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MANAGEMENT DISASTER IN MATERNITY AREAS Ai Rahmawati; Bhekti Imansari; Devita Madiuw; Ida Nurhidayah; Pipih Napisah; Yanti Hermayanti
Journal of Maternity Care and Reproductive Health Vol 2, No 2 (2019): Journal of Maternity Care and Reproductive Health
Publisher : Ikatan Perawat Maternitas Indonesia Provinsi Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (784.772 KB) | DOI: 10.36780/jmcrh.v2i2.72

Abstract

Indonesia is one of the countries in the world that is often affected by natural disasters. The disaster has broad-impact such as infrastructure damage, loss of material, and impacts on residents who live in the disaster area including pregnant women, postpartum women, and newborns. The impact that often occurs is stress in pregnant women and postpartum. Also, babies born also may have low birth weight and premature. The purpose of this literature study was to review disaster management in the maternity area in various countries. The electronic database included EBSCO hosts, PubMed and google scholar. Keyword for searching articles was "management disaster", " disaster preparedness " and "maternity area". A total of 859 articles were found and only 15 articles were chosen for analysis. Based on the literature analysis, it was found that there was a need to prepare for a disaster situation, especially women and infants in the maternal period (antepartum, intrapartum, postpartum and neonatal care) in Indonesia. Disaster management divide into three periods, first, before a disaster the government should provide a referral hospital to accommodate maternal patients and teams to deal with maternal problems. When the disaster occurred, identification of disaster victims using the triage OB TRAIN. After a disaster, maternal patients may experience stress and depression. Prenatal depression intervention includes interpersonal therapy, music therapy, and maternal relaxation. Preventing postpartum depression in postpartum mothers is done by breastfeeding their child. There is a need for a design disaster management for maternal patients in Indonesia that consist of three periods: pre-disaster, during disasters, post-disaster.Keywords: Management disaster, disaster preparedness, maternity areas
The Effectiveness of Obstetric Emergency Interventions in Enhancing Mother and Fetal Well-Being: A Systematic Bhekti Imansari; Ida Nurhidayah; Ai Rahmawati; Risang Pawestri; Camilie G. Hemedes
Journal of Nursing Care Vol 6, No 2 (2023): Journal of Nursing Care
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jnc.v6i2.48344

Abstract

An obstetric emergency is a condition that can threaten the life of a pregnant woman and the fetus, which occurs during pregnancy, childbirth and the puerperium. This review   aimed to analyze the effectiveness of emergency obstetric interventions based on previous studies. The study was a systematic review carried out in seven stages through three databases from Ebsco, Pubmed and Proquest. The keywords used were (pregnant women) AND (emergency intervention) AND (nursing OR nurse) NOT (systematic review). The inclusion criteria in this study were: full-text, peer review, English, articles for the last five years, subject: nursing, nurses, emergency medical care, nursing care, emergency services, and document type: articles. Based on the search database, 10,496 papers were obtained, 733 documents that matched the inclusion criteria and seven papers that fit the theme were obtained. The result that based on the initial stage of the literature search, four interventions were adequate, including ACLS training, multidisciplinary management, making coloured ribbons for premature pregnancy detection, and maternal near-miss detection tools. Interventions with less effective based on statistical test results were supportive care, home visits with IPV (intimate partner violence) interventions, and administration of CPR, defibrillation, ETT insertion, and administration of epinephrine. Nurses still carry out a few emergency developmental interventions. It is necessary to develop engagement interventions related to maternal emergencies to improve the welfare of mothers and babies. Further study is needed to strengthen the evidence base of innovative interventions for specific obstetric emergencies.