Background: Childbirth is a natural physiological event. For many expectant mothers nearing delivery, labor pain is the primary source of anxiety. Pain perception can be assessed using pain intensity measurement tools like the Numeric Rating Scale. This instrument can be used to assess the pain that mothers endure to ease their discomfort during the active phase I, with one method being oxytocin massage. The objective is to assess the degree of discomfort the mother feels prior to and following the oxytocin massage. Methods: This study utilizes a quantitative methodology that adopts an analytical survey approach featuring a cross-sectional design. The entire study population consists of 25 individuals, which were selected through a total sampling technique. The data collection method utilized is a questionnaire in the form of a rating scale. The analysis conducted incorporates both univariate and bivariate examinations utilizing an Independent T-test. Results: The findings of the study indicated that the pain experienced by pregnant women during the first active phase changed. This was evidenced by a reduction in the number of respondents categorized as experiencing severe pain, which decreased from 17 individuals (68.0%) in the pre-test to 3 individuals (12.0%) in the post-test. Conclusion: Oxytocin massage influences the reduction of of maternal discomfort during the early stage of the active phase, showing a p value of 0.002, which is less than 0.05.

Not mandatory

Background: Neonatal jaundice is a condition that appears on the second and third days of life without any pathological cause, resulting from the rapid breakdown of red blood cells, while some newborns organs are not yet fully functional in processing bilirubin. After a few days, the liver matures, allowing the bilirubin elimination process to proceed effectively. This research aims to explore the correlation between postpartum mothers understanding of jaundice and the prevalence of neonatal jaundice at Mrs. T Midwife Practic in the Karangtengah District of Cianjur Regency in 2024. Methods: The methodology employed in this research is a quantitative approach utilizing analytical survey methods with a cross-sectional design. The total sample for this study consists of 30 individuals, selected through total sampling. The research tools implemented include questionnaire forms and observation sheets that were validated for reliability, as developed by researcher Dina Yuliarti in 2020. The analysis conducted was both univariate and bivariate. Results: Study findings revealing that a significant number of respondents, totaling 19 people (63.3%), possessed adequate knowledge regarding jaundice, while the majority of respondents who had babies without jaundice numbered 20 (66.7%). Among the mothers with sufficient knowledge, 15 individuals (78.9%) had babies who did not exhibit jaundice. Conclusion: A significant relationship was found between maternal knowledge of jaundice and the occurrence of jaundice in newborns, with a p-value of 0.034, which is less than 0.05.

Background: Monitoring the development of children under five by families is essential for optimal child development. Family commitment in this context is influenced by various factors, including personal factors and family resources. This study aims to analyze the influence of monitoring on child development, with a focus on the role of filial values as a mediator variable. Methods: This study used an explanatory, cross-sectional design. The sample consisted of 275 families with toddlers within the health center working area in Surabaya City, selected through simple random sampling. The variables assessed include factors influencing family commitment. Data were collected using a questionnaire and analyzed using SEM-PLS. Results: The findings showed that personal factors and resource factors significantly influence family commitment to monitoring the development of children under five, mediated by the filial values. The coefficient for the effect of personal factors on behavioral factors was 0.149 (p = 0.028); for resource factors on cognition behavior, 0.541 (p = 0.000); for cognition behavior on filial values, 0.493 (p = 0.000); for cognition behavior on commitment, 0.1113 (p = 0.024); and for filial values on commitment, 0.697 (p = 0.000). Conclusions: Filial values play a crucial role in enhancing the impact of personal factors and family resources on family commitment to monitoring the child development. Further research is needed on an intervention that strengthens the filial value of families to enhance family commitment to optimizing the monitoring of children’s development. Personal factors and family resources are key in shaping family commitment, with filial values strengthening this relationship. Emphasizing personal aspects, family resources, and filial values is essential to increase family commitment in monitoring child development.

Background: Adolescence is a period of transition from childhood to adulthood. One of the significant changes during this period is changes in behavior related to sexual life. Adolescent sexual behavior that is almost identical to adolescence is dating behavior. Dating relationships are colored by cases of violence, especially by men. According to UN Women (2021) shows that at least 736 million women, and 87% of them are committed by people closest to them, including dating violence. Family Functioning is the quality of relationships between family members, one of which is the role of parents in preventing dating violence because parents are the first place of socialization before children socialize with the outside environment. Therefore, this study aims to explore the impact of Family Functioning on dating violence behavior among adolescents. Methods: This study employed a case study approach. Data collection was performed between November 2023 and March 2024 through in-depth interviews with two groups: one adolescent who had experienced dating violence and another who had not. Results: The finding found that adolescent who experienced dating violence came from dysfunctional families, while adolescent who did not experience dating violence were from families with higher levels of family functioning. Conclusions: The study indicates that adolescents from dysfunctional families are more prone to dating violence, while those from well-functioning families are less affected. This emphasizes the critical role of family dynamics in adolescent experiences. Future research should develop interventions to enhance family functioning and examine these dynamics across various cultural settings.

Background: The support of health cadres plays an important role in the success of the exclusive breastfeeding program. Health cadres have been widely involved in various activities carried out in the village, especially for maternal and child health programs, but for lactation cadre assistance to postpartum mothers is still not active because there are no lactation cadre assistance guidelines that can be used. The purpose of this study is to develop guidelines for assisting lactation cadres and assess their effectiveness in increasing the success of exclusive breastfeeding. Methods: This research is a Research and Development (R&D) research, starting with a literature study by studying journals and books related to health cadres and Exclusive Breastfeeding. Compile guidelines for assisting lactation cadres from the results of development. Data was collected using a questionnaire through FGD together with 50 health cadres, 2 village midwives and 3 representatives from the Magetan Regency Health Office, expert consuls followed by the revision and finalization of lactation cadre assistance guidelines. Results: This research produced guidelines for assisting lactation cadres, the results of the evaluation of guidelines for assisting lactation cadres through the process of development, formulation of strategic issues, and FGD. Conclusions: The guidebook for lactation cadres is a strategic step in supporting the success of the Exclusive Breastfeeding program so that it can increase the success of Exclusive Breastfeeding in the community.

Background: Back massage acupressure is a natural complementary technique that minimizes side effects and can be administered to teenage girls experiencing dysmenorrhea. This technique was performed during the menstrual cycle, specifically from the 1st to the 3rd day, administered once a day for approximately 30 minutes. The novelty of the study lies in the complementary combination of a back massage and acupressure to reduce menstrual pain. This study aimed to analyze the effectiveness of back massage acupressure in reducing the intensity of pain and the duration of dysmenorrhea. Methods: A quasi-experimental study with a pretest-posttest control group design was conducted on 60 teenage girls in the Magetan district. Systematic random sampling was used to select 30 respondents for both the intervention and control groups. Data were obtained from observations and interviews with respondents regarding the intensity of pain and duration of dysmenorrhea. Results: Back mass acupressure effectively reduces the intensity of dysmenorrhea pain from the 1st to 3rd day (p-value= 0.000) and shortens the duration of dysmenorrhea (p-value <0.05), thereby improving adolescent reproductive health. Conclusions: Back massage acupressure is a simple, cost-effective, and minimally invasive solution for managing dysmenorrhea. This innovative technique has been proven highly effective in reducing both the intensity of pain and the duration of dysmenorrhea. It is recommended for use among teenage girls to promote better reproductive health.

Background: Vitamin A is a critical nutrient that dissolves in fat, is stored in the liver, and must be sourced externally, as the body cannot produce it. Its significance for toddlers and children is undeniable, particularly in preventing infections and enhancing the body’s immunity. Methods: This study decisively examines the knowledge of mothers in Cikondang Village, Cibeber District, Cianjur, Indonesia, regarding the administration of vitamin A capsules to their toddlers. We employed an analytical report method to assess this important issue. A total of 20 mothers were sampled using a total sampling technique, and primary data was collected directly from the respondents with suitable instruments. Results: The results are compelling. Before counseling, 13 respondents (65%) were classified as having poor knowledge, with an average score of 53.05. Following the counseling session, 12 respondents (60%) demonstrated a significant improvement, moving into the good knowledge category, with an average score of 78.30. The Wilcoxon test analysis confirmed these findings with a p-value of 0.000. Conclusions: counseling has a profound and measurable impact on maternal knowledge. Local health services must continue to provide education on the critical importance of vitamin A consumption.

Background: Exclusive breastfeeding (EBF) faces significant barriers, particularly in the first 7 days postpartum, primarily due to a lack of knowledge and skills about lactation among mothers and their partners. Couple classes have been proposed as a potential solution, as they provide lactation education to both mothers and their partners from pregnancy onward. This study aimed to evaluate the effectiveness of couple classes in enhancing breastfeeding rates and preventing breast milk stagnation during the early postpartum period. Methods: A quasi-experimental design with a posttest control group was used, targeting third-trimester pregnant women. The sample consisted of pregnant women who met the inclusion criteria, along with their husbands, who lived together and consented to participate. Exclusion criteria included husbands who worked out of town, those who did not attend all sessions, and those who experienced emergencies during pregnancy, childbirth, or postpartum. A total of 25 participants were assigned to each group through simple random sampling. The intervention group received couple class education, which was delivered online via WhatsApp Groups, along with direct assistance within the first 7 days postpartum. This support lasted for one month. The control group received standard care according to the PMB’s (Praktik Mandiri Bidan or Independent Midwife Practices) SOP (Standard operational procedure). Posttests were conducted on the seventh day postpartum. Breastfeeding rates and the occurrence of breast milk engorgement were assessed using a checklist. Statistical analysis was performed using the chi-square test to compare differences between the groups. Results: A significant difference in breastfeeding rates during the first 7 days was observed between the two groups (p = 0.034). Additionally, there was a significant difference in the prevention of breast milk engorgement (p = 0.017). Conclusions: Couple classes effectively increase breastfeeding rates and prevent breast engorgement, with online materials providing an efficient and impactful method of support.

Background: Bangkalan district has the highest incidence of stunting in East Java. Various efforts have been made to accelerate the reduction of stunting, but maximum results have not been achieved. This study aimed to determine the impact of family empowerment based on Madura sociocultural structures on the ability to prevent stunting. Methods: This study used a cross-sectional design with a population of families with school-aged children in PAUD, Regency area of Bangkalan, with a sample of 280 individuals drawn by stratified random sampling. Data analysis was performed using SEM. Results: The results showed that the Madurese family culture and social structure were built on religious, kinship, and economic interest indicators. Family empowerment, with aspects of family structural strength, family functioning, and family values, influences the family ability to prevent growth retardation. Family empowerment in stunting prevention is strongly influenced by the culture and social structure of the Madura family. Indicators of stunting prevention skills include the ability to meet family nutrition, fertility management, growth and development monitoring, personal and environmental hygiene patterns, and family capacity to modify the environment. The more power a family has, the more impact it has on their ability to prevent stunting. Conclusion: Stunting based on Madhura culture can be achieved through the integrative implementation of stunting. Local government organizations involve informal community figures

Background: Hypertension in pregnancy affects 10% of pregnant women worldwide and includes preeclampsia, eclampsia, gestational hypertension, and chronic hypertension. Preeclampsia is the most common, with a global incidence of 2–8% of pregnancies. In Indonesia, preeclampsia accounts for 128,273 cases annually, or approximately 5.3% of pregnancies. Several risk factors contribute to preeclampsia, including a history of preeclampsia, diabetes, chronic hypertension, kidney disorders, a family history of severe preeclampsia, obesity, maternal age, nulliparity, and multiple pregnancies. Medical records from Dr. R. Sosodoro Djatikoesoemo Bojonegoro Regency Hospital show that preeclampsia cases constituted 17.57% (195 of 1,110 cases) in 2020 and 8.26% (139 of 1,696 cases) in 2021. This study aims to analyze the risk factors for preeclampsia at RSUD Dr. R. Sosodoro Djatikoesoemo Bojonegoro Regency. Methods: This observational analytic study employed a cross-sectional design. The sample consisted of 105 pregnant women in their second and third trimesters, selected using simple random sampling. Data were analyzed using the Multiple Logistic Regression Test to assess risk factors. Results: The multivariate analysis yielded a significance value of 0.243, indicating that maternal age, history of preeclampsia, and pregnancy spacing influence preeclampsia incidence. The Model Summary table showed Nagelkerke R Square value of 0.037. Conclusion: Maternal age, pregnancy spacing, and a history of preeclampsia are significant risk factors for preeclampsia.