Nurul Ilmi : Journal of Health Sciences and Midwifery

Hemoglobin Levels of Breastfeeding Mothers and Nutritional Status of Infants Aged 0-6 Months

Hera Yani — 2025-03-30

Introduction: Breastfeeding mothers with poor nutrition will affect the adequacy of breast milk. Anemia in pregnant women is thought to affect breast milk production. The quality of breast milk affects the nutritional status of toddlers. Objective: This study aims to determine the relationship between hemoglobin levels of breastfeeding mothers and the nutritional status of infants aged 0-6 months. Method: This is cross sectional study and conducted in the Jogonalan 1 Klaten Health Center area which was implemented in January-July 2024. The population in this study were all breastfeeding mothers who had babies aged 0-6 months in May 2024 about 57 babies with purposive sampling. The types of data collected in this study include data on the results of hemoglobin examinations of breastfeeding mothers and the results of weighing babies aged 0-6 months. The bivariate analysis used by the researcher is Spearman Rank Correlation. Result: There is no relationship between the hemoglobin levels of breastfeeding mothers the nutritional status of infants aged 0-6 months. This result is Based on the results of the Spearman Rank test with p-value 0.143. Conclusion: There is no relationship between the hemoglobin levels of breastfeeding mothers and the nutritional status of infants aged 0-6 months. Implications for midwifery services are expected to continue to examine the nutritional status of infants to detect stunting and growth disorders. Recommendations for further research can be developed into research on other factors that influence the nutritional status of infants aged 0-6 months.

Effect of Multiple Micronutrient Suplementation (MMS) in Pregnant Women on Anemia

Lusi Lestari — 2025-03-30

Introduction: The nutritional needs of pregnant women increase 2-3 times as the gestational age increases. Fulfilling the dietary needs of pregnant women is a challenge, especially for low- and middle-income countries. Many pregnant women in poor countries experience micronutrient deficiencies. Micronutrient deficiencies can have a negative impact on pregnant women because they can cause problems for the health of the mother and fetus. The effect of deficiencies of micronutrients, namely iron, folic acid, and B12 in pregnant women is anemia. Iron deficiency anemia is one of the most common diseases during pregnancy. In addition to iron and folic acid supplements which are intended to anticipate anemia problems, pregnant women also need other micronutrient components in the form of vitamins and minerals. Multi Micronutrient Supplements (MMS) is one of the global strategies recommended by the United Nations International Childhood Emergency Fund (UNICEF) to prevent micronutrient deficiencies. Objective: The literature review aims to examine the benefits of consuming Multi Micronutrient Supplements (MMN) in overcoming anemia in pregnant women. Method: The method used in writing this article is a review of research results related to the provision of MMS to overcome anemia in pregnant women. Result: Based on the articles that have been analyzed, it can be seen that consuming MMN during pregnancy can increase hemoglobin levels so that it can prevent anemia in pregnant women. Conclusion: MMS consumption during pregnancy can increase hemoglobin levels and prevent anemia in pregnant women. Referring to this conclusion, it is recommended for pregnant women to consume MMS regularly.

The Relationship Between Father Involvement in Parenting and Maternal Stress Levels in Mothers of Children with Intellectual Disabilities

Erlina Khaerunnisa — 2025-03-30

Introduction: Children with intellectual disabilities require more intensive and continuous caregiving, which often places significant psychological and emotional burdens on mothers, who typically serve as the primary caregivers. The demands associated with caregiving responsibilities—ranging from managing daily activities to addressing complex emotional and behavioral needs—can result in elevated levels of maternal stress. Prolonged exposure to such stress may adversely affect a mother's physical and psychological well-being, ultimately impacting her overall quality of life. One of the contributing factors that may alleviate this burden is the active involvement of fathers in caregiving tasks. Paternal involvement is believed to offer both emotional reassurance and practical support, which can significantly ease the caregiving load carried by mothers. Objective: This study aimed to examine the relationship between paternal involvement in caregiving and maternal stress levels among families raising children with intellectual disabilities. Method: A correlational study design with a cross-sectional approach was used. The sample consisted of 49 mothers recruited using a total sampling technique. Instruments used in this research were developed by modifying the Nursing Outcome Classification (NOC) to measure paternal involvement and adopting the Parental Stress Scale to assess maternal stress. Data were analyzed using the Spearman rank correlation test with a significance level of 0.05. Result: Findings revealed that 33 mothers (67.3%) reported high paternal involvement, 11 (22.4%) moderate, and 5 (10.2%) low. Regarding maternal stress levels, 22 mothers (44.9%) experienced low stress, while 27 (55.1%) experienced moderate stress. No respondents reported high stress. Conclusion: Statistical analysis showed a significant positive correlation between paternal involvement and reduced maternal stress levels (r = 0.088; p = 0.048). These results suggest that increased paternal engagement in caregiving contributes to lower maternal stress and better maternal well-being.

The Effect of Implementing Skin to Skin Contact on the Increase in Body Temperature of Newborn Babies with Premature

Maria Ulfah Jamil — 2025-03-30

Introduction: Infant Mortality Rate (IMR) is a benchmark used to determine the level of health development and quality of life in a country. The occurrence of prematurity in pregnancy is caused by multiple factors: maternal factors, fetal factors, and other factors. Premature birth causes the organs of the body to not be able to function perfectly, so that the adjustment of organ function to changes in conditions from intrauterine to extrauterine is very difficult for the baby. Changes in extrauterine conditions can cause stress in premature babies. The mechanism of heat loss through evaporation is the loss of body heat through the air. Preventive efforts by midwives can prevent the risk of hypothermia in newborns with the skin-to-skin method between mother and baby, provide early initiation of breastfeeding and immediately swaddle the baby. Objective: The aim of this study was to determine the effect of skin to skin contact on increasing the body temperature of premature newborns. Method: The method used in this study is to use the PreExperiment design with One group pre-test–post-test design. The sample in this study was non-probability sampling with inclusion and exclusion criteria of 14 premature babies. Result: The results of this study show that there is an influence of skin to skin implementation on increasing the body temperature of premature newborns at Jasa Kartini Hospital, P-Value 0.000 < 0.05. Conclusion: Based on the research results obtained, there is an influence of the implementation of skin to skin contact on increasing the body temperature of premature newborns.

Risk Factors for Underweight in Toddler Age 12-59 Months

Annisa Sucia — 2025-03-30

Introduction: Underweight toddlers are conditions where a toddler's weight does not correspond to his or her proper age, which can then affect the growth and development of toddlers. Objective: This study aims to determine the risk factors for underweight in toddlers aged 12-59 months in Cikunten Village, Singaparna District, Tasikmalaya Regency.. Method: The research method used was an observational study with a case control design. The total sample was 82 toddlers (41 cases, 41 controls). The control sampling technique uses a 1:1 matching technique with simple random sampling. The instruments in this study used a characteristics questionnaire, Clean and Healthy Living Behavior (PHBS) household questionnaire, SQ-FFQ form and food photo books for nutritional adequacy levels. Result: The results of analysis using chi-square and OR show that the risk factors for underweight in toddlers aged 12-59 months in Cikunten Village, Singaparna District, Tasikmalaya Regency were family income (p-value 0.001; OR 5.56), history of infectious diseases (p-value 0.033; OR 3.23), energy adequacy level (p-value 0.000; OR 6.59), carbohydrates (p-value 0.000; OR 5.84), protein (p-value 0.003; OR 4.54), and fat (p -value 0.000; OR 5.87), as well as household PHBS (p-value 0.002; OR 5.1). Conclusion: Low family income is at risk 5.56 times, history of infectious diseases 3.23 times, low energy adequacy level 6.59 times, carbohydrates 5.84 times, fat 6.87 times, protein 4.54 times, and household PHBS 5.1 times regarding the incidence of underweight in toddlers aged 12-59 months in Cikunten Village, Singaparna District, Tasikmalaya Regency.

The Effect of Pregnancy Exercises on the Quality of Sleep of Third Trimester Pregnant Women in Sindangrasa Village Ciamis District

Metty Nurherliyany — 2025-03-30

Introduction: Pregnancy causes physical and psychological changes. Psychological changes, such as emotional changes, anxiety, and anxiety disorders, also make it difficult for mothers to sleep. The prevalence of insomnia as one of the sleep disorders in pregnant women worldwide reaches 41.8%, with a total of around 58.52 million people. In Indonesia, according to the National Sleep Foundation survey, there are 5,354,594 pregnant women, and in West Java there are 138.53 thousand. In Ciamis Regency, the Health Office in 2024 recorded a total of 20,851 pregnant women. Objective: This study aims to determine the effect of pregnancy exercises on the quality of sleep of third trimester pregnant women in Sindangrasa Village, Ciamis Regency. Method: This study used a quantitative method with a quasi-experiment design. Treatment in the form of pregnant gymnastics was given, then a post-test was conducted to measure the respondents' sleep quality after treatment. The research was conducted on December 1-21, 2024 with 10 respondents in Sindangrasa Village, Ciamis Regency. Result: The results showed that before the pregnancy exercise, most pregnant women had poor sleep quality as many as 8 people (80%). After doing pregnancy exercises, most pregnant women experienced an increase in good sleep quality as many as 9 people (90%). The results of the Wilcoxon Test resulted in a p value = 0.007 which indicates the effect of pregnant gymnastics on the quality of sleep of third trimester pregnant women. Conclusion: Based on the results of the study, it was concluded that pregnancy exercises have a positive effect on the quality of sleep of third trimester pregnant women in Sindangrasa Village, Ciamis Regency.