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Self-Care and Unpleasant Symptoms in Indonesian Postpartum Mothers with Twin Babies: a Case Report Lina Ayu Marcelina; Imami Nur Rachmawati; Wiwit Kurniawati
Malahayati Nursing Journal Vol 5, No 5 (2023): Volume 5 Nomor 5 2023
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v5i5.9140

Abstract

ABSTRACT Postpartum mothers with twin babies are in a critical condition in terms of maternal health because of their need to adapt to the presence of two babies at once. To describe nursing processes in five cases of postpartum mothers with twin babies. We reported nursing processes in five cases of postpartum mothers with twin babies, addressing the nursing care and self-care applied and referring to the theory of unpleasant symptoms. The five mothers presented to two hospitals in Jakarta, Indonesia.  During three days of treatment, the postpartum mothers were able to perform regular self-care without assistance, even though their self-management and time management were not optimal. However, they suffered unpleasant symptoms, including postpartum discomfort, breast engorgement, lack of support from husbands, and anxiety. Interventions were conducted via relaxation techniques, lactation management, and health education related to maternal and infant care for twin babies, together with family involvement and the provision of support from health-care providers and assistants. Time and self-management skills in postpartum mothers with twin babies need to be strengthened. Health-care providers are recommended to facilitate family assistance while the mother is in the hospital postpartum ward and to provide home visits as a form of follow-up. Keywords: Postpartum, Self-Care, Twin Babies, Unpleasant Symptoms 
Supportive Postpartum Care Reduces Postpartum Anxiety in Mothers with Twins: A Pilot Study Lina Ayu Marcelina; Imami Nur Rachmawati; Wiwit Kurniawati
JURNAL INFO KESEHATAN Vol 18 No 2 (2020): JURNAL INFO KESEHATAN
Publisher : Research and Community Service Unit, Politeknik Kesehatan Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/infokes.Vol18.Iss2.475

Abstract

Postpartum mothers with twins are more prone to mental health problems, particularly anxiety. However, research regarding the appropriate interventions to overcome anxiety in postpartum mothers with twins is limited. Anxiety has an impact on the health of both mother and baby. We conducted a pilot study to minimize the risks to mothers and babies, which was supportive postpartum care (SPC). The study was performed to five postpartum mothers with twins during hospitalization. SPC was employed by providing physical support, which was in the form of breast care and oxytocin massage, psychological support in the form of relaxation techniques, information support in the form of education, and advocacy support in the form of husband involvement. This method was effective for postpartum mothers with twins in reducing anxiety, increasing breastfeeding effectiveness, increasing knowledge, and improving the husband’s involvement in care. This study showed that SPC can reduce postpartum anxiety among postpartum mothers with twins effectively. A very good increase of LATCH score and knowledge were reported in 3 out of 5 mothers. Families, especially husbands, were advised to continue providing care support through the role division at home.
Intervensi Edukatif Dalam Meningkatkan Partisipasi Skrining Kanker Serviks Pada Perempuan : A Systematic Review Kodariyah Kodariyah; Tri Budiati; Wiwit Kurniawati
Journal of Pharmaceutical and Sciences JPS Volume 9 Nomor 1 (2026)
Publisher : Fakultas Farmasi Universitas Tjut Nyak Dhien

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36490/journal-jps.com.v9i1.1264

Abstract

Background: One of the most effective strategies for preventing cervical cancer is screening. In developing countries, the implementation and utilization of cervical cancer screening programs remain low. Educational interventions represent one strategy to increase participation in cervical cancer screening. Objective: This review aimed to identify educational interventions used to increase participation in cervical cancer screening. Methods: The inclusion criteria comprised studies that employed educational interventions to increase participation in cervical cancer screening. Literature searches were conducted in three databases—PubMed, Scopus, and ProQuest—and one search engine, ScienceDirect, for publications from 2020 to 2025. This review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Methodological quality was assessed using the JBI Critical Appraisal Checklist for Randomized Controlled Trials (RCTs). Results: A total of 10 studies involving 3,882 women who participated in educational interventions for cervical cancer screening were included. All included studies reported that educational interventions—delivered through face-to-face or digital approaches, and based on behavioral theories, community-based education, and couple-based education—were associated with improvements in knowledge, attitudes, risk perception, self-efficacy, and participation in cervical cancer screening. Based on the JBI Critical Appraisal Checklist for RCTs, most studies demonstrated moderate to high methodological quality. Conclusion: Couple-based education and counselling demonstrate high potential for implementation in Indonesia. This educational approach may help address cultural barriers and limited family support, which are known to hinder participation in cervical cancer screening.
Maternal Outcomes in Deliveries with Placenta Accreta Spectrum: A Systematic Review Rizki Selly Apriliani; Suryane Sulistiana Susanti; Wiwit Kurniawati; Imami Nur Rachmawati
Indonesian Journal of Global Health Research Vol 7 No 2 (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.v7i2.5867

Abstract

Postpartum hemorrhage is a leading complication, causing approximately 75% of maternal deaths. Placenta accreta spectrum (PAS) is characterized by the abnormal invasion of placental trophoblasts into the uterine myometrium, increasing the risk of severe hemorrhage. Globally, PAS incidence has risen, ranging from 0.2% to 0.9% of all pregnancies, primarily due to the increasing number of cesarean deliveries. Other maternal outcomes can also occur in mothers with PAS cases. Objective: this systematic review aims to describe maternal outcomes in deliveries involving PAS. Method: this systematic review study uses the PRISMA guidelines for literature search through databases, including ScienceDirect, ProQuest, Wiley, and Taylor and Francis, focusing on cohort and case-control studies. Thirteen articles in English published between 2019–2024 were analyzed, with 2,455 for total samples. Results: the study identified maternal outcomes, including hemorrhage, organ injury, infections, thromboembolism, vesicovaginal fistula, intensive care admission, and maternal death, with hemorrhage being the most significant complication. Recommendation: Optimal PAS management requires a combination of technology-based strategies, multidisciplinary collaboration, and well-planned interventions to reduce maternal morbidity and mortality.
Factors Influencing Healthcare Providers and Barriers in Conducting Sexual Health Care Discussions with Cancer Patients: A Systematic Review Septyani Windi Utami; Yati Afiyanti; Wiwit Kurniawati; Imami Nur Rachmawati
Indonesian Journal of Global Health Research Vol 7 No 3 (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.v7i3.5868

Abstract

Sexuality is often overlooked in the context of cancer treatment for women. Healthcare providers in providing holistic care for cancer patients have not focused on the aspect of sexuality. Objective to identify the various factors that influence healthcare providers to discuss sexual care and the barriers they face when addressing sexuality in cancer patients. A systematic review using databases such as Science Direct, Proquest, Wiley, Springer with a time range of 2019-2024 in English, resulting in 10 articles. Factors influencing healthcare providers in discussing sexual care include internal factors such as knowledge, attitude, self-efficacy, age, years of work, and competency, as well as external factors such as the work environment and cultural norms. Barriers include limited service time, lack of training, and insufficient institutional support.
Hubungan Antara Asupan Nutrisi dengan Proses Prakonsepsi pada Pasien Infertilitas Kedekatan: A Systematic Review Diana Wahyuni Sibarani; Wiwit Kurniawati; Titin Ungsianik; Imami Nur Rachmawati
Jurnal Impresi Indonesia Vol. 4 No. 7 (2025): Jurnal Impresi Indonesia
Publisher : Riviera Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58344/jii.v4i7.6847

Abstract

Infertility is an important global public health issue, affecting approximately 15% of couples of reproductive age worldwide. Increasingly, research is showing a link between diet and infertility. Choosing nutritious foods, especially during the preconception period and early pregnancy, is crucial to ensuring adequate nutrition for the mother and reducing the likelihood of complications during pregnancy. Aim: To determine the role of nutrition in minimising the risk of complications and improving reproductive outcomes. Methods: This study employed a systematic review method using several research article databases, namely: Oxford Academic, Science Direct, Clinical Key, Wiley, Springer NatureLink, and ProQuest. A total of 74,538 studies were identified. After removing duplicates, 54,593 studies were selected based on titles and abstracts. Excluded studies included non-interventional studies, articles not in English, and those not involving fertility patients. Ten full-text articles were reviewed for eligibility, and the selection process was illustrated using the PRISMA flow diagram format. The data extracted included author names, publication year, title, study design, sample size, and results. A critical appraisal analysis was conducted using the JBI format. Results: Fifteen articles were identified, involving 14,309 infertile women undergoing preconception preparation. Overall, the findings indicate that a healthy diet and nutritional interventions significantly impact female fertility, highlighting the need for increased understanding of the benefits of healthy nutrition for women planning pregnancy.