Women, Midwives and Midwifery

The Role of Specific Nutritional Interventions For The First 1000 Days of Life Program In Stunting Prevention : A Literature Review

Viorika Marsafa Putri — 2024-02-29

Background: Stunting has many negative impacts on the health and quality of children so it is necessary to prevent stunting. Prevention of stunting is carried out in accordance with the target of the Sustainable Development Goals, which is to eliminate all forms of malnutrition by 2030 by implementing specific nutrition interventions in the first 1000 days of life program.

Purpose: This study aims to determine the role of specific nutritional interventions in the first 1000 days of life in stunting prevention.

Methods: This type of research is a narrative literature review. This research was conducted from October 2021 to June 2022. The search for articles was accessed through the Pubmed, Science Direct, and Google Scholar databases. Articles were selected based on inclusion and exclusion criteria.

Results: The analysis was carried out on 16 research articles. It was found that every program in specific nutrition interventions can reduce the stunting with prevent stunting by preventing and treating the causes of stunting with the help of the government to create a program so that it can be implemented in more detail and specifically.

Conclusion: Specific nutrition has been proven to reduce stunting

Narrative Review of the Effect of Endorphin Massage and Oxytocin Massage on Pain Intensity in Maternity Women

Rada Almina Selian — 2024-02-29

Background: Childbirth is the effort or process of expelling a full-term baby which is often accompanied by pain caused by contractions in the uterus. From the research results, it was found that 32% of 300 women who gave birth during the active phase experienced severe pain, 57% moderate pain, and 11% mild pain. Evidence shows that fear of vaginal childbirth and anxiety experienced by many women during their pregnancy. Therefore, it then led to their decision to choose other methods of birth such as Section Caesarea (SC). The effects of anxiety during labor could potentially result in excessive levels of catecholamines causing decreased blood flow to the uterus, decreased uterine contractions, decreased blood flow to the placenta, decreased oxygen available to the fetus, and can increase the length of labor. One of alternative methods of dealing with pain during the labor process is using non-pharmacological such as endorphin massage and oxytocin massage.
Purpose: The aim of this literature study was to present information about the effect of endorphin massage and oxytocin massage on the intensity of pain among mothers giving birth.

Methods: This research method was a literature review study. Journal searches were carried out by applying online database such as ScienceDirect, Google scholar, Pubmed, Scopus, Portal Garuda. Articles were selected based on inclusion and exclusion criteria.

Result: The study investigated the influence of endorphin and oxytocin massages on pain intensity in maternity mothers during childbirth, revealing a significant reduction in pain levels following the administration of these massages. Both endorphin and oxytocin massages were found to alleviate pain, induce relaxation, and promote feelings of comfort and calmness, thereby facilitating a smoother birth process.

Conclusion: The influence of endorphin massage and oxytocin massage is useful in reducing pain in maternity mothers

Baby Massage is Useful in Stunting Prevention

Sri Sukamti — 2024-02-29

Background: Stunting, underweight, and extreme thinness continue to plague Indonesian children's growth; stunting, underweight, and extreme thinness are still common in children under the age of five. One possible countermeasure is providing tactile stimulation (touch) to malnourished babies. Baby massage is a type of tactile stimulation that can help a baby's sense of touch develop.

Purpose: This study aims to determine the effect of baby massage on baby weight gain to prevent stunting in babies below the standard weight curve.

Methods: Quasi-experimental pre-posttest one-group design is used in this study. The study included 21 malnourished babies under two who weighed less than the normal weight curve. Purposive sampling was used to collect the samples. The study was conducted at an independent midwife clinic providing baby massage services. Data was collected using questionnaires and checklist sheets. The dependent t-test is used in data analysis to perform a correlation test.

Results: The results show a significant relationship between baby massage and baby weight gain (P-value 0.001; average weight in the first week was 7714.29 grams, 7909.52 grams in the second week, 8095.24 grams in the fourth week, 8180.95 grams in the fifth week, and 8228.57 grams in the sixth week). The p-value is 0.001, indicating a significant difference between the average increase in body weight from the first to the sixth week.

Conclusion: Weekly massages given consistently and repeatedly to malnourished babies can help them gain weight and prevent stunting. The recommended action is to improve the mother's ability to massage the baby independently to increase the baby's weight

Studying Mothers' Knowledge and Perceptions of Adolescent Reproductive Health

Diana Hartaty — 2024-02-29

Background: Reproductive health education is obtaining information and forming attitudes and beliefs about sex, sexual identity, relationships, and intimacy. Mothers are the primary caregivers and have an essential role in providing reproductive health and sexual education to adolescents. Parents' lack of reproductive health education triggers deviation; therefore, parents, especially mothers, can provide comprehensive reproductive health education to prevent free sexual behaviour and sexual crimes in adolescents.

Purpose: To measure the knowledge and perception of mothers about adolescent reproductive health

Methods: This is a cross-sectional study with a descriptive design. The study involved 135 respondents who were selected using a purposive sampling technique. Analysis using descriptive, T-test and Pearson correlation.

Results: More than 50% of respondents answered that adolescents' reproductive health education should be parents' responsibility and education should begin during elementary school. There was a correlation between mothers' knowledge and perception of adolescent reproductive health (r=0.44, p<0.001). Most mothers were afraid of providing sex education due to their ignorance of teaching methods and their lack of knowledge, and mothers wanted to learn about adolescent reproductive health from experts.

Conclusion: Mothers want to learn more about sex education from experts or health workers. They were interested in male/female sexual structure and sexual physiology. Open communication between mother and child on sex-related issues is essential. Providing accurate and up-to-date sex education information to parents is vital to effectively educating their children at home.

Facilitators of Skilled Birth Attendants’ Utilization in Government and Christian Health Association of Malawi Hospitals: A Cross-Section Study of Lilongwe Rural

Woneckilly Kuseni Sumani — 2024-02-29

Background: Every woman must have access to a Skilled Birth Attendant (SBA) for routine care and management of complications during labour, childbirth, and early postnatal period. SBA utilization has been identified as an essential approach of reducing maternal morbidity and mortality among reproductive age group of 15-49. Malawi as a developing country is also utilizing skilled birth attendants in an effort to reduce maternal death by 70 per 100,000 births. Report of 2020 from Demographic and Health Survey (DHS) on skilled birth attendants (SBA) revealed that Malawi was 89.8% by 2018, while Lilongwe District, the study area, was 67% of SBA utilization against a target of skilled birth attendant utilization of 95% by the year 2022.

Purpose: To evaluate the facilitators of skilled birth attendants’ utilization in government and CHAM hospitals and their relationship to hospital delivery.

Methods: This research used logistic regression test and quantitative cross-sectional approach. Questionnaires were used to collect data from December 2021 to February 2022 in 390 participants. The sampling techniques used were cluster and random sampling.

Results: Based on logistic regression marital status (p=0.001, OR 14.56), pregnancy complication (p=0.000, OR 12.21), and ANC three times (p=0.010, OR 2.11) and four times (p=0.000 OR 0.76) were found to be significantly associated with hospital delivery. On the other hand ANC once (p=0.005, OR -2.33) and twice (P=0.008, OR -1.94) did not significantly influence utilization skilled birth attendants by pregnant mothers

Conclusion: Based on the results, it is concluded that age from 15 to 30 and employment, marital status, education, complication, antenatal clinic, are the facilitators for pregnant mothers to utilize skilled birth attendant. These facilitators might be of importance for policy makers to consider when coming up with programs to increase skilled birth attendants utilization at rural area of Lilongwe District.

The Effectiveness of Using Custom Made Soft Corset Model Towards Abdominal Circumference in Postpartum

Sri Handayani — 2024-02-29

Background:

During the postpartum period, mothers often seek to maintain abdominal slimness by utilizing compression garments like stagen or bengkung. However, advancements in textile technology have led to a decline in the popularity of stagen, with corsets emerging as a preferred alternative due to their perceived practicality. Corsets, known for their flexible yet durable woven texture, serve as effective abdominal binders, aiding in both aesthetic preservation and posture

Purpose: This study aimed to evaluate the effectiveness of custom-made soft corsets in reducing abdominal circumference among postpartum mothers. The findings are anticipated to offer insights into the comfort and efficacy of using these corset models to promote abdominal muscle tightening in postpartum individuals.

Methods: The design is quasi-experimental. Data analysis includes univariate analysis in the form of respondent characteristic data and multivariate analysis with General Linear Model Repeated Measures (GLM RM).

Results: The difference in average abdominal circumference in the intervention group decreased, namely in measurement I of 89.4 cm (SD = 8.56), measurement II of 77.67 (SD = 7.51) cm and measurement III of 69.67 cm (SD = 8.41), while low back pain of measurement I of 2.73 (SD = 0.46), measurement II of 1.80 (SD = 0.56) and measurement III of 0.40 (0.51).

Conclusion: Custom made soft corset treatment for postpartum mothers proved to be more effective in reducing the size of abdominal circumference, namely in the results of the analysis of the interaction between the second and third measurements, seen from a steeper slope, and in low back pain measurements seen from a steeper slope between the first and second measurements.