http://www.wmmjournal.org/index.php/wmm <p>Women, Midwives and Midwifery journal is a peer-reviewed periodical, published in February, June and October. The journal is sponsored and published by <a href="http://www.aipkind.org/" target="_blank" rel="noopener">Asosiasi Pendidikan Kebidanan Indonesia (AIPKIND)</a>. This journal provides a forum for the publication, dissemination and discussion of advances in evidence, controversies, current research and current knowledge. It promotes continuing education through the publication of research findings, systematic and other reviews, expert's commentary, case studies, methods, protocol and updates across a broad range of topics focusing on women, midwives and midwifery.</p> <p><a href="https://wmmjournal.org/index.php/wmm/about">Please read a more detailed description about us.</a></p> Asosiasi Pendidikan Kebidanan Indonesia (AIPKIND) en-US Women, Midwives and Midwifery 2775-4448 <p>Articles and files in this journal are licensed under a <a href="http://creativecommons.org/licenses/by/4.0/" rel="license">Creative Commons Attribution 4.0 International License</a>.</p> http://www.wmmjournal.org/index.php/wmm/article/view/229 <p><strong>Background</strong>: childhood is an important stage of development. Non-fulfillment of nutrition in childhood has an impact on the health status of future generations. The use of Banjar-language flipbook educational media is one innovation that can be employed to enhance knowledge and change behavior in a more positive way.</p> <p><strong>Purpose</strong>: exploring the effectiveness of using digital innovation and media nutrition education in the form of flipbooks, integrating local culture, to improve elementary school students’ knowledge and behavior regarding balanced nutrition.</p> <p><strong>Methods</strong>: a one-group pretest-posttest pre-experimental design study was conducted with students (n=97) from two primary schools in Banjarmasin, South Kalimantan, to evaluate the effectiveness of the flipbook. Data were collected from July to August 2025 and included characteristics of respondents and the effects on knowledge and behavior regarding food nutrition. Data were analyzed using SPSS version 25. Descriptive statistics were used to summarize respondents’ characteristics. The Wilcoxon test was used to compare pretest and posttest scores of knowledge and behavior. A p-value of &lt; 0.05 was considered statistically significant</p> <p><strong>Results</strong>: of the 97 respondents, 57 respondents (58.79%) had good knowledge in the category, and 64 respondents (65.98%) had quite positive behavior. After receiving health education and access to flipbooks monitored by observation sheets, 77 respondents (79.38%) were in the “good knowledge” category, and 77 respondents (74.23%) showed very positive behavior</p> <p><strong>Conclusion</strong>: the results of this study indicate that there is an increase in knowledge and behavior change in a positive direction after receiving nutrition education through flipbooks in the Banjar language integrated with Free Nutritious Meals (MBG) program in primary schools. The flipbooks will be integrated into the primary school curriculum</p> Siti Fatimah Dewi Setya Paramitha Jamiatul Hamidah Suci Fitri Rahayu Muhammad Bayu Rezki Annida Mawaddah Nur Hikmalia Copyright (c) 2026 Siti Fatimah, Dewi Setya Paramitha, Jamiatul Hamidah, Suci Fitri Rahayu, Muhammad Bayu Rezki, Annida Mawaddah, Nur Hikmalia https://creativecommons.org/licenses/by/4.0 2026-02-24 2026-02-24 6 1 55 67 10.36749/wmm.6.1.55-67.2026 http://www.wmmjournal.org/index.php/wmm/article/view/215 <p><strong>Background</strong>: diastasis Recti Abdominis Muscle (DRAM), a condition characterized by the separation of the rectus abdominis muscles along the linea alba, commonly occurs postpartum and may impair quality of life. Yoga has been proposed as a non-invasive intervention to address this issue through core muscle engagement and tissue remodeling.</p> <p><strong>Purpose</strong>: this study aims to determine the effectiveness of yoga in accelerating the recovery of diastasis recti abdominis muscle in postpartum women.</p> <p><strong>Methods</strong>: this quasi-experimental study employed a non-equivalent control group pretest-posttest design. Forty-eight postpartum women (4–10 days postpartum) were recruited, with 45 meeting the inclusion criteria and divided into intervention and control groups. The intervention group participated in structured yoga sessions (20 minutes/session, 4 times/week for 3 weeks), while the control group received routine postnatal exercise advice. The sampling technique used was simple random sampling. DRAM width was measured using a digital caliper. Data were analyzed using paired and independent t-tests.</p> <p><strong>Results</strong>: data were analyzed using paired and independent t-tests. A significant reduction in DRAM was observed in the intervention group, with the mean width decreasing from 29.50 ± 3.39 mm to 9.38 ± 2.62 mm (p = 0.000), while the control group showed only a minor decrease (28.09 ± 3.05 mm to 26.03 ± 2.37 mm).</p> <p><strong>Conclusion</strong>: the structured yoga intervention demonstrated consistent results with lower post-intervention variability. Yoga exercise significantly improves DRAM recovery in postpartum women by enhancing abdominal muscle strength and supporting tissue regeneration. Yoga is a safe, effective, and reproducible intervention for postpartum rehabilitation</p> Dewi Febriani Saraswati Neneng Widaningsih Santi Sofiyanti Diyan Indrayani Copyright (c) 2026 Dewi Febriani Saraswati, Neneng Widaningsih, Santi Sofiyanti, Diyan Indrayani https://creativecommons.org/licenses/by/4.0 2026-02-24 2026-02-24 6 1 19 27 10.36749/wmm.6.1.19-27.2026 http://www.wmmjournal.org/index.php/wmm/article/view/220 <p><strong>Background</strong>: exclusive breastfeeding (EBF) is critical for neonatal health, but complications like jaundice can disrupt early feeding due to mother-infant separation. Midwifery Continuity of Care (MCoC), where a known midwife provides consistent support throughout the perinatal period, may play a crucial role in maintaining EBF during such challenges. This case report aims to explore the role of MCoC in sustaining exclusive breastfeeding during mother-infant separation due to neonatal jaundice.</p> <p><strong>Case Presentation</strong>: a 29-year-old woman (G2P1A0) received MCoC from early pregnancy through postpartum. After a cesarean delivery due to preeclampsia, her newborn developed jaundice with a total bilirubin level of 15.31 mg/dL and an index bilirubin of 14.96 mg/dL. It required 48 hours of phototherapy and NICU admission. Despite separation, the mother sustained lactation through regular milk expression, supported by her midwife, husband, and family. The mother had received education from the midwife about the importance of breastfeeding for the baby, starting from pregnancy until after delivery. The continuous presence and support of the midwife empowered the mother to remain consistent in expressing breast milk until the baby’s condition improved, allowing the infant to continue receiving exclusive breastfeeding. After receiving phototherapy, the infant’s bilirubin level decreased to 9.82 mg/dL and the baby was discharged in stable condition. Exclusive breastfeeding was successfully continued post-discharge</p> <p><strong>Discussion</strong>: this case highlights the important role of MCoC in supporting successful exclusive breastfeeding in infants with neonatal jaundice. Through ongoing education and support, midwives help mothers continue to provide expressed breast milk during phototherapy, which contributes to lowering bilirubin levels. The MCoC approach strengthens mothers' confidence and emotional resilience, while also increasing breastfeeding success in complex medical conditions</p> <p><strong>Conclusion</strong>: MCoC is a valuable model for supporting EBF during mother-infant separation caused by jaundice. It empowers mothers through continuous clinical, emotional, and educational support, ensuring continuity of care and improved breastfeeding outcomes. This case underscores the importance of integrating MCoC into midwifery practice and policy to enhance breastfeeding outcomes and maternal-infant health</p> Woro Setia Ningtyas Agnestia Naning Dian Lovita Dewi Setyowati Annisa Nur Rohma Copyright (c) 2026 Woro Setia Ningtyas, Agnestia Naning Dian Lovita, Dewi Setyowati, Annisa Nur Rohma https://creativecommons.org/licenses/by/4.0 2026-02-24 2026-02-24 6 1 44 54 10.36749/wmm.6.1.44-54.2026 http://www.wmmjournal.org/index.php/wmm/article/view/213 <p><strong>Background</strong>: rapid physical and psychological growth, especially fine motor development, characterizes the preschool period. Delays in fine motor skills can affect children's self-confidence and learning in the future.</p> <p><strong>Purpose</strong>: this study aimed to examine the effect of puzzle-based educational stimulation on fine motor outcomes among preschool children using the Denver Developmental Screening Test II (DDST II).</p> <p><strong>Methods</strong>: a quasi-experimental pretest–posttest control group design was employed, involving 46 children from TK Dharma Wanita 1 Keniten, Kediri, divided equally into intervention and control groups. Fine motor outcomes were assessed based on DDST II fine motor adaptive items, including tasks such as building towers, copying shapes, and drawing.</p> <p><strong>Results</strong>: the fine motor development status of preschool aged children in the intervention group increased from 60.9% at pretest to 100% at posttest, whereas the control group also showed a smaller improvement from 78.3% to 95.7%. The Wilcoxon test indicated a significant improvement within the intervention group (<em>p</em> &lt; 0.005). However, the Mann Whitney U test showed no significant difference between the intervention and control groups in the posttest scores</p> <p><strong>Conclusion</strong>: puzzle-based stimulation effectively enhances children’s fine motor development, highlighting its potential as an engaging educational strategy in early childhood programs</p> Shalna Faizza Romandita Wisnu Barlianto Mega Ulfah Copyright (c) 2026 Shalna Faizza Romandita, Wisnu Barlianto, Mega Ulfah https://creativecommons.org/licenses/by/4.0 2026-02-24 2026-02-24 6 1 8 18 10.36749/wmm.6.1.8-18.2026 http://www.wmmjournal.org/index.php/wmm/article/view/219 <p><strong>Background</strong>: female child marriage (FCM) remains a critical challenge in Indonesia, particularly in rural and socioeconomically disadvantaged communities. Despite legal reforms such as the revision of the Marriage Law in 2019, FCM continues to occur at alarming rates, leading to harmful health, educational, and economic consequences for young girls.</p> <p><strong>Purpose</strong>: to examine the prevalence and determinants of FCM in Indonesia through a secondary data analysis of the 2012 and 2017 Indonesia Demographic and Health Surveys (IDHS).</p> <p><strong>Methods</strong>: a secondary data analysis was conducted using weighted samples from the 2012 and 2017 IDHS datasets. Multivariate analysis was performed to examine associations between socio-demographic and other relevant variables with the likelihood of female children (aged 15-18 years) entering marriage. The study focused on identifying temporal trends and key risk factors contributing to early marriage among Indonesian female children.</p> <p><strong>Results</strong>: this study revealed a decrease in female child marriage prevalence, from 9.15% in 2012 to 7.10% in 2017. Logistic regression analysis indicated that younger age (15–16), rural residence, and low economic status consistently increased the likelihood of early marriage. In 2012, poor STI knowledge and family planning discussions were significant predictors, while in 2017, smoking behavior and employment status became influential factors, reflecting ongoing social dynamics and structural challenges.</p> <p><strong>Conclusion</strong>: female child marriage in Indonesia is strongly influenced by low education, poverty, rural residence, and limited STI knowledge. The findings highlight the need for improved education access, economic support, and tailored reproductive health programs</p> Nina Rini Suprobo Nindi Kusuma Dewi Dessy Amelia Dewi Ratna Sulistina Elisa Danik Kurniawati Zumroh Hasanah Alifia Candra Puriastuti Laras Putri Gamagitta Winny Kirana Hasanah Rizqie Putri Movembriani Copyright (c) 2026 Nina Rini Suprobo, Nindi Kusuma Dewi, Dessy Amelia, Dewi Ratna Sulistina, Elisa Danik Kurniawati, Zumroh Hasanah, Alifia Candra Puriastuti, Laras Putri Gamagitta, Winny Kirana Hasanah, Rizqie Putri Movembriani https://creativecommons.org/licenses/by/4.0 2026-02-24 2026-02-24 6 1 28 43 10.36749/wmm.6.1.28-43.2026 http://www.wmmjournal.org/index.php/wmm/article/view/207 <p><strong>Background</strong>: congenital anomalies are structural or functional anomalies that occur during intrauterine life and might be identified before, at birth or later in life. An estimated 6% of babies worldwide are born with a congenital disorder, resulting in 17% to 42% deaths among infants and 20% to 30% of stillbirths. In Tanzania, its prevalence is estimated to be 60.5 per 1000 live births. Majority of these are due to multifactorial including chromosomal anomalies. Its impact in our African societies extends to social consequences including stigmatization, divorce and witchcraft suspicions.</p> <p><strong>Case Presentation</strong>: we present a case report of syndromic baby with major congenital malformation associated with Oral facial cleft, Congenital hydrocephalus, Acyanotic congenital heart disease VSD, Amniotic band syndrome on left lower limb and fingers of upper limbs. This is the first case to be reported in Tanzanian Context</p> Nicodem Komba Erica Benjamin Hashim Yatera Mwajuma Mdoe3 Mwanaheri Chubi Simoni Luoga Hawa Msemo Copyright (c) 2026 Nicodem Komba, Erica Benjamin, Hashim Yatera, Mwajuma Mdoe3; Mwanaheri Chubi, Simoni Luoga; Hawa Msemo https://creativecommons.org/licenses/by/4.0 2026-02-24 2026-02-24 6 1 1 7 10.36749/wmm.6.1.1-7.2026