Zona Kebidanan: Program Studi Kebidanan Universitas Batam

THE EFFECTIVENESS OF AN ANIMATED EDUCATIONAL VIDEO ON EXCLUSIVE BREASTFEEDING KNOWLEDGE AMONG PREGNANT WOMEN AT THE SAPTA TARUNA COMMUNITY HEALTH CENTER, PEKANBARU

Desi Nindya Kirana — 2026-08-07

Exclusive breastfeeding rates remain low in Indonesia, including at the Sapta Taruna Community Health Center in Pekanbaru, which reports one of the lowest coverage rates in the region. One of the contributing factors is pregnant women's limited knowledge regarding the importance of exclusive breastfeeding. Animated educational videos have the potential to deliver health information in an engaging, interactive, and easily understandable manner. This study aimed to evaluate the effectiveness of an animated educational video on improving pregnant women's knowledge of exclusive breastfeeding. A quasi-experimental study employing a one-group pretest-posttest design was conducted. The study included 49 pregnant women from the first to the third trimester, selected through purposive sampling. Data were collected using a structured questionnaire measuring knowledge of exclusive breastfeeding. Differences in knowledge scores before and after the intervention were analyzed using the Wilcoxon Signed-Rank Test. Before the intervention, most participants demonstrated insufficient knowledge of exclusive breastfeeding (59.2%). Following the educational intervention, the majority of participants achieved a good level of knowledge (83.7%). The Wilcoxon Signed-Rank Test showed a statistically significant improvement in participants' knowledge after the intervention (p < 0.001). Animated educational videos are effective in improving pregnant women's knowledge of exclusive breastfeeding at the Sapta Taruna Community Health Center, Pekanbaru. Future studies are recommended to incorporate a control group and compare various educational media, such as infographics, printed educational modules, and mobile health applications, to strengthen the evidence regarding the effectiveness of breastfeeding education.

AN ANALYSIS OF MATERNAL MORTALITY IN BATAM CITY FROM 2022 - 2024

Dino Gagah Prihadianto — 2026-09-14

Maternal mortality remains a significant public health issue. In Batam City, the number of maternal deaths fluctuated during 2022–2024. Factors such as maternal age, gestational age, and parity are suspected to contribute to both direct and indirect causes of maternal death. This study aimed to determine the relationship between these factors and the causes of maternal mortality based on maternal audit reports. This quantitative study used a descriptive-analytic design with a retrospective cross-sectional approach. Secondary data were obtained from the maternal audit reports of the Batam City Health Department for the years 2022–2024, with a total sample of 55 cases. Data were analyzed using frequency distribution and the Chi-Square test. Most maternal deaths were caused by direct causes, totaling 36 cases (65.5%). There was no significant relationship between maternal age (p = 0.868) and parity (p = 0.263) with the causes of death. However, a significant relationship was found between gestational age and the causes of maternal mortality (p = 0.034). Gestational age is associated with the causes of maternal mortality, while maternal age and parity show no significant relationship. Direct causes remain the leading contributors to maternal deaths in Batam City.

THE EFFECT OF RED GUAVA FRUIT ON HEMOGLOBIN (HB) LEVELS OF ADOLESCENT FEMALES IN THE WORK AREA OF TANJUNG BALAI PUBLIC HEALTH CENTER

Herbina Br Sembiring — 2026-09-30

Anemia among adolescent girls remains a health issue that impacts growth, academic concentration, and future reproductive health. One non-pharmacological approach to increasing hemoglobin (Hb) levels is the consumption of red guava; rich in vitamin C, it enhances iron absorption. This study aims to determine the effect of red guava consumption on the hemoglobin levels of adolescent girls within the working area of the Tanjung Balai Community Health Center. This study employed a quasi-experimental design with a one-group pretest-posttest approach. The sample consisted of 20 adolescent girls selected using purposive sampling. The intervention involved the administration of 250 ml of red guava juice daily for 10 days. Hemoglobin levels were measured before and after the intervention using a Quick Check Digital device and subsequently analyzed using a paired t-test at a 95% significance level. The study results indicate that the mean hemoglobin level was 9.9 g/dL prior to the intervention, whereas it increased to 10.2 g/dL following the intervention. Statistical analysis demonstrates that the consumption of red guava has a significant effect on increasing hemoglobin levels among adolescent girls (p < 0.05). It can be concluded that consuming red guava is effective in raising hemoglobin levels, making it a viable non-pharmacological intervention for the prevention and management of anemia in adolescent girls.

TIME MANAGEMENT AND THE QUALITY OF POSTNATAL CARE SERVICES

Dian Suzanti — 2026-09-30

Efforts to reduce maternal mortality and infant mortality are closely related to the quality of service. One of the elements that contribute to the quality of postnatal care is the time management of health workers. This study aims to determine the relationship between midwives' time management and the quality of postnatal care services. This study uses the Analytical Survey method, with a Cross Sectional approach, the study was conducted at the Tanjung Pinang Community Health Center in November - August 2025 with a population of 34 midwives in the Tanjung Pinang Community Health Center work area. The sampling technique used total sampling. The research instrument used a questionnaire. The data obtained were analyzed using SPSS. The results of the study showed that the majority of midwives had time management in the good category, namely 21 respondents (61.8%), while the remaining 13 respondents (38.2%) were in the sufficient category. The quality of postnatal care services was also mostly in the good category, namely 28 respondents (82.4%) and 6 respondents (17.6%) in the sufficient category. The statistical test obtained a significance value of 0.001 (<0.05), thus concluding that there is a significant relationship between midwives' time management and the quality of postnatal care services. Midwives are expected to improve their time management skills through effective planning and prioritization of postnatal care services.

LACTATION EDUCATION MANAGEMENT THROUGH THE CONSUMPTION OF STIR-FRIED PAPAYA LEAVES TO IMPROVE POSTPARTUM MOTHERS' KNOWLEDGE

Desi Ariyanti — 2026-09-30

Problems such as not producing breast milk smoothly, especially for mothers who have given birth for the first time, are very normal, and often they do not carry out IMD (Early Initiation of Breastfeeding) shortly after birth because awareness has not yet recovered, so it can be a factor in hampering the release of breast milk. To overcome this problem, you can consume papaya leaves which contain the enzymes papain and potassium, which are useful for breaking down the protein you eat, while potassium is useful for meeting potassium needs during breastfeeding. The aim is to determine the educational effect of giving stir-fried papaya leaves on postpartum mothers' knowledge about smooth breast milk production. Quantitative research method, posttest only control group design approach, January-August 2024. Place in Tanjung Balai Karimun. The study population was all postpartum mothers who were breastfeeding. The sampling technique in this research was Accidental Sampling with a total of 34 respondents. Analysis used the T Test. The average knowledge of post-partum mothers about giving stir-fried papaya leaves to facilitate breast milk production in the pretest was 14.26, posttest was 17.50, the statistical test obtained a p value = 0.001 (α < 0.05). Conclusion: There is an educational effect of giving stir-fried papaya leaves on the knowledge of postpartum mothers regarding the smooth production of breast milk

EFFECTIVENESS OF DEEP BACK MASSAGE IN REDUCING FIRST-STAGE LABOR PAIN AMONG WOMEN IN ACTIVE LABOR: A PRE-EXPERIMENTAL STUDY

Esther Christine Romatua — 2026-09-30

This study aims to determine the effect of deep back massage on pain intensity in laboring mothers during the first stage of labor. A pre-experimental design with a one-group pretest-posttest approach was used. The study involved 30 laboring mothers who received deep back massage during the active phase of the first stage of labor. Pain intensity was measured using the Visual Analogue Scale (VAS) before and after the intervention. The results showed a significant decrease in pain levels from an average of 7.6 before the intervention to 5.2 after the intervention (p < 0.001). It is concluded that deep back massage is effective in reducing labor pain during the first stage. The method is recommended as a non-pharmacological alternative to manage labor pain

THE EFFECT OF WARM COMPRESSES ON REDUCING DYSMENORRHEA PAIN INTENSITY AMONG ADOLESCENT GIRLS AT SMP NEGERI 10 BATAM

Salsabila — 2026-09-30

Dysmenorrhea is a common menstrual disorder characterized by abdominal cramping and pain that may interfere with daily activities, particularly among adolescent girls. This study aimed to determine the effectiveness of warm compresses in reducing dysmenorrhea pain intensity among adolescent girls at SMP Negeri 10 Batam. A pre-experimental study using a one-group pretest-posttest design was conducted. The study involved 30 adolescent girls who were recruited through purposive sampling. Pain intensity was assessed before and after the warm compress intervention using a standardized pain scale. The findings demonstrated that the mean dysmenorrhea pain intensity decreased from 3.17 before the intervention to 1.47 after the intervention. Statistical analysis using the Wilcoxon signed-rank test demonstrated a statistically significant difference in pain intensity before and after the intervention (p < 0.001). These findings indicate that warm compresses may be an effective non-pharmacological intervention for alleviating dysmenorrhea pain among adolescent girls.

THE EFFECT OF ACUPRESSURE THERAPY ON NAUSEA AND VOMITING AMONG FIRST-TRIMESTER PREGNANT WOMEN IN THE WORKING AREA OF UPTD PUSKESMAS SEKUPANG

Natia Yunisa — 2026-09-30

Nausea and vomiting, commonly referred to as emesis gravidarum, are among the most frequent complaints experienced by women during early pregnancy. Although generally considered a physiological condition, persistent symptoms may interfere with maternal activities and nutritional status and may progress to hyperemesis gravidarum. This study aimed to determine the effect of acupressure therapy on the frequency of nausea and vomiting among first-trimester pregnant women in the working area of UPTD Puskesmas Sekupang, Batam City, in 2024. This study employed a quantitative quasi-experimental design using a one-group pretest-posttest approach. A total of 38 first-trimester pregnant women were selected through purposive sampling. Nausea and vomiting were assessed before and after the intervention using the Pregnancy-Unique Quantification of Emesis and Nausea (PUQE-24) instrument. Data were analyzed using univariate analysis and the Wilcoxon signed-rank test. The mean nausea and vomiting score decreased from 1.89 before the intervention to 1.11 after acupressure therapy. The Wilcoxon test demonstrated a statistically significant difference between pretest and posttest scores (p < 0.001). These findings indicate that acupressure therapy was associated with a significant reduction in nausea and vomiting among first-trimester pregnant women in the working area of UPTD Puskesmas Sekupang, Batam City

THE EFFECT OF PRENATAL EDUCATION ON DEEP BREATHING TECHNIQUE ON ANXIETY IN THIRD-TRIMESTER PREGNANT WOMEN FACING CHILDBIRTH

Juliana Saragih — 2026-09-30

Maternal anxiety in facing childbirth can have negative impacts such as increasing the risk of prolonged labor, excessive pain, and even obstetric complications. This study aims to determine the effect of deep breathing techniques on maternal anxiety in facing childbirth at Kuala Kampar Health Center in 2025. This research is a cross-sectional study. The sample consisted of 34 third-trimester pregnant women. The data obtained were analyzed using univariate and bivariate analyses with the t-test, and the results were presented systematically. The findings showed that among 34 respondents, before the education was provided, all 34 women (100.0%) experienced severe anxiety. After being given education on the Deep Breathing Technique to reduce maternal anxiety in facing childbirth, it was found that 28 women (82.4%) experienced mild anxiety, 5 women (14.7%) experienced moderate anxiety, and 1 woman (2.9%) still experienced severe anxiety. The t-test results showed a p-value = 0.000 (p < 0.05), which means there is a significant effect of education on Deep Breathing Technique on reducing maternal anxiety in the third trimester in facing childbirth. It is recommended that healthcare providers routinely provide information not only focused on medical aspects but also covering Deep Breathing techniques, relaxation training, stress management, and mental preparation for childbirth.

THE EFFECT OF CAVENDISH BANANA ADMINISTRATION ON HEMOGLOBIN LEVELS IN PREGNANT WOMEN WITH ANEMIA IN THE WORKING AREA OF BALOI PERMAI COMMUNITY HEALTH CENTER, BATAM CITY

Rizki agustina — 2026-09-30

Anemia during pregnancy remains a significant public health problem in developing countries, including Indonesia. Maternal anemia increases the risk of preterm birth, maternal and perinatal mortality, infectious diseases, and impaired fetal and infant growth and development Cavendish banana (Musa paradisiaca) is a tropical fruit rich in nutrients, including iron, vitamin C, folic acid, and other minerals, which may support hemoglobin formation. In the working area of the Baloi Permai Community Health Center, Batam City, 66 of 94 pregnant women recorded in 2025 had hemoglobin levels ranging from 8 to 11 g/dL. This study aimed to determine the effect of Cavendish banana administration on hemoglobin levels in pregnant women with anemia. A quasi-experimental study with a one-group pretest-posttest design was conducted at the Baloi Permai Community Health Center from June to August 2025. The population consisted of 66 pregnant women with anemia, with 40 participants selected using purposive sampling. Data were analyzed using SPSS. The mean hemoglobin level increased from 10.0 g/dL before the intervention to 11.8 g/dL after Cavendish banana administration. Statistical analysis demonstrated a significant difference between pre- and post-intervention hemoglobin levels (ρ = 0.001; ρ < 0.05). These findings indicate that Cavendish banana administration was effective in increasing hemoglobin levels among pregnant women with anemia. Pregnant women are encouraged to undergo early antenatal screening and increase their intake of iron-rich fruits and vegetables, including Cavendish banana.

EFFECTIVENESS OF INFANT MASSAGE THERAPY IN REDUCING COLIC SYMPTOMS AMONG INFANTS AT LIA NURMALA MIDWIFERY PRACTICE JAMBI 2026

Syahrina Yanti — 2026-09-30

Infantile colic is a common source of discomfort during early infancy and may affect feeding, sleep, and family well-being. Infant massage is a gentle, non-pharmacological approach that may help relieve discomfort and promote relaxation. This study aimed to determine the effectiveness of infant massage therapy in reducing colic symptoms among infants aged 1–4 months at PMB Lia Nurmala, Jambi City, in 2026. A quantitative pre-experimental study was conducted using a one-group pretest–posttest design. Sixteen infants with colic symptoms were selected from a population of 64 infants through purposive sampling. Colic symptoms were assessed before and after a 20–25-minute infant massage session using an observation instrument with five indicators and a total score ranging from 0 to 15. Data were analyzed using descriptive statistics, the Shapiro–Wilk test, and a paired t-test at a significance level of 0.05. The mean colic symptom score decreased from 7.94 (SD = 1.389) before the intervention to 1.31 (SD = 1.448) after the intervention, with a mean reduction of 6.63 points. The paired t-test indicated a statistically significant difference between the pre-intervention and post-intervention scores (p < 0.001). Infant massage may therefore be considered a supportive non-pharmacological approach for reducing colic symptoms when performed gently and appropriately by trained personnel. Future research should involve larger samples, control groups, and multiple healthcare settings to provide stronger and more generalizable evidence.

ANALYSIS OF THE BRAIN SPARING EFFECT PHENOMENON: COMPARISON OF HEAD CIRCUMFERENCE GROWTH RATES BETWEEN WEIGHT FALTERING AND GOOD NUTRITION IN TODDLERS AT POSYANDU MEKARSARI AND MEKARSARI A

Rochmawati — 2026-09-30

Pendahuluan: Penurunan berat badan atau gagal tumbuh pada balita sering dikhawatirkan berdampak buruk pada perkembangan otak, namun tubuh manusia memiliki mekanisme adaptasi fisiologis yang dikenal sebagai Efek Penghematan Otak (Brain Sparing Effect). Mekanisme ini memprioritaskan distribusi nutrisi ke otak ketika terjadi defisit energi akut, sehingga pertumbuhan lingkar kepala diharapkan tetap terjaga. Metode: Penelitian ini menggunakan desain observasional analitik dengan pendekatan longitudinal (time series) selama tiga bulan (Oktober–Desember) pada Posyandu Mekarsari dan Mekarsari A. Teknik purposive sampling digunakan untuk memilih 99 balita (86 gizi baik, 13 penurunan berat badan) yang memenuhi kriteria inklusi. Analisis data menggunakan uji Mann-Whitney untuk membandingkan perbedaan pertumbuhan (delta) lingkar kepala. Tujuan: Penelitian ini bertujuan untuk menganalisis fenomena Efek Penghematan Otak dengan membandingkan laju pertumbuhan lingkar kepala antara balita dengan status penurunan berat badan dan gizi baik. Hasil: Pertumbuhan rata-rata lingkar kepala pada kelompok yang mengalami penurunan berat badan tercatat sebesar 0,92 cm, sedikit lebih tinggi dibandingkan kelompok yang gizi baik sebesar 0,79 cm, dengan tren pertumbuhan yang stabil pada kedua kelompok. Hasil uji statistik menunjukkan bahwa tidak ada perbedaan signifikan dalam laju pertumbuhan lingkar kepala antara kedua kelompok (p=0,845). Rekomendasi: Fenomena Efek Perlindungan Otak (Brain Sparing Effect) dikonfirmasi pada responden penelitian ini, di mana laju pertumbuhan lingkar kepala tetap stabil meskipun terjadi resistensi terhadap penambahan berat badan pada fase akut.