Malang Journal of Midwifery (MAJORY)

THE RELATIONSHIP BETWEEN SOCIAL STIGMA AND INTEREST IN IVA SCREENING AMONG WOMEN OF REPRODUCTIVE AGE IN THE SERVICE AREA OF THE ASTAMBUL COMMUNITY HEALTH CENTER

Ima Dewi, Putri Yuliantie, Laurensia Yunita, Novita Dewi Iswandari — Mon, 15 Jun 2026 00:00:00 +0000

Cervical cancer remains a leading cause of death among women. Visual Inspection with Acetic Acid (VIA) is an effective and low-cost screening method; however, its utilization remains low due to social stigma. This study aimed to analyze the relationship between social stigma and interest in VIA screening among women of reproductive age in the Astambul Community Health Center area. An analytical cross-sectional design was used involving 63 respondents selected through quota sampling. Data were collected using an adapted Cancer Stigma Scale (CASS) questionnaire and a VIA screening interest questionnaire. Data were analyzed using univariate and bivariate analysis with Fisher’s Exact Test. The results showed that most respondents had moderate stigma (92.1%) and were not interested in VIA screening (55.6%). There was a significant relationship between social stigma and interest in VIA screening (p=0.041). Lower social stigma was associated with higher interest in VIA screening. Therefore, continuous health education is needed to reduce stigma and increase screening participation.

THE EFFECT OF EARLY MOBILIZATION AND DEEP BREATHING RELAXATION TECHNIQUES ON THE INTENSITY OF WOUND PAIN IN PATIENTS AFTER A CESAREAN SECTION AT RIKA AMELIA WOMEN’S AND CHILDREN’S HOSPITAL IN PALEMBANG

Nur Hidayah Tullah; Muhammad Taswin ; Sari Wahyuni — Mon, 15 Jun 2026 00:00:00 +0000

The rate of cesarean section (CS) deliveries continues to increase, leading to greater needs for postoperative recovery care, including wound pain control. Poorly controlled pain may inhibit mobilization, breastfeeding, infant care, and recovery. Early mobilization and deep-breathing relaxation are simple, low-cost non-pharmacological interventions that can complement analgesic therapy. The novelty of this study lies in the standardized comparison of these two interventions in a maternal and child hospital with a high CS rate in Palembang, using a homogeneous analgesic regimen and identical pretest-posttest procedures. Objective: To determine the effects and comparative effectiveness of early mobilization and deep-breathing relaxation on wound pain intensity among post-CS patients at RSIA Rika Amelia Palembang in 2025. Methods: This quantitative study used a quasi-experimental nonequivalent two-group pretest-posttest design. Thirty-two eligible post-CS mothers were allocated equally into an early mobilization group (n=16) and a deep-breathing relaxation group (n=16). All respondents received the same standard analgesic regimen according to medical records. Pain intensity was assessed using the Numeric Rating Scale (NRS) before the intervention and after two days of intervention. Data were analyzed using the Wilcoxon test for within-group changes and the Mann-Whitney U test to compare pain reduction between groups. Results: Mean pain intensity in the early mobilization group decreased from 7.81±0.83 to 5.00±0.89 (p<0.001). In the deep-breathing relaxation group, mean pain intensity decreased from 8.06±0.77 to 6.56±0.72 (p<0.001). Pain reduction was greater in the early mobilization group than in the deep-breathing relaxation group (2.81 vs 1.50; p=0.002). Conclusion: Both interventions reduced post-CS wound pain, but early mobilization demonstrated greater effectiveness. The findings should be interpreted cautiously due to the small sample size and non-random allocation; nevertheless, they support the strengthening of standardized non-pharmacological pain management protocols after CS

ANALYSIS OF THE RELATIONSHIP BETWEEN DIABETES MELLITUS AND THE MENSTRUAL CYCLE IN WOMEN OF REPRODUCTIVE AGE AT AURA SYIFA HOSPITAL IN KEDIRI REGENCY

Anisa Nurjanah, Eny Sendra, Indah Rahmaningtyas, Susanti Pratamaningtyas — Mon, 15 Jun 2026 00:00:00 +0000

Menstrual cycle disorders are among the reproductive health problems that may be influenced by metabolic conditions, including Diabetes mellitus (DM). This study aimed to analyze the relationship between Diabetes mellitus and menstrual cycle patterns among women of reproductive age at Aura Syifa Hospital, Kediri Regency. This study employed a cross-sectional design using a consecutive sampling technique. The sample consisted of 32 women of reproductive age (20–45 years) diagnosed with Diabetes mellitus who met the inclusion criteria. The relatively small sample size was due to the limited number of diabetic patients within the reproductive age group during the study period. Data were collected from medical records to obtain information on Diabetes mellitus diagnosis and random blood glucose (RBG) levels, while menstrual cycle data were obtained through questionnaires. Data were analyzed using Spearman’s Rank correlation test with a significance level of 5% (α = 0.05). The results showed that 90.6% of respondents had RBG levels ≥200 mg/dL, while 9.4% had normal RBG levels. In terms of menstrual cycle patterns, 78.1% of respondents experienced oligomenorrhea, 9.4% experienced polymenorrhea, and 12.5% had normal menstrual cycles. Spearman’s Rank correlation analysis revealed a statistically significant relationship between blood glucose levels and menstrual cycle patterns among women of reproductive age with Diabetes mellitus (p = 0.02; r = 0.527). Higher blood glucose levels were associated with a greater likelihood of menstrual cycle disorders. Therefore, optimal glycemic control is essential to maintain reproductive health and prevent menstrual cycle disturbances in women of reproductive age with Diabetes mellitus.