Ronaldo August Rambulangi
Department of Obstetrics and Gynecology, Faculty of Medicine, University of Muslim Indonesia

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Risk factors influencing caesarean wound infection (CWI) Yolanda Salsabila Dwi Putri; Reeny Purnamasari Juhamran; Ronaldo August Rambulangi; Nasrudin Andi Mappaware; Muhammad Wirawan Harahap
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 9 (2025): Volume 8 Number 9
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i9.1342

Abstract

Background: Cesarean section (CS) is a delivery method that continues to increase and carries a risk of complications, one of which is surgical wound infection (SWI). SWI can hinder healing and increase morbidity. Risk factors for infection include preoperative, intraoperative, and postoperative conditions, necessitating analysis to prevent postoperative complications. Purpose: To identify risk factors for surgical site infection in Cesarean section procedures and to determine the association between nutritional status, hemoglobin levels, and wound care with the occurrence of surgical site infection. Method: This study is an observational analytical study using a cross-sectional approach conducted at RSIA Sitti Khadijah 1 Muhammadiyah Makassar from March to June 2025. Data were analyzed using univariate and bivariate analysis with the Chi-square test at a significance level of p < 0.05. Results: There was a significant association between several risk factors and the occurrence of postoperative wound infections following Cesarean section. Based on bivariate analysis, nutritional status, hemoglobin (Hb) levels, wound care, and type of cesarean section procedure were found to influence the occurrence of postoperative wound infections. However, although the duration of surgery showed a statistical association, the data obtained were not varied, so a definitive conclusion regarding the relationship between surgery duration and postoperative wound infections after cesarean section could not be drawn. Conclusion: Nutritional status, hemoglobin levels, wound care, and type of cesarean section are factors associated with the occurrence of postoperative wound infections after cesarean section. These findings highlight the importance of attention to maternal nutritional status, hemoglobin levels, wound care standards, and the selection of Cesarean section type in efforts to prevent postoperative infections. A comprehensive evaluation of these factors is necessary to minimize the risk of complications and improve patient safety.
Qur’an Recitation Intensity and Anxiety Among Third-Trimester Pregnant Women: A Cross-Sectional Study Nurul Fatimah; Dahliah Dahliah; Ronaldo August Rambulangi; Anna Sari Dewi; Muhammad Wirasto Ismail
Medical and Health Journal Vol 6 No 1 (2026): August
Publisher : Fakultas Kedokteran Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.mhj.2026.6.1.19819

Abstract

Anxiety in women during the third trimester of pregnancy remains high and may have negative impacts on both maternal and fetal health. Data from the World Health Organization and studies in Indonesia indicate a high prevalence of anxiety as childbirth approaches. Non-pharmacological spiritual-based interventions, such as reading the Qur’an, are believed to promote relaxation and reduce anxiety; therefore, their relationship with anxiety levels in pregnant women needs to be investigated. This study aimed to determine the level of anxiety among third-trimester pregnant women at Wihdatul Ummah Clinic in Makassar, to assess the intensity of Qur’an reading, and to analyze the relationship between the intensity of Qur’an reading and anxiety levels. This study employed a quantitative observational analytic method with a cross-sectional design. The results showed that most third-trimester pregnant women were in the non-anxious category (69.4%), although 30.6% experienced anxiety ranging from mild to very severe. The majority of participants had a moderate intensity of Qur’an reading (66.7%), while 33.3% had a high intensity, and none had a low intensity. Statistical analysis showed no significant relationship between the intensity of Qur’an reading and anxiety levels among third-trimester pregnant women (p = 0.95). It can be concluded that there is no significant relationship between the intensity of Qur’an reading and anxiety levels among third-trimester pregnant women at Wihdatul Ummah Clinic, Makassar.