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All Journal Buletin Farmatera Nommensen Journal of Medicine Jurnal Visi Eksakta
Simanjuntak, Leo
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Agriculture, Biological Sciences & Forestry Automotive Engineering Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Civil Engineering, Building, Construction & Architecture Control & Systems Engineering Electrical & Electronics Engineering Energy Engineering Health Professions Immunology & microbiology Industrial & Manufacturing Engineering Mechanical Engineering Medicine & Pharmacology Neuroscience Public Health

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Pregnancy Anxiety Levels and Related Factors in Women Undergoing Caesarean Section Simanjuntak, Leo; Simanjuntak, Patrick Anando
Buletin Farmatera Vol 7, No 2 (2022)
Publisher : Universitas Muhammadiyah Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30596/bf.v7i2.9771

Abstract

Abstract: Anxiety is the most common psychiatric disorder in pregnancy. Anxiety in pregnancy is related to preterm labor, fetal growth restriction, and poor neurobehavioral development. Anxiety before cesarean section can increase the need for anesthesia, postoperative analgesics, and cause an immunocompromised condition. This study aimed to assess the maternal anxiety level and related factors during caesarean section. This is a cross-sectional study using primary data from a private maternity clinic in April-May 2020. Based on defined criteria, 117 subjects were recruited for this study. Anxiety levels are assessed using the Hamilton Anxiety Rating Scale (HAM-A). Logistic regression was used to identify factors associated with anxiety level. age was 29.445.90 years. The mean HAM-A score was 9.905.80 points. High scoring HAM-A components were the anxious mood component (1.560.74), insomnia (sleep disturbance) (1.400.67), and tension (1.380.73). A majority of the pregnant women (76.9%) showed no anxiety about undergoing caesarean section. The rest of these pregnant women (23.1%) showed mild anxiety (13.7%) and moderate anxiety (9.4%). There was no statistically significant correlation between age, education background, income level, parity level, occupation, and history of caesarean section. Adequate analgesics, family support, and informative and educative advice about caesarean section can make pregnant women not worried about this procedure.Keywords:Anxiety; Pregnancy; Caesarian Section; HAM-A
PERDARAHAN POSTPARTUM (PERDARAHAN PASKASALIN) Simanjuntak, Leo
Jurnal Visi Eksakta Vol. 1 No. 1 (2020): Jurnal Visi Eksakta : Edisi Juli
Publisher : LPPM Universitas HKBP Nommensen

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (838.091 KB) | DOI: 10.51622/eksakta.v1i1.51

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Postpartum hemorrhage is the leading cause of maternal death worldwide with 5 – 10% of incidence. The etiology of postpartum hemorrhage are uterine atony, retensio placentae, genital tract laceration, retained placental tissue and coagulation disorders. It was estimated 2 hours period from the onset of postpartum hemorrhage toward the maternal death, meanwhile it was 12 hours in antepartum hemorrhage. It is therefor early diagnosis and prompt management is essential. The solid and skilled teamwork is needed in order to successfully manage postpartum hemorrhage and to avoid maternal death.
Hubungan Tingkat Pengetahuan, Sikap, dan Kecemasan Ibu Hamil terhadap Kunjungan Antenatal Care pada Masa Pandemi COVID-19 di Puskesmas Glugur Darat, Kecamatan Medan Timur Siahaan, Gerald Osson Fransiska; Simanjuntak, Leo; Simanjuntak, Novita Hasiani
Nommensen Journal of Medicine Vol 9 No 1 (2023): Nommensen Journal of Medicine: Edisi Agustus
Publisher : Universitas HKBP Nommensen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36655/njm.v9i1.1013

Abstract

Background: During the COVID-19 pandemic in Indonesia, 1086 pregnant women and 302 babies died from COVID-19 infection in 2021. The high mortality rate affecting ANC visits was seen from the decrease in ANC coverage, influenced by knowledge, attitudes, and anxiety. Purpose: To determine the relationship between knowledge, attitudes, and anxiety towards ANC visits during the COVID-19 pandemic at Glugur Darat Health Center, East Medan Anxiety. Methods: The analytic observation with cross-sectional study was conducted at Glugur Darat Health Center, Medan Timur District using a total sampling technique that fulfill the inclusion criteria. The sample was third-trimester pregnant women who were recorded as having ANC. Data analysis used Chi-square with alternative fisher's exact test and backward multiple logistic regression Results: From the 66 respondents, it was found that pregnant women who performed ANC well were 46 respondents (69.7%), with high knowledge were 59 respondents (89.4%), with a positive attitude 65 respondents (98.5%), and had anxiety as many as 55 respondents (83.3%). Result data showed that knowledge related to ANC visits (p= 0,023) with OR = 5.6, anxiety related to ANC visits (p= 0,014) with OR = 4,6 and attitude not related to ANC visits (p= 0,303) Conclusion: There is a relationship between pregnant women's knowledge and anxiety about ANC visits and no relationship between pregnant women's attitudes towards ANC visits during the COVID-19 pandemic at Glugur Darat Health Center and the most influencing variable is anxiety.
Co-Authors Siahaan, Gerald Osson Fransiska Simanjuntak, Novita Hasiani Simanjuntak, Patrick Anando