Jurnal Kebidanan dan Kesehatan Tradisional
Jurnal Kebidanan Dan Kesehatan Tradisional (e-ISSN: 2580-5207, p-ISSN: 2502-7093) is a midwifery and traditional therapy journal which publishes scientific works for academics, and practitioners. Jurnal kebidanan dan kesehatan tradisional is a open access, welcomes and invites original and relevant research articles in midwifery and traditional therapy, as well as literature study and case report particularly in midwifery and traditional terapist. It is an midwifery and traditional therapy journal which publishes scientific works for academics, and practitioners. Jurnal kebidanan dan kesehatan tradisional welcomes and invites original and relevant research articles in nursing, as well as literature study and case report particularly in midwifery and traditional therapy. The journal is published twice a year in March and September. Jurnal Kebidanan dan Kesehatan Tradisional welcomes and invites researchers from around the world to submit their papers (original research article, systematic review, and case study) for publication in this journal. All papers are published as soon as they have been accepted. Publisher of Jurnal Kebidanan Dan Kesehatan Tradisional is Poltekkes Kemenkes Surakarta. ACCREDITATION: RE-ACCREDITATION RESULT Start from September 2020, Based on Excerpts and Decrees of the Minister of Research and Technology / Head of the National Research and Innovation Agency, with Number: B / 1796 / E5.2 / KI.02.00/ 2020, Jurnal Kebidanan dan Kesehatan Tradisional has accredited SINTA 3 (3rd Grade Journal). The Accreditation is valid until 2024. EDITORIAL: ENGLISH LANGUAGE Since Vol. 6 No. 1 March 2021, Jurnal Kebidanan dan Kesehatan Tradisional only receives full-text manuscript in ENGLISH. Thank you.
Effects of Green Tea Extract (Camellia sinensis L.) on Blood Biochemical Parameters in Paracetamol-Induced Wistar Rats
Background: Paracetamol is one of the analgesics and antipyretics that are widely traded freely, so it is possible that the use is not according to the recommended dose and consumption time. This can trigger liver damage and changes in blood biochemistry. Green tea has components such as antioxidants, anti-inflammatories, and hepatoprotectors. The study aimed to analyze the effect of green tea extract on the blood biochemistry of rats induced by paracetamol. Methods: Laboratory experimental research with the Post-Test Control Group Design method, using 25 male Wistar rats, applying random sampling. Twenty-five rats were divided into 5 groups: K- (control), K+ (positive control), and treatment groups with green tea extract, respectively 175 mg (T1), 350 mg (T2), and 700 mg/kg bw (T3) for 24 days. The treatment group and K+ received paracetamol 600 mg/kg bw on the 14th day for 10 days, and green tea extract was still given. Data, including aspartate aminotransferase (AST), alanine aminotransferase (ALT), triglycerides (TG), total cholesterol, and leukocyte counts, were analysed using ANOVA and the Least Significant Difference (LSD) test. Results: GTE significantly (p-value <0.05) reduced leukocytes and AST, but inadequate paracetamol induction failed to elevate ALT and lipids, masking GTE’s measurable impact on those specific biochemical parameters. Conclusion: Providing green tea extract was effective in declining the number of leucocytes and AST levels. The study concluded that green tea extract has the potential to influence the biochemical profile of rats induced by paracetamol. Further research is needed regarding the dose and period of administration and exposure.
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Parenting Styles and Eating Behaviors Among Stunted Toddlers
ABSTRACT Background: Stunting remains a significant public health challenge in Indonesia, affecting 21.6% of children under five. While nutritional interventions are commonly implemented, the role of parenting styles in shaping eating behaviors among stunted children requires further investigation. This study explored how different parenting approaches relate to eating behaviors in stunted toddlers. Methods: A cross-sectional study was conducted using a consecutive sampling technique, involving 132 mothers with stunted toddlers aged 24–59 months at Kalijaga Permai Community Health Center, Cirebon City, between February and May 2025. Parenting styles were measured using the Parenting Styles Four Factor Questionnaire (PS-FFQ), while eating behaviors were assessed through a validated 6-item questionnaire. Spearman’s rank correlation was applied to analyze the relationships between parenting styles and eating behaviors. Results: Findings revealed that authoritarian parenting was most common (38.7%), followed by democratic (26.5%), permissive (25.0%), and uninvolved (9.8%) parenting styles. Nearly seven out of ten children (68.2%) exhibited problematic eating behaviors. Democratic parenting demonstrated the strongest positive relationship with healthy eating patterns (r=0.681, p<0.001). In contrast, authoritarian parenting showed a moderate negative association (r=-0.428, p<0.001), while permissive parenting displayed a weak negative correlation (r=-0.215, p=0.013). Uninvolved parenting showed no significant relationship with eating behaviors (r=-0.013, p=0.885). Conclusion: Parenting styles are meaningfully associated with eating behaviors among stunted toddlers, with democratic parenting showing the strongest connection to healthier eating patterns. These findings suggest that stunting prevention programs should integrate parenting education focused on responsive feeding practices alongside traditional nutritional interventions.
Optimizing Hemoglobin Levels in Adolescent Girls Using Iron Tablets and Mung Bean Juice
Background: Anemia is predominantly attributed to blood loss, particularly in adolescent girls during menstruation, and insufficient consumption of iron-rich foods. Iron-rich food sources include almonds, leafy greens, and red meat. Pharmacological interventions to address low hemoglobin levels in teenagers included the weekly intake of iron tablets, whilst non-pharmacological strategies involved the daily ingestion of mung bean juice. This study sought to assess the impact of iron tablet and mung bean juice administration on hemoglobin level enhancement in adolescent girls at a Junior High School in Samarinda. Methods: The research employed a quasi-experimental approach featuring a nonequivalent control group. The sampling strategy employed a non-probability method via purposive sampling. The researcher established the sampling according to the inclusion and exclusion criteria utilizing the Federer formula, resulting in 18 individuals in both the control and intervention groups. The treatment group received mung bean juice for a duration of 14 days. A paired T-test was used to analyze the difference in hemoglobin levels before and after therapy. Results: The analysis produced a p-value < 0.001, which is less than 0.05, leading to the conclusion that the intervention group exhibited a greater increase in hemoglobin levels compared to the control group. Conclusion: The administration of Fe tablets and mung bean juice effectively increased hemoglobin levels in teenage girls at the Junior High School in Samarinda. Regular administration of iron tablets and mung bean juice is recommended as a measure to increase hemoglobin levels in adolescent girls.
Anemia Awareness and Iron Supplement Adherence Among Adolescent Girls in East Kalimantan
Background: Anemia remains a prevalent health issue among adolescent girls, often resulting from menstrual blood loss and insufficient iron intake. Globally, anemia prevalence among adolescents ranges from 40 to 88%. In Indonesia, the rate is 32%, while in East Kalimantan it reaches 43.2%. At Senior High School 3 Penajam Paser Utara, 57.14% of female students were identified as anemic. This condition may impair health, reduce learning concentration, and increase the risk of pregnancy complications in later life. This study aimed to analyze the association between anemia awareness and adherence to iron supplement consumption among adolescent girls at Senior High School 3 Penajam Paser Utara, East Kalimantan Methods: A cross-sectional study with a descriptive-analytic design was employed, involving 74 adolescent girls through simple random sampling. Data were collected using the Morisky Medication Adherence Scale (MMAS) questionnaire, and statistical analysis was performed with the Chi-square test. Results: Among the 74 respondents, 53 (71.6%) demonstrated low awareness of anemia, and 55 (74.3%) were non-adherent to iron supplement consumption. The Chi-square test revealed a significant association between anemia awareness and adherence (p = 0.001 p < 0.05). Conclusion: Adolescent girls with higher awareness of anemia were more likely to adhere to iron supplement consumption compared to those with lower awareness.
Fitamia Powder Drink as a Functional Food to Increase Hemoglobin Levels in Anemic Adolescent Girls
Background: The low interest in consuming Fe tablets is one of the factors that causes the standard management of anemia in adolescent girls to still not be optimal. Fitamia is a powdered drink combining carrot and ginger which aims to attract teenagers' interest in consuming functional drinks which have the potential to increase hemoglobin levels. The aim of the research is to analyze the effectiveness of Fitamia powder drinks in improving anemia in adolescent girls. Methods: This research uses a quantitative approach in the form of a randomized experiment with a pretest and posttest with control group design. Sampling used a multistage sampling technique. Data analysis used paired t-test, independent t-test, N-Gain percent, and Mann-Whitney. Results: Fitamia powder drink increased hemoglobin levels on the 31st day (p-value < 0.001) and on the 45th day (p-value < 0.001). The acceptability of Fitamia powder drinks is higher than Fe tablets in terms of color (p-value 0.007), aroma (p-value 0.011), taste (p-value <0.001) and lower gastrointestinal effects compared to Fe tablets (p-value < 0.001). Conclusion: Fitamia powder drink can increase hemoglobin levels in young women. The acceptability of Fitamia powder drink products is higher than Fe tablets and causes lower gastrointestinal effects than Fe tablets. Fitamia powder drink is recommended as an alternative iron supplementation for young women due to its effectiveness in increasing hemoglobin levels, higher acceptability, and fewer gastrointestinal side effects.
Copyright (c) 2025 Jurnal Kebidanan dan Kesehatan Tradisional
Breastfeeding Self-Efficacy Related to Postpartum Depression Tendency
Background: Postpartum depression (PPD) is a psychological disorder that is related to insecure relationships, mother-child bonding disorders, and also has an impact on increasing the risk of maternal suicide. Breastfeeding self-efficacy (BSE) is related to physical and psychological adjustment in postpartum mothers and is one of the factors that can influence postpartum depression, plus breastfeeding is one of the main tasks of every postpartum mother. The purpose of this study was to analyze the relationship between breastfeeding self efficacy and tendency of postpartum depression at PMB S Blimbing District, Malang City, Indonesia. Methods: The study had used correlational analytic design with a cross sectional. The number of samples were 48 people, done by quota sampling technique. The tool of collecting data was questionnaire by Breastfeeding Self Efficacy Scale-Short Form (BSES-SF) and Edinburgh Postnatal Depression Scale (EPDS). Analysis data procedure was using spearman correlation test. Results: Data showed the age range of respondents were 20-35 years(83.3%); senior high school (50%); not working (75%); multipara (77.1%); high breastfeeding self efficacy (66.7%); not tendency of postpartum depression (81.2%); and respondent with high BSE who experienced not tendency of PPD (66.6%). The result showed there was a relationship between breastfeeding self efficacy and tendency of postpartum depression (p=0.000). Conclusion: Based on result of study, it is known that respondent who have high BSE came from respondents who not tendency of PPD. It means that BSE is one of the factors that can influence postpartum depression and it is impotant to scale up.
Guazuma Ulmifolia Lamk Leaf Tea to Decrease Blood Lipid Profiles in Depo-Medroxyprogesterone Acetate (DMPA) Acceptors
Background: Depo Medroxyprogesterone Acetate (DMPA) is an injectable contraceptive method that is widely used in Indonesia and has the side effect of increasing the blood lipid profile. Guazuma ulmifolia Lamk. leaf has been proven to have benefits in controlling blood lipid levels. However, in previous research, giving Guazuma ulmifolia Lamk. leaves was mostly done only on experimental animals. It is important to measure changes in blood lipid levels of cholesterol, LDL, HDL and triglycerides after consuming guazuma ulmifolia lamk leaf in DMPA acceptor. Methods: Quasi-experiment with one group pretest-posttest design, with 48 respondents using purposive sampling. The intervention was carried out for 10 days routinely, twice a day, by giving 2 grams of Guazuma ulmifolia Lamk leaf tea. Analyse data of cholesterol levels and HDL levels using the T-test, while LDL and triglyceride levels using the Wilcoxon signed ranks test. Results: There was a decrease in cholesterol levels (p-value = <0.001) and a decrease in LDL levels (p-value = <0.001), but it was not proven to increase HDL levels (p-value = 0.185) and decrease triglyceride levels (p-value = 0.353). Conclusion: Giving guazuma ulmifolia lamk leaf tea was effective in decreasing cholesterol levels and decreasing LDL levels of DMPA acceptors. It is hoped that health workers can provide guazuma ulmifolia lamk leaf tea as an alternative or additional medicine to reduce cholesterol levels due to the side effects of DMPA injections.
Improving the Resilience of Parents of Stunting Children through the Kalinting Program (Stunting Counseling Cadre)
Background: Stunting remains a major problem in Indonesia. The Blora Regency Government targets a stunting prevalence of 20.81% by 2025. Stunting impacts parents' psychological well-being, such as feelings of inability to care for their children. Therefore, resilience and adaptation are needed to accept their child's condition. Parental resilience can be improved through social support and knowledge. Stunting counseling by cadres can provide social support and knowledge to mothers emotionally. The purpose is to analyze the effect of kalinting on resilience of parents of stunted children. Methods: This quantitative study used a single-group pretest-post test design. The population was all cadres in the stunting village. A sample of 30 cadres was selected using consecutive sampling. The study was conducted from June to September 2025 in Blora Regency. The independent variable was stunting counseling, while the dependent variables were cadre knowledge and maternal resilience. The knowledge and resilience instruments used a questionnaire. A pretest of cadre knowledge was conducted before counseling, and a posttest was conducted three days later. The pretest of maternal resilience in stunted children was conducted before the stunting counseling practice, followed by a posttest. Analysis used a paired t-test because the data were normal. Results: The results of the study showed a difference in the knowledge of cadres before and after education (p=0.0001) and a difference in the resilience of mothers before and after receiving counseling (p=0.0001). Conclusion: Stunting counseling by cadres can increase mothers' confidence in caring for their children. Cadres can provide stunting counseling at integrated health posts.
Early Mobilization Accelerates Gastrointestinal Function Recovery in Postoperative Cesarean Section Patients
Background: Early mobilization is an important intervention for post-cesarean section patients as it can accelerate flatus time and reduce gas accumulation in the digestive organs. This effort also helps prevent post-operative complications such as gastrointestinal disorders, circulatory disorders, and abdominal distension through increased gastrointestinal muscle tone and stimulation of intestinal peristalsis. The purpose of this study was to determine the effect of early mobilization on normal digestive function in post-cesarean section patients in the Drupadi Room of Bagas Waras Klaten Regional General Hospital. Methods: This study used a quasi-experimental design with a post-test only with control group. The study was conducted in November 2022 in the Drupadi Room of Bagas Waras Klaten Regional General Hospital. The sample consisted of 40 post-cesarean section mothers selected using purposive sampling. The research instrument was a flatus time observation sheet. Data analysis was performed using an independent t-test to determine the difference in digestive function between the early mobilization group and the control group. Results: The results showed a significant difference between the early mobilization group and the control group in terms of flatus time (p-value <0.001). The average flatus time in the early mobilization group was 206.40 minutes, while in the control group it was 485.75 minutes. Conclusion: Early mobilization has a significant effect on accelerating normal digestive function in patients after cesarean section. Midwives can optimize the implementation of early mobilization as part of standard post-cesarean section care to accelerate gastrointestinal function recovery.
A Descriptive Study of First Trimester Pregnant Women's Knowledge of Nausea and Vomiting
Background: Pregnancy causes various physiological changes in women, one of which is hormonal changes that often cause discomfort in the form of nausea and vomiting in the first trimester. If not treated immediately, this condition can lead to fluid loss, fetal growth and development disorders, and even the risk of maternal death. This study aims to determine the level of knowledge of pregnant women in their first trimester about nausea and vomiting at the Bayat Community Health Center in Klaten Regency. Methods: This study used a quantitative descriptive design with total sampling technique. The population consisted of all pregnant women in their first trimester who visited the Bayat Community Health Center in October 2022, totaling 60 respondents. The research instrument used a structured questionnaire, and the data were analyzed using frequency distribution. Results: The results showed that most respondents were aged 20–35 years, had a high school education, worked as housewives, had received information about nausea and vomiting from midwives, and had two to four children. The level of knowledge of pregnant women in their first trimester was classified as good in terms of understanding, signs and symptoms, causes, prevention, and the effects of nausea and vomiting. Conclusion: The knowledge of pregnant women in their first trimester at the Bayat Community Health Center in Klaten Regency about nausea and vomiting was in the good category. It is recommended that health workers, especially midwives, continue to improve education and counseling for pregnant women in their first trimester regarding the prevention and treatment of nausea and vomiting to reduce the risk of pregnancy complications.
Perineal Massage as a Preventive Effort to Reduce Perineal Rupture in Vaginal Births
Background: Perineal rupture is a tear that occurs in the midline between the vulva and anus during childbirth. This condition is still commonly experienced by mothers giving birth vaginally, so preventive measures are needed, one of which is perineal massage. This study aims to determine the effect of perineal massage on the incidence of perineal rupture in mothers giving birth in the Prambanan District. Methods: The study design used a quasi-experimental approach with a pretest–posttest control group design. Sampling was conducted using purposive sampling, involving 30 respondents consisting of 15 intervention groups and 15 control groups. The research instrument used a perineal rupture observation sheet, and data analysis was performed using the Mann–Whitney test at a significance level of 0.05. Results: The results showed that the incidence of perineal rupture in the control group was 12 respondents (80%), while in the intervention group it was 6 respondents (40%). The statistical test yielded a p-value of 0.028, which means that perineal massage has a significant effect on reducing the incidence of perineal rupture in pregnant women in the Prambanan District. Conclusion: Perineal massage is effective in reducing the risk of perineal rupture. The recommendation from this study is for midwives to provide education and training on perineal massage to pregnant women as part of their childbirth preparation care.
The Effect of Beet Juice Intake on Increasing Hemoglobin Levels in Adolescent Girls with Anemia: A Literature Review
Background: Anemia in adolescent girls is a health problem that is still commonly found and has an impact on decreased learning concentration, productivity, and reproductive health. One non-pharmacological alternative that can help increase hemoglobin levels is the consumption of beet juice, which contains iron, folate, and vitamin C. This study aims to determine the effectiveness of beetroot juice in increasing hemoglobin levels in adolescent girls with anemia. Methods: This study used a literature review design by searching articles from the Google Scholar and PubMed databases. The search strategy was conducted using the keywords "beetroot effect," "blood hemoglobin," "beetroot benefit," and "anemia." The articles analyzed were selected based on inclusion and exclusion criteria relevant to the topic, resulting in 10 eligible journals. The data were analyzed descriptively by examining the study design, sample size, intervention, and results of hemoglobin level improvement. Results: The review showed that all ten journals reported a significant increase in hemoglobin levels after regular consumption of beetroot juice in adolescent girls with anemia. The nutrients in beetroot play a role in red blood cell formation and increasing blood oxygen capacity. Conclusion: Beet juice is effective in increasing hemoglobin levels in adolescent girls with anemia. Nutrition education programs for adolescents should recommend beet juice consumption as a natural alternative to increase hemoglobin levels.
Back Pain Intensity in Third Trimester Pregnant Women Participating in Prenatal Yoga
Background: Back pain is one of the most common complaints experienced by pregnant women in the third trimester due to changes in posture, weight gain, and the effects of estrogen and progesterone hormones, which cause ligament and joint relaxation. This condition can reduce the comfort and quality of life of pregnant women. Prenatal yoga is a gentle relaxation and stretching exercise designed to increase flexibility, improve posture, and reduce muscle tension. This study aims to determine the response to back pain in pregnant women in their third trimester who participate in prenatal yoga in the Wedi Community Health Center working area. Methods: This study used a descriptive approach with total sampling technique. The study population consisted of all pregnant women in their third trimester who experienced lower back pain in the working area of the Wedi Community Health Center in Klaten Regency in 2022, totaling 42 people, all of whom were included in the sample. The research instrument used a Numeric Rating Scale (NRS) checklist to measure pain levels. Data were analyzed descriptively using frequency distribution and percentages. Results: Before participating in prenatal yoga, most pregnant women experienced moderate pain on a scale of 5, with 19 respondents (45.2%), while after participating in prenatal yoga, the pain decreased to a scale of 2 in 16 respondents (38.1%). Conclusion: Prenatal yoga has been proven to help reduce the intensity of back pain in pregnant women in their third trimester safely and effectively. It is recommended that health workers develop prenatal yoga classes in health care facilities as a promotional and preventive measure to improve the comfort and well-being of pregnant women.
Iron Supplement Tablet Consumption is Associated with Hemoglobin Levels in Pregnant Women
Background: Hemoglobin (Hb) levels in pregnant women are checked in the first trimester (Hb1) and third trimester (Hb2). Hemoglobin requires iron (Fe) and protein; consumption of at least 90 iron tablets during pregnancy is recommended to increase Hb and prevent anemia. The purpose of this study was to analyze TTD consumption, hemoglobin levels in the first and third trimesters, and the relationship between TTD consumption and Hb levels in pregnant women at the Bayat Community Health Center, Klaten Regency. Methods: This was an associative quantitative study with a sample of 52 pregnant women in their third trimester who had their Hb checked at the Bayat Community Health Center in October 2022 (incidental sampling). Univariate and bivariate analyses were performed; the relationship between TTD consumption and Hb was tested using Spearman's correlation using IBM SPSS Statistics 23. Results: A total of 59.6% of respondents regularly consumed ≥90 TTD tablets, but 65.4% did not experience an increase in Hb levels from Hb1 to Hb2. Spearman's test showed a significant relationship between TTD consumption and Hb levels (p = 0.000; r = 0.516) with a positive direction, indicating that regular TTD consumption is associated with an increase in Hb levels. Conclusion: There is a moderate positive correlation between iron supplement consumption and hemoglobin levels in pregnant women at the Bayat Community Health Center. It is recommended to improve program interventions: strengthening counseling and education on iron supplement consumption compliance, monitoring compliance by health workers, providing adequate supplements, and conducting periodic Hb checks and follow-ups for mothers who do not show an increase in Hb.
Factors of Low Birth Weight (LBW) Most Related to Stunting in Toddlers
Background: Stunting is a condition of growth failure in toddlers due to chronic malnutrition, resulting in children being too short for their age, which has an impact on mortality, motor development, and language skills. This study aims to determine the factors associated with stunting in toddlers in Semen Village, Jatisrono District, Wonogiri Regency. Methods: This study used an observational analytical design with a case-control approach. Sampling was conducted using total sampling technique, resulting in 62 respondents. The research instruments were questionnaires and medical records, while data analysis was performed using the Chi-square test and logistic regression to identify the relationship between variables. Results: The results showed that factors significantly associated with stunting were maternal age (χ² = 4.509; p = 0.034), family income (χ² = 5.599; p = 0.018), and low birth weight (LBW) (χ² = 9.378; p = 0.002). The most dominant factor associated with stunting was LBW. The variables of education (χ² = 0.622; p = 0.430), parity (χ² = 0.295; p = 0.587), and exclusive breastfeeding (χ² = 0.081; p = 0.776) did not show a significant relationship. Conclusion: Factors associated with stunting are maternal age, family income, and low birth weight. The most dominant factor associated with stunting is low birth weight. Health workers and village governments can improve nutrition education for expectant mothers, monitor infant growth from birth, and provide special interventions for infants with LBW to prevent stunting.
Adolescent Girls' Knowledge About Iron Tablets: A Descriptive Study
Background: Adolescent girls are a group that is vulnerable to anemia due to increased iron requirements during growth and menstruation. Lack of knowledge about the importance of iron tablet consumption is one of the factors causing low compliance in anemia prevention. This study aims to determine the knowledge of adolescent girls about iron tablets at MTs Muhammadiyah Special Program Bayat, Klaten. Methods: A quantitative descriptive design with total sampling technique was used. The sample consisted of 50 respondents who met the inclusion criteria. The research instrument used a structured questionnaire that had been tested for validity and reliability. Data analysis was performed univariately with frequency distribution using statistical data processing software. Results: The results showed that most adolescent girls had a good level of knowledge about iron tablets, with 34 respondents (68%). Based on age characteristics, good knowledge was more prevalent among early adolescents, with 26 respondents (68%), while based on grade level, the majority were in grade VII, with 15 respondents (64%). The most common source of information was teachers, with 18 respondents (82%). Conclusion: Most female adolescents at MTs Muhammadiyah Program Khusus Bayat have good knowledge about iron tablets. The recommendation from this study is the need to improve health education through UKS activities and regular counseling by health workers and teachers so that adolescents better understand the importance of regular iron tablet consumption to prevent anemia.
Administration of Curcuma Xanthorrizha (Temulawak) Jelly Increases the Body Weight of Undernourished Toddlers
Background: Malnutrition in toddlers remains a public health challenge because it can hinder children's growth and development. One of the main causes is low appetite, which leads to inadequate nutritional intake. Temulawak (Curcuma xanthorrhiza) is known to have properties that improve digestive function and increase appetite through its curcuminoid content, which acts as an antioxidant. This study aims to determine the effect of Curcuma xanthorrhiza jelly on weight gain in malnourished toddlers in Krajan Village, Jatinom, Klaten. Methods: This study used a quantitative design with a quasi-experimental design and a pretest-posttest approach with a control group. The sampling technique used was total sampling with 17 toddler respondents, consisting of 9 toddlers in the intervention group and 8 toddlers in the control group. The research instrument was a weight observation sheet, while data analysis was performed using the Mann–Whitney nonparametric test. Results: The analysis results showed a higher increase in weight in the intervention group compared to the control group, with a statistically significant difference (p-value 0.013). Conclusion: There is a significant effect of Curcuma xanthorrhiza jelly administration on weight gain in malnourished toddlers. It is recommended that innovations in the administration of natural herbal ingredients such as temulawak be developed in the form of safe and attractive functional food products to improve the nutritional status of toddlers.
Differences in Maternal Care Patterns for Toddlers with Growth Disorders and Normal Growth
Background: Toddler growth reflects nutritional status and health, which are greatly influenced by maternal parenting patterns in meeting children's basic needs. Inappropriate parenting patterns can cause growth disorders such as low weight and below-normal height. This study aims to determine the differences in maternal parenting patterns among toddlers with growth disorders and toddlers with normal growth in Candirejo Village, Ngawen District, Klaten Regency. Methods: This study used a comparative design with descriptive methods. The study population consisted of all mothers with toddlers aged 0–5 years, with a sample size of 70 respondents selected using purposive sampling. The research instrument was a structured questionnaire that had been tested for validity and reliability. Data analysis was performed using univariate and bivariate analysis with the Kendall Tau test. Results: The results showed that most mothers were aged 20–35 years, had a high school education, and worked as housewives. Most mothers had good parenting patterns (95.7%), and most toddlers experienced normal growth (67.1%). Statistical test results showed a significant difference between mothers' parenting patterns and toddlers' growth (p = 0.0012; α < 0.05). Conclusion: There is a difference in maternal parenting patterns and toddler growth. It is recommended that health workers increase education about the importance of proper nutritional parenting patterns and provide assistance to mothers in monitoring toddler growth and development regularly at health posts.
Anthropometric Characteristics in Newborns with a History of Chronic Energy Deficiency (CED) in Pregnancy: A Descriptive Study
Background: Chronic energy deficiency (CED) in pregnant women is a nutritional condition characterized by an upper arm circumference (UAC) of less than 23.5 cm, reflecting a long-term deficit in energy and protein intake. CED can increase the risk of low birth weight (LBW) and stunting in infants. Therefore, monitoring the nutritional status of pregnant women is important to prevent infant growth disorders. The objective of this study was to determine the anthropometric characteristics of newborns with a history of CE during pregnancy at the Bayat Community Health Center, Klaten District. Methods: This study used a quantitative descriptive design. The population consisted of all infants with a history of KEK pregnancy at the Bayat Community Health Center from January to December 2021. The sampling technique used total sampling of 112 infants. The research instrument used medical record documentation sheets, and data analysis was performed univariately using frequency distribution. Results: Most infants had normal weight (86.6%), normal length (73.2%), and normal head circumference (93.8%). Maternal characteristics showed that the majority were aged 20–35 years (91.1%), had a high school education (55.4%), were unemployed (76.8%), had an interbirth interval of < 2 years (59.8%), were primiparous (52.7%), had Hb levels ≥ 11 g/dl (86.6%), and had mature pregnancies (93.8%). Conclusion: The anthropometric measurements of newborns tended to be normal and were related to maternal characteristics, especially birth interval ≥ 2 years, which had the highest proportion of babies with normal weight (81.3%), length (67.9%), and head circumference (79.5%). It is recommended that health workers increase monitoring of nutrition in pregnant women with KEK and educate them on the ideal birth interval to support optimal infant growth and development.
Mothers' Knowledge about Complementary Feeding Using the Baby Led Weaning (BLW) Method in Infants Aged 6-12 Months: A Descriptive Study
Background: The period of complementary feeding is an important period in infant growth. One method that is currently developing is Baby Led Weaning (BLW), which is a method that allows infants to eat independently according to their motor skills without being spoon-fed. However, the success of this method is greatly influenced by mothers' knowledge of the principles, benefits, and risks of BLW. This study aims to determine mothers' knowledge of complementary feeding using the Baby Led Weaning method for infants aged 6–12 months. Methods: This study is a quantitative descriptive study with a cross-sectional approach. The population in this study consisted of all mothers who had infants aged 6–12 months in the working area of the Community Health Center where the study was conducted. The sample consisted of 40 respondents selected using purposive sampling. The research instrument was a questionnaire that had been tested for validity and reliability. The data were analyzed univariately and presented in the form of frequency distributions and percentages. Results: The results of this study show that of the 35 mothers, 16 mothers (45.7%) had good knowledge, 7 mothers (20%) had sufficient knowledge, and 12 mothers (34.3%) had poor knowledge. Conclusion: Mothers' knowledge of the BLW method is generally good, but there is a need for improved education regarding implementation techniques and food safety. Health workers are expected to provide counseling and practical guidance on the BLW method so that mothers can apply it correctly to support optimal infant growth and development.
Feeding Patterns Related to Nutritional Status in Stunted Toddlers
Background: Stunting can occur as a result of malnutrition, especially during the first 1000 days of life (HPK). Poor nutrition during pregnancy, growth, and early childhood can cause children to become stunted. The purpose of this study was to determine the relationship between feeding patterns and nutritional status in stunted toddlers at the North Klaten Community Health Center in Klaten Regency. Methods: This study used an analytical observational design with a cross-sectional approach. The study population consisted of all mothers with stunted toddlers, totaling 234 people, using proportional stratified random sampling, resulting in a sample of 71 respondents. The research instruments used were the CFQ (Child Feeding Questionnaire) and anthropometric observation sheets. The validity and reliability of the instruments had been tested in previous studies. Data were analyzed univariately and bivariately using the chi-square test. Results: The results showed that most feeding patterns were inappropriate (69%) and the nutritional status of stunted toddlers was classified as short (56.3%). The chi-square test obtained a p-value of 0.004 (p<0.05), which means that there is a significant relationship between feeding patterns and the nutritional status of stunted toddlers. Conclusion: The study shows that the more appropriate the feeding patterns applied by mothers, the better the nutritional status of their children. Health workers need to improve education for mothers about the importance of feeding patterns appropriate for their children's age and involve nutritionists and posyandu cadres in monitoring toddler growth.
Non-Pharmacological Approaches in the Management of Primary Dysmenorrhea: A Literature Review
Background: The incidence of primary dysmenorrhea is a condition experienced by almost all adolescent women and of childbearing age, negatively impacting their quality of life and productivity. Although pharmacological treatments such as NSAIDs are frequently used, many individuals seek non-pharmacological alternatives to avoid long-term side effects. This study aims to explore the effectiveness of complementary therapies, including acupressure, herbal medicine, and yoga, in managing primary dysmenorrhea. Method: A systematic literature review (SLR) was conducted using the PRISMA approach, selecting relevant articles from PubMed, ScienceDirect, and Google Scholar based on specific keywords. Articles that met the inclusion criteria, such as publication range (2020-2025) and topic relevance, were further analyzed. Results: From a review of 17 articles that met the inclusion criteria, it was found that yoga can significantly reduce pain intensity by increasing relaxation and improving blood circulation in the pelvic area. Acupressure therapy, particularly on the SP6 point, has been proven effective in reducing menstrual pain by increasing the release of beta-endorphins. In addition, consumption of herbal medicines such as ginger has anti-inflammatory effects that help reduce the production of prostaglandins, one of the main causes of menstrual pain. Conclusion: Non-pharmacological therapies—such as yoga, acupressure, and herbal remedies—are effective, safe, and affordable alternatives to pharmacological management. It is recommended that healthcare professionals, particularly midwives, provide education and facilitate the implementation of these complementary therapies as part of promotive and preventive efforts to address menstrual pain in adolescents and women of childbearing age.
Determinants of Mothers' Motivation in Preventing Malnutrition In Toddlers: A Cross-Sectional Study
Background: Malnutrition in children under five remains a persistent public health problem in Indonesia, influenced by various multidimensional factors. Maternal knowledge, perception, and both health worker and family support play critical roles in determining mothers’ motivation to prevent malnutrition. This study aimed to analyze the determinants influencing maternal motivation in preventing malnutrition among children under five. Methods: This quantitative cross-sectional study involved 98 mothers of children under five in the working area of Sukaresmi Health Center, Cianjur. Respondents were selected using a purposive sampling technique based on predefined inclusion criteria. Data were collected using a structured questionnaire and analyzed using multiple linear regression with SPSS software. Results: The findings revealed that maternal motivation was significantly influenced by knowledge (p = 0.007), perception (p = 0.016), health worker support (p = 0.048), and family support (p = 0.044). These four factors collectively explained 72.3% of the variance in maternal motivation to prevent malnutrition. Conclusion: Strengthening maternal capacity through health education, improving the quality of health services, and fostering supportive family environments are essential strategies to enhance maternal motivation and reduce malnutrition rates among children under five. The study underscores the need for comprehensive, family-centered, community-based interventions to address the multifactorial nature of child malnutrition.
Analysis Factors Related to Menstrual Disorders in Female Medical Students
Background: Every woman can experience various disorders of menstruation, ranging from amenorrhea, oligomenorrhea, polymenorrhoea, hypomenorrhea, hypermenorrhoea, and dysmenorrhoea. This study aimed to elucidate the factors related to menstrual disorders in female students of the faculty of medicine at Universitas Andalas. Methods: The purpose of this case-control study is to determine factors that increase the likelihood of developing a disease by comparing a group of cases with a group of controls, focusing on their exposure status. The respondents to this study were teenagers aged 18-21 years. A sample of 108 female students was taken using consecutive sampling. Data collection from anthropometric measurements and questionnaires menarche age, The International Physical Activity Questionnaire (IPAQ), Food Frequencies Questionnaire (FFQ) and Pittsburg Sleep Quality Index (PSQI). The Chi-Square test was used to analyze the data. Results: The result showed no significant relationship between menarche age (p-value 0.420), stress levels (p-value 0.406), and physical activity (p-value 0.348), with menstrual disorders. There was a relationship between nutritional status (p-value 0.001), sleep quality (p-value 0.002), and eating patterns (p-value 0.001) with menstrual disorders. Conclusion: Diet is the factor most associated with menstrual disorders in female students, followed by sleep quality and nutritional status. The study recommends preventing menstrual disorders in female students by prioritising improvements in diet, sleep quality and nutritional status.
Transforming Ratus: A Descriptive Qualitative Study on Tradition, Health, and Javanese Women’s Identity
Background: Ratus as a traditional Javanese health ritual historically associated with purity and marital preparation, has undergone a significant transformation in meaning among contemporary women. This study aims to explore how Ratus is reinterpreted as a cultural, spiritual, and personal practice, revealing women’s bodily agency and negotiation within the dynamics of modernity. Methods: This research employs a descriptive qualitative approach using a case study method. Data were collected through in-depth interviews, nonparticipant observation, and documentation involving eight Javanese women aged 25–50 from Yogyakarta and Bantul, selected purposively for having practiced Ratus for at least two years. Data were analyzed using thematic analysis, supported by source triangulation and member checking to ensure data validity. Results: Five main themes emerged: (1) transformation of Ratus from a sacred ritual to a self-care practice; (2) spiritual and emotional healing dimensions; (3) reinforcement of cultural identity and female solidarity; (4) commodification of tradition within beauty markets; and (5) negotiation between tradition and modernity as symbolic resistance to Western medical and beauty norms. Conclusion: Ratus now functions as both a holistic health practice and a medium of cultural self-expression, reflecting Javanese women’s adaptive agency amid modernization. This study recommends strengthening the preservation of ratus practices through a sustainable cultural approach by involving women, health workers, and community leaders in efforts to maintain its meaning and health benefits.
Enhancing Adolescent Girls’ Knowledge of Premenstrual Syndrome through Flipbook and Video-Based Health Education
Background: Premenstrual syndrome (PMS) is symptom occur in luteal phase. The manifestation of PMS varies in each individual, may affect the quality of life in physical and physiological. Knowledge about PMS possibly improved through health education especially in adolescent girls as high-risk group. Flipbook and video are the media usually used for education; both are digital innovations that potentially facilitate the provision of health education. Methods: This quasi-experimental study was conducted by pre-posttest design without control group. A total population of 254 adolescent girls were selected for random sampling, resulting in 80 participants divided into two groups. The data was taken before and after education by questionnaires, analyzed with Wilcoxon test, and compared with Mann-Whitney test. Results: The result indicated there were increase to high level knowledge in flipbook group (50%) with mean score 77.83 and video group (72,5%) with mean score 85.33. The p-value using Wilcoxon test was p=<0.001 (p<0.01) respectively for both flipbook and video group. Mann-Whitney test resulted in higher effectiveness of video p=0.003 (p<0,05). Conclusion: There is increase in knowledge level after education both in flipbook and video groups. Meanwhile, video is highly suggested that the result shows higher effectiveness than flipbook.
Improving Sleep Quality in Third Trimester Pregnant Woman: The Effect of Chamomile Aromatherapy
Background: Sleep quality during pregnancy decreases significantly as pregnancy progresses. Poor sleep quality can be addressed with various methods, including aromatherapy as a relaxation technique. Chamomile aromatherapy contains compounds that increase gamma-aminobutyric acid (GABA) receptor activity, thereby promoting muscle relaxation and inducing sleepiness. This study aims to assess improvement in sleep quality in third-trimester pregnant women after receiving chamomile aromatherapy. Methods: This study used a pre-experimental one-group pretest–posttest design. The sample consisted of 30 participants, all of whom were pregnant women in their third trimester. Data were collected using the Pittsburgh Sleep Quality Index (PSQI) questionnaire and an observation sheet. The chamomile aromatherapy intervention was administered before bedtime for 14 consecutive days by adding three drops of chamomile essential oil to a humidifier containing 100 ml of water, which was diffused for 10 minutes. Results: A total of 53.3% of respondents had poor sleep quality before the chamomile aromatherapy intervention, which increased to 53.3% with excellent sleep quality after the intervention. The results of the Wilcoxon Signed-Rank Test showed a statistically significant improvement in sleep quality (p = <0.001). The Wilcoxon Signed Rank Test showed a significant improvement in sleep quality (p = <0.001). Conclusion: Chamomile aromatherapy significantly improves sleep quality in third trimester pregnant women. Health workers, especially midwives and nurses, should provide education and guidance on the safe use of chamomile aromatherapy.
The Mom's Cerij Oil to Maintain Skin Moisture and Prevent Striae Gravidarum in Second Trimester
Background: Skin changes often occur during pregnancy, such as striae gravidarum and hyperpigmentation. Mom’s Cerij Oil is formulated to minimize the risk of allergies or skin irritation, making it suitable for sensitive skin during pregnancy. The aim of this study was to determine the effectiveness of Mom’s Cerij Oil (Centella Asiatica and Piper betle L) compared to Coconut Oil in maintaining skin moisture and preventing Striae Gravidarum in pregnant women in the second trimester at the Cikupa Health Center in Tangerang Regency. Methods: The research method was a quantitative study using a true experimental design with a pretest-post test control group approach. The study involved 66 pregnant women in their second trimester at the Cikupa Health Center in Tangerang Regency. The sampling technique used purposive sampling, with each intervention group and control group consisting of 33 respondents. Data analysis involved univariate analysis using frequency distribution and bivariate analysis using the McNemar test and the Mann–Whitney U test. The study was conducted from January to February 2025. Results: Bivariate analysis showed that Mom’s Cerij Oil was effective in maintaining skin moisture and preventing striae gravidarum in second-trimester pregnant women, with significant pretest–posttest mean differences (0.42; p=0.039 and 0.18; p=0.031). Posttest comparison between Mom’s Cerij Oil and coconut oil groups also indicated a significant difference (p=0.001). Conclusion: Mom’s Cerij Oil is more effective than coconut oil in maintaining skin moisture and preventing striae gravidarum in second-trimester pregnant women, and it can be recommended as a safe topical option during pregnancy.
The Influence of Knowledge, Attitudes, and Maternal Age on the Incidence of Stunting of Toddlers Aged 1-5 Years
Background: During the toddler stage, which is an important phase in human growth, the fulfillment of balanced nutrition is essential. With short height due to long-term malnutrition, stunting is a chronic nutritional problem that is influenced by socioeconomic factors, health, and maternal knowledge and conditions. This study aims to analyze and determine the influence of knowledge, attitudes, and maternal age on the incidence of stunting in the work area of the Sebengkok Health Center in 2024. Methods: This research uses a quantitative design with a case-control approach and purposive sampling technique. The sample consists of 102 mothers with children aged 1 to 5 years. The instrument used is a closed questionnaire to assess the mothers' knowledge about stunting, which has been tested for validity (Pearson Product Moment) and reliability (Cronbach's Alpha) with valid and reliable results. Data analysis was conducted using the Chi-Square test to see the relationship between independent variables and the occurrence of stunting in toddlers. Results: A total of 57 mothers have good knowledge and attitudes, whereas 45 mothers have less favorable ones. A total of 52 mothers is aged <20 or >35 years. The Chi-Square test shows a significant influence of knowledge (p=0.005; OR=3.43), maternal age (p=0.003; OR=0.27), and maternal attitudes (p=0.005; OR=3.43) on the incidence of stunting. Conclusion: Knowledge, age, and maternal attitudes have a significant relationship with the incidence of stunting in toddlers in the working area of the Sebengkok Health Center, Tarakan. Efforts to improve these three factors are important in stunting prevention.
The Relationship Between Knowledge of Anemia and Its the Incidence Among Pregnant Women
Background: The woman and fetus may suffer from anemia during pregnancy, which can lead to infection, early birth, and maternal and child deaths. Insufficient understanding of anemia is one of the factors contributing to anemia during pregnancy. Pregnant women's attitudes and behaviors to prevent anemia in pregnancy can be impacted by their ignorance of anemia. The purpose of this study was to determine the relationship between knowledge about anemia and its occurrence in pregnant women at Puskesmas Klaten Utara. Methods: This research is a descriptive analytical study with a cross-sectional approach. The population in this study consisted of pregnant women who were registered and attended antenatal care at Puskesmas Klaten Utara during October–November 2023. A total of 50 respondents who met the inclusion criteria were selected using accidental sampling technique. Data were collected through questionnaires and analyzed using the Spearman Rank correlation test. Results: According to statistical studies, the incidence of anemia in pregnant women at Puskesmas Klaten Utara is correlated with the amount of knowledge about anemia in pregnant women, with a correlation value of 0.442 and a significant value of p-value = 0.001 (p-value <0.05). Conclusion: There is a significant positive correlation between pregnant women's knowledge and the incidence of anaemia at the North Klaten Community Health Centre. Strengthening anaemia prevention programmes through regular supervision and health education is essential. Midwives are expected to raise awareness and compliance among pregnant women in taking iron tablets to reduce the incidence of anaemia.