Practice Of Midwives Research Articles

Hambatan Bidan dalam Memberikan Pelayanan Persalinan di Praktik Mandiri Bidan (PMB) Pada Masa Pandemi Covid-19

The emergence of a new virus called Coronavirus Disease 2019 (COVID-19) at the end of December 2019 had an extraordinary impact on all aspects of life, especially in the world of health. Health workers such as midwives in Independent Midwife Practices (PMB) must adapt delivery services to the conditions of the COVID-19 pandemic and often encounter barriers in their implementation. This study aimed to explore in depth the barriers by midwives in providing delivery services at PMB during the COVID-19 pandemic. This study uses a qualitative descriptive study through a phenomenological approach, involving ten informants. Data collection was carried out using one-on-one in-depth online interviews with a semi-structured interview guide. Data analysis was done manually using thematic analysis. The results of the data analysis show that midwives encountered barriers while providing delivery services at PMB during the COVID-19 pandemic, including; difficulties in obtaining Personal Protective Equipment (PPE) at the beginning of the pandemic, patient non-compliance in implementing health protocols, midwives infected with COVID-19, and a referral system that did not work well.

Effects of Acupressure on Maternal and Neonatal Obstetric Outcomes during Labor: Study Protocol.

A Cochrane review found that there is insufficient evidence to determine the effectiveness of acupressure for pain relief. One of the problems detected is the methodological variability reported. To assess the impact of the application of acupressure on obstetric and neonatal outcomes of labor, pain experience, and mother's satisfaction with the experience. Design of a protocol to carry out a two-arm multicenter single-blinded randomized controlled trial. Intervention (pressure on LI4 of the left hand, B6 of the left leg, GB21 of the left shoulder, and then the same sequence on the right side) and placebo (application of the technique on points not identified by acupuncture as key points) will be performed by a single researcher. The recruitment began in April 2021 and, to date, there has been the participation of 40 women, divided into 17 included in the experimental group and 23 in the control. Communication of future results will be made in accordance with the CONSORT checklist. The designed protocol could methodologically improve some aspects of previous studies while maintaining adequate statistical power. The effectiveness of acupressure for one or more outcomes proposed (time and pain in labor) could support the inclusion of a new therapeutic tool in the clinical practice of midwives that would allow them to assist pregnant women, improving their experience both physically and psycho-emotionally.

Embedding Physical Activity Guidance During Pregnancy and in Postpartum Care: 'This Mum Moves' Enhances Professional Practice of Midwives and Health Visitors.

The benefits of physical activity during pregnancy and after childbirth are well established, yet many health care professionals do not feel well equipped to provide physical activity guidance to these populations. As such, the objectives of this study were to explore the immediate and longer term effects of training on health care professionals' ability to provide physical activity guidance to pregnant women and new mothers (mums). Midwives and health visitors from 5 locations in the United Kingdom were provided with training on the Chief Medical Officers' physical activity guidelines for pregnancy and after childbirth (n = 393). Midwives and health visitors attended training to become This Mum Moves Ambassadors, then disseminated education to colleagues through a cascade training model. Changes in knowledge, confidence, and professional practice were assessed by survey before and immediately after training (n = 247), and follow-up surveys were completed 3 (n = 35) and 6 (n = 34) months posttraining. At all posttraining time points, health care professionals reported a significant increase in their confidence to communicate about physical activity (P < .001). The reported frequency of having conversations about physical activity increased significantly 3 and 6 months following training compared with baseline (pregnant women, P = .017; new mums, P = .005). There were changes in the types of advice and resources offered by health care professionals and an overall increase in health care professionals' own reported physical activity levels. The This Mum Moves cascade approach to delivering training in physical activity guidelines improved reported knowledge, confidence and professional practice of midwives and health visitors, both immediately following and 3 and 6 months after training.

Combination of Herbal Steam Bath and Endorphin Massage to Increasing Breast Milk Production

The importance of breastfeeding has strong evidence. Complementary therapy that can increase milk production is to increase comfort and body fitness by using herbal steam baths. This is local wisdom that is still preserved in Indonesia as a therapy for postpartum mothers with water vapor. Another similar alternative is endorphin massage, which is a light touch therapy on the neck, back and arms that can trigger the release of endorphins that affect milk production. The purpose of this study was to estimate that the combination of the two methods would be more effective in influencing breast milk production. This research design is a quasi-experimental. The population in this study were postpartum mothers at the Independent Practice Midwife in Surabaya with a total sample of 40 which were divided into treatment and control groups, using purposive sampling technique. The treatment group was given intervention with a combination of herbal steam baths 2x/week for 5-20 minutes and endorphin massage 2x/week for 20 minutes, while the control group was not given. Each group was given a pre-test and post-test to determine the volume of breast milk production with indicators of increased baby weight, increased frequency of urination and defecation. Statistical test using Mann Whitney and Shapiro Wilk. The results showed that there was a significant effect of the combination of herbal steam baths and endorphin massage on increasing breast milk production with a value of α =0,000 atau α &lt;0,05. There was a significant difference in milk production in the treatment group compared to the control group with a value of α =0,000 atau α &lt;0,05. Conclusion: By doing a combination of herbal steam baths and endorphin massage regularly, it can increase milk production.

Prioritizing women's choices, consent, and bodily autonomy: From a continuum of violence to women-centric reproductive care

Obstetric violence is a product of medical institutions' failure to prioritize women-centric reproductive care. Through interviews with local activists and leaders in Oaxaca, Mexico, as well as analysis of primary and secondary sources, we find that women-centric reproductive care is hindered by three barriers that are a part of a continuum of violence. These barriers include the cultural and religious norms surrounding reproductive care, the medical community and medical profiteers' opposition to combatting obstetric violence, and the state's resistance to women's human rights policy changes. Shifting to a women-centric reproductive care model requires: the life of the woman to be prioritized in reproductive care, the criminalization of obstetric violence, improved training for the medical community, reduced monetary incentives for unnecessary cesarean sections, and the respectful inclusion of indigenous and midwife knowledge and practices. Our study's theoretical and empirical contributions add to the scholarly research regarding the systemic causes of obstetric violence and the care ethic required for transformative change. Our recommendations can be applied across contexts with locally developed and culturally inclusive models of women-centric reproductive care.

Overview of the application of informed consent in family planning services

The results of the study of the patient safety management team in Indonesia for health services revealed that the provision of informed consent in various healthcare institutions needs to be optimal. Most health workers only ask patients and families to sign informed consent without providing a detailed explanation. This condition certainly affects the knowledge of patients and families. Knowledge of patients and families can cause problems if desirable things happen. This study aimed to describe the application of informed consent in family planning services at Anisa Yogyakarta Independent Midwife Practice (PMB). This study used descriptive qualitative methods. The sampling technique using snowball sampling technique amounted to 4 midwife informants and four acceptor informants. The results of in-depth interviews conducted with four midwife informants said that the implementation of informed consent in family planning services at the Independent Midwife Practice (PMB) had gone well. The midwife had carried out the obligation to ask for consent and provide information while for the completeness of filling out informed consent, 14 informed consent filled in, as many as eight informed consent and six incomplete informed consent and from in-depth interviews, the acceptor was able to explain the contents of the informed consent. Acceptor informants said they signed the action consent sheet after the midwife explained about family planning (KB) that acceptors would use. The informed consent application in family planning services at the Independent Midwife Practice (PMB) has generally been done well. Still, the completeness of filling out informed consent has yet to be maximized, and acceptors generally understand informed consent in family planning services.

Peningkatan Keterampilan Bidan dalam Pelayanan Komunitas dengan Terapi Prenatal Massage With Love di Wilayah Pesisir Kota Bengkulu

In general, discomfort during pregnancy is back pain, cramps, and leg swelling. The unpleasantness is also prone to occur in pregnant women who are in coastal areas. The low economic situation makes pregnant wives work to help support the family income. The use of drugs is not suggested to overcome maternal complaints. The research results show how to overcome the problem by doing a prenatal massage with love. The aim is to apply prenatal massage with love to increase the quality of pregnancy care services in the community, especially in the coastal area of Bengkulu City. Training midwives implemented the method in the designated target area. This research-based service involves lecturers, students, and midwives in the coastal area of Bengkulu City, both those stored in the Puskesmas and the Independent Midwife Practice (PMB) owner. The results of the activity objectives and plans have been achieved and run smoothly. The conclusion is that the community's skills and quality of service are following the target, namely 80%, reducing discomfort in the form of back pain, leg swelling, and leg cramps in pregnant women 75% on visits to midwives. Improvement of at least 25% of midwives' ability to conduct entrepreneurship to develop community practice.

Factors Influencing Midwife Practices in Antenatal Services in The Early Detection of High Risk Pregnancy in Serang District

In Serang regency for 2 last years occured increasing of mother dead. This case more take place at antenatal period than having birth and porturition period. Mother dead can be prevented if high risk pregnant mother detected early, on of the method by doing pregnancy checkup appropriate with 7T standart to the pregnant mother. This research has purpose to identify and analize factors that affect midwife practice in antenatal care of high risk pregnancy early detection at Serang Regency. This research is analitik description research with cross sectional approach. The research subjects were midwife that practice BPM by use sample 73 midwifes. Result of the research showed that 52.1% respondent didn’t do antenatal care on the high risk pregnancy early detection. Factors that related to midwife practice in antenatal care were age, education, long time of work and knowledge where result of statistic experiment was gotten p value &lt; 0,05. Suggestion for IBI is increase monitoring and educating to its members, Health Department should be more distinct give a reward and punishment to BPM practice so that rescuing mother and baby more success, and for BPM should increase knowledges.

Lithuanian midwives' attitudes and actions during low-risk birth.

This study sheds light on the attitudes and practices of Lithuanian midwives during low-risk births. The aim is to reveal how autonomous work is incorporated into daily routines, how care is oriented towards the mother, and how care is delivered before and during interventions. It highlights midwives' views on both their own and their colleagues' actions during labor, what is aimed for and what outcome is expected. A qualitative research method was chosen. Midwives were interviewed individually in February and April 2022 by random sampling and semi-structured interviews, after the purpose of the survey was explained and their consent was given to use the information only for scientific work purposes. Midwives were recruited through social networks, sharing information about the study and its nature. All data were coded and analyzed in aggregate form. Ten midwives working in the labor ward participated in the study. From the midwives' point of view, every birth and its experience are unique. Midwives work together with mothers to achieve the common goal of a positive birth experience. Communication with the mother and her family, good rapport, clear information and informed decision-making are key aspects for midwives during labor. The midwife's actions must be reasonable and purposeful, with a preference for non-medicated methods of pain and stress relief. A low-risk birth that is within the competence of midwives is one in which there is a low likelihood of medical interventions. Midwives are encouraged to minimize the use of interventions and to provide high quality delivery care.

The Effect of Duration in Providing Kangaroo Mother Care (KMC) on Mother's Psychological Function in Low Birth Weight Babies at Private Midwife Practice Millatin Khusniyati, S.Tr.Keb Jepara

A low birth weight babies, in addition to have an impact on physiological function disorders, will also affect the mother's psychology. Management is carried out by providing kangaroo mother care (KMC). There were 16 cases of low birth weight babies in April. The purpose of the study was to determine the effect of Kangaroo mother care (KMC) time duration with Infant Physiological and Maternal Psychological Functions on Low Birth Weight Infants in Private Midwife Practice Millatin Khusniyati, S.Tr.Keb Jepara. This type of research is quantitative, quasi-experimental research design with two group post test design. There were 16 low birth weight babbies as the sample. The intervention was carried out once for an hour and two hours within 1 day. Data was analyzed by using Mann Whitney. The results of the study states there was no difference in the psychological status of mothers given KMC with a duration of 1 and 2 hours (0.626&gt; 0.05). It was concluded that there was no difference in the psychological status of mothers given KMC with a duration of 1 and 2 hours. These results can provide information, and practice giving KMC at a duration of 1 and 2 hours to psychological functions, through counseling and practics, at posyandu activities.

Quantitative and Qualitative Analysis of Complete Informed Consent Filling Structure in Delivery Assistance at Independent Practicing Midwives (BPM) in the Work Area of Lubuk Buaya Health Center, Padang City: A Review

This review article aims to explain how the quantitative and qualitative analysis of the completeness of the structure of filling out informed consent in delivery assistance at the Independent Practicing Midwife (BPM) in the work area of ​​the Lubuk Buaya Health Center, Padang City. Approval for medical action (PTK) or better known as informed consent is an agreement given by the patient or next of kin after receiving a complete explanation regarding the medical action to be performed on the patient with the aim of curing the disease he is suffering from. The medical action to be carried out on the patient must obtain approval, this consent can be given in writing or verbally and given after the patient has received the necessary explanation about the need for medical action to be carried out. Informed consent is made with the aim of providing protection for service users (patients) for all medical actions and providing legal protection for executors of medical actions from unreasonable patient demands, as well as the consequences of unexpected medical actions. In midwifery services, written informed consent must be carried out in midwifery services, especially in childbirth assistance. Keywords: Informed Consent; Labor; Independent Practice Midwife (BPM)

Knowledge and attitude of accepting COVID-19 vaccine booster doses and third doses among postpartum women in Palembang, Indonesia

Background: Since the discovery of Covid-19, scientific developments, policies, and programs regarding Covid-19 have changed rapidly. In 2022 the Covid-19 vaccine arrived at the second booster. In Indonesia, various policies related to Covid-19 are also experiencing very rapid adjustments, such as the policy for travelling using public transportation, planes, trains, and ships that require the completeness of the Covid-19 vaccine up to boosters. These regulations make the Covid-19 vaccination a necessity that seems forced. Pregnant and postpartum women are also not free from the target of giving Covid-19. Various theories and research have proven that knowledge is related to attitude. Following this theory, knowledge and attitudes will align with the completeness of Covid-19. So if positive knowledge and attitudes affect the completeness of the Covid-19 vaccine, then it will not be affected by the Covid-19 vaccination obligation policy required by the Indonesian government.Purpose: To find out the relationship between Knowledge and attitude of accepting COVID-19 vaccine booster doses and third doses among postpartum women in Palembang, IndonesiaMethod: This study was quantitative. The design was analytical with a cross-sectional approach. The study samples consisted of 38 postpartum mothers in Independent Practice Midwife at Palembang. The complications of postpartum mothers were excluded. The sampling technique was accidental sampling.Results: There is no relationship between knowledge and accepting COVID-19 vaccine booster doses and third doses (p=0.348), but in the analysis, there is a relationship between attitude towards vaccination readiness and accepting COVID-19 (p=0.003), there is a relationship between attitude towards government policy and completeness of vaccination Covid-19 (p=0.004), there is a relationship between attitudes towards vaccines and accepting COVID-19 (p=0.015)Conclusion: There is no relationship between knowledge and accepting COVID-19, and there is a relationship between attitude and accepting COVID-19

Mother's motivation and attitude towards baby spa services during the COVID-19 pandemic

Introduction: During the COVID-19 pandemic, the stay-at-home policy, which requires people to carry out activities at home, avoid crowds and minimize contact with people, is a problem for baby spa businesses due to the decline in baby spa patients at their clinics. This study aimed to evaluate the mother's motivation and attitude toward baby spa services during the COVID-19 pandemic. Methods: This cross-sectional study involves parents who are consumers of baby spas and independent practice midwives who provide baby spa services in the Sidoarjo Regency that met inclusion criteria. Sample determination used purposive sampling. All data were obtained directly as primary data, then collected and analyzed using univariate and bivariate analysis in SPSS ver. 20. Results: Most of the mothers and children were aged 36-40 years (32.0%) and &lt;2 years (72.0%), respectively. Most respondents had high motivation and attitude (70.4% and 74.1%). Chi-square and Fisher exact test showed a significant relationship between the mother's motivation and attitude towards mother's interest in baby spa services (p&lt;0.001) Conclusion: The mother's attitude and motivation are related to the mother's interest in coming to the baby spa service during the COVID-19 pandemic.

Edukasi Konsumsi Tablet Fe dan Susu Kedelai untuk pencegahan Anemia pada Ibu Hamil di Bidan Praktek Mandiri Muzilatulnisma Kota Jambi

Anemia is the biggest public health problem in the world, especially in the group of pregnant women. The prevalence of anemia in pregnant women worldwide is 41.8%, the prevalence of anemia in pregnant women in developed countries is 18%, while the average prevalence of anemia in pregnant women in developing countries is around 63.5% - 80%. the results of basic health research (Riskesdas) in 2013 the prevalence of pregnant women with anemia in Indonesia was 37.1%. cases of anemia in pregnant women is due to iron deficiency. The risk of pregnant women who experience anemia face the risk of death in pregnancy. Every year there are 500 thousand postnatal maternal deaths worldwide, as much as 20-40% of the main causes of death are anemia. BPM muzilatulnisma is a clinic that serves maternal and child health in the city of Jambi which has been standardized as a Delima midwife and as a certified mom and baby treatment clinic. Consumption of Fe tablets and soy milk is one way to prevent anemia in pregnant women. This community service is carried out by providing education through counseling for pregnant women about anemia prevention. held from March to August 2022 at the Muzilatulnisma Independent Practice Midwife, Jambi City. The purpose of this service activity is to provide education by providing health education/counseling on how to prevent anemia in pregnant women. With the hope of increasing the knowledge and awareness of pregnant women in consuming Fe tablets and soy milk in the prevention of anemia. The results obtained after community service was carried out were an increase in knowledge of pregnant women about anemia prevention at BPM Muzilatulnisma Jambi City. The implementation of community service activities carried out by providing education (counseling) using leaflets was able to increase the knowledge of pregnant women about anemia prevention.

Kajian Potensi Dan Peluang Investasi Pengelolaan Limbah Bahan Berbahaya Dan Beracun (B3) Medis Di Kota Surakarta

Hazardous Toxic Waste (B3) is a challenge as well as the latest threat to the people of Indonesia. The management of B3 waste, especially medical B3 waste, needs serious attention given that the production of medical B3 waste continues to increase from year to year. The potential for medical hazardous and toxic waste generated in Surakarta City is quite large, originating from Health Service Facilities which include 19 Hospitals, 17 Health Centers, 1 DKK Lab, 12 Health Laboratories, 102 Main and Primary Clinics, 1,399 Independent Practicing Doctors, 251 Independent Practicing Dentists , 7 Independent Practice Midwives, Beauty Clinic and 6 Veterinary Clinics. The urgency of building a B3 waste treatment plant is the limited B3 waste treatment facilities which can threaten the environment and the potential for regional income.

The Effect of Giving Cucumber Masks against Melasma in Acceptors of Combination Injection Contraception Users at the Independent Midwife Practice in Bungursari, Purwakarta, Indonesia

Background. Cucumber is one of the natural ingredients that has been widely used traditionally to maintain facial skin health. Cucumber is rich in antioxidants which have the potential to suppress the inflammatory process that arises due to hormonal imbalances in melasma sufferers due to the use of injectable contraception. This study aimed to determine the effect of using a cucumber mask on the incidence of melasma in acceptors injection contraception users at the independent midwife practice in Bungursari, Purwakarta, Indonesia.&#x0D; Methods. This study was an experimental study in which a total of 30 research subjects participated in this study. Data analysis was carried out using SPSS 25 software in a bivariate manner to determine the effect of using cucumber masks on melasma.&#x0D; Results. After using the cucumber mask on the first day, there was an improvement in melasma in the intervention group compared to before using the cucumber mask, p=0.02 (p&lt;0.05). Likewise, after using the cucumber mask on the second to the seventh day, there was an improvement in melasma in the intervention group compared to before using the cucumber mask, p &lt;0.05.&#x0D; Conclusion. There is an effect of using a cucumber mask on melasma in acceptors of injection contraception users at the independent midwife practice in Bungursari, Purwakarta, Indonesia.

Influence of the birthing room design on midwives' job satisfaction – A cross-sectional online survey embedded in the ‘Be-Up’ study

BackgroundJob satisfaction is an important factor influencing work performance, personal well-being, commitment and retention. The working environment influences job satisfaction. The design of the birthing room could influence the practice of midwives and their satisfaction. This study investigates whether the alternative design of the birthing room implemented in the randomized controlled trial ‘Be-Up’ (Birth environment-Upright position) has an impact on job satisfaction of midwives. MethodA cross-sectional survey using an online questionnaire with 50 items addressing job satisfaction and birth room design was performed. The sample (n = 312) consists of midwives whose obstetric units participated in the Be-Up study and, as comparison group, midwives working in non-study obstetric units. These two independent groups were compared using t-tests; correlations and impacts were examined. ResultsThe results of the T-tests revealed statistically significant higher global job satisfaction and higher satisfaction with team support of midwives in the Be-Up room. However, midwives working in customary birthing rooms were more satisfied with the design of the room. The most important predictors of job satisfaction were team factors and understaffing in both groups. ConclusionReasons for diminished satisfaction with the working environment in the Be-Up study may be assumed in uncertainties about emergency management in a new and unfamiliar environment. Furthermore the impact of a single redesigned room within a customary obstetric unit on job satisfaction seems small, as the room is embedded in the ward and hospital environment. More comprehensive concepts on the potential of the work environment influencing midwives’ job satisfaction are needed.

Side Effects of Using Depo Medroxy Progesterone Acetate Contraceptive Contraceptives in Midwife Practices

Injectable contraception is the most choice used by women of childbearing age as a delay in pregnancy or termination of pregnancy. Many acceptors do not know optimally about the side effects that are often felt by mothers who use contraception. The purpose of this study was to identify the side effects felt by mothers using 3-month injectable contraception. This research method is descriptive quantitative with cross sectional approach. The sampling technique in this study was purposive sampling with a total sample of 67 respondents. The results of the study reported that the side effects experienced were that the mother felt that she had difficulty having menstruation (87.9%), then the mother did not experience menstruation while using DMPA (84.8%), the mother felt there was an increase in fat (40.9%), an increase in body weight (40.9%). Furthermore, none of the acceptors felt a decrease in activity, acne, vaginal discharge, hair loss and menstruation that was faster than usual.

Determinants of Accuracy of Minimum Standards of Anc Visits in Midwife Self Practices

Sixtime visits for antenatal care according to the World Health Organization guidelines spread over trimesters 1, 2 and 3. The timing of these visits is important so that pregnant women get maximum health checks and early detection can be carried out. This research method is quantitative with a cross sectional approach. The independent variable is the determinant of the mother in terms of internal factors such as age, education, parity and then the dependent variable is the accuracy of the ANC visit to the independent midwife practice. The sampling technique in this study was purposive sampling with a total sample of 64 respondents. The results of the study reported that the determinants of risk factors that could increase the accuracy of ANC visits were the mother's recent high school education (high school and college) with a p value &lt;0.05 and parity of the mother as a primigravida with a p value &lt;0.05. The conclusion is that the accuracy of the mother's visit in carrying out the ANC examination is based on the last education and parity of the mother.

The Effect of Giving Cucumber Masks against Melasma in Acceptors of Combination Injection Contraception Users at the Independent Midwife Practice in Bungursari, Purwakarta, Indonesia

Cucumber is one of the natural ingredients that has been widely used traditionally to maintain facial skin health. Cucumber is rich in antioxidants which have the potential to suppress the inflammatory process that arises due to hormonal imbalances in melasma sufferers due to the use of injectable contraception. This study aimed to determine the effect of using a cucumber mask on the incidence of melasma in acceptors injection contraception users at the independent midwife practice in Bungursari, Purwakarta, Indonesia. This study was an experimental study in which a total of 30 research subjects participated in this study. Data analysis was carried out using SPSS 25 software in a bivariate manner to determine the effect of using cucumber masks on melasma. After using the cucumber mask on the first day, there was an improvement in melasma in the intervention group compared to before using the cucumber mask, p=0.02 (p&lt;0.05). Likewise, after using the cucumber mask on the second to the seventh day, there was an improvement in melasma in the intervention group compared to before using the cucumber mask, p &lt;0.05. In conclusion, there is an effect of using a cucumber mask on melasma in acceptors of injection contraception users at the independent midwife practice in Bungursari, Purwakarta, Indonesia.