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Journal of Midwifery

jom
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Published by Universitas Andalas

ISSN : - EISSN : 25983180 DOI : -

Core Subject : Health, Social,

Medicine & Pharmacology Social Sciences

The Journal of Midwifery (JoM) is a scientific periodical/journal maintained by Undergraduate Program of Midwifery, Faculty of Medicine, Universitas Andalas, Padang, Indonesia. This journal provides a venue for the publication of research relevant to midwives, midwifery practice and education. It publishes quantitative and qualitative original research articles, review articles, short communications, and case reports in a broad range of clinical and education including sexual and reproductive health, full spectrum of midwifery from antenatal and intrapartum care, to the postpartum period, including issues of neonatal care, family planning, menopause, women’s empowerment and reproductive rights.

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Articles 172 Documents

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Correlation of Percentage of Body’s Fat of Breasfeeding Mother to Aterm Infant With Fat Content and Breast Milk Protein Rosmaria Rosmaria
Journal of Midwifery Vol 3, No 2 (2018): Published on December 2018
Publisher : Universitas Andalas

Maternal nutritional status is very important to be prepared properly because it correlates with breast milk production, quality and quantity of breast milk component and it has an important role to succesfully achieve breastfeeding that its indicators can be measured based on the duration of exclusive breast milk, infant development. Various studies show that there were positive relations of maternal nutritional status to breastfeeding performance and infant development.The method of this study applied cross sectional, with correlative study type to 48 postpartum mothers who breastfeed with exclusive breast milk to their infants aged 1-3 months. The study was conducted at work area of Belimbing Public Health Center and Central General Hospital of M Djamil from October to June 2016. The samples weere selected based on probality Sampling. The measurement of the percentage of body’s fat of breastfeeding aterm infant applying Bioelectrical Impedance Analysis (BIA). The measurement of fat content and breast milk protein with Human Milk Analizer Data Analysis of regression linear and Spearman.The results of the study show that there was a weak negative correlation and significant between the percentage of body’s fat of breastfeeding mother to aterm infant of breast milk fat content (r = - 0.33 ; p = 0.02). There was a very weak negative correlation and insignificant of breast milk protein content (r = - 0.33 ; p = 0.02).In conclusion, the higher the percentage of body’s fat of breastfeeding mother the lower of fat content and breast milk protein

Pengaruh Pendidikan Kesehatan Metode Peer Education Mengenai Skrining Prakonsepsi Terhadap Pengetahuan Dan Sikap Wanita Usia Subur Di Wilayah Kabupaten Agam Tahun 2016 Yulizawati Yulizawati; lusiana Elsinta Bustami; Ayu Nurdiyan; Detty Iryani; Aldina Ayunda Insani
Journal of Midwifery Vol 1, No 2 (2016): Published on December 2016
Publisher : Universitas Andalas

Latar Belakang.Kesehatan prakonsepsi merupakan bagian dari kesehatan secara keseluruhan antara perempuan dan laki-laki selama masa reproduksinya yang berguna untuk mengurangi risiko dan mempromosikan gaya hidup sehat untuk mempersiapkan kehamilan sehat dan meningkatkan kemungkinan memiliki bayi yang sehat. Tujuan penelitian ini adalah untuk mengetahui pengaruh pendidikan kesehatan dengan metode peer education mengenai skrining prakonsepsi terhadap pengetahua dan sikap wanita usia subur.Penelitian ini merupakan studi quasi eksperimental dengan rancangan pretest-posttest design. Instrumen yang digunakan yaitu kuesioner. Dilakukan pendidikan kesehatan dengan metode peer group pada kelompok intervensi, dan pada kelompok kontrol tidak dilakukan. Data dianalisa menggunakan uji t-test, dan nilai p<0.05 dianggap bermakna secara statistik.Rerata pengetahuan posttest pada kelompok intervensi sebesar 6,61+1,59 dan pada kelompok kontrol sebesar 6,23+1,31. Rerata sikap pada kelompok intervensi sebesar 26,71+ 4,81 dan pada kelompok kontrol sebesar 29,97+2,51. Terdapat perbedaan yang bermakna pada sikap WUS di kelompok intervensi dan kelompok kontrol dengan p value 0,010 (<0,05). Tidak terdapat perbedaan bermakna antara pengetahuan WUS pada kelompok intervensi dengan kelompok kontrol dengan p value > 0,05.Dari hasil penelitian dapat disimpulkan bahwa pendidikan kesehatan dengan metode peer education berpengaruh terhadap peningkatan sikap WUS mengenai skrining pranikah. Perlu adanya sosialisasi berkelanjutan tentang pentingnya skrining pranikah pada calon pengantin.

Analysis of Factors Related to Midwife's Performance in Filling the "Poedji Rohyati" Score in Early Detection of High Risk Pregnancy atPublic Health Center of Lima Puluh Kota District Liza Andriani; Yuniar Lestari; Erwani Erwani
Journal of Midwifery Vol 3, No 1 (2018): Published on June 2018
Publisher : Universitas Andalas

One indicator that determines community health status is mortality. Midwives as the spearhead of antenatal care must be able to prevent maternal mortality rates (AKI) by increasing their performance in providing antenatal services in accordance with standards. One attempt to prevent AKI is by early detection of high-risk pregnancy using the PoedjiRohyati score card (KSPR). Midwife's performance is influenced by several factors, namely individual, organizational and psychological factors. This study aims to analyze the factors related to the performance of midwives in filling the PoedjiRohyati score card on early detection of high-risk pregnancies in the Lima Puluh Kota District Health Center. This study uses a combination of quantitative and qualitative methods. Quantitative research samples were 74 respondents, data collection was carried out from January to February 2018 with interview techniques using questionnaires and observation sheets. While the qualitative research informants were the Head of Community Health and Nutrition, the head of the puskesmas and the midwife coordinator of the Piladang, Taram, Koto BaruSimalanggang and TanjungPati health centers. The results of the study prove that the factors associated with the performance of midwives in filling in the KSPR include the level of knowledge (p = 0.031), attitude (p = 0.004), motivation (p = 0.020) and supervision (p = 0.025). The factors that are most related to the performance of midwives in filling in KSPR are attitudes (p = 0.006). Based on the research, it can be concluded that the midwife will have a good performance in filling in the KSPR if it is based on a high level of knowledge, a positive attitude, high motivation, periodic supervision and supported by complete facilities.

Association Between Mother Factors With Prelacteal Feeding Practice To Newborn In Working Area Of Air Dingin Primary Health Center 2017 Yunita Chairani; Yuniar Lestari
Journal of Midwifery Vol 2, No 2 (2017): Published on December 2017
Publisher : Universitas Andalas

The maintenance of infant health can be done by early and exclusive breastfeeding. However, exclusive breastfeeding has not been achieved. This may be due to the administration of prelakteal foods. Prelacteal feeding practice define as administration of food/drink despite of breastmilk without indication to newborn during the first three days without any medical indication. The purpose of this study is to determine the association between maternal factors with prelakteal feeding to newborns in the working area of Air Dingin Primary Health Center. This study was an analytical study with cross sectional design with a sample of mothers who have babies aged 0-12 months in the working area of Air Dingin Primary Health Center. This study was conducted from November 2016 to October 2017. Data will analyze using chi square analysis (p <0.05). A total of 63% of mothers administrated prelakteal foods. The result revealed p-value between prelakteal feeding and maternal knowledge (p = 0,03), parity (0,037) and mother’s job status (p = 0,771). There was a significant relationship between maternal knowledge and parity with prelakteal feeding. It is necessary to provide information to the mother by health workers and to increase mother awareness to get information from KIA book. As well as a concern on primipara mothers.

The Relationship Between The Level of Maternal Knowledge, Maternal Employment Status and Family Support With Exclusive Breastfeeding in The Working Area of The Air Dingin Health Center of Padang City in 2018 Dian Hidayah Putri; Masrul Masrul; Lisma Evareny
Journal of Midwifery Vol 3, No 2 (2018): Published on December 2018
Publisher : Universitas Andalas

In order to reduce infant morbidity and mortality, UNICEFand WHO recommend exclusive breastfeeding for six monthsbecause ASI has many health benefits for babies and containsall the nutrients needed by baby. The lowest coverage ofexclusive breastfeeding in Padang City is in the working areaof Puskesmas Air Dingin. The purpose of this study was todetermine the relationship between the level of maternalknowledge, maternal employment status and family supportwith exclusive breastfeeding in the working area of the AirDingin Health Center. Analytic research withdesign was cross sectionalconductedin the working area of Air Dingin Health Center from June2018 to July 2018. The sample in this study were mothers whohad infants aged> 6-12 months as many as 56 people. Mothersas respondents were interviewed directly using a questionnaire.Data analysis was univariate and bivariate usinganalysis chisquare(p5 0.05).The results showed that the percentage of exclusivebreastfeeding was 51.8%. Theanalysis results chi-squareshowed that the p value between exclusive breastfeeding andthe level of maternal knowledge (p = 0.010), maternalemployment status (p = 1,000), and family support (p = 0.021). There was a significant relationship between the level ofmother's knowledge and family support with exclusivebreastfeeding, while the mother's employment status did nothave a significant relationship with exclusive breastfeeding. Itis hoped that mothers can maintain and improve exclusivebreastfeeding.

Relationship of Continuity of Midwifery Care During Antenal With Birth Preparedness in Working Area of Seberang Padang Public Health Center 2017 Rizka Sriyouni; Lusiana El Sinta; Aldina Ayunda Insani
Journal of Midwifery Vol 2, No 1 (2017): Published on June 2017
Publisher : Universitas Andalas

Continuity of midwifery care (CoC) is one of midwifery care that’s given by the same midwife during antenatal care to get birth preparedness. Birth preparedness includes recognize danger signs, identifying skilled birth attendant, identifying birth location, saving money, arranging for transportation and identifying blood donors. The objective of this study was to know the relationship of CoC during antenal with birth preparedness in working area of seberang padang public health center 2017.This study is An observational analitycs with cross sectional design to 58 respondents in working area of Seberang Padang Public Health Center during December 2016 – September 2017 that are taken with consecutive sampling technique. Data collection by using a validated questionnaire and MCH book observation. Data were analyzed using Chi-square.From the results of the study there are 51.7% respondents who did CoC during ANC and 41.4% considered being prepared in birth preparedness. The result of statistic test showed that there is relation between CoC during antenatal and birth preparedness (p=0,001; OR=8,250; 95%CI 2,541-26,781). So it can be concluded that There is relation between CoC during antenatal and birth preparedness

Correlation of Calcium Levels With The Strenght of Uterus Contraction on The Active Phase of First Stage Labor Novia Rita Aninora; Joserizal Seridji; Meilinda Agus
Journal of Midwifery Vol 3, No 2 (2018): Published on December 2018
Publisher : Universitas Andalas

Contributing factor to uterus contraction mechanism is the imbalance of the extracellular calcium level. When extracellular calcium level is inadequate, response of the myometrium to oxytocin decreased and the calcium influx inter-cell membranes are suppressed, thus inhibit uterine contractions. The aim of this research is to know the correlation between levels of calcium and the strength of uterine contraction in the active phase of first stage labor. This was a cross-sectional analytic correlative study in the Dr. Rasidin Hospital Padang and UPTD Health Laboratory in West Sumatra province, in was conducted from November 1st, 2014 till February 2016. Sampling was takes by using non probability sampling with consecutive sampling. Subjects of this research were the active phase of first stage labor of 62 people. Kolmogorof Smirnov normality test was used to the normality of the data. Pearson correlation test was conducted to examine the correlation between dependent and independent variables. Mean levels of calcium in the the stage I of labor respondents active phase (8.94 ±0,71), while mean strength of uterine contractions in active phase of first stage labor(56.77±11,84), there was positive correlation (r = 0,62) between the levels of calcium in the strength of uterine contractions (p < 0.05). The conclusion of the study there was a significant correlation between the levels of calcium in the strength of uterine contractions.

Effect of Stimulation to Grow Baby in Bukittinggi City in 2018 Wiwit Fetrisia; Aisyah Elyanti; Yantri Maputra
Journal of Midwifery Vol 3, No 1 (2018): Published on June 2018
Publisher : Universitas Andalas

The initial stage of a human's life in infancy is considered important because at this time the foundations of personality are laid down which will give color when they grow up. The role of parents is very necessary in providing early stimulation. Stimulation is stimulation that comes from the baby's outer environment. The baby health service coverage in 2014 in Bukittinggi was 88.4%, lower than Padang city as much as 90.6%. It is known that the number of infants aged 0-1 years in Padang city amounted to 3,498 people, while in Bukittinggi city only 629 people. Supposedly with a small number of infants achieving early detection of infant growth and development is better than the number of babies in a larger city. The design of this study was a quasi-experimental design with two group pretest-posttest with the control group to identify the effect of stimulation on infant growth and development before and after the intervention, which was carried out from November 2017 - August 2018, in the environmental health center of Bukittinggi City Health Office. The population is infants with ages 0 - 6 months, and the number of samples taken is 46 people. The results of the study carried out with the Wolcoxon test, obtained there were differences in development before and after the intervention was given to the intervention group p = 0,000, there was a development difference in the control group p = 0.014, there were differences in growth before and after the intervention p = 0.000, there was no difference growth in the control group p = 0.083. It can be concluded that stimulation plays a role in preventing delays in growth and development in infants 0-6 months. From this study health workers can socialize about how to stimulate babies to mothers for early prevention of growth and development disorders in infants.

Penerapan Pendidikan Interprofesi Dalam Pendidikan Profesi Bidan Ayu Nurdiyan; Yulizawati Yulizawati; Lusiana Elsinta Bustami; Detty Iryani; fitrayeni fitrayeni; Aldina Ayunda Insani
Journal of Midwifery Vol 1, No 1 (2016): Published on June 2016
Publisher : Universitas Andalas

Pendidikan kesehatan merupakan bagian penting dalam pembangunan kesehatan. Bidan adalah salah satu tenaga kesehatan yang ada dalam sistem kesehatan dan memiliki posisi penting/ strategis dalam penurunan AKI dan AKB, serta peningkatan kesejahteraan. Untuk menyiapkan bidan yang tanggap terhadap situasi terkini dan dapat mengatasi berbagai situasi kompleks yang dihadapi perempuan sepanjang siklus reproduksinya, dibutuhkan bidan yang mampu berpikir kritis, melakukan analisis-sintesis, advokasi dan berjiwa kepemimpinan yang hanya dapat dihasilkan oleh sistem pendidikan tinggi kebidanan yang berkualitas dan mampu berkembangan sesuai kemajuan zaman. Dalam hal ini, bidan harus dapat bekerja dalam tim dan berkolaborasi dengan profesi kesehatan lain. Standar kompetensi profesi Bidan menjelaskan bahwa Bidan harus mampu menjalin kerjasama dengan tim kesehatan dalam meningkatkan derajat kesehatan perempuan dan masyarakat. Kajian ini bertujuan untuk menganalisis penerapan pendidikan interprofesi dalam kurikulum pendidikan profesi Bidan. Metode yang digunakan dalam kajian ini adalah dengan melakukan analisis dan kajian pustaka terhadap beberapa referensi yang mendukung. Beberapa referensi dikutip dan dikaji kemudian dibuat analisisnya terkait dengan topic kajian ini. Standar pendidikan profesi Bidan Indonesia menjelaskan bahwa Institusi Pendidikan Profesi Bidan (Akademik-Profesi) memiliki kebijakan untuk melakukan kerjasama dengan berbagai institusi lain, profesi lain yang terkait, wahana praktik klinik dan komunitas, organisasi profesi, dan mitra kerja luar negri. Program studi S1 Kebidanan FK – Unand dalam hal ini, untuk penerapan pendidikan interprofesi dilakukan pada tahap profesi sedangkan dalam tahap akademik, belum ada penerapan langsung berdasarkan kurikulum sehubungan dengan pendidikan interprofesi. Pendidikan profesi Bidan di Maastricht University dalam hal ini telah menerapkan pendidikan interprofesi sejak tahap akademik sampai tahap profesi. WHO dalam rekomendasinya tentang pendidikan interprofesi dan kolaborasi interprofesi dalam praktik menjelaskan tiga kunci penting dalam melaksanakan kolaborasi interprofesi dalam praktik yaitu adanya dukungan institusi, tanggap budaya, dan adanya lingkungan yang mendukung. Penerapan pendidikan interprofesi dalam pendidikan profesi Bidan di Indonesia perlu diintegrasikan dalam kurikulum yang sudah ada sehingga dapat memenuhi standar pendidikan Profesi Bidan dan Standar Kompetensi Profesi Bidan Indonesia.

BONE DENSITY OF THE LUMBAR SPINE L1-L4 AND FEMUR NECK ON CHILDBEARING AGE WOMAN WHO ARE IMPLANT AND NON HORMONAL CONTRACEPTIVES ACCEPTORS. Kuswati Kuswati; Rohmi Handayani
Journal of Midwifery Vol 3, No 1 (2018): Published on June 2018
Publisher : Universitas Andalas

mplant contraception is one type of contraceptive in the form of an implant made of silastik rubber containing the progestin hormone (levonogestrel) attached to the upper arm. This contraceptives are effective enough to prevent pregnancy in long-term with a lifetime of 3 years for 2 sticks and 1 stick implant. The main principle of levonorgestrel implants was to inhibite the ovulation resulting suppression of estrogen production. Estrogen is one of the important factors in bone remodeling. This becomes our concerns about the effect of implant use on the bone health status of the acceptors. The objective of this study is to determine mean difference of bone mineral density of the Lumbar Spine L1-L4 and Femur Neck on childbearing age woman who are implant acceptors and non hormonal family planning acceptors.This study was analytic survey with cross sectional design. The population in this study were all childbearing age woman in the work area of South Klaten Public Health Center. The sample were 30 people using purposive sampling. Data analysis was performed using Unpaired T-test with p ≤ 0,05. The result of examination on implant acceptor group totaling 15 people shown that the average of T-Score Lumbar Spine L1-L4 bone density was 0,51 and T-score of Femur neck bone was 0,1. While the results of bone density examination in the group of acceptor non hormonal totaling 15 people shown that the average value of T-score Lumbar Spine L1-L4 was 0.72, whereas the mean value of T-score of femur neck bone was 0.06. Unpaired T-Test statistic test for difference of bumble density of Lumbar Spine L1-L4 and Femur Neck between the two groups obtained P value 0.611 and 0.889 (P> 0,05). So there is no statistically significant difference between Lumbar spine L1-L4 and Femur neck bone density on childbearing age woman who are non-hormonal and implant acceptors. Keyword: Bone density, Lumbar Spine L1-L4, Femur neck, Implant, non hormonal Contraceptive

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