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All Journal Jurnal Rumpun Ilmu Kesehatan Journal of Environmental and Occupational Health Safety
Reny Retnaningsih
Institut Teknologi, Sains, dan Kesehatan RS dr. Soepraoen
Health Professions Public Health

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The Relationship Between Directed Pushing and the Incidence of Perineal Rupture in Normal Deliveries at the UPTD Tepeleo Inpatient Health Center, North Patani District, Central Halmahera Regency Nikma Abdulbar; Reny Retnaningsih
Journal of Environmental and Occupational Health Safety Vol. 1 No. 1 (2025): February : Journal of Environmental and Occupational Health Safety
Publisher : CV.MEDINSIGHT PUBLISHING

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Abstract

Background: Perineal rupture is a common complication of vaginal delivery and may increase the risk of postpartum hemorrhage, pain, infection, delayed wound healing, and maternal morbidity. Appropriate maternal pushing guidance during the second stage of labor is a modifiable factor that may reduce perineal rupture by enabling effective pushing techniques and minimizing excessive pressure on perineal tissues. This study aimed to examine the relationship between maternal pushing guidance and perineal rupture among women undergoing normal vaginal delivery at Tepeleo Inpatient Primary Health Center, North Patani District, Central Halmahera Regency. Methods: This analytical observational study used a cross-sectional design and was conducted from March to May 2026. A total of 30 women undergoing normal vaginal delivery were selected using total sampling. Data were collected through observation checklists, medical records, and demographic characteristics and analyzed using descriptive statistics and the Chi-square test at a 95% confidence level. Results: Appropriate pushing guidance was received by 53.3% of respondents, while perineal rupture occurred in 50.0% of deliveries. Appropriate guidance was associated with a lower incidence of rupture (p < 0.001). Conclusion: Appropriate maternal pushing guidance was significantly associated with a lower incidence of perineal rupture. Strengthening midwives' competencies in effective pushing guidance is important to improve intrapartum care and maternal safety.
Correlation between Upper Arm Circumference and Anemia Status in Third Trimester Pregnant Women at Margasari Community Health Center Rina Fibriyanti; Reny Retnaningsih
Jurnal Rumpun Ilmu Kesehatan Vol. 5 No. 3 (2025): November: Jurnal Rumpun Ilmu Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jrik.v5i3.5953

Abstract

Anemia during pregnancy remains a public health problem in many countries, including Indonesia, especially among pregnant women in their third trimester who have increased physiological needs for iron and supporting nutrients. Maternal nutritional status is one of the factors that influence the incidence of anemia, one of which can be measured through Mid-Upper Arm Circumference (MUAC) as a simple indicator of the body's energy and protein reserves. This study aims to determine the relationship between LISA and the incidence of anemia in third-trimester pregnant women in the working area of the Margasari Community Health Center (UPTD Puskesmas Margasari). This study used an observational analytical design with a cross-sectional approach. A sample of 30 third-trimester pregnant women was selected using purposive sampling. LISA measurements were taken using a non-elastic measuring tape, while anemia status was determined based on hemoglobin levels using WHO standards. Data analysis was performed using Fisher's Exact Test with a significance level of 0.05. The results showed a higher proportion of anemia in pregnant women with LISA < 23.5 cm compared to the group of women with LISA ≥ 23.5 cm. Statistical tests showed a significant relationship between LILA and the incidence of anemia (p = 0.004). The conclusion of this study is that maternal nutritional status based on LILA measurements is significantly related to the incidence of anemia in third trimester pregnant women. The LILA indicator can be used as an early screening tool in antenatal care services to prevent the risk of anemia and pregnancy complications.
Co-Authors Nikma Abdulbar Rina Fibriyanti