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All Journal JOURNAL LA MEDIHEALTICO Jurnal Riset Kebidanan Indonesia
Aziz, M. Alamsyah
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Education Health Professions Medicine & Pharmacology Nursing Public Health Veterinary Other

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Sepsis and Septic Shock in Pregnancy Islamy, Nurul; Aziz, M. Alamsyah; Yonata, Ade; Lumentut, Anastasia M.; Maelissa, Merlin M.; Khaerunnisa P, Maya; Wirawan, Wahyudi
Journal La Medihealtico Vol. 6 No. 2 (2025): Journal La Medihealtico
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37899/journallamedihealtico.v6i2.1863

Abstract

Sepsis during pregnancy is a critical condition that leads to organ dysfunction due to an abnormal response to infection. It remains a significant cause of maternal morbidity and mortality worldwide. The World Health Organization (WHO) reports a global prevalence of 4.4% of live births affected by maternal sepsis, with varying incidences across countries. Sepsis ranks among the top five causes of maternal deaths globally, contributing to 12.7% of pregnancy-related mortality in the United States. The physiological changes during pregnancy, such as increased blood volume and immune response modulation, create conditions that make pregnant individuals more susceptible to infections, complicating the timely diagnosis of sepsis. Due to these physiological differences, common sepsis screening tools like qSOFA and SOFA are often inadequate in pregnant patients, highlighting the need for specialized diagnostic and management strategies. Early detection and timely treatment are essential to improving maternal outcomes. Several screening tools, such as the Maternal Early Warning Trigger (MEWT) tool, have been designed to aid in the early identification of deteriorating maternal health. Once sepsis is suspected, prompt antibiotic therapy, fluid resuscitation, and vasopressor support are critical to prevent progression to septic shock. Additionally, controlling the infection source through surgical intervention or drainage may be necessary. Despite advances in sepsis management, challenges remain, particularly in identifying and treating sepsis in pregnant patients due to overlapping symptoms with normal pregnancy changes. Therefore, early recognition and appropriate intervention are key to reducing the impact of sepsis during pregnancy.
Efektivitas penggunaan alat peraga mini phantom panggul terhadap peningkatan pengetahuan, sikap dan keterampilan mahasiswa D3 kebidanan semester II di Akbid Harapan Keluarga Nias Tahun 2024 Sadawa, Helena Mariani; Wijayanegara, Hidayat; Anwar, Anita Deborah; Sutisna, Ma’mun; Aziz, M. Alamsyah; Hartiningsih6, Siti Sugih
Jurnal Riset Kebidanan Indonesia Vol 9, No 1 (2025): Juni
Publisher : AIPKEMA (Asosiasi Institusi Pendidikan Kebidanan Muhammadiyah-'Aisyiyah Indonesia)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32536/jrki.v9i1.326

Abstract

Background: Pelvic anatomy is an important part of obstetrics. The pelvis is the part of the body located below the abdomen and above the thighs, which involves a series of bones, joints, and other structures. A good understanding of pelvic anatomy is essential in midwifery practice because the pelvis plays an important role in the process of pregnancy and childbirth. However, there are obstacles for students in understanding pelvic anatomy, including the complexity of anatomical structures, clinical terms and vocabulary, anatomical visualization, limited learning resources, and discomfort with abstract materials. Research objectives: This study aims to prove the effectiveness of using a mini phantom pelvic prop on improving the knowledge, attitudes and skills of D3 Midwifery Semester II students at Akbid Harapan Keluarga Nias in 2024. Method: This type of research is an experiment with a Nonequivalent Control Group Design. The accessible population is D3 Midwifery semester II students at Akbid Harapan Keluarga Nias in 2024 as many as 70 students. The total sampling method is divided into 2 classes, namely the experimental class and the control class. Data analysis uses the Wilcoxon Signed Ranks test to see the differences between groups in SPSS. Results: The results of the study showed differences in knowledge, attitudes and skills between students who used the Mini Phantom Pelvic Teaching Aid and those who used learning videos. Conclusion: Based on the results of the N-Gain test, the mini phantom pelvic teaching aid was effective in increasing knowledge, but was not effective for the attitudes and skills of D3 Midwifery students Semester II at Akbid Harapan Keluarga Nias in 2024.
Co-Authors Ade Yonata, Ade Anita Deborah Anwar Hartiningsih6, Siti Sugih Hidayat Wijayanegara Khaerunnisa P, Maya Lumentut, Anastasia M. Maelissa, Merlin M. Nurul Islamy Sadawa, Helena Mariani Sutisna, Ma’mun Wirawan, Wahyudi