Jurnal MID-Z (Midwivery Zigot) Jurnal Ilmiah Kebidanan https://ejurnal.uij.ac.id/index.php/JM <div class="description"> <p><strong>Jurnal MID-Z (Midwifery Zigot) Jurnal Ilmiah Kebidanan </strong>was previously managed by the Midwifery Academy Bina Husada Jember, D III Midwifery Study Program in 2018. <strong>Jurnal MID-Z (Midwifery Zigot) Jurnal Ilmiah Kebidanan </strong> is a Scientific Journal of Midwifery managed by the D III Midwifery Study Program, Faculty of Health Sciences, Islamic University of Jember, Indonesia. This journal is supported by practitioners and scientists from various institutions which involve expertise in Midwifery.</p> <p><strong>Jurnal MID-Z (Midwifery Zigot) Jurnal Ilmiah Kebidanan</strong> received original manuscripts from both research and literature reviews in the field of health of both mother and child. <strong>Jurnal MID-Z (Midwifery Zigot) Jurnal Ilmiah Kebidanan</strong> has modified the design appearance of the issue volume 5 number 1 in 2022.</p> <p><strong>Jurnal MID-Z (Midwifery Zigot) Jurnal Ilmiah Kebidanan</strong> is published under the number ISSN-E 2621-7015 ISSN-P 2656-8586 and this journal is supported by practitioners and scientists from various institutions who have expertise in the field of Midwifery.</p> <p>The scope of the health of both mother and child field includes: Clinical midwifery, Community midwifery, Maternal and child health, Maternal and child nutrition, Adolescent health &amp; nutrition, Health promotion, Health and midwifery services, Health information systems, Maternal and child health program, Maternal and child health policy, Woman Health throughout the life cycle, Clinical midwifery, Community midwifery, Maternal and child health, Maternal and child nutrition, Adolescent health &amp; nutrition, Health promotion, Health and midwifery services, Health information systems, Maternal and child health program, Maternal and child health policiy and Woman Health throughout the life cycle, and reproduction health. <a href="http://ejurnal.uij.ac.id/index.php/JM/issue/archive">(Click here for the Complete Journal Archive)</a></p> </div> <p> </p> <p> </p> Universitas Islam Jember en-US Jurnal MID-Z (Midwivery Zigot) Jurnal Ilmiah Kebidanan 2656-8586 <p><em>Jurnal Mid-Z (Midwifery Zigot) Jurnal Ilmiah Kebidanan memberikan akses terbuka terhadap siapapun agar informasi dan temuan pada artikel tersebut bermanfaat bagi semua orang. Semua konten artikel Jurnal Mid-Z (Midwifery Zigot) Jurnal Ilmiah Kebidanan dapat diunduh secara gratis tanpa dipungut biaya sesuai dengan <a href="http://creativecommons.org/licenses/by/4.0/">lisensi creative commons</a> yang digunakan.</em></p> <p><a href="http://creativecommons.org/licenses/by/4.0/" rel="license"><img style="border-width: 0;" src="https://i.creativecommons.org/l/by/4.0/88x31.png" alt="Creative Commons License" /></a><br /><em><strong>Jurnal Mid-Z</strong> is licensed under a <a href="http://creativecommons.org/licenses/by/4.0/" rel="license">Creative Commons Attribution 4.0 International License</a></em></p> The Relationship Between Education Level and Socioeconomic Status with The Incidence of CED (Chronic Energy Deficiency) Among Pregnant Women https://ejurnal.uij.ac.id/index.php/JM/article/view/3258 <p><em>Chronic Energy Deficiency (CHD) in pregnant women </em><em>remains a serious issue in Indonesia, with negative impacts </em><em>on maternal and fetal health. Education level and </em><em>socioeconomic status play an important role in the incidence </em><em>of SEZ, where higher education and better economic status </em><em>can reduce this risk. This study aims to examine the </em><em>relationship between education level and economic status </em><em>with the incidence of SEZ in pregnant women at the Poigar </em><em>Health Center. The research design used in this study was </em><em>Analytical Correlation. The approach model used was Cross </em><em>Sectional to study the relationship between Education Level </em><em>and Socioeconomic Status on the Incidence of Chronic </em><em>Energy Deficiency (SEZ) in pregnant women. This study was </em><em>conducted in the working area of the Poigar Health Center. </em><em>The population of this study were all pregnant women in the </em><em>Poigor Health Center working area as many as 30 people, </em><em>because this study used a total sampling technique, the </em><em>number of samples was the same as the population. The m</em><em>results of the chi-square test on the education level of </em><em>respondents showed a value of p = 0.045, it can be </em><em>concluded that the level of education has a relationship with </em><em>chronic energy deficiency (CHD) in pregnant women while </em><em>the results of the chi-square test on socioeconomic status </em><em>also showed a value of p = 0.000, which indicates a </em><em>statistically significant relationship between socioeconomic </em><em>status (income) and the incidence.</em></p> Kristesa Lista Kaumpungan Widia Shofa Ilmiah Rifzul Maulina Copyright (c) 2024 Kristesa Lista Kaumpungan, widia shofa Ilmiah, Rifzul Maulina https://creativecommons.org/licenses/by-sa/4.0 2024-11-30 2024-11-30 7 2 93 102 10.56013/jurnalmidz.v7i2.3258 Instant Powder of Lemongrass (Cymbopogon Citratus) on Dysmenorrhea Intensity in Adolescent https://ejurnal.uij.ac.id/index.php/JM/article/view/3173 <p><em>Dysmenorrhea is a common disorder that often occurs before </em><em>and during menstruation, characterized by pain and </em><em>discomfort in the lower abdomen. The prevalence of primary </em><em>dysmenorrhea experienced by teenagers in the first three </em><em>years after menarche was 54.89%. It is very important to treat </em><em>dysmenorrhea, this is because of the negative effects it has </em><em>on teenagers due to enduring the pain, including fatigue and </em><em>weakness and even nausea and vomiting because it can </em><em>spread to the waist and thighs. Treatment that minimizes side </em><em>effects can be done non-pharmacologically by using </em><em>lemongrass, which containsantioxidants that reduce pain. </em><em>This study aims to determine the effectiveness of instant </em><em>lemongrass powder (Cymbopogon Citratus) on the intensity </em><em>of dysmenorrhea in adolescents. The research used a PreExperimental </em><em>Design </em><em>with </em><em>the </em><em>form </em><em>of </em><em>One </em><em>Group </em><em>Pre-test </em><em>and </em><em>Post-test. </em><em>The </em><em>research </em><em>population </em><em>was</em><em>76 </em><em>teenagers </em><em>using </em><em>a </em><em>purposive </em><em>sampling </em><em>technique, </em><em>using </em><em>inclusion </em><em>and </em><em>exclusion </em><em>criteria </em><em>according to the research of 16 teenagers. </em><em>Dysmenorrhea intensity assessment used the NRS </em><em>questionnaire. The data obtained was then carried out using </em><em>the t test and obtained a value of Sig = 0.000 &lt; 0.05, there </em><em>was a significant impact in the form of changes in the </em><em>intensity of dysmenorrhea in adolescents after administering </em><em>instant lemongrass powder.</em></p> hasanah Pratiwi Harahap Nurrahmaton Nurrahmaton Dian Zuiatna Nuriah Br. AP Copyright (c) 2024 hasanah Pratiwi Harahap, Nurrahmaton Nurrahmaton, Dian Zuiatna, Nuriah Br. AP https://creativecommons.org/licenses/by-sa/4.0 2024-11-30 2024-11-30 7 2 103 110 10.56013/jurnalmidz.v7i2.3173 Consumption of Young Coconut Water as an Effort to Treat Menstrual Pain in Adolescent Girls https://ejurnal.uij.ac.id/index.php/JM/article/view/3277 <p><em>Some women experience pain and cramps during menstruation. The pain usually occurs in the lower abdomen. One non-pharmacological effort can be done by consuming young coconut water,&nbsp;which contains folic acid as a component in producing red blood cells. Sufficient blood production will facilitate blood circulation so that the cells meet their oxygen and nutritional needs. With this condition, the body will be more resistant to the sensation of menstrual pain caused during menstruation. The method uses a pre-experimental research design with&nbsp;a&nbsp;one-group pretest-posttest design. Data were collected using a numeric rating scale (NRS) observation sheet to assess the menstrual pain scale. Data were analyzed using univariable and bivariable analysis with the Wilcoxon statistical test. The research results,&nbsp;based on statistical test results for menstrual pain before giving young coconut water,&nbsp;had an average of 3.53,&nbsp;and after giving young coconut water,&nbsp;an average of 1.18. The Wilcoxon test obtained a significant value of ρ= 0.000 (&lt;0.05). The conclusion of this research is that there is an effect of giving young coconut water on menstrual pain in young women in Pemusiran Village, Sungai Tering Health Center Working Area in 2024</em><em>.</em></p> Hasrita Octaliana Lia Endah Purda Listya ⁠Nurul Fatimah Susanti Herlisah Herlisah Copyright (c) 2024 Hasrita Octaliana Lia, Endah Purda Listya, ⁠Nurul Fatimah Susanti, Herlisah Herlisah https://creativecommons.org/licenses/by-sa/4.0 2024-11-30 2024-11-30 7 2 111 116 10.56013/jurnalmidz.v7i2.3277 Effect Prenatal Yoga on Pregnancy: Literatur Review https://ejurnal.uij.ac.id/index.php/JM/article/view/3283 <p><em>Pregnancy is a process characterized by various physiological and psychological changes. Yoga has been shown to reduce discomfort due to physiological and psychological changes in pregnancy. </em><em>The study was made to update and provide a comprehensive picture of the effects of prenatal yoga on pregnancy compared to standard prenatal care. </em><em>This integrative literature review was based on databases namely Pubmed and ScienceDirect. Inclusion criteria were articles published in 2019-2024, written in English, and all articles were available and accessible. Only original articles and those with experimental designs were included. </em><em>From 1085 articles, six articles were reviewed. The quality of the selected articles was determined using the Olsen-Baisch Scoring tool. </em><em>Yoga can reduce pregnancy discomfort related to the gastrointestinal and respiratory systems and improve sleep quality. Psychologically, yoga can help reduce stress, depression and anxiety and improve mental health. Yoga can reduce the incidence of Cesarean Section, reduce the occurrence of labor induction and reduce the incidence of under-term labor and reduce the perception of pain and fear of facing labor.</em></p> Nurul Fatimah Susanti Endah Purda Listya Hasrita Octaliana Copyright (c) 2024 Nurul Fatimah Susanti, Endah Purda Listya, Hasrita Octaliana https://creativecommons.org/licenses/by-sa/4.0 2024-11-30 2024-11-30 7 2 117 127 10.56013/jurnalmidz.v7i2.3283 Effect of Perineal Massage on Perineal Trauma: Scoping Review https://ejurnal.uij.ac.id/index.php/JM/article/view/3289 <p><em>Perineal massage as a preventative measure has been shown to reduce the risk of perineal injury and positively affect pelvic floor function in the early postpartum period. Perineal massage can protect and reduce the number and severity of tears. It can be performed from the 34th week of pregnancy and can be performed by pregnant women or their partners for 4 minutes 3-4 times a week or 10 minutes once a week. Objective: to obtain information about the effect of perineal massage on perineal trauma. The research design used was a scoping review. The data used to search for literature reviews were PubMed and ScienceDirect with the keywords massage, trauma, and perineum. The data were selected based on the inclusion and exclusion criteria, and the research method used was a randomized controlled trial.&nbsp; The results of the literature review showed that perineal massage is effective in reducing the risk of severe perineal trauma and episiotomy rates during labor. </em></p> Endah Purda Listya Hasrita Octaliana Nurul Fatimah Susanti Copyright (c) 2024 Endah Purda Listya https://creativecommons.org/licenses/by-sa/4.0 2024-11-30 2024-11-30 7 2 128 136 10.56013/jurnalmidz.v7i2.3289 The Influence of Breast Massage Toward Breast Milk Production on Breastfeeding of Mother https://ejurnal.uij.ac.id/index.php/JM/article/view/3293 <p><em>The exclusive breastfeeding program is still a global problem, including Indonesia. Data on exclusive breastfeeding coverage in Indonesia in 2021 (71.58%), 2022 (72.04%) and 2023 (73.97%). The average length of breastfeeding in Minahasa City, South Sulawesi is 9.35 </em><em>months in 2019 and 10.46 months in 2021. There are various factors that cause mothers not to provide exclusive breastfeeding, both maternal and infant health factors, and </em><em>other factors. Efforts are made to facilitate breast milk production, one of which is with Breast Massage. The purpose of the study was to analyze the effect of breast milk on breast milk production. Pre-experimental study design method. The population of all postpartum mothers at the Tambelang Health Center is 16 people, the sample is 16 people, the total sampling technique. The instrument used an observation sheet with a breast massage technique for 3 days carried out every day with a duration of 15-30 minutes 3 </em><em>times, data analysis using the Paired T- Test. The results of the study were obtained for the age of 20-35 years (62.5%), gravida primi and multi (43.8%), and high school education </em><em>(50.0%). P= 0.001 &lt; α 0.05. Conclusion that breast massage can affect the production of breast milk for breastfeeding mothers to be smooth.</em></p> Destie N tompoliu Widia Shofa Ilmiah Rifzul Maulina Copyright (c) 2024 Destie N tompoliu, widia shofa Ilmiah, Rifzul Maulina https://creativecommons.org/licenses/by-sa/4.0 2024-11-30 2024-11-30 7 2 137 143 10.56013/jurnalmidz.v7i2.3293 The Effect of Giving Ajwa Dates on Increasing Hemoglobin Levels in Adolescent Girls https://ejurnal.uij.ac.id/index.php/JM/article/view/3304 <p><em>Anemia is still a nutritional problem especially for adolescent girls. This is because there are still many young women who do not make efforts to prevent anemia. This study aims to determine the effect of giving ajwa dates on increasing Haemoglobin levels in adolescent girls. Method: The design of this study is pre-experimental with a two-group pre-post test design. A sample of 48 respondents. Data were obtained through examination of Haemoglobin levels before and after the intervention. The data was analyzed based on a data normality test. Results: The Hb levels of adolescent girls in the intervention group before being given ajwa dates had an average value of 9.463, std. deviation of 1.3276 with the lowest Hb of 5.1 gr/dl and the highest Hb of 10.9 gr/dl, while the control group had an average value of 11.667, std. deviation of .3046 with the lowest Hb of 11.0 gr/dl and the highest Hb of 12.2 gr/dl. The hemoglobin levels of adolescent girls in the intervention group after being given ajwa dates had an average value of 10.829, std. deviation of 1.3917 with the lowest Hb of 7.7 gr/dl and the highest Hb of 13.5 gr/dl, while in the control group had an average value of 11.221, std. deviation of .5365 with the lowest Hb of 10.0 gr/dl and the highest Hb of 12.2 gr/dl. There is an effect of giving ajwa dates on increasing haemoglobin levels in adolescent girls with a value of p = 0.001</em></p> Suryati Romauli Nur Fitriana Iriyani Greaceline Vira Ivanna Kalo Copyright (c) 2024 Suryati Romauli, Nur Fitriana Iriyani, Greaceline Vira Ivanna Kalo https://creativecommons.org/licenses/by-sa/4.0 2024-11-30 2024-11-30 7 2 144 151 10.56013/jurnalmidz.v7i2.3304 Comparisons between the Role of Working Mothers and Housewives in the Development of Children Aged 3-5 th Years https://ejurnal.uij.ac.id/index.php/JM/article/view/3318 <p><em>In the first 5 years of children life, the brains develop connections faster. The age of 3-5 years is also known as the golden age of children, where in this period children experience accelerated development in aspects of gross motor, fine motor, language and social independence. At an early age, children need appropriate care to achieve their optimal development. The mother's role is identical to the main caregiver in the family, one of which is a very important role for golden age period. This study aims to determine the comparisons in the role of working mothers and housewives in the development of children aged 3-5th years in the Gamping Ist public health center working area This is a cross-sectional study with a convenience sampling to recruit participants with a sample size of 100 respondents. The inclusion criteria in this study were toddlers aged 3-5 years, mothers aged 23-35 years, and toddlers who were still active in posyandu activity. Bivariate analysis uses The T-test. Based on the result, role of mother's housewives showed better child development. This is shown by the majority of results being appropriate or normal for this group of children. While the role of working mothers showed no significat difference with child development . There are differences in the roles of working mothers and housewives. Research shows that housewives have children with better overall development</em></p> lia dian Muafiqoh Dwi Arini Ngidoti Musonah Arantika Meidya Pratiwi Copyright (c) 2024 lia dian, Muafiqoh Dwi Arini, Ngidoti Musonah, Arantika Meidya Pratiwi https://creativecommons.org/licenses/by-sa/4.0 2024-11-30 2024-11-30 7 2 152 158 10.56013/jurnalmidz.v7i2.3318 The Effect of Hypnobirthing Relaxation on Reducing Anxiety Levels in Pregnant Women Trimester III https://ejurnal.uij.ac.id/index.php/JM/article/view/3396 <p><em>Anxiety is a common mental disorder of unknown cause, characterized by extreme feelings of fear or worry. The impact of untreated anxiety on the mother can be tuberculosis, preeclampsia, and postpartum depression, while in infants, there can be Low Birth Weight, prematurity, and stunting. The solution that can be done is with non-pharmacological methods, namely hypnobirthing. This method can help mothers overcome fear to undergo a safe and healthy pregnancy. The purpose of this study was to determine the level of anxiety before being given hypnobirthing relaxation, the level of anxiety after being given hypnobirthing relaxation, and the effect of hypnobirthing relaxation and whether hypnobirthing relaxation can reduce anxiety in third-trimester pregnant women. This research method uses a pre-experiment design with a one-group pretest and posttest design. The population in the study was 47 pregnant women, with the acquisition of 32 samples with purposive sampling that entered the inclusion criteria. The results obtained p-value = 0.001 ≤ α = 0.05, which means there is an effect of giving hypnobirthing relaxation on reducing anxiety levels in third-trimester pregnant women in Plerean Village, Sumberjambe District, with a decrease of 30.469. Conclusion Hypnobirthing relaxation helps reduce anxiety in pregnant women so it can be concluded that there is a huge difference in anxiety levels before and after hypnobirthing relaxation is given.</em></p> Yuni Handayani Ernawati Anggraeni Kustin Kustin Fivie Faronita Fauzi Copyright (c) 2024 Yuni Handayani, Ernawati Anggraeni , Fivie Faronita Fauzi https://creativecommons.org/licenses/by-sa/4.0 2024-11-30 2024-11-30 7 2 159 166 10.56013/jurnalmidz.v7i2.3396 Medication Adherence in Diabetes Mellitus Patients https://ejurnal.uij.ac.id/index.php/JM/article/view/2869 <p><em>Adherence to medication is a crucial factor in the management of diabetes mellitus (DM), a chronic metabolic disease that can lead to serious complications if not properly managed. This study aims to analyze the level of medication adherence among DM patients at Puskesmas Peninggalan, Musi Banyuasin Regency, in 2024. The </em><em>research uses an observational design with a cross-sectional approach, involving 1,182 DM patients receiving treatment at the health center. Data were collected through structured interviews and medical record analysis, followed by descriptive and inferential analysis. The results show that patient adherence is influenced by factors such as age, education level, family support, and access to medication. These findings are expected to serve as a reference for improving more effective DM management strategies in primary healthcare facilities, with p-values of 0.002 for relationships, 0.004 for education, 0.001 for knowledge, 0.004 for attitudes, 0.003 for motivation, 0.006 for family support, and 0.001 for the role of healthcare staff. Conversely, a p-value of 1.000 showed no relationship between gender and medication adherence for diabetes </em><em>mellitus. Proper management of diabetes mellitus patients, </em><em>particularly in improving medication adherence, is crucial to prevent </em><em>further complications. Therefore, it is recommended that the Health </em><em>Department develop regular health education policies through </em><em>various channels, including direct meetings and other media.</em></p> Aladin Aladin Erna Gustina Chairil Zaman Copyright (c) 2024 Aladin Aladin, Erna Gustina, Chairil Zaman https://creativecommons.org/licenses/by-sa/4.0 2024-11-30 2024-11-30 7 2 167 176 10.56013/jurnalmidz.v7i2.2869 Analysis of Factors Affecting Employee Performance at Public Health Center https://ejurnal.uij.ac.id/index.php/JM/article/view/2865 <p><em>Performance plays a crucial role in all types of organizations, both </em><em>public and private sectors. It can be defined as the outcome of tasks </em><em>executed in line with assigned responsibilities, which is clearly </em><em>reflected in the results or output produced (Pranogyo et al., 2021). </em><em>The quality of services provided by employees plays a significant role </em><em>in shaping the public's perception of healthcare services. Patients' </em><em>experiences are often shared with family and close friends, creating </em><em>either a positive or negative impression of the health center </em><em>(Argaheni et al., 2022). This study aims to identify factors affecting </em><em>employee performance at Puskesmas Sumber Harum in 2024. The </em><em>research uses a quantitative approach with a cross-sectional design, </em><em>classified as observational research. The study involved all 43 </em><em>employees at Puskesmas Sumber Harum in 2024. The analysis </em><em>showed no significant relationship between education (p-value 0.074) </em><em>and knowledge (p-value 0.171). However, significant relationships </em><em>were found for age (p-value 0.008), gender (p-value 0.006), training </em><em>(p-value 0.019), attitude (p-value 0.009), and motivation (p-value</em><br /><em>0.037). Among these factors, attitude emerged as the most dominant </em><em>with an OR of 17.452, contributing greatly to performance. Based on </em><em>these findings, it is recommended that Puskesmas focus more on </em><em>improving employee discipline and continue striving to enhance </em><em>productivity and service quality.</em></p> Khatob Khatob Erna Gustina Syntia Rahutami Copyright (c) 2024 Khatob Khatob, Erna Gustina, Syntia Rahutami https://creativecommons.org/licenses/by-sa/4.0 2024-11-30 2024-11-30 7 2 177 188 10.56013/jurnalmidz.v7i2.2865