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Relationship Of Maternal Nutrition Status And Mother's Height Of Stunting Events In Tolls At Puskesmas Pagambiran Annisa Namirah Nasution; Vaulinne Basyir; Rinang Mariko; Nur Afrainin Syah; Yusri Diannne Jurnalis; Hudila Rifa Karmia
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 5, No 1 (2023): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v5i1.14973

Abstract

Abstract Stunting is a chronic malnutrition problem characterized by height for age which is <-2 SD according to the median standard of child growth. Stunting causes poor quality of human resources, which will reduce productivity. The factor causing the problem of stunting In Tools AtPagambiran Health Center, Padang City is the lack of clean water sanitation. The purpose of this study was to determine the relationship between the nutritional status of the mother, the height of the mother, and the mother's knowledge of the incidence of stunting in toddlers at the Pagambiran Health Center, Padang City.This research is an observational analytic study with a cross-sectional design. This research was conducted at the Pagambiran Health Center in Padang City with 3457 populations in November 2021-December 2022. The research sample was 174 mothers and children aged 24-59 months. Sampling using Stratified Random Sampling and Simple Random Sampling. Data collection used a questionnaire and the MCH handbook. The statistical tests used are Chi-square and Logistic Regression.The results of the univariate study found that 55 mothers (31.6%) had a history of chronic energy deficiency, and 12 mothers (6.9%) had a height < 150 cm. The results of the bivariate study using chi-square analysis obtained the p-value of each variable, namely the mother's nutritional status (p=0.005) and mother's height (p=0.018). The study concludes that there is a relationship between the mother's nutritional status and the mother's height in the incidence of stunting in toddlers at the Pagambiran Health Center, Padang City. Researchers suggest that counseling related to stunting can be carried out for pregnant women and prospective brides as an initial preventive measure. Keywords: Chronic Energy Deficiency, Mother's Height, Stunting.
Association of Secondhand Smoke Exposure During Pregnancy and Umbilical Cord Blood Vitamin D Levels with Newborn Weight Izmi Fadhilah Nasution; Delmi Sulastri; Hudila Rifa Karmia
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 5, No 2 (2023): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v5i2.15047

Abstract

Newborn weight is an important predictor of the growth and survival of infants. Low birth weight affects newborns at risk of experiencing health problems and the risk of death Women in developing countries experience many pregnancies with malnutrition, and exposure to cigarette smoke can reduce micronutrient deficiencies. Exposure to cigarette smoke damages the health of pregnant women and their fetuses. Vitamin D is a micronutrient that supports every stage of pregnancy, the placenta, and the fetus to achieve a healthy pregnancy. This study aims to determine the association of secondhand smoke exposure during pregnancy and umbilical cord blood vitamin d levels with newborn weight. This research is a quantitative analytic observational study with a Cross-Sectional Study design. This research was conducted at Hermina Padang Hospital. The time of research was carried out from 14 December 2022 to 10 January 2023. The population in this study were all mothers who gave birth at Hermina Hospital. The sampling technique uses non-probability sampling. The number of samples in this study was 55 samples. Data analysis using the ANOVA test. The study results showed a significant mean difference between the level of exposure to cigarette smoke and birth weight. This can be seen from the p-value <0.05 (p=0.002) and no significant difference in the average blood vitamin D levels. Umbilical cord with birth weight, can be seen from the p-value>0.05 (p=0.484) at Hermina Padang Hospital. It is recommended that health workers provide counseling about exposure to cigarette smoke to pregnant women and mothers to pay attention to meeting the needs of vitamin D during pregnancy.  Keywords:  Newborn Weight, Secondhand Smoke Exposure, Vitamin D , Newborn Weight
Maternal Anxiety and Sleep Quality Affects of Neonatal Brain-Derived Neurotrophic Factor Amel Yanis; Rahmi Andrita Yuda; Hudila Rifa Karmia
Jurnal Kesehatan Masyarakat Vol 18, No 4 (2023)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v18i4.40241

Abstract

Anxiety conditions and sleep disorders in pregnant women will affect theBrain-Derived Neurotrophic Factor (BDNF) level of the baby's umbilical cord blood, which will then affect the growth and development of the baby. This study aims to assess the relationship between maternal anxiety and sleep quality with neonates' BDNF levels. The research design was a cross-sectional study. Pregnant Women who gave birth by cesarean delivery method with a gestational age of ≥ 37 weeks, Totally 78 pregnant women were recruited. Anxiety levels and sleep quality were assessed by questionnaire, and BDNF levels were taken from the umbilical cord blood and then checked using the ELISA method. Data were analyzed by One-Way-Anova and Independent T-test. There was a significant association between anxiety levels and sleep quality with Neonatal BDNF levels (p = 0.000). The results obtained for pregnant women without anxiety, the mean level of BDNF is 2.017 ± 0.138 ng /ml, mild anxiety the mean value of BDNF level is 1.792 ±0.134 ng/ml, moderate anxiety the mean value of BDNF level is 1.708±0.177 ng/ ml, severe anxiety the mean value of BDNF levels was 1.585±0.257 ng/ml . Pregnant women with good sleep quality had the mean BDNF level of 1.969±0.211 ng/ml, while the mean BDNF level of poor sleep quality was 1.673 ±0.188 ng/ml. Conclusion: The higher the anxiety level of pregnant women, the lower the average Neonatal BDNF level is. The worse the sleep quality of pregnant women, the lower the average Neonatal BDNF level is.
The Low Level of Serum 1,25-Dihydroxyvitamin D3 and Calcium in Preeclampsia Women and Its Impact on Maternal Outcomes: Kadar Serum 1,25-Dihidroksivitamin D3 dan Kalsium yang Rendah pada Perempuan Preeklamsia dan Dampaknya terhadap Luaran Maternal Hudila Rifa Karmia; Yusrawati; Tara Fadhillah
Indonesian Journal of Obstetrics and Gynecology Volume 11 No. 4 October 2023
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32771/inajog.v11i4.1931

Abstract

Objective: To investigate the association of serum 1,25-dihydroxyvitamin D3 (1,25[OH]2D3) and calcium levels in pregnancy with the risk of preeclampsia and its impact on maternal outcomes. Methods: This cross-sectional observational study was conducted in the Obstetrics and Gynecology Department at Dr. M. Djamil Padang General Hospital from May 2021 to April 2022. Patients with normal pregnancy, diagnosed with preeclampsia, and willing to sign the informed consent were included in this study. Blood serum samples from patients were collected and examined with an ELISA kit. The collected data were then statistically analyzed with univariate and bivariate analysis. Results: The serum 1,25(OH)2D3 levels strongly correlate with maternal outcomes (systolic and diastolic blood pressure) among preeclampsia patients, with p-value = <0.0001. The serum 1,25(OH)2D3 levels in preeclampsia were significantly lower than in normal pregnancy (88,73 ± 42,22 vs. 111,11 ± 52,49 pg/ml), with p-value = 0,033. The serum calcium levels in preeclampsia patients were significantly lower compared to normal pregnant women's (8,67 ± 0,49 vs. 9,55 ± 0,93 mg/dL), with p-value = <0.0001. However, there was no association between serum 1,25(OH)2D3 and serum calcium levels in pregnancy. Conclusion: Serum levels of 1,25-dihydroxyvitamin D3 and calcium in preeclampsia were significantly lower than in normal pregnancy. Serum 1,25-dihydroxyvitamin D3 levels were also found to have a significant correlation with systolic and diastolic blood pressure in preeclamptic patients. These findings reinforce the suggestion of the importance of vitamin D and calcium supplementation during pregnancy to reduce the risk of preeclampsia and to achieve better maternal outcomes. Keywords: 1,25-Dihydroxyvitamin D3, calcium, hypertension, pregnancy, preeclampsia Abstrak Tujuan: Mengetahui hubungan antara kadar serum 1,25-dihidroksivitamin D3 (1,25[OH]2D3) dan kalsium pada kehamilan dengan risiko preeklamsia dan pengaruhnya terhadap luaran maternal Metode: Studi observasional potong lintang ini dilakukan di Departemen Obstetri dan Ginekologi RSUP Dr. M. Djamil Padang dari Mei 2021 hingga April 2022. Pasien dengan kehamilan normal, terdiagnosis preeklampsia, dan bersedia menandatangani informed consent diinklusi dalam penelitian ini. Sampel serum darah dari pasien dikumpulkan dan diperiksa dengan ELISA-kit. Data yang terkumpul kemudian dianalisis secara statistik dengan analisis univariat dan bivariat. Hasil: Kadar serum 1,25(OH)2D3 memiliki hubungan yang kuat dengan luaran maternal (tekanan darah sistolik dan diastolik) pada pasien preeklamsia, dengan nilai p = <0,0001. Kadar serum 1,25(OH)2D3 pada preeklampsia lebih rendah secara signifikan dibandingkan kehamilan normal (88,73 ± 42,22 vs 111,11 ± 52,49 pg/ml), dengan p-value = 0,033. Kadar kalsium serum pada pasien preeklampsia juga secara signifikan lebih rendah dibandingkan ibu hamil normal (8,67 ± 0,49 vs 9,55 ± 0,93 mg/dL), dengan p-value = <0,0001. Namun, tidak ada hubungan antara kadar serum 1,25(OH)2D3 serum dengan kadar serum kalsium pada kehamilan. Kesimpulan: Kadar serum 1,25-dihidroksivitamin D3 dan kalsium pada preeklamsia lebih rendah secara signifikan dibandingkan kehamilan normal. Kadar serum 1,25-dihidroksivitamin D3 juga ditemukan memiliki korelasi yang signifikan dengan tekanan darah sistolik dan diastolik pada pasien preeklamsia. Temuan ini memperkuat saran akan pentingnya suplementasi vitamin D dan kalsium selama kehamilan untuk menurunkan risiko preeklampsia dan untuk mendapatkan luaran maternal yang lebih baik. Kata kunci: 1,25-Dihydroxyvitamin D3, kalsium, hipertensi, kehamilan, preeklamsia
Characteristics of Advanced Epithelial Ovarian Cancer Patients in Dr. M. Jamil Padang Hospital Reyhan Julio Azwan; Syammel Muhammad; Hudila Rifa Karmia
Andalas Obstetrics And Gynecology Journal Vol. 8 No. 1 (2024)
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.8.1.566-574.2024

Abstract

Background: Ovarian cancer is a major global health concern, often diagnosed at advanced stages, impacting five-year survival rates. This study examines the demographic and clinical characteristics of 64 patients with advanced epithelial ovarian cancer, shedding light on the disease complexity.Methods: Conducted at General Hospital Dr. M. Djamil Padang, this cross-sectional study analyzed patient data using SPSS. The research, approved by the Health Research Ethics Committee of Andalas University, included detailed demographic and clinical assessments.Results: Predominantly, patients were aged 40-64, exhibited normal BMI, and a significant portion had not given birth. Evaluation of clinical factors, including Peritoneal Cancer Index (PCI) and residual tumor size, provided insights into the cohort's characteristics. Optimal cytoreduction (<1 cm residual tumor) was prevalent, emphasizing the role of surgery in enhancing survival.Conclusion: The study underscores the multifaceted nature of advanced epithelial ovarian cancer and advocates personalized treatment approaches tailored to individual patient profiles. The findings contribute valuable insights to the existing knowledge, emphasizing the importance of age, BMI, and surgical interventions in influencing outcomes.
CORRELATION OF MATERNAL SERUM 25 HYDROXY VITAMIN D WITH NEWBORN ANTHROPOMETRY Muhammad Iqbal; Yusrawati Yusrawati; Hudila Rifa Karmia; Joserizal Serudji
Andalas Obstetrics And Gynecology Journal Vol. 8 No. 1 (2024)
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.8.1.585-591.2024

Abstract

Vitamin D deficiency (VDD) is identified as a public health problem in many countries, and pregnant women have been identified as a high-risk group, among whom the prevalence of VDD ranges between 20 and 40%. Vitamin D deficiency causes essential health problems, not only in the mother but also in the baby, because the mother's vitamin D stores are the primary source of vitamin D for the fetus. During pregnancy, severe vitamin D deficiency in mothers has been associated with biochemical evidence of impaired bone homeostasis, congenital rickets, and bone fractures in newborns. This study aims to determine the correlation between umbilical cord blood 25(OH)D levels in term pregnancy and Neonatal anthropometry. This research is analytical research using a cross-sectional approach. The sample in this study amounted to 40 people. Data analysts use people tests. The results of this study obtained an average umbilical cord serum 25(OH)D level of 14.70 ± 4.93. There was no correlation between umbilical cord blood 25(OH)D levels in term pregnancy and neonate anthropometry (p>0.05). The average level of 25(OH)D is included in the insufficiency category. Therefore, it is necessary to increase vitamin D supplementation during pregnancy.
Pengaruh Pemberian Ekstrak Daun Kelor (Moringa Oleifera) Sebagai Antioksidan Terhadap Kadar Malondialdehyde Pada Tikus Model Hiperglikemia Asti Marian Sari; Eti - Yerizel; Hudila Rifa karmia
Majalah Kedokteran Andalas Vol 46, No 12 (2024): Online Oktober 2024
Publisher : Faculty of Medicine, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/mka.v46.i12.p1957-1964.2024

Abstract

Tujuan: Mengetahui pengaruh pemberiak ekstrak Moringa Oleifera terhadap kadar malondialdehyde pada tikus wistar model hiperglikemia. Metode: Penelitian ini melibatkan 20 ekor tikus strain wistar betina yang berumur 8-12 minggu dengan bobot 200-250 gram yang memenuhi kriteria inklusi maupun ekslusi. Tikus dibagi menjadi kelompok empat, yaitu Kelompok kontrol negatif (K-), Kontrol positif (K+), Perlakuan 1 (P1) dan Perlakuan 2 (P2). Kelompok P1 hanya diberikan makan dan minum standar saja, tanpa perlakuan. Kelompok K+ diinjeksi aloksan secara Intraperotoneal dengan dosis 100 mg/kgBB sehingga tikus menjadi hiperglikemia, P1 diberi injeksi aloksan menjadi hiperglikemia dan diberikan ekstrak moringa oleifera dengan dosis 250 mg/kgBB dan P2 injeksi aloksan menjadi hiperglikemia dan diberikan ekstrak moringa oleifera dengan dosis 500 mg/ kgBB selama 21 hari, Pada hari ke-22 semua kelompok diambil darah untuk dilakukan pemeriksaan kadar malondialdehyde. Hasil: Rerata kadar malondialdehid pada K-, K+, P1 dan P2 berturut-turut, yaitu 1,81±0,06 nmol/mL, 3,81±0,24 nmol/mL, 2,55±0,30 nmol/ mL, 2,09±0,21 nmol/mL, dengan nilai p=0,01. Kesimpulan : Pemberian ekstrak moringa oleifera sebagai antioksidan berpengaruh terhadap penurunan kadar malondialdehid
The Influence Of Counseling With Audiovisual Media On The Level Of Knowledge And AttitudeAdolescent Women In Consumption Iron Supplement Iria Ningsih Busri; Afriwardi Afriwardi; Hudila Rifa Karmia
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 5, No 4 (2023): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v5i4.16099

Abstract

Giving iron supplement tablets to young women as a program to prevent and treat anemia has so far not worked as expected. To support this program, appropriate health education is needed. The aim of this research was to determine the effect of counseling using audiovisual media on the level of knowledge and attitudes of young women regarding the consumption of iron supplement tablets at Bahrul Ulum Singingi Junior High School.The research method used was quasi-experimental, and the design used was a non-equivalent control group pretest-posttest design. The research was carried out from November 2022 to July 2023 at Bahrul Ulum Singingi Junior High School with a sample size of 88 people using total sampling techniques. Data analysis was done with the Mann-Whitney test using SPSS with confidence index 95%.The results of the research show that counseling using audiovisual media has an effect on the level of knowledge of young women, with the results of the pretest difference between the experimental and control groups p-value>0.05 (p = 0.531), the posttest difference test p-value<0.05 (p = 0.001), and the difference test increasing the p-value <0.05 (p = 0.000). And counseling using audiovisual media also has an effect on the attitudes of young women, with the results of the pretest difference between the experimental and control groups p-value>0.05 (p = 0.338), the posttest difference test p-value<0.05 (p = 0.000), and the difference test increase in p-value <0.05 (p = 0.000).In conclusion, counseling using audiovisual media influences the level of knowledge and attitudes of young women regarding the consumption of iron supplement tablets. Keywords: Counseling Using Audiovisual Media, Iron Supplement Tablets, Knowledge and Attitudes