Jurnal Kesehatan Wira Buana

SINTESIS TEMUAN EPIDEMIOLOGIS DAN POLA SPASIAL KEJADIAN MALARIA DI WILAYAH KERJA PUSKESMAS HANURA KABUPATEN PESAWARAN TAHUN 2019–2021: SEBUAH TINJAUAN NARATIF

Hikmatul Khoiriyah, Haidir, Alli Nurdin — Mon, 28 Sep 2026 00:00:00 +0700

Malaria remains a public health problem in the working area of Hanura Primary Health Center, Pesawaran Regency, Lampung Province. This article aims to synthesize and compare the findings of two prior studies—Mardiana (2022), who analyzed the trend and characteristics of malaria patients during 2019–2021, and Rangga (2023), who analyzed the spatial pattern and clustering of malaria cases in 2021—together with supporting official secondary data, to provide a more complete epidemiological and spatial picture of this endemic area. The method used is a narrative review of both theses and published official secondary data. The synthesis shows that of 12,967 suspected cases examined during 2019–2021, 1,093 (8%) were confirmed positive, dominated by patients aged over 15 years and male, with Sukajaya Lempasing village consistently recording the highest number of cases. The 2021 spatial analysis found four significant clusters (p<0.05) of vivax malaria concentrated in Sukajaya Lempasing, with no significant falciparum clusters, and no significant association between house distance to health facilities or breeding sites and malaria incidence. The synthesis underscores the importance of village/hamlet-specific interventions and treatment adherence, rather than distance-based approaches alone.

HUBUNGAN ANTARA STATUS GIZI DENGAN KESEHATAN REPRODUKSI SISWI MTs GUPPI 1 KESUMADADI

Aesthetica Islamy, Sivana Gian Reghita, Evilia Nur Savitri — Thu, 01 Oct 2026 00:00:00 +0700

Reproductive health during adolescence encompasses menstrual health and vaginal health, both of which can serve as early indicators of underlying health disturbances. Nutritional status has been hypothesized to affect reproductive function through metabolic, hormonal, immunological, and physiological pathways. This study aimed to describe nutritional status and reproductive health (menstrual complaints and vaginal discharge) and to examine their association among female students of MTs GUPPI 1 Kesumadadi. This quantitative observational study used a cross-sectional design with secondary data from 98 female students aged 13–14 years. Nutritional status was categorized as good, undernutrition, or overnutrition. Univariate analysis used frequency distribution; bivariate analysis used the Chi-square test, complemented by the Freeman–Halton exact test when the assumption of a minimum expected cell count (≥5) was violated. Results showed that 48 students (48.98%) had good nutritional status, 20 (20.41%) had undernutrition, and 30 (30.61%) had overnutrition; 10 students (10.2%) reported menstrual complaints and 5 (5.1%) had abnormal (pathological) vaginal discharge. No significant association was found between nutritional status and menstrual complaints (Freeman–Halton exact p = 1.000). A significant association was found between nutritional status and vaginal discharge status (Freeman–Halton exact p = 0.015): abnormal discharge occurred in 15.0% of students with undernutrition and 6.7% of students with overnutrition, but in none of the students with good nutritional status. These findings suggest that, in this age group, nutritional status may be more strongly related to vaginal/reproductive-tract health than to menstrual cycle disturbance, and highlight the need for classification using BMI-for-age (IMT/U) according to the WHO 2007 growth reference in future prospective studies with individually measured anthropometric and hygiene data.

Keyword : nutritional status; BMI-for-age; menstrual complaints; vaginal discharge; adolescent girls; reproductive health

HUBUNGAN TINGKAT PENDIDIKAN ORANG TUA DENGAN KEMANDIRIAN ANAK DISABILITAS INTELEKTUAL DI KOTA METRO

Gangsar Indah Lestari, Hikmatul Khoiriyah, Esti Rahayu — Mon, 28 Sep 2026 00:00:00 +0700

Independence is a crucial aspect in the development of children with intellectual disabilities because it relates to their ability to perform daily living activities and participate in family and social settings. This study aims to determine the relationship between parental education level and the independence of children with intellectual disabilities in Metro City. The study used a quantitative, observational, and analytical cross-sectional design. The sample consisted of 30 parents of children with intellectual disabilities. Parental education level was categorized as primary, secondary, and tertiary, while child independence was categorized as independent, moderately independent, and less independent. Data were analyzed using bivariate correlation analysis. The results showed that in the primary education group, there was one independent child, three moderately independent, and four less independent; in the secondary education group, there were two independent children, eight moderately independent, and five less independent; and in the tertiary education group, there were three independent children, three moderately independent, and one less independent. The analysis showed that the majority of children of parents with primary education were in the less independent category (75.0%), while in the tertiary education group, the majority of children were in the independent category (62.5%). Spearman's correlation test showed a strong positive relationship between parental education level and child independence (ρ=0.608; p<0.001; n=30). The results of this study demonstrate the importance of parental involvement and empowerment in supporting the development of children's independence through stimulation and practice of daily activities.

PENGARUH SENAM HAMIL PADA IBU HAMIL PRIMIGRAVIDA TRIMESTER II TERHADAP OUTCOME PERSALINAN

April Lia Rahmawati, Ni Made Gita Gumangsari — Tue, 29 Sep 2026 00:00:00 +0700

Persalinan merupakan proses fisiologis yang dipengaruhi oleh kondisi fisik dan psikologis ibu, terutama pada ibu primigravida yang belum memiliki pengalaman bersalin sebelumnya. Senam hamil merupakan salah satu bentuk latihan fisik terstruktur yang direkomendasikan selama kehamilan untuk mempersiapkan otot-otot panggul, teknik pernapasan, dan relaksasi guna mendukung kelancaran proses persalinan. Tujuan penelitian ini adalah untuk mengetahui pengaruh senam hamil pada ibu hamil primigravida trimester II terhadap outcome (luaran) persalinan. Penelitian ini menggunakan desain deskriptif dengan rancangan pra-eksperimental one-group, dilaksanakan pada tanggal 20 Mei 2026. Sampel penelitian berjumlah 30 responden ibu hamil primigravida trimester II yang diberikan perlakuan berupa keikutsertaan senam hamil setiap dua minggu sekali sejak trimester II hingga menjelang persalinan. Analisis data dilakukan secara univariat dengan distribusi frekuensi. Hasil penelitian menunjukkan bahwa dari 30 responden, sebanyak 27 orang (90%) mengalami persalinan normal tanpa hambatan (spontan pervaginam), sedangkan 3 orang (10%) bersalin dengan tindakan. Dapat disimpulkan bahwa keikutsertaan rutin dalam senam hamil pada ibu primigravida trimester II berkontribusi terhadap tingginya proporsi persalinan normal. Senam hamil disarankan untuk diintegrasikan sebagai bagian dari asuhan antenatal rutin guna mengoptimalkan luaran persalinan.

ASUHAN KEBIDANAN PADA IBU BERSALIN DENGAN PENERAPAN UPRIGHT POSITION SEBAGAI UPAYA PENCEGAHAN RUPTUR PERINEUM

Diani Octaviyanti Handajani, Mega Rahmawati, Ria Muji Rahayu, Destiana — Tue, 29 Sep 2026 00:00:00 +0700

Ruptur perineum merupakan salah satu komplikasi persalinan pervaginam yang paling sering terjadi dan berkaitan erat dengan manajemen persalinan, termasuk posisi ibu yang digunakan selama kala I dan kala II. Studi kasus ini bertujuan untuk menggambarkan asuhan kebidanan dengan penerapan mobilisasi posisi upright selama persalinan sebagai upaya pencegahan ruptur perineum. Desain yang digunakan adalah studi kasus deskriptif dengan subjek Ny. S, seorang perempuan berusia 35 tahun G3P2A0, di TPMB Bidan Amelia Agustina, Kabupaten Lampung Timur, tahun 2025. Pengumpulan data dilakukan melalui wawancara, observasi, dan dokumentasi dalam bentuk format SOAP serta partograf. Selama kala I, ibu dibimbing untuk melakukan mobilisasi dengan posisi upright, yaitu berjalan, jongkok, dan menggunakan gymball. Kala I berlangsung selama enam jam dan kala II berlangsung hanya dua puluh menit, jauh lebih singkat dibandingkan rata-rata durasi yang diharapkan pada ibu multipara. Bayi lahir spontan, menangis kuat, dengan berat lahir 3.300 gram. Pada pemeriksaan dua jam pascapersalinan, perineum ditemukan utuh, tanpa robekan dan tanpa luka jahitan. Asuhan kebidanan yang diberikan kepada Ny. S, meliputi mobilisasi posisi upright pada kala I dan perlindungan perineum yang cermat pada kala II, berkaitan dengan persalinan pervaginam spontan tanpa ruptur perineum. Kasus ini menggambarkan potensi manfaat posisi upright sebagai intervensi non-farmakologis dalam asuhan kebidanan yang dapat membantu menjaga keutuhan perineum, sejalan dengan bukti ilmiah yang telah ada, meskipun temuan pada satu kasus tunggal ini tidak dapat digeneralisasikan.

EFEKTIVITAS PEMBERIAN REBUSAN DAUN SIRIH TERHADAP KEPUTIHAN KETIKA HAMIL PADA IBU-IBU PASCA BERSALIN DI BPS BIDAN AMELIA AGUSTINA DESA BATANG HARI LAMPUNG TIMUR TAHUN 2026

Lasman, April Lia Rahmawati, Sarinah — Tue, 29 Sep 2026 00:00:00 +0700

ABSTRACT

Vaginal discharge (fluor albus) is a common gynecological complaint experienced by women from pregnancy onward and may continue into the postpartum period, resulting from hormonal changes, increased vaginal secretion, and decreased immunity that facilitate pathogenic microbial growth. One non-pharmacological approach widely practiced in primary midwifery care is the use of boiled betel leaf water (Piper betle L.), which is phytochemically known to contain flavonoids, tannins, phenols, and essential oils with antibacterial and antifungal potential. This study aimed to determine the effectiveness of administering boiled betel leaf water on the healing of vaginal discharge that began during pregnancy among postpartum mothers at the Independent Midwifery Practice of Amelia Agustina, Batang Hari Village, East Lampung. The study was conducted starting 13 May 2026 using a descriptive pre-experimental one-group pretest-posttest design involving 40 respondents. Each respondent was treated with a daily genital wash using boiled betel leaf water (1 liter of water boiled with 5 betel leaves) throughout the postpartum period, followed by a final observation to assess recovery status. Data were analyzed univariately. The results showed that of the 40 respondents, 35 (87.5%) recovered from vaginal discharge after receiving boiled betel leaf water, while 5 (12.5%) still experienced the complaint. These findings indicate that boiled betel leaf water is effective as a complementary therapy for vaginal discharge in postpartum mothers, although further experimental studies with control groups are needed to strengthen causal evidence.

Keywords: betel leaf, vaginal discharge, postpartum mother, complementary therapy, midwifery

ABSTRAK

Keputihan (fluor albus) merupakan salah satu keluhan ginekologis yang umum dialami perempuan sejak masa kehamilan dan dapat berlanjut hingga masa pascapersalinan (nifas) sebagai akibat perubahan hormonal, peningkatan sekresi vagina, dan penurunan daya tahan tubuh yang mempermudah pertumbuhan mikroorganisme patogen. Salah satu upaya penanganan nonfarmakologis yang telah lama diterapkan secara empiris pada layanan kebidanan primer adalah pemanfaatan air rebusan daun sirih (Piper betle L.), yang secara fitokimia diketahui mengandung senyawa flavonoid, tanin, fenol, dan minyak atsiri yang berpotensi sebagai antibakteri dan antijamur. Penelitian ini bertujuan untuk mengetahui efektivitas pemberian air rebusan daun sirih terhadap kesembuhan keputihan yang dialami sejak kehamilan pada ibu-ibu pascabersalin di BPS Bidan Amelia Agustina, Desa Batang Hari, Lampung Timur. Penelitian dilaksanakan mulai 13 Mei 2026 menggunakan desain deskriptif pra-eksperimental one-group pretest-posttest terhadap 40 responden. Setiap responden diberikan perlakuan berupa cebok menggunakan air rebusan daun sirih (1 liter air direbus bersama 5 lembar daun sirih) setiap hari selama masa nifas, kemudian dilakukan observasi akhir untuk menilai status kesembuhan keputihan. Data dianalisis secara univariat. Hasil penelitian menunjukkan bahwa dari 40 responden, sebanyak 35 orang (87,5%) mengalami kesembuhan keputihan setelah diberikan air rebusan daun sirih, sedangkan 5 orang (12,5%) masih mengalami keluhan keputihan. Temuan ini mengindikasikan bahwa air rebusan daun sirih efektif sebagai salah satu alternatif terapi komplementer dalam mengatasi keputihan pada ibu pascabersalin, meskipun diperlukan penelitian lanjutan dengan desain eksperimental dan kelompok kontrol untuk memperkuat bukti hubungan kausal.

Kata kunci: daun sirih, keputihan, ibu pascabersalin, terapi komplementer, kebidanan

Hubungan Pengetahuan Ibu Tentang Tumbuh Kembang Dengan Perkembangan Anak Usia 1-5 Tahun Di Puskesmas Susut II

Ni Nengah Dwi Pertiwi, Ni Luh Putu Dewi Puspawati, Ni Kadek Muliawati — Mon, 28 Sep 2026 00:00:00 +0700

Child development at the age of 1–5 years is a critical period that determines the quality of growth and development in later life. One of the factors that plays an important role in supporting child development is maternal knowledge regarding growth and development. This study aimed to determine the relationship between the level of maternal knowledge about growth and development and the development of children aged 1–5 years in the working area of Susut II Public Health Center.This study employed a quantitative design with a cross-sectional approach involving mothers who had children aged 1–5 years in the working area of Susut II Public Health Center. The sample consisted of 92 respondents selected using a purposive sampling technique. The instruments used were a maternal knowledge questionnaire on growth and development and a child development assessment sheet using the Pre-Screening Development Questionnaire (KPSP). Data were analyzed using univariate and bivariate analysis with the Spearman correlation test.The results showed that most mothers had a good level of knowledge regarding child growth and development, and most children were categorized as having appropriate development. The Spearman correlation test obtained a significance value (p-value) of 0.000 (p < 0.05) with a correlation coefficient (rho) of 0.562, indicating a significant relationship with moderate strength between maternal knowledge of growth and development and the development of children aged 1–5 years.This study concludes that there is a significant relationship between maternal knowledge of growth and development and child development among children aged 1–5 years at Susut II Public Health Center. Therefore, mothers are expected to improve their knowledge of child growth and development through posyandu activities and health information sources to support optimal child development.

STUDI KASUS : MANAJEMEN ASUHAN KEBIDANAN PADA IBU NIFAS DENGAN BENDUNGAN ASI

Suci Ridma Dhanti, Tusi Eka Redowati, Tri Susanti, Farrah Adzra Zhafira — Mon, 28 Sep 2026 00:00:00 +0700

The postpartum period (puerperium) spans the time from the delivery of the placenta until the reproductive organs return to their pre-pregnancy state, a process lasting 42 days. This period is closely linked to breastfeeding—a long-term process requiring the mother to prepare for breast care and establish a breastfeeding routine. One potential complication during this time is breast engorgement, which is the accumulation of breast milk caused by the narrowing of ducts that were not fully emptied during nursing. If left untreated, engorgement can progress to mastitis. This study aimed to examine the midwifery care provided to a postpartum mother experiencing breast engorgement. A case study design was employed, focusing on Mrs. S, who was suffering from this condition. Data collection involved observation, interviews, and a review of documentation using the SOAP format. The results showed that the engorgement was successfully resolved over three days through interventions including breast care, instruction on correct breastfeeding techniques, assistance with milk expression using a pump, and frequent breastfeeding counseling and evaluation. The study concluded that the process proceeded normally without complications, and the management of the breast engorgement aligned with established theory. It is recommended that postpartum mothers experiencing breast engorgement address the issue through routine breast care, supported by the use of a breast pump and more frequent breastfeeding

PENERAPAN ASUHAN KEBIDANAN PADA NY. P DENGAN SAKIT PINGGANG DAN SERING BAK SEBAGAI KETIDAKNYAMANAN FISIOLOGIS KEHAMILAN

Lidia Febrianti, Nurma Hidayati, Ike Hesti Puspasari — Mon, 28 Sep 2026 00:00:00 +0700

ABSTACT

The third trimester of pregnancy is a crucial period that requires special attention because various physiological changes can cause discomfort for pregnant women, such as low back pain and frequent urination. Comprehensive antenatal care (ANC) is needed to detect and appropriately address these complaints to support a healthy pregnancy and prepare for childbirth. Objective: This study aims to provide an overview of midwifery care for Mrs. P during the third trimester of pregnancy, specifically in managing complaints of low back pain and frequent urination through a comprehensive midwifery care approach. Methods: This study used a case study method with a direct midwifery care approach for Mrs. P during her third trimester ANC visits. Data were collected through interviews, observations, physical examinations, and the provision of health care and education. The conclusion of this care was that there were no discrepancies between the results of Mrs. P's assessment and existing theories, either in terms of frequency of ANC visits, third trimester discomfort, or gestational age at first fetal movement. It is hoped that the midwifery care provided can help reduce maternal discomfort and support a healthy pregnancy until delivery.

Keywords: Midwifery Care; Third Trimester Pregnancy; Pregnancy Discomfort

ABSTRAK

Kehamilan trimester III merupakan periode penting yang memerlukan perhatian khusus karena berbagai perubahan fisiologis dapat menimbulkan ketidaknyamanan bagi ibu hamil, seperti nyeri pinggang dan sering buang air kecil (BAK). Asuhan antenatal care (ANC) yang komprehensif diperlukan untuk mendeteksi dan menangani keluhan tersebut secara tepat guna mendukung kehamilan yang sehat dan mempersiapkan proses persalinan. Tujuan: Penelitian ini bertujuan untuk memberikan gambaran asuhan kebidanan pada Ny. P selama masa kehamilan trimester III, khususnya dalam penanganan keluhan nyeri pinggang dan sering BAK melalui pendekatan asuhan kebidanan yang komprehensif. Metode: Penelitian ini menggunakan metode studi kasus dengan pendekatan asuhan kebidanan secara langsung pada Ny. P selama kunjungan ANC trimester III. Pengumpulan data dilakukan melalui wawancara, observasi, pemeriksaan fisik, serta pemberian asuhan dan edukasi kesehatan. Kesimpulan dari asuhan ini adalah tidak ditemukan kesenjangan antara hasil pengkajian pada Ny. P dengan teori yang ada, baik dari segi frekuensi kunjungan ANC, ketidaknyamanan trimester III, maupun usia kehamilan saat gerakan janin pertama dirasakan. Diharapkan asuhan kebidanan yang diberikan dapat membantu mengurangi ketidaknyamanan ibu dan mendukung kehamilan yang sehat hingga menjelang persalinan

Kata Kunci : Asuhan Kebidanan; Kehamilan Trimester III; Ketidaknyamanan Kehamilan