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All Journal Medula Majalah Kesehatan FKUB Jurnal Sylva Lestari Majority Jurnal Riset Multidisiplin Edukasi JPM (Jurnal Pengabdian Masyarakat) Ruwa Jurai Jurnal Agromedicine Unila: Jurnal Kesehatan dan Agromedicine
Rodiani
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Agriculture, Biological Sciences & Forestry Dentistry Earth & Planetary Sciences Education Energy Environmental Science Health Professions Materials Science & Nanotechnology Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Other

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Hubungan antara Tingkat Pendidikan dan Jarak Kehamilan dengan Kadar Hemoglobin pada Ibu Hamil: Sebuah Tinjauan Literatur Muhammad Fauzan Iqbal; Sutarto; Anisa Nuraisa Jausal; Rodiani
Jurnal Riset Multidisiplin Edukasi Vol. 2 No. 12 (2025): Jurnal Riset Multidisiplin Edukasi (Edisi Desember 2025)
Publisher : PT. Hasba Edukasi Mandiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71282/jurmie.v2i12.1456

Abstract

Decreased hemoglobin (Hb) levels during pregnancy are a public health problem that is still widely found, especially in low- and middle-income countries, and contributes to increased maternal and perinatal morbidity and mortality. Pregnant women are a vulnerable group due to increased iron requirements and physiological changes during pregnancy. This study aims to systematically review the relationship between education level and interpregnancy interval with hemoglobin levels in pregnant women. The method used was a structured narrative literature review with literature searches on the PubMed, ScienceDirect, Google Scholar, and Garuda databases. The articles included were quantitative studies on pregnant women published in the last five years (2021–2025) and reporting the relationship between education level or interpregnancy interval and anemia or hemoglobin levels. The synthesis results showed that education level indirectly affects hemoglobin levels through health literacy, nutritional knowledge, adherence to iron supplementation, and utilization of antenatal services. Mothers with low education tend to have lower hemoglobin levels due to limited understanding and preventive behaviors against anemia, although this effect may be weakened in contexts with good access to information and health services. Short interpregnancy intervals (less than 24 months) are consistently associated with decreased hemoglobin levels through the mechanisms of incomplete recovery of iron reserves after childbirth and increased physiological stress. Overall, education and interpregnancy interval affect hemoglobin levels through interrelated cognitive, behavioral, and biological pathways, necessitating an integrated intervention approach for anemia prevention in pregnant women.
ABDOMINAL SACROCERVICOPEXY COMBINED WITH THE MANCHESTER PROCEDURE FOR APICAL PROLAPSE WITH CERVICAL ELONGATION AND MULTIPLE UTERINE MYOMAS Moegni, Fernandi; Prabawati, Nirmala Gina; Syafardi, D. Irsat; Meutia, Alfa Putri; Hidayah, Gita Nurul; Rodiani
Majalah Kesehatan Vol. 0 No. 00 (2026): Article in Press
Publisher : Faculty of Medicine Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/

Abstract

Apical prolapse with cervical elongation is a complex condition that requires correcting both apical support and cervical elongation to achieve optimal anatomical outcomes while preserving vaginal function. We report the case of a 45-year-old woman presenting with a vaginal bulge and abnormal uterine bleeding for more than four years. Examination revealed stage IV apical prolapse with cervical elongation, grade II cystocele and rectocele, and multiple uterine myomas measuring 3–7 cm. The patient had completed childbearing but wished to preserve sexual function. An abdominal subtotal hysterectomy was performed, followed by abdominal sacrocervicopexy (ASC) using mesh fixation from the cervical stump to the sacral promontory. Following apical suspension, intraoperative evaluation demonstrated persistent cervical elongation, with the cervix remaining less than 5 cm above the hymenal ring. Therefore, the Manchester procedure was performed to correct the residual cervical elongation. The combination of ASC and the Manchester procedure corrected both apical support and cervical elongation, with the final cervical position approximately 7 cm above the hymenal ring. At the 3-month follow-up, vaginal length remained well preserved. This case demonstrates that ASC with mesh-based apical suspension combined with the Manchester procedure can be considered when cervical elongation persists after apical suspension, allowing anatomical correction while preserving vaginal length and function.
Co-Authors Alfa Putri Meutia Anisa Nuraisa Jausal Aulia Ulfah Raydian Damai, Abdulah Aman Dani, Hafiz Ansori Duryat DWi Aulia Ramdini Dyah Wulan Sumekar Efriyan Imantika Fernandi Moegni Giska Tri Putri Happy, Terza Aflika Hidayah, Gita Nurul Kuswanta Futas Hidayat Lathifah Yasmine Melya Riniarti Muhammad Fauzan Iqbal Nabil Abdurrahman Prabawati, Nirmala Gina Prasetyo, Pangestu Ratna Dewi PS Ratna Dewi Puspita Sari Rendika Oktavia Widiastuti Rizki Hanriko Salma Khairunnisa Hero sari, gustina wulan Slamet Budi Yuwono Sutarto Sutyarso Syafardi, D. Irsat Tiara Sekar Tri Lamtiur Pakpahan Wahyu Hidayat