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Maternal Characteristics and Nutritional Status among First Trimester Pregnant Women in West Sumatera Helmizar, Helmizar; Ferry, Ferdinal; Elda, Frima; Azrimaidaliza, Azrimaidaliza
Jurnal Kesehatan Masyarakat Vol 19, No 4 (2024)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v19i4.45895

Optimizing the health and nutritional status of mothers during pregnancy can reduce the risk of stunting, with prevalence among children under five, in which the undernutrition condition was still high. It was about 24.4%. The research objective is to determine the association between maternal characteristics with nutritional status in the first trimester. This cross-sectional study involved 52 pregnant women in the first trimester. This study was conducted in the working area of health centers in Padang City 2022 which had a high prevalence of undernutrition problems. Data analysis was carried out using univariate tests and bivariate tests using chi-square with 95% CI and a significance level of p-value 0.05. The analysis results showed a significant relationship between BMI before pregnancy with nutritional status in the first trimester among pregnant women (p-value = 0.000). There is no relationship between education, occupation, age, and parity of the mother with nutritional status in the first trimester. Suggestions for pregnant women are to know their nutritional status, consume nutritious foods that are needed for fetal growth, and reduce the risk of low birth weight and stunting.

Pengaruh Roti Fungsional Dadih terhadap Kenaikan Berat Badan Ibu Hamil di Padang, Indonesia: a Randomized Controlled Trial: The Impact of Dadih Functional Bread on Gestational Weight Gain for Pregnant Women in Padang, Indonesia: a Randomized Controlled Trial Helmizar, Helmizar; Azrimaidaliza, Azrimaidaliza; Rusdi, Faza Yasira; Asrawati, Asrawati; Ferry, Ferdinal
Amerta Nutrition Vol. 9 No. 2 (2025): AMERTA NUTRITION (Bilingual Edition)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v9i2.2025.340-349

Background: Gestational Weight Gain (GWG) is correlated to the growth and development of foetus and pregnancy outcomes. Probiotics have a positive effect on gestational weight gain. Dadih is a traditional West Sumatra food containing 108 CFU/ml of probiotics. Objectives: This research aimed to investigate the effect of dadih functional bread on gestational weight gain. Methods: This research is a Randomised Controlled Trials (RCT) design with double blinds with a gestational age of 12-20 weeks belonging to 88 pregnant women. The tests for weight balancing scales were used. The data were examined using Independent T-test for difference test and General Liniar Model (GLM) repeated measures, and Analysis of Covariance (ANCOVA). Results: The average GWG was significantly 2 kg greater for the intervention group related to the control group (7.3±2.6 kg vs 5.4±3.8 kg). The GWG in the intervention group exceeded the recommended GWG per month. The results indicated that weight gain was difference across the four-time measurements in both groups. There was a significant different in the average GWG among the intervention control and the control group (p-value<0.001). Conclusions: Dadih functional bread supplementation for three months significantly effect the gestational weight gain. Thus, the consumption of the dadih products can be considered when planning the nutrition to advance the nutritional status of pregnant women.

PERBEDAAN RERATA FAKTOR HEMOSTASIS PADA PREEKLAMPSIA BERAT DAN EKLAMPSIA Setia, Dyhan Purna; Ferry, Ferdinal; Djanas, Dovy
Andalas Obstetrics And Gynecology Journal Vol. 2 No. 1 (2018)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.2.1.10-15.2018

Objective : To find the difference in mean hemostatic factors in severe preeclampsia and eclampsia.Method : The study was analytic descriptive using a cross sectional study design by looking at the subject's Medical Record according to the time and place of research. The sample is the entire medical record of pregnant women who suffer from preeclampsia and eclampsia in the obstetric and gynecology departments of Dr. M. Djamil Padang Hospital in the period 15 January 2016 to 31 December 2017. The assessment was in the form of assessed platelet levels, PT, APTT and D-Dimer. Samples were taken from populations that met the inclusion criteria and did not have exclusion criteria. Sampling using consecutive sampling techniques taken from the Medical Record Dr. M.Djamil Padang. Statistical analysis to assess significance using the T-Test.Result : The severity the condition of pregnancy the lower the platelet mean and PT. Significant differences were obtained between platelets in PEB and eclampsia (p> 0.05). The mean PT, APTT and D-Dimer showed no significant differences in pregnancy conditions. Statistical test with T-Test did not show significant differences in mean PT, APTT, and D-dimer between eclampsia and PEB (p> 0.05).Conclusion : There were significant differences in mean in platelets, whereas in PT, APTT, and D-dimers in PEB and eclampsia there were no significant differences.Keywords: Pregnancy, severe preeclampsia, eclampsia, platelets, PT, APTT, D-Dimer.

UTERUS BIKORNU Marni, Herti; Ferry, Ferdinal; Utama, Bobby Indra
Andalas Obstetrics And Gynecology Journal Vol. 2 No. 2 (2018)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.2.2.115-118.2018

Background : Uterus bicornis subseptum is a deformity of the uterus such as the shape of the heart, the fundus appears to be curved inward, and has a barrier or wall inside to the uterine cavity. This abnormality occurs due to failure of the fusion of the left and right mullerian ducts. If pregnant, women who have this form of the uterus will usually experience a location abnormality, in which the fetus is often transverse or breech. However, women who have this disorder sometimes find it difficult to get pregnant so they experience infertility. In addition, there is usually a disturbance in the formation of the kidneys, but in this patient there was no abnormality in the urinary tract. In cases where the patient does not have children and a bicornu uterine abnormality is found, uterine repair is performed and it is hoped that with the uterine anatomy returning to normal, the patient can become pregnant.Objective : Discuss the management of cases of congenital abnormalities of the internal genital organs in patients with a bicornu uterus.Method : Case Report.Case : Reported a patient aged 25 years with primary infertility 4 years and a bicornu uterus. In patients, chromotubation was performed first, after chromotubation, the patient was performed metrosplasty to remove the bulkhead in the uterus and to repair the uterus. During the post-op follow-up at the hospital the patient did not show any signs of infection or acute abdomen, then the patient was discharged on day 5. The patient was advised to go to the OBGYN polyclinic regularly for further follow-up to the success of his uterine repair. Assessment can be done in several ways including transvaginal ultrasound to assess whether there is adhesions to the endometrium from the results of uterine repair, HSG, SIS or hysteroscopy can also be done in assessing the success of metroplasty in this patient.Conclusion : After metrosplasty in a patient with a bicornu uterus, further follow-up is required to determine the success of this procedure by performing a follow-up ultrasound.Keywords: Bicornu uterus, metroplasty

The Mean Difference of Hemostatic Factors in Severe Preeclampsia and Eclampsia Setia, Dyhan Purna; Ferry, Ferdinal; Djanas, Dovy
Andalas Obstetrics And Gynecology Journal Vol 4, No 1 (2020)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.4.1.22-27.2020

The aim of this study was to see the difference in the mean ratio of sodium levels between pregnancy with severe preeclampsia and eclampsia. The method in this research is an analytical study using a cross sectional design. The research was conducted in the delivery room Dr. M. Djamil Padang from 15 January 2016 to 31 December 2017. There were 60 patients as research subjects, the sample was divided into 2 groups, namely severe preeclampsia (PEB) and eclampsia. Anamnesis and physical examination were then carried out to obtain data and clinical diagnosis. The data were recorded in a research form that had been provided, then the blood electrolytes were examined for sodium and potassium. Statistical analysis to assess meaning using the T-test. The results showed that in the PEB and Eclampsia groups, it was found that multiparity parity had the highest respondents. This is in accordance with the literature where the incidence of preeclampsia is more often found at gestational age near term. The conclusion of this study there was no significant difference in the mean sodium ratio between preeclampsia, PEB and eclampsia. Keywords: pregnancy condition, PEB, eclampsia, platelet, PT, APTT, and D-Dimer

Relationship between Husband's Support, Knowledge Level, and Motivation with IVA Examination Behavior in Women of Childbearing ge in Padang City Putri, Intan Firmana; Ferry, Ferdinal; Bachtiar, Hafni
Andalas Obstetrics And Gynecology Journal Vol. 5 No. 1 (2021)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.5.1.50-55.2021

Background: Cancer is the second leading cause of death in the world. Cervical cancer is in the 9th position out of 35 types of cancer causing the most deaths in the world. Cervical cancer is the second highest type of cancer after breast cancer in women, which affects more than 1.4 million women worldwide. Every year more than 460,000 cervical cancer incidents occur and about 231,000 women die from the disease.Objectives: This study aims to determine the relationship between husband's support, level of knowledge and motivation, with the behavior of IVA examination in fertile aged women in the city of Padang.Methods: This research is an analytic observational study withÂ cross-sectional comparative study approach that looks at the relationship between knowledge, motivation, and husband's support with IVA examination behavior in women of childbearing age.Results: The percentage who did not perform IVA examination was higher among respondents with low motivation compared to those with high motivation, namely 54.7% versus 45%. Statistically this difference was not significant (p> 0.05). The number of respondents who did not perform IVA examinations was higher for respondents with less husband's support, namely 32 respondents (42.1%) and more than half of respondents who did IVA examinations, namely 44 respondents (57.9%) who received less support from their husbands. Statistically this difference was significant (p <0.05).Conclusion: There is a relationship between the level of knowledge and the behavior of the IVA examination, there is no relationship between motivation and the behavior of the IVA examination and there is a relationship between the level of knowledge and the behavior of the IVA examination.Keywords: IVA, women of childbearing age, education

Differences of Reeda Scale in Wound Incision Abdomen Post Obstetrics / Gynaecology Laparotomy with Topical Virgin Coconut Oil (VCO) and Without Topical Virgin Coconut Oil (VCO) Wahdini, Nanda Tri; Ferry, Ferdinal; Syukur, Sumaryati
Andalas Obstetrics And Gynecology Journal Vol. 5 No. 1 (2021)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.5.1.90-101.2021

Introduction : Wounds are defects of normal anatomical structures and functions. Injuries can occur because of physical, chemical, or biological trauma. Wound healing is a complex process involving many cells, cytokines, growth factors, proteases, and extracellular matrix (ECM) that work together to restore the integrity of the injured tissue. Virgin Coconut Oil is an oil saturated with medium-chain fatty acids (MCFA), one of which is lauric acid. Based on our research, VCO has wound healing properties. Research conducted in vivo on rabbits and rats experienced an increase in collagen, fibroblast proliferation, and neovascularization which influenced accelerating wound healing.Objective : This study aims to determine the difference in the mean REEDA scale in abdominal incision wounds after obstetric / gynecology laparotomy with topical VCO and those without topical VCO.Material and methods : This study is an experimental research design with a randomized clinical trial that was conducted on 36 people divided into 2 groups (treatment and control). Post-obstetric / gynecology laparotomy patients were subjected to topical VCO application on the incision wound and the REEDA scale was calculated at 24, 48, and 72 hours post-surgery. Statistical analysis is using the Mann-Whitney test.Results : Age mean of the respondents in the treatment group was 32.28 Â± 10.42 years old, while the untreated group was 30.5 Â± 6.54 years old. The mean REEDA scale for abdominal incision wounds applied topical VCO at 24 hours was 3.17 Â± 1.04, at 48 hours was 2.11 Â± 1.08, and at 72 hours was 1.39 Â± 0.85. The mean REEDA scale for abdominal incision wounds that were not treated with topical VCO at 24 hours was 3.83 Â± 0.99, at 48 hours was 3.11 Â± 1.37 and at 72 hours was 2.72 Â± 1.41. The findings of the experimental analyses showed that there was no association with the use of topical VCO in surgical wounds on a 24-hour REEDA scale (p>0.05), there was a relationship between the use of topical VCO in surgical wounds on a 48-hour and 72-hour REEDA scale (p<0.05). In the care group, the mean REEDA scale decreased by 33.4 % from 24 to 48 hours and 34.1 % from 48 to 72 hours.Conclusion : There is a relationship with the use of topical VCO in post-abdominal incision wounds post obstetrics/gynaecology laparotomy with REEDA scale 48 hours and 72 hours post-surgery. The mean REEDA scale decreased by over 24 to 48 hours and 48 to 72 hours in the treatment group (who administered topical VCO in postoperative incision wounds).Keywords: VCO, REEDA scale, Wound healing

The relationship delay in referral with maternal mortality Dr. M. Djamil central general hospital Padang Hasjmy, Ibnu Razi Mulya; Ferry, Ferdinal; Bachtiar, Hafni
Andalas Obstetrics And Gynecology Journal Vol. 6 No. 1 (2022)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.6.1.71-81.2022

Introduction: Maternal mortality is maternal death during pregnancy, childbirth, and 42 days after delivery. Maternal Mortality Rate (MMR) is the number of maternal deaths per 100,000 live births. There was an increase in MMR in Indonesia on 2012 compared to 2007 which is 228 per 100,000 population. There were 17 maternal deaths at Dr. M. Djamil Hospital throughout 2019. Delay in referral can cause death for both mother and infantObjectives: This study aims to determine the relationship between delay in referral and maternal mortality in obstetric emergencies that came to the emergency unit at Dr. M. Djamil Hospital, Padang.Methods: This study used a cross-sectional comparative study design conducted on 90 pregnant women who visited Dr. M. Djamil Padang Hospital from January - February 2021. All data were then analyzed using univariate and bivariate analysis with appropriate statistical tests.Results: The mean age of the study subjects was 25.34 Â± 5.99 years old with 12.21% of sample were nullipara, 21.27% primipara, 61.83% multipara, and 4.58% grande multipara. From the questionnaire, 54.3% were late to refer. From the medical records, it was found that in the group who died, 94.5% experienced a delay in referral and bivariate analysis showed a relationship between late referral and maternal mortality (p = 0.000).Conclusion: There is a significant relationship between late referral and maternal mortality at Dr. M. Djamil Central General Hospital PadangKeywords: Maternal Mortality Rate; late referrals; pregnant women

The relationship between the level of knowledge and attitudes with the behavior of pregnant women in recognizing the danger signs of pregnancy in the city of Padang in 2021 Kurniawan, Deden; Ferry, Ferdinal; Basyir, vaulinne
Andalas Obstetrics And Gynecology Journal Vol. 6 No. 2 (2022)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.6.2.159-166.2022

Introduction: Lack of knowledge of mothers in recognizing danger signs during pregnancy is one of the factors for the high maternal mortality rate. This study aims to determine the relationship between the level of knowledge and attitudes with the behavior of pregnant women in recognizing the danger signs of pregnancy in the city of Padang. Methods: This research using a cross sectional approach to 56 pregnant women at 3 Public Health Centers in Padang City from January 2022 to April 2022. To determine that relation, the chi-square test was used with 95% CI (Î± 0.05). Results: The results shows that most of the respondents who use the KIA book have a good knowledge (83%), have a positive attitude (89.3%) and behave appropriately (89.3%) and there is also a relationship between the level of knowledge and behavior. KIA book users in recognizing the danger signs of pregnancy (P = 0.04) and the relationship between attitudes and behavior of pregnant women using KIA books in recognizing pregnancy danger signs (p = 0.001). The relationship between knowledge and attitudes with the behavior of KIA book users in recognizing the danger signs of pregnancy(p-value0.001versus0.846). Conclusion: There is a relation between the level of knowledge and the behavior of KIA book users in recognizing the danger signs of pregnancy, between attitudes and the behavior of pregnant women using KIA books in recognizing the danger signs of pregnancy and attitudes have a more dominant influence than knowledge.

OMPHE-VIA (Obedient Male Partner in Health-Education and Engagement for Visual Inspection with Acetic Acid Examination) Model Was Solution to Save Cervical Cancer Ferry, Ferdinal; Machmud, RIzanda; Soetrisno, Soetrisno; Bachtiar, Adang
Andalas Obstetrics And Gynecology Journal Vol. 7 No. 1 (2023)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.7.1.286-294.2023

Background: VIAÂ screening is very suitable for developing countries such as Indonesia, because the technique is easy, simple, low cost/cheap, high sensitivity, fast and accurate for early detection of cervical cancer. The coverage of early detection in Indonesia is <5% so that many cases of cervical cancer are found to be at an advanced stage and often cause death in women.Methods: This study uses a mix-method study approach with a sequential exploratory approach. The research was carried out sequentially with qualitative methods first (interviews and FGDs), then continued with quantitative methods. In this study, the sampling technique used was multi-stage random sampling in 7 selected sub-districts.Results: The variable perception of vulnerability with a good perception of vulnerability have a 2.64 times greater risk of carrying out an VIA examination. In multivariate modeling, knowledge is the most dominant variable because it has the largest POR of 6.3, which means the N-Gain value is in the medium category with a fairly effective interpretation of the effectiveness of the module, namely an increase in knowledge of 63.86% after being given education using the OMPHE-VIA module.Â Conclusion: Based on the implementation of the OMPHE-VIA module, it was found that there was an increase in the average value of knowledge, before and after the education was given. It was also found that there was a significant difference in knowledge, andÂ husband's support,Â construct between before and after the education was given using the OMPHE-VIA module.

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