Research Article
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Endonezya, Bali, Denpasar Şehri'ndeki Bağımsız Ebelik Uygulamalarında (IMP'ler) Tamamlayıcı Terapi Hizmetleri

Year 2026, Volume: 9 Issue: 1 , 39 - 45 , 30.03.2026
https://doi.org/10.62425/esbder.1695958
https://izlik.org/JA96UT83XW

Abstract

Amaç: Günümüzde ebelik bakımı, ebelik uygulamasında hem geleneksel hem de tamamlayıcı hizmetleri bir araya getirir. Ebelik hizmetlerindeki tamamlayıcı terapi, hamile kadınlar, doğum yapan kadınlar, doğum sonrası anneler, bebekler ve yürümeye başlayan çocuklar için tıbbi müdahaleleri veya farmakolojik terapiyi azaltmak amacıyla alternatif bir seçenek olarak hizmet eder. Bu çalışma, Bali, Denpasar Şehri'ndeki Bağımsız Ebe Uygulamaları'nda (IMP'ler) ebelikte tamamlayıcı terapi hizmetlerinin uygulanmasını incelemeyi amaçlamaktadır.
Yöntemler: Bu çalışma, anket yöntemiyle nicel bir yaklaşım kullanmaktadır. Bu çalışmanın popülasyonu, bağımsız ebelik uygulamaları yürüten ebelerden oluşmaktadır ve örneklem büyüklüğü 84 bağımsız ebelik uygulamasından oluşmaktadır. Kullanılan istatistiksel test, ρ < 0,05 anlamlılık düzeyine sahip ki-kare testidir.
Sonuçlar: Çalışma sonuçları, 37 katılımcının neredeyse yarısının (%44,05) Bağımsız Ebe Uygulamaları'nda (IMP'ler) tamamlayıcı terapi uyguladığını göstermektedir. Ebeler arasında en sık katılım gösterilen eğitim Bebek Tedavisi (%38,10) olmuştur. En sık sağlanan tamamlayıcı hizmetler Bebek Masajı (%26,72), Oksitosin Masajı (%19,85) ve Emzirme Masajı (%17,56) idi. İki değişkenli analiz, eğitim geçmişinin ve eğitim geçmişinin IMP'lerde tamamlayıcı terapi hizmetlerinin uygulanmasıyla ilişkili olduğunu gösterdi.
Sonuç: Ebeler, bağımsız muayenehanelerinde mevcut hizmet yelpazesini artırmak için anne ve çocuk sağlığı hizmetleriyle ilgili yüksek öğrenim ve eğitim almaya teşvik edilmektedir.

References

  • Anggraeni, L. (2023). Pelayanan Kebidanan Komplementer. 1.
  • Carolin, B. T., Syamsiah, S. S., & Khasri, M. M. (2020). Pijat Bayi Dapat Meningkatkan Berat Badan Bayi. Jurnal Kebidanan Malahayati, 6(3), 383–387. https://doi.org/10.33024/jkm.v6i3.2745
  • Dariani, L., Khadijah, S., Mesalina, R., Susanti, E., & Rustam, J. S. (2023). Factors Related to the Implementation of Complementary Midwifery Servicesin Indonesia. Malaysian Journal of Nursing, 15(1), 58–67. https://doi.org/10.31674/mjn.2023.v15i01.007
  • Esmianti, F., Indah Purnama Eka Sari, W., & Sipahutar, L. (2021). Postpartum Acu Yoga sebagai Peluang Usaha Mandiri Bidan di Era Millineal Prodi Kebidanan. Jurnal Pengabdian Kepada Masyarakat, 4(3).
  • Hidayah, N., Lestari, N. E., Ni, N., Rai, M., Mutmainnah, W., Marwiyah, N., Shella, S., Rahmawati, D., & Afrina, R. (2024). Mom and Baby Treatment. Get Press Indonesia. www.getpress.co.id
  • Jumiatun, J., & Nani, S. A. (2020). Analisis Kesiapan Bidan dalam Pelaksanaan Pelayanan Kebidanan Komplementer. Jurnal SMART Kebidanan, 7(2), 71. https://doi.org/10.34310/sjkb.v7i2.400
  • Levett, K. M., Smith, C. A., Bensoussan, A., & Dahlen, H. G. (2016). Complementary therapies for labour and birth study: a randomised controlled trial of antenatal integrative medicine for pain management in labour. BMJ Open, 6(7). https://doi.org/10.1136/BMJOPEN-2015-010691
  • Muflihah, I. S., Margiana, W., Kurniatai, C. H., Pantiawati, I., & Rini, S. (2022). Pelaksanaan Terapi Komplementer kebidanan di Kabupaten Banyumas Tahun 2021. Jurnal Cakrawala Ilmiah, 1(7), 1871–1880.
  • Nurfatimah, N., Ramadhan, K., Entoh, C., Longgupa, L. W., & Hafid, F. (2021). Continuity of Midwifery Care Implementation to Reduce Stunting. Open Access Macedonian Journal of Medical Sciences, 9(E), 1512–1516. https://doi.org/10.3889/oamjms.2021.7062
  • Rozifa, A. W., Mardliyana, N. E., & Puspita, I. M. (2023). Description of the implementation of complementary therapy in midwifery services in Surabaya, Indonesia. Majalah Obstetri & Ginekologi, 31(2), 75–79. https://doi.org/10.20473/mog.v31i22023.75-79
  • Septiani, R., & Lestari, G. I. (2020). Hubungan Karakteristik Bidan dengan Praktik Kebidanan Komplementer di Praktek Mandiri Bidan. Jurnal Ilmiah Keperawatan Sai Betik, 15(2), 114. https://doi.org/10.26630/jkep.v15i2.1695 Sifa Altika, U. K. (2021). Survei Implementasi Pelayanan Kebidanan Komplementer dalam Mengurangi Intervensi Medis. Community of Publishing In Nursing (COPING), 9 no. 1, 15–20.
  • Sihite, H., Simamora, D. N., Made, N., Widiastuti, R., Luh, N., Anggraeny, A., Ermasari, A., & Longgupa, L. W. (2025). Asuhan Kebidanan Berkesinambungan (Continuity of Care). Get Press Indonesia.
  • Telaumbanua, A. S., & Absah, Y. (2021). Pengaruh Pendidikan Dan Pelatihan Terhadap Kinerja Melalui Kompetensi Bidan: Studi Kuantitatif. Jurnal Penelitian Pendidikan, Psikologi Dan Kesehatan (J-P3K), 2(2), 142–147. https://doi.org/10.51849/j-p3k.v2i2.103
  • Uçan Yamaç, S., & Terkes, N. (2022). Evaluation of the Knowledge, Attitudes and Behaviors of Midwives and Nurses with Regard to Traditional and Complementary Treatment Methods. International Journal of Traditional and Complementary Medicine Research, 3(1), 18–24. https://doi.org/10.53811/ijtcmr.1025246
  • Ulya, A., & Israyati, N. (2021). Jurnal Kebidanan Terkini (Current Midwifery Journal). Jurnal Kebidanan Terkini, 01(1), 45–55.
  • Wahidin. (2018). Analisis Pengembangan Layanan Kebidanan Komplementer Terintegrasi Di Kabupaten Tangerang Provinsi Banten. Jurnal IMJ: Indonesian Midwifery Journal, 2(2), 47–56.
  • Widiastuti, N. M. R., Arini, K. N., & Yuniati, M. G. (2022). Midwifery Complementary Treatment with The Application of Oxytocin Massage Using Lavender Aromatherapy Oil on Breast Milk Production in Postpartum Mothers. Babali Nursing Research, 3(3), 246–253. https://doi.org/10.37363/bnr.2022.33151
  • Widiastuti, N. M. R., & Widiani, N. N. A. (2020). Improved breastfeeding with back massage among postnatal mothers. International Journal of Research in Medical Sciences, 8(2), 580. https://doi.org/10.18203/2320-6012.ijrms20200239
  • Yulianto, A. B., Sartoyo, Wardoyo, P., & Fariz, A. (2023). Jurnal Keperawatan Muhammadiyah Bengkulu. Sereal Untuk, 8(1), 51.

Complementary Therapy Services at Independent Midwife Practices (IMPs) in Denpasar City, Bali, Indonesia

Year 2026, Volume: 9 Issue: 1 , 39 - 45 , 30.03.2026
https://doi.org/10.62425/esbder.1695958
https://izlik.org/JA96UT83XW

Abstract

Objective: Midwifery care today integrates both conventional and complementary services in midwifery practice. Complementary therapy in midwifery services serves as an alternative option for pregnant women, women in labor, postpartum mothers, infants, and toddlers to reduce medical interventions or pharmacological therapy. This study aims to examine the implementation of complementary therapy services in midwifery at Independent Midwife Practices (IMPs) in Denpasar City, Bali.
Methods: This study employs a quantitative approach with a survey method. The population of this study consists of midwives who conduct independent midwifery practices, with a sample size of 84 independent midwifery practices. The statistical test used was the chi-square test, with a significance level of ρ < 0.05.
Results: The study results indicate that nearly half 37 respondents (44.05%) have implemented complementary therapy in their Independent Midwife Practices (IMPs). The most frequently attended training among midwives was Baby Treatment (38.10%). The most commonly provided complementary services were Infant Massage (26.72%), Oxytocin Massage (19.85%), and Lactation Massage (17.56%). Bivariate analysis showed that educational background and training history were associated with the implementation of complementary therapy services in IMPs.
Conclusion: Midwives are encouraged to pursue higher education and training related to maternal and child health services to enhance the range of services available in their independent practices.

Ethical Statement

Ethics committee approval was received for this study from the ethics committee of Politeknik Kesehatan Kartini Bali Research Ethics Committee (Date: May 20 2023 number: 008/KEPK/DI/PKKB/2023)

Supporting Institution

All research activities were funded by Yayasan Kartini Bali through the Internal Lecturer Research Grant scheme at Politeknik Kesehatan Kartini Bali

Thanks

We would like to express our sincere gratitude to Yayasan Kartini Bali for providing research funding under the 2023 Internal Lecturer Research Grant Scheme, as well as to IBI Bali Province and IBI PC Denpasar City for granting permission to conduct research with midwife members

References

  • Anggraeni, L. (2023). Pelayanan Kebidanan Komplementer. 1.
  • Carolin, B. T., Syamsiah, S. S., & Khasri, M. M. (2020). Pijat Bayi Dapat Meningkatkan Berat Badan Bayi. Jurnal Kebidanan Malahayati, 6(3), 383–387. https://doi.org/10.33024/jkm.v6i3.2745
  • Dariani, L., Khadijah, S., Mesalina, R., Susanti, E., & Rustam, J. S. (2023). Factors Related to the Implementation of Complementary Midwifery Servicesin Indonesia. Malaysian Journal of Nursing, 15(1), 58–67. https://doi.org/10.31674/mjn.2023.v15i01.007
  • Esmianti, F., Indah Purnama Eka Sari, W., & Sipahutar, L. (2021). Postpartum Acu Yoga sebagai Peluang Usaha Mandiri Bidan di Era Millineal Prodi Kebidanan. Jurnal Pengabdian Kepada Masyarakat, 4(3).
  • Hidayah, N., Lestari, N. E., Ni, N., Rai, M., Mutmainnah, W., Marwiyah, N., Shella, S., Rahmawati, D., & Afrina, R. (2024). Mom and Baby Treatment. Get Press Indonesia. www.getpress.co.id
  • Jumiatun, J., & Nani, S. A. (2020). Analisis Kesiapan Bidan dalam Pelaksanaan Pelayanan Kebidanan Komplementer. Jurnal SMART Kebidanan, 7(2), 71. https://doi.org/10.34310/sjkb.v7i2.400
  • Levett, K. M., Smith, C. A., Bensoussan, A., & Dahlen, H. G. (2016). Complementary therapies for labour and birth study: a randomised controlled trial of antenatal integrative medicine for pain management in labour. BMJ Open, 6(7). https://doi.org/10.1136/BMJOPEN-2015-010691
  • Muflihah, I. S., Margiana, W., Kurniatai, C. H., Pantiawati, I., & Rini, S. (2022). Pelaksanaan Terapi Komplementer kebidanan di Kabupaten Banyumas Tahun 2021. Jurnal Cakrawala Ilmiah, 1(7), 1871–1880.
  • Nurfatimah, N., Ramadhan, K., Entoh, C., Longgupa, L. W., & Hafid, F. (2021). Continuity of Midwifery Care Implementation to Reduce Stunting. Open Access Macedonian Journal of Medical Sciences, 9(E), 1512–1516. https://doi.org/10.3889/oamjms.2021.7062
  • Rozifa, A. W., Mardliyana, N. E., & Puspita, I. M. (2023). Description of the implementation of complementary therapy in midwifery services in Surabaya, Indonesia. Majalah Obstetri & Ginekologi, 31(2), 75–79. https://doi.org/10.20473/mog.v31i22023.75-79
  • Septiani, R., & Lestari, G. I. (2020). Hubungan Karakteristik Bidan dengan Praktik Kebidanan Komplementer di Praktek Mandiri Bidan. Jurnal Ilmiah Keperawatan Sai Betik, 15(2), 114. https://doi.org/10.26630/jkep.v15i2.1695 Sifa Altika, U. K. (2021). Survei Implementasi Pelayanan Kebidanan Komplementer dalam Mengurangi Intervensi Medis. Community of Publishing In Nursing (COPING), 9 no. 1, 15–20.
  • Sihite, H., Simamora, D. N., Made, N., Widiastuti, R., Luh, N., Anggraeny, A., Ermasari, A., & Longgupa, L. W. (2025). Asuhan Kebidanan Berkesinambungan (Continuity of Care). Get Press Indonesia.
  • Telaumbanua, A. S., & Absah, Y. (2021). Pengaruh Pendidikan Dan Pelatihan Terhadap Kinerja Melalui Kompetensi Bidan: Studi Kuantitatif. Jurnal Penelitian Pendidikan, Psikologi Dan Kesehatan (J-P3K), 2(2), 142–147. https://doi.org/10.51849/j-p3k.v2i2.103
  • Uçan Yamaç, S., & Terkes, N. (2022). Evaluation of the Knowledge, Attitudes and Behaviors of Midwives and Nurses with Regard to Traditional and Complementary Treatment Methods. International Journal of Traditional and Complementary Medicine Research, 3(1), 18–24. https://doi.org/10.53811/ijtcmr.1025246
  • Ulya, A., & Israyati, N. (2021). Jurnal Kebidanan Terkini (Current Midwifery Journal). Jurnal Kebidanan Terkini, 01(1), 45–55.
  • Wahidin. (2018). Analisis Pengembangan Layanan Kebidanan Komplementer Terintegrasi Di Kabupaten Tangerang Provinsi Banten. Jurnal IMJ: Indonesian Midwifery Journal, 2(2), 47–56.
  • Widiastuti, N. M. R., Arini, K. N., & Yuniati, M. G. (2022). Midwifery Complementary Treatment with The Application of Oxytocin Massage Using Lavender Aromatherapy Oil on Breast Milk Production in Postpartum Mothers. Babali Nursing Research, 3(3), 246–253. https://doi.org/10.37363/bnr.2022.33151
  • Widiastuti, N. M. R., & Widiani, N. N. A. (2020). Improved breastfeeding with back massage among postnatal mothers. International Journal of Research in Medical Sciences, 8(2), 580. https://doi.org/10.18203/2320-6012.ijrms20200239
  • Yulianto, A. B., Sartoyo, Wardoyo, P., & Fariz, A. (2023). Jurnal Keperawatan Muhammadiyah Bengkulu. Sereal Untuk, 8(1), 51.
There are 19 citations in total.

Details

Primary Language English
Subjects Midwifery (Other)
Journal Section Research Article
Authors

Ni Made Rai Widiastuti 0000-0001-5942-2978

Ni Wayan Sukma Adnyani This is me 0000-0001-9111-3286

Ni Ketut Ayu Sugiartini This is me 0009-0003-9064-0035

Ni Nyoman Ayuk Widiani This is me 0009-0006-2229-593X

Ni Made Ari Febriyanti This is me 0009-0006-7648-0727

Maria Gabriela Yuniati This is me 0000-0001-6606-0215

Submission Date May 9, 2025
Acceptance Date February 9, 2026
Publication Date March 30, 2026
DOI https://doi.org/10.62425/esbder.1695958
IZ https://izlik.org/JA96UT83XW
Published in Issue Year 2026 Volume: 9 Issue: 1

Cite

APA Widiastuti, N. M. R., Adnyani, N. W. S., Sugiartini, N. K. A., Widiani, N. N. A., Febriyanti, N. M. A., & Yuniati, M. G. (2026). Complementary Therapy Services at Independent Midwife Practices (IMPs) in Denpasar City, Bali, Indonesia. Journal of Midwifery and Health Sciences, 9(1), 39-45. https://doi.org/10.62425/esbder.1695958
AMA 1.Widiastuti NMR, Adnyani NWS, Sugiartini NKA, Widiani NNA, Febriyanti NMA, Yuniati MG. Complementary Therapy Services at Independent Midwife Practices (IMPs) in Denpasar City, Bali, Indonesia. Journal of Midwifery and Health Sciences. 2026;9(1):39-45. doi:10.62425/esbder.1695958
Chicago Widiastuti, Ni Made Rai, Ni Wayan Sukma Adnyani, Ni Ketut Ayu Sugiartini, Ni Nyoman Ayuk Widiani, Ni Made Ari Febriyanti, and Maria Gabriela Yuniati. 2026. “Complementary Therapy Services at Independent Midwife Practices (IMPs) in Denpasar City, Bali, Indonesia”. Journal of Midwifery and Health Sciences 9 (1): 39-45. https://doi.org/10.62425/esbder.1695958.
EndNote Widiastuti NMR, Adnyani NWS, Sugiartini NKA, Widiani NNA, Febriyanti NMA, Yuniati MG (March 1, 2026) Complementary Therapy Services at Independent Midwife Practices (IMPs) in Denpasar City, Bali, Indonesia. Journal of Midwifery and Health Sciences 9 1 39–45.
IEEE [1]N. M. R. Widiastuti, N. W. S. Adnyani, N. K. A. Sugiartini, N. N. A. Widiani, N. M. A. Febriyanti, and M. G. Yuniati, “Complementary Therapy Services at Independent Midwife Practices (IMPs) in Denpasar City, Bali, Indonesia”, Journal of Midwifery and Health Sciences, vol. 9, no. 1, pp. 39–45, Mar. 2026, doi: 10.62425/esbder.1695958.
ISNAD Widiastuti, Ni Made Rai - Adnyani, Ni Wayan Sukma - Sugiartini, Ni Ketut Ayu - Widiani, Ni Nyoman Ayuk - Febriyanti, Ni Made Ari - Yuniati, Maria Gabriela. “Complementary Therapy Services at Independent Midwife Practices (IMPs) in Denpasar City, Bali, Indonesia”. Journal of Midwifery and Health Sciences 9/1 (March 1, 2026): 39-45. https://doi.org/10.62425/esbder.1695958.
JAMA 1.Widiastuti NMR, Adnyani NWS, Sugiartini NKA, Widiani NNA, Febriyanti NMA, Yuniati MG. Complementary Therapy Services at Independent Midwife Practices (IMPs) in Denpasar City, Bali, Indonesia. Journal of Midwifery and Health Sciences. 2026;9:39–45.
MLA Widiastuti, Ni Made Rai, et al. “Complementary Therapy Services at Independent Midwife Practices (IMPs) in Denpasar City, Bali, Indonesia”. Journal of Midwifery and Health Sciences, vol. 9, no. 1, Mar. 2026, pp. 39-45, doi:10.62425/esbder.1695958.
Vancouver 1.Ni Made Rai Widiastuti, Ni Wayan Sukma Adnyani, Ni Ketut Ayu Sugiartini, Ni Nyoman Ayuk Widiani, Ni Made Ari Febriyanti, Maria Gabriela Yuniati. Complementary Therapy Services at Independent Midwife Practices (IMPs) in Denpasar City, Bali, Indonesia. Journal of Midwifery and Health Sciences. 2026 Mar. 1;9(1):39-45. doi:10.62425/esbder.1695958

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