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Factors Influencing Pregnant Women's Compliance with Standard Pregnancy Examinations Liesmayani, Elvi Era; Putri, Nilda Tri; Semiarty, Rima; Basyir, Vaulinne
Indonesian Journal of Global Health Research Vol 7 No 4 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i4.6102

Abstract

Antenatal care (ANC) refers to the care provided to mothers and their unborn babies during pregnancy. ANC visits are essential, as they allow for the early provision of important information and education regarding pregnancy and childbirth preparation. Objective to identify the factors influencing pregnant women's compliance with the minimum standard pregnancy examinations in the Deli Serdang District Health Office, North Sumatra. This study used a quantitative and cross-sectional approach, involving 138 pregnant using puposive sampling women from four community health centers under the Deli Serdang District Health Office, North Sumatra, Indonesia. Data were collected using questionnaires and analyzed using the McNemar, Chi-square, and multiple logistic regression tests The results of the study showed that factors influencing compliance with the minimum standard pregnancy examinations included the mother's last education level, gestational age, transportation, travel time, ANC visit frequency, media exposure, knowledge, and attitude, with a p-value of 0.000 < 0.05. The most dominant factor affecting compliance with ANC visits was the type of transportation used (p-value = 0.039). Education level, gestational age, transportation, travel time, ANC visit frequency, media exposure, knowledge, and attitude all influence compliance with ANC. Pregnant women should improve their attitude and motivation to seek information about healthy pregnancy using easier access, such as e-books or web links that can be read anytime and anywhere. In today's digital era, this can help increase awareness and knowledge about the importance of ANC, ultimately improving ANC coverage (K1-K4) and reducing maternal mortality rates.
The Relationship between Family Support and Maternal Readiness with Anxiety Levels Before Delivery Ritonga, Dewi; Basyir, Vaulinne; Rasyid, Rosfita
JURNAL KEBIDANAN Vol. 15 No. 1 (2025): April 2025
Publisher : Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jkb.v15i1.12610

Abstract

Anxiety in pregnant women is a common emotional condition that occurs during pregnancy, characterized by excessive feelings of anxiety, worry, or fear. Pregnancy anxiety itself is experienced by many pregnant women due to lack of knowledge, readiness and support from family, community and environment. Excessive anxiety during pregnancy can lead to an increased incidence of uterine atony, infection, maternal fatigue, and shock, while in infants it can increase the risk of preterm birth and low birth weight (LBW). This study aims to examine the relationship between family support and maternal readiness with the anxiety level of pregnant women before delivery. This study used a quantitative research design with a cross-sectional approach, conducted in the working area of Andalas Padang Community Health Center. The sample consisted of 59 third-trimester pregnant women, selected through Simple Random sampling. Data collection was carried out using a questionnaire. The results of this study showed that the percentage of pregnant women who received family support and experienced less severe anxiety was 52.2% (p=0.048), including analysis of this data using the Chi-Square Test. Furthermore, it was found that pregnant women who were less prepared for childbirth experienced severe anxiety at a rate of 50.0% (p=0.002). In conclusion, there is a relationship between family support and maternal readiness with anxiety levels before delivery in the working area of Andalas Padang Community Health Center.
Thanatophoric Dysplasia Basyir, Vaulinne; Yusrawati, Yusrawati; Khatimah, Gistin Husnul
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.5.1.112-118.2021

Abstract

Background: The term tanatophorik comes from the Greek word thanatophorus which means "innate death" or "bearing death". The problem that underlies this disease is the process of bone formation. This disease is associated with an autosomal dominant inherited mutation of the fibroblast growth factor 3 receptor (FGFR3) gene on the arm of chromosome 4 (4p16.3). Because FGFR3 is the main modulator in bone formation, the typical clinical features of this disease include shortening of the extremities, curved femur, clover-like skull and narrowing of the thoracic cavity.Tanatophoric dysplasia is a skeletal disorder that is "lethal" or deadly. The deaths occurred due to respiratory failure caused by reduced chest cavity capacity, hypoplastic lungs and / or brainstem compression.Destination: Reported a case of thanatophoric dysplasiaMethod: Case Report Case Report: Case 33 years old woman, with preterm parturient G1P0A0H0 35-36 weeks 1 latent phase + history of 2x laparotomy + suspected fetal tanatophoric dysplasia. On ultrasound examination, it was found that BPD = 9.14 cm; AC = 30.56 cm; HC = 32.05 cm; FL = 2.55 cm; AFI; 9.06cm; SDAU = 1.72 cm. The presence of frontal bosing, saddle nose and micromilia (proximal, distal, phalanges) was found. The patient was planned for vaginal delivery and the progress of labor was followed. Patients provided informed consent regarding the possibility of fetal death during labor and after birth. During the active phase of the labor process, hypotony uterine innersia occurs and oxytocin drip is performed to accelerate labor. The baby was born male, weight 2175 grams, body length 34 cm and A / S: 1/0. Postmortem physical examination revealed macroscopic findings of tanatophoric dysplasia infants such as hypertelorism, low nasal bridge, cranio-facial disproportion. Narrow chest with protruding abdomen and short, bent limbs.Conclusion: Tanatophoric dysplasia is "lethal" skeletal dysplasia. Careful prenatal examination is required in diagnosis and termination of pregnancy. Keywords: Thanatophoric dysplasia, prenatal diagnosis
Hygroma Colli Basyir, Vaulinne; Utama, Try Genta
Andalas Obstetrics And Gynecology Journal Vol. 5 No. 2 (2021)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.5.2.262-268.2021

Abstract

Background : Hygroma coli is a malformation of the lymphatic system in the form of a membrane cyst filled with fluid, limited by the epithelium that is located in the anterolateral or occipito-cervical region. The prenatal diagnosis of cystic hygroma coli by ultrasound is based on an apparently bilateral, mostly symmetrical, and sometimes unilateral cystic structure located in the occipitocervical region. Large hygroma coli can cause pressure on the respiratory tract and digestion, so it requires management as soon as possible.The main treatment modality is surgical excision to remove the cystic lesion. The prognosis of a hygroma coli cyst depends on its size and the action taken because it is rare for cases to experience spontaneous regression.Destination : Reported a case of hygroma colliMethods : Case ReportCase Report : Case 24 years old women with preterm G1P0A0L0 26-27 weeks + Hygroma colli + IUFD + Suspected COVID-19. On ultrasound examination, it was found that BPD =4,71; AC = 15,91; FL = 2,89; EFW = 330 gr; FHR = (-); Cyst = 5,06 x 3,26. The presence of head presentation, IUFD, hygroma colli was found. The patient was planned for labor induction and the progress of labor was followed. Patient provided inform consent that baby was death during pregnancy and need to be labored. The baby was born, weight 300 gr, body length 14 cm and A/S 0/0. Postmortem physical examination revealed findings of hygroma colli infants such membrane cyst filled with fluid that located in the occipito-cervical region. Conclusion: Hygroma colli is a malformation of the lymphatic system and the prognosis or complications depends on the size of cyst. Careful prenatal examination is required in diagnosis and termination of pregnancyKeywords: Hygroma Colli, prenatal diagnosis
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

Abstract

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 (α 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.
PAPP-A Levels and IGF-1 Levels in Early-Onset Preeclampsia and Late-Onset Preeclampsia Soufal, Juan Habli; Yusrawati, Yusrawati; Basyir, Vaulinne
Andalas Obstetrics And Gynecology Journal Vol. 8 No. 1 (2024)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.8.1.519-524.2024

Abstract

Introduction: The pathophysiology of preeclampsy is not yet fully understood, but failure of tropoblast invasion and placentation, which is influenced by factors such as pregnancy-associated plasma protein A (PAPP-A) and insulin-like growth factor 1 (IGF-1), is thought to play a role. Aims: This study aimed to explore the difference in PAPP-A and IGF-1 levels between Early-Onset Preeclampsia (PEAD) and Late-Onset Preeclampsia (PEAL), assuming that the role of PAPP-A and IGF-1 is more significant in the pathogenesis of PEAD than PEAL. Methods: This is an analytical observational study with a cross-partition comparative study design. Clinical data were obtained at Dr. M. Djamil Padang Hospital, while PAPP-A and IGF-1 levels were measured at the Biomedical Laboratory of the Faculty of Medicine, Andalas University. Samples are tested according to reagent procedures and analyzed by experts.Results: Average PAPP-A levels were 2.45+0.35 pg/mL in the early onset preeclampsy group and 2.85+0.50 pg/mL in the late onset preeclampsy group. These two levels differed statistically significantly (p=0.006). That means that low levels of PAPP-A are associated with and play a role in the pathogenesis of early onset preeclampsy. Average IGF-1 levels were 4.66+0.91 pg/mL in the early onset preeclampsy group and 5.39+0.74 pg/mL in the late-onset preeclampsy group. These two levels differed statistically significantly (p=0.010). That means that low levels of IGF-1 are associated with and play a role in the pathogenesis of early onset preeclampsy. PAPP-A levels were significantly positively correlated with IGF-1 levels (p=0.000). Conclusion: PAPP-A levels are lower in PEAD than PEAL, as are IGF-1 levels. These findings confirm the role of PAPP-A and IGF-1 in preeclampsia. Both of these hormones have potential as indicators and markers for the prediction and management of preeclampsy in early and late onset periods.
Edukasi Interaktif untuk Meningkatkan Pengetahuan Ibu Hamil tentang Komplikasi Kehamilan dan Pencegahan Stunting di Puskesmas Pauh Padang: Improving Pregnant Women’s Knowledge of Pregnancy Complications and Stunting Prevention through Interactive Education at Pauh Primary Health Center, Padang Yusrawati, Yusrawati; Utama, Bobby Indra; Basyir, Vaulinne; Dovy Djanas; Gustuti, Rina; Defrin; Nelvianti Nelson; Syamel Muhammad; Puja Agung Antonius; Rahman , Sukri; Mela Aryati; Ardiles; Danil Armand; Zeino Fridsto; Subhan Arif Rahman; Aswin Boy Pratama; Dian Noviyanti; Edward Hariyadi; Irfan Kurnia; Afri Ningsih, Rena; Rezi Liawati; Yesi Anggriani; Sakina Munira; Sara Uzlifah
BULETIN ILMIAH NAGARI MEMBANGUN Vol. 9 No. 1 (2026)
Publisher : LPPM (Institute for Research and Community Services) Universitas Andalas Padang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/bina.v9i1.841

Abstract

Maternal mortality and stunting remain major public health challenges in Indonesia, largely due to limited early detection of pregnancy complications and low maternal health literacy during the First 1000 Days of Life. Strengthening maternal knowledge through structured education is essential to improve pregnancy outcomes. This community service program aimed to enhance pregnant women’s knowledge of pregnancy danger signs, completion of six antenatal care (ANC) visits, anemia prevention, balanced nutrition, and early stunting prevention. A community-based participatory approach using a service-learning model was implemented among 39 pregnant women at Pauh Primary Health Center, Padang. Educational activities were conducted through interactive lectures, group discussions, and question-and-answer sessions. Knowledge was assessed using pre-test and post-test instruments and analyzed with a paired t-test. The results showed a significant increase in mean knowledge scores from 77.98 ± 16.26 to 86.60 ± 11.18 (p = 0.0002). The proportion of participants with “good” knowledge increased from 66.6% to 76.6%, while those with “poor” knowledge decreased substantially. These findings indicate that interactive and structured maternal health education effectively improves understanding of pregnancy complications and stunting prevention. Continuous implementation through routine maternal classes and stronger family involvement is recommended to sustain behavioral changes and improve maternal and child health outcomes.