Journal Pelita Sains Kesehatan

The Effect of Duration of Use of Injectable Contraceptives on Menstrual Disorders in Acceptors of 3 (Three) Months of Injectable Contraceptives at the Perumnas Community Health Center in Kendari City

Suriani Suriani — 2025-07-19

This study investigates the influence of the duration of 3-month injectable contraceptive use on menstrual disorders among users at Puskesmas Perumnas, Kendari City. Employing a quantitative method with an analytical observational design and a cross-sectional approach, data were collected using questionnaires. Conducted in January 2023, the study involved 50 participants selected from a total population of 533 injectable contraceptive users. Statistical analysis revealed a significance value of 0.013, which is below the threshold of 0.05, indicating that the duration of injectable contraceptive use significantly affects the occurrence of menstrual disorders in these users.

The Relationship Between Age and Parity with the Incidence of Placental Retention at Dewi Sartika General Hospital, Kendari City

Yusmainnah Amin — 2025-07-19

Placental retention is a leading cause of postpartum hemorrhage, significantly contributing to maternal mortality. This study aims to determine the correlation between maternal age and parity with the incidence of placental retention. This analytical study with a cross-sectional approach was conducted at Dewi Sartika General Hospital, Kendari City, in 2023. The population comprised all mothers who experienced placental retention from 2018 to 2022, totaling 168 cases. The sampling technique used was total sampling. Data analysis employed the chi-square test with a significance level of α=0.05. The results showed a significant relationship between maternal age (ρ=0.000) and parity (ρ=0.000) with the incidence of placental retention. It can be concluded that maternal age and parity are risk factors influencing the incidence of placental retention

The Effectiveness of Cupping Therapy on Dysmenorrhea in Female Students of the Undergraduate Midwifery Study Program at Pelita Ibu Health Sciences College

Yuliana Yuliana — 2025-07-19

Dysmenorrhea is a common gynecological issue among women of reproductive age, characterized by menstrual pain that may disrupt daily activities. One proven non-pharmacological treatment is cupping therapy. This study aimed to determine the effectiveness of cupping therapy on dysmenorrhea in undergraduate midwifery students at STIKes Pelita Ibu Kendari. A pre-experimental design with a one-group pretest and posttest approach was applied. A total of 20 respondents were selected using purposive sampling from 40 students who experienced dysmenorrhea. The intervention involved cupping therapy on the Kahil, Al-Warik, and Zhahrul Qadam points. Data collection tools included a questionnaire and the Numeric Rating Scale (NRS). Data were analyzed using the Paired t-test. The results showed a p-value of 0.000 (<0.05), indicating a significant difference in pain intensity before and after the cupping therapy. It is concluded that cupping therapy is effective in reducing dysmenorrhea pain.

The Relationship Between Parity and Pregnancy Spacing with the Incidence of Anemia in Pregnant Women in the Working Area of Lembo Health Center, Lembo District, North Konawe Regency

Titin Dwi Cahyati — 2025-07-19

This study aims to determine the relationship between parity and pregnancy spacing with the incidence of anemia in pregnant women in the working area of the Lembo Health Center, Lembo District, North Konawe Regency. This type of research is an analytic observational study with a cross sectional approach. The population in this study were all anemic pregnant women with a total of 48 mothers. This study used the Total Sampling technique with a total sample of 48 pregnant women who experienced anemia. The results of the chi square statistical test obtained a p-value (0.018) < from a value- (0,05) so it can be concluded that H0 is rejected and Ha is accepted, which means that there is a relationship between parity and the incidence of anemia. Pregnancy Spacing The results of the chi square statistical test obtained a p-value (0,003) from a value (0,05) so it can be concluded that Ha is rejected and H0 is accepted, which means there is a relationship between pregnancy spacing and the incidence of anemia

The Relationship Between Preeclampsia in Mothers Giving Birth and the Incidence of Low Birth Weight (LBW) Babies at Kendari City Regional General Hospital

Warnida — 2025-07-19

This study aims to determine the relationship between preeclampsia in mothers giving birth and the occurrence of low birth weight babies (LBW) at Kendari City General Hospital. This type of research uses analytic with a cross sectional approach using a retrospective approach. The sampling technique uses Total Sampling with a total sample of 164. The results of this study indicate the feasibility of the test model obtained sig value = 0.015 > 0.05, which means that the feasible test model has sufficiently explained the data on the association of preeclampsia with the incidence of Low Birth Weight (LBW) babies. The Odds Ratio shows a value of 2.279 > 1 meaning that preeclampsia is a risk factor for low birth weight 2 times greater than non-preeclamptic deliveries.

The Relationship Between Occupation and Parity with the Incidence of Premature Birth at Dewi Sartika General Hospital, Kendari City

Winartin Winartin — 2025-07-19

Background: Preterm birth, defined as delivery before 37 weeks of gestation, is a leading cause of neonatal mortality and long-term morbidity. Maternal employment status and parity have been identified as contributing factors. Objective: This study aimed to analyze the relationship between maternal employment and parity with preterm birth occurrence at Dewi Sartika General Hospital, Kendari City. Methods: This analytical study employed a cross-sectional approach. The population and sample consisted of 79 mothers who delivered prematurely at Dewi Sartika General Hospital during 2018-2022, selected using total sampling method. Secondary data were obtained from medical records and analyzed using univariate and bivariate analyses with Chi-Square test at 0.05 significance level.

Results: The majority of mothers experiencing preterm birth were aged 20-35 years (75.9%), primipara (50.6%), high school educated (54.4%), and employed (69.6%). Preterm classification was most dominant (49.4%). Significant associations were found between employment status and preterm birth classification (p = 0.002), and between parity and preterm birth classification (p = 0.041). Working mothers tended to experience more severe preterm births (very preterm), while high-risk parity (primipara and multipara ≥4) was associated with increased severe preterm occurrence. Conclusion: Maternal employment and parity have significant associations with preterm birth occurrence. Prevention strategies should consider maternal workload and provide education regarding pregnancy risks based on parity. Promotive and preventive interventions in healthcare facilities are essential to reduce preterm birth incidence

The Relationship Between Maternal Age and Gestational Age with the Incidence of Asphyxia in Newborns at the Kendari City Regional General Hospital

Lili Kurniati — 2025-07-19

Background: Neonatal asphyxia is a leading cause of neonatal mortality, characterized by the failure to initiate and sustain regular breathing immediately after birth. Risk factors such as maternal age and gestational age are crucial concerns due to their contribution to the incidence of asphyxia. This study aimed to examine the relationship between maternal age and gestational age with the incidence of asphyxia in newborns at Kendari City General Hospital. Methods: This study used a cross-sectional design with an analytical survey approach. The population included all newborns diagnosed with asphyxia at Kendari City General Hospital in 2022. A total of 79 cases were selected through total sampling. Data were obtained from medical records and analyzed using univariate and bivariate (Chi-Square) analysis with a significance level of 0.10. Results: The findings showed a significant relationship between maternal age and the incidence of asphyxia (p = 0.041), with mothers at risk age groups (<20 and >35 years) more likely to experience mild asphyxia. However, there was no statistically significant relationship between gestational age and asphyxia (p = 0.380), although distribution patterns indicated an increase in severe asphyxia in post-term pregnancies.Conclusion: Maternal age is significantly associated with the occurrence of neonatal asphyxia. Although gestational age was not statistically significant, the distribution trend suggests a higher risk. Early intervention and close monitoring of high-risk maternal age and non-term pregnancies are crucial in reducing the incidence of neonatal asphyxia.

The Influence of Distance from Residence and Husband's Support on Antenatal Care Visits at the Poasia Community Health Center in Kendari City

Sri Mulatsi — 2025-07-19

This study aims to determine the effect of distance between residence and husband's support on antenatal care visits in the working area of the Poasia Community Health Center, Kendari City. This type of research is quantitative with an analytic survey design that uses a cross sectional study approach that aims to determine the relationship between certain factors and diseases or other health problems. The population in this study were all pregnant women totaling 817 people. The sampling technique used in this study was purposive sampling. The number of samples is 55 pregnant women.

The results showed that in the category of distance to residence with a value of sig = 0.002 <0.05, it means that there is an influence on antenatal care visits. In the category of husband's support with a sig = 0.0015 <0.05, it means there is an antenatal care visit. Suggestions are expected for health workers, especially midwives, to provide counseling about the importance of Antenatal Care (ANC) so that they can increase visits by pregnant women and social support from husbands and families is needed to motivate pregnant women to visit

The Impact of Early Marriage on Reproductive Health in Kambowa District

Admin jpasaik — 2025-07-19

This study aims to determine the effect of early marriage on reproductive health in Kambowa District. This type of research is quantitative with an analytic survey design that uses a cross sectional study approach that aims to determine the relationship between certain factors and diseases or other health problems. The population in this study were all women who were married at the age of <19 years, totaling 38 people. The sampling technique is Accidental Sampling. The sample is 35 people.

The results showed that there was an effect of early marriage on reproductive health in Kambowa District with a significant value of 0.001. The suggestions that the researchers convey from the results of this study are to provide counseling to students about reproductive health. This counseling can be one of the preventive ways to prevent early marriage.

The Effect of Early Breastfeeding Initiation on Uterine Involution in Postpartum Mothers at the Pamandati Community Health Center, South Konawe Regency

Titi Rahayu Febrianti — 2025-07-19

This study aims to determine the effect of Early Breastfeeding Initiation (IMD) on the Incidence of Uterine Involution at the Pamandati Health Center, Konawe Selatan District. This type of research is a quantitative study with a cross sectional approach. The research instrument used is secondary data. This research was conducted for 14 days, starting from January 1 to January 14, 2023 at the Pamandati Health Center, Konawe Regency and the population taken was all 158 birth mothers with a total sample of 158 mothers. The results showed that there was a significant relationship between Early Initiation of Breastfeeding (IMD) and the Incidence of Uterine Involution. The results of the Chisqure statistical test at the age of the mother obtained a value of ρ value = 0.001, which means that ρ value < α 0.05, which means that H0 is rejected and Ha is accepted which means there is an influence of Early Breastfeeding Initiation (IMD) on Uterine Involution Events

The Influence of Service Quality on Outpatient Revisit Intention at the Neurology Clinic of Bahteramas General Hospital, Southeast Sulawesi Province in 2023

Mis Sjratul Ma’wah — 2025-07-19

Interest in repeat visits by patients can be one of the factors that can improve the quality of the hospital. This study aims to determine the effect of service quality on intention to revisit the outpatient polyneuron at RSU Bahteramas, Southeast Sulawesi Province. This type of research is quantitative using a cross sectional approach. The sample in this study was 96 respondents using a purposive sampling technique. This study uses multiple linear regression analysis with SPSS software. The results of the analysis show that there is an influence of empathy service quality (0.000) on interest in repeat visits, and there is no effect of service quality on tangible (0.019), reliability (0.648), responsiveness (0.663) and assurance (0.972). Efforts that can be made by the RSU Bahteramas Prov. Southeast Sulawesi RSU Bahteramas Prov. Southeast Sulawesi needs to develop and improve the quality of services that are even better for patients. Hospital staff also need to improve responsiveness and reliability in serving patients and create a high sense of concern for patients

The Relationship Between Parity and Placenta Previa Incidence at Dewi Sartika General Hospital, Kendari City

Wulandari Wulandari — 2025-07-19

This study aims to determine the relationship between parity and the incidence of placenta previa at Dewi Sartika General Hospital in Kendari City. This research uses a quantitative design with a cross-sectional approach. The instrument used is secondary data from patient medical records registered at the hospital in May 2023. The research sample consisted of 125 individuals, selected using a total sampling technique. The analysis results show a significant relationship between parity and the incidence of placenta previa (p = 0.001, p < 0.05). These findings suggest that high parity is associated with an increased risk of placenta previa. This study provides an important contribution in identifying the risk factors of placenta previa that should be monitored by healthcare professionals.

The Impact of Injectable Contraceptive Use on Menstrual Disorders in KB Acceptors in the Guali Community Health Center Work Area, Kusambi District, West Muna Regency

Sarti Widya Purnama — 2025-07-19

The use of injectable contraception, particularly in the Guali Health Center area, has significant implications for menstrual disturbances among acceptors. This study aims to examine the impact of injectable contraception on menstrual disorders among acceptors in the Guali Health Center region, Kusambi District, West Muna Regency. The study was conducted in January 2023, with a sample of 89 respondents using a quantitative approach and a cross-sectional design. Data was analyzed using univariate and logistic regression analysis to determine the relationship between injectable contraception use and menstrual disturbances. The results revealed a significant impact of injectable contraception on menstrual irregularities, with 70.8% of respondents experiencing menstrual disturbances, including amenorrhea and polymenorrhea. The study highlights the importance of understanding the side effects of injectable contraception, particularly its long-term use, and suggests that healthcare providers, especially midwives, enhance awareness and education about these potential health impacts. This research contributes valuable insights to improve family planning programs, focusing on informed decision-making regarding contraception choices.

Evaluation of Medical and Non-Medical Solid Waste Management at Dr. H.L.M. Baharuddin, M.Kes Regional General Hospital, Muna Regency, 2024

Fardan Illahi — 2025-07-19

Management of medical and non-medical waste at the dr. H.L.M. Baharuddin Regional General Hospital, Muna Regency, faces a number of challenges even though sorting and containerization efforts have been carried out in accordance with applicable regulations. This study aims to analyze the management of solid medical and non-medical waste at the hospital, focusing on aspects of sorting, containerization, transportation, storage, and final processing. The method used is qualitative with observation techniques and in-depth interviews. The results of the study indicate that the waste sorting process at the dr. H.L.M. Baharuddin Regional General Hospital has been running according to standards, but there are still obstacles in the understanding of patient families about waste classification, which causes medical and non-medical waste to be mixed. The waste container process has met the established standards, although there is a need to improve the container technology. Waste transportation is carried out separately, but there are shortcomings in the use of Personal Protective Equipment (PPE) by cleaning staff. Storage of medical waste at the Temporary Shelter (TPS) is adequate, but the cooling facilities are not functioning optimally. Final processing of medical waste is carried out by a third party because RSUD dr. H.L.M. Baharuddin does not have an incinerator, and non-medical waste processing is carried out by the Environmental Service (DLH). This study suggests increasing education for patient families, using new technology in containers, increasing the frequency of waste transportation, improving storage facilities, and periodic evaluation of waste processing by third parties. Further efforts are needed to overcome obstacles in waste management that are in accordance with the geographical and demographic conditions of Muna Regency

The Influence of the Marketing Mix (4P) on Patient Decisions in Choosing Healthcare Services at the Outpatient Installation of Aliyah 1 General Hospital in 2024

Firdawati Firdawati — 2025-07-19

The marketing mix is a collection of marketing tools that can be used by a company to achieve its marketing goals in the target market. One of the supporting factors in product marketing is closely related to consumer decisions in choosing products. Consumer decisions are an important element in consumer behavior. This research aims to determine the influence of product, people, process and promotion on patients' decisions to choose health services in the outpatient installation of Aliyah General Hospital 1. The method used is quantitative, analytical observational with a cross sectional approach. Data was collected using a questionnaire distributed to 125 respondents who were undergoing outpatient treatment at RSU Aliyah 1. Data analysis in this study will utilize multiple linear regression analysis using SPSS 23 for windows. The results of the multiple linear regression test for the product variable show a p value = 0.730 > 0.05, the people variable with a p value = 0.646 > 0.05 and the Promotion variable shows a p value = 0.441 > 0.05 so it can be concluded that the product, people and promotion variables there is no significant influence on the patient's decision to choose health services at the outpatient installation of RSU Aliyah 1. The process variable shows a p value = 0.004 < 0.05, so it influences the patient's decision to choose health services at the outpatient installation of RSU Aliyah 1. RSU Aliyah 1 needs to do improvements to the marketing mix process to create a more effective queuing system, reduce waiting times in polyclinics, and implement services by appointment to increase patient satisfaction.