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All Journal Majalah Kedokteran Bandung Jurnal Kesehatan Manarang
Sepalanita, Widya
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Health Professions Medicine & Pharmacology Nursing Public Health

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Preventing the Incidence of Severe Preeclampsia by Maintaining an Ideal Body Weight During Pregnancy Ferawati, Emi; Pritalianto, Hushat; Sepalanita, Widya
Majalah Kedokteran Bandung Vol 57, No 3 (2025)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15395/mkb.v57.3992

Abstract

Preeclampsia is a pregnancy-specific disease potentially leading to complications, morbidity, and mortality. In general, obesity may cause preeclampsia through several common mechanisms. This study aimed to examine the association between obesity and the incidence of severe preeclampsia (SP) at Dr. Dradjat Prawiranegara General Hospital, Serang, Indonesia. A retrospective cohort design was used and the sample comprised of 168 parturients (84 SP and 84 non-SP subjects). Sample selection was consecutively conducted from June to November 2023, while data were analyzed using the Chi-Square test and multivariable analysis with multiple logistic regression. There was a statistically significant relationship between nutritional status and obesity in participants with SP history (p<0.05). Obese women had a 2.96 times higher risk of developing SP compared to non-obese. Additionally, the study found that multigravidas (≥G2) had a 2.19 times higher risk of suffering from SP compared to primigravidas (G1) (p=0.019). Furthermore, women who only completed ≤ junior high school education had a 2.14 times higher risk of suffering from SP compared to those who completed ≥ high school (p=0.060). In conclusion, women in delivery who suffered from obesity have a 2.68 times greater risk of suffering SP than non-obese, as evident from both bivariable and multivariable analyses.
The Effect of Diaphragmatic Breathing Exercises on Peak Expiratory Flow Rate in Bronchial Asthma Patients Sepalanita, Widya; Faturachman, Alif; Subiakto, Toto
Jurnal Kesehatan Manarang Vol 10 No 1 (2024): April 2024
Publisher : Politeknik Kesehatan Kemenkes Mamuju

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33490/jkm.v10i1.965

Abstract

Background: Asthma is a prevalent, chronic, and varied condition in which most people experience dyspnea, wheezing, chest tightness, and coughing due to reversible airway obstruction, airway inflammation, and bronchial hyperreactivity. cause the quality of life to diminish. The breathing method known as diaphragmatic breathing is tailored to the needs of asthmatics. During a deep inhale, a breathing method called diaphragmatic breathing relaxes the respiratory muscles. Objective: To determine the effect of diaphragmatic breathing exercises on peak expiratory flow rate (PEFR) patients with bronchial asthma. Method: This type of research is quasi-experimental with a one-group pre-test and post-test design. The sampling method used purposive sampling with 15 respondents. The PEFR measurement instrument uses a peak flow meter. Data were analyzed univariately and bivariately using the paired T-Test. Results: The average PEFR value before and after diaphragmatic breathing exercise therapy was 246.67 L/minute and 300 L/minute. There was a significant difference in PEFR before and after being given diaphragmatic breathing exercise therapy with an increase in PEFR value of 53.33 L/minute (p-value 0.00). Conclusion: Diaphragmatic breathing exercises have a significant influence on PEFR values in bronchial asthma patients
Co-Authors Faturachman, Alif Ferawati, Emi Pritalianto, Hushat Subiakto, Toto