Jurnal Kebidanan Midwiferia

The Relationship Between Nutritional Status and Diet Patterns and Anemia in Adolescent Girls at MA Jamilurrahman Bantul Yogyakarta

Tarisa Wilsa Athala Tarisa — 2025-04-21

Anemia is the impact of nutritional problems in adolescent girls. Nutritional anemia is caused by a lack of nutrients that play a role in the formation of hemoglobin, which can be due to lack of consumption or abortion disorders. The impact of anemia that can occur in adolescent girls is a decrease in immunity which causes adolescent girls to be susceptible to disease. The Bantul Regency Health Office conducted a Hemoglobin examination in 2022 on 700 adolescent girls in Bantul, the results of the health office found 29% or 203 adolescent girls suffering from anemia. With the value stating that there are two variables that have a relationship with nutritional status with the incidence of anemia, namely (p-value 0.001) and the relationship between diet and the incidence of anemia, namely (p-value 0.009). Health workers are expected to be able to provide services in schools, especially related to anemia management by preventing anemia through counseling related to adolescent nutrition and anemia and conducting anemia screening by conducting hemoglobin examinations. Based on the results of research on the relationship between nutritional status and eating patterns and anemia in adolescent girls at MA Jamilurrahman Bantul Yogyakarta, it was found that there was a relationship between nutritional status and the incidence of anemia.

The Effect of Beetroot Juice on Hemoglobin Levels in Female Adolescents at MA Jamilurrahman Bantul, Yogyakarta

Windarti Sari — 2025-04-22

Anemia is a significant global public health issue, particularly among children and adolescent girls, as it can lead to reduced physical endurance, lower fitness, and decreased cognitive agility, ultimately affecting academic performance. In Indonesia, the 2018 data revealed that 26.8% of children aged 5–14 and 32% of those aged 15–24 suffered from anemia. A survey by the Yogyakarta Health Service in the same year found that 19.3% of adolescent girls had hemoglobin levels below 12 g/dL, indicating anemia, and 46% were at risk of chronic energy deficiency based on upper arm circumference measurements below 23.5 cm. One of the non-pharmacological approaches to address anemia is beetroot, which is rich in folic acid (108 mg), making it a beneficial dietary option. This study aimed to evaluate the effect of beetroot juice on increasing hemoglobin levels in female adolescents at Madrasah Aliyah (MA) Jamilurrahman Bantul as a preventive measure for anemia. The research used a quantitative, pre-experimental one-group pretest-posttest design involving 21 adolescent girls with anemia, selected through total sampling. Data were analyzed using bivariate statistical methods, including the Shapiro-Wilk test for normality and a paired sample t-test using SPSS software. The results indicated a significant increase in average hemoglobin levels from 10.84 g/dL before intervention to 13.39 g/dL after 14 days of beetroot juice consumption. The statistical analysis yielded a p-value of 0.000 (p < 0.05), confirming that beetroot juice significantly improves hemoglobin levels. Thus, beetroot juice can be considered a viable alternative treatment for anemia in adolescents.

Effectiveness of Prenatal Yoga on Pregnancy Discomfort in Pregnant Women in the II and III Terms

Lailatul Nujulah — 2025-04-30

Pregnancy often leads to physical and psychological changes that can cause significant discomfort for expectant mothers. While such discomforts are generally physiological, they require attention to prevent negative effects on both maternal and fetal health. Prenatal yoga is a non-pharmacological intervention that may help alleviate these discomforts and support a smoother labor process. This study aims to evaluate the effectiveness of prenatal yoga in reducing discomfort levels among pregnant women in their second and third trimesters. A quasi-experimental design with a one-group pre-test post-test approach was used. The study involved 30 pregnant women in their second and third trimesters, selected through purposive sampling. Participants attended prenatal yoga sessions four times per week, with each session lasting 60 minutes. Data were collected using the Numeric Rating Scale (NRS) for back pain and leg cramps, the Pittsburgh Sleep Quality Index (PSQI) for sleep quality, and the Hamilton Rating Scale for Anxiety (HRS-A) to assess anxiety levels. Data analysis was conducted using the Wilcoxon test, with a significance threshold of p < 0.05. The results showed a p-value of 0.000 for all measured variables—indicating significant improvements in back pain, leg cramps, sleep quality, and anxiety levels after the yoga intervention. These findings suggest that prenatal yoga is effective in reducing both physical and psychological discomforts during pregnancy. It can be considered a beneficial, low-risk strategy to enhance maternal well-being in the later stages of pregnancy.

Correlation Between Birth Weight and Exclusive Breastfeeding with Stunting in Children Aged 6–24 Months

Husnul Muthoharoh — 2025-04-30

Stunting remains a chronic nutritional issue in Indonesia, particularly among children under the age of two. Two crucial factors influencing stunting status are birth weight and exclusive breastfeeding. This study aims to determine the correlation between birth weight, exclusive breastfeeding, and stunting in children aged 6–24 months. This study employed an analytical quantitative design with a cross-sectional approach. A total of 120 children aged 6–24 months and their mothers were selected using purposive sampling at Deket Community Health Center Lamongan. Data were collected through interviews using structured questionnaires and anthropometric measurements. Data analysis was conducted using chi-square tests and logistic regression. The analysis revealed a significant association between birth weight and stunting (p = 0.003), and a significant association between exclusive breastfeeding and stunting (p = 0.001). Children with low birth weight (<2500 grams) had a 3.1 times higher risk of stunting, while children who were not exclusively breastfed had a 2.7 times higher risk of stunting compared to those who were exclusively breastfeed. Although the study provides valuable insights, its cross-sectional nature limits causal interpretation, and recall bias may have affected the accuracy of reported breastfeeding practices. Despite these limitations, the findings underscore the need for strengthened prenatal and breastfeeding interventions to prevent stunting. Birth weight and exclusive breastfeeding are significantly associated with stunting in children aged 6–24 months. Promotive and preventive interventions through pregnancy monitoring and breastfeeding education are crucial efforts in preventing stunting.

Measles and Its Association with Blood, Organ Functions, and Growth in Children

Zina Saleam Huntus — 2025-04-01

Measles is a febrile illness with a systemic rash disease vaccine. It raises morbidity and mortality rates globally even though a safe and efficient live attenuated vaccine is available. To evaluate the impact of measles on blood cell composition, liver and kidney functions, physical growth, and nutritional status in children during the first 14 days of infection. A cross-sectional observational study was conducted in Al-Rifai Teaching Hospital during the period from April to October 2024. The study included a convenient sample of 50 children under the age of 10 years who were diagnosed with measles. The data was collected by the researcher during the first 14 days of infection and included complete blood count, liver function test, renal function, anthropometric data measurement, and vaccination status. Regarding the haematological parameters, 24 (48%) of the patients had a low WBC count, 12 (24%) had low Hb, and 7 (14%) of them had a low platelet count. About the liver and renal function, 5 (10%) of the patients had elevated GOT, 3 (6%) had elevated GPT, 2 (%) had elevated blood urea, and 7 (14%) of them had elevated serum creatinine. Measles significantly impacts blood cell composition, liver function, and nutritional status in children. The findings underscore the importance of vaccination and the need for nutritional support during and after infection to minimize complications.

Relationship of Cholinesterase with Erythrocyte Index of Female Farmers in Vegetable Farming Area

Silvia Silvia — 2025-04-22

Reproductive and maternal health in female farmers, especially those exposed to pesticides, is an urgent issue in Indonesia. Pesticide exposure during agricultural activities can cause disorders in the reproductive system, pregnancy, and fetal development. This study aims to analyze the relationship between cholinesterase levels (an indicator of pesticide exposure) and erythrocyte indices (including Hb, MCV, MCH, and MCHC) in female farmers working in vegetable farming areas in Agam Regency, West Sumatra. A total of 33 female farmers divided into two groups, namely the pesticide-exposed group (17 people) and the control group (16 people), were used as research samples. The results showed that the group exposed to pesticides had lower cholinesterase levels than the control group, with a significant difference. In addition, there was a significant relationship between decreased cholinesterase levels and decreased MCHC and increased risk of anemia in the exposed group. This decrease in cholinesterase indicates the adverse effects of pesticide exposure on the hematological system, which has the potential to cause complications in reproductive health such as menstrual disorders, infertility, and pregnancy complications. Therefore, this study provides important evidence regarding the need for better health screening for female farmers in agricultural areas. Routine monitoring of cholinesterase levels and erythrocyte indices can be an effective preventive measure in protecting the reproductive and maternal health of women working in the agricultural sector.

Analysis of Health Belief Model Factors on Parental Participation in Posyandu After Complete Basic Immunization

Rita Agustiningrum — 2025-04-22

The low level of parental visits to Posyandu in Pasuruan Regency is a concern, where the coverage of complete basic immunization has only reached 53.72% in 2023. The most visits occurred in infants aged 0-6 months, but decreased significantly after that age. The Health Belief Model (HBM) was used to understand the factors that influence participation, including perceptions of vulnerability, severity, benefits, perceived barriers, cues to action, and self-efficacy. Objective: to analyze relationships implementing HBM on parental participation in Posyandu after toddlers have completed complete basic immunization. This study is an analytical study with a cross-sectional design. A sample of 61 toddlers aged 1-5 years, the sampling technique used a purposive sampling technique. Data were collected through questionnaires that had been tested for validity and reliability. Data analysis used the Spearman's rho test. The results of the analysis showed that only perceptions of benefits had a significant relationship with parental participation in Posyandu after complete basic immunization (p = 0.027; r = 0.283). Other variables such as perceived susceptibility (p = 0.198; r = 0.167), perceived severity (p = 0.849; r = -0.013), perceived barriers (p = 0.082; r = -0.243), cues to action (p = 0.062; r = 0.252), and self-efficacy (p = 0.130; r = 0.205) did not show significant relationships (p > 0.05). Perceived benefits play an important role in increasing parental participation in Posyandu after complete basic immunization. The HBM approach can strengthen these perceptions to increase visits.