Maternal mortality rate and infant mortality rate in Indonesia are currently high. One of factors causing the high risk of maternal and infant mortality is too short birth intervals. This study aimed to learn determinants of birth intervals among multiparous women in Indonesia. This study used data from the Indonesia Demographic and Health Survey 2012 with 9,945 multiparous women. The data was analyzed using Mann Whitney, Kruskal Wallis and logistic regression tests. Median of birth intervals was 62 months and 22.8% women had birth interval less than three years. Results showed that determinants of birth intervals included maternal education, the last age of childbirth, ideal family size, the use of contraception, infant mortality records and survival of preceding child (p value < 0.05). The age of childbirth was a major risk factor of too short birth intervals. It needs the improvement of communication, information and education regarding maturation of age for marriage, ideal number of children as well as the increase of contraceptive use in order to increase optimum birth intervals. Keywords: Birth intervals, infant mortality, multiparousAbstrak Angka kematian ibu dan angka kematian bayi di Indonesia masih tinggi. Salah satu faktor yang menyebabkan tingginya risiko kematian pada ibu dan bayi adalah kelahiran terlalu dekat. Penelitian ini bertujuan untuk mempelajari determinan jarak antarkelahiran pada perempuan multipara di Indonesia. Penelitian ini menggunakan data Survei Demografi Kesehatan Indonesia tahun 2012 pada 9.945 perempuan multipara. Analisis data menggunakan uji Mann Whitney, Kruskal Wallis, dan regresi logistik. Median jarak antarkelahiran sebesar 62 bulan dan 22,8% perempuan memiliki jarak antarkelahiran kurang dari tiga tahun. Hasil menunjukkan determinan jarak antarkelahiran pendek meliputi pendidikan ibu, usia terakhir melahirkan, ukuran ideal keluarga, pemakaian kontrasepsi, riwayat kematian anak, dan kelangsungan hidup anak sebelumnya (nilai p < 0,05). Usia melahirkan merupakan faktor yang paling berisiko terhadap jarak kelahiran terlalu dekat. Diperlukan peningkatan komunikasi, informasi, dan edukasi mengenai pendewasaan usia pernikahan, jumlah anak ideal serta peningkatan pemakaian kontrasepsi dalam upaya meningkatkan jarak antarkelahiran optimum.Kata kunci: Jarak kelahiran, kematian bayi, multipara

Aims and objectives To explore and compare nurses’ and patients’ viewpoints of disrespectful behaviours that threaten patient dignity during hospitalised care. Background Patient's dignity is an important ethical consideration for nursing care practice. In clinical settings, nurse–patient interactions can generate behaviour considered disrespectful and undignified, often due to a disruptive hospital atmosphere and emotional frustrations of nurses and patients. How behaviours and attitudes threaten patient dignity in Indonesian clinical care settings has not been well studied. Design Qualitative descriptive study. Methods This multi‐site study purposively recruited nurses and inpatients from six public hospitals in four districts in Eastern Java, Indonesia. Individual, face‐to‐face semi‐structured interviews were conducted with 35 inpatients and 40 registered nurses from medical and surgical wards. Data from verbatim transcriptions of digital audio recordings were analysed with inductive content analysis. The COREQ checklist for qualitative research was used for reporting this study. Results Five categories emerged which described disrespectful behaviours that threaten patient dignity. Three categories were important for both nurses and patients: negligence, impoliteness and dismissal. Descriptions of the behaviours were comparable for both groups. The forth category, inattentiveness, was highlighted by nurses, while the fifth category, discrimination, was highlighted by patients. Conclusions Examining behaviours considered to be disrespectful in an Indonesian healthcare setting expand on perspectives towards dignity in care. The comparable viewpoints of nurses and patients provide knowledge of how undignified behaviours could be reduced in cross‐cultural healthcare settings. Behaviours perceived as undignified primarily by nurses or patients might result from differences in social roles and responsibilities. Relevance to clinical practice Understanding nurses’ and patients’ perspectives of undignified care is an important step in reducing behaviours that violate patient dignity in clinical practice. Nurses’ commitment to patient‐centred care should include being responsive, compassionate, communicative and attentive, which could ameliorate instances of undignified behaviours.

Childbirth readiness is a birth planning process and anticipation of actions to prevent complications. Teenage pregnant women (<20 years) are at risk because at that age the productive and mental functions are immature. This study aimed to analyze the relationship between husband’s support and childbirth readiness of teenage pregnant women in Sukowono Community Health Center, Jember. The study used correlational approach with cross-sectional study design. Sample size was 34 teenage pregnant women, collected using total sampling. Data was obtained by using questionnaire of husband’s support (validity: 0.759-0.820 and reliability: 0.789) and childbirth readiness (validity: 0.488-0.835 and reliability 0.957). Data analysis used the spearman test. The study showed that the respondents had less husband support, i.e. 19 people and the childbirth readiness was 20 people. The results showed that there was a relationship between husband’s support and childbirth readiness (p value=0,000) and h r=0,623. This study indicated that the higher of husband’s support which receive by pregnant women, the higher of the childbirth readiness. Teenage pregnant women who have good husband’s support will prepare mature labor plan, and further provides safety to mother and fetus.

Introduction: The condition of postpartum blues is difficult to detect as it is still considered an instinct from a mother. Postpartum blues is a psychiatric disorder that, if left untreated, causes severe mental problems. This study aims to determine the factors that influences postpartum blues in postpartum mothers.Methods: This study used a cross-sectional method. The population in this study were mothers who gave birth at Balung Hospital. The sample obtained were 330 mothers who gave birth from January to December 2019. The instrument used was a questionnaire consisting of the Edinburgh Postnatal Depression Scale, a family support questionnaire, and a questionnaire to determine the respondent's characteristic data (age, salary, education, employment, type of labor, husband support, pregnancy status, and risk of postpartum blues)Results: The results of the analysis using the chi-square found that the determinants of postpartum blues are age (p=0.002), salary (p=0.032), education (p=0.001), occupation (p=0.042), type of delivery (p=0.0001), husband's support (p=0.003), and pregnancy status (p=0.009) with p <0.05.Conclusion: Mothers who receive the related factors will feel that they are valuable and needed and therefore a sense of happiness and comfort will arise to improve the mother's mood. Health workers can support the factors that promote the reduction of the postpartum blues status.

No abstract

No abstract

Jatropha curcas oil is a seed oil or bio-oil, which has advantages compared to others plant’s seed-oil.  The advantage of this oil is due to the fact that Jatropha oil does not compete with the food sector. In this research, the potential carrier oil testing was conducted to seek a way in improving the performance of Jatropha oil as lubricant oil, coolant or biodiesel. For this purpose, Jatropha oil was mixed with the other carrier oils in the variation of 0 – 45 %. Each variation was tested to obtain kinematic viscosity and density values. The results of this research was the carrier oils has the potential to be used as the mixing material since it can improve the physical properties of Jatropha oil, before the next process. Kinematic viscosity and density of Jatropha oil decreases as more percentage of mixed carrier oil was added.

Preeclampsia is some of the symptoms that occur in pregnancy, childbirth, and puerperal women, which are characterized by hypertension, edema, and increased proteinuria. Preeclampsia usually occurs when pregnancy enters the age of 20 weeks to 48 hours after the birth process. In that condition, there are undesirable complications during pregnancy that can make mothers more vulnerable to psychological disorders, one of which is stress. Stress experienced during pregnancy can affect the health of the baby and can also improve poor sleep quality. This study aims to analyze the relationship of stress levels with the quality of preeclampsia sleep in the Tempurejo Community Health Center in Jember. This research was conducted on 31 preeclampsia mothers using a correlational research design with a cross-sectional approach and total sampling techniques. Data collection using questionnaires stress and sleep quality. The results showed 19 (61.3)% of respondents experienced mild stress, and 26 (83.9)% experienced poor sleep quality. The results of data analysis using the spearmen statistical test obtained p-value 0.001 and r = 0.894, which means there is a relationship between stress levels and sleep quality or ha is accepted. R-value = 0.396 means that the correlation between stress levels and sleep quality in preeclampsia has a positive correlation with weak correlation strength. Nursing implications for further research can intervene in interventions that can reduce stress levels with the quality of sleep in preeclampsia mothers to reduce the factors of preeclampsia.