Jurnal Ilmiah Kebidanan Imelda

PENGARUH EDUKASI BERBASIS FAMILY CENTERED MATERNITY CARE TERHADAP PEMBERIAN ASI DALAM UPAYA PENCEGAHAN STUNTING

Chainny Rhamawan — 2026-03-31

Background: Stunting remains a major public health issue in Indonesia, strongly associated with inadequate nutrition during the early stages of life. Exclusive breastfeeding is recognized as one of the most effective interventions to prevent stunting. However, breastfeeding practices are influenced by maternal knowledge, attitudes, and family support. The Family Centered Maternity Care (FCMC) approach emphasizes family involvement in maternal and child health, aiming to improve breastfeeding practices and child nutrition. Objective: This study aimed to analyze the effect of FCMC-based education on breastfeeding practices and mothers’ perceptions of fulfilling children’s nutritional needs as an effort to prevent stunting. Methods: A mixed-method design was applied, combining quantitative and qualitative approaches. The quantitative phase used a randomized controlled trial involving 100 postpartum mothers divided into intervention and control groups. The intervention group received FCMC-based education, while the control group did not. Data were collected using structured questionnaires on breastfeeding practices, knowledge, attitudes, and family support, complemented by semi-structured interviews. Quantitative data were analyzed using descriptive and inferential statistics, while qualitative data were thematically analyzed. Results: The majority of respondents were <18 years old, had basic education, and 65% were employed. Most mothers had good knowledge (59%), good attitudes (61%), and adequate family support (54%). Breastfeeding was reported by 68% of participants. Statistical analysis showed that mothers in the intervention group were almost four times more likely to have a good perception of fulfilling child nutrition compared to the control group (OR = 3.881; 95% CI: 1.561–9.650; p = 0.005). Qualitative findings highlighted the role of family involvement, especially from husbands, in supporting breastfeeding practices. Conclusion: FCMC-based education significantly improves mothers’ perceptions of child nutrition and enhances breastfeeding practices. Integrating FCMC into maternal health programs is recommended as a sustainable strategy to support exclusive breastfeeding and prevent stunting in Indonesia.

PENGARUH PENGGUNAAN TEKNIK VISUALISASI TERHADAP PENINGKATAN PERSEPSI IBU TENTANG PEMENUHAN GIZI ANAK DALAM PENCEGAHAN STUNTING

Hilda Yani Karo-Karo — 2026-03-31

Background: Stunting remains a major public health problem in low- and middle-income countries, including Indonesia, where maternal age, education, knowledge, and perception play pivotal roles in child nutrition and growth outcomes. Objective: This study aimed to assess maternal characteristics, knowledge, and perceptions related to breastfeeding and nutrition, and to evaluate the effect of visualization techniques on improving maternal perception of child nutrition in the prevention of stunting. Methods: A cross-sectional design was applied involving 100 mothers as respondents. Data were collected on maternal age, education, employment status, knowledge of breastfeeding and stunting, and perception of child nutrition. An intervention using visualization techniques was conducted, and its effect on maternal perception was analyzed using chi-square tests and risk estimates with 95% confidence intervals. Results: Nearly half of the respondents were adolescent mothers (<18 years, 48%), while 45% had only basic education. A majority of mothers demonstrated good knowledge about breastfeeding and stunting (68%) and positive perceptions of nutrition (65%). However, knowledge and perception gaps remained among those with lower education. The use of visualization techniques significantly improved maternal perception of nutrition (p = 0.003), with mothers in the intervention group being four times more likely to report good perception compared to controls (OR = 4.0; 95% CI: 1.647–9.715). Conclusion: Maternal characteristics, particularly young age and low educational attainment, remain challenges for effective stunting prevention. Visualization-based education is an effective strategy to improve maternal perception and should be integrated into community health programs. Strengthening maternal nutrition literacy through innovative, accessible, and interactive interventions is essential to reduce stunting prevalence.

PEMBERIAN ASI EKSKLUSIF DENGAN KEJADIAN STUNTING PADA ANAK USIA 6-59 BULAN

Anggie Erianti — 2026-03-31

HUBUNGAN POLA ASUH, PENGETAHUAN GIZI, DAN STATUS PEKERJAAN IBU DENGAN PRAKTIK PEMBERIAN MP-ASI PADA BAYI 6-24 BULAN

Gustina Delkis Sitompul — 2026-03-31

Early introduction of complementary foods (early CF) before four months of age increases the risk of malnutrition fivefold compared to timely introduction at six months. This study aims to analyze the relationship between parenting styles, nutritional literacy, and maternal occupational status regarding complementary feeding (CF) practices among children aged 6 to 24 months at the Sipiongot Community Health Center, North Padang Lawas Regency. This analytic study employed a cross-sectional approach involving 58 respondents. This design was selected to observe the inter-variable relationships simultaneously. Data revealed that the majority of respondents exhibited poor parenting categories (62.1%), moderate nutritional knowledge (50.0%), unemployment status (63.8%), and inadequate CF practices (55.2%). Bivariate analysis demonstrated significant correlations between CF practices and parenting style (p=0.045), nutritional knowledge (p=0.029), and occupational status (p=0.014). Maternal internal factors and employment status play a pivotal role in infant nutritional success. Massive nutritional education and targeted support for stay-at-home mothers are required to improve CF practices in this region.

PENGALAMAN KELUARGA DALAM PERAWATAN ANAK SPEECH DELAY DI WILAYAH KERJA PUSKESMAS TERJUN

Nova Linda Rambe — 2026-03-31

Speech delay in children is a developmental disorder frequently found in the service area of Terjun Community Health Center. This study aimed to explore children's nutritional intake, sources of information, family management practices, and factors contributing to speech delay in children in this area. This study employed a qualitative method using a phenomenological approach with a snowball sampling technique. Data were collected through in-depth interviews with 5 families who had children with speech delay. The findings indicated that children's diets were relatively limited and lacked nutritional variety, consisting mainly of rice, vegetables, fish, eggs, and several fruits such as bananas and papaya. Most mothers provided formula milk from infancy due to difficulties in breastfeeding, which may influence children’s speech development. The inconsistent administration of supplements such as Cerebrovit, vitamin C, herbal honey, and fish oil may reduce their potential effectiveness. Parental experience also played an important role in recognizing speech delay, as parents compared their child’s speech development with that of older siblings. Family management strategies included intensive interaction and speech stimulation, and some families sought professional assistance for speech therapy. Genetic predisposition was also identified as a contributing factor. In addition, inadequate maternal nutritional intake during pregnancy due to economic constraints was reported to contribute to speech delay in children. In conclusion, speech delay among children in the Terjun Community Health Center area is associated with multiple factors, including limited dietary intake, inconsistent supplement administration, parental experience in recognizing developmental delays, genetic predisposition, and inadequate maternal nutrition during pregnancy.

DETEKSI DINI KECEMASAN PADA ASUHAN KEBIDANAN MASA KEHAMILAN, PERSALINAN DAN MASA NIFAS NY. A G2P1A0 DI KLINIK “A” KABUPATEN BANDUNG

Eka Alia Agustina — 2026-03-31

Pregnancy involves normal physiological changes that are often accompanied by psychological responses, one of which is anxiety, particularly during the third trimester. Unmanaged anxiety, combined with limited support from the husband or family, may negatively affect maternal and fetal health, the childbirth process, and the postpartum period. This study aimed to identify anxiety early and implement appropriate midwifery interventions to prevent potential complications. A descriptive case study with an observational approach was conducted on Mrs. “A” (G2P1A0), starting at 36 weeks of gestation and continuing through labor, the postpartum period, newborn care, and contraceptive counseling. Anxiety levels were assessed using the Taylor Manifest Anxiety Scale (T-MAS). Midwifery interventions included health education, counseling, therapeutic communication, prenatal yoga exercises, and breathing relaxation techniques. Prior to the intervention, the T-MAS score indicated moderate anxiety, mainly influenced by limited spousal presence and insufficient family support. Anxiety increased during labor due to the indication for cesarean section, and during the postpartum period due to family pressure related to infant feeding practices. After structured and continuous interventions, anxiety levels decreased to a mild category. The pregnancy, delivery, and postpartum period proceeded without complications. These findings indicate that early psychological screening combined with holistic midwifery care is effective in reducing anxiety and supporting maternal and neonatal well-being.

HUBUNGAN PIJAT BAYI MANDIRI DENGAN POLA MENYUSUI PADA BAYI ASI EKSKLUSIF

Ranti Yuliana — 2026-03-31

Regularly massaging babies can optimize breast milk intake, appetite, and weight gain. This consistent touch therapy is key to obtaining comprehensive health benefits for babies. This study was designed to analyze the relationship between baby massage practices performed independently by mothers and the consistency of breastfeeding patterns in babies who are exclusively breastfed. This study applied a quantitative approach with an analytical observational design through a cross-sectional design. A total of 110 mothers with infants aged 0-12 months at Teungku Peukan General Hospital were included in this study. Using purposive sampling, a sample of 86 respondents was obtained. Data were collected through a structured questionnaire to assess the variables of independent infant massage and exclusive breastfeeding patterns, which were then analyzed using the Chi-Square statistical test. The results of the study revealed that 65.1% of respondents performed independent infant massage and 61.2% of mothers had good breastfeeding patterns. Statistically, a significant relationship was found between the practice of independent infant massage and breastfeeding patterns in exclusively breastfed infants, as indicated by a p-value of 0.000 (p<0.05). Thus, it can be concluded that massage stimulation by mothers contributes to the success of breastfeeding patterns.

HUBUNGAN MOTIVASI, PEKERJAAN IBU DAN PERAN TENAGA KESEHATAN DENGAN PEMBERIAN MAKANAN PENDAMPING AIR SUSU IBU (MP ASI) DINI

Salmira Salmira — 2026-03-31