Ahmar Metastasis Health Journal

Maternal and Neonatal Outcomes in Maternity Mothers Who Received Oxytocin Induction

Laksmitha Janasti — 2026-09-30

Oxytoxin induction of labour is widely used to stimulate uterine contractions during early labour, and its use has increased globally over the past decade. Although effective, oxytocin induction is associated with potential maternal and neonatal risks, including uterine tachysystole, postpartum haemorrhage (PPH), foetal distress, and emergency caesarean section. This retrospective case-control study was conducted at Dr. Koesnadi Hospital and involved 329 parturients who met the predetermined inclusion and exclusion criteria. Total sampling was applied, and data were analysed using the chi-square test with a significance level of p<0.05. Oxytocin induction was routinely administered at a standard dose of 10 IU dissolved in 500 mL of D5% solution. Significant differences were observed in several outcomes compared to those who did not receive induction, including PPH (p=0.004), foetal distress (p=0.017), and perineal tears (p=0.006). No significant difference was found in the caesarean section rate between the two groups. In neonatal outcomes, the incidence of asphyxia (p=0.024) and the need for admission to the NICU (p=0.046) were significantly higher in the induction group. These findings suggest that oxytocin induction is associated with certain maternal and neonatal complications, although the observational study design limits causal conclusions. Potential confounding factors that were not fully controlled may influence this relationship, and further research with more robust analytical methods is needed to confirm these findings and support safer clinical decision-making.

Analysis of Healthcare Service Quality on Patient Satisfaction: A SERVQUAL Method in the Radiology Department

Sriyatun Sriyatun — 2026-09-30

Patient satisfaction reflects the comparison between expectations and experiences of healthcare services. This study aimed to describe patients’ perceptions of radiology service quality and satisfaction using the SERVQUAL framework. A descriptive quantitative study involved 80 patients who had undergone radiological examinations. Data were collected using a structured questionnaire covering five SERVQUAL dimensions and a four-point Likert scale. Univariate analysis described respondent characteristics and dimension scores, while the Mann–Whitney U test examined differences in overall service quality scores by gender, age, and payment type, with statistical significance set at p < 0.05. Most respondents were female (61.3%), aged ≥20 years (86.3%), and covered by National Health Insurance (73.8%). Very high satisfaction was reported across all dimensions, ranging from 87.5% for responsiveness to 93.8% for tangibles and assurance. Mean scores ranged from 3.84 to 3.89. Reliability and assurance received the highest scores (3.89 ± 0.26 each), followed by empathy (3.88 ± 0.26), tangibles (3.85 ± 0.26), and responsiveness (3.84 ± 0.31). The overall service quality score was 3.87 ± 0.25. No significant differences were found by gender (p = 0.77), age (p = 0.33), or payment type (p = 0.17). Patients reported highly favorable perceptions of radiology services. Reliability and assurance were rated highest, whereas responsiveness received the lowest score. Overall service quality did not differ significantly across respondent characteristics.

Social, Spiritual, and Economic Factors Associated with Postpartum Depression among Indonesian Mothers: A Cross-Sectional Study

Noviyati Rahardjo Putri — 2026-09-30

Postpartum depression (PPD) is a major maternal mental health problem that affects mother-baby bonding and may hurt child development, with global prevalence rangingfrom 17% to 20%. In developing countries such as Indonesia, PPD is complicated by underdiagnosis, inadequate treatment options, and social stigma. Although social and spiritual support are recognized protective factors and socioeconomic status is a known risk factor, their combined effect in multicultural populations remains understudied. This study aimed to examine the relationship between social support, spiritual support, socioeconomic status, and postpartum depression among postpartum women in Surakarta, Central Java, Indonesia. A cross-sectional design was conducted, with 125 postpartum women recruited from primary health centers and community health posts using a consecutive sampling technique. Data were collected via a structured interview and a questionnaire measuring social and spiritual support, as well as the Edinburgh Postnatal Depression Scale (EPDS). Statistical analyses included bivariate correlation, multiple linear regression, and multivariable logistic regression. The prevalence of high-risk postpartum depression (EPDS ≥13) was 22.4%. Bivariate correlation showed that both social and spiritual support were significantly inversely related to depressive symptoms. Multivariable logistic regression revealed that lower social support was associated with almost a ninefold increase in the risk of high-risk depression (OR 8.92, p < 0.001), while low income was associated with a threefold increase in risk (OR 3.01, p = 0.045). Educational level, employment status, and age were not significant predictors after controlling for psychosocial factors. In conclusion, these findings highlight the necessity of implementing routine screening for PPD in primary care and developing culturally sensitive interventions that integrate family, spiritual, and economic support to improve maternal mental health outcomes.

Effectiveness of Theory of Planned Behavior-Based Health Education on Postpartum Depression Prevention Behaviors among Postpartum Mothers

Ni Putu Mirah Yunita Udayani — 2026-09-30

Postpartum depression is a mental health disorder that negatively affects mothers, infants, and families. Health education based on the Theory of Planned Behavior (TPB) may improve preventive behaviors by addressing attitudes, subjective norms, perceived behavioral control, and intentions. This study evaluated the effectiveness of TPB-based health education in improving postpartum depression prevention behaviors among mothers in Badung Regency, Bali. A quasi-experimental study employed a non-equivalent control group design involving 100 postpartum mothers on days 0–7 after childbirth, with 50 participants each in the intervention and control groups. Participants were selected using simple random sampling. The intervention group received TPB-based health education, while the control group received standard health education. Sessions lasted one hour weekly for six weeks. Data were collected using questionnaires before and after the intervention and analyzed descriptively and inferentially. The intervention significantly improved knowledge, attitudes, subjective norms, perceived behavioral control, intentions, and preventive behaviors related to postpartum depression (p < 0.001). A significant difference in postpartum depression levels was also observed between the groups after intervention (p < 0.001), indicating reduced depressive symptoms. These findings demonstrate that TPB-based health education effectively improves psychological and behavioral determinants of postpartum depression prevention. Integrating this approach into postpartum care may strengthen preventive practices and support maternal mental health.

Effectiveness of Probiotic Milk Supplementation on Blood Pressure in Pregnant Women with Hypertension

Finta Isti Kundarti — 2026-09-30

Hypertensive disorders in pregnancy can affect pregnancy and birth outcomes. One non-pharmacological intervention is probiotic milk, which may be beneficial for hypertension in pregnancy. The purpose of this study was to determine the effectiveness of probiotic administration on blood pressure in pregnant women with hypertension. This study uses a quasi-experimental design (pretest-posttest with a control group). In this design, there are two groups: the intervention group (n = 30) and the control group (n = 30). This study uses simple random sampling. Data collection was conducted at health service facilities, namely health centres in the Kediri city area. Data collection began from March to July 2024. Probiotic milk supplementation of 125 ml was administered once daily for 63 days, while the control group received standard care. The results of the study using the t-test obtained the average post-test blood pressure in the intervention group, namely m = 124.07 mmHg, SD = 5.521 and the average diastolic pressure m = 75.60 mmHg, SD = 7.356. The average post-test systolic pressure in the control group was m = 141.83 mmHg, SD = 7.091, and the average diastolic pressure was m = 87.67 mmHg, SD = 9.132, with a p-value = 0.000. This shows that blood pressure (systolic and diastolic) in the intervention group was lower than in the control group. Probiotic milk supplementation given to pregnant women with hypertension has a greater potential to reduce blood pressure compared to the control group. Health workers need to be able to recommend probiotic consumption to pregnant women with hypertension. Further research should consider improved study designs and long-term monitoring of probiotic milk supplementation with a larger number of participants.

Preventing Childhood Stunting Through Integrated Life-Course Intervention Models: A Scoping Review

Heni Voni Rerey — 2026-09-30

Childhood stunting remains a major global public health challenge associated with chronic growth restriction beginning during pregnancy and continuing through early childhood. Its determinants include maternal nutrition, fetal growth, feeding practices, infections, caregiving, household resources, and environmental conditions. This scoping review aimed to map intervention models, delivery platforms, implementation approaches, and evidence gaps in stunting prevention across the life course, emphasizing intervention timing. The review followed established scoping review methodology and the PRISMA-ScR reporting guidelines. Literature was identified through PubMed/MEDLINE, Scopus, Web of Science, and the Cochrane Library, supplemented by relevant World Health Organization reports. Eligibility criteria followed the Population Concept Context framework, focusing on children under five years, particularly during the first 1,000 days, and interventions targeting linear growth in vulnerable populations. Data were charted by intervention type, timing, delivery platform, outcomes, and implementation factors, then synthesized narratively. Twenty-nine sources met the inclusion criteria. Interventions included maternal nutrition, breastfeeding support, complementary feeding, fortified foods, water, sanitation and hygiene, social protection, and early childhood development. The evidence revealed substantial variation in intervention timing, delivery platforms, implementation strategies, and growth-related outcomes. Effectiveness appeared to depend on implementation quality, caregiver engagement, intervention intensity, and health-system and community support. The findings support coordinated nutrition-specific and nutrition-sensitive interventions beginning during pregnancy and continuing throughout the first 1,000 days. Future research should prioritize integrated delivery models, context-specific implementation strategies, and longitudinal evaluations to strengthen evidence on sustainable stunting prevention.