Abstract:This study explores how Bugis-Makassar women construct and navigate plural reproductive knowledge in response to abortus imminens (threatened miscarriage), drawing on Talcott Parsons’ AGIL framework to analyze the sociocultural…
ocultural functions of care practices. Based on ethnographic fieldwork in Makassar, Indonesia, including interviews and participant observation with ten pregnant women, the study reveals that reproductive behavior is shaped by adaptive strategies (A), collective goals (G), moral integration (I), and intergenerational transmission of norms (L). Rather than following a singular medical logic, women mobilize syncretic forms of care that blend biomedical treatment, spiritual rituals, and ancestral taboos. These plural responses reflect not only epistemic hybridity but also reproductive governance enacted through kinship, religious authority, and clinical institutions. Women's agency is expressed not through open resistance, but through strategic moral navigation and embodied alignment with normative expectations—a form of what Mahmood terms the ethics of self-formation. The findings challenge biomedical-centric approaches to maternal health and highlight the need for culturally responsive interventions that respect local logics of risk, protection, and care. This study contributes to sociological debates on medical pluralism, moral regulation, and the reproduction of gendered knowledge in the Global South.
Abstract:Unmet need refers to couples of reproductive age who wish to delay pregnancy or no longer desire children but are not using any contraceptive method. This study aimed to identify the relationship between knowledge, attitudes,…
udes, and husband’s support with the incidence of unmet need among couples of reproductive age in RW 07, Karunrung Village, Rappocini District, Makassar City. The research was conducted from August to September 2022 using a purposive sampling technique with a total of 110 respondents. Data were collected through a structured questionnaire and analyzed using the Chi-Square test with SPSS version 26, and the findings were presented in distribution tables with descriptive explanations. The results showed significant associations between knowledge (p = 0.026), attitudes (p = 0.000), and husband’s support (p = 0.000) with the incidence of unmet need among couples of reproductive age. These findings highlight the importance of strengthening health education efforts and increasing husband involvement to reduce unmet need among couples of reproductive age.
Abstract:Stunting remains a major public health issue in Pesisir Selatan Regency, where the prevalence reached 29.8% in 2023, affecting children’s physical growth and cognitive development. This study aimed to analyze the association…
iation between maternal characteristics (parity, maternal age during pregnancy, age at marriage, birth spacing, education level, occupation, and exclusive breastfeeding) and family income with stunting among children under five. A cross-sectional design was employed involving 30 mothers of young children selected from the working area of Kayu Gadang Public Health Center. Data were collected using structured questionnaires and anthropometric measurements, and analyzed using the Chi-Square test.The results showed that 66.7% of the children were stunted. Maternal characteristics—including parity, maternal age during pregnancy, age at marriage, birth spacing, educational level, and occupation—were not significantly associated with stunting (p>0.05). Significant associations were found between exclusive breastfeeding (p=0.019) and family income (p=0.026) with stunting. Children from families earning below the regional minimum wage and those not exclusively breastfed were more likely to be stunted.In conclusion, exclusive breastfeeding and family income are significant predictors of stunting. Therefore, interventions should emphasize improving exclusive breastfeeding practices and strengthening economic support for at-risk families. These findings are expected to guide evidence-based stunting prevention strategies in Pesisir Selatan Regency.
Abstract:Background: The Family Planning Program (KB) is a government effort to control population growth in Indonesia. One of the contraceptive methods that is highly recommended in the KB program is the intra uterine device (IUD)…
D) or often called a spiral. IUD is a contraceptive that can be used in the long term with high effectiveness in preventing pregnancy, while having minimal risk of side effects if used correctly, but the number of IUD usage in Indonesia is still relatively low compared to other contraceptive methods. Research Objective: To determine the effect of knowledge and attitude on the interest of mothers in using IUD KB at the Wanayasa Health Center. Method: This study used a quantitative method with a sample of 66 respondents. Data analysis was carried out using bivariate and univariate, significance was determined if (p value <0.05). data processing was carried out using SPSS. Result: The results of the study showed that in the knowledge variable there were 37 respondents with good knowledge, 23 respondents with sufficient knowledge and 6 respondents with less knowledge. As for the attitude variable, there were 52 respondents with positive attitudes and 14 respondents with negative attitudes. The results of this study also show that there is an influence between knowledge and interest in mothers using IUD with P-Value = 0.003, while the attitude variable also shows that there is an influence between attitude and interest in mothers using IUD with P-Value = 0.010. Conclusion: there is a significant influence between knowledge on interest in mothers using IUD and attitude on interest in mothers using IUD
Abstract:Marriage involving pregnant women outside wedlock remains a critical socio-cultural and legal phenomenon in Indonesia, particularly in North Halmahera where family honor, religious authority, and customary law strongly influence…
nfluence communal life. This study aimed to explore how such marriages are understood, legitimized, and practiced by families, community leaders, and legal institutions. Using a qualitative case study approach, data were collected through in-depth interviews with religious leaders, adat leaders, government officials, parents, and young women, complemented by participant observation and document analysis, and analyzed with an interactive model of reduction, display, and conclusion drawing. The findings reveal that marriage is primarily arranged to safeguard family honor, with communities regarding it as the only socially acceptable corrective measure, while religious leaders across traditions adopt pragmatic interpretations, invoking public interest or redemption to justify the practice, and customary rituals together with state dispensations further reinforce its legitimacy. Although marriage resolves immediate stigma and reintegrates families socially, it simultaneously generates long-term vulnerabilities, including interrupted education, economic dependence, marital instability, psychological stress, and increased maternal and neonatal health risks. This study contributes to the sociology of law and religion by demonstrating how socio-cultural confinement, Islamic legal pluralism, and adat practices converge in eastern Indonesia, while underscoring the urgent need for holistic interventions that integrate sexuality education, family communication, religious engagement, and legal reform to protect women and children more effectively.
Abstract:Obesity in mothers is a major worldwide health issue that significantly raises the need for obstetric procedures, especially cesarean sections. Numerous difficulties for both mothers and newborns have been linked to elevated…
ated pre-pregnancy and gestational body mass indexes (BMI). The purpose of this study is to characterize the distribution of delivery methods among pregnant women who are obese at Dr. H. Abdul Moeloek Regional Hospital in Lampung Province, Indonesia. Total sampling was used to perform a quantitative, descriptive retrospective analysis. 58 pregnant women with a BMI of 30 kg/m² or above who gave birth between 2017 and 2023 were included. SPSS version 27.0 was utilized for data analysis. Findings out of the 58 instances that could be analyzed, 69.0% of obese pregnant women gave delivery via cesarean section, 27.6% gave birth spontaneous vaginally, and 3.4% had a vacuum induction. The majority (31.0%) were between the ages of 35 and 39, and 77.6% were multiparous. The type of delivery was found to be strongly influenced by maternal age, parity, and obesity. Being obese greatly raises the risk of having a cesarean section, especially for older and multiparous women. Reducing needless cesarean rates and improving mother and newborn outcomes may be possible with early treatments such as lifestyle modification education, prenatal counseling, and BMI-based risk assessment.
Abstract:Background: Pregnancy is a process of fertilization between spermatozoa and ovum, followed by implantation or nidation. During the first trimester of pregnancy, pregnant women usually experience discomfort such as nausea…
and vomiting. About 50-80% of pregnant women experience nausea and vomiting in early pregnancy, typically between 6-12 weeks of gestation, due to gastrointestinal and psychological distress. One therapy to reduce the discomfort of nausea and vomiting during pregnancy is the use of citrus lemon aromatherapy. Purpose: This study aims to determine the effect of inhaling citrus lemon aromatherapy on the degree of nausea and vomiting (emesis gravidarum) in pregnant women during the first trimester. Methods: This paper uses a type of qualitative research whit a case study design. Results: The results of the nursing implementation stated that after the administration of citrus lemon aromatherapy inhalation, there was a decrease in the PUQE-24 score, namely from the category of moderate nausea and vomiting with a score of 12 to no nausea and vomiting with a score of 3. Conclusion: The effect of inhaling citrus lemon aromatherapy on the degree of nausea and vomiting (emesis gravidarum) in pregnant women during the first trimester is quite effective in helping to reduce nausea and vomiting in pregnant women.
Abstract:Background: Uterine involution is the process by which the uterus returns to its pre-pregnancy condition and weighs around 60 grams. This process begins immediately after the placenta is delivered due to contraction of the…
he smooth muscles of the uterus, measurement of uterine involution and also by expulsion of the lochea. One way to treat uterine involution is through postpartum exercise to accelerate the decrease in the height of the uterine fundus. Objective: To determine the description of postpartum exercise on the speed of uterine involution in postpartum mothers. Method: This research is a type of qualitative research designed as a case study method. Results: After doing postpartum exercise for 7 days with a duration of 10- 15 minutes, the height of the uterine fundus can be reduced by 9 cm from 12 cm on the first day to 3 cm on the 7th day. Conclusion: postpartum exercise can influence the uterine involution process in postpartum mothers, and the speed of uterine involution in postpartum mothers who do exercise is fast
Abstract:Abstract: The use of contraception is one solution in overcoming the rising pregnancy rate which is part of the Family Planning (KB) program. The problem that occurs today is the lack of public knowledge in choosing contraceptives…
raceptives that are in accordance with health conditions. Limited time, place and experts in conveying the right contraceptive information is one of the obstacles. With the existence of an expert system which is a computer-based application, it will be able to solve problems as thought by experts. The design of this expert system is built to diagnose the type of contraception that is suitable according to health conditions. Knowledge of an expert, namely a midwife or obstetrician in diagnosing contraceptives that are in accordance with the health conditions of the acceptor's body implanted in a system using the Forward Chaining method. From these criteria, the system will conclude which contraception is suitable for use. With this expert system, it will help users and make it easier to determine the choice of the appropriate contraceptive. The test results show that the expert system application made is feasible and can be used by the community in conducting computerized consultations. This application is made using the PHP programming language and MySQL as the database server.
Keywords: Expert System;Forward Chaining Method;Contraceptive Devices;Family Planning (KB)
Abstrak: Penggunaan alat kontrasepsi adalah salah satu solusi dalam mengatasi naiknya tingkat kehamilan yang merupakan bagian dari program Keluarga Berencana (KB). Permasalahan yang terjadi saat ini adalah masih minimnya pengetahuan masyarakat dalam memilih alat kontrasepsi yang sesuai dengan kondisi kesehatan. Keterbatasan waktu, tempat dan tenaga para ahli dalam menyampaikan informasi alat kontrasepsi yang tepat menjadi salah satu kendalanya. Dengan adanya sistem pakar yang merupakan aplikasi berbasis komputer nantinya dapat menyelesaikan masalah sebagaimana yang dipikirkan oleh para pakar. Perancangan sistem pakar ini dibangun untuk mendiagnosa jenis kontrasepsi yang cocok sesuai dengan kondisi kesehatan. Pengetahuan seorang pakar yaitu bidan atau dokter ahli kandungan dalam mendiagnosa alat kontrasepsi yang sesuai dengan kondisi kesehatan tubuh akseptor yang ditanamkam pada sebuah sistem menggunakan metode Forward Chaining. Dari kriteria-kriteria tersebut sistem akan menyimpulkan alat kontrasepsi yang sesuai untuk digunakan. Dengan adanya sistem pakar ini akan membantu pengguna dan mempermudah dalam menentukan pilihan alat kontrasepsi yang sesuai. Hasil uji menunjukan bahwa aplikasi sistem pakar yang dibuat layak dan bisa digunakan oleh masyarakat dalam melakukan konsultasi secara komputerisasi. Aplikasi ini dibuat menggunakan bahasa pemrograman PHP dan MySQL sebagai database server.
Kata kunci: Sistem Pakar;Metode Forward Chaining;Alat Kontrasepsi;Keluarga Bere-ncana (KB)
Abstract:Abstract: Pregnancy and toddlerhood are crucial periods that determine a child’s future growth and development. In Wonosari Village, the nutritional intake of pregnant women and toddlers is below the recommended dietary…
y allowance. One of the specific nutritional interventions that can be implemented is the provision of supplementary food (PMT) based on local food. This community service activity aimed to improve the knowledge and skills of posyandu cadres regarding the PMT based on local food for toddlers and pregnant women. The program involved training 40 cadres in the working area of Dalu Sepuluh Health Center, Tanjung Morawa District, Deli Serdang Regency, on May 28, 2025. The training consisted of delivering material on the concept of local food-based PMT and hands-on practice in processing supplementary food. Knowledge was evaluated through pre- and post-tests. Skills were evaluated through observation during processing practices. The results indicated an increase in cadres’ knowledge, with the average score rising from 95.4 to 99.4. Skills also improved, particularly in the accuracy of ingredient measurement and appropriate portion determination. These findings imply that local food-based PMT training can enhance the capacity of posyandu cadres and contribute to strengthening community-based efforts in improving maternal and child nutrition.
Keywords: cadres; PMT; pregnant women; toddlers
Abstrak: Masa kehamilan dan balita merupakan fase penting yang menentukan kualitas tumbuh kembang anak. Di Desa Wonosari, asupan gizi ibu hamil dan balita di bawah angka kecukupan gizi yang dianjurkan, sehingga diperlukan intervensi gizi spesifik melalui PMT berbasis pangan lokal. Kegiatan pengabdian ini bertujuan untuk meningkatkan pengetahuan dan keterampilan kader posyandu mengenai pengolahan makanan tambahan berbasis pangan lokal untuk balita dan ibu hamil. Metode yang digunakan adalah pelatihan dengan sasaran 40 orang kader posyandu di wilayah kerja Puskesmas Dalu Sepuluh, Kecamatan Tanjung Morawa Kabupaten Deli Serdang. Pelatihan dilaksanakan pada 28 Mei 2025, terdiri dari penyampaian materi tentang PMT berbasis pangan lokal dan praktik pengolahan makanan tambahan untuk balita dan ibu hamil. Evaluasi pengetahuan melalui pre-test dan post-test menggunakan kuesioner. Keterampilan dievaluasi dengan observasi pada saat praktik pengolahan. Pelatihan menghasilkan peningkatan skor pengetahuan kader posyandu dari 95,4 menjadi 99,4, dan peningkatan keterampilan tentang ketepatan penggunaan jumlah bahan pangan dan porsi PMT untuk ibu hamil dan balita.
Kata kunci: balita; ibu hamil; kader; PMT