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Prolonged Labor and Gestational Age, with the Incidence of NeonatProlonged Labor and Gestational Age, with the Incidence of Neonatorum Asphyxia in Newborns in the Perinatology Unit of Guido Valadares National Hospitalorum Asphyxia in Newborns in the Perinatology Unit of Guido Valadares National Hospital da Conceição, José Ximenes; Rakhmawat, Windy; Suzana Mediani, Henny; Mediawati, Ati Surya; Fatima Cabral, Cenia
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 5 (2026): KESANS: International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v5i5.587

Abstract

Introduction: Neonatal asphyxia—defined as failure to establish adequate breathing at birth—remains a major cause of neonatal morbidity and mortality, especially in developing countries. Prolonged labour and abnormal gestational age can impair placental oxygen transfer and heighten asphyxia risk. Objective: To examine the association between prolonged labour, gestational age, and neonatal asphyxia among newborns treated in the Perinatology Unit of Guido Valadares National Hospital. Method: A cross-sectional correlational study involved 85 mother–infant pairs selected purposively from 110 admissions in 2025. Prolonged labour and gestational age were independent variables; neonatal asphyxia was the outcome. Data were gathered via structured questionnaire and medical records, then analysed with multinomial regression (α = 0.05). Results and Discussion: Prolonged labour showed a significant independent association with asphyxia (p = 0.001), whereas gestational age alone did not (p = 0.389). Simultaneous analysis demonstrated that both variables together were significantly related to asphyxia incidence (p = 0.005). Conclusion: Prolonged labour is the principal contributor to neonatal asphyxia, and its combined effect with gestational age further elevates risk. Rigorous intrapartum monitoring and timely obstetric intervention are essential to improve neonatal outcomes
Impact of the I-PASS Communication Method on Nurse Handover Quality in Hospital Settings: A Scoping Review Penu, Agnes Stephania; Mediawati, Ati Surya; Agustina, Hana Rizmadewi
Journal of Health and Nutrition Research Vol. 5 No. 1 (2026)
Publisher : Media Publikasi Cendekia Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56303/jhnresearch.v5i1.1073

Abstract

Effective handover communication is a crucial element in ensuring patient safety and continuity of care in clinical settings. Communication errors during handovers frequently lead to medical errors and adverse events. The I-PASS method was developed as a structured solution to address these challenges. This study aims to identify and synthesize evidence regarding the impact of implementing the I-PASS communication method on the quality of nurse handovers and its contribution to improving patient safety. A comprehensive literature search was conducted across four major databases (Science Direct, EBSCO, PubMed, and Scopus) from December 2024 to September 2025, using keywords such as "Nurse”, "I-PASS Method," "Communication”, “Quality Handover” and "Patient Safety". Nine articles met the inclusion criteria, comprising quantitative, prospective, observational, and quasi-experimental studies published in English between 2015-2025. A total of 9 studies were included in this review. This study found five themes of impact I-PASS communication methods on the quality of nurse handovers. The implementation of I-PASS was associated with reduction in communication errors, improvement information quality, medical staff satisfaction, time efficiency, as well as patient and family engagement. While the effectiveness of I-PASS has been demonstrated across various contexts, implementation challenges such as environmental interruptions and the need for managerial support remain.
Implementation of the Wim Hof Therapy in Airway Management and Nursing Education for Respiratory Clinical Symptoms Adella, Denisa; Somantri , Irman; Mediawati, Ati Surya
Journal of Multidisciplinary Research Vol. 2 No. 3 (2026): April
Publisher : Utami Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70963/jmr.v2i3.559

Abstract

Airway disorders are common clinical issues among patients with chronic respiratory diseases such as pulmonary tuberculosis, often resulting in ineffective breathing patterns, decreased oxygen saturation, and persistent cough. Nurses play a critical role in airway management, not only through pharmacological therapy but also through non-pharmacological, education-based interventions. One potential method for improving respiratory function is the Wim Hof technique.This study employed a descriptive case study design using the 3M management approach (Man, Material, Method) and the POAC management functions (Planning, Organizing, Actuating, Controlling). The intervention consisted of Wim Hof breathing exercises administered to one pulmonary tuberculosis patient for three consecutive days at a frequency of twice daily. Parameters measured included respiratory rate, oxygen saturation, cough frequency, and sleep quality.Results demonstrated a reduction in respiratory rate from 27x/minute to 20x/minute, a decrease in cough frequency by up to 50%, and an improvement in oxygen saturation from 99% with 5 L/min supplemental oxygen to 97% on room air. Furthermore, the patient’s sleep quality improved, and family engagement in care increased significantly.The implementation of the Wim Hof technique yielded positive effects on respiratory function through enhanced alveolar ventilation, stabilization of oxygenation, and reduced work of breathing. The combined application of the 3M and POAC frameworks strengthened the effectiveness of the intervention by reinforcing the roles of nurses and family members. Wim Hof breathing therapy is effective as part of airway management interventions for nursing diagnoses of ineffective breathing pattern, ineffective airway clearance, and impaired gas exchange.
Co-Authors Aat Sriati Aat Sriati Aat Sriati Achmad Nizar Hidayanto Adella, Denisa Ai Mardhiyah Ai Mardhiyah Ai Mardhiyah Andini Bilqiis Ashiilah Asfarada, Muhammad Rizky Atika Salma Azzahra Aulia, Syifa Nurul Ayu Prawesti Basrah, Miftahul Jannah Cencen Hendra Setiawan Cholilatur Rohmania da Conceição, José Ximenes Dewi Gayatri Dheandra, Putri Vidahlia Dina Pranita Donny Juliandri Prihadi Dyah Setyorini Egis Permana Elly Nurachmah Eryando, Tries Etika Emaliyawati Fatima Cabral, Cenia fransisca sri susilaningsih Fransisca Sri Susilaningsih Haelena Wibowo, Gita Amoria Hana Rizmadewi Agustina Hanny Handiyani Hariyanto, Hasna Husniyah Henny Suzana Mediani Henny Yulianita hesti nuraeni Hesti Nuraeni Husin, Nurmila Ihsan, Riza Nurul Ikeu Nurhidayah Indra Maulana Indra Maulana` Indra Maulana Irman Somantri Iwan Shalahuddin Iyus Yosep Kosim Kosim Kristian Labertus Kurniawan Yudianto Kusman Ibrahim Maria Komariah Masfuri - Metilda Metilda Muchtaruddin Mansyur Namina, Fajaritta Sukma Nita Fitria Novita Sari Nur Oktavia Hidayati Nur Oktavia Hidayati Hidayati Ofni Stephany Lumban Raja Penu, Agnes Stephania Putro, Prasetyo Adi Wibowo Rahma Jumila Rahma, Nur Rakhmawat, Windy Ramoo, Vimala Reviani, Suci Rismayanti, Depi Ristina Mirwanti Rizkika Nur Amalia Rossa, Nikita Rr Tutik Sri Hariyati Ryan Hara Permana Sandra Restuti Septania, Salma Mega Setiawati, Deni Setyowati , Setyowati Siki, Kornelius Somantri , Irman Sudika, Ajeng Lestari Khoirunnisa Susanti, Lenny Tati Sumarni Therecia Simanjuntak Theresia Eriyani Titis Kurniawan Udin Rosidin Umboh Morenita Jeanifer Widayana, I Gede Angga Ariesta Witri Destiani Yanti Alimuddin, Nurul Ilmi Zakiyah, Alifah Ummu