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Impact of Pre-pregnancy Body Mass Index and The Incidence of Preeclampsia: Systematic Literature Review Astrid Kizy Primadani; Elli Hidayati; Asry Novianty; Hirfaturrahmi Hirfaturrahmi
Sehat Rakyat: Jurnal Kesehatan Masyarakat Vol. 5 No. 2 (2026): Mei 2026
Publisher : Yayasan Pendidikan Penelitian Pengabdian Algero

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54259/sehatrakyat.v5i2.7450

Abstract

The incidence of preeclampsia is a leading cause of maternal morbidity and mortality worldwide, where the pre-pregnancy body mass index (BMI) is suspected to be one of the significant risk factors but requires a comprehensive synthesis of evidence. This study aims to analyze and synthesize scientific evidence regarding the influence of pre-pregnancy BMI on the incidence of preeclampsia. The method used is a systematic literature review with article searches in the Google Scholar, PubMed, Proquest, and ScienceDirect databases published in the last 5 years. The review results show that out of the 11 analyzed articles, all studies reported a significant relationship between increased pre-pregnancy BMI and the incident risk of preeclampsia. Woman who are underweight before pregnancy have a lower risk of preeclampsia, while those who are overweight or obese have higher incidence of preeclampsia. Regardless of adjustments for confounding factors, this study present that a high pre-pregnancy BMI is an risk factor for the occurrence of preeclampsia, making weight management before pregnancy very important as an effective primary prevention strategy.
Refleksi Kekuatan Diri sebagai Upaya Peningkatan Kesehatan Jiwa dan Harga Diri Remaja Korban Perundungan Giri Widakdo; Aisyah Aisyah; Naryati Naryati; Slametiningsih Slametiningsih; Elli Hidayati; Rahayu Hanan Labibah; Oki Rizkia Ainurahma Diniar
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 9, No 9 (2026): Volume 9 Nomor 9 (2026)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v9i9.27398

Abstract

ABSTRACT Adolescence is a crucial transitional phase characterized by physical, cognitive, and psychosocial changes. Psychosocial issues, such as bullying, often trigger a decline in self-esteem, anxiety, and even depression among adolescents. This community service initiative aims to enhance the self-esteem and mental resilience of students at SMKN 39 Central Jakarta through an intervention involving the "Self-Strength Reflection Game." The implementation method comprises three main stages: (1) Preparation and Assessment, (2) Implementation, and (3) Evaluation and Follow-up Support. The results indicate an improvement in student understanding and awareness (with a 100% active participation rate) regarding recognizing emotions, identifying personal strengths, and transforming maladaptive behaviors into assertive ones. Furthermore, the initiative successfully produced a teaching module titled "Innovation for a Healthy, Bullying-Free School Family Resilience," a booklet, and reflection cards integrated with the school's School Health Unit (UKS). Keywords: Self-Strength Reflection, Self-Esteem, Adolescent Mental Health, Bullying, Healthy School.  ABSTRAK Masa remaja merupakan fase transisi krusial yang ditandai dengan perubahan fisik, kognitif, dan psikososial. Masalah psikososial seperti perundungan (bullying) sering kali memicu penurunan harga diri, kecemasan, hingga depresi pada remaja. Kegiatan pengabdian masyarakat ini bertujuan untuk meningkatkan harga diri dan ketahanan mental siswa di SMKN 39 Jakarta Pusat melalui intervensi Permainan Terapi Refleksi Kekuatan Diri. Metode pelaksanaan meliputi tiga tahapan utama: (1) Tahap Persiapan dan Pengkajian, (2) Tahap Pelaksanaan, dan (3) Tahap Evaluasi serta Pendampingan. Hasil kegiatan menunjukkan adanya peningkatan pemahaman dan kesadaran siswa (100% tingkat partisipasi aktif) dalam mengenali emosi, mengidentifikasi aspek positif diri, serta mengontrol perilaku maladaptif menjadi asertif. Selain itu, kegiatan ini berhasil menghasilkan modul ajar "Inovasi Sekolah Sehat Bebas Perundungan Ketahanan Keluarga", booklet, serta media kartu refleksi yang terintegrasi dengan unit UKS sekolah. Kata Kunci: Refleksi Kekuatan Diri, Harga Diri, Kesehatan Jiwa Remaja, Perundungan (Bullying), Sekolah Sehat.