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Exploring the role of healthcare providers in supporting women after pregnancy loss: A scoping review Rafhani Rosyidah; Nurul Azizah; Ratna Dwi Jayanti; Retno Dewi Prisusanti
Majalah Obstetri & Ginekologi Vol. 33 No. 3 (2025): December
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mog.V33I32025.228-235

Abstract

HIGHLIGHTS The study examines healthcare providers’ roles in delivering holistic physical, emotional, and psychosocial support to women after pregnancy loss. The findings identify major provider barriers—limited training, institutional constraints, and emotional burden—and recommend improved training, clearer guidelines, and stronger support systems.   ABSTRACT Objective: Pregnancy loss is a complex emotional experience with a significant impact on women's physical and psychosocial health. This study aimed to explore the role of health workers in supporting women after pregnancy loss, focusing on their physical, emotional, and psychosocial needs, as well as the barriers faced by health workers. Materials and Methods: A systematic search was conducted on six electronic databases, namely PubMed, Science Direct, Springer, ProQuest, Sage Journals, and EBSCOhost, using keywords related to pregnancy support, pregnancy loss, and challenges faced by health workers. Articles published within the last 10 years (2014-2024) were selected for this review. The selection process followed PRISMA guidelines, starting with the identification of 383 articles, followed by the removal of duplicates and screening of titles and abstracts. After the eligibility assessment stage, five articles were selected that met the inclusion criteria. Data were systematically extracted using tables that included study purpose, design, participants, type of pregnancy loss, and key findings. The results of the analysis mapped the physical, emotional, and psychosocial support provided by health workers and the barriers affecting the quality of that support. Results: Integrating physical, emotional, and psychosocial care is crucial to improve outcomes for women experiencing pregnancy loss. Addressing challenges faced by healthcare providers will enhance service quality and patient support. Conclusions: Holistic support that includes physical, emotional and psychosocial aspects is essential in helping women to cope with pregnancy loss. However, barriers such as lack of training and institutional support affect the effectiveness of care. This review recommends strengthening formal training, developing structured guidelines, and improving support systems for health workers to enhance the quality of care and professional well-being.
Effectiveness of Ketoprofen Suppositories in Reducing the Risk of Preterm Labor at a Teaching Hospital in Malang Tri Isworowati; Budi Utomo; Ratna Dwi Jayanti
Jurnal Kebidanan Midwiferia Vol. 11 No. 2 (2025): Oktober
Publisher : Universitas Muhammadiyah Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21070/midwiferia.v11i2.1730

Abstract

Partus prematurus imminens (PPI) was a condition that threatened preterm labor, marked by labor signs before term (20 to <37 weeks) and birth weight under 2500 grams. Management included rest, hydration, and pharmacological measures. One approach used to delay labor was tocolytic therapy, such as ketoprofen suppositories, to inhibit uterine contractions. This study aimed to analyze the difference in uterine contractions before and after the administration of ketoprofen suppositories in women at risk of preterm labor. This study used a quasi-experimental design with a pre-test and post-test without a control group. The sample included 30 pregnant women with PPI who met the inclusion criteria. Consecutive sampling was used. The intervention administered was ketoprofen suppository therapy, 200 mg (2 tablets) given rectally. Data were collected using an observation sheet and analyzed using the Wilcoxon signed-rank test. The results showed that the mean uterine contraction score before therapy was 2,17, which decreased to 1,20 after therapy. There was a statistically significant difference in uterine contractions before and after the intervention. The Wilcoxon signed-rank test resulted in a p-value of 0,001 (p ≤ 0,05). The findings indicated a significant difference in uterine contractions before and after the administration of ketoprofen suppositories in pregnant women at risk of preterm labor. Ketoprofen suppository therapy was effective in reducing uterine contractions in pregnant women at risk of preterm labor, with routine fetal monitoring ensuring the safety of the intervention.  
Co-Authors Agnestia Naning Dian Lovita Al Farizi, Sofia Alriana, Thre Anik Andriyanti Andriyanti Andriyanti, Andriyanti Anissa Ariyati Annas, Jimmy Yanuar Arlya Balqis Rachman Armadison, Sonia Yustisia Askandar Tjokroprawiro Aulia, Dinda Azza, Belgis Nikmatul Budi Prasetyo Budi Prasetyo Budi Utomo BUDI UTOMO Budi Utomo Budi Utomo Deby Artika P Desi Ratnasari Dewi Setyowati Dewi, Bianca Bunga Cinta Dian Lestari Hidayah Dina Azmilatun Waliyuna Dinny Wahyu Widarti Djaguna, Nurafmi Eka Rahmaningrum Faizah, Zakiyatul Farida Sembiring, Ella Farizi, Sofia Al Fatin Nazurah Izzati Binti Hamdani Febriyana, Nining Ferdinandus, Euvanggelia Dwilda Firdaus, Rizal Fitriana, Farida Gatut Hardianto, Gatut Gina Shofi Halimah Giyanti Putri, Pionera Seconda Gusti Ayu Gita Maharani Helda Sevya Islamiyah Heru Wahyu Herwanto Hofifah, Hofifah Huwaida, Hasna Afifa I'tishom, Reny Indra Yuliati Ivon Diah Wittiarika Izzati, Dwi I’tishom, Reny Jayawarsa, A.A. Ketut Laily, Dian Langgeng Prasetyo Utomo Latifah, Nur Faridah Lazar, Maria Januaria Lilik Djuari Linda Dewanti Maheswari Hastoyo, Roro Patricia Marpaung, Zahra Thamizya Maskuri, Muhammad Naja Maulana, Afiko Ilham Akbar Maulidia Fahmadina Rozana Melsa Ana Nofintiyani Mirasari, Nenccy Mohamed Alif Haikal Bin Mohamed Iskandar Muhammad Yusuf Nenccy Mirasari Ngatwati Noor Syafaatin Udhma Nurhayati Fitria Amin NURUL AZIZAH Nurul Azizah Nyimas Vira Gafira Paramitha Amelia Kusumawardani Paramtha Amelia Kusumawardani Piesesha, Frieska Pinasthika, Brilliant Azwa Pionera Seconda Giyanti Putri Pionera Seconda Giyanti Putri pravitasari, Gading Indah Pupus Ultraluana Rafhani Rosyidah Rafhani Rosyidah Rafhani Rosyidah Ratnasari, Heny Dwita Ratnasari, Heny Dwita Reni I’tishom Retno Dewi Prisusanti Riri Aprianti Rita Mutiarni Rizalnur Firdaus Rize Budi Amalia Ruri Alifiana Maharani Safitri, Dian Laily Salsabila, Hawa Nur Samsriyaningsih Handayani Sari , Yulia Purnama Sartika Nirmalasari Sekar Putri Kirana Koerniawan Sembiring, Ella Farida Setiyorini, Luluk Sigit Setyowibowo Siti Khomaroh Putri Siti Norhikmah Binti Abd. Razak Siti Nurul Komariah Sofia Al Farizi Sofiah Rambu Ana Hida Sri Ratna Ningsih, Sri Ratna Sukmawardani, Putri Utami Sulistiawati Sulistiawati Sulistiawati Sumbawati, Mulia Dian Tri Isworowati Tricahyanti, Ari Wahyul Anis Wahyulia Rizqia Umami Wardhana, Manggala Pasca Widati Fatmaningrum Yublina Rambu Mbali Idi Zada Fauziyah, Nail Firah