartum depression is a postpartum mental health disorder that significantly impacts maternal well-being, infant development, and family functioning. The high prevalence of postpartum depression in Indonesia is due to limited access to health services, low mental health literacy, and social stigma in the community. This indicates a significant gap between the need for maternal mental health services and the availability of existing interventions, making education a crucial component in efforts to prevent postpartum depression early. This study aims to analyze the prevention of postpartum depression in postpartum mothers through telenursing-based education and screening using the Edinburgh Postnatal Depression Scale (EPDS) in the community. A descriptive case study design was used, involving one respondent, a 25-year-old primigravida mother residing in the Bantul area. The intervention was implemented online via WhatsApp and video calls, including structured health education on postpartum psychological changes, adaptive coping strategies, and the importance of social support. The intervention also included daily remote monitoring of the respondent's condition via the WhatsApp mobile application. The EPDS was administered as a pre-test and post-test to evaluate changes in the respondent's psychological condition. The findings showed a significant decrease in the EPDS score from 16 (moderate depression) to 6 (minimal depression), indicating significant psychological improvement. These results imply that integrating EPDS screening, structured health education, and daily monitoring is an effective and accessible community-based approach to preventing postpartum depression, particularly for mothers with limited mobility and access to health services.

Pregnant women with poor nutritional status or Chronic Energy Deficiency (CED) are at risk of health complications for both the mother and fetus, such as low birth weight (LBW). This study aimed to determine the relationship between pregnant women with CED and the incidence of LBW at RSUD Sultan Muhammad Jamaludin I. The study used a descriptive correlational design with a retrospective approach using secondary data from medical records. The population consisted of 330 respondents, selected by total sampling technique. Univariate and bivariate analyses (Chi-square test) were performed. Most respondents were under 35 years old (66.4%), primigravida (62.0%), in their third trimester (100%), and had tertiary education (54.2%). Most did not have LBW infants (91.8%), and most were not diagnosed with CED (24.1%). Chi-square analysis showed a significant correlation (p=0.001) with an Odds Ratio of 11.566, indicating that CED significantly influences the likelihood of LBW.

Iron deficiency is a common cause of anemia during pregnancy. The low consumption of Fe tablets is related to compliance with consumption. The purpose of this study was to determine the compliance of pregnant women taking iron tablets in the second trimester in Bukittinggi City. This was a qualitative study using a case study method. A purposive sampling technique was used, with the main informant being pregnant women in the second trimester in Baratan Village. Data were collected using interview techniques, observation, and documentation analysis and then validated using data triangulation, observer triangulation, theory triangulation, and method triangulation. The results of this study were analyzed based on data grouping. Testing data assumptions, alternative data explanations, and the results of the study were written. The compliance of pregnant women in taking Fe tablets shows the compliance of pregnant women in the second trimester in taking Fe tablets and how pregnant women know the benefits and impacts of not taking Fe tablets. Researchers know how long pregnant women take Fe tablets, and family support is a reinforcement for pregnant women if they forget when taking Fe tablets. Pregnant women who routinely have ANC will also receive Fe tablets from the midwife who checks for compliance with taking Fe is better when Fe tablets are also available. The opinion of researchers of primigravida pregnant women in the second trimester shows that the first, second, and third subjects are pregnant women in the second trimester who have experience taking Fe tablets. They reported the same complaints, namely nausea and vomiting after taking Fe tablets; even so, they remained obedient and routinely took Fe tablets every day, with and without being reminded by their families, they still routinely took Fe tablets. Some mothers understand the impact of not taking Fe tablets, namely, anemia and bleeding. During the interviews, all mothers said that they routinely checked their pregnancy every month with a midwife accompanied by their husbands.

Antenatal care is the midwifery care midwives provide to pregnant women before the baby's birth to ensure positive outcomes for both the mother and the baby. This care involves establishing a trusting relationship with the mother, detecting complications that could threaten life, preparing for the baby's birth, and providing health education for the mother. This descriptive study investigated pregnant mothers’ cognition of antenatal care at Midwifery Clinician Siti Nurjannah Ngemplak Demak by overviewing the object. This study's population consists of primigravida pregnant women in their third trimester taken with saturated sampling or total sampling, resulting in a sample of 40 primigravida pregnant women in their third trimester. The instruments used in this study include a questionnaire on pregnant mothers' cognition about antenatal care and the Maternal and Child Health (KIA) book for pregnant mothers. The researchers analyzed the data using univariate methods that include: the characteristics of pregnant women, knowledge of pregnant women about antenatal care, and the frequency of antenatal care visits. The research findings reveal that 20 respondents, or 50%, possess the majority of high school education characteristics. In terms of employment, 26 respondents, or 65%, are employed. Most respondents were aged 20–35 years. In terms of education level, they had an average level of cognition, with a frequency of 18 respondents (45%). When it comes to the frequency of visits by pregnant women, most respondents complied, with 26 respondents (65%) reporting a visit frequency. The research findings suggest that motivating pregnant women about the importance of knowledge and antenatal care visits is a recommended strategy.

Readiness for exclusive breastfeeding was important in supporting the development of newborns. Mrs. Priigravida does not know what influences the relationship in the readiness of exclusive breastfeeding. The purpose of this study is to find out the factors that affect the readiness to give exclusive breastfeeding to primigravida. This study uses a quantitative research method with a cross-sectional approach. The sample used was primigravida pregnant women in the Bangetayu Health Center working area of Semarang City. The number of respondents in this study was 50 people, with the technique used being total sampling. The data obtained were processed statistically using the spearmen rank correlation test. The results showed that the majority of respondents at the age of not at risk were 90%, the last education of high school/vocational school was 56%, mothers who were not working were 60%, knowledge of primigravida was high as 100%, family support was good as 98%, nutritional status of primigravida was high as 96%, and spiritual support of primigravida was high by 100%. The results of the statistical test obtained that the factor that most affects the readiness of exclusive breastfeeding in primigravida is spiritual support with a beta score of 0.582. There was a relationship between knowledge, family support, nutriall status, and spiritual support to readiness of exclusive breastfeeding in primigravida. The most powerful factor of influence is spiritual support.

Hypertension in pregnancy is one of the leading causes of maternal mortality, with a global prevalence of 5–10% (Khedagi & Bello, 2021). This study aims to analyze the effect of reproductive status—maternal age, gravidity, and parity—on the incidence of hypertension in pregnancy at Prof. Dr. Chairuddin P. Lubis Educational Hospital, Medan. A case-control design was employed with 96 respondents, consisting of 48 cases and 48 controls. Bivariate analysis revealed that pregnant women aged ≥35 years have a 2.839-fold higher risk of developing hypertension compared to those aged <35 years (OR=2.839; 95% CI: 1.123–7.177; p=0.027). First pregnancy (primigravida) increases the risk by 2.742 times compared to multigravida (OR=2.742; 95% CI: 1.047–7.178; p=0.040), while nulliparous women have a 2.714-fold higher risk compared to those who have given birth (OR=2.714; 95% CI: 1.101–6.693; p=0.030). Multivariate analysis identified maternal age ≥35 years and nulliparity as the most significant predictors (p=0.005). These findings align with studies by Wiranto & Putriningtyas (2021), Hinkosa et al. (2020), and Luo et al. (2020), which confirmed that advanced maternal age and nulliparity increase the risk of pregnancy complications. The novelty of this research lies in integrating all three reproductive status factors as simultaneous predictors of hypertension risk, providing a new perspective compared to previous studies focused on single variables. Based on these findings, early detection and targeted health education for high-risk mothers are strongly recommended.

Childbirth, whether through vaginal delivery or Cesarean section (CS), is a significant event often accompanied by psychological challenges such as anxiety, particularly among women undergoing CS. This quantitative study aimed to explore the correlation between spousal support and anxiety levels in 40 first-time CS candidates. Using purposive sampling, this research employed the Hamilton Anxiety Rating Scale (HARS) and the Spousal Support Questionnaire as measurement tools. The majority of respondents were aged 26-35 years (80%), in their third trimester of pregnancy (100%), primigravida (80%), and presented with indications for CS (65%). All respondents reported receiving supportive spousal support during their pregnancy. The study revealed that 70% of mothers experienced mild anxiety, with only 5% reporting moderate anxiety. Statistical analysis using the Spearman rank test demonstrated a significant relationship between spousal support and anxiety levels among first-time CS candidates (p = 0.034, p < 0.05). This suggests that higher levels of spousal support correlate with lower anxiety levels in expectant mothers undergoing CS. The findings underscore the importance of spousal support during pregnancy and childbirth, highlighting the need for partners to accompany and provide emotional support to mitigate anxiety. Future research should explore additional factors influencing anxiety and consider interventions to enhance support mechanisms for expectant mothers undergoing CS.

Continuity of care (COC) or sustainable care is the care provided by a midwife to clients or patients from pregnancy, childbirth, the puerperium, newborn care, and family planning. This study aimed to provide continuity of midwifery care for a primigravida pregnant woman, Mrs. D, at a midwife practice. A case study method was used. The subject was Mrs. D, G1P0A0. Data collection was carried out from September to December 2023. The results showed that during pregnancy Mrs. D complained of sleep difficulties, during childbirth there was bloody show, in the puerperium period milk production was insufficient, the baby had diaper rash, and for family planning she wanted to use the pill. Interventions provided were health education on third trimester discomforts, normal childbirth management with 60 steps of APN, oxytocin massage, and olive oil for the baby. In conclusion, continuity of midwifery care was provided for Mrs. D with oxytocin massage and olive oil interventions. Milk production increased and the baby's diaper rash reduced.

Introduction: Primigravida pregnant women are women who are pregnant for the first time. This first pregnancy causes discomfort during pregnancy that the pregnant mother can feel. Objective:  to determine the relationship between midwives' emotional support and the level of anxiety of primigravida mothers in the 1st stage of the process at Imelda Hospital in Medan. Materials and Methods: This research uses quantitative methods with bivariate test analysis and discrete statistics. Results: This study aims to determine the relationship between midwives' emotional support and the level of anxiety of primigravida mothers during the 1st stage. The total research sample was 40 respondents. The results of the analysis of the relationship between midwives' emotional support and the level of anxiety of primigravida mothers. 23 people (23%) did not receive support from midwives. The majority of the anxiety levels faced by pregnant women during the first stage of the process were moderately anxious, 22 people (55%). Conclusion: The characteristics of pregnant women respondents at RSU IPI showed that 28 people aged 21-30 years (70%) had high school education (28 people) (70%) did not receive support from a midwife as many as 23 people (23%) The level of anxiety faced by pregnant women During the first stage of the process, the majority had moderate anxiety, 22 people (55%). Emotional support and the level of anxiety showed that the majority who did not receive support experienced severe anxiety, namely 15 people. Those who received support only experienced moderate anxiety, 14 people.

Background Maternal Mortality Rate (MMR) is the main indicator for assessing the success of maternal health programs because of its sensitivity to improving health services, both in terms of accessibility and quality. Acceleration in reducing MMR can be achieved by improving health services for pregnant women in prenatal yoga classes which have the benefit of improving maternal health, both physical, mental and emotional. The aim of this research is to determine the relationship between maternal age, maternal employment and husband's support on maternal participation in prenatal yoga classes. Methode This research method is quantitative research with a cross sectional approach. The subjects were 42 primigravida. The sampling used was consecutive sampling. Data were collected using a questionnaire list, then the data was processed using the Chi Square test. Result The results of the bivariate test using the chi square test showed that there was a significant relationship between husband's support (p value = 0.009), there was no significant relationship between mother's age (p value = 0.559) and mother's employment (p value = 0.525) with the participation of primigravida pregnant women in taking prenatal yoga classes. Conclussion Husband's support is associated with mother's participation in prenatal yoga classes.    

Background: The number of pregnant women who experience anxiety before giving birth is rising year over year. Pregnancy in a primigravida produces both psychological and physical changes. Anxiety is one of the psychological factors that frequently manifests during pregnancy. Relaxation techniques can be used to manage anxiety; one such treatment is classical music therapy, which can lower anxiety levels. Purpose: Understanding the changes in anxiety levels among primigravida pregnant women in the third trimester at the Mojopurno Health Center. Methods: With each respondent receiving an intervention for 4 straight days, this application used a descriptive design on 2 female respondents and was conducted from April 18–21, 2023, in Munggut Hamlet, RT 12 RW 03 Munggut Village, Wungu District, Madiun Regency. The Hamilton Anxiety Rating Scale HARS observation sheet was the tool used to gauge the patient's degree of anxiety before and after therapy. Results: Before the two respondents' implementation, there was moderate anxiety, and after their implementation, there was mild anxiety or no worry. Conclusion: At the Mojopurno Health Center, the use of classical music therapy helps lower the degree of anxiety in third-trimester primigravida pregnant women.

Sectio caesarea (SC) is a surgical procedure performed to give birth to a baby. Caesarean sectio action can cause anxiety in preoperative mothers. Anxiety can cause discomfort, so therapy is needed to reduce anxiety levels. Giving lavender aromatherapy and lullaby classical music can reduce anxiety. This study aims to determine the effect of lavender aromatherapy and lullaby classical music on the anxiety level of preoperative sectio caesarea mothers at SMC Telogorejo Hospital. This type of research is a quasi experiment with a pretest-posttest design without a control group design, the consencutive sampling used is accidental, with a total sample of 40 respondents. The characteristics of the respondents were obtained by all respondents aged 20-30 years by 40 (100%), tertiary education by 30 respondents (75%), primigravida 21 respondents (52.5%). Wilcoxon test results, obtained a p-value of 0.000. So it can be concluded that giving lavender aromatherapy and lullaby classical music can reduce the level of anxiety in preoperative sectio caesarea mothers. For future research, it is expected to pay attention to the duration and the most effective time to reduce anxiety levels after being given an intervention.

Childbirth is a series of events when a baby is released from the mother's womb, followed by the release of the placenta and fetal membranes from the mother's body (Fitriana and Nurwiyandani, 2018). Experimental research method with a design that is Control group pre test-Post test. The population in this study were all primigravid postpartum patients without complications during the first active phase in the working area of ​​the Halilulik Health Center, Naitimu Village, West Tasifeto District, East Nusa Tenggara, Using a purposive sampling technique, a sample of 16 people was obtained with a distribution of 8 people for the back rubbing massage treatment using the Power Massager (group 1) and 8 people for the back rubbing massage treatment using the hands (group 2). The results showed that the back rubbing massage treatment using a power massager obtained an average decrease in pain of 2.375, while the treatment of back rubbing massage using hands obtained an average decrease in pain of 1.250, obtained P count of 0.0013 P <0.05, So it can be concluded that back rubbing massage using a power massager is more effective than using hands in reducing pain in primigravida in parturient patients in the active phase 1. In conclusion, back rubbing massage using a power massager is more effective in reducing pain in primigravid patients in labor in the first active phase.

Management of labor pain is an attempt to reduce MMR. Labor pain must be treated in an effective way because if the pain is accompanied by a stress reaction, it will have harmful side effects for the mother and also the fetus. The midwife at the Ngesrep Health Center has never used birth balls as an intervention to treat inpartu mothers. The purpose of this study was to determine the effect of using a birth ball on reducing labor pain in the active phase of the 1st stage. This type of research is a quasi-experimental design with one group pretest posttest design. The population in this study were all mothers with an estimated day of birth in July to August 2022 who will give birth at the Ngesrep Health Center Semarang. The sampling technique was purposive sampling and the number of samples was 31 people. Data collection tools used in this study include Standard Operating Procedures (SOP), Birth Ball Techniques, Numerical Rating Scale (NRS), Observation Sheets and birth balls with a diameter of 55 cm or 65 cm. Data analysis was carried out using the paired sample t test. The results of the study obtained a t value of 9.613 which means that every 1 time birth ball intervention with 4 movements for 30 minutes makes the primigravida have the potential to be 9.613 times to be able to reduce labor pain in the active phase of the 1st stage. The p-value is 0.000 <0.05, so the hypothesis (H0) is rejected and (Ha) is accepted, so it can be concluded that there is an effect of using birth balls on reducing labor pain in the active phase of the 1st stage of labor in primigravida at Ngesrep Health Center Semarang. For health services, it is expected that the use of birth balls can be used as an alternative to reduce labor pain in the active phase of the 1st stage of primigravida.

Family support is assistance that can be given to other families in the form of goods, services, information, and advice which makes the recipient of support feel loved and appreciated. In this case, family support will bring a sense of joy, security, satisfaction, and comfort that makes pregnant women feel emotionally supported which will affect their mental well-being. Objective: This study aims to determine the relationship between family support and anxiety in Primigravida pregnant women in the third trimester in the work area of  the Simeulue Tengah Health Center UPTD, Simeulue Regency. Method: This research method is an analytical survey with a cross-sectional approach with a sample size of 36 respondents using the total sampling technique. The study began on December 16-20, 2022. Results: Family support is in the sufficient category with 16 respondents (44.4%) and the level of anxiety in Primigravida pregnant women in the third trimester is in the moderate and severe categories, each with 12 respondents (33.3%). Conclusion: Based on the results of the study, it was found that there was a relationship between family support and anxiety levels in Primigravida pregnant women in the third trimester at the UPTD Simeulue Tengah Health Center, Simeulue Regency with a p-value = 0.043. Suggestion: It is hoped that medical personnel at the Health Center can provide counseling to families who have pregnant women.

Labor is the occurrence of the opening and thinning of the cervix and fetus into the birth canal which this process can cause anxiety. This study aims to apply husband assistance to reduce the anxiety felt by mothers with the length of the labor process at Kardinah Hospital, Tegal City. This research is a descriptive research with a case study approach. Research subjects are clients with primigravida or pregnancy for the first time who experience anxiety during the delivery process. The results of the case study research with husband assistance to reduce anxiety using the HARS Scale in patient 1 with a score of 34 after husband assistance experienced a decrease in anxiety to 20 and in patient 2 who previously experienced it with a score of 33 after husband mentoring experienced a decrease in anxiety to 21. Patients with Anxiety when facing the length of the labor process requires assistance from the husband which aims to reduce the anxiety felt by the mother during the delivery process.    

Salah satu masalah kesehatan global dan faktor penting dalam keberhasilan program kesehatan ibu adalah Angka Kematian Ibu (AKI).  Di Indonesia rasio  AKI  sebesar  177  per  100.000 kelahiran hidup pada 2017. Studi kasus ini menggunakan desain observasional deskriptif yang menilai derajat atau tingkat kecemasan pada ibu hamil primigravida trimester ketiga pada ibu Ny. S dengan hamil primigravida trimester ketiga di Klinik Bidan Sartikam Manurung pada 23 Februari sampai Maret 2020. Dimana subjek penelitian merupakan ibu hamil primigravida trimester ketiga. Masalah yang dialami Ny. S, ibu cemas terhadap kehamilannya dikarenakan menghadapi persalinannya. Asuhan kebidanan ibu hamil trimester tiga dengan kecemasan menghadapi persalinan, disarankan kepada Ny. S untuk tetap menjaga pola nurtisinya dengan mengkonsumsi makan makanan bergizi, minum banyak baik berupa susu maupun air putih (8-10 gelas/hari) atau 1 liter susu perhari untuk meningkatkan kekuatan ibu. Setelah melakukan asuhan kebidanan pada ibu hamil Ny. S Usia 33 tahun, G1P0A0  tidak didapatkan kesenjangan antara teori dan praktek secara langsung dilapangan.    

Mual dan muntah merupakan gangguan yang paling sering dijumpai pada kehamilan dan dikeluhkan oleh 50-70% wanita hamil dalam 16 minggu pertama. Kurang dari 60% wanita hamil trimester mengalami mual dan 44% mengalami muntah. Mual dan muntah terjadi pada 60-80% primigravida dan 40-60% terjadi pada multigravida. Satu diantara seribu kehamilan gejala-gejala lain menjadi berat. Tujuan penelitian untuk melaksanakan Asuhan Kebidanan Kehamilan Dengan Hiperemesis Gravidarum Grade I sesuai teori manajemen kebidanan menggunakan pendokumentasian dengan 7 Langkah Varney. Jenis penelitian ini adalah deskriptif yaitu suatu jenis penelitian yang dilakukan dengan tujuan utama untuk membuat gambaran tentang suatu keadaan secara obyektif. Berdasarkan hasil studi kasus yang telah dilakukan asuhan telah didapatkan pada kunjungan pertama yaitu ibu mengalami mual dan muntah serta merasakan lemas dan ibu sudah mengerti serta bersedia melakukan semua pendidikan kesehatan yang diberikan sampai ibu bersalin nanti.pada kunjungan kedua tekanan ibu merasakan mual dan muntahnya sudah berkurang pada kunjungan ketiga mual dan muntah ibu sudah berkurang dan ibu tidak merasakan lemas lagi dan nafsu makan ibu sudah mulai ada dan keluhan yang dirasakan sudah berkurang. Disarankan bagi Petugas Kesehatan untuk memberikan asuhan sesuai dengan kewenangannya, untuk itu manajemen kebidanan perlu dikembangkan karena merupakan alat mendasar bagi bidan untuk memecahkan masalah ibu (klien) dalam berbagai kasus.    

Rasa cemas selama kehamilan khususnya pada periode trimester ketiga disebut dengan sindrom persalinan (childbirth syndrome), sindrom persalinan ini dapat berupa ketakutan akan proses persalinan dan bagaimana keadaan bayi yang akan dilahirkan dan hal ini lebih sering terjadi pada primigravida. Kecemasan yang dialami primigravida dapat dikurangi dengan berbagai cara salah satunya yaitu dengan hidroterapi. Salah satu bentuk hidroterapi yaitu rendam kaki dengan air hangat. Penelitian ini bertujuan mengetahui pengaruh hidroterapi terhadap tingkat kecemasan menghadapi persalinan pada ibu primigravida di Kecamatan Seram Utara Barat. Penelitian ini menggunakan Quasi Experimental dengan desain one grup pretest posttest design. Sampel diambil secara purposive sampling sebanyak 15 responden. Alat penelitian menggunakan lembar kuesioner Hamilton Anxiety Rating Scale. Data dianalisis menggunakan uji Paired T-test. Hasil penelitian menunjukkan ada pengaruh hidroterapi terhadap tingkat kecemasan menghadapi persalinan pada ibu primigravida di Kecamatan Seram Utara Barat dengan p value 0,001 < 0,05. Kesimpulan: tekhnik hidroterapi (rendam kaki dengan air hangat) dapat mengurangi tingkat kecemasan primigravida dalam menghadapi persalinan di Kecamatan Seram Utara Barat.

Menurut Kementrian Kesehatan RI tahun 2020 jumlah angka kematian ibu (AKI) di Indonesia masih  cukup tinggi sebanyak 4.627 kasus kematian ibu. Jumlah ini menunjukan peningkatan dibandingkan tahun 2019 sebesar 4.221 kasus kematian ibu dan angka kematian bayi (AKB) sebanyak 72,0% atau 20.266 kasus (Profil Kesehatan RI, 2021). Puskesmas Bantarkawung salah satu naungan Kabupaten Brebes yang berada di Jawa Tengah menyumbang AKI sebanyak 2  kasus dan AKB sebanyak 2 kasus pada tahun 2020. Salah satu upayanya dengan melakukan asuhan kebidanan komprehensif dengan pendekatan continuity of care yang dilakukan mulai pada ibu dalam masa kehamilan, persalinan, nifas, bayi baru lahir dan KB. Peneliti mengimplementasikan asuhan kebidanan secara komprehensif  menggunakan pendokumentasian Varney dan SOAP. Penelitian ini jenis kualitatif dengan pendekatan stady kasus dengan wawancara terhadap 1 informan utama yaitu Ny. R. Informasi tambahan 1 bidan koordinator, 1 keluarga pasien dan 1 informan triangulasi yaitu seksi Kesehatan Keluarga Dinas Kesehatan Kabupaten Brebes. Pada kunjungan I kehamilan ditemukan masalah yaitu kekurangan energi kronik (KEK) dengan LILA 22,5 cm dan telah diberi asuhan tentang gizi seimbang tinggi kalori dan tinggi protein. Setelah dilakukan 3 kali kunjungan mengalami kenaikan LILA 1,3 cm sehingga menjadi 23,8 cm. Proses persalinan tidak ditemukan masalah dan asuhan persalinan dilakukan dengan 60 langkah APN serta asuhan bayi baru lahir dengan hasil normal juga. Pada masa neonatus ditemukan masalah ikterus fisiologis sedangkan masa nifas normal dan Ny.R memutuskan menggunakan KB suntik 3 bulan